Chapter 45 Companion
In the ward of the emergency room, Li Fan was already checking the cases, holding an X-ray film in his hand, with a sad look on his face.
"Dr. Li."
Tanglou came over and stood beside Li Fan.
"Xiao Tang, come here, let's take a look and think about whether you have encountered similar cases in your mind."
When Li Fan saw Tang Lou, he asked some metaphysical questions. After all, Tang Lou did have unique talent and luck in diagnosis.
"This patient was originally admitted to the hospital because of internal hemorrhoids. After falling ill, he found that his left scapula and ribs were slowly dissolving. This is the patient's X-ray. It is clearly visible that the left clavicle, scapula, and multiple ribs are dissolving.
"
Li Fan described the patient's condition with some surprise and confusion. It was really difficult to understand!
"Um."
Tanglou took the X-ray film, looked at it a few times, and then looked at the patient:
[Patient: Liang Xing, gender, male, age 30
Symptoms: left clavicle, scapula, multiple rib dissolution
Diagnosis: Gorham syndrome.
Also known as "massive osteolysis syndrome, progressive benign osteolysis syndrome"
Characteristics of this disease:
Onset in children or young adults, progressive, spontaneous single or multiple osteolysis, and all bones may disappear;
It usually occurs in the limb girdle bones, mandible, and ribs, and may also start with distal limb dissolution;
Scattered calm erythema can be seen on the skin, which may feel spongy to the touch.
System prompt: Since the host currently only has diagnostic skills (one star, 3), it is still unable to solve this rare disease. It is recommended to transfer to a higher-level hospital and require consultation by provincial experts.】
"Is there no treatment at all?"
This was the first time that Tanglou encountered a disease that even diagnostic techniques could not solve.
[Diagnostic technique (one star, 3) can only diagnose common diseases. If the host wants to solve more difficult and complicated diseases, it needs to work hard to complete tasks and improve the level of the technique, so that it can conquer these rare diseases. 】
In the past, because the system had always been omnipotent, Tanglou always felt that he could solve the patient's problems as long as he took action. However, when he thought about it carefully, he realized that he had only mastered the most basic suturing and debridement. It turns out that there are still these rare things.
The disease, not to mention the required surgery, does not even know how to treat it.
[The loss of the host has been detected. Hosts and doctors themselves are such a profession. However, because the county hospital is small and has limited medical conditions, the cases it receives will be relatively mild. In larger hospitals, there are cases every day
Countless patients collapse on the verge of despair due to various intractable diseases.】
"I know this. From the day I became a medical student, I knew that I would face a lot of helplessness. I used to listen to the teacher talk about the helplessness of watching patients die in front of me, and I couldn't empathize with it. This time it really happened.
When I encounter this kind of disease, I can clearly see the disease, but cannot provide treatment, it is really uncomfortable."
"I'm so unwilling! Am I so useless? I have a system, but I can't solve his disease."
Tanglou felt a little guilty.
[The mood of the host is something that all doctors have to experience, but the potential of the host is something that no doctor has ever had, so you have to work harder to complete tasks, exchange spells, grow quickly, and strive to enter a larger hospital to face interviews.
For more and more difficult diseases, live up to your own special abilities.】
"System, I understand."
Tanglou exited the system space, his mood was still a little sad and depressed, but there was more determination and responsibility in his eyes.
One day, through accumulation, Tanglou will be able to exchange for a treatment method that can overcome this rare disease.
His pace will not end until the last moment of his life, or until he overcomes the last disease!
Feeling Tang Lou's emotions, Li Fan naturally understood. It seemed that he didn't know the disease, but it made sense after thinking about it. After all, Tang Lou was still an intern, and he had never encountered this kind of disease in so many years of practicing medicine. Pass.
Cheng Sisi on the side also had various information intertwined in her mind, but in the end she could only sigh. She had never heard of this kind of disease.
"I'll ask Director Shen to come and take a look."
Li Fan shook his head and sighed. This is the time when a doctor is most helpless and blames himself the most.
"I know this disease." Tanglou said with a helpless tone.
"real?"
Li Fan and Cheng Sisi both looked at Tanglou and saw the latter pointing on the X-ray image:
"You see, first of all, most of the patient's residual bones are destroyed from the distal end, and the damaged section becomes rough and 'pen tip'-like. This is one of the typical characteristics of Gorham syndrome. In addition, the bone is absorbed and destroyed from the inside out, and the cortex is damaged from the inside out. Complete, the third point is that the bone destruction is a reduction in density, a burr-like change, accompanied by connective tissue-like changes. You see here, the surrounding soft tissue has atrophied and is inflamed."
"If my diagnosis is correct, the patient's skin can be seen with erythema, and it feels spongy to the touch. According to the international injury staging, the patient is now in stage I with localized debris and burr-like lesions."
Tang Lou finished the last piece of evidence.
"You're absolutely right, his backside does feel like a sponge." Li Fan fully agreed with Tanglou's conclusion.
This is why, at first, Xu Lanlan said that the patient had been infected by the bone-changing palm, his bones dissolved, and his skin felt like a sponge.
"Do you know how to treat it?"
Li Fan asked, while Cheng Sisi looked at Tanglou expectantly. After all, she had never heard of this rare disease. On the one hand, she was surprised by Tanglou's knowledge and knowledge, and on the other hand, she was extremely curious about this disease.
"have no idea."
Tanglou lowered his head in despair and gritted his teeth.
Feeling Tang Lou's frustration, Li Fan naturally felt the same as someone who had experienced it, and patted Tang Lou on the shoulder:
"Xiao Tang, this is our profession. You are already great. At least you have detected the disease. We don't know it. It doesn't mean that Director Shen doesn't know it. Director Shen doesn't know it, and there are higher-level hospitals."
Li Fan signaled Xu Lanlan to take the tenement building back to the duty room, while he went to ask Director Shen how to deal with it.
Tanglou did not speak and walked back to the duty room in silence. He needed more opportunities and a bigger stage. According to previous understanding, the top three in this emergency training camp have the opportunity to enter the city's first hospital. Further study.
Before, Tanglou didn't care, but now he wants to fight for it!
"Dr. Xiaocheng, thank you for the information. Don't worry, I will try to get into the top three in the training camp."
Cheng Sisi followed behind, feeling the Tanglou's recovery from despair and renewed vigor.
For some reason, her heart was also tugged.
As an intern, I just follow Professor Liu every day, doing some simple records and basic operations, and the cases I recite are just to prepare for the training camp.
But the cases he remembered in Tanglou were actually used on patients.
Cheng Sisi finally understood why Tanglou didn't have time to read the information he prepared. He was participating in the operation and communicating with the patient...
He doesn't need this kind of theoretical compilation, he just works among the patients.
Cheng Sisi understood a little bit, and appreciated the tenement building more and more!
She will also strive for more opportunities for surgery in the future.
After all, every extra hour you accumulate may at some point extend the life of a certain patient.
Cheng Sisi has always aspired to become the best doctor. At this moment, she knew that there was another companion on this road.
...
...
Two days later, the emergency training camp officially began.
It is led by the Municipal First Hospital and co-organized by the Municipal Second Hospital, the Third Hospital and the Military Hospital.
It brings together the top medical forces in Hecheng.
The main venue is located in the newly completed building of the No. 1 City Hospital.
Shen Jun, as the leader of Yu County, and Tang Lou, as the players, formed the weakest and least favored team.
In the lecture hall on the fifth floor of the new building, representatives from the municipal level and the five subordinate county-level cities gathered together.
The first row of the entire lecture hall is occupied by the First Municipal Hospital, the second row is occupied by the Second Hospital, the Military Hospital, the third row is occupied by the Third Hospital and Tongshi, Pingshi, Yanshi, Hushi...
Obviously, as a city-level hospital, the representative of Yuxian Hospital was placed in the corner of the last row.
Shen Jun was a little dissatisfied with this, but there was nothing he could do about it.
He looked at Tanglou with a wry smile: "Xiao Tang, this is the current situation of our county hospital. Don't take it seriously."
Tanglou smiled and didn't care at all. The old god sat at the back and didn't care if anyone paid attention to him.
Shen Jun was somewhat pleased to see Tanglou's good attitude and sat together in the back. After all, given his status, he didn't have much friendship with the representatives of the institutes to talk to.
After the other teams exchanged greetings and took their seats, the host delegation also entered the venue, led by the vice president of the first hospital. Cheng Jian, the director of surgery, and Lin Fang, director of the emergency department, were also at the front of the team.
Behind him is the strongest newcomer team in the first hospital this time, and they are also the benchmark for the younger generation in Hecheng.
The first person to walk was Yang Ming, who was said to be the next director of surgery. He was 1.9 meters tall and had a round head. He looked very bright and walked confidently at the front.
Behind Yang Ming was Cheng Sisi, and behind Cheng Sisi was another female doctor with short hair and good looks. All her attention was devoted to Yang Ming.
After the deputy dean and director took their seats, Yang Ming was undoubtedly the first in line. However, he did not take his seat first, but instead pressed down the chair in the lecture hall for Cheng Sisi like a gentleman.
"Junior sister Cheng."
Cheng Sisi ignored Yang Ming, but glanced around the lecture hall, and soon saw the tenement building in the corner.
A smile appeared on his face, and he waved in the direction of Tanglou: "Hey, Tanglou~"
But Tang was still immersed in his own world with his head down.
Frowning, Cheng Sisi looked at the seat on her side and then at the Tang Tower. She didn't even look at Yang Ming and went straight to the back, heading towards the Tang Tower.
Yang Ming was a little surprised and looked in the direction of the tenement building. When he saw the team from the county hospital, he lost interest.
After all, his opponents were at least at the military hospital and second hospital level.
A county hospital is not in his eyes.
Wu Qian was also surprised that Cheng Sisi sat in the back, but that was not the county hospital's team?
Looking carefully, he naturally saw Tanglou's perfect appearance. He was slightly startled, and then turned into secret joy, and then turned into a sneer: "It turns out that Cheng Sisi is also such a superficial person."
Chapter completed!