"Is this right? Sometimes you are too cautious." Su Yun glanced at the patient, then at Zheng Ren, and said with slight contempt.
In his mind, the neostigmine test was definitely positive, and it was a no-brainer.
"You can never be too cautious when treating a disease. No matter what, you must remain cautious and walk on thin ice." Zheng Ren said seriously.
Su Yun curled his lips and looked disapproving.
The results of the neostigmine test are out there, yet you still need to be so cautious. It’s nonsense!
"Well, it's time." Zheng Ren glanced at the time and said, "I have to give a lecture in the afternoon. Director Wei, would you like to help me calm down?"
"Sure, it's what we promised." Director Wei said, "Jianguo will stay at home, and Xiaocao will follow me. Jianguo, if there is any news about the patient, please report it immediately."
"Okay, director." Feng Jianguo agreed immediately.
"But if myasthenia gravis is accompanied by thymoma, this is an absolute indication for surgery." Su Yun suddenly said hesitantly.
"Yeah, so what?" Zheng Ren glanced at Su Yun strangely.
How could he talk about such an extremely simple thing
"It's been a long time since I had a thymoma surgery." Su Yun looked hesitant and struggling, as if there were two villains fighting in his heart.
He was going to give a lecture to the students, and he was struggling between the joy of having the whole audience exclaimed under the shadowless light, and the joy of having a thymoma surgery.
A few seconds later, Su Yun showed a resolute look on his face and said: "Boss, you go and give lectures. I will stay to see the patients and perform operations."
"Okay, is the surgery okay?" Zheng Ren asked habitually.
"There must be no problem. If you messed up your lecture this afternoon, my surgery will definitely be successful!" Su Yun was just questioned and jumped up like a cat whose tail was stepped on.
Thymoma surgery is considered a moderately difficult surgery in provincial hospitals. But in local areas, such as Haicheng, there are very few developments.
Because in terms of incidence rate, this is a rare disease. In a place like Haicheng, you may not encounter a single case of thymoma throughout the year.
This kind of patient would have to go to the provincial capital or the imperial capital, otherwise even if the diagnosis is correct, surgical treatment would not be possible there.
Removing the thymus gland can treat myasthenia gravis. Not many people need surgery, and it is one of the procedures reserved for high-level large tertiary hospitals.
Su Yun will definitely do it, and he probably does it well. Didn't I just say that the operation was over in thirty minutes.
Zheng Ren looked at Su Yun with a smile and did not argue with him.
Mediastinal endoscopic thymectomy? Do you need a visit from the director of the chest department before surgery
No matter what, just do a thymus CT and everything will come to light.
As for the surgery, it was a restricted area in local hospitals, but in 912, under Su Yun, it was probably just a "minor" surgery.
Zheng Ren smiled and said, "Director Wei, let's go?"
"Okay." Director Wei smiled and said, "Boss Zheng, what kind of surgery are you doing? You just stepped down?"
"There are two live operations, one is liver resection for tumor after interventional embolization, and the other is splenectomy for Gaucher's disease." Zheng Ren said as he walked.
"As soon as I came down, I saw Xiaocao pushing the patient in. I thought he was in a hurry, so I went to take a look."
"Fortunately, you are here to help take care of it." Director Wei said: "This disease is very rare and there is no clear cause. It is really difficult to consider myasthenia gravis. Boss Zheng, how did you find out?"
"I met him in Haicheng." Zheng Ren said expressionlessly.
Director Wei was startled.
Haicheng…
It seems to be a small fourth- or fifth-tier city.
I seemed to have asked Boss Zheng about a rare disease case before, and he also said that he had seen it in Haicheng.
Why are diseases so weird in small cities in the fourth and fifth tiers
However, Director Wei later justified himself and gave himself an explanation.
It’s not that he has a weird illness, it’s that Boss Zheng’s diagnosis and treatment skills are high. Many patients are misdiagnosed from the beginning because of incorrect diagnosis.
The patient whose first symptom was intestinal obstruction is an example.
I was almost misdiagnosed at 912, let alone the small hospital below. After the operation, the patient's condition was extremely poor and the ventilator could not be taken off the machine. He continued to use the ventilator to assist breathing. Neither the patient nor the doctor knew that he had myasthenia gravis until he died.
Or after consultation with the whole hospital, everyone tried diagnostic treatment, and finally realized that there was actually a thymoma! It’s myasthenia gravis!
Similar situations are common.
Maybe by the time everyone suddenly realizes, the patient cannot be saved.
Is there something wrong with the doctor's quality
Zheng Ren doesn't think so.
I have big pig's hooves. I just took a look and knew that the big pig's hooves were diagnosed with myasthenia gravis. Of course, I was confident enough to stop the operation.
But what about other doctors? A patient comes and undergoes countless relevant examinations? That's really nonsense. If the opportunity for surgery is missed, who is responsible
Director Wei smiled and said, "The children who go to school to attend classes today are lucky."
"Yeah." Quan Xiaocao whispered on the side: "I heard from two undergraduate students who came for internship that the school is already in a state of excitement. Brother Yun is giving lectures, which is a big deal.
Knowing the news, the girls went to the lecture theater 24 hours in advance to reserve a seat. "
"Then they will be disappointed." Director Wei said haha.
But then he realized the joke seemed wrong.
This is not a joke, but a mockery, saying that Boss Zheng is not as good as Dr. Su.
But Zheng Ren didn't seem to realize what Director Wei said, he was a little distracted.
"Boss Zheng, what are you thinking about?" Director Wei asked strangely.
"Thymus removal is effective for some patients with myasthenia gravis. I was wondering how the patients recovered after surgery." Zheng Rendao.
Director Wei sighed.
I don't seem to be as concerned about Boss Zheng, so it's no wonder that his level is high. While having high talent, he spends all his time on business.
If this level is not high, then it will be called a ghost.
What I just talked about is only the diagnosis and treatment of the disease, but even if surgery is performed to remove the thymus, only some patients will have their symptoms relieved.
If symptoms still persist, just go home and inject neostigmine intramuscularly.
Just like diabetes, long-term maintenance of injection drugs does not seem to be a big deal.
But some patients will not improve at all.
Symptoms of muscle weakness worsened until death.
"The mechanism of the disease is still unclear." Zheng Ren said with some regret: "I know that there are research groups at Mayo and Concordia that are studying the pathogenesis of myasthenia gravis. Judging from the news a few months ago, this There is still no breakthrough in research.”
"Just wait, there's nothing we can do about it," Director Wei said.
"It is said to affect skeletal muscles, but the first symptom of the patient I met today was in the intestinal smooth muscle. Although it is rare, but..." Zheng Ren paused mid-sentence.
There are not too many diseases that cannot be clearly diagnosed and treated according to the current medical level.
Myasthenia gravis is just one of these diseases.