At Sun Lien's insistence, Xu Yourong suggested that everyone take a step back and send Qin Ya back to the emergency room first, and wait for the five rheumatism monitoring results to come out before making any plans.
Qin's father and Qin's mother breathed a sigh of relief together after learning that the worst case scenario had been ruled out. The two of them held the hands of Sun Li'en and Xu Yourong and thanked each other for a long time. It could be seen that they were indeed frightened.
Already.
Feng Ming patted Sun Lien on the shoulder and didn't say a word for a long time. But his eye circles suddenly turned red.
Sun Lien felt a little uncomfortable and hugged Feng Ming gently. Sun Lien patted his back and said, "Be happy, it's not a big problem. It's good."
Feng Ming choked up a little, "I never thought you were handsome before, but now I can say that you, third brother, are the most handsome man in the world."
"Get out of here." Sun Lien laughed in a low voice. After letting go of Feng Ming, he gave him a gentle kick on the butt. "You still have outpatient duties, right? Why don't you go back first?"
"I spoke to our director when I came out." Feng Ming looked at Qin Ya, who was still lying in the MRI, with tenderness in his eyes. "The director asked me to take a day off today and just fill in for a full-day outpatient clinic tomorrow."
"Qin Ya is pregnant, so this matter is more troublesome." Sun Lien saw that Qin's father and mother were far away from him, and then he lowered his voice and said, "If you want to diagnose moyamoya disease, you still have to consider doing a CT or MRI.
"
Moyamoya disease is a spontaneous compensatory manifestation of the human body. There are two tendencies in clinical manifestations. One is the tendency of cerebral hemorrhage that is more common in Europeans. The human body tries to make up for the blood supply caused by arterial stenosis by proliferating and dilating other capillaries.
Insufficient, and the blood vessels grown in this way have no fixed direction. They are piled up and entangled in a mess, and the blood vessel walls generally lack elasticity and are easily broken. Once broken, it will cause cerebral hemorrhage.
Another manifestation of moyamoya disease is "transient cerebral insufficiency" which is most common among Asians, which is the "tia" symptom shown by Qin Ya. Unlike hemorrhagic tendencies, nerve damage caused by tia does not
It will continue and usually disappear gradually within 24 hours, leaving no sequelae in the end. But sometimes, insufficient blood supply can turn into a reversible ischemic neurological disorder with substantial damage, or even ischemic cerebral infarction.
In general, although this kind of moyamoya disease, which was first discovered by rb scholars and named "moyamoya", is not fatal, it still poses a great threat to human health. And the commonly used anticoagulant drug treatment not only cannot reduce
The emergence of symptoms of insufficient blood supply may increase the risk of stroke in patients with moyamoya disease. The only mature and proven effective treatment is cerebrovascular bypass surgery.
For patients with moyamoya disease, early diagnosis and early treatment can greatly reduce the risk of subsequent cerebral hemorrhage and cerebral ischemia. This has positive significance for the treatment of the disease. But in Qin Ya's case, this is somewhat of a question mark.
.She is not just a simple moyamoya disease patient, but she is also a pregnant woman in early pregnancy.
CT will expose the human body to a relatively large dose of radiation, while the commonly used enhanced magnetic resonance angiography (mra) requires the injection of gadolinium contrast agent into the human body to facilitate imaging. Both methods may have an impact on the fetus.
"I will talk to her parents later." Feng Ming was very happy and immediately set the general direction, "We are both still young. If anything happens, it will be easy for us to have another child."
Sun Lien was not worried that Feng Ming would bite him to death and had to protect the fetus. On the one hand, he believed in the humanity of this brother, and on the other hand, he believed that Feng Ming, as a doctor, could clearly distinguish the risks. In order to facilitate their conversation, Sun Lien simply asked Luo Ge and
Xu Yourong shouted out together.
Brother Luo turned off the old antique that was still rumbling, followed Sun Lien out of the room, and asked with a smirk on his face, "Have you offended Director Liu recently? Why are you given all these difficult questions?"
Where’s the disease?”
Sun Lien gave Brother Luo a wry smile, "I only received so many patients in total."
"I heard from my colleagues that there was an old lady with third-degree burns on her back last night. She was also your patient, right?" Brother Luo acted like a charlatan, "Do you still remember the one who let the burn department take over?
?”
Old Mrs. Zhao Weihong came in and out of the hospital three times, and Sun Lien was certainly impressed. He asked curiously, "Of course I remember, what's the matter?"
"There are staff on duty from our department in the composite operating room." Luo Ge told the story with a smile, "After debriding the old lady, the burn department sent the person to the composite operating room and made a head cut for the old lady.
CT scan. The result was a complete rupture of the corpus callosum.”
Sun Lien sighed, "It's so miserable."
"I heard that the old lady is the mother-in-law of District Chief Ouyang?" Brother Luo continued with a smile, "That would be really exciting."
Xu Yourong was very interested in the diagnosis of complete rupture of the corpus callosum. She interrupted and asked, "Are you sure that the corpus callosum is completely severed?"
"Except for the connection of about two millimeters in the splenium of the corpus callosum, all other parts were severed." Brother Luo started to gasp as he said, "This guy stabbed his brain with a knife of more than ten centimeters.
! It’s true that one dares to prick and the other dares to suffer. If it were other people who were less timid, they would have been scared away by seeing such a long needle knife."
"People who use knives may not even think that their actions will have any consequences." Sun Lien lamented, "Although they are also jerks, their degree of jerks is limited. Have you ever heard of inferior turbinate resection?"
Brother Luo patted his thigh, "Are you talking about...that radical rhinitis surgery?"
"The abuse of this kind of surgery is very serious. I heard Feng Ming say it when I was an intern before." Sun Lien frowned and said, "In order to promote the surgery, some private hospitals even performed turbinate resection on patients with allergic rhinitis. As a result, the scope of surgical resection was too large.
, the patient ended up suffering from empty nose syndrome. The severe sequelae eventually led to long-term depression and the patient committed suicide by jumping off a building."
When Feng Ming was an intern in his fifth year, he took a rotation in the Department of Otology at the college-affiliated hospital. The Department of Otology is one of the key industry directions of many private hospitals. Generally speaking, private hospitals prefer those who can’t kill people, but can make people feel better.
It is a department that I wish I could give up. The Department of Otology, Dermatology and Venereology, Assisted Reproductive Medicine, Anorectal Medicine, etc. are all their specialties.
"Although small unlicensed clinics that illegally practice medicine are also abominable, I think this kind of private hospital is even more abominable." Xu Yourong also understood what Sun Lien meant, "Illegal medical practices are caused by greed and stupidity. This kind of practice does not care whether the patient has indications for surgery or not.
Private hospitals that all perform surgeries, they know that there will be serious consequences but don't care... Their behavior is more hateful than the stupid and bad small clinics!"