Chapter 1534

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

In his opinion, the neostigmine test must be positive. Don't even think about it.

"You can't be too cautious in treating diseases. Anyway, you should be cautious and walk on thin ice." Zheng Ren said very seriously.

Su Yun tilted his mouth and looked disapproving.

It's bullshit to be so cautious about the results of the xinsming test!

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

"Sure, say something good." Director Wei said, "Jianguo is watching at home, and Xiaocao follows me. Jianguo, if the patient has any news, report it immediately."

"OK, director." Feng Jianguo immediately agreed.

"But if myasthenia gravis with thymoma, this is absolute surgical evidence." Su Yun suddenly hesitated.

"Yes, so what?" Zheng Ren gave Su Yun a strange look.

Such a simple thing to the extreme, still use him to say?

"I haven't had a thymoma for a long time." Su Yun hesitated and struggled, as if there were two villains fighting in his heart.

When he went to give a lecture to the students, the shadowless light shone down, and the whole audience struggled between the joy of exclamation and the joy of thymoma surgery.

A few seconds later, Su Yun showed a determined look on his face and said, "boss, go to the lecture. I'll stay to see the patient and have an operation."

"OK, no problem with the operation?" Zheng Ren habitually asked.

"Certainly no problem. You screwed up your lecture this afternoon, and my operation will succeed!" Su Yun was just questioned and jumped up like a cat with its tail stepped on.

Thymoma surgery is a moderately difficult operation in provincial hospitals. But in local areas, such as Haicheng, there is little development.

This is a rare disease from the incidence rate. In places like Haicheng, you may not encounter a patient with thymoma all year round.

This kind of patient is to go to the provincial capital or the imperial capital. Otherwise, even if the diagnosis is correct, it cannot be treated surgically.

Thymectomy can treat myasthenia gravis. There are not many people who need surgery, which belongs to one of the reserved methods of high-grade large-scale third-class hospitals.

Su Yun is sure to do it, and he is estimated to do well. That's not what I said. The operation is over in 30 minutes.

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

Mediastinoscopic thymectomy? Do you need the director of chest department to take a look before operation?

Anyway, as long as you do thymus CT, everything will come out.

As for surgery, it belongs to the restricted area level in local hospitals, but in 912, under Su Yun, it should be only a "small" operation.

Zheng Ren smiled and said, "Director Wei, let's go?"

"OK." Director Wei said with a smile, "boss Zheng, what operation are you doing? You just stepped down?"

"There were two live 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 came down, I saw the grass pushing the patient in. I was in a hurry, so I went to have a look."

"Fortunately, your side helped take care of it." Director Wei said: "this disease is very rare. There is no clear inducement. It's really difficult to consider myasthenia gravis. Boss Zheng, how did you find it?"

"I met him in Haicheng." Zheng Ren said expressionless.

Director Wei was stunned.

Haicheng

It seems to be a small city with four or five lines.

I seem to have asked boss Zheng about a case of a rare disease before. He also said he had seen it in Haicheng.

Why are small cities in the fourth and fifth tier so weird when they get sick?

However, Director Wei then explained to himself.

It's not the strange side of the disease. Boss Zheng has a high level of diagnosis and treatment. Many patients were misdiagnosed from the beginning because of the wrong diagnosis.

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

Almost misdiagnosed in 912, let alone the small hospital below. After the operation, the patient's state was very poor and the ventilator could not be taken off-line. So he used the ventilator to assist breathing until he died. The patient and the doctor did not know that it was myasthenia gravis.

Or after the consultation of the whole hospital, we tried diagnostic treatment, and finally realized that it was a special thymoma! Myasthenia gravis!

Similar situations are common.

Maybe when we suddenly realize, 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 saw that the big pig's hoof diagnosed myasthenia gravis. Of course, I was confident to stop the operation.

But what about the other doctors? A patient has done countless related tests? That's bullshit. Who is responsible for missing the opportunity of operation?

Director Wei smiled and said, "the children who go to school today are lucky."

"Yes." Quan Xiaocao whispered, "I heard the two undergraduate interns say that the school has been boiling. Brother Yun gives lectures, which is a big event.

Knowing the letter, girls go to the ladder classroom 24 hours in advance to occupy their seats. "

"Then they will be disappointed." Director Wei hit a ha ha.

But then he realized that the joke seemed to be wrong.

This is not a joke, but a mockery, saying that boss Zheng is not as rhythmic as Dr. su.

But Zheng Ren didn't seem to realize what director Wei said. He was a little distracted.

"Boss Zheng, what do you think?" Director Wei asked strangely.

"Thymectomy is effective for some patients with myasthenia gravis. I wonder how the patients recover after operation." Zheng Rendao.

Director Wei sighed.

I don't seem to care as much as boss Zheng. No wonder they have a high level. With high talent, spend all your time on business.

If this level is not high, it is a ghost.

What I just said is just the diagnosis and treatment of the disease, but even if the thymus is cut off after surgery, only some patients' symptoms will be relieved.

If you still have symptoms, go home and inject neostigmine.

Like diabetes, long-term injection of drugs does not seem to matter what a big deal.

But some patients will not improve at all.

The symptoms of muscle weakness became more and more serious until they finally died.

"The mechanism of the disease is still unclear." Zheng Ren said with some regret: "I know that there are research groups in Mayo and Concorde to study the pathogenesis of myasthenia gravis. According to the news a few months ago, there is still no breakthrough in this research."

"Just wait. There's no way." Director Wei said.

"It's said that it affects skeletal muscle, but the first symptom of the patient today is intestinal smooth muscle. Although it's rare, but..." Zheng Ren stopped halfway.

At present, there are not too many diseases that cannot be clearly diagnosed and treated.

Myasthenia gravis is just one of the diseases.