Chapter 43 Director Tan is jealous
Director Yin of Shennei also took the film and looked at it. He nodded slightly and said, "It is indeed a cerebral artery aneurysm. It is not big, but it has invaded the brain stem area."
After saying that, he showed the color ultrasound images to Director Tan.
"Director Tan, what is your opinion?"
"I support your diagnosis. However, I'm afraid we need to consult with the surgeon to discuss the treatment plan for this brain aneurysm."
Director Tan looked at Director Xie from the Department of Surgery.
Only by working together, internal medicine and surgery can we be invincible and defeat powerful diseases.
Just as the two powerful departments were discussing the surgical plan, Zhou Can felt that they could not wait any longer.
The brainstem area is the nerve center of the human body and is known as the forbidden zone of life.
Surgery in this area is extremely risky.
Even the most experienced neurosurgeon was terrified. Even a small mistake could lead to disaster.
If the patient really took the wrong medicine, causing his blood pressure to get out of control, as long as he receives symptomatic treatment and his blood pressure is lowered, the "arterial hemangioma" may disappear automatically.
At least that's what Zhou Can thought.
He had seen similar cases in medical books.
The intracranial pressure of this pregnant woman is much higher than normal, which is more likely to cause the appearance of "temporary arterial aneurysm". This is closely related to the history of hypertension for more than 15 years.
Long-term hypertension can lead to vascular atherosclerosis.
"Director Lou, can you give the patient additional specialist blood and urine tests?"
Zhou Can mustered up the courage to ask.
"Hasn't the diagnosis result come out already? Stop interfering and cherish this learning opportunity. Just watch from the side."
Director Lou rejected Zhou Can's proposal.
The emergency department has little influence and it was embarrassing enough that it failed to diagnose the cause of the pregnant woman's illness.
Now that the internal and external medicine departments have reached a consensus on the diagnosis and started discussing the surgical plan, the emergency department should fully cooperate and not cause more trouble for them.
There can be competition between hospital departments, but they cannot fight against each other and must consider the overall situation.
Zhou Can looked at the unconscious pregnant woman and sighed secretly.
He was just a resident doctor, and at this level of consultation, it was already very good that he was allowed to watch and learn. No one would take his diagnosis seriously.
After consultation, several directors of internal medicine and surgery decided to perform a craniotomy on the patient.
It's just that due to the special location of the lesion, the risk of surgery is extremely high, even Wu Baihe, the "top scalpel", is not very confident.
If things go wrong, there will be two deaths.
Seeing the 'top scalpel' of surgery frowning, he admitted that the success rate of the operation was less than 50%.
Zhou Can decided to give it another try.
"Doctor Xu, I think the pregnant woman's brain aneurysm may just be an illusion. It's too dangerous to operate on her rashly. The baby in her belly is the only flesh and blood left in the world by a drug enforcement police officer who has already sacrificed. I request a specialist blood test for the pregnant woman to check if she has taken any medication that would cause high blood pressure."
There is no way.
Zhou Can had no choice but to go find Dr. Xu.
If Dr. Xu still disagrees, the pregnant woman can only leave it to fate.
After all, his position was too low, and if the senior doctors didn't listen to him, there was really nothing he could do.
"this……"
Doctor Xu was also in a difficult situation.
In this consultation, his status was not much higher than Zhou Can.
"Director Xie, Director Tan, can we request a specialist blood test for the pregnant woman?" Facing Zhou Can's eager eyes, Dr. Xu finally risked his pride and made a request to the two main consulting physicians.
"Old Xu, Old Xu, Zhou Can is fooling around, why are you fooling around too? The blood has been tested , there is no need to test it again. The most important thing now is to arrange the surgery immediately."
Director Xie flatly refused.
Director Tan didn't say anything, which basically meant he agreed with Director Xie's opinion.
After being scolded, Dr. Xu looked at Zhou Can helplessly and stopped talking.
Yang Chan saw all of this.
"Teacher, I have been with Zhou Can for five years, and I have never seen him so anxious. If he was not sure, he would not have requested a specialist blood test for pregnant women twice in a row. Can you help him, please?"
She actually pleaded with Director Zhang Bihua in a coquettish and cute way at this time.
There are only a few people who have the right to speak at the scene.
As long as Zhang Bihua nodded, Director Xie and Director Tan would no longer object.
Zhou Can's hope, which had been shattered, was rekindled once again.
At critical moments, it is still the old classmates who stand by their friendship and are willing to help .
"Xiao Zhou, tell me about your diagnostic ideas!"
Zhang Bihua looked at Zhou Can.
It was because of Yang Chan's desperate pleading that she was willing to give Zhou Can a chance. After all, rescuing patients requires every second, and there is no time to waste.
"Thank you Director Zhang for giving me this opportunity. Please look at the eyebrows of the pregnant woman."
Zhou Can grasped at the last straw.
Everyone was puzzled. What was the relationship between a pregnant woman’s illness and her eyebrows?
"Oh, the patient's eyebrows are messy and the tails are crooked." Nurse Ye Tingting exclaimed.
The doctors went forward and took a closer look, and hey, it was true.
"Pregnancy-related hypertension may cause maternal eye fundus lesions, blurred vision, or even blindness. It is obvious that the pregnant woman has already developed symptoms of blurred vision. She was originally going to her parents' home to visit them, so she must have paid special attention to her appearance. She didn't notice that her eyebrows were drawn like this, which means that she herself didn't know that her vision had become blurred."
Zhou Can stated his diagnosis.
After listening to this, Zhang Bihua nodded slightly and said with approval, "Go on."
Other doctors began to take Zhou Can's opinions seriously.
Even Director Yin, who had just criticized Zhou Can , was listening carefully, and the way he looked at Zhou Can was quietly changing.
From initial contempt to attention.
"We know that patients with long-term hypertension need to take antihypertensive drugs every day. She went to visit her parents and would be away for a long time. She might stay at her parents' house to have a meal and spend more time with them. She would definitely take antihypertensive drugs before going out. At this time, because of blurred vision, she might have taken the wrong medicine and taken it as antihypertensive drugs. The time from when she went out to when she became ill was very consistent with taking the wrong medicine, which caused her blood pressure to suddenly rise and she fainted in the taxi."
Zhang Bihua nodded again, this possibility is indeed possible.
"I once saw a similar case recorded by a famous surgeon in a medical book. The patient also had a long history of hypertension. After an argument with someone, his blood pressure suddenly rose and he eventually fainted. After being sent to the hospital, it was found that the brain artery aneurysm compressed the nerves and caused a coma. Due to the difficulty of the operation, the hospital did not dare to operate rashly, and the family's opinions were also very conservative. In the end, they chose to use drugs to lower blood pressure. Unexpectedly, after the blood pressure dropped, the brain artery aneurysm actually disappeared little by little."
Zhou Can shared the cases he had seen in the book.
"I have also seen similar cases like what Dr. Zhou said in surgical books. This kind of sudden arterial aneurysm is more like a 'balloon'. They usually appear in patients with a history of hypertension for more than ten years. When the patient's blood pressure rises to an extremely high level, the diseased part of the blood vessel will expand like a balloon, forming a temporary arterial aneurysm."
Director Yin is an expert in neurology, and it's not for nothing. He has even read a lot of books on surgery.
"Immediately give the pregnant woman a specialist blood test, and don't do surgery for the time being. Although the pregnant woman's condition is critical, with Director Zhang taking effective measures to protect the fetus, she shouldn't be in too much danger for the time being."
Director Yin's way of addressing Zhou Can changed from "superficial young man" to "Doctor Zhou".
This is the respect Zhou Can won with his strength.
It was Zhou Can's repeated insistence that avoided a possible misdiagnosis.
It saved the reputation of all the doctors present.
"I fully agree. It would be best if surgery could be avoided because the risks are too great. To be honest, if surgery is really necessary, I don't even have a 50% chance of success."
Wu Baihe was very clear about the identity of this pregnant woman.
If I really die in his hands, I'm afraid he won't let me go easily even if my family members sign a consent form for the risks of the surgery.
It is not easy to go from an intern to the current position of the "top scalpel" in neurosurgery.
Several chief physicians have agreed to do a specialist blood test first, so the rest is easy.
Blood was drawn and sent for emergency testing.
While waiting for the blood test results, the senior doctors' attitudes towards Zhou Can had changed dramatically.
"Director Lou, you had the best vision when selecting people yesterday." Director Tan said somewhat sourly.
"Haha, the people you picked are also excellent! Xiao Zhou is indeed a talented medical child, and our emergency department really needs such a successor." While Director Lou was laughing happily, he was even more afraid that the two powerful department directors would poach his employees.
After praising Zhou Can, he did not forget to emphasize Zhou Can's importance to the emergency department.
On the other hand, Du Leng, the foreign doctor, was feeling a little embarrassed at this moment.
There is a high probability that he will be slapped in the face by Zhou Can.
In order to hide his inner embarrassment, he could only pick up the patient's information and look at it carefully, wishing he could catch a few bugs from it.
