Chapter 571 Young Man
Yang Ping and Song Zimo could only drink apple cider vinegar, but the two brothers drank the vinegar into wine.
"Do it!"
"Dry"
Gululu has another cup.
Those who don't know the truth must think that this is the heroic Qianyun on the wine table.
Xu Zhiliang drank three glasses of wine, but his drinking momentum was admirable.
Zhang Lin always said, "No, it's the last drink!", but he never poured it out, as if he was just short of the last drink.
Xiaowu's face was not red, his heart was not beating, as if he had just started.
Fatty Liang's performance was not very stable, but he performed well today.
The new anesthesiologist, Dr. Wei, seemed a bit out of place. He sat next to him, submissive and very reserved.
Dr. Wei is a scalper type character who only works and doesn't like to talk.
They drank two dozen beers.
Zhang Lin leaned back on his chair to rest. When the phone rang and his wife checked on him, he immediately woke up.
"Have a drink or two, I mean, I'm with Professor Yang. Don't worry, I haven't finished both cups, there's still half left, so good, good, good." Teacher Zhang was extremely gentle, his waist was bent almost touching the ground, but he couldn't bear it I had a drink partition.
The fat man here greeted the waiter and shouted, "One more dozen."
Zhang Lin quickly covered his phone.
The fat man squinted his eyes: "Look at how you look like a bear. You are so afraid of your wife. From now on, I will train my wife to be obedient and obedient."
The fat man touched the cup: "It's full."
But I found that the cup was long gone, where was the cup, where was the cup.
There are relatively few opportunities to drink freely like this. Usually everyone only orders until they eat.
But today is different. The clinical trial of the spinal external fixator was successful, which is a big event for Corey.
In addition to the new Dr. Wei, there are many other people involved. Song Zimo and Xu Zhiliang are the backbones. Zhang Lin is responsible for collecting patient data after admission, and Xiao Wu is responsible for communicating with patients and following up after discharge.
Everyone has a contribution to this success, so everyone is very happy.
There is another reason: Fatty is falling out of love and is depressed and depressed one day, so his brothers accompany him crazy and vent his negative emotions.
After eating, everyone dispersed.
Xiaowu and Zhang Lin accompanied the fat man to walk around the hospital. They didn't go home and went to the department to sleep and play a few games.
Yang Ping and Xiao Su were taking a walk around the hospital. The two families were urging them to get married, and they wanted to discuss marriage.
Parents are always like this, urging you to find a partner, then want you to get married, and then encourage you to have children.
Yang Ping and Xiao Su are not in a hurry. Xiao Su knows that Yang Ping is busy with new projects now and the marriage can be delayed for a while.
But when people are in the arena, they can't help themselves.
——
In the morning, the weather was fine.
Yang Ping crossed the overpass and rushed to the hospital for work. Today, Saturday, the nine o'clock forum will give a live lecture.
The "Iron Triangle" drank a little too much last night and was still washing up in the duty room. They all had panda eyes. They must have played games very late last night.
Song Zimo and Xu Zhiliang arrived very early, and they were preparing for the nine o'clock lecture.
The location is set in a demonstration classroom, where there is a camera facing the podium, and lectures can be broadcast live.
People arrived at the doctor's office one after another. These graduate students, regular trainees and interns all came to attend the lecture.
Usually, it is a three-part operation for ward rounds.
But today is Saturday, there is no big shift change, only the doctors and nurses on duty hand over the shift privately.
There was no surgery scheduled, and each doctor in charge of the ward checked his own patients individually.
Yang Ping asked the doctor on duty if there was anything special about the newly admitted patients. The doctor on duty said that a patient was admitted to the general surgery clinic in the afternoon.
Li Jun, male, 26 years old, had a distended abdomen for three months.
Physical examination showed a palpable mass in the lower abdomen, which was solid, with clear borders, mild tenderness, moderate ascites, sensory disturbance in the perineal area and perianal skin, and loss of anal reflex.
Auxiliary examinations include color ultrasound and MRI.
“Watch the movie!”
Yang Ping said.
The outpatient clinic performs magnetic resonance imaging and color ultrasound. Usually, the pictures are printed on the screen for everyone to analyze. This not only helps them become familiar with the new patient information, but also cultivates the doctor's independent thinking ability.
After everyone makes a simple analysis, the results of the imaging examination will be printed.
In fact, experienced clinicians are better at interpreting X-rays, CT and MRI images than radiologists because they can often combine images with surgical findings.
Junior doctors rely heavily on the diagnosis of radiologists.
However, color ultrasound is an exception. Most surgeons do not have the ability to interpret color ultrasound and can only rely on the report. Moreover, the pictures on the color ultrasound report are only symbolic, unlike X-rays, which can be directly interpreted.
"A mass in the abdomen? Is it a mass? You can clearly see the teeth, spine, and other bones."
"Did the medical record make a mistake? Is it female?" "Fetus?"
Everyone’s first reaction is, besides the fetus, how can there be a spine?
Some people questioned that he had mistaken the gender, which angered the doctor on duty. He defended his reputation: "I did a detailed physical examination and it was male."
The implication is that if you suspect that I wrote wrong medical records, shut up and don't fan the flames.
At this time, more and more people gathered around the electronic reading screen. Song Zimo, Xu Zhiliang, Zhang Lin, Xiao Wu and Fatty also finished washing and had breakfast.
Drinking was still not good. After washing up after a night, Yang Ping could still smell the smell of their alcohol.
Fortunately, it's Saturday and everyone is off, so it doesn't matter much.
"Zoom in, is that the spine?"
"It looks a bit like a spine."
"Is there a CT scan?"
"No, I asked the director of the admissions department of the general surgery department and he didn't dare to do CT." The doctor on duty is more serious and deserves praise.
In this way, the general surgeon at that time was afraid that this was really a fetus, so he did not dare to do CT and chose MRI.
There is no ionizing radiation in NMR, but the ionizing radiation in CT is relatively large.
Everyone discussed it for a long time, but the doctor on duty acted like he was lying and refused to release the diagnosis.
The main thing that troubles everyone is the vertebra. Among all the tumors in our minds, there is no vertebrae.
Even teratomas are mostly teeth, hair, nerves, bone, fat, etc.
I have never seen or heard of such an obvious spine.
Everyone was anxious, afraid that Professor Yang would ask questions later, and they hated the doctor on duty, who would not diagnose you even if he couldn't beat you to death.
The doctor on duty slowly announced the patient's diagnosis: pelvic teratoma combined with sacral nerve damage.
Yang Ping narrowed his eyes slightly and looked at the images on the screen.
It is common for teratomas to have teeth, hair, and irregular bone fragments, but it is indeed rare to have a spine in them.
It’s better to see the patients first, clinicians, and to have personal contact with patients. This is a necessary principle.
It was only around seven o'clock when Yang Ping decided to go see the patient.
The patient's complexion was very poor, and he felt like he was suffering from a chronic disease.
Accompanying the bedside was a sunny boy, tall and tall, wearing a fashionable T-shirt, with some strange tattoos on his arms, and tape on his fingers.
After Yang Ping asked about the medical history, there was no obvious discrepancy with what was recorded in the medical records.
The patient had always felt a bulging feeling in his lower abdomen, but he didn't pay attention to it. Three months ago, his lower abdomen started to bulge slightly. At that time, he thought he had developed a small belly due to lack of exercise.
Until their belly got bigger and bigger, they went to the local hospital for a color ultrasound. They felt that the local hospital was not good enough, so they went across the province to seek medical treatment at Nandu Sanbo Hospital.
"Who are you to him?"
Yang Ping asked the sunshine boy.
"I am his cousin, is it serious?"
The sunshine boy replied.
"I'll talk to you in detail later."
Yang Ping felt that he should have a good talk with them. The tumor was compressing the sacral nerve and growing into the sacral foramen and the sacral canal. It would be difficult to completely remove it.
Moreover, the physical examination showed that the anus area had sensory impairment and the bowel movements were somewhat uncontrollable.
"Did the outpatient doctor explain the treatment plan to you at that time?"
The patient Li Jun remained silent. Sunshine Boy helped to answer: "I didn't explain anything. I just said that I was considering teratoma and wanted to go to your department for surgery. He also said that this teratoma is a bit strange. How come there is still a well-developed spine?" Never seen such a teratoma before.”
"It's indeed a bit complicated. Close the door and I want to check it for you." Yang Ping took the gloves from Song Zimo.
Although the door is closed, there is a large circle of trainees and interns surrounding it, all of them eager to learn. There is no way, this is a teaching hospital, and some special or classic cases are easily watched by interns.
Even boys are a little embarrassed.
"It's okay, we are a teaching hospital, this is normal."
It is also true that while enjoying the superb medical technology of a teaching hospital, it is a teaching hospital and must be mentally prepared to accept onlookers. If there are no cases for interns to observe, these interns will never be able to grow.
"It's okay, it's okay!"
Sunny Boy comforts the patient.
Yang Ping checked the skin sensation one dermatome after another and found that the doctor on duty performed a very accurate physical examination. The skin sensation in the perineum and perianal area was impaired, and the anal reflex could not be elicited.
"Do you have any problems with defecation or defecation?"
"Often without knowing it, stool and urine come out."
So he wears a diaper.
That is, the sacral nerve root has been severely compressed.
"I'll talk to you about my condition alone later!"
It is true that the condition is a bit complicated. Even if the tumor is removed, the nerves may not be restored after the operation. The perineal and perianal skin will be numb, like a piece of dead skin, and there will also be incontinence, with stool and urine flowing out unknowingly.
This is an obvious sign of fecal incontinence.
(End of chapter)