Chapter 163: Rapid Diagnosis
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"Director Tian, this is Ms. Lengshuang Leng, Ms. Leng, this is Mr. Tian Lu from the Department of Neurosurgery. β
Wang Lie from the dean's office introduced the two very enthusiastically.
"Hello!"
Tian Lu took the lead in stretching out his right hand and shook it gently with Cold Frost.
"Hello. β
Although he was a little surprised by Tian Lu's age, Cold Frost recovered quickly, nodded with a smile, and shook his hand.
After seeing Wang Lie, Tian Lu immediately understood the meaning of the cold phone call. It seems that this middle-aged woman in her fifties with a graceful temperament is not small, otherwise Dean Liu Ming would not have sent her secretary to make a special trip.
"I've already helped hang up. β
Xiao Wang handed Tian Lu a registration slip and a medical record book, and said to Leng Shuang with a smile: "Don't look at Teacher Tian as young, but he is already the deputy chief physician, and he is also the deputy director of our neurosurgery, and his level is absolutely first-class!"
Glancing at Tian Lu in surprise, Leng Shuang nodded and smiled: "Then thank you Dean Liu for me first, in this way, I will see a doctor first, and I will go to him to catch up with him when I have time." β
"This, Dean Liu said, after he has that important meeting, he will come to you in half an hour at most, you seeγγγγγγ β
Wang Lie hurriedly explained.
"Alright, I'll just wait for him here. β
Leng Shuang also nodded very simply and smiled: "But you go back first, I can do it myself." β
After a slight hesitation, Wang Lie shook his head and smiled, "I'm still here to accompany you." Dean Liu said, I must take care of you today!"
For Wang Lie's insistence, Leng Shuang smiled slightly, and didn't say anything more.
Led Leng Shuang and Wang Lie into the duty room of the neurosurgery department, Tian Lu said to the two nurses who were resting inside, and the two hurriedly went out. Then he moved a chair for Wang Lie and Leng Shuang, and then poured a glass of boiled water.
Watch the young deputy director get busy. Cold Frost's heart was also a little surprised.
It stands to reason that the person who the dean's secretary personally brought to see a doctor would be understandable if it was a veteran director or expert who was so quiet, but it seemed that there were only thirty people in front of him. How is it also indifferent, and he does not show special enthusiasm and diligence. The cold cream even has a feeling that is faint. The neurosurgeon also seemed to have a sense of rejection towards her.
After the surprise, Leng Shuang felt a little unhappy in his heart.
She came to the Second Affiliated Hospital to see a doctor, firstly because Liu Ming was his old classmate, and secondly because it was relatively close to home. It's just that I didn't expect to find Liu Mingyi and say it, but he strongly recommended himself to come to this neurosurgery department to have a look, and specially introduced this young doctor named Tian Lu.
It's just that this doctor surnamed Tian seems to be hard to talk to.
The expression on Leng Shuang's face changed slightly, and Tian Lu naturally didn't pay attention to it. In fact, he didn't have any opinion on Cold Frost, not because the other party had any problem through the back door. It's just that maybe the cold frost itself doesn't feel it. When she was talking and shaking hands with Tian Lu, she faintly revealed a condescending sense of superiority, which made Tian Lu very disliked.
After cleaning up, Tian Lu sat down in front of Cold Frost.
In the medical record book, Wang Lie seems to have filled in his personal information for Leng Shuang. After Tian Lu glanced at it, he smiled slightly, and directly started the routine inquiry: "Excuse me, what are you uncomfortable with?"
"There was nothing uncomfortable. β
Leng Shuang shook his head and said, "It's just that there was a loss of consciousness without any trigger, and that was this morning." The loss of consciousness lasted about a few minutes, and nothing else is clear. However, it should be accompanied by clenching of teeth, cyanosis around the mouth, and no foaming at the mouth. β
Tian Lu was a little surprised by Leng Shuang's answer, stopped the pen in his hand, couldn't help but look up at the other party, and asked curiously: "What, Ms. Leng is also from a medical background?"
"Yes!"
Leng Shuang nodded, and said quite proudly: "I am a college classmate with your Dean Liu Ming, but unlike him, I have long stopped doing clinical work." There was no one at home this morning when I became ill, and when I woke up, I looked in the mirror and found that my lips had been bitten and the cyanosis was more obvious, but there was no foam around the mouth. β
When he said this, Wang Lie's eyes obviously showed a trace of curiosity. He knew that this Ms. Leng was the dean's classmate, and she must also have a good identity, but the specific situation was not very clear, so he was looking forward to Tian Lu being able to continue to ask questions to satisfy his curiosity.
However, Tian Lu obviously didn't have this awareness, just nodded, and then asked a series of questions, all of which were to be asked during the regular outpatient clinic. Cold Frost was also very cooperative and answered them one by one.
After the consultation, Tian Lu pondered for a moment, then nodded and smiled: "Ms. Leng, let's have a simple physical examination, okay?"
Judging from the other party's narrative, except for the inexplicable loss of consciousness, there are basically no other symptoms, and given that the other party also has a certain amount of medical knowledge, I'm afraid I can't ask any questions.
The cold cream was very cooperative, and asked Tian Lu to give her a very detailed neurological examination. After the examination, Tian Lu pondered while making a record in the medical record book.
The condition of the cold cream is very good, the mind is clear and the speech is sharp, the pupils are equal to the large and equal circle, the diameter is 3mm, the light response is sensitive, the right eye is fixed esotropia, the neck is soft, there is no resistance, the bilateral facial sensation is symmetrical, there is no abnormal pain, the chewing is strong, the mouth and jaw are centered, there is no facial paralysis, the initial hearing test of both sides is normal, the muscle strength of the limbs is grade 5, and the bilateral Pap sign is negative.
Judging from the results of the physical examination, there are still no obvious tips.
"Let's do CT and MRI. β
Without waiting for Tian Lu to think about it, Cold Frost shrugged his shoulders and spoke.
Listening to the words of the "patient", Tian Lu was slightly stunned, and then smiled dumbly, and his feeling for the cold cream suddenly improved a lot. After just thinking about it for a while, Tian Lu nodded and said, "Okay, then let's do a skull CT and MRI first." β
Quickly opened a list of two inspections, and Tian Lu handed it over to Cold Frost. Although it is the busy time. However, with Wang Lie, the dean's secretary, taking him to do the inspection, it must be a green light all the way and unimpeded.
Not long after Wang Lie and Leng Shuang left, Liu Ming, who had finished the meeting, hurried to the neurosurgery ward with Leng Yan. As soon as he saw Tian Lu Liu Ming, he hurriedly asked, "Where are the people?"
"I went for a check-up. β
Tian Lu spread his hands and said, "I am accompanied by Secretary Wang, but I have to do CT and MRI at the same time, so I'm afraid I will have to wait for a while." β
As soon as he heard Tian Lu's explanation, Liu Ming understood. But then he asked, "Xiao Tian, what are you thinking about the problem?"
"I don't know. β
Tian Lu shook his head with a wry smile and said, "It's just a brief loss of consciousness, and there are no other symptoms." The physical examination is not a big problem, and now we can only wait for the results of the auxiliary examination. β
Nodding clearly, Liu Ming could only smile and say, "That's good." Go back and wait for them to come back from the inspection last night, you give me a call, and I'll come back then. β
After speaking, Liu Ming left the ward. He is a big dean, and there are so many things going on, so naturally it is impossible to wait until the cold frost and them come back.
After sending Liu Ming away, he turned around coldly and frowned and said, "Xiao Tian, I have another operation in a while, you can use dim sum after that cold cream comes back, don't make any mistakes!"
The ability for the field road. Leng Yan is extremely trusting, at least after nearly a year of observation, he himself has no confidence that he can be stronger than Tian Lu, so it doesn't matter if he stays or not.
"Understood. β
Tian Lu didn't ask much, just nodded.
This extremely indifferent reaction to Tian Lu. Leng Yan was a little strange, and couldn't help but wonder, "Aren't you curious?"
"Curious about what?"
Tian Lu asked with a smile.
"The identity of that cold frost!"
Leng Yanxu pointed in the direction outside the door and said.
Tian Lu shook his head and said: "What identity has anything to do with me? I am a doctor, she is a patient, that's it, I won't do superfluous things because of her high status, and I won't do less things because of her low status." Why do you care about that?"
Tian Lu's answer made Leng Yan stunned for a long time, and then he shook his head with a wry smile and said, "Your idea is very simple." β
Smiling slightly, Tian Lu didn't say anything.
It's not that his ideas are simple, it's that other people's ideas are too complicated.
After a slight hesitation, Leng Yan did not tell Tian Lu about the identity of Leng Shuang, but shook his head with some emotion and went to the operating room. As far as he understands Tian Lu, indeed, even if Leng Shuang is an ordinary person, since he has found him to see a doctor, Tian Lu will not be careless because of this, and it is superfluous to deliberately explain himself.
was accompanied by Secretary Wang, and sure enough, the cold cream came back soon after the inspection. Tian Lu made a phone call to Liu Ming, and in less than ten minutes, Liu Ming rushed to the ward of the neurosurgery department.
By the time Liu Ming arrived, Tian Lu had already read the test results and quickly came up with a diagnosis.
The people present were all professionals, so Tian Lu didn't have to bother to organize the language, and said bluntly: "According to the results of CT and MRI examinations, the left CPA occupies a mass and invades the annular cistern and the medial side of the left temporal lobe, and my preliminary judgment is a benign epidermoid cyst, that is, cholesteatoma." β
βcpaοΌβ
Liu Ming frowned and asked.
"It's the pontine cerebellar angle. β
Tian Lu went on to explain, "Because of the compression of the surrounding nerves, there was a brief loss of consciousness. Based on the imaging features, I think that common space-occupying lesions such as meningioma and acoustic neuroma can be temporarily ruled out, and epidermoid cysts are more likely. β
"What if it's treated?"
Leng Shuang, who had been listening to it without speaking, finally interjected a sentence. Although she is a medical student, she has not done clinical practice for many years, especially in a specialty like neurosurgery, she really doesn't know very well.
"Do surgery. β
Smiling slightly, Tian Lu quickly gave the answer: "The operation of the cerebellar angle of the pontine is more challenging, on the one hand, the field of vision is narrow, it is difficult to completely resect, and on the other hand, the surrounding structures are very important, and there can be no damage, and the requirements for the surgeon are relatively high." β
After listening to Tian Lu's explanation, Leng Shuang's heart suddenly began to drum.
However, Liu Ming frowned again and said, "Have you ever had surgery in this area?"
"I haven't done it since I came to neurosurgery. β
Tian Lu shook his head and said, "But when I was in the United States, I did a lot of cases, and from the perspective of the postoperative results, it is still very satisfactoryγγγγγγ βοΌ~οΌ
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