Chapter 94 The Truth Comes Out - Tougher Questions
Gao Jun was even more satisfied after seeing Zhao Heng, who was trying to turn the tide, but still had a very humble attitude.
In this world, there is no shortage of talented people, and those with talent and quality are truly scarce.
Originally, Zhao Heng could be said to have saved Wen Shen's career this time, but Zhao Heng didn't take credit for it at all. On this point, among the young doctors Gao Jun knew, no one could do it.
After a while, a nurse hurried towards Wen Shen with a test result.
"Doctor Wen, the results are out!"
ICU nurse Bai Jing ran over excitedly and said while holding the checklist.
Wen Shen is usually very popular in various departments, so no one wants to see him have an accident.
The most important thing is that no one knows whether this kind of thing will happen to him in the future.
When Wen Shen heard what the nurse said, he stood up abruptly, stepped forward, and took the checklist from nurse Bai Jing.
"Positive, positive!"
Looking at the word positive on the checklist, Wen Shen couldn't restrain his excitement.
No one knows how much pressure he has faced since the operation ended.
To be honest, just before Zhao Heng came to look for him, even he himself began to have a little doubt in his heart. Could it be that he really made such a low-level mistake?
This is how people are, even if you have done nothing wrong, when all the pressure around you is pointing at you, you will fall into self-doubt.
But now it's better, the culprit of cerebral edema has been found, and the truth is revealed.
At this moment, Wen Shen had mixed feelings in his heart.
"The cause of cerebral edema is finally clear."
Gao Jun also said with a sigh.
Seeing Wen Shen's excited look, Gao Jun couldn't help but sigh in his heart, who said that anesthesia is just sitting in the operating room and playing with mobile phones?
The risks of anesthesia sometimes outweigh the surgery itself.
"Contact the brain surgery doctor and ask them to send someone for consultation."
After a pause, Gao Jun said to Bai Jing, an ICU nurse standing by.
"Ok."
Bai Jing nodded, turned around and went to contact the consultation.
"Teacher, do you want to open the cranial cavity and directly take out the eggs in the brain tissue?"
Zhao Heng looked at the female Internet celebrity lying on the hospital bed, still in a coma, and asked Gao Jun.
"It's hard to say, let's see the results of the consultation at the brain surgery side."
Gao Jun shook his head slightly. The patient himself was in a deep coma, and it would be too difficult to perform a craniotomy to extract worms.
Among other things, this patient is unconscious now, so how to determine her anesthesia and the dosage of anesthesia drugs is an extremely difficult problem for all anesthesiologists.
If the patient wakes up after the operation, everyone will be happy, but if the patient cannot wake up completely, and the brain is dead and becomes a vegetative state, will the anesthesia for the craniotomy have a negative impact on the patient's brain tissue, indirectly causing the patient to become Vegetative, such a complicated thing, I am afraid no doctor in the world can explain it clearly.
Didn't Wen Shen encounter this problem before?
Fortunately, Zhao Heng found the real cause of the patient's cerebral edema and coma, but if he wants to do it again, he can only bet on his luck, betting that the patient will wake up after undergoing craniotomy and worm extraction.
The human body is very complex and precise, so for many operations, even the attending doctor is just doing his best to obey the destiny, and to put it bluntly, it is just luck.
Hearing what Gao Jun said, Zhao Heng couldn't help but look at Wen Shen.
If after consultation with the brain surgery doctor, it is said that the operation is possible, then who should do the anesthesia?
The anesthesia for this operation may have cast a shadow on Wen Shen. Another anesthesia is performed, and the real good or bad is still unknown. Will Wen Shen take over the anesthesia?
Thinking of this, Zhao Heng couldn't help shaking his head slightly.
No matter how you choose, whether to accept or not, it can be said that it is a very difficult decision for Wen Shen.
Difficult moments like this are not uncommon in a doctor's career.
In other words, the profession of doctor emerged to deal with these difficult situations.
After a while, Liu Ziang, the deputy chief doctor of the Department of Neurosurgery, brought two residents, Xiao Liu and Xiao Wang, to the ICU.
Now the whole hospital knows about Wen Shen's matter, so when he received the consultation, as the absolute backbone of brain surgery, in the field of brain surgery, Liu Zi'ang, the No. The doctor came down.
In surgery, to be a director, it goes without saying that the technical level must be high.
However, those with the highest level of surgery may not necessarily become directors.
After all, the chief of surgery is a comprehensive position. Not only must he be able to see a doctor and perform surgery, but he must also be able to handle complex relationships in all aspects.
And Liu Ziang, in the field of brain surgery, can be said to be the No. 1 in Dongfang Hospital, but because of this, all his energy and interest are devoted to surgery.
Seeing Liu Ziang coming, Bai Jing quickly handed Liu Ziang the checklist just now.
Liu Ziang took the checklist and read it carefully. After a while, he raised his head and asked in surprise, "Who discovered this?"
"It was Xiao Zhao who discovered that the patient had a history of living in Dali, and that the patient had posted photos of raw pork snacks on Weibo. This made him think that the patient's cerebral edema may be caused by the parasitic brain of the pork tapeworm."
Gao Jun said briefly.
"This clinical thinking is very good and can be used as a good case of clinical thinking."
Liu Ziang thought for a while, nodded, looked at Zhao Heng and said.
Connecting the impossible and discovering the truth hidden deep in the human body is also what good clinicians do.
From a certain point of view, the work that doctors do is sometimes like solving puzzles.
"Director Liu, does this patient need surgery or conservative treatment?"
Wen Shen looked at Liu Ziang and asked.
"This operation is very simple, but whether the patient can wake up after the operation is the biggest problem."
Liu Ziang said slowly.
For Liu Ziang, who is a master in brain surgery, it is not difficult to open the cranium to extract the eggs.
However, after this operation, whether the patient can wake up after the operation, and even if he wakes up, to what extent the brain function can eventually recover is unknown.
Even for modern medicine, the brain is definitely a forbidden area, and human science's research on the brain is still at a very shallow level.
The recovery of brain function and consciousness during the perioperative period can be studied as a worldwide frontier medical topic.
It is not surprising that Liu Ziang is not good at this.
"What's more, the patient is now in a state of deep coma. In this state, if surgery is to be performed, the impact of preoperative anesthesia on the patient's consciousness and brain function may be much greater than other preoperative anesthesia."
Liu Ziang said again.
Anesthesia drugs affect the patient's consciousness.
Many people will experience various situations when the anesthetic drugs in the body are not fully metabolized after the operation.
Some people lost the ability to speak their mother tongue for a short time and continued to speak English; some people had hallucinations and confessed to the nurse as a crush; there were even more people who spoke nonsense and became unconscious .
But in these cases, as the anesthesia drug is metabolized in the human body, the symptoms will dissipate accordingly.
(End of this chapter)
Gao Jun was even more satisfied after seeing Zhao Heng, who was trying to turn the tide, but still had a very humble attitude.
In this world, there is no shortage of talented people, and those with talent and quality are truly scarce.
Originally, Zhao Heng could be said to have saved Wen Shen's career this time, but Zhao Heng didn't take credit for it at all. On this point, among the young doctors Gao Jun knew, no one could do it.
After a while, a nurse hurried towards Wen Shen with a test result.
"Doctor Wen, the results are out!"
ICU nurse Bai Jing ran over excitedly and said while holding the checklist.
Wen Shen is usually very popular in various departments, so no one wants to see him have an accident.
The most important thing is that no one knows whether this kind of thing will happen to him in the future.
When Wen Shen heard what the nurse said, he stood up abruptly, stepped forward, and took the checklist from nurse Bai Jing.
"Positive, positive!"
Looking at the word positive on the checklist, Wen Shen couldn't restrain his excitement.
No one knows how much pressure he has faced since the operation ended.
To be honest, just before Zhao Heng came to look for him, even he himself began to have a little doubt in his heart. Could it be that he really made such a low-level mistake?
This is how people are, even if you have done nothing wrong, when all the pressure around you is pointing at you, you will fall into self-doubt.
But now it's better, the culprit of cerebral edema has been found, and the truth is revealed.
At this moment, Wen Shen had mixed feelings in his heart.
"The cause of cerebral edema is finally clear."
Gao Jun also said with a sigh.
Seeing Wen Shen's excited look, Gao Jun couldn't help but sigh in his heart, who said that anesthesia is just sitting in the operating room and playing with mobile phones?
The risks of anesthesia sometimes outweigh the surgery itself.
"Contact the brain surgery doctor and ask them to send someone for consultation."
After a pause, Gao Jun said to Bai Jing, an ICU nurse standing by.
"Ok."
Bai Jing nodded, turned around and went to contact the consultation.
"Teacher, do you want to open the cranial cavity and directly take out the eggs in the brain tissue?"
Zhao Heng looked at the female Internet celebrity lying on the hospital bed, still in a coma, and asked Gao Jun.
"It's hard to say, let's see the results of the consultation at the brain surgery side."
Gao Jun shook his head slightly. The patient himself was in a deep coma, and it would be too difficult to perform a craniotomy to extract worms.
Among other things, this patient is unconscious now, so how to determine her anesthesia and the dosage of anesthesia drugs is an extremely difficult problem for all anesthesiologists.
If the patient wakes up after the operation, everyone will be happy, but if the patient cannot wake up completely, and the brain is dead and becomes a vegetative state, will the anesthesia for the craniotomy have a negative impact on the patient's brain tissue, indirectly causing the patient to become Vegetative, such a complicated thing, I am afraid no doctor in the world can explain it clearly.
Didn't Wen Shen encounter this problem before?
Fortunately, Zhao Heng found the real cause of the patient's cerebral edema and coma, but if he wants to do it again, he can only bet on his luck, betting that the patient will wake up after undergoing craniotomy and worm extraction.
The human body is very complex and precise, so for many operations, even the attending doctor is just doing his best to obey the destiny, and to put it bluntly, it is just luck.
Hearing what Gao Jun said, Zhao Heng couldn't help but look at Wen Shen.
If after consultation with the brain surgery doctor, it is said that the operation is possible, then who should do the anesthesia?
The anesthesia for this operation may have cast a shadow on Wen Shen. Another anesthesia is performed, and the real good or bad is still unknown. Will Wen Shen take over the anesthesia?
Thinking of this, Zhao Heng couldn't help shaking his head slightly.
No matter how you choose, whether to accept or not, it can be said that it is a very difficult decision for Wen Shen.
Difficult moments like this are not uncommon in a doctor's career.
In other words, the profession of doctor emerged to deal with these difficult situations.
After a while, Liu Ziang, the deputy chief doctor of the Department of Neurosurgery, brought two residents, Xiao Liu and Xiao Wang, to the ICU.
Now the whole hospital knows about Wen Shen's matter, so when he received the consultation, as the absolute backbone of brain surgery, in the field of brain surgery, Liu Zi'ang, the No. The doctor came down.
In surgery, to be a director, it goes without saying that the technical level must be high.
However, those with the highest level of surgery may not necessarily become directors.
After all, the chief of surgery is a comprehensive position. Not only must he be able to see a doctor and perform surgery, but he must also be able to handle complex relationships in all aspects.
And Liu Ziang, in the field of brain surgery, can be said to be the No. 1 in Dongfang Hospital, but because of this, all his energy and interest are devoted to surgery.
Seeing Liu Ziang coming, Bai Jing quickly handed Liu Ziang the checklist just now.
Liu Ziang took the checklist and read it carefully. After a while, he raised his head and asked in surprise, "Who discovered this?"
"It was Xiao Zhao who discovered that the patient had a history of living in Dali, and that the patient had posted photos of raw pork snacks on Weibo. This made him think that the patient's cerebral edema may be caused by the parasitic brain of the pork tapeworm."
Gao Jun said briefly.
"This clinical thinking is very good and can be used as a good case of clinical thinking."
Liu Ziang thought for a while, nodded, looked at Zhao Heng and said.
Connecting the impossible and discovering the truth hidden deep in the human body is also what good clinicians do.
From a certain point of view, the work that doctors do is sometimes like solving puzzles.
"Director Liu, does this patient need surgery or conservative treatment?"
Wen Shen looked at Liu Ziang and asked.
"This operation is very simple, but whether the patient can wake up after the operation is the biggest problem."
Liu Ziang said slowly.
For Liu Ziang, who is a master in brain surgery, it is not difficult to open the cranium to extract the eggs.
However, after this operation, whether the patient can wake up after the operation, and even if he wakes up, to what extent the brain function can eventually recover is unknown.
Even for modern medicine, the brain is definitely a forbidden area, and human science's research on the brain is still at a very shallow level.
The recovery of brain function and consciousness during the perioperative period can be studied as a worldwide frontier medical topic.
It is not surprising that Liu Ziang is not good at this.
"What's more, the patient is now in a state of deep coma. In this state, if surgery is to be performed, the impact of preoperative anesthesia on the patient's consciousness and brain function may be much greater than other preoperative anesthesia."
Liu Ziang said again.
Anesthesia drugs affect the patient's consciousness.
Many people will experience various situations when the anesthetic drugs in the body are not fully metabolized after the operation.
Some people lost the ability to speak their mother tongue for a short time and continued to speak English; some people had hallucinations and confessed to the nurse as a crush; there were even more people who spoke nonsense and became unconscious .
But in these cases, as the anesthesia drug is metabolized in the human body, the symptoms will dissipate accordingly.
(End of this chapter)
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