Chapter 250 Symbiosis, the sense of achievement of studying medicine is maximized
It is hard to imagine such a long worm living inside a person's brain.
The circumference of an adult's head is only about 54cm, and the body of this sparganum can completely surround the head.
It is unimaginable that after all these years of drilling around in the patient's head, it only caused the patient to vomit. This is also a blessing in disguise.
"I'm just wondering, with such a long parasite growing in his head, why did he have to come to the hospital for treatment when he was so sick?"
Wu Baihe looked at the sparganum in the plate with a calm expression.
As the most skilled chief physician in neurosurgery, he had performed countless surgeries, and he must have performed many surgeries to remove parasites from the brain.
The more you see it, the less worried you will become.
"It's not that he didn't get treated, but he went to many hospitals for treatment but no one found the problem. It was Zhou Can who discovered the problem. He then did a dynamic CT scan of his brain and it took a long time to find the parasite. Sometimes when diagnosing patients, you should not be too superstitious about CT scans, otherwise it is easy to fall into stereotypes and end up in a blind spot in diagnosis."
Director Shang said with emotion.
"Here, this is a brain CT scan of the patient that was taken at another hospital. There is no abnormality at all."
Wu Baihe took the CT film and examined it carefully.
"Hey, I can't really see any obvious problems. There's just a slight abnormality in the angiography of this area. But it's easy to overlook."
When talking about this, Wu Baihe also opened up.
"Not to mention that we should not be superstitious about CT scans, we should not even completely trust MRIs. I made several mistakes because I was superstitious about MRIs. Later, I felt that color ultrasound has a higher diagnostic significance than MRI. So much so that when I am seeing patients now, I often ask them to take a color ultrasound. Family members and patients sometimes find it difficult to understand this. They would tell me, we have already done an MRI, do we still need a color ultrasound?"
The more experienced the doctor is, the more he prefers the simplest examination method.
Ultrasound and X-ray examinations have always been the most mainstream examinations in medicine.
Later, nuclear magnetic resonance was developed and led the medical trend. In addition, the Chinese people were very unconfident during that period, so many hospitals spent a lot of money to introduce nuclear magnetic resonance imaging equipment in order to increase their visibility.
Because this equipment is extremely expensive, hospitals encourage doctors to perform as many tests as possible in order to quickly recoup costs.
Especially some patients who were suspected of having tumors or whose disease causes could not be found were not spared.
As long as they enter a large hospital, MRI becomes a must-do examination for them.
The cheapest MRI costs several hundred yuan each time, while the one with the highest resolution can cost two to three thousand yuan.
It definitely has diagnostic significance, but there are a large number of patients who still cannot find the cause of the disease after MRI.
"I agree with what Director Wu said. If it weren't for the huge interests involved, I would like to set a limit on the examinations in the department. Don't prescribe MRI examinations for patients at every turn. No one's money comes from the wind. As for the advantages of MRI, I think there are two. One is the high resolution, which can detect deep lesions. The other is that there is no radiation, which will not cause radiation damage to the doctors who perform the operation and the patients who are examined."
Nuclear magnetic resonance imaging is different from other imaging examinations that use radiation. It uses an external magnetic field to scan the human body and is a relatively safe examination method.
For some special groups, MRI examinations are indeed a blessing.
For example, CT and X-rays emit very strong radiation.
Director Shang’s medical ethics are absolutely excellent.
This can be seen from his usual behavior towards patients.
For example, this patient with parasites in his brain did not meet the requirements for admission to the hospital. Unable to resist the pleas of his family, Director Shang finally personally contacted the inpatient department and added a temporary bed.
In order to perform surgery on the patient as soon as possible, even though he was very angry with the neurosurgeon, he still called the neurosurgeon the next day to coordinate the surgery.
These are all manifestations of his wholehearted consideration for patients.
A doctor is like a loving parent, and it is not as simple as it sounds.
There are many difficulties in actually implementing it, such as having to sacrifice one's reputation, being a thankless task, and being punished by the hospital.
"We didn't lose sleep because of choking. We just need to tell the doctors in the department not to over-treat patients."
Wu Baihe gave his own opinion.
Because of this common topic, the two chief physicians unexpectedly became much closer.
It can be considered an unexpected surprise!
After Zhou Can removed the sparganosis, he continued to clean the patient's wound, stop the bleeding, and check for other parasites .
"Directors, the sparganum we found has been removed. It is not clear whether there are still eggs or larvae in the patient's body. What do you think should we do next, sew up the wound or what?"
Zhou Can asked.
The scientific name of the sparganosis is the sparganosis of Spirometra mansoni.
The adult worms live in the intestines of cats and dogs, and occasionally in humans.
After the eggs are excreted with feces, larvae hatch in the water. After the larvae are eaten by sword water fleas, they continue to develop into procercariae.
The larvae parasitize in wild animals such as frogs and snakes.
From this we can see that it needs the intermediate host, the sword water flea, to eat its larvae before it can develop into procercariae.
There are definitely no sword fleas in the human body.
Theoretically, it will not cause sparganosis to multiply on a large scale in the human body.
But there is never any absolute in medicine, and no one can say for sure.
"I have checked the adult worm that I took out. Both the head and tail are intact, which means the worm body has not been torn apart."
Wu Baihe used a magnifying glass to carefully examine the adult insects that had been removed.
When it comes to diagnosis and treatment, you still need an experienced old doctor!
Zhou Can's experience in diagnosis and treatment in this area is obviously not as good as Wu Baihe's.
However, when he encounters similar cases in the future, he will know that after removing the adult worm, he must piece together the body of the adult worm and check whether it is complete.
Fortunately, he took out the worm in one go.
It didn't break.
It saves a lot of trouble.
Wu Baihe used a magnifying glass to carefully examine the wound.
"No eggs have been found yet, so let's suture the wound first! Even if there are eggs in the cranial cavity, we can wait until the patient recovers and can withstand the craniotomy before performing the craniotomy to remove the worms. If the patient is normal in all aspects after the operation, there is no need to rush to operate even if larvae are found in the brain. Just let the patient observe. Our human body is actually a huge biological kingdom, with countless bacteria, viruses, and even parasites that will accompany us throughout our lives."
Humans and animals are actually the same.
The presence of parasites, bacteria, viruses, etc. in the body does not necessarily require their elimination.
The two sides can also coexist without affecting each other.
"Okay, I'll sew up the wound then!"
Zhou Can nodded and quickly sutured the patient's wound.
"Director Wu, thank you and Director Wen so much today. And to you three surgical nurses, thank you so much for working overtime for our gastroenterology patients. You see, it's already past dinner time. If you don't mind, I'll treat everyone to a lunch box."
Director Shang felt relieved when he saw that the patient's operation was successfully completed.
He felt even more guilty when he thought about the complaint he had made to the neurosurgery department in the afternoon.
"Well...please order some food for the nurses! I have to do another surgery right away, so I can't take care of dinner right now. It's okay, I'm used to working overtime, and I have biscuits and other snacks in the office. I'll have a few bites first, and after the surgery is over, I'll have a midnight snack and dinner together."
Wu Baihe explained a few words and took off his mask.
Before leaving, he said to Zhou Can, "Xiao Zhou, you can come to the hospital often when you have time. Director Wen and I like you very much. It would be even better if you could come and help."
Wu Baihe is usually a very aloof person and would not say such words easily.
It is because I value Zhou Can and appreciate his abilities and character that I like him so much.
"Okay, I will!"
Zhou Can was stitching and didn't dare to be distracted.
He responded without even looking up.
He didn't know that Wu Baihe valued and loved him so much that the three graduate students were envious.
This is the Department of Neurosurgery, the pinnacle of surgery, a prestigious department that many graduate students are scrambling to get into.
Judging from what Director Wu meant, as long as Zhou Can wants to join the Department of Neurosurgery, he will welcome him warmly with open arms.
After Wu Baihe left, Director Shang's powerful aura returned.
He immediately ordered dinner for everyone.
After Zhou Can finished the operation, not only the three neurosurgery nurses were called, but also Dr. Guan from the anesthesiology department was called to get his lunch.
Medical staff, in general, work very hard.
I don’t care much about what I eat and wear in my daily life.
Sometimes, being able to eat a hot meal on time is a luxury.
"Zhou Can, if I had known that you are so familiar with the chief physicians of neurosurgery, I wouldn't have had to go to such lengths. From now on, if our gastroenterology department has any patients who need the assistance of neurosurgeons for diagnosis and treatment, you will be in charge of the coordination and contact."
Director Shang directly assigned a task to Zhou Can.
"This... it's okay to bother the chief physicians of neurosurgery once or twice occasionally. But if they bother them too often, I'm afraid they will avoid me when they see me next time!"
Zhou Can replied half-jokingly.
After hearing this, the others all laughed secretly.
Qiu Chengyu almost spit out his food from laughing, and he choked and coughed continuously.
"It's not always necessary to ask the chief physician for joint diagnosis and treatment. Sometimes it's the same to ask the attending physician of the neurosurgery department. In short, I can see that you are very familiar with the people in the neurosurgery department, and it's much easier to deal with you than it is for us. At least during the two or three months of your regular training in gastroenterology, you have to take on this liaison task."
Director Shang was really scared by the nurses and doctors in the neurosurgery department.
No matter what, the task had to be given to Zhou Can.
Perhaps worried that Zhou Can might feel dissatisfied, he added, "Don't worry, I won't ask you to work in vain. I will guide you more carefully in the future, including various diagnoses and treatments in pharmacology and gastroenterology. "
Although it was not said explicitly, the meaning of this sentence was basically equivalent to telling Zhou Can that he would teach Zhou Can everything he knew and train him with all his strength.
After hearing this, Zhou Can was immediately happy.
He said happily, "A gentleman's word is as good as his bond. It's settled."
When he entered the internal medicine department, what he wanted to learn most was knowledge about pathology and pharmacology.
There are many treatment techniques and experiences summarized from clinical practice that cannot be learned from books.
Director Shang taught him without reservation, and Zhou Can naturally rushed to agree to such a good thing.
"Uh...you agreed so readily, did you plan this in advance?"
Director Shang scolded with a smile.
"Hey, you are the director of the Department of Gastroenterology and a professor at the school. You are a role model for teachers and you can't go back on your word." Zhou Can could feel that by showing his superb surgical skills in neurosurgery and his deep friendship with the chief physicians of neurosurgery, his status in Director Shang's mind had obviously risen a lot.
Sometimes, chief physicians are quite realistic.
Seeing that Zhou Can has great influence and potential, the rewards that can be gained from cultivating him vigorously will be very good.
"Dr. Zhou is really popular in our neurosurgery department! Not only do the chief physicians like him, but even our nursing department has a good impression of him. It's a pity that Director Wu, Director Wen and others tried their best to keep him in neurosurgery, but they still failed."
A young surgical nurse interjected with a smile .
Judging from her expression, she seemed particularly sorry that Zhou Can didn't want to stay in neurosurgery.
"Dr. Zhou is so popular. There must be many young female nurses and doctors in your neurosurgery department who have a crush on him, right?"
Xie Lin has a big mouth and she says whatever she thinks.
The nurse who had just spoken blushed, as if Xie Lin had hit the nail on the head.
"Haha, there are indeed many girls who have a crush on Dr. Zhou. But it's a pity that he is already in a relationship, which makes our young nurses and female doctors in the Department of Neurosurgery feel sad in secret!"
An older nurse replied with a smile.
"Oh! What a pity! I was thinking about chatting with Dr. Zhou about life and seeing if we could spark something. Unfortunately, I don't have the chance anymore. But if you have any medical questions in the future, please consult Dr. Zhou and don't hide from me."
Xie Lin said to Zhou Can, blinking her big eyes.
"Ahem... Doctor Xie is always available to discuss any knowledge I have."
Zhou Can never imagined that he would be teased by these female nurses and doctors even when he was having a meal!
Although he was very popular among unmarried female doctors and nurses, he was not confident enough to become a heartthrob, and he was well aware of this.
Sometimes, it’s enough to just listen to girls’ flattery.
Don't take it seriously.
After dinner, he talked to Director Shang again about the venography examination of the patient with cirrhosis.
This time, I didn’t expect Director Shang to agree directly.
It really surprised him.
But it is already past the working hours, so I can only apply for inspection tomorrow.
…
The next day, Zhou Can had just arrived at the hospital for rounds when he received good news.
The patient with brain parasites in bed 11 tried to drink some rice porridge this morning after the operation. He is in good condition and has no vomiting symptoms.
Moreover, his overall spirit has obviously improved a lot .
It's just that the patient has been malnourished for a long time, and can't eat normally, so he can't eat a lot suddenly. He can only recover slowly.
The wound on the patient's head is not big. Judging from the situation, he will be able to be discharged from the hospital tomorrow at the latest.
Zhou Can felt extremely happy and accomplished that a patient with a difficult and complicated disease was cured.
He almost completed the entire diagnosis and treatment process for this patient himself.
Next was the splenic venography examination of the female lawyer.
I hope the lesion can be found.
In addition, the gastric cancer patient cared for by Zhou Can was also scheduled for interventional surgery today.
It happened this morning, and it was Director Shang’s first operation.
This poor female patient has put her trust in the wrong person. I hope the operation goes smoothly and she recovers soon.
