This patient was diagnosed with brain metastasis from lung cancer.
Lung cancer brain metastasis is in the late stage of lung cancer, and the chance of survival is very low. This is a desperate blow to anyone.
Liu Muqiao asked about the medical history, did a physical examination, and then looked at the CT films beside the bed.
Watch it very carefully.
It lasted a full fifteen minutes.
The patient looked at Liu Miqiao anxiously.
There is a glimmer of hope in my mind.
Want to deny existing diagnosis.
This is the very desired conclusion: the previous diagnosis was wrong.
Patients are afraid of misdiagnosis, but at this time they especially want to hear the doctor say that the previous diagnosis was a misdiagnosis.
If it was a misdiagnosis, he secretly made up his mind that he would not cause any trouble to the doctor who misdiagnosed him.
Liu Miqiao looked at it seriously. Even the director of the Department of Neurology and Vice President Zhao were wondering, is it necessary? This is already a fact, an unchangeable fact. Do you still want to draw a different conclusion?<
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This patient originally did not need to be consulted. He had a lung tumor and underwent surgery. The adenocarcinoma was pathologically diagnosed. Now, six months after the surgery, two shadows were found on his brain. It was not tumor metastasis. Could it still be there?
Is it another disease?
They asked him for consultation simply because they wanted to know if there were any other treatment methods in the mainland.
Now, Liu Muqiao doesn't seem to be planning to tell everyone about other treatment methods. He seems to be correcting this diagnosis.
This is boring.
Is it interesting to deny for the sake of negation?
We are all scientists, can we have some scientific spirit and scientific literacy?
If this diagnosis is still wrong, I am willing to eat these CT films alive.
Liu Miqiao turned around and faced the doctors.
"This patient is interesting. You have met him. This is a special patient that is rare to see in your life. I have only had three such cases in total. This is the fourth one. He is not a metastasis of lung cancer, but an infection of a special bacteria.
.The bacteria are not very virulent. As for whether it is Staphylococcus epidermidis or Streptococcus, it is difficult to judge. However, the treatment is not a big problem. Half a month of anti-inflammatory treatment should be able to cure it."
When Liu Muqiao said this, the surroundings were surprisingly quiet.
This patient has had a general consultation in the department and everyone knows his condition.
You suddenly get a negative diagnosis. It’s not a question that’s hard to accept, but is it possible?
What’s the reason?
"Well, you will think that I have insufficient basis for denying the previous diagnosis. Let me tell you, I have only one basis, and that is imaging. This disease is difficult to judge. Most people can't distinguish it from CT scans. Even those from the radiology department
Experts may not be able to tell. I am certain that this patient’s brain is just an infection. As for the pathogenesis, it is unknown!”
Only then did the patient react.
"Dr. Liu, are you sure that my cancer is not metastatic?"
"Of course. Congratulations, it's not brain metastasis from cancer, it's just a bacterial infection. You will be cured and discharged from the hospital in half a month."
Vice President Zhao said: "Dr. Liu, are you sure about this diagnosis?"
Liu Miqiao smiled slightly, "No problem. I am very cautious about this diagnosis, and it can be verified. After two weeks of using the fourth-generation cephalosporin, the inflammation should be cleared."
Based on the trust Liu Muqiao has established today, by this time, there will be fewer doubters.
Even if there is suspicion, it becomes very mild. Tonight, all the neurologists enjoyed a high-level teaching round.
Looking at my watch, it’s already one o’clock in the morning.
No one is sleepy.
Some people are still not satisfied. They think that if there is such a powerful person to guide them for half a year, there is no need to go out to study.
"Dr. Liu, what are the requirements for me to come to your place for further study?" asked a young attending doctor.
"There is only one requirement: diligence."
Liu Muqiao could only say this. He also asked himself, am I diligent?
At least, I am very diligent now.
Having said that, if you don’t say it this way, is there another way to say it?
"Have some late-night snacks?"
Vice President Zhao asked again.
Next stop, move to orthopedics.
It's already early in the morning and it's time to eat something.
Liu Muqiao smiled mischievously and said, "Don't worry, let's wait until we get orthopedic surgery."
He quietly took another Huiqi Pill and felt very energetic.
Vice President Zhao is in trouble and can’t even open his eyes.
However, he had to follow him.
There was another person behind him who insisted on seeing how capable Liu Miqiao was.
Vice President Zhao did not dare to look back at him.
It’s orthopedics again.
The dressing was changed yesterday - it was already the day before yesterday. Liu Miqiao's reputation was already very good. Originally, he didn't need to accompany him.
However, the man behind him disagreed.
When we arrived at the Department of Orthopedics, the director of the Department of Orthopedics and the seven doctors were all bleary-eyed and greeted Liu Miqiao.
There are several troubled patients here.
The patient who has been hospitalized the longest is an osteomyelitis patient who has been hospitalized for more than 700 days. There are two other patients who have been hospitalized for more than 400 days. They not only occupy beds, but also cause trouble to the hospital and departments from time to time.
They all thought it was a medical accident.
Of course, solving the problem cannot be solved by just doing a medical evaluation. The key is for the patient's wound to heal.
This osteomyelitis is a bit troublesome. Even if Liu Miqiao changes the dressing himself, it will take more than half a month. It is impossible for him to stay here for so long.
Liu Muqiao is expected to leave today.
He didn't tell anyone.
He started to change the dressing.
"Are you the attending doctor? You watch me carefully as I help him change it. From now on, you change it once a day. On the fifteenth time, you seal the opening and you're done."
Liu Muqiao said to a fat doctor.
"Attention, the key to changing this patient's dressing is to remove the necrotic tissue. You must be more willful, courageous, and cruel. Look, this is the bone marrow, right? Cut it off! It's so deep. You can see the fat inside.
Only then can you stop."
Liu Muqiao chopped up half of the new tissue in a short time.
"Don't be reluctant. These tissues grow and die quickly. What we need are tissues that grow steadily. If you are not cruel, the wound will never grow properly."
Liu Muqiao demonstrates.
The onlookers all around were speechless.
Is this okay?
However, they knew that Liu Muqiao was right.
This patient took a long time, and it took more than half an hour to finish.
Next, the medicine was changed for another patient.
I bent over and looked at each one, and by the time I finished changing, I couldn’t even straighten up.
Liu Muqiao looked like a normal person, "If you are interested, you can send someone to my place for further training. We at Antai Hospital have specialized wound clinics and inpatient clinics, and we can see all kinds of wounds."
"I'll sign up, Dr. Liu, and I'll study with you for one year." The fat man just now raised his hand.
"You? It's okay. If you study with me for a year, you should have almost lost all your fat. Are you willing to do it?" Liu Muqiao said.
This chapter has been completed!