Chapter 21: The Patient Who Can't Be Anesthetized!
Lin Xiao was complacent for a while, because he found that the people who were still a little unconvinced by him in the department were honest now.
Because of the procurement fraud case, now the middle and senior leaders are everyone in danger, lest they be involved in this case, and although the grassroots medical staff do not have this worry, they have lost their tough backstage for a while, and they have all died down, and they dare not toss anything.
There has also been significant progress in the business, and the newly formed insomnia research group in the department has spent some time sorting out more than a dozen prescriptions for the treatment of insomnia, and then the volunteers who participated in the trial have been shown from the community.
You can still treat the disease without spending money, and you can also get a small subsidy from the hospital, such a good thing, naturally there are many people willing to participate, so after the news came out, there were as many as 100 applicants.
However, among these people, whether they need who and who they don't need has to be confirmed by the doctor, after all, there is no need to find too many volunteers for the same type of insomnia, it is a waste of resources.
In the end, 30 insomnia patients were selected, divided into six types according to their conditions, and then tried to treat them separately.
According to Lin Xiao's requirements, this kind of treatment is more targeted, not only to study the cause of the patient's illness, but also to study the other party's living environment and living habits, in order to find the best solution from it, and at the same time to effectively prevent insomnia? One? Root? Read? Novel m.ybdu., make some achievements.
Early in the morning, Lin Xiao arrived at the office, and then followed the doctors for a meeting and ward rounds.
Now he rarely takes the initiative to say anything, basically the doctors encounter some difficult problems and take the initiative to ask him, the head of the department, for advice.
And Lin Xiao is not hesitant to give advice, and is very willing to give them advice, and make suggestions on some issues that are easy to ignore.
In such an environment with a strong academic atmosphere, the medical staff in the department have improved rapidly, and everyone feels that they are now very happy compared to the previous experience.
"Director, there is an exchange activity in the hospital today, and the task of our department is to visit and study in the urology department." As soon as Lin Xiao came over, he met Li Mingxue, the deputy director, and got such a news.
"Communication, oh, that's good." When Lin Xiao heard this, he nodded and said, "Then when will we pass?" ”
"I have an operation to do in the morning, so let's just go over." Li Mingxue said.
"That's right, okay, then I'll take a few people over for a spin." Lin Xiao agreed.
This kind of exchange and learning is nothing more than to enhance the cooperation between departments.
Because in big hospitals, many new doctors are transferred to different departments, and today they are in general surgery, tomorrow they may go to the chest surgery, and the day after tomorrow they will go to the urology, and this situation still exists.
For veteran doctors, they have basically chosen their own career direction, so there is no need to change departments, but proper understanding is still necessary.
After all, there are many diseases, which are not so simple, and require interaction and cooperation between various departments to solve.
After checking the ward, Lin Xiao took a few doctors to the Department of Urology.
As soon as I got downstairs, I heard two doctors talking as they walked, "Those grandsons in the equipment department are so dark that they can cut corners on anything!" ”
"yes!" Another doctor chimed in, "The equipment in our hospital should indeed be replaced, and even the knife is blunt and cannot be used. ”
"Is there one?"
"What a thing!"
When Lin Xiao heard this, he immediately burst out laughing.
It seems that the high wisdom of the equipment department is really a great crime, and a good tertiary hospital has been tossed into this virtue by them.
There is not much of a problem with the circumcision of the foreskin into lace, but if you cut the double eyelids and lace for others, then they will have to tear down their hospital?!
"Yo, Director Lin, hello."
They laughed here, and a doctor recognized Lin Xiao as coming.
After all, such a young department director of Bishui First Hospital is Lin Xiao's only one, and his popularity is still very high, especially after the accident in the activity room of the senior cadre department, his fame is even greater.
Of course, what everyone admires the most is that Lin Xiao's luck is too strong.
not only squeezed out the former director Deng Songhua, but also caused such a big incident, pulling down Gao Mingxue, the director of the equipment department, and shaking the entire medical system in Qingshan Province.
For this kind of person, everyone can only say that his luck is too strong, and he can only cooperate, not oppose.
Otherwise, you will die an ugly death.
"Hehe, hello, is Director Xue here? I brought a few people over to study and learn from the scriptures. Lin Xiao smiled kindly, and then asked.
"Oh, the exchange event." The doctor immediately understood, and hurriedly replied, "Director Xue should be in the operating room, well, it shouldn't have been in yet, the operation seems to have been postponed, I'll take you there." ”
"Okay, I'm sorry for you." Lin Xiao expressed his gratitude.
The benches on both sides of the corridor were full of patients.
Lin Xiao walked while browsing the various propaganda boards hanging on the walls on both sides.
Now, urology is also a relatively important department.
In addition to the routine diagnosis and treatment of various tumors, trauma, malformations, tuberculosis, infection, and male dysfunction of the genitourinary system, they also carry out transurethral resection treatment of prostatic hyperplasia and bladder tumors, transureteral diagnosis and treatment of ureteral stones, tumors and strictures, and percutaneous nephroscopy for complex renal pelvic stones.
At the same time, we also perform urinary diversion with total bladder resection, enteral bladder replacement, and urethral sparing prostatectomy.
Now the equipment is more advanced, and some surgeries that could not be done before can also be applied, such as the use of laparoscopic techniques to carry out surgeries including ** donor kidney resection, adrenal tumor resection, nephrectomy, renal cyst topping, spermatic vein ligation, cryptorchidic exploration and resection, etc., can also be carried out.
Of course, kidney transplantation is also one of their strengths.
For patients with kidney failure and loss of function, kidney replacement is basically the only option for them to survive.
However, there are also strict requirements for kidney exchange, just one type of pairing, it is more troublesome, most of them are still between immediate family members, and the possibility of outsiders wanting to succeed in pairing is much smaller.
As soon as Lin Xiao and the others walked to the urologist's office, they ran into Xue Yihua, the director of the department.
It's just that Director Xue Yihua looked a little anxious, as if he had encountered something difficult to solve.
"Director Xue." Lin Xiao said hello.
"Oh, Director Lin." Xue Yihua looked up and saw that it was Lin Xiao, so he responded, and then said apologetically, "You guys are here to communicate, please take care of yourself first, I'm in trouble here, I have to find a way to solve it first." ”
Several urology doctors were gathering to discuss things, medical records were on the table, and X-rays were hanging on the light box.
"Urinary tract stones, it's not a big problem." Lin Xiao took two glances and saw the situation from the film.
Bilateral urinary stones, it seems that the situation is slightly more serious, but it is not a difficult problem to solve, with the level of urology of Bishui First Hospital, this kind of operation should not have much difficulty coefficient, I really don't know why they are like a big enemy, and their expressions are so solemn?
"Oh, stones are not a big problem, but the patient still has moyamoya disease...... a young doctor who didn't know Lin Xiao, and when he saw his disapproving look, he couldn't help but say.
"Moyamoya?" Lin Xiao was stunned when he heard this, and information about moyamoya suddenly appeared in his mind, "No wonder, you are so nervous, it is really not easy to deal with this situation." ”
"Director, what's the moyamoya condition?" A new doctor from the high-level cadre department didn't know much about it, so he quietly asked Lin Xiao for advice.
"Moyamoya disease is characterized by chronic progressive stenosis or occlusion of the ends of the bilateral internal carotid arteries and the beginning of the anterior and middle cerebral arteries, and is secondary to the formation of a characteristic network of abnormal vascular vessels at the base of the skull." Lin Xiao explained, "This network of abnormal blood vessels at the base of the skull resembles smoke on the cerebral angiography image, so it is called a smoky blood vessel. ”
"Oh." The crowd nodded.
In fact, medicine is all-encompassing, and many diseases have very complex branches, and it is not a shame for newcomers to have not seen it.
Medicine itself is an empirical science, especially for surgeons, who can continue to improve their skills only when they see more symptoms and perform more surgeries.
"The annual prevalence of moyamoya disease in Japan is about 3 per 100,000, and the number of female patients is twice as high as that of male patients, and the incidence of the disease has two peaks, namely 5 and 40 years old. This disease is not very common in China. Lin Xiao then explained, "You can watch this patient's film and learn about it. ”
Several doctors gathered around to see the patient's cerebral angiography images.
"Is there any conflict between moyamoya and the treatment of urinary stones?" Someone finally asked the question.
Xue Yihua, the director of the Department of Urology, who was thinking hard about a solution next to him, couldn't help but answer after listening to this person's question, "There is no conflict, the key problem is that this moyamoya patient can't be anesthetized!" ”
"Oh?" After everyone listened, they immediately understood why their colleagues in the urology department were so crazy.
For a patient who needs surgery to solve the problem, and suddenly tells you that anesthesia is not possible, then this matter is really difficult to deal with.
If you can't do trouble, it means that there is no way to perform surgery.
There is no way to perform surgery, so even simple urinary stones will become a fatal problem!