I can see the status bar

Chapter 70
Under Sun Lien's insistence, Xu Yourong suggested that everyone take a step back and send Qin Ya back to the emergency room first, and then make plans after the results of the five rheumatism tests come out.

Qin's father and Qin's mother breathed a sigh of relief after learning that the worst case scenario had been ruled out. The two held 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.

Feng Ming patted Sun Lien on the shoulder, but didn't say a word for a long time.It's just that the eye circles turned red all of a sudden.

Sun Lien was a little uncomfortable, and gave Feng Ming a light hug. Sun Lien patted him on the back and said, "Be happy, it's not a big problem, it's pretty good."

Feng Ming choked up, "I never thought you were handsome before, but now I can say that you are the most handsome man in the world, third child."

"Get out." Sun Lien laughed softly, and after letting go of Feng Ming, he kicked Feng Ming's buttocks familiarly, "You still have outpatient tasks, right? Why don't you go back first?"

"I told our director when I came out." Feng Ming looked at Qin Ya who was still lying in the MRI, his eyes were full of tenderness, "The director asked me to take a day off today, and I just need to make up a full-time clinic tomorrow."

"Qin Ya is pregnant, this matter is more troublesome." Sun Lien watched Qin's father and Qin's mother some distance away from him, and then lowered his voice, "If you want to diagnose moyamoya disease, you still have to consider doing a CT or MRA. "

Moyamoya disease is a kind of compensatory manifestation of the human body's spontaneous pathological changes.There are two tendencies in clinical manifestations, one is the tendency of cerebral hemorrhage in Europeans.The human body tries to make up for the insufficient blood supply caused by arterial narrowing by proliferating and expanding other microvessels. However, the blood vessels grown in this way have no fixed direction at all. fracture.Once broken, it will cause cerebral hemorrhage.

Another manifestation of moyamoya disease is the most common "transient cerebral insufficiency" among Asians, which is the "TIA" symptom exhibited by Qin Ya.Unlike hemorrhagic tendencies, the nerve damage caused by TIA does not last, and generally disappears gradually within 24 hours, and there are no sequelae in the end.But sometimes, insufficient blood supply can also become reversible ischemic neurological disorder with substantial damage, or even ischemic cerebral infarction.

In general, although this moyamoya disease, which was first discovered by RB scholars and named "moyamoya", is not fatal, it still poses a great threat to human health.However, the commonly used anticoagulant drug treatment not only cannot reduce the symptoms of blood supply insufficiency, but may increase the risk of stroke in patients with moyamoya disease.The only mature and confirmed effective treatment method 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 disease treatment.But in Qin Ya's case, this one needs to be questioned to some extent.She is not just a patient with moyamoya disease, but she is also an early pregnant woman.

CT exposes the human body to relatively large doses of radiation, while commonly used enhanced magnetic resonance angiography (MRA) requires the injection of gadolinium contrast agents into the human body to facilitate imaging.Both methods may affect the fetus.

"I'll talk to her parents later." Feng Ming was very happy, and immediately set the general direction, "We are both young, if there is any eventuality, it will be easy for us to have another child."

Sun Li'en was not worried that Feng Ming would kill him with one bite, and he had to save the fetus.On the one hand, he believed in the humanity of this brother, and on the other hand, he believed that Feng Ming, a doctor, could clearly distinguish the risks involved.In order to facilitate their conversation, Sun Li'en simply called Luo Ge and Xu Yourong together.

Luo Ge turned off the old antique that was still rumbling, and walked out of the room with Sun Lien, and asked with a smirk on his face, "Have you offended Director Liu recently? disease?"

Sun Li'en smiled wryly at Brother Luo, "I have only received these few patients in total."

"I heard from a colleague that there was an old lady with third-degree burns on her back last night, and she was also your patient, right?" Luo Ge acted like a quack, "The burn department took over, remember? ?”

The old lady Zhao Weihong went in and out of the hospital three times, and Sun Lien was certainly impressed.He wondered, "Of course I remember, what's wrong?"

"There are staff on duty in our department in the hybrid operating room." Luo Ge told the story with a smile, "After the debridement was done for the old lady, the burn department sent the person to the hybrid operating room to make a head for the old lady. A CT scan. It turned out to be a complete rupture of the corpus callosum."

Sun Li'en sighed, "It's so miserable."

"I heard that the old lady is the mother-in-law of District Chief Ouyang?" Brother Luo continued to smile, "Then it will be exciting."

Xu Yourong was quite interested in the diagnosis of complete rupture of the corpus callosum, so she interrupted and asked, "Are you sure the corpus callosum is completely severed?"

"Except for the splenium of the corpus callosum, which has a connection of about two millimeters, all other parts are broken." Luo Ge said, and began to gasp for air, "This guy, a knife of more than ten centimeters is stabbing into the brain. The one who dares to pierce, the other who dares to suffer. If you want to replace it with others who are less courageous, you may have been scared away when you saw such a long needle knife."

"People who use knives may not feel that their actions will have any consequences." Sun Li'en said with emotion, "Although they are also jerks, but the degree of jerk is limited. Have you heard of inferior turbinectomy?"

Luo Ge slapped his thigh, "You're talking about that...the radical rhinitis surgery?"

"The abuse of this kind of operation is very serious. I heard it from Feng Ming during my internship before." Sun Lien frowned, "In order to promote the operation, some private hospitals even perform turbinectomy for patients with allergic rhinitis. The result is that the surgical resection is too large , the patient finally got empty nose syndrome. The severe sequelae finally led to the patient's long-term depression and committed suicide by jumping off the building."

Feng Ming worked in rotation at the Department of Otology of the Hospital Affiliated to the college during his fifth year internship.The ENT department is one of the key industries of many private hospitals.Generally speaking, private hospitals prefer those departments that can't kill people, but make people want to die.Otolaryngology, dermatology, assisted reproduction, anorectal, etc. are all their specialization directions.

"Although small unlicensed clinics that practice medicine illegally are also hateful, I think this kind of private hospital is even more hateful." Xu Yourong also understood Sun Lien's meaning, "Illegal practice of medicine is because of greed and stupidity. This kind of hospital does not care whether the patient has an indication for surgery or not." Private hospitals that have to perform surgery, they know that there will be serious consequences but ignore it...Compared to stupid and bad small clinics, their behavior is more hateful!"

(End of this chapter)