medical road high rise

Chapter 453 The Girl Who Has a Headache

Chapter 455 The Girl Who Has a Headache

After He Lao left, Qin Feng shut down the inner gateway and sighed helplessly.

Although he has a system, he is only a doctor who is good at surgery. There is no breakthrough in modern medicine for such a disease. It is too difficult for Qin Feng to think of a breakthrough alone.

Qin Feng could only tell Li Hao that conservative treatment with patients, that is, common treatment methods, whether it is effective or not depends on the patient himself. up.

After tidying up his mood, Qin Feng was preparing to see a doctor when there was a knock on the door of the consulting room.

"Doctor Qin."

Qin Feng looked up and saw Dr. Yu Jian from the Department of Urology.

"Doctor Yu, what's the matter?"

"Hey, we have a difficult patient over there, come and take a look with me." Yu Jian sighed.

Qin Feng nodded and followed Yu Jian to the Department of Urology.

Generally speaking, if you need Qin Feng's consultation, you can just call and come directly, which means that the patient's condition is very serious.

Yu Jian entered the office with a bag of films, found an empty lounge, and closed the door.

"Doctor Yu, what's wrong with you?" Qin Feng asked curiously.

"Doctor Qin, you should watch the film first." Yu Jian's tone was a little nervous, "This is a postoperative review of a patient last year, and there are some problems with the film."

Qin Feng was stunned for a moment. Originally, he thought that Yu Jian had cut the wrong kidney or something, and asked Qin Feng to come over to fix it, but he didn't expect that it was just watching a movie.

Qin Feng picked up the film, and Yu Jian introduced the patient's condition.

"The patient is a 52-year-old man. He underwent right nephrectomy in our hospital last year because of renal cell carcinoma of the kidney. I performed the operation. The resection including lymph node dissection was very clean."

"Three months ago, the patient's incision site was festered and inflamed, and there was not much pus, but the redness and swelling were severe, and the CT showed calcification."

Qin Feng's hands paused for a moment, soft tissue calcification?
"Did the family members go to other hospitals for examination, and the doctor diagnosed that the tumor had metastasized through incision? Then the family members came to the door?" Qin Feng asked.

"Yes." Yu Jian nodded.

"Didn't you explain it to them? Whole nephrectomy, incision protection is no problem, intra-abdominal metastasis is still possible, but metastasis is impossible." Qin Feng said.

"I can't guarantee this, I can only call Dr. Qin over to have a look." Yu Jian said.

He didn't dare to tell the director of the department that if it was really an incision transfer, then he would be finished.

Qin Feng continued to watch the film, but didn't say a word at first.

Yu Jian seemed a little nervous, especially now that his family members are still coming to his door. Once the transfer of the incision is really confirmed, it means that he has made a mistake in his work, which will greatly shorten the patient's survival period. This is an unforgivable mistake.

After a few minutes.

"The patient is not transferred through an incision." Qin Feng said.

Yu Jian was stunned for a moment, and then he was ecstatic.

"What's the condition of the patient?"

"Heterotopic ossification."

"Doesn't heterotopic ossification often appear near large joints?" Yu Jian asked in a daze.

"The high probability is near the large joints, isn't there a small probability that it appears in other places? This patient is like this." Qin Feng put the CT film on the table.

Heterotopic ossification refers to the appearance of osteoblasts in the soft tissue and the formation of bone tissue, which appears to be calcification of the soft tissue.

"Doctor Qin, how did the patient's heterotopic ossification form?" Yu Jian asked.

"Inducing factors may be neural and bioelectrical factors. In fibrous connective tissue, primitive cells proliferate actively with rich capillary network, calcium salt deposition forms bone, mature heterotopic ossification has a bone structure, and the outer layer is wrapped Fibrous connective tissue is just like the image of this patient." Qin Feng pointed to the image on the film.

"Then I will arrange to have a pathological surgery." Yu Jian stood up and prepared to leave.

The standard for judging whether an abnormal hyperplasia is a malignant tumor is to make a pathological diagnosis. If there is any doubt, a biopsy will be done and sent to the pathology department. This is one of the fixed thinking of clinicians.

"No." Qin Feng stopped Yu Jian directly.

"Heterotopic ossification is not only the cause of the spinal cord, it may also be a urinary tract infection. If the pathological examination is carried out rashly, it is easy to cause problems." Qin Feng said.

"If I suggest, wait for its ossification to mature, and now it is only in the osteogenesis stage. After it matures and ossifies and stops, it will be resected, and then take disodium phosphate orally for one year after the operation, and this problem will be solved."

"But……"

"Don't worry, it's fine." Qin Feng patted Yu Jian's shoulder, and then left directly.

Yu Jian was still worried, so he went to the director of the orthopedics department. The result given by the director of the orthopedics department was exactly the same as Qin Feng, so Yu Jian was relieved.

Qin Feng returned to the outpatient clinic to continue his consultation.

"15 years old? You're still in high school, why don't you feel uncomfortable?" Qin Feng asked.

"She was just pretending to be sick. She just didn't want to go to school and deliberately asked me to come to the hospital to spend money." The patient's mother said dissatisfied.

Obviously, this girl has not used this reason for the first time.

But the child was not feeling well, and even though the mother was dissatisfied, she still had to bring her to the hospital to go through the process. This is why the patient's mother said that coming to the hospital cost money.

"I have a headache and feel sleepy," the girl said.

"Did you talk about friends? During this time, your homeroom teacher called me, saying that you can't concentrate all day long, your mobile phone is confiscated, and you can only play on vacation in the future." The patient's mother glared, "You know I don’t know that in order to take care of you, I quit my job, and your dad spends his days in the dark all day, are you worthy of him? Are you worthy of me? "

Qin Feng had a headache for a while, and he was most afraid of meeting such family members of patients. Basically, as long as the parents brought students here, they would have such a side.

This will not help the doctor's diagnosis at all, but will affect the doctor's judgment.

"Well, why don't you go and take a rest while I talk to your daughter alone?" Qin Feng said.

"Okay, doctor, help me persuade her, it's not good to have such a small relationship, if you can't get into college, then it will be useless." The patient's mother said urgently.

Qin Feng nodded quickly, "Don't worry."

Only after the patient's mother left, did the girl's eyes light up.

"Your headache and drowsiness should have nothing to do with dating," Qin Feng said.

"I'm not in a relationship, my mother is very suspicious all day long." The girl was a little dissatisfied.

After all, in such a family, the child's psychology will be affected for a long time.

Qin Feng enlightened her, and then began to ask a doctor.

"Apart from headache and drowsiness, do you have any other symptoms?"

The girl shook her head, "No, I thought I had a cold before, but taking the medicine didn't help, instead it became a little more serious."

"Okay, then I'll take your blood pressure first, and then go for a blood test."

This kind of disease is relatively general, and can only be judged by a little bit of inspection. Although Qin Feng's diagnosis is excellent, he cannot do without inspection.

(End of this chapter)