Chapter 574: Yamen acupoint and stroke and syncope, this is caused by someone
The patient's name was written on the bedside: An Wen, 32 years old.
Of course, this age should be the age An Wen registered when he was admitted to the ICU.
Li Quan looked at the ECG monitor connected to the patient's body. At present, the patient's heart rate, ECG, pulse, blood pressure, respiration, blood oxygen saturation, body temperature, and other indicators tended to a relatively stable normal value.
"Why not connect the patient to an EEG monitor?" Li Quan asked curiously.
The ICU ward is equipped with a variety of life monitoring equipment and treatment equipment.
ECG monitors and EEG monitors are the two most commonly used monitoring devices.
In particular, ECG monitors can monitor almost all of a patient's most basic vital signs.
Dr. Anne's brother has been in a coma. From a medical point of view, it is necessary to use an EEG monitor to monitor the patient's brain waves in real time.
"Heh~! My income is not particularly high, and my brother's ex-wife took away almost all the family property. In order to save my brother's life, he has been kept in the ICU for the past few years to prevent any accidents.
As you know, it's very expensive to live here.
In order to stay afloat, I even sold my house.
Whether the EEG monitor is used or not, it will not affect my brother's life safety. In order to save money, I asked the hospital not to use these monitoring devices for my brother. "
Doctor Anne's face was full of bitterness.
The cost of long-term treatment in the ICU must be extremely staggering.
There are many critically ill patients, even extremely critically ill patients, and if you are willing to spend the money, modern advanced medical technology is fully capable of saving their lives.
Because the family’s financial situation is limited and they cannot afford it, the family can only reluctantly give up this expensive treatment.
In fact, if we consider it from the perspective of an ordinary family, we can understand the choices made by the patients' families.
Some extremely critically ill patients are already very old and have reached the age of natural death. Their family conditions are not particularly good. If they choose to stay in the ICU, even if they can prolong their lives for one or two years, what does it matter?
The patient has been suffering from illness and cannot die even if he wants to.
Then all the family savings will be used up, and the children may even be left with a lot of debt.
Instead of this, it is better to give up treatment.
In order to save her brother, Dr. Anne not only changed her career to become a psychologist, but she even sold her house to pay for her brother's treatment.
This kind of deep affection between siblings is truly touching.
"Director Li, if you only want to cut the surface of the patient's scalp, you can do it right here. I will immediately ask someone to prepare a scalpel, hemostatic cotton, suture needle, forceps and other tools for you."
Professor Hawking next to him is a practical man.
Seeing that Li Quan had made a new discovery, he did not ask too many questions and directly gave his full support.
If it is just a scratch on the scalp, it is a minimally invasive surgery with extremely low risks and low requirements.
"Professor Huo, I suggest transferring the patient to the operating room. If the condition we see after cutting open the surface of the scalp is roughly consistent with my diagnosis and speculation, it will also facilitate further surgical treatment."
Li Quan had actually roughly diagnosed the cause of the patient's illness.
But now there is a layer of skin between us, and we can’t see clearly.
Medicine is a rigorous discipline, and he cannot make a conclusion before it is clear.
"Doctor An, I can arrange to transfer the patient to the operating room immediately. However, this will definitely incur certain expenses, and surgical treatment is risky. Do you agree?"
Professor Hawking looked at Doctor Anne.
The higher the status of the doctor or boss, the more likely he is to be kind-hearted.
Because when a person has no desires, his character will naturally be noble.
Only when you have solved your own survival needs will you be in the mood to sympathize with those who need help and deserve sympathy.
Dr. Anne's love and care for her brother is enough to move countless people.
I will try my best to help her when I can.
"I agree!"
Dr. Anne nodded heavily without giving it much thought.
She couldn't explain it. Although she had only been in contact with Li Quan for a very short time, she felt that Li Quan had special potential that ordinary people did not have, which made her feel very extraordinary.
She secretly hoped that Li Quan could bring a miracle to her brother.
"Okay, I'll arrange for an operating room right away and then transfer him."
Professor Hawking should have very high power and status in the neurology department.
Because the operating room had to be arranged at the last minute, he was able to make the decision alone.
For a top-grade tertiary hospital like Beijing First Hospital, operating rooms and beds should be very limited.
If you want to temporarily requisition an operating room, you need to coordinate with multiple parties.
Because there are so many surgeries, the surgery times are all arranged in line.
…
In less than twenty minutes, arrangements were made and Dr. Anne's brother was transferred to the operating room.
It is quite troublesome to transfer unconscious patients like this one.
Fortunately, the medical staff here are very professional and the entire transfer process went very smoothly.
After entering the operating room, Li Quan discovered that Professor Hawking had called in the anesthesiologist.
After cutting open the epidermis of the head, only a very small local anesthesia is needed.
This usually does not require the involvement of an anesthesiologist, Li Quan or the surgeon in charge can easily complete it themselves.
"Since there is a professional anesthesiologist here, the anesthesia work later will be left to you!" Li Quan was very polite to the anesthesiologist who was about 30 years old.
"Okay!" The anesthesiologist just nodded calmly.
Female anesthesiologists are relatively rare.
But this anesthesiologist was not bad looking. Li Quan couldn't help but take a few more glances at him.
Many patients and their families who do not understand the medical system often think that anesthesiologists play only a minor role.
Little do they know that anesthesiologists are much more important than they think.
There has always been a professional saying in hospitals: surgeons cure diseases, and anesthesiologists save lives.
What does it mean?
Surgeons treat patients, remove lesions, or control lesions through surgery or intervention, so as not to endanger the patient's life.
In addition to providing the patient with anesthesia plans, the anesthesiologist will monitor the patient's vital signs throughout the entire operation.
Protect the patient's life at any time.
In addition, the anesthesiologist's protection of the patient goes far beyond the duration of the operation.
The entire perioperative period.
This includes judging the patient's condition before surgery, considering individual differences based on the patient's physical condition, and formulating a treatment plan accordingly.
And use advanced instruments to monitor the patient's vital functions during surgery. Anesthesiologists must rely on a variety of complex and sophisticated instruments to make accurate diagnoses of the condition and maintain the patient's life.
After the operation, the patient's recovery still needs to be observed so that appropriate treatment measures can be taken at any time.
Therefore, the saying circulating in hospitals that surgery can cure diseases and anesthesia can save lives is very true.
"Prepare the patient's skin in this area first!"
Li Quan originally wanted to ask the nurse next to him to do it.
Because nurses are women, they are naturally gentler and more meticulous than men.
Things like skin preparation are usually done by nurses or interns.
After skin preparation, disinfection is completed.
Then local anesthesia.
After the anesthesia took effect, Li Quan held a small scalpel and carefully cut the area where the bone spur occurred.
After the scalp was cut, a small amount of blood gushed out.
You can clearly see the tail of a white bone spur protruding.
Its tail is very sleek.
It’s just that the bone spur is very small, not much bigger than an embroidery needle, so no matter how round its tail is, it still looks like a sharp thorn.
“Is this bone hyperplasia?”
Professor Hawking is a top expert in brain surgery. He has performed countless craniotomies on patients throughout his life. He has also performed countless minor head surgeries that do not require craniotomy.
I'm afraid no one can match his understanding of the human skull.
At this moment, he saw that after Li Quan cut a two-centimeter-long incision on the patient's scalp, a small piece of bone spur was exposed, growing perfectly on the skull.
The first thing that comes to mind is bone hyperplasia.
When bone hyperplasia occurs in some joints, similar bone spurs are likely to grow.
But how could bone spurs grow on the head?
This position should be a little bit above the back of the neck.
Located just below the first cervical vertebra.
Normally, the bones in this position are round and smooth, and it is impossible for bone spurs to appear.
"Great! The person who murdered Dr. An's brother used methods that were absolutely perfect. No wonder all the tests couldn't find the cause of the disease." Li Quan looked at the end of the tiny bone spur with a thoughtful look in his eyes.
"Dean Li, what did you say? My brother was harmed like this by someone?" Annie asked in shock and anger.
Over the years, she always thought that her brother was so angry that he fell into a coma because he lost a bet.
She even called the police about this matter.
And together with the police, we reviewed the entire gambling process.
First of all, gambling is legal in that place.
Dr. An repeatedly checked the surveillance videos and found that her brother did not suffer any attack from the moment he entered the casino to the moment he suddenly fell into a coma.
Now Li Quan told her that An Wen was unconscious because he was hurt.
How could she not be angry?
"Professor Huo, Doctor An, don't worry, let me explain slowly. This bone spur, at first glance, looks like a bone spur growing on the skull. But do you know what acupuncture point is at this location?
This is the Yamen acupoint, one of the important acupoints on the head.
This acupoint is mainly used to treat slow tongue and inability to speak, hoarseness, heavy head, headache, stiff neck, stiff and bent spine, stroke and syncope, mania, epilepsy, hysteria, nosebleed, heavy tongue and vomiting.
If someone pricks this acupuncture point with a silver needle, the person being pricked may suddenly fall into a coma.
The murderer's method was extremely sophisticated.
If he had used an ordinary metal needle, it would have been detected long ago. But he used a bone needle made from human bones, which could not be detected by X-ray or MRI. After being inserted into An Wen's head for a period of time, the bone needle grew into one with the skull, which made it even more difficult to detect. "
Li Quan explained the murderer's modus operandi.
"Damn it, this murderer is so despicable! My brother just won a few games against him, but he was so cruel to my brother. It's really despicable." Annie couldn't help but grit her teeth and curse.
"Doctor An, I can tell you clearly that this bone spur was definitely not inserted into your brother's brain on the day he fell into a coma. It is very likely that it has been inserted into his brain for some time. Therefore, the person who gambled with your brother is less likely to have committed the crime.
Unless he and your brother knew each other before and they had a grudge against each other."
What Li Quan said makes sense.
"Dean Li, can you tell me the reason?" Doctor Annie addressed Li Quan using a respectful title.
His words and expressions all became extremely respectful.
The beautiful anesthesiologist, who was as beautiful as an iceberg, also looked at Li Quan in surprise.
This patient had already understood this before she came in for anesthesia.
You know, this patient was examined by many experts in the hospital and heads of several departments, but they couldn't find the cause of the disease after trying every possible means.
Now the cause of the disease has been discovered by this unremarkable young doctor.
It was also inferred that An Wen was harmed by someone.
"After the Yamen acupoint is attacked, people will generally experience severe discomfort or even coma. But you just said that you watched the entire video of your brother from the time he entered the casino until he fell into a coma, and you didn't find that your brother was attacked.
In addition, judging from the depth of this bone spur, the murderer's methods were extremely sophisticated.
After the bone spur was inserted into your brother's head, it did not immediately pierce the Yamen acupoint.
It was neither too deep nor too shallow, just hitting the Yamen acupoint.
When your brother's wound from the bone spur itches, or when he is angry or panicked, he unconsciously touches the back of his head with his hand, or even shrinks his neck, which may cause the bone spur to pierce the Yamen acupoint, and then your brother will fall into a coma on the spot. This is a carefully planned crime. "
Li Quan explained the reasons.
"So that's how it is..." Dr. Anne nodded slightly and began to wonder who the murderer was.
"Oh, I know who the murderer is. It must be that vixen. She must have planned it all along and wanted to take away my brother's assets, so she carefully set up such a trap. Bitch, I will never let you go..."
Doctor Anne always looked like an elegant, intellectual and mature woman.
But at this moment, he cursed in front of Li Quan, Professor Hawking and others.
"We can put the pursuit of the murderer on hold for now and let the police solve the case. Now let's talk about the treatment plan to save your brother. The most direct one is a craniotomy to see how deep the bone spur is.
Now the bone spur has grown together with the entire skull. It would be difficult to pull it out.
Therefore, craniotomy is an effective treatment option.
There is also a less risky method, which is to use my special potion to separate the bone spur from the skull. Once it becomes loose, I can pull it out. But I can't guarantee that it will work."
Li Quan gave two treatment options.
Just like an iron screw, it can't be screwed out after it rusts. Add a little lubricant, remove the rust, and you can screw it out.
This potion specially made by Li Quan can increase the gaps between bones that originally did not belong to the same bone but were put together.
"Director Li, I want to try the second option you mentioned. Let's try using a special medicine." Dr. Annie also understood that craniotomy was very risky.
The cost is not low either.
If you can use a more conservative approach, then definitely choose the latter.
