829 fist-sized stones

"Teacher Wu, do you think there is anything else to add?" asked Zhang Zimo.

"Nope. Wu Mian nodded, "I'm not worried either, come back and take a look, it's all a small problem." ”

"If you monitor it again in 2 hours, it is estimated that it will be fine tomorrow morning. Zhang Zimo smiled, he was very confident in this, "It's really a coincidence today, I just wanted to ask you for leave." ”

"Something at home?" Wu Mian asked.

"It's not at home, it's the Department of Urology of the Second Hospital giving a lecture to students today. Zhang Zimo said with a smile.

"Huh?" Wu Mian was slightly stunned, the second hospital is an affiliated hospital of the Medical University, and teaching work is a must.

But when he gives a lecture to students, how can an old guy like Zhang Zimo at the director level care about it? Besides, it is a urology department, not that he is seriously ill, and the person who gives the lecture is still a director at the same level.

"That's right, Mr. Wu. Zhang Zimo smiled, "Director Wang Guiping of the Department of Urology is usually willing to collect some strange things, do you say that people who are engaged in urinary are like this?"

"Urethral foreign body?" Wu Mian suddenly figured out why.

"No, it's a stone. ”

"......" Wu Mian was stunned for a moment, this kind of strange train of thought, even Wu Mian didn't immediately think of it.

It is said that Director Wang has been practicing medicine for more than 20 years and has accumulated more than 300 stones of different shapes. Zhang Zimo smiled and said, "To be honest, I've only seen a few ordinary ones, isn't this a good letter, I want to see the treasure that Director Wang saved." ”

"Director Wang is good, he has a heart. Wu Mian smiled, "This is a water mill job, and I have to think carefully." And there are so many specimens, it really takes a lot of effort to save them. ”

"I know Wang Guiping very well, I heard him say it before, and I always wanted to see it. The guy was too stingy and said it was only for patients and their families. Zhang Zimo smiled, "Teacher Wu, you say, why is this person like this." ”

"Is it to use an intuitive method to let patients and their families see bladder stones, arouse patients' attention to urinary stones, and better understand how to treat and prevent them?"

"Yes. Zhang Zimo said, "One glance is better than saying a hundred words." Moreover, there are some special-shaped stones, not to mention patients and patients' families, and even an old guy like me, who has been in the ICU for decades, has never seen them. ”

"Ask, let Director Wang send a photo. Wu Mian was also curious.

Zhang Zimo took out his mobile phone and began to contact Director Wang Guiping.

Wu Mian walked to the bedside, comforted Xue Chunhe's lover, and made it clear to her that the hospital had sent two groups of nurses to take care of him, so he didn't have to worry about it, just take care of his illness.

Next, he told her about Xue Chunhe's situation again, so as not to make her anxious.

Obviously, the successive blows made Xue Chunhe's lover a little stunned, and he couldn't slow down. Wu Mian didn't persuade hard, just explained the actual situation, waited for 2 hours to review the results, and sent them to Xue Chunhe.

In fact, the hardest thing about this is Matthew, he has to run on both sides.

However, Dean Xue and his lover's illness should be improved within 3 days, and Wu Mian is sure that they will be discharged home.

"Teacher Wu, you have to use your banner. Zhang Zimo smiled, "Wang Guiping sent a photo." ”

"Pull a group, let's ...... three"

"I'll see it too!" Chu Zhixi said behind Wu Mian.

"Let's take a look at the four of us and see how many stones Director Wang has accumulated over the years. Wu Mian changed his words and said.

"Good. Zhang Zimo saw that Teacher Wu was full of interest, so he happily pulled a group.

Wang Guiping first said a few polite words to Wu Mian, and immediately sent the first photo.

It was a fist-sized stone, and Wang Guiping wore sterile gloves and held the stone on his hand. Just looking at the volume, Zhang Zimo was taken aback.

The stones are pale yellow in color, like rice bran rolling, and rough and uneven. It occupies 2/3 the size of Wang Guiping's palm, and it looks quite scary.

"I'll ...... Such a big stone...... "Zhang Zimo was surprised, "Teacher Wu, how many times does this thing have to be broken if it is broken?"

"It's hard. Wu Mian said, "The best way is to cut it out and take it out, and it is not possible to be minimally invasive." It's not completely impossible, and if you do minimally invasive surgery, you have to be careful of several rare cases, so I think it's better to go straight to the surgery. ”

"Tsk. Zhang Zimo was quite emotional, and when he thought of a stone the size of a fist dangling back and forth in his bladder, he faintly felt that his stomach hurt.

Then a line appeared - the stone was 12.2cm long, and it came from a 22-year-old man.

This number is appalling, if he hadn't seen it "with his own eyes", Zhang Zimo would have found it hard to believe that there would be such a big stone.

"Mr. Wu, how did you grow so big? The patient is still so young. ”

"I guess it was possible that the urethra was ruptured due to trauma and the stent was removed. However, due to various reasons, the patient did not go back to the hospital to go out of the stent as soon as possible according to the doctor's instructions, resulting in a change in the dynamics of urine...... Do you have any research on fluid dynamics?" asked Wu Mian.

Zhang Zimo shook his head blankly.

"Without further ado, I've seen a report that says something similar. Wu Mian said, "It is not uncommon for the ureteral stent to be left untaken for a long time, resulting in huge stones in the bladder, but such a large one is indeed rare." Director Zhang, please ask Director Wang if he is interested in posting a SCI. ”

"......" Zhang Zimo was speechless.

Is this worth a SCI?!

"New England, as much as I don't like their editor-in-chief, is particularly interested in bizarre cases. Wu Mian said.

"I went to him after work. Zhang Zimo said cautiously.

Although Mr. Wu just said casually, he didn't care about any sci, but he cared, and Wang Guiping knew that he could go crazy!

An academic article published in New England is quite face-saving to come out.

It is estimated that with this, Wang Guiping can be rated as an academic member of urology in the province.

Obviously, Wang Guiping is a bit old, he types very slowly, and he is also used to typing all of them and sending them after checking them all.

Wu Mian and Zhang Zimo chatted for a few minutes before the patient's medical records were sent.

As Wu Mian guessed, the patient was stent five years ago due to a broken ureter caused by a car accident. But it was not taken out afterwards, and this terrifying huge stone appeared.

Wang Guiping also explained in the group that the department had carried out minimally invasive surgery, but because the stones were huge, the whole hospital consulted and invited experts from the imperial capital to consult remotely, and finally decided to open the surgery and take it out.

"Director Wang is good, and his mind is very detailed. Wu Mian praised again.

"Yes, I can leave more than 300 stones for patients and their families to see, and I can intuitively understand what is in the bladder and kidneys, which saves a lot of things and makes communication easier. Zhang Zimo said.

After introducing the condition, the next photo was sent again.