Chapter 55: Rare meningoencephalocele
"Doctor, we're from Lincang."
The dark-skinned, plain-looking young father replied.
"Lincang? Where did this come from? ”
Zhao Sheng searched his mind, but he couldn't think of where Lincang belonged?
"Doctor, we are from Lincang, Yunnan."
The swarthy young father said again.
"Yunnan?"
Zhao Sheng was a little surprised, he didn't expect the young couple to come to see a doctor from so far away with their children.
You must know that Yunnan is more than 2,000 kilometers away from Zhongdu, and even if it is the fastest high-speed train, it will take more than ten hours.
It's really a long way off.
"You're a minority?"
Zhao Sheng asked again.
Looking at the dark skin of the young couple and the child, Zhao Sheng had this guess.
"Well, doctor, we're from the Wa people."
The young father nodded and said.
"yes, I see."
Zhao Sheng nodded, and made a decision in his heart.
If he wanted to replace it with an ordinary patient, he would have asked them to return the emergency department number and go back to the neurosurgery department.
But it is not easy for this young couple to take their children to see a doctor.
"Let the god old Song come over for a while, and just say that I said it."
Zhao Sheng turned his head and said to Song Wei who was standing next to him.
"Okay."
Hearing Zhao Sheng's words, Song Wei nodded not at all surprised, now in this situation and the doctor-patient relationship, among the doctors she has seen and knows, only Zhao Sheng will often do these things that can be said to be "thankless".
As for the [Old Song] in Zhao Sheng's mouth, he is talking about Song Sixian, the attending doctor of neurosurgery, who is a college classmate with Zhao Sheng, and he can be regarded as the best game in college.
It can be said that he can't be cooked, otherwise, Zhao Sheng wouldn't just call him over.
"I've got a neurosurgeon for you, I'll be there in a minute, you wait a minute."
Zhao Sheng said to the young couple.
"Thank you, thank you, thank you, thank you."
From the moment he entered the consultation room, the swarthy young father, who seemed very anxious, said very gratefully.
A big city like Zhongdu is really completely different from their hometown of Lincang, so to speak, on the first day of getting off the high-speed rail, the young couple was in a state of confusion and couldn't find the north.
"Lincang? Which side is this close to in Yunnan? ”
Song Sixian came over for a while, and Zhao Sheng asked with great interest.
In addition to liking food, in fact, Zhao Sheng also likes to travel, but for the nature of his work, it's okay to go closer, but it is really unrealistic to take a long time to go far away.
"Close to Burma, doctor."
The swarthy young father said.
"Myanmar? That's the border, right? ”
Zhao Sheng said with some surprise.
"Yes, we rely on the Wa State in northern Myanmar."
The swarthy young dad said with an accent.
"Wa? Ahem, over there, is it a scam or something? ”
As soon as Zhao Sheng thought of Wa State and northern Myanmar or something, he thought of fraud, and when he thought of fraud, Zhao Sheng couldn't help but think of Lu Bingkun, the manager of Sino Medical Company, this Lu Bingkun didn't look like an ordinary salesman, although the number of contacts was not very much, but every time he made contact, he gave Zhao Sheng a bottomless feeling of the city.
"There used to be, but now it's been knocked out a lot."
The young father said very plainly.
Just as Zhao Sheng was chatting with his young father, Song Sixian came in from the consultation room.
As soon as he came in, Song Sixian smiled and said to Zhao Sheng: "Old Zhao, you are really good at catching my strong man." ”
He and Zhao Sheng have been classmates since college, and now, they have been friends for more than ten years, and they can't be more familiar.
From the beginning of getting along with college classmates to the present, it is mostly the kind of old relationship that can be lived for a lifetime.
"No way, I know you in neurosurgery, who will I catch if I don't catch you?!"
Zhao Sheng also said half-jokingly.
"The patient is this child."
Livening up the atmosphere, Song Sixian squatted down and began to check the little boy.
Ooh!
After seeing the [third eye] on the back of the little boy's head, Song Sixian was also shocked.
After so many years of medical practice, as an experienced neurosurgeon, Song Sixian is also the first time to meet such a patient.
After a detailed inspection, Song Sixian said with a solemn face: "Old Zhao, this is meningoencephalocele. ”
"Huh? Meningoencephalocele? ”
Zhao Sheng was shocked all of a sudden.
Meningoencephalocele in children is a rare congenital disease of unknown etiology, which may be related to neural tube dysplasia in the embryonic stage, mesodermal development arrest, cranial fissure, and herniation of meninges or meningocerebral tissue out of the brain through the skull defect. The clinical manifestations are a cystic mass attached to the head, which can be found at birth or months or years after birth, enlarged during crying or coughing, and the margins of the bone defect may be palpable locally.
"Due to the local defect of the scalp and skull at the back of the child, the diseased brain tissue, cerebrospinal fluid and dura mater in the skull protrude outside the skull through the defect, once the capsule is broken and infected, it is very easy to make the subarachnoid cavity and intracranial infection, and the consequences are very serious, and this situation must be treated with surgery immediately."
Song Sixian said slowly.
At the thought of surgery, Song Sixian's face became even heavier.
The patient was a 4-year-old boy with high risks of surgery and anesthesia, and there were large blood vessels near the midline, which could cause intracranial hemorrhage in case of injury during the operation. At the same time, the meninges must be repaired closely after resection, otherwise when the child lies down and sleeps, due to the perforation of cerebrospinal fluid in the skull, it is very likely to flow out along the dural incision, resulting in subcutaneous effusion, intracranial infection, and even life-threatening.
"Doctor, is this operation dangerous?"
When the young father heard Song Sixian say this, his swarthy face turned white.
"All surgeries involving the head are dangerous, but as far as head surgery is concerned, our department has the most advanced technology in the country."
Song Sixian thought for a while and said.
It's normal to have concerns about surgery, even if it's an appendicitis operation, in the past, it would have been fatal, let alone a knife on the head.
"Doctor, we're doing surgery, I'm sorry for you."
The young father and the young mother glanced at each other, and immediately made up their minds and said categorically.
"Okay, let's stay in the lower courtyard first."
Seeing this dark-skinned, but very crisp young couple, feeling the sincere and simple things on their bodies, Song Sixian said neatly without any delay.
Although the bed outside the god is already very tight, as the attending doctor, he can still coordinate.
Next, the young couple followed Song Sixian to the hospital, and before going out, the young couple thanked Zhao Shengna a thousand times.
And Song Sixian, before leaving, also joked that Zhao Sheng sent him a meal!