Chapter 1533: Accept the Cheers or Stay for Surgery

"Is that right? You are sometimes too cautious." Su Yun glanced at the patient, then at Zheng Ren, and said with slight contempt.

In his opinion, the neostigmine test must be positive, without even thinking about it.

"You can't be overly cautious in treating a disease. No matter what, you must be cautious and walk on thin ice." Zheng Ren said seriously.

Su Yun pouted, with a look of disapproval.

With the results of the Neostigmine test out there, one has to be so cautious, nonsense!

"Uh, it's time." Zheng Ren glanced at the time and said, "I'm going to give a lecture in the afternoon, Director Wei, are you going to help me in town?"

"Sure, it's a good thing." Director Wei said, "Jianguo will stay at home, Xiaocao will follow me. Jianguo, if there is any news from the patient, please report it immediately."

"Okay, Director." Feng Jianguo agreed immediately.

"But if myasthenia gravis is accompanied by a thymoma, this is an absolute indication for surgery." Su Yun suddenly said hesitantly.

"Yeah, what's the matter?" Zheng Ren gave Su Yun a strange look.

Such an extremely simple thing, still use him to say?

"It's been a long time since I had a thymoma." Su Yun hesitated and struggled, as if there were two villains fighting in his heart.

He was struggling between the exclamation of joy when he went to give a lecture to the students, the shadowless lights illuminated, and the joy of having a thymoma surgery.

A few seconds later, Su Yun showed a resolute look on his face, and said, "Boss, go give a lecture, I'll stay to see the patient and perform surgery."

"Okay, is there any problem with the operation?" Zheng Ren asked habitually.

"It's definitely not a problem, you screwed up your lecture this afternoon, and the operation on my side will definitely be successful!" Su Yun was only questioned for a while, and jumped up like a cat whose tail had been stepped on.

Thymoma surgery is considered a moderately difficult operation in provincial hospitals. But in places, such as Haicheng, there is very little development.

Because in terms of morbidity, it 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 is to go to the provincial capital or the imperial capital, otherwise, even if the diagnosis is correct, surgery cannot be performed locally.

Myasthenia gravis can be treated by cutting the thymus gland. There are not many people who need surgery, which is one of the reserved surgeries in high-level large tertiary hospitals.

Su Yun will definitely do it, and it is estimated that it is not bad. I didn't say it just now, the operation was over in 30 minutes.

Zheng Ren looked at Su Yun with a smile and didn't argue with him.

Mediastinoscopy thymectomy? Do you need to take a look at the director of the thoracic department before surgery?

No matter, as long as you do a thymic CT, everything will come to light.

As for the operation, it is a restricted area in a local hospital, but in 912, under Su Yun, it should be just a "minor" operation.

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, just stepped down?"

"Two cases of live-streaming operations, one was liver splitting and tumor resection after interventional embolization, and the other was splenectomy for Gaucher's disease." Zheng Ren said as he walked.

"As soon as I got down, I saw Xiaocao pushing the patient in. I was in a hurry, so I took a look."

"Fortunately, you helped take care of it." Director Wei said: "This disease is very rare, and there is no clear incentive. 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 city in the fourth and fifth tiers.

He 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 the small cities in the fourth and fifth tiers so strange to get sick?

However, Director Wei then justified it and explained it to himself.

It's not that the disease is weird, it's that Boss Zheng has a high level of diagnosis and treatment. Many patients are misdiagnosed in the first place because of misdiagnosis.

For example, patients whose first symptom is intestinal obstruction is an example.

I was almost misdiagnosed on 912, not to mention the small hospitals below. After the operation, the patient's condition was extremely poor, and the ventilator could not be taken off the line, so he continued to use the ventilator to assist breathing. When he died, neither the patient nor the doctor knew that it was myasthenia gravis.

Or after consultation with the whole hospital, everyone tried diagnostic treatment, and finally realized that it was a special thymoma! It's myasthenia gravis!

Similar situations are common.

Maybe by the time everyone realizes it, the patient can't be saved.

Is there a problem with the doctor's level?

Zheng Ren doesn't think so.

I have a big pig's hoof. I just glanced at it and knew that the big pig's hoof was diagnosed with myasthenia gravis. Of course, I was very confident to stop the operation.

But what about other doctors? Come to a patient and have done all the relevant examinations? That is bullshit. If the timing of surgery is missed, who is responsible?

Director Wei smiled and said, "Blessed are the children who went to school today to attend class."

"Yeah." Quan Xiaocao whispered on the side: "I heard two undergraduates in the internship say that the school is already boiling. Brother Yun is giving lectures, this is a big deal.

Knowing Xin'er, girls all go to the lecture hall 24 hours in advance to occupy a seat. "

"Then they will be disappointed." Director Wei gave a haha.

But then he realized that the joke seemed wrong.

This is not a joke, but a mockery, saying that Boss Zheng is not as good as Doctor Su's rhythm.

But Zheng Ren didn't seem to realize what Director Wei said, and he was a little distracted.

"Boss Zheng, what are you thinking?" Director Wei asked strangely.

"Removal of the thymus gland is effective for some patients with myasthenia gravis. I am wondering how the patient's recovery is after surgery." Zheng Rendao.

Director Wei sighed.

I don't seem to be so attentive as Boss Zheng, no wonder they have a high level. While highly talented, he spends all his time on business.

If this level is not high, it will be called a ghost.

What I just talked about is only the diagnosis and treatment of the disease, but even if the thymus is removed by surgery, only some patients will have their symptoms relieved.

If there are still symptoms, go home and inject neostigmine intramuscularly.

Like diabetes, long-term injection of drug maintenance does not seem to be a big deal.

But some patients do not improve at all.

Symptoms of myasthenia worsen until death.

"The mechanism of the disease is still unclear." Zheng Ren said with some regret: "I know that there are research groups in Mayo and Xiehe that are studying the pathogenesis of myasthenia gravis. Judging from the news a few months ago, this project There is still no breakthrough in research.”

"Just wait, there's nothing we can do." Director Wei said.

"It is said that it affects skeletal muscles, but the first symptoms of the patients I met today were in intestinal smooth muscles. Although it is rare, but..." Zheng Ren stopped halfway after speaking.

With the current medical level, there should not be too many diseases that cannot be clearly diagnosed and treated.

Myasthenia gravis is just one of those diseases.