Chapter 366 Cupping
That’s outrageous.
Although they are all old doctors, now they treat different diseases in different departments, and these weird cases are really rare.
Endometriosis is a gynecological disease. Now that gynecological diseases and cardiothoracic surgery are combined, it is outrageous for them to think about it.
Can you see Song Tiantian correctly?
It’s difficult, who chose the case? It’s not a scam.
Everyone couldn't help but look at Wu Xiaofu. Wu Xiaofu also felt something. Facing everyone's gaze, he was speechless, "What do you mean? You don't think I chose you, do you?"
< br>Everyone nodded, making Wu Xiaofu feel that his reputation was ruined by who knows what, and this could be framed against him.
Looking at Lin Dongping and the others, Wu Xiaofu also spoke.
"Teachers, you have to testify for me. This has nothing to do with me. When selecting cases, we don’t know what kind of disease the patient has. This is not what I chose. .”
Lin Dongping and the others smiled when they heard this.
"Doctor Wu, don't shirk it, it's your choice."
Ha!
These people are really bad. "We chose these cases together, and I will not take the blame."
"Just say whether you participated or not."
Otherwise, during this period, Wu Xiaofu felt that Lin Dongping had become a lot skinny, and everyone was just joking. In fact, among the eight interns, each of the five cases basically had a case of similar difficulty, ranging from difficult to easy, although I didn't know the patient's specific condition before, but based on Wu Xiaofu's experience.
Whether a patient’s illness is difficult or not can basically be felt by feeling.
So, it’s not like he favors others, but Song Tantan’s disease is indeed very difficult.
But by the same token, if Song Tantan can figure out this patient, his score will be raised accordingly. This is the key to victory. It depends on whether Song Tantan can grasp it.
However, in the final analysis, if Song Yantian had a solid foundation, he would not be able to detect this disease.
The identification of various diseases is written in books. Song Yantian's disadvantage is that he does not have enough experience in reading films. This is the difficulty.
However, everyone looked at Jiang Yuankai, who was quite confident as a teacher.
"Director Jiang, you don't seem worried at all."
Jiang Yuankai also smiled when he heard this, "It's a coincidence. When I was out of the clinic a few days ago, I happened to I saw a case of pulmonary lymphangioleiomyomatosis, which was pretty typical at the time.”
Yeah!
No wonder Jiang Yuankai is not worried at all. It turns out that there is such a thing, pulmonary lymphangioleiomyomatosis, which is LAM. In fact, the current case is a combination of pulmonary lymphangioleiomyomatosis and endometriosis. It's just a distinction between two symptoms. If you can't determine which disease it is, you can rule out one.
As for other identifications, if Song Tantan cannot rule out other identifications, it would be a shame for the books he has read over the years.
Now that Song Miantian has seen typical pulmonary lymphangioleiomyomatosis, the success rate of diagnosis will be greatly improved. It seems that Song Miantian may really emerge as a new leader this time.
“Have you had any abnormalities in your menstruation recently?”
Yeah!
Everyone started to nod when they saw Song Tiantian asking this question. Since he asked about menstruation, it meant that Song Tiantian had already thought about endometriosis, which was very good. The most terrifying thing was that Song Tiantian didn't dare to think about the uterus. Endometriosis, after all, is an abnormality located in the lungs, which is indeed rare.
But as long as you think about it, the next step should not be difficult.
After all, endometriosis basically has gynecological symptoms, as expected.
"Well, I never had dysmenorrhea before. These two times, it seemed that the dysmenorrhea was severe, and the amount was much larger, and it lasted for several days. It was indeed abnormal. And, to be honest with you, The pain was so severe when I did that, I didn’t even dare to do it.”
The patient didn’t dare to hide anything about his illness, so he hurriedly said.
When Song Tiantian heard this, she felt reassured. Although she had seen typical pulmonary lymphangioleiomyomatosis, it was not easy to identify it before. She did not contact the endometrium at first. Regarding heterotopia, but looking at the female patients, Song Yantian suddenly remembered what a teacher said during his postgraduate internship in the obstetrics and gynecology department.
“Female patients, especially women of childbearing age, should consider endometriosis no matter what the situation is. At the very least, ask about their menstrual status and sexual life. If you say more, there is nothing wrong. But it will solve a big problem for you.”
According to the teacher at the time, the disease is becoming more and more strange. In the past, endometriosis was basically just endometriosis, but now it has become more and more bizarre. With the development of modern medicine, they discovered that the scope of this abnormality is getting larger and larger, including the liver, spleen, etc.
Song Tiantian had written down these words at that time, but now that he suddenly remembered them, he did not dare to forget them.
Now that I asked about it, it turned out that there was indeed something going on.
When I first learned the differential diagnosis of chest diseases, there was actually a book on the differential diagnosis of endometriosis. Although it was placed at the back and passed over in one stroke, if you have a good memory and are serious, you will still have an impression, and as long as there is a little Memory, a little doubt, and the assistance of relevant symptoms and signs are enough to become key evidence.
Irregular menstruation and painful sex are all characteristics of endometriosis.
Look at this atypical chest CT scan again, it’s stable.
“I suspect that you have endometriosis and you need to be hospitalized for treatment. You will also need to do some follow-up examinations.”
Endometriosis!
The patients and their families were dumbfounded. They came here to see lung disease. How could this be related to the uterus? Well, don’t doubt it. They still don’t know what endometriosis is. Not only them, but most of them. Most ordinary people have no idea what endometriosis is.
In normal times, patients and family members may habitually question it.
However, Song Yantian asked about the status of menstruation just now. They are not doctors after all. They are all people with higher education. They know that professional people do professional things. It is not a good thing to question if you don’t understand the situation. Phenomenon.
"Doctor, what is endometriosis?"
"It means that your endometrium grows in other places."
ah!
The patients and their families were even more stunned. Did it grow somewhere else? Where did it grow? It can't be that it grows in the lungs.
Looking down and then up, this is too far, right? How did it grow?
“This!”
This was too hard to accept. For a moment, the patient and his family members didn’t know what to say. They were just full of shock, and shock Afterwards, the patient asked with some worry, "Doctor, if this is really endometriosis, will I have children in the future?"
After all, they are female patients. Although they don’t know what endometriosis is, they still know the significance of the uterus to them. If the child is affected, it will really be a disaster. Song Tiantian also hesitated after hearing this and said, "It is impossible to say that there is no impact. If endometriosis is really diagnosed later, surgical treatment will be needed. As long as the treatment is timely, you can generally have children. Of course, this disease has certain familial aggregation, so if you give birth to a daughter, you may get the same disease in the future.”
This!
The patient was even more sad when she heard this. Although Song Yantian said it tactfully, he told her between the lines that there would be an impact. This impact may not make her unable to get pregnant at all, but it would also be quite difficult. This was enough that she couldn't accept.
"Treatment, hospitalization, doctor, you must help me take a good look at it. I will actively cooperate with the treatment for this operation."
The patient said quickly, and Song Tiantian also nodded and started to help.
The other side.
Wu Xiaofu and the others nodded when they saw this scene. Song Tantan performed really well. So far, Song Tantan may have had the highest score in the outpatient clinic.
"Director Jiang, Song Tiantian performed well this time. It seems that the first place is going to be yours."
Actually, it is not just the eight interns who are being compared, but also them. After all, The good performance of this intern also shows that they teach well.
"This is just the beginning, we have to look forward."
Although he said this, Jiang Yuankai was obviously a little proud. Also, this disciple performed well, how could the teacher be unhappy? , Just like Yu Shifu back then, if anyone didn't praise his disciples, he wouldn't have to praise himself later. Some people would praise him, and he would just laugh.
"Well, this patient is quite interesting. Come, let's take a look."
Wu Xiaofu looked at Chao Yuan's clinic and said suddenly.
Everyone looked over after hearing this. Wu Xiaofu said it was interesting. It was definitely really interesting.
Next to Chao Yuan was a middle-aged male patient who came here because of a headache.
Headache, this is the most common symptom for neurosurgery patients. The difficulty with this patient is that he came directly without any examination, which gave Chao Yuan a headache.
I came to the doctor with a headache for ten days. The headache was so bad that I felt like my memory was no longer good and my vision was a little blurry. This symptom looked like it was caused by tumor compression or brain hemorrhage. The patient said there was no history of trauma before.
"Think about it again, what did you do before you got this headache?"
"What did you do? Well, does cupping count?"
The patient thought for a while after hearing this, and seemed to have thought of something. His eyes lit up and he hurriedly said.
Cupping!
“Where were they pulled out?”
The patient quickly turned his head to look at Chao Yuan, his movements were very careful, “I had pain in my shoulder and neck before, so I went to a physical therapy shop. After taking a shower, It's said to be cupping, but I usually do it, and I feel refreshed after the cupping."
Chao Yuan looked at the cupping marks on the patient's head and neck and frowned.
To be honest, this is the first time he has seen cupping here. He is from the North District. In the North District, cupping is extremely common. Cupping is not only available in big bathhouses, but also in physical therapy shops and even in every home. They all have cupping tools, and among the elderly, every family has cupping techniques passed down from generation to generation.
Bottles and cans of all sizes can be pulled out, but this cupping can only be used to pull out the back, but this can also be used to pull out the neck. It can also be used for scraping. This cupping is easy to pull out here. Something's wrong.
Chao Yuan touched the patient's cupping area. This location was obviously different from other cupping locations. The mark was deeper and darker, as if there was congestion.
Of course, even after cupping, I didn’t care.
“Did you feel any obvious discomfort after cupping?”
"Well, don't say it, it really happened. It may be the reason why I did cupping for 10 consecutive days. After pulling out the tube, I suddenly felt a severe headache, but the headache didn't last long, so I didn't pay much attention to it. Doctor, no Could it be that he broke the cupping for me?”
Ten days!
Chao Yuan couldn't help but roll his eyes, "How much coldness is there in your body? Cupping can last for ten days. Are you addicted?"
The patient also laughed when he heard this. He smiled and said, "Isn't this native method effective? I have often pulled it out before, so I am used to it."
Shaked his head.
"The amount of cupping must be appropriate, especially the position of the cupping. You must also pay attention to the back. It is easy to have problems with the head and neck."
Wu Xiaofu was watching everything in the clinic at this time. They were also a little speechless. After ten consecutive days of cupping, even good people have to go bad.
“I’m afraid it’s not a subdural hematoma. I see that the situation after cupping is similar, and the symptoms are also consistent, especially the location of the cupping, which is still on the head and neck. This location does not look like a subdural hematoma. There are few bones to protect the back, and the nerves, spinal cord, etc. are directly exposed. If you are not careful, it is easy to cause problems.”
This is not a neurosurgery doctor, but this is basic knowledge and it is still very good to see. .
“Well, there are very few people doing cupping in this position. Although there is no article saying that cupping can also cause subdural hematoma, but looking at this causal relationship, it is basically impossible to escape. What’s more, he also cupped continuously. Ten days.”
Cupping is an excellent technology of traditional Chinese medicine with a history of more than 3,000 years. In modern medicine, it has been continuously optimized and innovated. It has now become an effective method for treating neck and shoulder pain, low back pain, and even limb muscle strain and pain. stunt.
Not only domestic, but also foreign websites are now broadcasting foreigners’ admiration and application of this technology. Many foreigners say that the effect of cupping is more obvious than taking medicine.
Not to mention others, Wu Xiaofu grew up doing cupping. Not only cupping, but also scraping, fingertip pricking and bloodletting. They are basically all useful. It can be regarded as the inheritance of some people. Many families in China have it. They are self-taught and have mastered these skills one after another.
Well, from the Internet, cupping has become a bit crazy now, and people are starting to pay attention to the size of the cup and the pulling force.
Wu Xiaofu had seen it done with such a big bucket. At that time, what he saw was a numbness in his scalp. He just wanted to say: Proper cupping is good for your health, but improper cupping can kill your life.
However, even if cupping becomes popular, the standard operations cannot be ignored. Standard Chinese medicine operations will never place the cup at the junction of the head and neck.
Western medicine basically does not object to patients cupping, and even welcomes everyone to learn cupping on their own to treat their "injuries". However, cupping is limited to places with bones and meat, such as the junction of the head and neck. There is little meat, there are seams in the bones, and it can directly disturb the Zhenda Pond, but this is not the way to go.
Otherwise, it is likely to become the "engine" for the onset of chronic subdural hematoma.
The reason why Wu Xiaofu said that Chao Yuan’s case is interesting is that he thinks this scene is very educational. When the program is broadcast on Monday, it happens to be a publicity issue. Well, popularizing knowledge and entertainment coexist. This is what the show should be like.
(End of this chapter)