At Sun Lien's insistence, Xu Yourong suggested that everyone take a step back, send Qin Ya back to the rescue room first, and wait for the results of the five rheumatism tests to come out before making plans.

Qin's father and Qin's mother breathed a sigh of relief together after learning that the worst had been ruled out, and the two held Sun Lien and Xu Yourong's hands, and thanked them for a long time without saying a word. It can be seen that they are indeed frightened.

Feng Ming patted Sun Lien on the shoulder, and didn't say a word for a long time. It's just that the circles under my eyes turned red all of a sudden.

Sun Lien was a little uncomfortable, and hugged Feng Ming gently, Sun Lien patted him on the back and said, "Be happy, it's not a big problem, it's good." ”

Feng Ming choked up a little, "I never thought you were handsome before, but now I can say that you are the most handsome man in the world." ”

"Fuck off. Sun Lien chuckled in a low voice, and after letting go of Feng Ming, he struck him lightly on the buttocks, "You still have an outpatient mission, right?"

"I spoke to our director when I came out. Feng Ming looked at Qin Ya, who was still lying in the MRI, his eyes were full of tenderness, "The director asked me to take a vacation today and make up for a full-day outpatient clinic tomorrow." ”

"Qin Ya is pregnant, this matter is more troublesome. Sun Lien looked at Qin's father and Qin's mother some distance away from him, so he lowered his voice and said, "If you want to be diagnosed with moyamoya disease, you still have to consider doing a CT or MRA." ”

Moyamoya disease is a spontaneous compensatory manifestation of the body's pathology. There are two clinical tendencies, one is the tendency to intracerebral hemorrhage, which is more common in Europeans. The human body itself tries to compensate for the lack of blood supply caused by arterial stenosis by proliferating and dilating other microvessels, and the blood vessels that grow in this way have no fixed direction to speak of, they are stacked and entangled in a mess, and the blood vessel walls are generally inelastic and easy to break. Once a rupture occurs, it can cause a cerebral hemorrhage.

Another manifestation of moyamoya disease is the most common "transient cerebral insufficiency" among Asians, which is the "TIA" symptom exhibited by Qin Ya. Unlike hemorrhagic tendencies, nerve damage caused by TIA does not last and generally disappears within 24 hours, with no sequelae at the end. Sometimes, however, inadequate blood supply can turn into reversible ischemic neurological disorders with substantial damage, or even ischemic cerebral infarction.

In general, this moyamoya disease, which was first discovered by RB scholars and named "moyamoya", is not fatal, but still poses a great threat to human health. However, the commonly used anticoagulant drug treatment not only cannot reduce the appearance of blood insufficiency, but may increase the risk of stroke in patients with moyamoya disease. The only mature and proven effective treatment is cerebrovascular bypass surgery.

For patients with moyamoya disease, early diagnosis and treatment can greatly reduce the risk of subsequent intracerebral hemorrhage and cerebral ischemia. This has positive implications for disease treatment. But on Qin Ya's body, this one needs to be a question mark somewhat. She is not just a moyamoya patient, she is also a pregnant woman in the first trimester.

CT exposes the body to relatively large doses of radiation, while the commonly used enhanced magnetic resonance angiography (MRA) requires the injection of gadolinium contrast medium into the body to facilitate imaging. Both methods can have an impact on the fetus.

"I'll talk to her parents later. Feng Ming was very happy, and directly set the general direction, "The two of us are still young, what if there is anything, it will be easy for us to have children again." ”

Sun Lien was not worried that Feng Ming would bite to death, so he had to protect the fetus. On the one hand, he trusts the humanity of this brother, and on the other hand, he believes that Feng Ming, as a doctor, can clearly distinguish the risks. In order to facilitate their conversation, Sun Lien simply called Brother Luo and Xu Yourong out together.

Brother Luo turned off the old antiques that were still rumbling, followed Sun Lien to the outside of the room, and asked with a wicked smile, "Have you offended Director Liu recently?"

Sun Lien smiled bitterly at Brother Luo, "I have taken on a total of so many patients. ”

"I heard from my colleague that there was an old lady with third-degree burns on her back last night, and she was also your patient, right?" Brother Luo inquired, "The one who let the burn department take over, remember?"

The old lady Zhao Weihong was in and out of the hospital three times, and Sun Lien was of course impressed. He wondered, "Of course I remember, what's wrong?"

"There are staff on duty in our department in the hybrid operating room. Brother Luo told the story with a smile, "After the debridement of the old lady, the burn department sent the person to the compound operating room and did a head CT scan for the old lady. The result is a complete rupture of the corpus callosum. ”

Sun Lien sighed, "It's miserable." ”

"I heard that old lady is the mother-in-law of District Chief Ouyang?" Brother Luo continued to smile, "Then there will be a lot of fun." ”

Xu Yourong was quite interested in the diagnosis of a complete rupture of the corpus callosum, and she interjected and asked, "Confirm that the corpus callosum is completely broken?"

"Except for the callosum compression, which is about two millimeters connected, the other parts are all broken. Brother Luo also began to gasp as he spoke, "This guy, a knife of more than ten centimeters will be stabbed in the head! This has to be replaced by other timid ones, and I am afraid that I would have been scared away long ago when I saw such a long needle knife. ”

"People who use knives may not feel at all about the consequences of their actions. Sun Lien sighed, "Although they are also bastards, the extent of bastards is limited." You've heard of turbinate resection, right?"

Brother Luo slapped his thigh, "You're talking about that...... That radical rhinitis resection?"

"The abuse of this surgery is serious. I heard Feng Ming talk about it when I was an intern before. Sun Lien frowned, "Some private hospitals even perform turbinate removal for patients with allergic rhinitis in order to sell surgery. As a result, the surgical resection was too large, and the patient ended up with empty nose syndrome. The severe sequelae eventually led to the patient's long-term depression and suicide by jumping off a building. ”

Feng Ming took turns in the ENT Department of the Affiliated Hospital of the college during his internship in his fifth year. ENT is one of the key industry directions of many private hospitals. In general, private hospitals prefer departments that can't kill people, but make people want to die. Otolaryngology, dermatology and venereology, reproductive assistance, proctology, etc. are their specialties.

"While small unlicensed clinics that practice medicine illegally are also hateful, I think such private hospitals are even more hateful. Xu Yourong also understood what Sun Lien meant, "Illegal practice of medicine and evil is because of greed and stupidity." This kind of private hospital, which performs surgery on patients regardless of whether they have an indication for surgery, knows that there will be serious consequences but does not care about it...... Their actions are more hateful than the stupid and bad little clinics!"