Because the surgery is extremely risky, as long as the vertebrae are moved, it is equivalent to moving the roof of a house. Both doctors and patients should be cautious. The consequences can refer to the load-bearing walls of modern renovation houses.

After Zhou Can found out that the boy's neurological decay mainly began in the medulla oblongata, he quickly recalled the anatomical deconstruction of the nerves in his brain.

Each segment of the spinal cord sends out a pair of spinal nerves, for a total of 31 pairs.

8 pairs of spinal-cervical nerves.

If you want to check it, it is enough to check the spinal and cervical nerves.

The remaining 12 pairs of thoracic nerves, 5 pairs of lumbar nerves, 5 pairs of sacral nerves, and 1 pair of caudal nerves do not need to be examined.

Speaking of the caudal nerve, there is a particularly interesting phenomenon.

Most people have only one pair of caudal nerves, but a few have 2 pairs of caudal nerves. The total number of spinal nerves in this type of person is 32 pairs.

It's like some people only have 8 molars, while others have 12.

Although the extra 4 teeth are called wisdom teeth in medicine, their function is no different from that of molars. With 4 more molars, this type of person will have a stronger chewing function.

Looks like an inconspicuous enhancement of chewing function.

It's like a man with 8 grinding teeth eats the same way.

In fact, people with 12 molars benefit in many ways. First, their teeth are more secure, and in the same amount of time, they are able to grind more food. And it will grind the food more finely.

This reduces the digestive function of the gastrointestinal tract.

In medicine, both Chinese and Western medicine recommend chewing slowly and swallowing, which is to take care of the body's digestive organs.

Especially our stomachs.

The stronger the digestive function, the stronger the person's body will theoretically. At least more nutrients than people with 8 molars.

A person with an extra pair of spinal nerves is not a monster.

Some scientists believe that this is a characteristic of incomplete human evolution. Because the extra pair of tail nerves can also be regarded as being used to control the tail. But humans have long since lost their tails in the course of evolution.

This will make people with 32 pairs of spinal nerves more flexible and powerful in their lower limb motor functions.

At least theoretically, it can be understood in this way.

The little boy couldn't speak, his head couldn't move, and his body couldn't move either.

If you want to further find out which part of the spinal and cervical nerve is wrong, it is difficult to accurately identify the electroencephalogram and nerve conduction in the body.

According to the anatomy of the spinal cord, the spinal cord contains the gray matter part, the white matter part, the central canal of the spinal cord, the anterior and posterior cords, the spinal ganglia, the spinal nerves, and many more.

The gray matter part is the lower center of the body's reflex activity.

Including the patellar reflex, voiding reflex, defecation reflex, diaphoretic reflex, sexual reflex, etc., all need to be transmitted through the gray matter of the spinal cord.

Many patients with paralysis of the lower body will have incontinence, which is a problem with the lower nerve center.

Zhou Can did the knee thrust reflex for this child, and the check was the low-level nerve center.

The knee jerk reflex in the right leg is weak and the reflex in the left leg is normal, suggesting that there must be something wrong with the gray matter part of the spinal cord as well.

This is actually a good direction for diagnosis.

He went to Director Yin for advice, just to use this as a breakthrough point to see if Director Yin could provide more diagnostic experience for him to learn from.

Director Yin did provide a number of valuable clinical diagnosis experiences, but it was somewhat contrary to Zhou Can's thinking.

In other words, the two are not compatible.

It's not that Director Yin's diagnostic opinions are useless, but they don't point to the idea that Zhou Can discovered.

This is also a common problem among veteran experts.

It is precisely because they have so much clinical experience that their thinking is relatively fixed, and they are not as flexible as young people.

If I have to describe it, the diagnosis ideas of old experts are more stable, and the diagnosis ideas of young doctors are more sharp, and it is possible to be imaginative, and it is possible to overturn and misdiagnose, but sometimes it is possible to find the right lesion in a way unique to young people.

This phenomenon occasionally occurs in large hospitals, and the old experts shake their heads and sigh one by one, thinking that this patient cannot be cured.

He was cured by a young doctor.

Of course, when the hospital publicizes, it will maintain the face of the old experts, and the credit is often that the chief physician takes the big head, and the young doctor who really treats the patient takes the small head. Or even just a passing pass.

There are a lot of young doctors who are not convinced and think that this is very unfair.

But if you consider the problem from the perspective of the hospital's interests, you can accept it.

The old experts are all the signboards of the hospital, and they must not be smashed.

And every industry has a fine tradition of respecting the old-timers. Even in foreign countries, interests are king, and they also respect teachers and seniors.

Doctors and nurses in some developed countries are paid according to their age.

No matter how hard a young doctor tries, his income is not as good as that of an older doctor.

The situation is slightly better at home.

Many large hospitals with advanced management are more work and more rewards. But it is impossible to pursue absolute fairness.

The qualifications of the old experts can be boiled out, and it is only natural that they will take more when their performance is distributed.

It's like a sales manager who doesn't work, but the manager can get a part of the sales commission of his salesman. It's all the rules of the industry.

Zhou Can secretly wondered, this child has a problem with the gray matter, if the specific location of the injury is determined, will the location of the spinal cord damage be determined in one fell swoop?

The little boy could not move the entire neck down, and the neurosensory function became weaker and weaker the further down, indicating that the problem must not be limited to the gray matter.

It's like fighting a war, and if you catch the opponent's scout, you can basically tell that the enemy is nearby.

The patient had already taken X-rays at the Imperial Capital Renhe Hospital and found no significant spinal cord damage.

Clinically, X-rays are commonly used to check for spinal cord injuries.

It can not only detect whether there are fractures or abnormalities in the bones, but also have a good effect on the diagnosis of spinal cord injury.

It can even accurately detect the exact extent of spinal cord injury.

Since the X-rays did not reveal any obvious abnormalities in the spinal cord, neither hospital requested an MRI for the child.

The boy's condition was serious, and the doctor he was seeing was at least at the level of director.

At this level of doctors, few people no longer worry about food and clothing.

Their medical ethics are also often high.

MRI examination is relatively expensive, and it is not a routine examination in clinical practice. If the chief physicians can not prescribe this examination, they will try not to prescribe it.

After Zhou Can had a scheduled further examination plan in his heart, he turned his head to look at the child's mother.

The two looked at each other, and from the eyes of the child's mother, they could see expectation, deep sorrow, and even a trace of fear and confusion.

In case the child can't be cured, how can she explain it to the child's father?

What about the second half of a child's life?

The rest of her life will also be ruined.

It will be a heavy burden to take care of the child's food, drink and Lazar for a lifetime, and to bear the expensive long-term treatment costs.

In order to cure her son's illness, the young doctor in front of her kept visiting the ward, and even invited other specialists to come for consultation. She saw it all.

Although Zhou Can was too young to make her a little suspicious of Zhou Can's medical skills, it did not affect her trust in Zhou Can.

"If there's anything you need to know, just ask, what's the treatment plan you can come up with."

She spoke first.

It can be seen that this woman has rich social experience and is even more intelligent in her heart.

By looking at her, she could guess that Zhou Can wanted to ask her.

"Are you usually with your children?"

"Yes, I've been with my baby since I was born. When I go to work during the day, I will let my child's grandmother and grandfather take it. ”

"Before the child fell and injured himself, was there anything abnormal? For example, whether it is difficult to grasp things after birth, whether you often choke when drinking milk, etc. ”

Zhou Can asked this, which was easy to arouse the disgust of his family.

No one wants to admit that their child was born with a problem.

"Uh...... There didn't seem to be any problem with his grip, and on the third day after he was born, I could feel that his hand was very strong. But to say abnormal, my son always seems to like to raise his head slightly, I don't know if this is normal? ”

As she spoke, she raised her fair and slender neck slightly, imitating the way her son had raised his head before.

"Is it normal for him to bow his head?"

"It seems normal, anyway, it's normal to watch him look down and look for something or something."

"Has the child contracted any serious illness since birth, including during your pregnancy? Colds are not included. ”

Zhou Can asked again.

Colds are mostly viral infections, and sometimes they are infected with some serious viruses, which are extremely harmful. It can even easily take a person's life.

However, clinically, colds are rarely taken seriously by doctors during medical history.

Unless it is a repeated cold in a short period of time.

Also, doctors don't have the same understanding of colds as ordinary people.

Ordinary people think that a cold is sick, and it is a minor illness that can heal on its own. But in the eyes of doctors, the cold is a symptom, and there are thousands of types of it.

"I haven't contracted any serious illness. When I was pregnant, my body was weaker than before, and I had occasional colds. After the child is born, the body has been very healthy, and it only takes a day or two to recover from the occasional cold. ”

She thought for a moment and replied earnestly.

"Does the child's father, grandparents, and grandparents have any history of serious illness?"

"The child's grandfather has heart disease, and grandma has diabetes and high blood pressure, but I haven't heard of any other diseases. The child's father sometimes only comes back to visit his relatives once or twice a year because of his work, and his work is highly confidential, and I don't know much about his situation. But I didn't hear him say anything seriously ill. ”

Her words made Zhou Can deeply feel her difficulty and greatness.

I can only get together with my husband once or twice a year, which is probably something that most women cannot accept.

"Well, I don't have anything else to know about just yet. I'm going to apply for a somatosensory evoked potential test for my child, and I want to find out where the spinal cord is wrong. What is certain at this point is that there should be a problem with the child's spinal cord, an abnormality in the low-level central nervous system tests, and it is likely that there is a problem with the polio. However, it is just a gray matter problem, which generally does not cause high paraplegia, and the cause needs to be further investigated. To be on the safe side, you may also be prepared to have a laboratory test of your spinal fluid to see if you have bacterial, viral infections or other abnormalities. ”

When Zhou Cankai conducts these unconventional examinations, he usually explains them clearly to his family.

It is also the duty of the doctor.

For routine check-ups, doctors usually don't explain too much. Because a doctor sees at least a few dozen patients a day, he really doesn't have the time and energy to repeat why he or she does these routine tests.

"No problem, I have a lot of trust in you, and I can feel that you are working overtime to save my child. Thank you very much. As she spoke, she bowed deeply to Zhou Can.

"You're welcome, you're welcome, these are all things I should do. As long as your family is willing to cooperate and trust us, we will definitely do our best to treat the child. There is no guarantee of the final result, all I can say is that we will do our best. ”

Zhou Can said to her.

Somatosensory evoked potential detection, ordinary people have never heard of this test. This test is very effective in diagnosing spinal cord nerve injury with a very high accuracy rate, and it can also detect the specific location of spinal cord nerve injury.

At present, the main direction of diagnosis is to find out which pair of spinal and cervical nerves have a problem.

It's also possible that something just went wrong on one side.

As for the spinal fluid for laboratory tests, it was Director Yin Hua who gave him some guidance that inspired him.

Sometimes, doctors don't always get accurate answers when they ask family members about their medical history.

Some family members may deliberately conceal some medical history, such as a history of travel.

Some family members have a bad memory and forget some medical history.

Therefore, it is necessary to take spinal fluid for testing out of the safety of the people.

The first two hospitals did not do this, and that was because the child was a high paraplegia caused by a high fall. Those doctors don't even think about it.

……

That night, when Zhou Can lay on the bed and hugged Su Qianqian to sleep, he was still thinking about the little boy's condition in his mind.

He is one of the good doctors who forget to sleep and eat to see patients.

Now it is almost the National Day, which makes Zhou Can want to find out the cause of the little boy as soon as possible, and then cure it.

Because his wedding with Su Qianqian is in full swing.

It's a big deal in life.

Su Qianqian knew that Zhou Can's work was very busy, and took the initiative to undertake almost all the preparatory work.

She even jokingly told Zhou Can that she seemed to marry herself off.

What's more interesting is Su Qianqian's uncle and aunt's family.

That night, Zhou Can injured two people before he successfully left with Su Qianqian. It stands to reason that she had a complete falling out with her uncle and aunt's family, and she definitely didn't get along with each other.

But Zhou Can far underestimated the despicability of human nature.

The aunt actually called Su Qianqian, with a handful of snot and tears, and asked her to understand. What else do you say that you know you are wrong, scold yourself for not being human, be sorry for her before, etc.

Fortunately, Zhou Can was next to him at that time.

He knew that Su Qianqian was very kind and easy to be soft-hearted.

I asked for my phone on the spot, and said to the crying old woman on the other end of the phone, "If it is useful, what do you want the police to do?" If you dare to call and entangle again, you will definitely let your son sit through the prison. ”

Don't look at Zhou Can who kicked and injured his aunt's son at that time, but the kid was in front at that time, and he was just defending himself.

Zhou Can has the support of a professional legal team, is rich and powerful, and directly sued the other party for wanting to imprison Su Qianqian and robbing him of the 300,000 cash he brought. Robbery is a felony, as long as the evidence is conclusive, it is strange not to sit in prison.

(End of chapter)