Chapter 250: Symbiosis, a sense of accomplishment in studying medicine

Author: Jiangbian Yuweng

Chapter 250: Symbiosis, a sense of accomplishment in studying medicine

It is unimaginable that such a long worm could live in the human brain.

The circumference of an adult's head is only about 54cm, and the body of this spargan can completely surround the head.

It is simply unimaginable that it has been burrowing inside the patient's head all these years and only caused the patient to vomit. This is also a blessing among misfortunes.

"I'm just surprised. There's such a long parasite growing in his head. Why did he get so sick that he came to the hospital for treatment?"

Wu Baihe looked at the spargan larvae on the plate with a calm expression.

As the most powerful chief physician in neurosurgery, he has performed countless operations. He must have performed many operations to remove parasites from the brain.

The more you see, the more calm you become.

"It's not that he wasn't treated, but that he was diagnosed and treated in many hospitals and no problem was found. Zhou Can discovered the problem and later did a brain CT dynamic view. It took a long time to find this parasite. Yes.

When diagnosing patients, you should not be too superstitious about CT, otherwise it will be easy to fall into qualitative thinking and eventually fall into a blind spot in diagnosis."

Director Shang said with emotion.

"Here, this is a brain CT taken by the patient before in another hospital. There is no abnormality at all."

Wu Baihe took the CT film and looked at it carefully.

"Hey, I really can't see any obvious problems. There is only a slight abnormality in the imaging of this area. But it can be easily ignored."

When talking about this matter, Wu Baihe also opened up the conversation.

"Not to mention that CT films cannot be superstitious, even MRI cannot be completely trusted. I have made several mistakes because I am superstitious about MRI. Later, I felt that color ultrasound has a higher diagnostic significance than MRI. So now I

During the consultation, patients are often asked to take a color ultrasound. Sometimes it is difficult for family members and patients to understand this. They will tell me, we have already had an MRI, do we still need to take a color ultrasound?

"

The more experienced doctors are, the more they prefer the simplest examination method.

Ultrasound examination and X-ray examination have always been the most mainstream examinations in medicine.

Later, nuclear magnetic resonance was developed and led the medical trend. In addition, the Chinese people were very unconfident during that period. Many hospitals spent a lot of money to introduce nuclear magnetic resonance examination equipment in order to increase their reputation.

Because this equipment is extremely expensive, the hospital encourages doctors to do as many tests as possible in order to recover the cost quickly.

Especially some patients who are suspected of having tumors or whose causes cannot be found are spared.

As long as they enter a large hospital, MRI has become a must-have examination for them.

The cheapest NMR costs several hundred yuan per test, and the one with the highest resolution costs even two to three thousand yuan per test.

The diagnostic significance is definitely there, but there are a lot of patients who still cannot find the cause after MRI.

"I deeply agree with what Director Wu said. If it weren't for the huge interests involved, I would have set a restriction on examinations in the department. Don't just prescribe MRI examinations to patients. No one's money matters.

It was blown by the strong wind. When it comes to the advantages of MRI, I think there are only two. One is that it has high resolution and can detect deep lesions. The other is that there is no radiation, which will not cause any harm to the doctors who operate it or the patients who examine it.

Radiation damage.”

MRI is different from imaging examinations that use radiation. It uses an external magnetic field to scan the human body, and is a relatively safe examination method.

For some special groups, MRI examination does bring good news.

For example, CT and X-ray radiation are quite powerful.

Director Shang's medical ethics is absolutely excellent.

This can be seen from some of his usual behaviors towards patients.

For example, this patient with parasites in his brain was originally not eligible for admission. Unable to withstand the pleas of his family, Director Shang finally personally called the inpatient department and added a temporary bed.

In order to perform surgery on the patient as soon as possible, even though he was made angry by the nurse from Shenwai, he called the doctor from Shenwai the next day to coordinate the surgery.

These are all manifestations of his wholehearted consideration for his patients.

The parent-like attitude of doctors is by no means as simple as words.

In actual implementation, there will be many difficulties. For example, you have to save face, for example, it may be thankless and punished by the hospital, etc.

"We didn't sleep due to choking. We just need to tell the doctors in the department not to over-treat him."

Wu Baihe gave his own point of view.

The two chief doctors unexpectedly became much closer because of this common topic.

It can be considered an unexpected surprise!

After Zhou Can removed the spargan parasites, he kept cleaning the patient's wounds, stopping the bleeding, and checking for other parasites.

"Two directors, the sparganosis found has been removed. It is not clear whether there are still eggs or larvae in the patient's body. Do you think the next step is to suture the wound or what to do?"

Zhou Can asked.

The scientific name of Sparganum mansoni is Sparganum mansoni.

The adult worms live in the intestines of cats, dogs, and occasionally humans.

The eggs are excreted in the feces and hatch into larvae in the water. After the larvae are eaten by water fleas, they continue to develop into procercariae.

Protocercariae parasitize in wild animals such as frogs and snakes.

It can be seen from here that it needs the intermediate host Daphnia to eat its larvae before it can develop into protocercariae.

There are definitely no water fleas in the human body.

Theoretically speaking, it generally does not cause sparganism to reproduce on a large scale in the human body.

It's just that medicine has never been absolute, and no one can explain this kind of thing clearly.

"I have inspected the adult worm that was taken out. The head and tail are intact, indicating that the body of the worm has not been broken."

Wu Baihe used a magnifying glass to carefully examine the removed adult insects.

When it comes to diagnosis and treatment, we still need experienced doctors!

Zhou Can's diagnosis and treatment experience in this area is obviously not as good as Wu Baihe's.

However, if he encountered similar cases in the future, he would know that after removing the adult worm, he would piece together the body of the adult worm and check whether it was complete.

Fortunately, he took out the insect in one go.

It didn't break.

It saves a lot of trouble.

Wu Baihe used a magnifying glass to carefully examine the wound.

"No eggs have been found yet, so let's suture the wound first! Even if there are indeed eggs laid in the cranial cavity, we can wait until the patient's body recovers and is able to withstand the craniotomy before performing the craniotomy to remove the worms. If after this operation,

, the patient is normal in all aspects. Even if there are larvae in the brain, there is no need to rush for surgery. Just let the patient observe. Our human body is actually a huge biological kingdom, which contains countless bacteria, viruses, and even

Parasites will accompany us throughout our lives."

Humans and animals are actually the same.

There are parasites, bacteria, viruses, etc. in the body, but it is not necessary to eliminate them.

It is also possible for both parties to coexist without affecting each other.

"Okay, then I'll suture the wound!"

Zhou Can nodded and quickly sutured the patient's wound.

"Director Wu, I really want to thank you and Director Wen today. And you three surgical nurses, thank you very much for working overtime for our patients in the Department of Gastroenterology. You guys have already passed dinner now. If you don't mind,

, I’ll treat everyone to a lunch.”

Director Shang saw that the patient's operation was successfully completed, and the stone hanging in his heart finally fell to the ground.

He felt even more sorry when he thought about complaining to someone else's neurosurgery that afternoon.

"Well... you can order meals for some nurses! I have to do another surgery quickly, and I definitely can't take care of dinner now. It's okay. I'm used to working overtime. I have biscuits and other snacks in the office. First

After a few mouthfuls, after the operation is completed, I will have a midnight snack and dinner together."

Wu Baihe explained a few words and took off his mask.

Before leaving, he said to Zhou Can, "Xiao Zhou, you can come to Shenwai often when you have time. Director Wen and I like this young man very much. It would be better if you could come and help."

Wu Baihe was usually a very aloof person and would not say these words easily.

It is also because I value Zhou Can and appreciate his abilities and character that I like him so much.

"Yes, I will!"

Zhou Can was suturing, but he didn't dare to be distracted.

He responded without raising his head.

Little did he know that Wu Baihe valued and loved him so much that he made the three graduate students envious.

This is the neurosurgery department, the pinnacle department of surgery, an important department that many graduate students strive to enter.
To be continued...