Chapter 619: Germs take advantage of the situation and major events follow
There was no doubt about Tuya's test results. The child was definitely infected with tuberculosis, and it was a spinal cord infection.
But in this case, the cause of his illness is somewhat difficult to determine.
According to the results of the somatosensory evoked potential test, it was thought that the first pair of cervical nerves were injured, causing the child to be paralyzed from the waist down. Now that tuberculosis infection of the spinal cord has been found, the cause of the disease must be re-examined.
Zhou Can believes that it is very likely that the injury was just a trigger.
After the cervical vertebra is injured, the resistance of the spinal cord is further reduced, allowing tuberculosis bacteria to take the opportunity to multiply in large numbers and invade the entire spinal cord of the sick child in one fell swoop.
The child suffered a hematoma due to a cervical vertebra injury, which caused him to become paralyzed from the waist down on the spot.
Not crying and being unable to move is the best proof.
After treatment, the hematoma in the cervical spine gradually subsided and the compressed cervical nerves gradually recovered. However, at this time, tuberculosis bacteria broke out and began to destroy the nerve conduction function of the spinal cord.
This can also explain why the patient's motor nerve function is almost completely lost, but the pain nerves still exist.
Moreover, his pain nerves start from the medulla oblongata at the upper end of the neck and gradually weaken downwards. This can also well prove that the tuberculosis infection is likely to start from the coccyx or the part closer to the pelvic and abdominal cavity.
There is a process of bacterial infection.
Because the various tissues and organs of the body are both closely connected and independent of each other, like a city.
After germs or viruses conquer one city, if they want to conquer the next city, they must find a breakthrough point, which takes time.
Some organs even have super strong defense capabilities, making it extremely difficult for bacteria to infect them.
After Zhou Can slowly sorted out his thoughts, the diagnosis gradually became clear.
"This patient has problems with the conduction of the first pair of spinal cervical nerves, which should not be closely related to tuberculosis infection."
This was the first diagnostic idea he came up with after summarizing it.
Because tuberculosis bacteria run rampant in the spinal cord, attacking all the way from the coccyx to the midbrain, it should be a gradual process, advancing from bottom to top.
It doesn't make sense that there is no problem with the conduction of electrical potentials of other spinal nerves, but instead the first pair of cervical spinal nerves farthest from the coccyx are taken over by tuberculosis bacteria. This is a bit unscientific.
Of course, there are examples of crossing the enemy's defense lines and attacking the enemy's rear fortresses on the battlefield.
The germs are omnipresent and extremely cunning. They may also take advantage of the weakness of the injured first pair of cervical nerves and attack and kill them in one fell swoop.
"Initially, it must have been compression from the hematoma and injury to the cervical spine that led to high-level paraplegia. But now the hematoma has long since disappeared, and the injured cervical spine should have recovered almost completely. Under normal circumstances, the patient's high-level paraplegia symptoms would at least be alleviated and he would recover slowly. But at the moment, there is no sign of recovery at all. There are only two possibilities."
Zhou Can carefully considered the situation and finally identified two possible causes of the disease.
The first is that the cervical spine is too severely damaged and cannot recover after the hematoma is eliminated. Part of the spinal nerve is transected or broken. This possibility exists, but it is relatively small.
Because the lower central conduction is unobstructed, sensory nerve conduction is also not completely interrupted.
If there is a nerve rupture, the sensory nerve cannot gradually decay downward, but will be directly interrupted and disappear.
The second and most likely possibility is that tuberculosis bacteria take advantage of the injury to the first pair of cervical spinal nerves and enter the body. Its infection causes attenuation-type conduction disorders in the cervical spinal nerves.
However, there are some doubts about this argument.
One only regrets not having read enough books when one needs them. At this moment, he felt that he did not have enough knowledge and his experience was not rich enough.
Since it is caused by spinal nerve injury, this time I may have to seek advice from the top neurosurgeon, Director Wu Baihe.
It's also good to move around more.
Some of the relationships with these chief physicians are not stable.
Unless it is Chief Liu of General Surgery, Chief Xueyan of Cardiothoracic Surgery, Chief Tang Fei of Pediatrics, Chief Tan of Internal Medicine... these chief physicians with whom there is a certain emotional foundation, then there is no need to spend too much effort to maintain the relationship.
Even if we haven't been in touch for a year or two, we are still old friends.
The relationship between me and Wu Baihe is just that of gentlemen.
As the saying goes, the friendship between gentlemen is as pure as water. If you don’t keep in touch often, the connection will gradually fall apart.
Director Wu Baihe is a pretty decent person, though he's a little aloof and withdrawn. Naturally, he's less friendly and more restrained when dealing with people.
Of course, this is also because Zhou Can does not have a close relationship with him.
In fact, Director Xueyan and Director Tang Fei are also very aloof. Zhou Can was able to establish close friendships with them because they had major interests in common or because something had happened to them.
For example, Director Xueyan and Director Hu Kan are both disciples of Director Hu Kan and they have a fellow-school friendship.
Later, Zhou Can lent a helping hand to her when she was in the most difficult and helpless time, and helped her out of the predicament step by step. In the end, the two of them became like siblings, and their relationship was unbreakable.
Even though her ex-husband hired someone to kill Zhou Can, it did not create a rift between the two of them.
His friendship with Director Tang Fei is based on mutual interests.
Pediatrics needs a capable person like Zhou Can.
It's that simple.
After finishing his meal, Zhou Can looked at the full schedule of surgeries for the afternoon and couldn't help but sigh that he was destined to be a hard worker.
There are a total of three level 3 surgeries and two level 2 complex surgeries that he needs to preside over in the afternoon.
I'm afraid I can only go to Wu Baihe for advice after get off work.
Out of courtesy, he decided to make an appointment with Wu Baihe first.
The main reason is that the relationship between the two is not yet close enough that they can meet whenever they want.
If it was Director Yin Hua of the Department of Neurology, then there would definitely be no need for an appointment. Zhou Can could go there directly if needed.
"Director Wu, I have a difficult case that I would like to consult you on. Is it convenient for me to come to you after get off work?"
He sent a text message on WeChat.
Unless he is so busy that he doesn't even have time to type, he will give priority to text messages when sending messages to these senior doctors.
This is a kind of respect.
If the topic is more complicated, then call or use WeChat voice.
"OK!"
Wu Baihe just replied him with a simple emoticon.
It was very good that he could reply to Zhou Can's message within seconds and promised Zhou Can to go to him for advice.
Many people wanted to ask Wu Baihe for advice or get close to him, but ended up being turned down.
And this is not an isolated case.
Zhou Can heard that at least ten doctors had enjoyed this treatment. Doctors who dared to seek advice from Wu Baihe had to be at least attending physicians.
Except for a genius like Zhou Can, most residents probably don’t have that kind of confidence.
To put it bluntly, when the resident doctor stood in front of Wu Baihe, he was oppressed by the other party's strong aura and was likely to be trembling. In that state, he must have been extremely nervous and might not even be able to speak a complete sentence.
So no one will seek this discomfort.
"Thanks!"
Zhou Can replied with a thank you emoticon.
He was also full of expectations. The cause of the sick child's illness might be revealed today. As long as the cause was found, the right treatment could be given.
In order to get off work early, he worked very hard on the surgery.
Qiao Yu is about to go abroad to study, and Zhou Can cherishes the few remaining opportunities for cooperation.
To be honest, after his personal nurse left, it might .
We have already asked someone to start looking for one.
His surgical team has already taken shape. His personal anesthesiologist is Qu Zi. The surgical nurse and senior nutritionist, the nursing assistant, is Jiang Wei. He also has two medical assistants, Pu Dingdong and Yang Zhi.
Luo Shishen was about to complete his regular training, and he had already greeted Zhou Can and asked Zhou Can to reserve a seat for him.
Three medical assistants is the limit that Zhou Can’s team can currently handle.
After all, we have to consider the cost of employing people.
The advantage of training your own medical assistants is that they are loyal enough and have a good understanding of each other. Everyone knows each other well and can work together on any issue.
The disadvantage is that the training period is a bit long.
Although Pu Dingdong and Yang Zhi both had a certain surgical foundation, especially Yang Zhi, his surgical skills were already quite good when he joined Zhou Can. Now, after Zhou Can's careful training, he has been given all kinds of training opportunities and his guidance is also by words and deeds.
Both of them have shown good growth performance.
As for that guy Luo Shishen, Zhou Can didn't hold much hope.
On the one hand, Luo Shishen's foundation is weaker than these two people. On the other hand, in terms of understanding, talent, and character, Luo Shishen is more suitable for doing odd jobs. It's okay to be an assistant, but Zhou Can really doesn't dare to let him be the main surgeon.
…
Zhou Can worked until 6:17 in the evening, when he finally walked out of the operating room, dragging his tired body.
Even though he had sped up the process, there was no way to rush the surgery.
Safety comes first.
If you make a mistake because of your haste and end up causing an accident, it would be more trouble than gain.
His current understanding of the fast and steady knife techniques was stuck at the second level, with no sign of a breakthrough. This also caused him to perform the surgery much slower than before.
"Jiang Wei, I'm afraid today's ward rounds will be very late. Why don't you go home after get off work? I have to go to Director Wu first, and I don't know when I will be back."
Zhou Can said to her.
"Okay. Then I won't accompany you on the ward rounds today. I'll just go over and help Qiao Yu prepare some procedures for going abroad."
Jiang Wei readily agreed.
After hearing this, Ma Xiaolan looked at Qiao Yu with some envy.
"Oh, Sister Qiao Yu, I really envy you. You will be able to study abroad soon. I wish I could go abroad and learn some foreign knowledge one day, so that I won't feel insecure when facing my boyfriend."
She and Qiao Yu can be said to have known each other through fighting.
On the first day, the two almost had a fight.
Later, under Zhou Can's strong pressure, she took the initiative to bow her head, and then slowly repaired her relationship with Qiao Yu.
At present, a deep friendship has been established among the three beautiful nurses.
"What's there to envy? If you want to go abroad, isn't that easy? There's a ready-made tutor at home, just use it."
Qiao Yu smiled.
"Forget it, forget it. When Mr. Du teaches me knowledge, it's like Tang Monk chanting sutras. I feel sleepy just listening to him. When you return to China, I will learn from you again, and it will be the same."
Ma Xiaolan's words made everyone laugh.
After Zhou Can walked out of the operating room, his eyes turned to the bench not far away.
Sure enough, Su Qianqian came there regardless of rain or shine, waiting for him with an insulated lunch box.
This simple waiting has now become what Zhou Can looks forward to most after get off work every day.
Su Qianqian has become more beautiful and charming under the nourishment of love. Compared with her previous purity, she now has a touch of nobility. She is like an elegant lady.
With the blessing of her career, her mental outlook is excellent and her temperament is outstanding.
Even a capable and educated girl like Jiang Wei would pale .
"Honey, the National Day holiday is only a little over a month away. Can you ask the hospital for leave?"
Su Qianqian arranged their wedding perfectly.
What I am most worried about now is that Zhou Can cannot take leave.
"I've already told Director Lou that it's difficult to take a long vacation for a honeymoon, but it's fine to take one or two days off to get married."
Tuya Hospital is now one of the top three hospitals in the province with a wealth of talented people, and it can continue to thrive even if Zhou Can leaves.
At most, some businesses are not developing so well.
"Then I'm relieved. Seeing that you're so busy every day, I was worried that you wouldn't be able to take a day off. For the wedding banquet, I've only invited some colleagues I'm on good terms with, a few important leaders, and some classmates and friends. I'm not planning on hosting a banquet for your parents. Is that okay with you?"
Su Qianqian is actually not a stay-at-home girl.
She just likes quietness and staying at home.
In fact, she often goes out to do business and socialize, and it is also common for her to get together with some good female friends.
As Jinyu Interactive continues to grow and develop, the province's entertainment industry has now ranked fifth in the country.
And the upward momentum remains strong.
The provincial government has also given great support to Jinyu Interactive, after all, it is now the leading enterprise in the entertainment industry in the province. And it has indeed made great contributions to the province's economy, culture and entertainment.
Because of this, many students from the imperial capital's acting and music departments, as well as models, have begun to develop in this provincial capital.
Among them are Su Qianqian’s classmates who are studying at the university in the imperial capital.
Many classmates know that she is doing very well now, and many of them come directly to her for help.
She helps whenever she can.
Generally speaking, kind girls are like this. Although they have been treated cruelly by the world, they still believe that life is beautiful and still have a kind heart towards others.
However, Su Qianqian's kindness now is a more advanced version of kindness compared to before.
She will help if she can, but if it is beyond her ability or she feels it is not worth helping, she will not agree no matter how much the other party cajoles her.
This is also a survival rule that Zhou Can taught her.
She obeyed Zhou Can's words very much.
The two of them lived together, and she always placed Zhou Can in a very high position in her heart.
Perhaps it was because Zhou Can saved her during her darkest days, which made her deeply dependent on and trust Zhou Can, and even a little bit of admiration for him.
Beautiful women love heroes, this is an eternal truth throughout the ages.
Zhou Can is the unrivaled hero in her mind.
"Your uncle and aunt haven't called to bother you again, right?" Zhou Can asked with concern.
