Chapter 1534: Are you accepting cheers or staying for surgery?


"Is this right? You are too cautious when you are there." Su Yun glanced at the patient and glanced at Zheng Ren, saying with a slight contempt.
In his view, the Xinsi Ming test is definitely positive, and you don’t have to think about it.
"It is not an exaggeration to treat a disease. Anyway, be cautious and behave like a thin ice." Zheng Ren said very seriously.
Su Yun snorted and looked disapproving.
The results of the Xinsi Ming test are there, so be cautious and nonsense!
"Oh, time is up." Zheng Ren glanced at the time and said: "I have to go to the lecture in the afternoon, Director Wei, are you going to help me in the town?"
"Sure, say good things." Director Wei said, "Jianguo is at home, and the grass goes with me. Jianguo, patients have any news, report immediately."
"Good, director." Feng Jianguo immediately agreed.
"It may be myasthenia gravis with thymoma. This is an absolute surgical indication." Su Yun suddenly hesitated.
"Yeah, what happened then?" Zheng Ren looked at Su Yun with a strange look.
This simple to the extreme thing, still use him to say?
"I haven't done thymoma for a long time." Su Yun hesitated and struggled, like two small people in the heart fighting.
He was going to give lectures to the students, and there was no light from the shadows. The joy of the audience and the joy of doing thymoma surgery were struggling.
After a few seconds, Su Yun’s face showed a resolute look.
Boss, you go to the lecture. I will stay and see the patient and do surgery.

"Oh, surgery is no problem?" Zheng Ren habitually asked.
"It's definitely no problem. You messed up in the afternoon, and my surgery will be successful!" Su Yun was only questioned, just like a cat who had stepped on his tail, jumped directly.
Thymoma surgery, in provincial hospitals, is a moderately difficult operation. But in places, such as Haicheng, there is very little.
Because it is a rare disease in terms of incidence. In the case of Haicheng, it is not always possible to encounter a patient with thymoma in a year.
This kind of patient is going to the provincial capital or the emperor, otherwise it is impossible to perform surgery even if the diagnosis is correct.
Cut the thymus, can treat myasthenia gravis. There are not many people who need surgery, which is one of the preservation procedures of the high-grade large-scale top three hospitals.
Su Yun will definitely do it, and it is estimated that it is not bad. I just didn't say it, the surgery ended in 30 minutes.
Zheng Ren smiled at Su Yun and did not argue with him.
Longitudinal thymectomy? Also take a look at the director who does not need a chest before surgery?
No matter what, as long as you do the thymus CT, everything will come out.
As for surgery, the local hospital is at the restricted area level, but at 912, under Su Yun, it should be just a "small" operation.
Zheng Ren said with a smile: "Director Wei, let's go?"
"Good." Director Wei smiled: "Zheng boss, what surgery do you do, just stepped down?"
"Two cases of live surgery, one is the hepatic tumor after embolization, and the other is the splenectomy of Gaucher's disease." Zheng Ren said as he walked.
"When I got down, I saw the grass pushing the patient in. I looked very anxious and went to have a look."
"Fortunately, you have a look at it." Director Wei said: "This disease is very rare, there is no clear incentive, it is really difficult to consider myasthenia gravis. Zheng boss, how did you find out?"
"I have met in Haicheng." Zheng Ren said with a blank expression.
Director Wei stunned.
Haicheng...
It seems to be a small city with four lines and five lines.
I used to seem to have asked a case of a rare disease of Zheng Boss. He also said that he had seen it in Haicheng.
How do you get so eccentric about a small city with four or five lines?
However, Director Wei later said that he gave himself an explanation.
It’s not that the face is so weird, it’s Zheng’s high level of treatment. Many patients have been misdiagnosed from scratch because of a diagnosis error.
An example is a patient whose first symptom is intestinal obstruction.
In 912, I was almost misdiagnosed, let alone the small hospital below. After the operation, the patient's condition was extremely poor, and the ventilator could not be taken offline. This way, the ventilator was used to assist the breathing. Until the dead patient and the doctor did not know that it was myasthenia gravis.
Or after the hospital consultation, everyone tried to make a diagnostic treatment, and finally realized that it is a special thymoma! Is myasthenia gravis!
A similar situation is common.
Maybe when the people suddenly realize, the patient has not saved.
Is there a problem with the doctor level?
Zheng Ren does not think so.
I have a big pig's hoof. I just saw it at a glance, knowing that the big pig's hoof is diagnosed with myasthenia gravis, and of course, it is completely suffocating to stop the operation.
Can other doctors? Come to a patient and do all the relevant checks? That is really nonsense. Missed the timing of surgery, who is responsible?
Director Wei smiled and said: "The children who go to school today are blessed."
"Yeah." Quan Xiaocao whispered on one side: "The two undergraduates who heard the internship said that the school has already boiled. Yun Geer lectures, this is a big deal.
Knowing the letter, the girls are going to the lecture room 24 hours in advance.

"Then they will be disappointed." Director Wei hit a haha ​​~ EbookFREE.me ~ but then he realized that this joke seems to be wrong.
This is not a joke, but a mockery, saying that Zheng boss is not as good as Dr. Su.
However, Zheng Ren did not seem to realize what Director Wei said, and he was somewhat distracted.
"Zheng boss, what do you want?" Director Wei asked strangely.
"Excision of the thymus is effective for some patients with myasthenia gravis. I am thinking about how the patient recovers after surgery." Zheng Rendao.
Director Wei sighed.
I don’t seem to have such a heart as Zheng’s boss. It’s no wonder that people are at a high level. At the same time of high talent, spend all your time on business.
If the level is not high, then it is called a ghost.
What I just said is the diagnosis and treatment of the disease, but even if the surgery is done, the thymus is cut off, and only some patients will be relieved.
If there are still symptoms, it is just that the muscles of the new home are injected.
Like diabetes, long-term injection of drug maintenance does not seem to be a big deal.
But some patients will not improve at all.
The symptoms of myasthenia are getting heavier and heavier until the end.
"The mechanism of the disease is not clear." Zheng Ren said with some regrets: "I know that there are research groups in Mayo and Concord to study the pathogenesis of myasthenia gravis. From the news of a few months ago, this There is still no breakthrough in research."
"Wait, yes, no way." Director Wei said.
"It is said that it affects skeletal muscle, but the patient who is encountered today, the first symptom is in the smooth muscle of the intestine. Although it is rare, it can be..." Zheng Ren said halfway, he stopped.
At present, the medical level is not clear enough to diagnose and treat diseases.
Myasthenia gravis is just one of the diseases.
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