Doctor's Life Simulator

Chapter 20 The Shock of All Attendants and the Possibility of Staying in the Hospital
Hearing Qin Lang's voice, several attending physicians looked over in surprise.

Wu Youtu was mentally prepared for Qin Lang's words, but the other two attending physicians couldn't believe it.

After all, at this level of consultation, a junior doctor is not qualified to discuss at all.Previously, Zhong Chengfa's care was just a polite gesture. After all, the investigation of this kind of case requires profound professional experience and a lot of clinical accumulation.

If this little doctor was one of his subordinates, Dr. Yu would have scolded him a long time ago. He doesn't understand the rules at all. For this kind of meeting, he only needs to wear a pair of ears.

However, after all, this was a multidisciplinary consultation organized by Wu Youtu, and no one said anything, so naturally Dr. Yu and Dr. Zhang would not point it out.

This is a real diagnosis and treatment, not a school course where everyone can discuss freely.

In a highly tense environment like a hospital, as an authoritative superior doctor, what you want more is to be obedient and obedient, not to waste everyone's time and energy by talking to each other.

When Wu Youtu saw Qin Lang's statement, he originally wanted to stop him, but after thinking about Qin Lang's outstanding performance in the previous rounds, he nodded:

"Qin Lang, please succinctly state your thoughts, and let the attending doctors listen together."

Qin Lang reopened the first photo of the patient's back, picked out the results of the B-ultrasound examination on the following pages, and merged them into a slide for comparison.

Seeing Qin Lang's operation, several attending physicians were still a little confused at first, but with the reorganization of several symptoms and some subtle symptoms that were missed, several people's hearts were beating thumpingly.

"It seems that this little doctor meant something, did he really see something?"

Dr. Yu from the Pediatric Surgery Department is very quick thinking. Following Qin Lang's reorganization of the photos and deletion of distracting items, she also began to reason based on these clues, and seemed to have a term ready to come out in her mind.

It was Zhong Chengfa from the dermatology department who first raised his doubts: "Xiao Qin, you have rearranged the results of these examinations, what did you find?"

Qin Lang nodded, and after refining all the materials that could reflect the truth, he looked at several attending physicians:

"After seeing these photos and the results of the physical examination just now, I feel that besides the space-occupying lesions in the spinal canal that Dr. Yu deduced, there is another possibility, which is very rare segmental spinal hemangiomatosis, also known as It's Cobb's syndrome."

"Cobb's syndrome?"

Both Dr. Zhang and Dr. Yu muttered to themselves, and quickly searched for information about this disease in their minds. The incidence of this disease is really too low.

At the same time, Qin Lang's calm and determined voice echoed in the conference room:
"Cobb's syndrome is a complex vascular malformation involving the spinal cord, epidural space, vertebral body, paravertebral soft tissue, muscle, subcutaneous tissue, and skin."

Hearing Qin Lang's further narration, Doctor Yu finally remembered and slapped his thigh.

"When Dr. Xiao Qin mentioned this, I really remembered that I encountered such a case before, but the last time the patient was in his teens. Clinically, Cobb's syndrome is indeed easy to be misdiagnosed, especially in the early stage of onset. Due to lack of symptoms and lack of typical manifestations, it may be misdiagnosed as lipoma, space-occupying lesion in the spinal canal, and there was even a patient in the Provincial Second Hospital who was misdiagnosed as cholecystitis because of visceral involvement.”

For doctors, as long as they have technical support and have something to say, they can communicate on the same level. At this moment, Dr. Yu and Dr. Zhang no longer regard Qin Lang as little doctors.

Being able to become the attending physician of the city's first hospital, of course, has two brushes. Before that, it was just because of being misled by other symptoms. At this moment, there is a new direction of thinking, and Qin Lang also rearranged the key materials and photos one serving.

Doctor Yu looked at it carefully again, with a serious face, and at the same time signaled: "Doctor Xiao Qin, continue!"

Wu Youtu and Zhong Chengfa also looked at Xiao Qin with burning eyes.

"Look at this photo, everyone. It is the most obvious hemangioma in the subcutaneous tissue, and part of the skin is brown."

Qin Lang said while pointing a laser pointer at the corresponding photo data,

"This one is the paravertebral hemangioma that Dr. Yu saw before."

"Then, look at this picture again. Although it is very blurry, you can still see the epidural hemangioma in the spinal canal."

"So, based on these three symptoms, I speculate that the child is most likely to have Cobb's syndrome."

For Qin Lang, deduction based on the results is naturally a matter of course, but the four attending physicians who didn't know about it were astonished!
It wasn't until Qin Lang finished the analysis that several attending physicians came to their senses.

Especially Dr. Yu, who is most familiar with children's diseases, couldn't stop nodding:

"Although it is not yet fully confirmed, according to the current symptoms, it is really possible that it is Cobb's syndrome."

"Xiao Qin, what else do you think, let's talk about it?"

Wu Youtu obviously did not expect Qin Lang to break out like this, but he was a little surprised. After all, he was the one who specially asked Qin Lang to participate in this consultation. There is light.

Therefore, he simply let Qin Lang speak freely, and he also wanted to know what other amazing ideas Qin Lang could put forward.

Qin Lang was authorized by Wu Youtu, so he no longer kept secrets, and directly stated the gold standard for the diagnosis of Cobb's syndrome:

"I suggest that on the basis of the MRI recommended by Dr. Yu, a spinal angiography can be performed to comprehensively display the location, volume, flow velocity, feeding artery and draining vein, and the relationship between the malformation and adjacent vascular structures."

After Qin Lang finished speaking, Wu Youtu nodded, and then looked at the other attendants: "What do you guys think?"

Dr. Yu took the lead in expressing his opinion: "I agree with Dr. Xiao Qin's point of view. If it is really Cobb's syndrome, spinal cord angiography is the gold standard for diagnosis. As long as the cause is confirmed, treatment can be carried out immediately."

"Okay, if that's the case, that's the end of today's consultation. I'll immediately arrange an MRI examination and spinal angiography. When the results come out, I'll inform everyone to formulate a treatment plan together."

Wu Youtu was very satisfied with this consultation, as long as the cause of the disease can be confirmed, then the merits and virtues will be complete.

"This little Qin is really my lucky general."

Wu Youtu sighed in his heart, it seems that in the future, Qin Lang should be given a chance. Although Qin Lang's academic qualifications are not good, but as long as the clinical ability is sufficient, Director Wei can solve the problem at that time.

After the meeting adjourned, Zhong Chengfa gave Qin Lang a thumbs up with eager eyes, and said another word of care:
"Xiao Qin, don't forget to come to my plastic surgery hospital on Saturday, I will send you the location later!"

Although this disease is very rare, for these attending physicians, it is just one of many patients.

After completing the consultation, everyone went to work on their own. Doctors are already a high-intensity job.

Of course, there is no doubt that after today's consultation, both Dr. Yu and Dr. Zhang were deeply impressed by Qin Lang.

Outside the meeting room, Dr. Yu and Wu Youtu walked together: "Old Wu, which medical school did this little Qin graduate from? He has very solid basic skills. Besides, he is very talented in diagnosis."

In Dr. Yu's view, Xiao Qin is at least one of the 985 master's students, and may even be a master's student in a top university like Union Medical College.

Therefore, when Wu Youtu gave a brief introduction and heard that Qin Lang was only an undergraduate from a third-rate medical school and a community doctor, he was obviously very surprised.

"That's such a pity."

After all, everyone knows that in today's top three hospitals, a good background is too important to get promoted.

In this regard, Wu Youtu smiled:
"It's not a pity. Director Wei took special care of him. As long as Qin Lang is clinically talented enough to prove that he is a useful talent, then Director Wei will accept Xiao Qin as his graduate student and sign a contract to stay in the hospital. It is not impossible to even compile it later.”

Only then did Doctor Yu feel a little more relieved: "It depends on this little guy's own efforts."

(End of this chapter)