My Medical Skills Give Me Experiences

Chapter 607: Strange neck stiffness, the simplest reflex test begins

Most of the diseases that cannot be cured by local hospitals are difficult.

He can't be cured of any disease.

Sometimes there are some strange diseases, and he is also helpless. But in general, as long as a patient finds him, even if he doesn't have the ability to cure him, he will ask other doctors for help.

The comprehensive strength of Tuya Hospital is still very strong. Except for a few medical fields that are not very strong, most of the other medical fields are of high level.

"Well, I'll go and have a look first."

Zhou Can understands the difficulty of the patient and his family, so he came all the way to see him, and they had great hopes.

The journey is also very difficult.

Transporting sick people is much more difficult than ordinary people.

"Dingdong, I'll leave the patient's Guanqiang to you. Yang Zhi, you will help him by the side."

After speaking, Zhou Can went straight out of the operating room.

Under normal circumstances, doctors in the operating room are not willing to leave the operating room easily. Because the use of various sterile consumables will increase.

Not to mention anything else, just wash the surgical clothes and change a few more sets, Auntie Cleaning should be talking about it.

Headgear and gloves are basically disposable, and it is also easy to cause some unnecessary verification and trouble if they are used too much.

Zhou Can followed the nurse to the emergency room.

A two or three-year-old boy was lying on the flat bed outside the door, his eyes were open, but his hands and feet were lying flat. With Zhou Can's professional level and experience, he could tell at a glance that this little boy was already in a state of high paraplegia.

"This is Dr. Zhou Can you are looking for. After hearing about what happened to you, he stopped what he was doing in the operating room and rushed over to ask a doctor. If you have any questions, you can hurry up and ask Dr. Zhou."

The nurse told the family.

A total of five family members came.

To be honest, with so many family members here, it was enough for the doctor to be very careful.

Too many family members come, which often means that in case of disputes, the other party has a large number of people, and the doctor will appear relatively weak.

Moreover, there are too many people, and the probability of doctor-patient disputes will also increase.

"Doctor Zhou, we also came from the imperial capital to look for you after hearing the introduction from our acquaintances. Please also see if this child can be cured?"

The first person to speak was a middle-aged man with a big belly, black trousers, a purple shirt, and a golden tie. His leather shoes were already covered with dust but he didn't bother to wipe them off.

Compared with other family members, this middle-aged man and a fashionable young woman behind him did not have the grief of a loved one who was seriously injured, but only anxiety.

Based on Zhou Can's experience in receiving patients, he secretly guessed that these two people should not be family members.

"First, tell me about the child's condition, how he was injured, what his performance was like after the injury, and whether he has been checked?"

Zhou Can looked at the five family members.

"Doctor Zhou, I beg you to save my son! Woohoo...it's all my fault, I shouldn't have taken the child to play in their playground." A weeping young woman told her misfortune, her eyes He also glared at the potbellied man and the fashionable woman. "At that time, many children were playing in the balloon castle they opened. When my son climbed to the top of the castle, there were a few children in front of him blocking the way. He climbed up the guardrail, and then unfortunately fell from it. At that time It seems that the head hit the ground first, and after falling on the ground, it was bounced several times before it stopped moving."

"After the fall, my son didn't cry or fuss, just lay there motionless..."

When the little boy's mother talked about the situation at that time, she was still very self-blame and heartbroken.

"Our bouncy castle has strict safety standards. The air cushion on the ground is more than 50 centimeters thick. At that time, the child fell from a height of about three meters. Under normal circumstances, there would be no problems at all. Paralyzed!"

The potbellied man should be the boss of the bouncy castle.

Speaking of this matter, he seemed very aggrieved.

This person is going to be unlucky, and a sip of cold water can get stuck between his teeth.

"Young man, there is only one grandson in my family for three generations. His father is guarding the frontier, and he has not dared to tell him the news. Please think of a way to save my grandson."

The old man with white eyebrows came over and begged Zhou Can.

"My son is a high-ranking general. As long as you cure my grandson, your benefits will definitely be indispensable!"

The tone of the old lady's speech was quite arrogant.

To be honest, no doctor likes to bear the tone of family members.

Some family members rely on how much money they have in the family, or if they have a little power, they throw money at doctors as soon as they come up. Just give me treatment, how much money my family can afford.

Or, hurry up and treat us, who is an official in my family.

When encountering this kind of family members, the doctor will not refute in person, and it is certain that they will feel uncomfortable.

A doctor is a sacred profession that saves lives and heals the wounded, and should be respected.

Instead of wantonly trampling under the two sharp weapons of money and power.

The reality is that no matter how good a doctor's medical skills are, he still works hard for those with power and money.

"Oh, please don't say a few words. The young man is a doctor, and there is no distinction between high and low in saving people."

The old man scolded the old lady who was showing off her authority.

"The old man is right. Our doctor's tenet is: if someone comes to ask for help, don't ask him whether he is high or low, rich or poor, whether he is old or young, resent relatives and friends, Hua Yi is foolish and wise, everyone is the same, and they are all like close relatives." No matter what your status is, there is only one title when you arrive at the hospital, and that is patient."

Zhou Can felt a little better.

Taking advantage of the opportunity, I gave this old lady who showed off her official authority a three-view science popularization.

Not every doctor is afraid of power, and will wag his tail when encountering rich or powerful patients. Most doctors have their own backbone and pride, and abide by the sacredness in their hearts.

If one day, doctors are forced to bow their heads to power, it will be a tragedy for society.

Because it also means that the distribution of medical resources will become unfair.

It is very necessary to safeguard the interests and dignity of doctors.

"The old woman can't talk, don't take it wrong, young man."

The old man hurriedly apologized to Zhou Can.

"It's okay, it's okay. Just make it clear." Zhou Can waved his hand. "Have you taken your child to the hospital for an examination? The medical level in the imperial capital should be the highest in the country. Why do you think that you will take your child to Tuya Hospital all the way?"

Zhou Can began to ask why.

Doctors must not only learn to see a doctor, but also learn how to protect themselves.

When encountering such patients from other places, it is very necessary to ask clearly.

"Let me tell the story!"

The boss of the bouncy castle took up the conversation again.

"After the child fell, we sent him to the nearest large hospital for treatment as soon as possible. After examination, the doctor initially diagnosed cervical nerve damage and high paraplegia. The doctor at that hospital suggested that we transfer to the imperial capital Renhe hospital treatment."

The blood vessels and nerves of the cervical spine and the entire spine are very rich, especially the nerves. After sending out from the brain, the nerve trunk in the spine is equivalent to a total nerve trunk.

After millions of years of human evolution, this nerve trunk is protected in the spinal canal.

Normally, it is not easily damaged.

But this high fall is an exception.

Especially the cervical spine in the neck is particularly vulnerable.

"What did the doctor at Imperial Renhe Hospital say?"

When Zhou Can heard that the child had been admitted to at least two major hospitals, his face became more serious.

Renhe Hospital has a dedicated spine research department, neurology department, and surgery department, and the neurosurgery department has also been subdivided. It can be said that Renhe Hospital's research in the field of neurology is definitely one of the best in China.

Even this hospital can't cure it, how can Zhou Can dare to challenge such an extremely difficult case?

I'm afraid it will be difficult to save this child.

"The doctor there also shook his head after seeing it, gathered experts from multiple departments of Renhe Hospital for consultation, and did conservative treatment for a week, but it still didn't work. I just heard a friend recommend that there is a famous doctor from Tuya Hospital. The young doctor named Zhou Can is very capable and might be able to cure the child. After discussing with the family, we finally decided to bring the child to have a look.”

When the boss of the bouncy castle said these words, his face was full of bitterness.

A total of six people flew from the imperial capital to Tuya Hospital. The cost of the journey, accommodation, and meals alone were quite a lot of expenses.

The money he earned from opening a bouncy castle for a year may not be enough to treat this child.

"First of all, I must tell you that Renhe Hospital should be one of the best in the field of neurology in China. Even if they say that it can't be cured, there is a high probability that our side can't be cured either. But since you are here, our side will definitely treat it. Go all out. The child’s father is guarding the frontier, and now his child is injured and paralyzed, we doctors are willing to do our best to treat the child, strive to create a medical miracle, and let the hero guard the frontier with peace of mind.”

Zhou Can can be regarded as an attitude to several people.

They are also given vaccinations.

Doctors often like to talk about the seriousness of the disease and the worst consequences, in order to lower the psychological expectations of family members and patients.

This can minimize medical disputes.

"Dr. Lao Zhou is here! Don't worry about the treatment expenses. I will pay for the amount of money I need to deposit. By the way, our bouncy castle is insured, and the insurance company can pay part of it at that time."

The owner of the bouncy castle is trying to make up for his mistakes.

At least his current attitude satisfies the family members.

The fashionable woman hardly spoke, as if she was a vase following the boss. Whether it was the boss's wife or the secretary, no one knew.

Zhou Can began to give the child a preliminary physical examination.

The child's limbs were weak, limp, and a little cold to the touch.

This shows that the peripheral blood supply is not good.

Nerve damage can cause blood flow to be affected.

Moreover, after the nerve is damaged, it cannot recover for a long time, and it will face a more terrible problem. The muscles of the whole body will gradually atrophy, and eventually, like a patient with ALS, there is almost no possibility of recovery.

It is necessary to intervene as early as possible and help patients massage the muscles of the body to maintain muscle vitality and slow down the rate of muscle atrophy as much as possible.

"Which day did the child fall and hurt?"

"I fell on the third day of this month."

"It's been about eight days since the fall, right?"

"right!"

Zhou Can asked for relevant information while checking the child's situation.

There was no trauma to the child's neck. To the touch, there was a certain degree of stiffness on the right side of the neck, and softness on the left side.

This is a very strange phenomenon.

Because under normal circumstances, there is no distinction between left and right neck stiffness.

If Zhou Can can discover this abnormality, I believe that the experts from Renhe Hospital will also be able to discover it.

It doesn't make much sense to infer the cause of this strange phenomenon out of thin air.

He decided to look at the results of the examination done by Renhe Hospital first.

Such as electromyographic signal conduction test.

This is also the usual means of neural pathway testing.

The presence or absence of myoelectric signals can be used to determine whether there is a problem with the nerve.

"Did you bring the checklists from the first two hospitals?"

"It's all packed in these two bags. This is the examination done at Chaoyang Hospital. This is the examination done at Renhe Hospital."

The child's mother gave Zhou Can two information bags.

After Zhou Can took it, he checked it carefully.

The first hospital performed routine blood tests, neck CT, and EMG tests on the child.

The results of the blood test were basically normal, with slightly low hemoglobin.

This may be anemia in the child itself.

Nowadays, many children like to be picky eaters, and even take snacks as their staple food.

This also causes their bodies to be in a sub-healthy state all the time.

No obvious abnormality was found on neck CT, only local slight hematoma. After eight days of treatment, the child's neck hematoma has already disappeared.

Basically, the possibility of neck hematoma compressing the nerve and causing paralysis can be ruled out.

Because if the hematoma is really oppressive~www.readwn.com~ Now that the hematoma is eliminated, the boy's paralysis symptoms will gradually disappear.

Renhe Hospital performed an enhanced head CT on the little boy, probably because he was worried that the child's brain would be traumatized.

Unfortunately, nothing has been found yet.

Zhou Can stared at the child's inspection results repeatedly, and made detailed comparisons, hoping to find clues.

So many experts have read it, and found no problems.

After watching for more than 20 minutes, he also found nothing.

There was no trauma, and no abnormalities were found in the head and neck. There were no fractures, or even fractures, of the neck.

Where is the problem?

Encountering such an extremely difficult case, Zhou Can felt powerless for a while.

His medical skills are powerful, but not all diseases can be cured.

The only suspicion now is that the cervical spine was severely traumatized during the high fall, resulting in a blockage of nerve signals to the neck below.

"Come on, help me sit the baby on the edge of the bed. The legs hang down naturally."

Zhou Can instructed the family members to help the child sit up.

It can be seen that the child's head seems to have lost its support, and it is somewhat weakly pulled forward.

There were many family members and doctors and nurses around, all wanting to see how Dr. Zhou diagnosed the child.

"Who has a percussion hammer? Lend me to use it."

Zhou Can asked other doctors and nurses aloud.

"I have, I have. Director Zhou, can you see this?"

Dr. Xie rushed to hand a percussion hammer to Zhou Can.

The opportunity to please Director Zhou should not be missed.

"Can."

After Zhou Can took it, he smashed it on the child's knee.

Knee **** reflex test is not commonly used in clinical medicine, but Zhou Can has never been diagnosed according to common sense. He used knee **** reflex test this time.

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