He has a heart problem. Thanks to Liu Muqiao's advanced electrocardiogram technology during his internship year, otherwise, this electrocardiogram would be difficult for even the most powerful doctors in the world to understand.
The world of fat people is really difficult to understand.
The next inspection ran into trouble again.
B-ultrasound, a commonly used device that uses ultrasound to explore internal organs, is in trouble.
Ultrasound cannot penetrate so deeply.
As we all know, the shorter the waveform, the worse the penetration of sound waves. Due to the obstruction of hypertrophic fat, the B-ultrasound examination failed.
Don't even think about CT and MRI. They can't be put in, and the bed can't bear the pressure.
Both CT and MRI are high-end equipment, each worth tens of millions. Antai Hospital is the most advanced in the world. CT has 640 rows and MRI has 6.0T. The two together add up to nearly 100 million. Who can
Dare you let the fat man try?
Routine instrument inspection cannot be used and can only rely on ordinary physical inspection.
30 or 40 years ago, doctors had very strong physical examination skills. They learned them solidly and used them every day in the hospital. A doctor who had been a doctor for 10 years could roughly distinguish the disease at a glance.
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They rely on their own two hands, ears and eyes. They can basically diagnose the disease by looking, touching and listening.
But it didn’t work anymore. As the equipment became more and more advanced, doctors had more things to rely on. It no longer mattered whether they had strong physical examination skills. Using instruments to check the results would be more accurate.
Gradually, doctors' physical examination capabilities declined. Sometimes, doctors would miss a diagnosis of a slab-shaped abdomen.
A slab-shaped abdomen refers to a tense abdominal muscle, which is the same as a wooden board, indicating severe inflammation in the abdominal cavity, and the abdominal inflammation must be treated quickly by opening the abdomen.
It’s scary to think about how seriously degraded doctors are today!
Today, this 660-pound patient is really lucky to have met Liu Miqiao, one of the few surviving physical examination masters in the world.
He gave up other instruments for testing, picked up the stethoscope and blood pressure monitor and started physical examination.
After an hour and a half of inspection, he found many problems.
The thyroid gland is enlarged. Analysis suggests that it is simple thyroid enlargement. It is not a big problem and is simply caused by iodine deficiency. This disease was very common in the past and is not harmful to people. It only has a great impact on the appearance.
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This disease is difficult to detect. If you are too fat, it is difficult to notice thyroid enlargement. Surgery can be considered after successful weight loss.
Next, Liu Miqiao discovered a big problem during the lung examination. The patient had pleural effusion.
The doctors and nurses on the side were shocked.
This fat man is very overweight and needs more oxygen. The pleural effusion will obviously compress the lungs and reduce ventilation.
Pleural effusion itself is difficult to detect. Ordinary doctors may not be able to detect pleural effusion in ordinary people. But now the fat man in the world can determine pleural effusion through percussion. He is indeed a master - a super master.
That’s it.
Not optimistic.
When he checked his abdomen again, Liu Maqiao's back felt cold.
There is a tumor in the abdominal cavity, about the size of a basketball.
What tumor is that?
It is unlikely to be malignant.
Malignant tumors can cause weight loss and cachexia to a certain extent.
It should be a benign tumor.
Although benign tumors may not necessarily be very harmful, a basketball-sized tumor in the abdominal cavity should be removed as soon as possible.
So, what kind of tumor does this patient have?
"Please invite Hua Bucheng, Song Xiaofei, Liang Shanyuan, Zhao Jianwei, and Li Daxi to come for consultation."
Liu Muqiao named a few names. They were doctors at the hepatobiliary surgery department, general surgery department, and obstetrics and gynecology department, at the director level.
Liu Maqiao's good performance in liver, biliary, pancreatic and intestinal surgeries does not mean that he is expert in abdominal tumors, let alone gynecological tumors.
It was Liu Muqiao who convened the consultation, and soon everyone arrived.
Song Xiaofei came down from the operating room.
Leave the surgery to others.
When Liu Muqiao proposes a consultation, he must be given priority. This is a rule that every Antai person knows - an agreement becomes a custom.
"Chocolate cyst!" Song Xiaofei said.
The results of the discussion tend to be consistent, it is a common benign tumor in gynecology.
What are the principles of processing?
There is only one option, surgical treatment.
Here comes the problem.
Logically, this surgery could only be performed by Song Xiaofei, but when she looked at the patient's abdomen, she realized that Song Xiaofei might not be able to remove the tumor even if he put his entire body inside.
Her face was full of confusion.
"Please ask Dean Liu Muqiao to come on stage in person." Hua Bucheng reminded Song Xiaofei.
For such a patient, only Liu Maqiao, the best surgeon in the world, can come to the stage in person.
"Hua Bucheng, you have to play too. I noticed that during the B-ultrasound, there seemed to be a cyst in the liver. Although the B-ultrasound failed, I noticed that there was a low-density shadow the size of an egg on the liver."
Liver examination is very difficult.
Physical examination can only detect whether the liver is enlarged and the softness and hardness of the edges. Physical examination cannot do anything about other problems.
Although the detection failed during the B-ultrasound just now, Liu Miqiao is a master in imaging. He still noticed liver problems in the very light imaging data.
Normally, there is no doubt that CT or magnetic resonance imaging is required.
This patient cannot do it, so the liver can only be examined directly on the operating table. How to deal with it is a temporary decision.
"I suggest Hu Yidao." Hua Bucheng felt guilty.
"Why? Why are you so humble today?" Liu Maqiao asked.
"Hu Yidao has thinner hands and is taller, so he is more suitable for this surgery." Hua Bucheng is not evading responsibility, but a style.
For those who are engaged in technology, giving opportunities to others means giving away the chance of success. Ordinary people will only fight for opportunities and will not take the initiative to give up opportunities.
"Okay. I'll invite Hu Yidao."
The consultation went very smoothly, and the surgical plan was also made.
The first step of Liu Miqiao's surgical plan is to use the technology of the Department of Burns and Plastic Surgery to perform fat resection on major parts of the body, and also perform corresponding plastic surgery.
This one is very important.
It will take at least two years for a fat man weighing 660 pounds to lose weight by taking traditional Chinese medicine, and there will also be a serious problem - after losing weight, there will be a lot of excess skin on the body. As you can imagine, the image problem is serious
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Liu Muqiao decided to use surgery as the first step to lose weight. It can cut off about half of the fat and reduce the weight to about 330 pounds.
And the excess skin is cut off, and cosmetic plastic surgery is used to leave no traces of surgery.
The second step is to remove the tumor.
The third step is to check the liver.
The fourth step is to check the problem on the operating table. Liu Miqiao has a hunch that the patient may be more complicated than imagined, because there should be a reason for obesity.
There is an iron law in medicine that any abnormality has a reason. This is also in line with the basic teachings of Buddhism, cause and effect, if there is a cause, there will be an effect, and if there is an effect, there must be a cause.
This chapter has been completed!