Wang Lin's examination results were very good, confirming that mrsa was not detected and was just a simple Staphylococcus aureus infection. After two rounds of anti-infection treatment, his condition has basically returned to stable. According to Dr. Pascal's opinion,
After the patient's WBC index recovers tomorrow, immunosuppressive treatment can be started.
After communicating with the patient's family, Sun Lien walked back to his clinic in a relaxed manner. Xu Yourong and others gathered in the clinic, waiting for Sun Lien's further treatment arrangements.
Speaking of which, there are currently five people in a treatment group: Sun Lien, Liu Pingchuan, Xu Yourong, Yuan Pingan, and Zhou Ce. Although Zhou Ce is not a fixed member of the treatment group, he is basically no different from a fixed member. And the next patients in the treatment group
They are generally patients with complex and serious conditions. They also require frequent consultations. Although five doctors can be squeezed into a small consulting room, it is not a long-term solution after all.
"You have to talk to the hospital office later and at least find us a dedicated conference room." Yuan Ping'an stretched out in his seat, "Teacher Liu, you are stationed in our emergency room every day, no matter what, you have to give us a special meeting room."
Do you want a better environment for yourself?"
"Do you think I love coming?" Liu Pingchuan glared at Yuan Pingan. Before he left the Capital Association, Comrade Liu and Yuan Pingan met twice and exchanged emails for a period of time. Yuan Pingan's feeling for Liu Pingchuan before
He is just an honest kid. Why did he fall in love with Liu Tangchun's rogue ways after not working in the emergency department for long? He never even worked with Liu Tangchun. No, Lao Liu left before Yuan Pingan joined the company.
A pathogen named Liu Tangchun seems to be spreading quietly in the emergency room of the Fourth Central Hospital.
"I will mention the matter in the conference room to the hospital office later." Liu Pingchuan forced himself to free himself from Liu Tangchun syndrome, shook his head and sighed, "Let's get down to business."
Yuan Pingan reported on Yang Jianqiang's condition. His mental condition was still improving. However, the amnesia part showed no signs of recovery. The original suppuration spots had begun to shrink and seemed to be being absorbed and metabolized.
Xu Yourong briefly introduced the progress of Chen Wen's treatment. The Neurosurgery Department of the Fourth Central Hospital has gathered all the power it can muster, and has currently proposed two treatment plans waiting for approval.
The first treatment plan was inspired by Yang Jianqiang, which used gamma knife to precisely treat the worm cysts in Chen Wen's brain. After using the gamma knife to kill the worm cysts, Chen Wen's immunity was slightly weakened, and then the immunity in her body was released.
The system attacks the insect cysts and absorbs these foreign objects.
The second treatment plan is more traditional. Through craniotomy, the worm cysts are removed in batches. Based on the estimated location and area of the worm cysts, at least five surgeries are needed to ensure that all the worms in her skull are removed.
All sacs were removed completely. At the same time, fractionated operations were used to minimize the inevitable tissue damage caused by the operation to the brain.
"Which of the two options is better?" Xu Yourong finished explaining his results and then asked Sun Lien a question.
"Dean Liu, what do you think?" Sun Lien would not show such professionalism in front of the director and vice-president of the Department of Neurology. If the plan he chooses is right, then it is a matter of course. If it is wrong, he may have to be reprimanded again.
Last meal.
Liu Pingchuan didn't catch the ball from Sun Lien, but kicked it back. "What do you think?" He was very curious about what treatment plan Sun Lien would choose. This kid likes to play his cards without following the routine. Although sometimes he has a sudden flash of inspiration.
It may not be of the greatest use now, but it can indeed serve as a reminder to other doctors.
"I think... we should give priority to gamma knife treatment." Sun Lien pondered for a while. From a personal point of view, he felt that gamma knife treatment should be the safest. After all, the technology of gamma knife to irradiate the brain is quite good.
Mature, and compared with craniotomy treatment, the collateral damage should be minimal. "But the area of worm cysts is somewhat scattered, and even if it is irradiated multiple times, the treatment time will be very long. I think it is possible to use gamma
Is the knife the main method, and the traditional craniotomy is the supplement? Use craniotomy to remove the worm cysts that are closer to the dural layer, which can reduce some of the irradiation time and the total amount of irradiation."
Sun Lien's suggestion this time was not agreed by Liu Pingchuan. In fact, Liu Pingchuan preferred traditional craniotomy. The reason is also very simple. Previous experience and many reports have confirmed that directly removing the worm cyst in the patient's skull will
It will not cause much damage to the patient's nervous system, even if the worm eggs themselves may even occupy close to 30% of the cranial cavity. In fact, many patients can carry worm cysts for life without getting sick, and many patients have other reasons.
I was diagnosed with echinococcosis when I was admitted to the hospital. Most of these patients have cerebral echinococcosis, and the reason is very mysterious. The brain itself has a very strong compensatory ability.
The brain is a very magical organ. When it is operating at full capacity, it can generate about 23 watts of power and is the largest power-generating organ in the human body. It may be very fragile. A slight collision or congestion and squeezing may cause a person to lose the ability to speak.
Or the ability to move. But it may also be very powerful, so powerful that a person without a right hemisphere can still be qualified as an engineer. It is even powerful enough that a woman without a cerebellum can still move normally with slightly slower movements than ordinary people.
The cyst of cerebral hydatid is of great research value in a sense. It does not grow very fast, but the final size is definitely not small. So much brain tissue is compressed and eroded by the cyst, but the nerve function can still be maintained.
Roughly normal. This was originally a very remarkable thing.
It is precisely because of this that Liu Pingchuan is actually more inclined to use traditional surgical treatment options. Although there are many cysts, they are not all giant cysts, and many can even be extracted with a long biopsy needle. Planning
A more suitable surgical path is to use the path that punctures the brain as little as possible and has the shortest puncture distance.
However, President Liu did not directly deny Sun Lien's idea. It is always beneficial to let young doctors carry out more discussions. Anyway, he still has to finalize the final surgical plan, so even if there are some deviations in the current discussion, it will not hurt.
It was already seven o'clock in the evening when the discussion ended. Sun Lien sent Hu Jia a message and asked her if they could go have dinner with her after get off work. After waiting for about half an hour, Hu Jia sent back a message, "I'll go downstairs now and meet you in the parking lot." "
Sun Lien put away his phone, feeling something was wrong in his heart. Usually when Hu Jia sends a message, he can put seven or eight emojis in two sentences. But the two sentences he sent today were completely clean, with no other content at all.
Sun Lien, a straight man, felt something strange.
"Why do I think you are not in a good mood today?" After waiting for a while, Sun Lien saw Hu Jia in a coat. He hugged his girlfriend, and then asked cautiously, "What's the matter?"
Hu Jia buried her head in Sun Lien's chest. After being silent for a while, she raised her head and said to Sun Lien with red eyes, "I have to go."
"Go? Where to go?" Sun Lien felt more and more something was wrong. He pressed Hu Jia's shoulders with both hands, "What's wrong?"
Hu Jia's parents are college teachers. However, they are not medical practitioners. They and Xu Yourong's father are colleagues, and they both work at Song'an University.
In fact, they were disappointed that their daughter did not enter Song'an University or a school in the capital as they expected. Hu Jia, influenced by Hu Jing, actually went to Ningyuan Medical College to study for an undergraduate nursing major, which made them even more disappointed.
They feel uncomfortable. According to their thinking, if you want to study medicine, you can go to clinical practice. Why do you have to study nursing to become a nurse? Aren’t all nurses graduated from junior college?
However, it was a done deal, and the old couple were not the makers of a time machine. Hu Jia insisted on becoming a nurse. Apart from the usual scoldings, the old couple actually did not do anything else. They just felt that since you want to be a nurse, then
To be the best. To be the best, a bachelor's degree in nursing is definitely not enough.
They spent a whole year trying to persuade Hu Jia to continue his studies.
And Hu Jia also agreed to this request. It must be pointed out that that happened in August this year. At that time, Sun Lien had just joined Ningyuan Fourth Hospital as a regular training doctor. And Hu Jia still didn’t know that the little doctor he had a crush on and himself
Became colleagues.
The time required to study abroad for a master's degree in nursing is not too long, at least much shorter than that for a master's degree in medicine. Generally speaking, it only takes one year. And Hu Jia's conditions also meet the admission requirements for a master's degree in nursing in the UK. He goes abroad to study for two years.
Years, and Sun Lien's formal training lasted three years. After learning that Sun Lien had also entered the Fourth Central Hospital, she still did not change her mind. Anyway, Sun Lien was tied up in the hospital and could not escape. She went abroad for further study for a year and came back in time.
.
But when she was in the capital, this idea was completely put out of her mind. Otherwise, she wouldn't go. It seemed good that she was guarding Sun Lien like this now.
Women's thoughts are always changeable.
"I want to go to the UK to study, and it will take a year." Hu Jia explained the reason to Sun Lien. She lowered her head and said, "The air tickets have been bought and we will leave next Tuesday."
Sun Lien was stunned for a long time. He stuttered for a long time before asking, "This...why didn't you tell me earlier?"
Hu Jia sighed, "I have been hesitating. However, when I was in Sanya, I thought I should go." She looked at Sun Lien and forced a smile and said, "I can't just let you steal the show, I also want to do this.
The most handsome boy in the hospital.”
This joke was not very funny. Hu Jia herself didn't even laugh. She sighed and said quietly, "My parents don't agree with me finding a partner in this hospital. They think it would be bad for me to find a doctor if I am a nurse."
Sun Lien felt like his heart was clogged, but he couldn't speak ill of his girlfriend's parents in front of her. He could only sigh and said, "It's understandable that the elders are worried."
"So I made a deal with them." Hu Jia broke out from Sun Lien's arms, wiped the tears on his face and said with a smile, "When I get this master's degree in nursing, they can no longer oppose me.
decision."
She looked at Sun Lien and said very seriously, "I want to marry you. And I want them to agree with my decision."