Auto chess in the operating room

Chapter 45

In the ward of the emergency room, Li Fan was already checking the cases, holding an X-ray film in his hand, with a sad look on his face.

"Doctor Li."

Tang Lou came over and stood beside Li Fan.

"Xiao Tang, come, let's take a look together, and think about whether you have encountered similar cases in your mind."

Seeing Tang Lou, Li Fan asked metaphysically. After all, Tang Lou did have a unique talent and luck in diagnosis.

"This patient was originally admitted to the hospital because of internal hemorrhoids. After falling ill, he found that his left scapula and ribs were slowly dissolving. This is the patient's X-ray. It is clearly visible that the left clavicle, scapula, and multiple ribs are dissolving. "

Li Fan described the patient's condition with some surprise and confusion. It was really difficult to understand!

"Ah."

Tang Lou took the X-ray film, looked at it a few times, and then looked at the patient:
[Patient: Liang Xing, gender, male, age 30
Symptoms: left clavicle, scapula, multiple rib dissolution
Diagnosis: Gorham syndrome.

Also known as "massive osteolysis syndrome, progressive benign osteolysis syndrome"

Characteristics of this disease:
Onset in children or young adults, progressive, spontaneous single or multiple osteolysis, all bones may disappear;

It usually occurs in limb girdle bones, mandibles, and ribs, and may also start with distal limb dissolution;

Scattered erythema can be seen on the skin, which can feel spongy to the touch.

System prompt: Since the host only has diagnostic skills (one star, 3) and cannot solve this rare disease, it is recommended to transfer to a higher-level hospital, which needs to be consulted by a provincial expert. 】

"Is there no cure at all?"

This was the first time that Tang Lou encountered a disease that even diagnostic techniques could not solve.

[Diagnosis (one star, 3) can only diagnose common diseases. If the host wants to solve more difficult and miscellaneous diseases, he needs to work hard on the task and improve the level of the surgery, so as to overcome these rare diseases. 】

Before, because he had always been systematic and omnipotent, Tang Lou always felt that as long as he took action, he could solve the patient's problem, but after careful reflection, he realized that now he has only mastered the most basic suture and debridement, and there are still these rare The disease, not to mention the required surgery, even the method of treatment is unknown.

[The loss of the host is detected.Host, doctors themselves are such an industry.However, because the county hospital is small and has limited medical conditions, the cases it receives will be relatively mild.In larger hospitals, countless patients collapse on the verge of despair due to various intractable diseases every day. 】

"I know this. From the day I became a medical student, I knew that I would face a lot of helplessness. I used to listen to teachers talk about the helplessness of watching patients die in front of me, and I couldn't empathize with it. This time I really When I encounter this kind of disease, I can clearly see the disease, but cannot provide treatment, it is really uncomfortable."

"I'm so unwilling! Am I too useless? Even with the system, I can't solve his disease."

Tanglou blamed himself a little.

[The mood of the host is something that all doctors have to experience, but the potential of the host is something that all doctors have never had, so you have to work harder to do tasks, exchange spells, grow rapidly, strive to enter a bigger hospital, and go face-to-face. For more and more difficult diseases, live up to your special ability. 】

"System, I see."

Tang Lou withdrew from the system space, still feeling a little sad and depressed, but there was firmness and responsibility in his eyes.

One day, through accumulation, Tanglou will be able to exchange for a treatment method that can overcome this rare disease.

Until the last moment of his own life, or until the last illness is overcome, his steps will not end!

Feeling Tang Lou's emotions, Li Fan naturally understood. It seemed that he didn't know the disease, but it made sense after thinking about it. After all, Tang Lou was still an intern. He had never encountered this kind of disease in so many years of practicing medicine. Pass.

Cheng Sisi on the side also had all kinds of information intertwined in her mind, but she could only sigh in the end. She had never heard of this kind of illness.

"I'll ask Director Shen to come and take a look."

Li Fan shook his head and sighed. This is the time when a doctor is most helpless and blames himself the most.

"I know this kind of disease." Tang Lou said helplessly.

"Really?"

Li Fan and Cheng Sisi all looked at Tang Lou, only to see the latter pointing out on the X-ray image:

"You see, first, most of the patient's residual bone is destroyed from the distal end, and the damaged segment has a rough 'pen-tip'-like change, which is one of the typical characteristics of Gorham syndrome. In addition, the bone is resorbed and destroyed from the inside out, and the cortex is damaged. Integrity, the third point is that the bone destruction is a decrease in density, which is a burr-like change, accompanied by a connective tissue-like change. You can see here that the surrounding soft tissue has shrunk and is inflamed."

"If my diagnosis is correct, the patient's skin can be seen with erythema and feels spongy to the touch. According to the international injury staging, the patient is now in stage I with localized debris and spiculoid lesions."

Tang Lou finished the last piece of evidence.

"You're right, his back does feel like a sponge." Li Fan has fully approved Tang Lou's conclusion.

That's why, at the beginning, Xu Lanlan said that the patient was hit by Huagumian palm, his bones dissolved, and his skin felt like a sponge.

"Do you know how to treat it?"

Li Fan asked, and Cheng Sisi looked at Tang Lou expectantly. After all, she had never heard of this rare disease. On the one hand, she was surprised by Tang Lou's extensive knowledge, and on the other hand, she was extremely curious about this disease.

"do not know."

Tang Lou lowered his head in frustration and gritted his teeth.

Feeling Tang Lou's frustration, Li Fan naturally felt the same as someone who had experienced it, and patted Tang Lou on the shoulder:

"Xiao Tang, this is our profession. You are already great. At least you have found out the disease. We don't know. It doesn't mean that Director Shen doesn't know. Director Shen doesn't know. There is a higher-level hospital."

Li Fan signaled Xu Lanlan to take the Tanglou back to the duty room, while he went to ask Director Shen how to deal with it.

Tang Lou did not speak, and walked back to the duty room in silence. He needs more opportunities and a bigger stage. According to previous knowledge, the top three in this year's emergency training camp have the opportunity to enter the city's first hospital Advanced study.

Tang Lou didn't care about it before, but now he wants to fight for it!
"Doctor Xiao Cheng, thank you for your information, don't worry, I will strive to enter the top three in the training camp."

Cheng Sisi followed behind, feeling the Tanglou's back from despair to renewed vigor.

For some reason, her heart also tugged.

As an intern, I just follow Professor Liu every day, doing some simple records and basic operations, and the cases I recite are just to prepare for the training camp.

But the cases that Tang Lou remembered were actually applied to patients.

Cheng Sisi finally understood why Tanglou had no time to read the information he had prepared. He was participating in the operation and communicating with the patient.
He doesn't need this kind of theoretical arrangement, he directly fumbles among patients.

Cheng Sisi understood a little bit, and appreciated the tenement house even more!

She will also strive for more opportunities for surgery in the future.

After all, every extra hour you accumulate may at some point extend the life of a certain patient.

Cheng Sisi has always aspired to become the best doctor, and at this moment she knew that there was another fellow on this road.

Two days later, the emergency training camp officially began.

It is led by the Municipal First Hospital and co-organized by the Municipal Second Hospital, the Third Hospital and the Military Hospital.

It brings together the top medical forces in Hecheng.

The main site is located in the newly completed building of the No. [-] Hospital in the city.

Shen Jun, as the leader of Yu County, and Tang Lou, as the players, formed the weakest and least favored team.

In the fifth-floor lecture hall of the new building, representatives from the municipal level and the five subordinate county-level cities gathered together.

The first row of the entire lecture hall is occupied by the first hospital of the city, the second row is the second hospital, the military hospital, the third row is the third hospital and Tongshi, Pingshi, Yanshi, and Hushi.
And obviously as the municipality, the representative of Yu County Hospital was arranged in the corner of the last row.

For this, Shen Jun was a little dissatisfied, but there was nothing he could do.

He looked at Tanglou with a wry smile: "Xiao Tang, this is the current situation of our county hospital. Don't take it seriously."

Tang Lou smiled, and didn't care at all, the old god sat at the back, and didn't care if anyone paid attention to him.

Seeing Tang Lou's good attitude, Shen Jun was a little relieved, and sat in the back together. After all, with his status, he didn't have much friendship with the representatives of those colleges to talk to.

After the other teams exchanged greetings and took their seats, the host delegation also entered the venue, led by the vice president of the first hospital. Cheng Jian, the director of surgery, and Lin Fang, director of the emergency department, were also at the forefront of the team.

Behind him is the strongest rookie team in the first hospital this time, and they are also the benchmarks for Hecheng's young generation.

The first person to walk was Yang Ming, who claimed to be the next chief of surgery. He was 1.9 meters tall and had a round cut. He looked very sunny and walked in the front confidently.

And behind Yang Ming was Cheng Sisi, and behind Cheng Sisi was another female doctor with short hair and a good looks of around [-]%. She focused all her attention on Yang Ming.

After the vice president and director took their seats, Yang Ming was undoubtedly the first in line, but he didn't take his seat first, but pushed down the seat in the lecture hall for Cheng Sisi in a gentlemanly manner.

"Junior sister Cheng."

Cheng Sisi ignored Yang Ming, but glanced around the lecture hall, and soon saw the tenement building in the corner.

A smile appeared on his face, and he waved in the direction of Tanglou: "Hey, Tanglou~"

But Tang was still immersed in his own world with his head down.

Frowning, Cheng Sisi looked at the seat on his side, then at the Tanglou, but without looking at Yang Ming, she went straight to the back and headed for the Tanglou.

Yang Ming was a little surprised and looked in the direction of the tenement building. When he saw the team from the county hospital, he lost interest.

After all, his opponents were at least at the level of the military hospital and the second hospital.

A county hospital is not in his eyes yet.

Wu Qian was also surprised that Cheng Sisi sat in the back, but wasn't there the county hospital team?

Taking a closer look, he naturally saw Tang Lou's perfect appearance, he was slightly taken aback, and then turned to chuckle, and then sneered: "It turns out that Cheng Sisi is such a superficial person."

Everyone knows that the quality of county hospitals can be summed up in four words: Not worth mentioning!
(End of this chapter)