Such a long worm parasitizing the human head is unimaginable.

The head circumference of an adult is only about 54cm, and the body of this schizocephalic larvae can circle around the head.

I can't imagine that it has been drilling in the patient's head for all these years, and it has only caused the patient to vomit. This is also a blessing in misfortune.

"I'm curious, how could such a long parasite grow in his head, why did he come to the hospital for treatment when he was so sick?"

Wu Baihe looked at the split-headed larvae on the plate, but his face was calm.

As one of the most powerful chief physicians in the Department of Neurosurgery, he has performed countless surgeries. Surgery to remove parasites from the brain must have been done many times.

If you see more, you will naturally be light.

"It's not that he didn't get treatment, but he didn't find any problems after being diagnosed and treated in many hospitals. It was Zhou Can who found the problem, and later made up the brain CT dynamic viewing, and it took a long time to find this parasite. Sometimes, when diagnosing patients, you still can't be too superstitious about CT, otherwise it is easy to fall into a qualitative mindset and eventually fall into the blind spot of diagnosis. ”

Director Shang said with emotion.

"Well, this is a brain CT taken by the patient in the outer hospital before, and there is no abnormality at all from it."

Wu Baihe took the CT film and looked at it carefully.

"Hey, I really don't see any obvious faults. There is a slight abnormality in the contrast of this area. It's easy to overlook, though. ”

Talking about this, Wu Baihe also opened the floodgates.

"Not to mention that CT films can't be superstitious, even MRIs can't be completely trusted. I made a few mistakes because of my superstitious belief in MRI, and then I felt that color ultrasound was more diagnostic than MRI. So much so that when I sit in the clinic now, I often ask patients to take a color ultrasound to see it. Sometimes it is difficult for family members and patients to understand this, and they will tell me, we have already done an MRI examination, do we still need to take another color ultrasound? ”

The more experienced the doctor, the more he prefers the simplest way of examination.

Ultrasonography and X-rays have always been the most popular tests in medicine.

Later, MRI was researched and led the medical trend, and during that period, the Chinese people were very unconfident, and many hospitals did not hesitate to invest heavily in the introduction of MRI examination equipment in order to improve their popularity.

Because the equipment is extremely expensive, the hospital encourages doctors to do as many tests as possible in order to quickly recoup the cost.

In particular, some patients who are suspected of having tumors or whose cause cannot be found are not spared.

As long as they enter a big hospital, MRI has become a mandatory examination item for them.

The cheapest MRI is a few hundred times larger, and the highest definition even costs two or three thousand yuan to do it once.

There is definitely diagnostic significance, but after the MRI is done, the cause of the disease is still not detected.

"I also deeply agree with what Director Wu said. If it weren't for the great stakes involved, I would have wanted to limit the examination in the department. Don't prescribe any MRI to the patient at every turn, no one's money is blown by the wind. If you want to talk about the advantages of MRI, I think there are only two, one is that it has high resolution and can detect deep lesions. The other is that there is no radiation, which will not cause radiation damage to the operating doctor or the patient examined. ”

MRI is different from the imaging examination method that uses radiation to scan the human body by using an external magnetic field, which is a relatively safe examination method.

For some special groups, MRI is a real boon.

For example, CT and X-ray, their radiation is quite powerful.

Director Shang's medical ethics are absolutely excellent.

It can be seen from some of his usual behaviors towards patients.

For example, this patient with brain parasites did not meet the requirements for admission to the hospital. Unable to withstand the pleading of the family, Director Shang finally greeted the inpatient department in person and added a temporary bed.

In addition, in order to operate on the patient as soon as possible, even though he was made angry by the nurse outside the god, he called the doctor outside the god to coordinate the operation the next day.

These are all manifestations of his wholehearted consideration for his patients.

The heart of the doctor's parents is by no means as simple as talking.

There will be many difficulties in actually implementing it. For example, it is necessary to save face, such as the possibility of thanklessness, being punished by the hospital, and so on.

"We didn't wake up because of choking, we just need to tell the doctors in the department not to over-treat them."

Wu Baihe gave his opinion.

Because of this common topic, the relationship between the two chief physicians unexpectedly became much closer.

It's also a windfall!

After Zhou Can took out the schizocephalic larvae, he has been cleaning the wound for the patient, stopping the bleeding, and checking for other parasites.

"Two directors, the found Schizocephalus has been removed, and it is not clear whether there are eggs or larvae in the patient's body. You see, is the next step to suture the wound or how to get it? ”

Zhou Can asked.

The scientific name of the schizocephalic larvae is Schizocephalus mansoni.

Its adult worms are parasitic in the intestines of cats and dogs, and occasionally in the intestines of humans.

The eggs are excreted in the feces and hatch larvae in the water, and after being eaten by the sword daphnia, the larvae continue to develop into protocercaria.

Protocercariae live in wild animals such as frogs and snakes.

From here, it can be seen that it needs its intermediate host, the Daphnia, to eat its larvae in order to develop into a protocercaria.

There are definitely no sword daphnia in the human body.

Theoretically, it does not cause Schizocephalus to multiply in the human body.

It's just that medicine has never been absolute, and no one can say anything about this kind of thing.

"I have already examined the adult worm that was removed, and the head and tail are intact, indicating that the worm body has not been broken."

With the help of a magnifying glass, Wu Baihe carefully examined the adults that were taken out.

If you want to talk about diagnosis and treatment, you still need experienced old doctors!

Zhou Can's experience in diagnosis and treatment in this area is obviously inferior to Wu Baihe.

However, when he encounters similar cases in the future, he knows that after removing the adult worms, the adult body needs to be pieced together and checked for completeness.

Fortunately, this worm was taken out by him all at once.

And it didn't pull off.

It saves a lot of trouble.

With the help of a magnifying glass, Wu Baihe carefully examined the wound.

"No eggs have been found for the time being, so let's suture the wound first! Even if eggs do lay in the cranial cavity, the craniotomy can be performed only after the patient has recovered and is able to withstand the craniotomy. If the patient is normal in all aspects after this operation, there is no need to rush the operation even if the larvae in the brain are detected. Just let the patient observe. Our human body is actually a huge biological kingdom, with countless bacteria, viruses, and even parasites that will accompany us for life. ”

Humans and animals are the same.

The presence of parasites, bacteria, viruses, etc., does not necessarily mean that they should be destroyed.

It is also possible for both parties to coexist without affecting each other.

"Okay, then I'll close the wound!"

Zhou Can nodded and quickly sutured the wound for the patient.

"Director Wu, thank you and Director Wen so much today. And the three of you, the surgical nurses, thank you so much for working overtime for our patients in the Department of Gastroenterology. You see that it's past dinner, and if you don't dislike it, I'll treat you to a lunch. ”

Director Shang saw that the patient's operation was successfully completed, and the stone hanging in his heart fell to the ground.

When he thought of complaining about the other people's psychiatric surgery in the afternoon, he felt even more upset.

"Hmm...... You can order a meal for a few nurses! I'm going to have to rush to another surgery, and I won't be able to take care of dinner right now. It's okay, I'm used to working overtime, I have biscuits and other snacks in the office, I deal with a few bites first, and when the operation is done, I will eat supper and dinner together. ”

Wu Baihe explained two sentences and took off his mask.

Before leaving, he said to Zhou Can, "Xiao Zhou, you can often come to the gods when you have time, Director Wen and I like you very much." It would be nice if I could come and help. ”

Wu Baihe is usually a very arrogant person, and he will not say these words easily.

also values Zhou Can and appreciates his ability and character, so he likes him so much.

"Okay, I will!"

Zhou Can was stitching, but he didn't dare to be distracted.

He replied without raising his head.

He didn't know that Wu Baihe valued and loved him so much, but he could envy the three graduate students.

This is a department of surgery, the pinnacle of surgery, and a department of weight that many graduate students want to enter.

Look at the meaning of Director Wu's words, as long as Zhou Can wants to enter the Divine Surgery, he will raise his hands to warmly welcome him.

After Wu Baihe left, Director Shang's powerful aura returned.

He ordered dinner for everyone as soon as possible.

When Zhou Can's operation was completed, not only did he call the three supernatural surgical nurses, but even the official doctors of the anesthesiology department called him to get a boxed lunch.

Doctors, in general, it is still very hard.

I don't pay attention to food and clothing.

Being able to eat a hot meal on time is sometimes a luxury.

"Zhou Can, I knew that you were so familiar with the chief physicians outside the gods, so I didn't have to bother with that. In the future, if there are any patients in our gastroenterology department who need the assistance of the gods, you will coordinate and liaise. ”

Director Shang directly pressed a task to Zhou Can.

"This ...... Occasionally trouble the chief physicians of the gods once or twice, it's okay. I often trouble them, I'm afraid that they will take a detour when they see me in the future! ”

Zhou Can also replied half-jokingly.

When the others heard this, they all snickered.

Qiu Chengyu almost laughed until he burst out with laughter, choking and coughing there.

"It's not always that you have to ask the chief physician for joint diagnosis and treatment, and sometimes you have to ask the attending physician outside the gods to do the same. In short, I can see that you are very familiar with people outside of God, and it is much easier to deal with them than we are. At least during the two or three months of your gastroenterology training, you have to take on this liaison task. ”

Director Shang was really scared by the nurses and doctors outside the gods.

To put it mildly, I want to hand over this task to Zhou Can.

Probably worried that Zhou Can would be dissatisfied, he added, "Don't worry, I won't ask you to work in vain." In the future, I will guide you more carefully, including various diagnoses and treatments in pharmacology and gastroenterology. ”

Although he didn't say it explicitly, the meaning of this was basically equivalent to telling Zhou Can that he would teach Zhou Can and do his best to cultivate.

After Zhou Can heard this, he was immediately happy.

He rushed to say, "The gentleman said, the horse is difficult to chase, so it's decided." ”

When he entered the Department of Internal Medicine, what he wanted to learn most was the knowledge of pathology and pharmacology.

Among them, there are many treatment skills and experiences summarized in clinical practice, which cannot be learned in books.

Director Shang taught him unreservedly, this kind of good thing, Zhou Can naturally rushed to agree.

"Uh...... Your kid agreed so happily, didn't he calculate it a long time ago? ”

Director Shang scolded with a smile.

"Hehe, you are the head of the Department of Gastroenterology, and you are also a professor at the school, and you are an example of the teacher, so you can't regret it." Zhou Can could feel that through this time he showed his super surgical ability in the Shenwai and his deep friendship with the chief physicians of the Divine Surgery, his status in Director Shang's mind was significantly improved.

Sometimes, the chief physicians are quite realistic.

Seeing that Zhou Can's influence is strong and his potential is also extremely strong, the rewards that he can reap from his vigorous cultivation will be very good.

"Dr. Zhou is really popular in our neurosurgery! Not only do the chief physicians like him, but even our nursing department has a good impression of him. It's a pity that Director Wu, Director Wen and others tried their best to keep him working outside the gods, but they still couldn't keep him. ”

A young surgical nurse interjected with a smile.

Looking at her expression, it seemed that she was particularly sorry for Zhou Can's unwillingness to stay outside the gods to work.

"Doctor Zhou is so popular, there must be many young female nurses in your neurosurgery, and the female doctor has a crush on him, right?"

Xie Lin has a big mouth, but she can really say whatever comes to mind.

The nurse who had just spoken, her face flushed twice, and she seemed to be caught by Xie Lin's words.

"Hehe, there are indeed a lot of girls who have a crush on Dr. Zhou. It's a pity that people are already famous grass masters, and the young nurses and female doctors who hurt us can only be secretly sad! ”

An older nurse replied with a smile.

"Alas! Unfortunately, I was still thinking that I could talk to Dr. Chow about life and see if I could make a spark. It's a pity that there is no chance. However, if you have medical problems in the future, you can ask Dr. Zhou for advice, but you can't avoid me. ”

Xie Lin said with wide eyes winked at Zhou Can.

"Ahem, ahem...... As long as I know the knowledge, Dr. Xie can communicate at any time. ”

How could Zhou Can have thought that he would be ridiculed by these female nurses and female doctors for a meal!

Although he is very popular with unmarried female doctors and nurses, he is not confident enough to become a heartthrob. He is very self-aware of this.

Sometimes, the flattery of the girls, just listen to it.

Don't take it seriously.

After eating, he talked to Director Shang about the intravenous imaging of the patient with liver cirrhosis.

This time, I didn't expect Director Shang to agree directly.

It really surprised him.

However, it is already past the end of work, so I can only open the inspection application tomorrow.

……

The next day, as soon as Zhou Can went to the hospital for rounds, there was good news.

After the operation, the 11-bed brain parasite patient has tried to drink some rice porridge this morning, and he is in good condition and has no vomiting symptoms.

And the spirit of the whole person has obviously changed a lot.

It's just that the patient has been malnourished for a long time, coupled with the inability to eat normally, there is no way to eat and drink all of a sudden. It can only be recovered slowly.

The patient's head wound is not large, and depending on the situation, he will be able to be discharged from the hospital by tomorrow at the latest.

A patient with an incurable disease was cured in this way, and Zhou Can felt very happy and a sense of accomplishment.

This patient is almost the whole process of diagnosis and treatment that he has completed by himself.

Next came the female lawyer's splenic venography.

Hopefully, we can detect the lesions.

In addition, Zhou Canguan's stomach cancer patient was also scheduled for interventional surgery today.

Just this morning, and it was Director Shang's first operation.

This poor female patient is entrusted with no one, and I hope that the operation will go smoothly and she will recover soon.

Thank you book friends, the other side of the flower reward support!

(End of chapter)