Chapter 546: I almost took a knife for nothing
After the third uncle finished the examination, he was helped back to the inpatient ward by his family to rest.
The dean personally waited in the radiology department to wait for the report, but when the director of the radiology department handed him the report with his own hands, his face turned white when he saw the diagnosis on it, and he asked, "Are you sure there is no mistake?" ”
"Dean, you can doubt my character, but you must not doubt my results!" The director of the radiology department patted his chest and swore an oath: "I would like to guarantee my daughter-in-law that if my result is wrong, she will be out of the wall!" ”
"Phew!" The dean spat at him and said angrily: "When is it, you are still in the mood to joke, our hospital is almost in big trouble...... Besides, that old lady of your family, can anyone want it if you want to get out of the wall? ”
"That's it, Dean, there's no going wrong with this outcome!" The director of the radiology department still said with a hippie smile.
The dean knew that the soon-to-be retired director of the radiology department was an old naughty boy, but he believed that this guy would not joke about such a terrible thing no matter how serious he was, so he went out after the results.
When I returned to the inpatient department, I had not yet entered the office to explain the situation to the doctors, and there was already a situation on the other side of the ward.
After the third uncle finished the examination, he said that his bladder was uncomfortably distended, and he couldn't urinate at all.
Atropine was used for preoperative preparation and antispasmodic pain relief, could it be that the third uncle's physique was too sensitive to atropine, resulting in urinary retention and making urine unable to be discharged?
The dean didn't dare to think about it, and hurriedly ordered his subordinates to catheter him.
After the third uncle finished urinating, he fell asleep.
The dean beckoned everyone and entered the office together, and when the two sons of the third uncle also wanted to follow up, they were stopped by the nurse.
In the office, when the dean put the results of the imaging in front of everyone.
For a moment, all the doctors were stunned, looked at each other, and were silent for half a sound.
"Why, how can this be?" Zhang Chaoqiang muttered with the report, obviously unable to believe the facts in front of him.
However, the results of the examination are clearly there, and this hint is almost 90% certain that the third uncle has myelitis.
"Yes, how can this be, the patient does not seem to have clinical symptoms of myelitis at all!" Dr. Liang, the attending physician, also followed.
"Could it be that myelitis and anchotomy happened together?" Director Wang of the inpatient department raised doubts, in fact, he just wanted to give himself and the doctors a step down, the prodromal symptom of myelitis is pain all over the body, of course, it hurts where to press.
"It's not very likely, but it can't be ruled out!" The dean said, the leader is the leader, and the speech is really level!
"Another thing is very strange, who asked the family to apply for a myelography test?" A doctor asked.
At the beginning, when Wang Fagui, the second son of the third uncle, proposed to do this examination, everyone thought it was inexplicable and even unreasonable, but when the results came out, they felt that the person who instructed the family to ask for the examination was so unfathomable.
How did the doctors know that Wang Fagui was instructed by someone? It's a very simple thing, Wang Fagui can't read words, and the signatures of his family members on the serious illness notice are written crookedly, where does he know what CT myelography is! It's not that someone behind him told him to do this, then there are ghosts.
"I think one of my students did this!" Yan Xinyue said with some shame and some pride, ashamed that it was naturally because she did not fully support Gu Feng, so that she almost lost her life, and she was proud because the doctor who made the correct diagnosis was her student.
"Professor Yan, you said that your student asked the family members of the sick to do this?" The dean and the group of colleagues all looked at Yan Xinyue with wide eyes.
"Hmmm! Because before the patient was transferred to the county people's doctor, my student always insisted that the patient was suffering from myelitis, not Lan Fucha. Yan Xinyue said loudly.
As he was talking, a knock on the door suddenly sounded, and Wang Fagui shouted outside: "Doctor, doctor, come on, my dad said that his legs don't feel anymore, and he can't move at all!" ”
As soon as I heard this, everyone's hearts were completely cold, and the CT report results showed that there was only the possibility of myelitis, but as soon as the specific symptoms of both lower limbs appeared, there was no need for controversy.
As everyone here knows, once myelitis is diagnosed, the symptoms occur suddenly, and progress to the peak within a few hours or one to two days, first appearing with numbness in the lower limbs, and finally developing into paralysis, sensory loss, sphincter muscle disorders, general pain, banding sensation, and finally developing into general paralysis......
In this way, the symptoms of the third uncle's inability to urinate just now were not caused by atropine drugs, but the symptoms of myelitis had developed, first of all, the bladder sphincter was damaged, resulting in the inability to urinate, and then there was no feeling in the lower limbs, which was a series of symptoms that followed.
In the ward, the dean personally examined the third uncle, at first it was just numbness and weakness in both legs, but now it is muscle strength level 0, the Achilles tendon reflex has completely disappeared, and he has really paralyzed both lower limbs.
When the doctors saw this situation, they couldn't help but gasp several times again.
It's dangerous, it's really dangerous!
If it weren't for Wang Fagui's sudden proposal to do myelography, he would have completed the anchotomy surgery at this time.
To do Lan excision, anesthesia must be done, continuous epidural general anesthesia, that must do lumbar puncture, and anesthesia lumbar puncture is the risk of causing paralysis, although it will never appear under normal circumstances, but the third uncle's paralysis of the lower limbs is inevitable because of myelitis, at that time, can the anesthesiologist make it clear? Did the surgeon make it clear? Did the dean make it clear?
Things have developed to this point, there is no doubt that surgery cannot be done, whether it is the dean or the doctor, no one has mentioned the operation, and even the noisy Zhang Chaoqiang has closed his mouth with interest.
The two sons of the third uncle are still kept in the dark.
Wang Fagui saw that no one mentioned the operation anymore, and all of them had complicated and strange expressions, and thought that it was because of the examination that Gu Feng asked for that the best operation time was delayed, so he couldn't help asking: "Dean, Professor Yan, is it because I missed the opportunity to do the examination, so I can't operate again?" ”
The dean and Yan Xinyue glanced at each other, their expressions bitter.
"Well, I knew I shouldn't have believed him!" When Wang Fagui saw their expressions like this, he immediately beat his chest and screamed: "I ate lard and covered my heart, I actually believed the words of a hairy guy, I should die, I'm sorry for my father~~~"
The crowd was in a terrible cold.
The dean hurriedly grabbed Wang Fagui, "Mr. Fagui, don't get excited, things are not what you think." ”
"Huh?" Wang Fagui, who was excited, really stopped, and asked in a daze: "It's not what I thought, what is it?" ”
"Good news, and bad news!" The funny director of the radiology department came out of nowhere, but after saying this, he was given a fierce white look by the dean.
"What's the good news?" Wang Fagui asked urgently.
"The good news is that your father doesn't have anchotoicitis!" The director of the radiology department said.
"And what about the bad news?" Wang Fagui asked again.
"The bad news is that he's sick, myelitis!" The director of the radiology department said again.
Wang Fagui: "......"
"Lao Gan, what the hell are you doing, don't you think it's messy enough? Hurry back to your radiology department! The dean shouted displeasedly.
"Dean, is this doctor telling the truth? Did my dad really have myelitis? Wang Fagui's younger brother Wang Shuqiang asked.
"Well, it's basically diagnosed now." The dean really had a level, and he didn't say the nonsense of "Fortunately, thanks to the examination that your brother asked for, so that we wouldn't be misdiagnosed", and the understatement covered up the mistake of the original diagnosis of anchotoicitis, of course, and at the same time, it also wiped out Gu Feng's credit.
But no one is a fool, although Wang Fagui is a nouveau riche, he is by no means confused, otherwise how could he break out! Whoever is right and who is wrong, who is meritorious, Wang Fagui and the two brothers are like mirrors, if it weren't for a kind phone call from Dr. Gu Feng, his father might have suffered this knife in vain.
It's just that they don't say anything, not to mention that now is not the time to hold accountable.
"Dean, how should my dad's disease be treated?" Wang Shuqiang asked.
The dean pondered for a while, and then said: "Well, first of all, your father is older, and myelitis is also more tricky, the most effective treatment is stem cell transplantation, you also know that the conditions of the people's medical staff in our county are very limited, if your financial situation allows, you should transfer to a higher-level hospital!" ”
If it is anchovialitis, the dean is naturally willing to accept it, and if he is cured, he can sell them his eldest brother Wang Ziqiang a big favor, and he can also get the affirmation of the county magistrate. But if it's myelitis, it's a hot potato, because few of the myelitis patients admitted to their hospital have been cured and discharged!
"This ......" Wang Fagui and Wang Shuqiang discussed in a low voice for a while, and came to the conclusion: "We have to discuss with the eldest brother before deciding." ”
Wang Fagui called his eldest brother, and the reply he got was that he was now on his way back, so let them not go anywhere, and he would talk about everything when he arrived.