Chapter 362 The most difficult patient in history! Xu Qiu is helpless!
Otherwise, if he was given ten thousand courage, he would not dare to lean on this rare incurable disease.
"Idol, have you seen any problem?"
Yang Yuen assisted Xu Qiu in posing for the patient and cooperating with the examination, and couldn't help but ask.
Xu Qiu shook his head.
The patient this time is completely different from Professor Yan.
Although to the outsider's eyes, they all come in a wheelchair and look drowsy and dying, in the eyes of the doctor, these are two completely different states.
From Fan Fuguo, Xu Qiu could not see any signs that would help diagnose.
Even, there is no trace at all.
Over the past year, this is the most difficult patient he has ever encountered.
I'm afraid there will be a fierce battle...
"Xiao Liu, what plan did you take after the large dose of methylprednisolone is ineffective?" Xu Qiu asked.
In addition to the patient's symptoms, the patient's recovery after drug treatment is also a key clue for diagnosis.
Xiao Liu said hurriedly: "We almost did all the tests, but in the end we still felt that the possibility of multiple sclerosis is the greatest. On the basis of methylprednisolone, we used the treatment methods for acute attacks of severe multiple sclerosis...
…”
Xu Qiu nodded.
That is the replacement of immunoglobulin plasma.
Judging from the patient's current state and Xiao Liu's embarrassing expression, this plan is likely not to work.
The atmosphere in the conference room was particularly stagnant.
The only thing that is thankful is that the family did not attend the meeting, and only Fan Fuguo himself was examined by Xu Qiu as a case.
Otherwise, based on the previous performance of this group of families, it may have been decided to place the cemetery in.
"It's very similar to Kjaer's disease. Check for 14-3-3 protein and then draw cerebrospinal fluid to see if it can be confirmed." Joseph spoke at this time and broke the silence.
Based on his experience of four patients with Kjavi patients, the person in front of him is already very consistent.
"No need." Xu Qiu shook his head decisively.
"How is it unnecessary? The diagnosis and treatment standards of KJ disease refer to a document, and I happened to be involved in the writing of this document - the three markers of KJ disease are the 14-3-3 protein, tau protein and
Levels of s-100 protein!”
The former is more sensitive to Kjavi disease.
The latter two mark the level of damage to nerve cells, which can be detected by biochemistry of cerebrospinal fluid.
All three indicators are positive. What else can it be if it is not Krassia?
Kakka--
At this moment, an emergency occurred.
Fan Fuguo in the wheelchair suddenly began to twitch, and Xu Qiu and Yang Yuen quickly supported him.
However, the moment he met the other party, Xu Qiu felt the almost stone-like muscles on the patient's body.
Myocardial spasm, epilepsy, muscle stiffness?!
Xu Qiu frowned and showed viral encephalitis again...
There was no result when I was dead, and the suspicious diseases had been ruled out by the county hospital, Linhai International Hospital and others in turn, and it was obviously a dead end to diagnosis.
No one knows where the next clue is, and no one knows what kind of inspection should be done.
"Be a big siege, check it all, I don't believe it, but I can't find it out." Joseph said with a headache.
To be honest, if this patient is handed over to him, 14-3-3 of cerebrospinal fluid is enough to diagnose Kya's disease, so why does it need to be so complicated?
Is Fan Fuguo's condition not obvious enough? Although the current epilepsy is like a manifestation of viral encephalitis, isn't this a symptom that Kjavir can cause?
"Full check first." Xu Qiu nodded.
Fan Fuguo has given too little information now, and there is no other way except to comprehensively investigate this wide-spread net-style killer.
After the patient's epilepsy ended, Xu Qiu returned to his seat and read the case again.
Still nothing was gained.
It is much more difficult to diagnose this old man than Professor Yan...
...
On the same day, under Xu Qiu's arrangement, Fan Fuguo was admitted to the single ward.
In the evening, Director Zheng performed the replacement of Maikewei artificial blood vessels on Luo Siling, which was also very successful.
Generally speaking, it is basically impossible for hospitals, especially departments outside the emergency department.
However, the Department of Cardiac Surgery at Linhai First Hospital is at a critical period of its rise. During the day, it is necessary to undergo a small blood vessel replacement in Linhai, and at the same time, it is necessary to ensure the bed and number of surgeries for routine patients. Therefore, many surgeries are scheduled to come to the evening.
Although I was a lot tired, my salary in the cardiac surgery department also increased rapidly.
The people of Daxia are very simple and will work to death as long as they are given money.
996 is not scary.
Even for doctors, 996 is already a luxury.
007 is the norm in hospitals.
However, if the daily meal subsidy is 200 yuan, the daily overtime subsidy is 500 yuan, and the performance bonus is also added, who would not want to 007 yuan every day?
...
A few days later, Xu Qiu also came to the cardiac surgery department. After relieving the tension of a patient, he sent him to the operating table.
This patient has more high-risk factors, and the operation is more difficult than Yang Chenxi's 31 bed, Director Zheng's Luo Siling, and even more dangerous than Yan Ziqiang at the time.
It is not an exaggeration to say that it is the world's top cardiovascular replacement surgery.
This is also the most anticipated and valuable surgery since further study!
Therefore, Joseph, a famous foreign doctor, and a group of advanced doctors rushed to the scene.
However, the operating room is limited, and in the end, only more than 30 people could observe in person, while the remaining hundreds were sitting in the auditorium to watch the live broadcast of the operation in real time.
The operation began at 10 a.m.
After one hour and twenty, this case of the most difficult coronary artery Linhai small vessel replacement has been successfully completed!
When he came out of the operating room, Joseph and a group of famous foreign doctors looked dull.
Damn, is this surgery that people can do?
Under the microscope, the hand is still moving, even more robotic than a robot.
At this moment, Joseph finally understood why Xu Qiu could rescue him from the brink of death...
With this skill, let alone him, even if his heart is as rotten as a man wearing torn underwear for ten years, he can still fill the holes one by one!
"Idol, idol, idol..."
After coming out of the operating room, Yang Yuen's eyes were filled with stars, and only the word Xu Qiu was left in her mind.
Although she is crazy about being crazy every day, she is actually the fastest learning doctor among the students.
Although the current surgical level is not as high as Director Zheng and Yang Chenxi, it can already complete one operation independently.
Studying for two weeks and mastering a new surgery is unique!
After all, he is also a genius that Joseph, a master of cardiac surgery, wants to keep. He has more than two brushes on his body, but he is simply brushed.
It's a pity...
My mind is full of Xu Qiu!
"Is handsome useful? superficial!" Joseph sighed deeply.
Thinking about the past...
Forget it, he didn't seem to be handsome back then.
Dingling--
After leaving the operating room, Joseph was about to ask Xu Qiu for some questions that had bothered him during the operation, but suddenly the phone rang.
Chapter completed!