Sleepless Doctor
Chapter 97
Wang Quan, who was making trouble, was stunned. When he saw Wu Mian pointing to himself with a stool in his hand, he suddenly trembled all over his body.
"Go back and lie down. You''ll die if you''re dishonest!" Wu Mian said in a deep voice.
"Wow ~" Wang Quan''s one hand is easy to use. His spirit completely collapsed and howled, "brother Mian, my father, he beat me, i... I''m wronged."
"Roll! Hold back your tears!" Wu Mian dared not speak too loudly. After all, this is the stroke center. He lowered his voice and shouted angrily.
Wang Quan seemed to be drained of his soul. He didn''t dare to cry. He turned around choking, limped, and walked back to his hospital bed.
Everyone looked silly. Director Ma marveled. What did Mr. Wu do when he was a child? He came up and scolded. Wang Quan went back and lay down honestly?
Wang Chengfa''s face was very wonderful. First, he was relieved that his careless son was finally willing to see a doctor honestly. But there is also an uncomfortable mood that takes root in my heart. How dare Wu Mian scold his son!
"Seize the time to do the examination and prepare for the operation," Wu Mian said softly.
"Miss Wu, what''s the situation?"
"I told you, he is a counsellor. If you give him a smile, he will kick his nose and face, scold and be honest." Wu Mian said with a smile.
“……”
Wang Chengfa, with a gloomy face, followed Wang Quan to see a doctor. When he passed Wu Mian, Wang Quan subconsciously smiled. The cheap smile appeared on the half paralyzed face and looked quite strange.
"Brother, what did you do to him when you were a child?" Chu Zhixi asked curiously.
"I copied the bricks and knocked his face out." Wu Mian said with a smile. "Later, he chased him across the whole bajingzi. He had a good life. He just met my father back from the meeting and caught me in the car."
"Hey, hey." Chu Zhixi recalled Wu Mian''s young heroism, holding bricks, very curious.
"Director Ma, director Liu, prepare for the operation," said Wu Mian. "According to the time, it hasn''t been six hours."
"Miss Wu, would you consider..." director Liu asked.
"It may be a carotid artery dissection that leads to cerebral infarction. Seize the time to remove the thrombus... You can do it."
"Yes..." director Liu was stunned.
I can do it myself, but I say I can do it in front of Mr. Wu... Who dares to say this.
"That''s OK," said Wu Mian with a smile. "I''ll take a look. Do you think it''s ok?"
"Miss Wu, why don''t you follow me on the stage and I''ll be your assistant?" director Liu asked longwangshu.
"It''s not necessary to have a small operation on stage." Wu Mian said, "I''m just curious. Go and have a look."
"My operation... Can still take it down." director Liu felt that Wu Mian was worried about his operation and said with some embarrassment.
"No, director Liu, you misunderstood." Wu Mian said, "I just wonder if Wang Quan will be so bad."
"Bad?"
"Yes, it''s bad luck. It''s said that young people rarely have cerebral infarction." Wu Mian said, "forget it. Wait until the angiography is done. Take a closer look at the carotid artery. I think there will be a problem."
"OK." director Liu replied very simply, "Miss Wu, I''ll go to the operating room to prepare things first."
"Mr. Wu, I didn''t expect you to roar him at once." director Ma also rarely sees such strange things, shaking his head helplessly.
"Go to the operating room and have a look." Wu Mian said, "I''m the medical section chief of bajingzi traditional Chinese medicine hospital. I''m here to ask you to do something."
"Don''t say that, Miss Wu."
As they spoke, they went to the operating room. Wu Mian took Chu Zhixi''s hand. Chu Zhixi didn''t know what he was thinking and giggled.
Soon, the examination results were uploaded to the computer system. Wang Quan''s left middle cerebral artery thrombosis led to blood flow blockage in this area and no development of blood vessels.
The diagnosis is clear and emergency surgery is necessary.
The doctors and nurses were busy with various preparations before the operation. They explained the condition to Wang Chengfa that director Liu and the staff of the medical department did it together, and left video data to avoid problems.
Wu Mian sat in the operating room and chatted with director Ma. Talking about the opening of the operation, director Ma knew that Mr. Wu knew all the work of the medical department like the back of his hand. No matter what he says, Mr. Wu can tell the corresponding case.
As a director of the old medical department, director Ma has some regrets. If this is an ordinary person, no matter how much he spends, he will dig him up and train him as a successor.
But at that time, Wu Mian was the person who compiled diagnostics, and director Ma could only lament that the capable could do everything.
As the cradle of the interventional department in Dibei Province, the Department of Neurology and neurosurgery of the second hospital of Medical University treat a large number of cerebral infarction patients every year, and the technology is quite excellent.
During the operation, Wang Quan''s cerebral angiography results were consistent with the preoperative CT angiography: all the left cerebral vessels of the patient were blocked by thrombosis! What''s more amazing is that intraoperative angiography confirmed Wu Mian''s guess that the patient had carotid dissection!
"Mr. Wu, your diagnosis level is really useless." director Ma said with emotion after seeing the situation.
If Wang Quan let him go on like this, it would be an uncontrollable tragedy. After 6 hours, the therapeutic effect is greatly attenuated. Once 24 hours have passed, it can be basically determined that he must be disabled for the rest of his life.
"I''ve seen several similar cases and made differential diagnosis with cortical and subcortical hemiplegia, internal cystic hemiplegia and brainstem hemiplegia. It''s easy to draw a conclusion," Wu miandao said.
Director Ma didn''t continue to ask, and he was timid when he asked again. All kinds of differential diagnosis are the skills of clinicians, not themselves. It''s my job to watch the excitement, gossip and prevent medical disputes.
"I''ve seen one case. The patient is also in this situation. Director Liu performed the operation. After the operation, the patient''s family members were not satisfied. They said that the cost was too high and found me here." director Ma said, "I learned about the situation and finally found that it was the carotid dissection caused by scraping."
"Well, neck scraping is particularly easy to be complicated with carotid artery dissection and secondary cerebral infarction. Especially in the elderly, there are plaques in the carotid artery, which fall off with external force and enter the blood vessels of the brain." Wu Mian said, "I have encountered 12 cases, which is the 13th case. The most bizarre case is that in California, a young man drove to school early in the morning."
Director Ma felt some emotion. Looking at Mr. Wu, he just met more than a dozen cases.
"There was a car accident. After adjusting the driving records, I estimated that the speed was no more than 20 miles. She collided with another car and the airbag in the car popped out."
"There was nothing wrong, but because the neck was affected by external forces, there was a sandwich. Doctors in California didn''t take this into account and missed the golden 24 hours. It was a pity."