Chapter 607 Weird neck stiffness, the simplest reflex test begins
Most of the diseases that are not well treated by local hospitals are very tricky.
He was not cured of everything.
Sometimes some strange diseases, he is also helpless. But in general, as long as a patient finds him, even if he is not able to be cured, he will seek help from other doctors.
The comprehensive strength of Tuya Hospital is still very strong, except for a few medical fields that are not very powerful, most of the other medical fields are of a very high level.
"Well, I'll go and see it first."
Zhou Can can understand the difficulties of patients and their families very well, and rushed all the way to see him, and they have great hopes.
The journey was also particularly difficult.
It is much more difficult to transport a patient than the average person.
"Dingdong, this patient's tone will be handed over to you. Yang Zhi, you help him by the side. ”
After speaking, Zhou Can went straight out of the operating room.
Normally, doctors in the operating room are reluctant to leave the operating room easily. Because the use of various sterile consumables will increase.
Not to mention anything else, just wash the surgical clothes and change a few more sets, and the cleaning aunt should be chattering.
Hoods and gloves are basically disposable, and it is easy to attract some unnecessary verification and trouble if you use them too much.
Zhou Can followed the nurse to the emergency room.
On the flat mobile bed outside the door lay a two- or three-year-old boy with his eyes open and his hands and feet lying weakly. With Zhou Can's professional level and experience, it can be seen at a glance that this little boy is already in a state of high paraplegia.
"This is the doctor you are looking for, after hearing about your affairs, he stopped his work from the operating room and rushed over to inquire. If you have any questions, please hurry up and ask Dr. Zhou. ”
The nurse said to the family.
A total of five family members came.
To be honest, the presence of so many family members is enough to make the doctor feel 120,000 points careful.
Too many family members often mean that in the event of a dispute, the other party will be overwhelmed and the doctor will appear relatively weak.
Moreover, there are many people, and the probability of doctor-patient disputes will also increase.
"Doctor Zhou, we also listened to the introduction of an acquaintance, and came from the imperial capital to find you. Would you like to see if this child can be cured? ”
The first to speak was a middle-aged man with a big belly, black trousers, a purple shirt, a gold tie, and his leather shoes were already covered with dust, but he didn't bother to wipe them.
Compared to the rest of the family, the middle-aged man and a fashionably dressed young woman behind him did not have the grief of a serious injury to a loved one, but only anxiety.
Based on Zhou Can's experience in receiving treatments, he secretly guessed that these two people should not be family members.
"You first tell me about the child's condition, how he was injured, what are the manifestations after the injury, and have you had any examinations?"
Zhou Can looked at the five family members.
"Doctor Zhou, please save my son! Whining...... It's all my fault, I shouldn't have taken my kids to their playground to play. A weeping young woman recounted her misfortune and glared at the pot-bellied man and the fashionable woman. At that time, many children were playing in the balloon castle they opened, and when my son climbed to the top of the castle, there were a few children in front of him blocking the way. He climbed onto the guardrail and fell off it. At that time, it seemed that his head hit the ground first, and after falling to the ground, he was bounced off several times, and then he didn't move. ”
"After the fall at that time, my son didn't cry or make trouble, just lay motionless......"
The boy's mother still remorsefully blames and heartache when she talks about the situation at that time.
"Our bouncy castle has strict safety standards, and the air cushion on the ground is more than 50 centimeters thick. At that time, the height of the child's fall was about three meters, and under normal circumstances, there would be no problems at all. Who would have thought that this fall would be paralyzed! ”
The pot-bellied man is supposed to be the owner of the bouncy castle.
Speaking of this, he looked very aggrieved.
This person is going to be unlucky, and he can stuff his teeth with a sip of cold water.
"Young man, my family has three generations of single inheritance, just such a grandson. His father is guarding the frontier on the front line, and he doesn't dare to tell him the news yet, so please think of a way to save my grandson. ”
The old man, who even had white eyebrows, came over and pleaded with Zhou Can.
"My son is a high-ranking general, as long as you cure my grandson, you will definitely be indispensable!"
The old lady spoke in a rather arrogant tone.
Truth be told, no doctor likes to bear this tone from a family member.
Some family members rely on the fact that they have a little money in their families, or they have a bit of power, and they use the money to smash the doctor as soon as they come up. Even if I am treated, my family can afford to pay for any amount of money.
Or, hurry up and give us treatment, who is the official in my family.
When encountering this kind of family member, the doctor will not refute it face-to-face, and it is certain that he will feel uncomfortable.
Doctors are a sacred profession that saves lives and deserves to be respected.
Instead of trampling on it under the two sharp weapons of money and power.
The reality is that no matter how skilled a doctor is, he still serves those who have the power and the wealth.
"Well, you don't say a word. The young man is a doctor, and he saves people regardless of whether they are high or low. ”
The old man rebuked the old lady who showed off her official authority.
"The old gentleman is right, the purpose pursued by our doctors is: if there is a person who comes to ask for help, he should not ask whether he is rich or poor, whether he is old or young, whether he is rich or poor, whether he is old or young, whether he is kind to his relatives or friends, who are foolish and wise, and who are all the same. No matter what identity it is, there is only one title when you arrive at the hospital, and that is the patient. ”
Zhou Can felt a little more comfortable in his heart.
took the opportunity to give this old lady who showed off her official authority a three-view science popularization.
Not every doctor is afraid of power, and when he encounters a patient with money or power, he will wag his tail and stammer. Most doctors have their own backbone and pride, and abide by the sacredness of their hearts.
If one day, doctors are forced to bow their heads to power, this is the sorrow of society.
Because it also means that the distribution of medical resources will become unfair.
It is very necessary to safeguard the interests and dignity of doctors.
"The old woman can't speak, don't be surprised, young man."
The old man hurriedly apologized to Zhou Can.
"It's okay, it's okay. It would be nice to make it clear. Zhou Can waved his hand. Have you brought your child to the hospital for a check-up? The medical level of the imperial capital should be the highest in the country, why do you think of taking your children thousands of miles to Tuya Hospital? ”
Zhou Can began to ask why.
Doctors must learn not only to see patients, but also how to protect themselves.
When encountering such a patient from other places, it is very necessary to ask clearly.
"I'll tell you!"
The owner of the bouncy castle took over the conversation again.
"When the child was injured in a fall, we immediately sent the person to the nearest major hospital for treatment. After examination, the doctor preliminarily diagnosed cervical nerve damage and high paraplegia. The doctor at that hospital recommended that we be transferred to the Imperial Capital Renhe Hospital for treatment. ”
The cervical spine and the entire spine are rich in vascular nerves, especially nerves, which are equivalent to a common nerve line after they originate from the brain.
After millions of years of human evolution, this nerve common trunk is protected within the spinal canal.
Normally, it is not susceptible to damage.
But this high fall injury is an exception.
In particular, the cervical spine in the neck area is particularly fragile.
"What did the doctors at the Imperial Capital Renhe Hospital say?"
Zhou Can heard that this child had been admitted to at least two major hospitals, and his face couldn't help but become a little more solemn.
Renhwa Hospital has a dedicated spine research department, neurology department, and surgery department, and the neurosurgery department is also subdivided. It can be said that Renhe Hospital's research in the field of neurology is definitely one of the best in China.
Even this hospital can't treat it, how can Zhou Can dare to challenge such an extremely difficult case?
I'm afraid this child will be difficult to save.
After seeing it, the doctor there shook his head the same, gathered experts from several departments of Renhe Hospital for consultation, and did conservative treatment for a week, but there was still no effect. I happened to hear a friend recommend that there was a young doctor named Zhou Can in Tuya Hospital who was very capable, and maybe he could cure the child. After discussing with the family, we finally decided to bring the child over for a visit. ”
The owner of the bouncy castle said these words with a bitter face.
There are a total of six people, and the flight from the imperial capital to Tuya Hospital is a lot of expenses just for the road, accommodation, and food.
He opened a bouncy castle to earn money for a year, and I am afraid it will not be enough to treat this child.
"First of all, I must tell you that Renhe Hospital should be one of the best in the field of neurology in China. Even they say that it can't be cured, and there is a high probability that our side will not be cured either. But now that you're here, we're going to do our best. The child's father is guarding the frontier, and now his child is injured and paralyzed, and we as doctors are willing to do our best to treat this child, and strive to create a medical miracle, so that the hero can defend the frontier with peace of mind. ”
Zhou Can can also be regarded as an attitude to several people.
At the same time, they are also vaccinated.
Doctors often like to say that the disease is serious and the consequences are worse, that is, they hope to lower the psychological expectations of family members and patients.
This minimizes doctor-patient disputes.
"There's Dr. Lao Zhou! You don't have to worry about the treatment fee, how much money you need to save in advance, I will make it up even if I smash the pot and sell iron. By the way, our bouncy castle is insured, and the insurance company can also pay a part of the claim at that time. ”
The owner of the bouncy castle tries to make amends.
At least his current attitude satisfies the family.
The fashionable woman barely spoke, as if she were a vase following the boss. Whether it was the boss's wife or the secretary, no one knows.
Zhou Can began to give the child a preliminary physical examination.
The child's limbs are weak, limp, and a little cold to the touch.
This indicates that the peripheral blood luck is not good.
Nerve damage can affect blood circulation.
Moreover, after the nerve is damaged, it will not be able to recover for a long time, and it will face an even more terrible problem. The muscles of the whole body will gradually atrophy, and eventually, like a patient with ALS, there is little chance of recovery.
It is necessary to intervene early and help the patient massage the muscles of the body to maintain muscle vitality and slow the rate of muscle atrophy as much as possible.
"What day did the child fall and get injured?"
"I fell and injured myself on the third of this month."
"It's been about eight days since you fell, right?"
"Yes!"
Zhou Can checked the child's situation and asked about the relevant information.
There is no external injury to the child's neck, and there is a certain degree of rigidity on the right side of the neck and softness on the left side of the neck to the touch.
This is a very strange phenomenon.
Because under normal circumstances, neck rigidity is not divided between left and right.
Zhou Can can find this anomaly, and I believe that the experts at Renhe Hospital will definitely be able to find it too.
It makes little sense to deduce the cause of this strange phenomenon out of thin air.
He decided to take a look at the results of the tests done at Renhe Hospital first.
For example, electromyography (EMG) testing.
This is also the usual method of testing neural pathways.
The strength and presence of the electromyography signal can be used to determine whether there is a problem with the nerve.
"Did you bring the list of the first two hospitals?"
"It's all in these two bags. This is a test done at Chaoyang Hospital. This is a test done at Renhe Hospital. ”
The child's mother took the two information bags to Zhou Can.
After Zhou Can took it, he looked at it carefully.
The first hospital performed a blood test, neck CT, electromyography signal test and other examinations.
The results of the blood test were generally normal, with slightly low hemoglobin.
This may be due to the child's own anemia.
Many of today's children like to be picky eaters, and even take snacks as their staple food.
This also causes their bodies to be in a sub-healthy state all the time.
Neck CT showed no obvious abnormalities, only a slight local hematoma. After eight days of treatment, the child's neck hematoma had already been eliminated.
Basically, the possibility of a neck hematoma compressing the nerves and causing paralysis can be ruled out.
Because if it is really a hematoma compression, now that the hematoma is eliminated, the boy's paralysis will be eliminated little by little.
Renhe Hospital also performed a CT CT of the little boy's head with contrast, presumably because he was worried that the child's brain had been traumatized.
Unfortunately, nothing has been found.
Zhou Can stared at the child's examination results and watched them repeatedly, making detailed comparisons, hoping to find clues.
So many experts have looked at it and found no problems.
After watching it for more than twenty minutes, he also found nothing.
There were no external injuries and no abnormalities were found in the head or neck. There was no fracture in the neck, not even a crack in the bone.
What's the problem?
Encountering this extremely difficult case, Zhou Can felt a burst of powerlessness.
His medical skills are great, but not all diseases can be cured.
The only suspicion now is that the cervical spine was severely traumatized during the fall, which led to the blockade of nerve signals from the neck downwards.
"Come, help me sit the child on the edge of the bed. The legs naturally sag. ”
Zhou Can commanded the family members to help the child sit up.
You can see that the child's head seems to have lost its support, and it is a little weak to shrug forward.
There were many family members and medical onlookers who wanted to see how Dr. Zhou diagnosed the child.
"Who has a percussion hammer? Lend me a favor. ”
Zhou Can asked other medical staff out loud.
"I have, I have. Director Zhou, can you see this? ”
Dr. Xie hurriedly handed a percussion hammer to Zhou Can.
The opportunity to curry favor with Director Zhou should not be missed.
"Yes."
After Zhou Can took it, he smashed it on the child's knee.
The knee jump reflex test is not commonly used in clinical medicine, but Zhou Can has never been diagnosed according to common sense, so he used the knee jump reflex test this time.
(End of chapter)