Chapter 338: Confirmed - An Unprecedented Male PSAS Patient!
Back in the office, Zhao Heng saw that the desk was already full of takeaway boxes.
"Who ordered this?"
Zhao Heng said to Tian Zhen with some doubts.
Originally, when he came out of surgery, he was going to order takeout.
Although Zhao Heng's physical fitness has improved now, the amount of food is also constantly improving, and he can now eat as much as two of his own alone.
A good body naturally needs more energy to support.
However, looking at this dazzling array of takeaways, Zhao Heng was a bit of a Muggle, because there were all kinds of takeaways, and they were not for two or three people at all.
"I don't know, the takeaway guy came in with a few big boxes, and said that someone ordered them and sent them here."
Tian Zhen said.
She was also thinking about ordering takeout, but because there was an emergency, she was going to order it after seeing the emergency, but she didn't expect that just when she wanted to order, the yellow coat takeaway brother came in with a big cardboard box.
"And now there are such good people? None of that looks cheap. ”
Li Yang looked at the takeaway on the table and said.
As a senior attending doctor, he is an expert in ordering takeaways, which are the kind of takeaways made by Michelin-starred restaurants at first glance, and they can be seen from the box, which is very exquisite.
"Doctor Zhao?"
Tian Zhen looked at Zhao Heng, and this look was asking his opinion.
"Eat, it looks like such an expensive takeaway, it can't be poisonous."
Zhao Heng said without thinking about it, anyway, it can't be that someone poisoned the takeaway, as for who ordered it, Zhao Heng knows this more or less.
It is no exaggeration to say that there are not a few people who want to curry favor with Zhao Heng in various ways now.
Among these people, the most blatant and hard-working ones are probably the salespeople of those medical device companies.
Because of the relationship with Gu Jia's old classmates, Zhao Heng basically handed over all the medical device orders that Zhao Heng could grasp to Gu Jia.
Therefore, for such a large order, Gu Jia was easily obtained, and many peers in medical device companies were envious, jealous and hateful.
Of course, in the eyes of many female saleswomen of medical devices, Gu Jia may have climbed into Zhao Heng's bed a long time ago.
"Don't break the bank in the future."
Zhao Heng picked up his mobile phone and sent WeChat to Gu Jia.
Except for Gu Jia, Zhao Heng couldn't think of anyone who would order takeout for him in such an exaggerated way.
Of course, Zhao Heng does not accept other ways of thanking, and Gu Caneng can only do these very limited ways.
"Little things, don't worry too much."
On the other side, Gu Jia, who was sitting on a chair in the office of the sales manager of Sino, replied to Zhao Heng's WeChat with a smile.
Putting down the phone, Tian Zhen suddenly said to Zhao Heng: "Doctor Zhao, did this takeaway order it from the female sales manager of Sino?" ”
As soon as Tian Zhen's words came out, Liu Meng and Li Yang both looked at Zhao Heng with their eyes in unison, gossiping on their faces.
"Ahem, eat quickly, there's still a lot of things to do."
Zhao Heng said.
Originally, it was nothing, just a takeaway, but when Tian Zhen asked like this, it was as if there was something.
Next, a few people quickly finished eating and put away their desks.
Zhao Heng and Li Yang went directly to the imaging department to see the examination results of the young man in the morning.
In the office, Liu Meng and Tian Zhen chatted.
"Sister Zhenzhen, who did you say was that sales manager?"
Liu Meng asked Tian Zhen with a curious expression.
"It's the female manager of Sino, and she is also the youngest sales manager of Sino so far, and I heard that she is Dr. Zhao's college classmate."
Tian Zhen said with a few treasures.
"This.
”
Liu Meng heard it, Tian Zhen's words, the one with a lot of information, a college classmate, the youngest female sales manager, this.
。
"I think Dr. Zhao is also very good to Sister Mannie, it should be nothing."
After a pause, Liu Meng said again.
"Dr. Zhao must not have any ideas, and he can't stand others from pounce."
Tian Zhen sighed and said, every time this Gu Jia came, Tian Zhen understood everything as soon as she looked at Zhao Heng's eyes.
In these days, it is normal for something to happen at the same time as business dealings, especially before doctors and beautiful female sales of medical devices.
"Dr. Zhao is so busy, how can he have time, besides, it's just a classmate, I don't feel as beautiful and temperamental as Sister Mannie."
Liu Meng said.
To be honest, among the medical staff in the hospital, as long as it is a girl, they all admire Xu Manni very much.
Of course, now that I find a boyfriend like Zhao Heng, I am even more envious.
"Okay, you're right."
Tian Zhen didn't know what was wrong, and said with some interest, and he didn't know what he had thought of.
On the other side, Zhao Heng and Li Yang came to the neuroelectrophysiology testing room.
At this moment, the young man was already lying on the examination table, and his body was covered with nerve electrodes.
On the electronic screen on the side, the neuroelectrophysiological activity of the real-time test feedback is displayed in real time.
"Dr. Zhao, are you sure you want to test the electrophysiological feedback of the patient's sacral ganglia?"
Hu Tu, the doctor in the neuroelectrophysiology room, asked Zhao Heng with some confusion.
As a doctor in the neuroelectrophysiology room, Hu Tu can be said to be very clear about the areas controlled by various nerves in the human body and the feedback.
This sacral ganglia, to put it bluntly, is the nerve center that controls the human body x superb, and under normal circumstances, there will be no neuroelectrophysiological activity.
It is only in the short few seconds when the human body is active and peaks that a neuroelectrophysiological spike occurs.
Fluctuations in the neurophysiological center only occur during X activity, and Hutu does not think that patients in a resting state can have any results and fluctuations.
If there is a result, it means that the young man in front of him must be in x mastery all the time, and Hu Tu has never heard of such a thing.
"Yes, especially the immediate feedback on the nerves related to the activity of the lower abdomen X, it is necessary to test."
Zhao Heng nodded and said.
"Okay."
Hu Tu nodded, since Zhao Heng had asked for it, he had no choice but to do it, although he thought that this kind of test would not produce results.
You must know that many people in the hospital are now saying that in the entire East Hospital, in addition to the president and Director Gao, it is now Zhao Heng who has the final say.
Although this kind of remark is biased, it simply does not take the directors of other departments into account.
But everyone can spread it like this, which also shows that Zhao Heng does have a lot of say now.
Of course, this is also Zhao Heng's proof of himself again and again, earned little by little, whether others are envious or jealous or something, then they can only see.
Therefore, for Zhao Heng's request, Hu Tu did not dare to slack off.
After a while, Hutu debugged the test feedback on the sacral ganglia.
Press the button and the test begins.
Almost at the same time, the display screen, which was still a straight line just now, immediately appeared in a fluctuating curve of peaks and peaks the moment Hu Tu pressed the button.
The intensity of the fluctuations and the high peaks of this curve are unprecedented in Hutugan's years of neurophysiological testing.
If he hadn't seen the young guy lying motionless on the examination bed, he would have thought that the young guy was rewarding himself, no, rewarding himself for not reaching this peak at all, it was simply a very intense X activity, or even when the sucking D was too big, the peak of neuroelectrophysiological activity would have appeared!
This.
。
Hutu looked at the curve of the display as if a group of demons were dancing on the screen, and he couldn't find the words to describe his mood at the moment.
Is there really such a person who is in a state of x superb and high all the time?!
Hutu was amazed as he looked at the young man lying on the examination bed, as if he had discovered a new continent.
Li Yang, who was standing on the side, was no better than Hu Tu at the moment.
Only Zhao Heng, with a calm face, seemed to have foreseen such an amazing situation on the display screen in front of him a long time ago!
"Dr. Zhao, is this PSAS? Persistent arousal syndrome? Doesn't it mean that the disease only occurs in women? ”
Hu Tu thought about it for a while, and then he thought that the amazing situation in front of him was PSAS, but this disease generally only appears in the female group, so Hu Tu did not think of this aspect at all before.
"The high incidence of PSAS in women is due to the particularity of the female pelvic structure, but it is also possible for men to develop the disease, and in the final analysis, PSAS is still a neurological disease."
Zhao Heng explained.
In terms of clinical diagnostic thinking, it is necessary to make bold assumptions and carefully verify them.
In the work of doctors, technology is important, but even more important is clinical thinking.
Clinical thinking refers to the use of knowledge in medical sciences, natural sciences, humanities and social sciences and behavioral sciences, patient-centered, through adequate communication and exchange, medical history collection, physical examination and necessary laboratory examinations, first-hand information, combined with other available best evidence and information.
Combined with the patient's family and humanistic background, the critical analysis, synthesis, analogy, judgment and differential diagnosis are carried out according to the patient's symptoms and other information, and the personalized plan of diagnosis, treatment, rehabilitation and prevention is formed, and the thinking process and thinking activities are implemented and modified.
It's a lot complicated to say, but in practice, it may only be a few words.
Possibly, impossible, verify.
Coming to the results may be simple, but the process is tough.
Sometimes, it is easy to get stuck in a node because of the blind spot of thinking and the lack of information, which is the last thing doctors want to encounter.
"Yes, clinically, everything that may be taken into account, and you can't preconceive that what is impossible."
Hearing this, as an experienced emergency attending doctor before, Li Yang couldn't help but nod in agreement.
What Zhao Heng admires Li Yang is not only the ultra-high technology, but also the delicate, agile and subtle clinical thinking.
Technique can still be exercised, but this thinking is really a matter of personal talent.
Some people are also very technically talented, but this thinking is like a piece of the brain is blocked, such a person may be able to do technical work, but in the face of work that requires a lot of judgment and choice, it is very unsatisfactory.
This is a lot of doctors of clinical medicine, obviously they have completed their studies very well, their papers are also very good, and they can also talk about operation alone, but they are frustrated everywhere in their actual clinical work, and they can't even be doctors.
Some people may say that this is a good eye, but clinical work requires a lot of choices and judgments, and each of these choices and judgments may be related to life, so not everyone can have such talent.
"Doctor Hu, can you do a full cycle test here?"
Zhao Heng thought for a while and asked Hu Tu.
"Yes."
Hu Tu immediately nodded and said, he is now completely convinced of Zhao Heng, before the rest of the hospital was spreading how high Zhao Heng's level was, he was still a little unimpressed, thinking that it might be a little exaggerated and raised too high, but now that he looks at it, this is definitely a real ability.
Coming out of the neuroelectrophysiology examination room, Zhao Heng's face was solemn.
The diagnosis is certain, but I don't know how to start this treatment.
Even if there was a previous treatment for brain-eating amoeba infection, at least there were traces to follow, because it was known that there was a deadly parasite that did inhabit the human body, and the cause of the disease was very clear.
To cure the patient, it is necessary to find a way to deal with this brain-eating amoeba, although the treatment process is very difficult, but the idea is very clear.
And now, for this kind of persistent arousal syndrome, for a disease that originally only happened in women, now it happens in men, which is so rare that there may not be such an example in the whole world.
There are no cases, no treatment experience, and all treatments have to be explored from scratch, and the difficulties in this can be imagined.
"Doctor Zhao, where should I start with this next treatment?"
Li Yang also asked Zhao Heng with a solemn expression.
"Let's ask Cyno for some water-based molecular anesthetic gel to control the symptoms."
Zhao Heng thought for a while and said.
Although this anesthetic gel is now a relatively common material, this water-based molecular anesthetic gel, at present, no biomedical work in China can produce it, so it can only be imported.
This water-based molecular anesthetic gel was originally developed for use in space first aid, but because the effect is so good, it is used as a civilian product for space development.
"The price of this aqueous molecular anesthetic gel is not low, and it is not on the medical insurance list."
Li Yang couldn't help but say.
"Let's use it first, and see if Sino can include this patient as a rare experimental patient, and the cost will be reduced a lot."
Zhao Heng said.
Any pharmaceutical company, in fact, has such a quota, which can be reduced or even exempted, of course, this is only for some new imported drugs, at the very beginning, of course, it is necessary to use it to know the effect.
With the actual treatment cases and obvious effects, it is good to open the market as publicity, and any medical device company basically operates like this.