"That's right. You're too cautious sometimes." Su Yun glanced at the patient, then at Zheng Ren, and said with slight disdain.
In his opinion, the Neostigmine test was definitely positive. There was no need to think about it.
"It's never too cautious to treat a patient. No matter what, you have to be careful and cautious, as if you're walking on thin ice, "Zheng Ren said very seriously.
Su Yun pursed his lips with a disapproving expression.
The results of the Neostigmine test were there, yet he still had to be so cautious. Nonsense!
"Uh, time's up." Zheng Ren glanced at the time and said, "I have to give a lecture in the afternoon. Chief Wei, can you help me hold the fort?"
"Of course, we agreed on it," Chief Wei said. "Jianguo will stay at home and Xiaocao will come with me. Jianguo, report any news of the patient immediately. "
"Okay, Chief." Feng Jianguo immediately agreed.
"But if it's myasthenia gravis with a thymoma, this is definitely a surgical indication," Su Yun suddenly said hesitantly.
"Yes, what's wrong with that?" Zheng Ren looked at Su Yun strangely.
Was there a need for him to say such a simple thing?
"It's been a long time since I've done a thymoma." Su Yun's expression was hesitant and conflicted, as if there were two small people fighting in his heart.
He was going to give a lecture to the students. The shadowless light shone down, and the entire audience was crying out in surprise, struggling between the joy of performing a thymoma surgery.
A few seconds later, a determined expression appeared on Su Yun's face. He said, "Boss, you go and give the lecture. I'll stay to see the patient and perform the surgery."
"Okay, will the surgery be okay?" Zheng Ren asked out of habit.
"Of course there will be no problem. Even if you mess up the lecture in the afternoon, my surgery will definitely be successful!" Su Yun was only questioned for a moment before he jumped up like a cat whose tail had been stepped on.
Thymoma surgery was considered a moderately difficult surgery in the various provincial hospitals. However, in places, such as Sea City, it was rarely carried out.
Because in terms of incidence, this was a rare disease. In a place like Sea City, there might not even be a single patient with thymoma in a year.
This kind of patient would only go to the provincial capital or the imperial capital. Otherwise, even if the diagnosis was correct, the local surgery could not be performed.
Cutting the thymus could treat myasthenia gravis. There were not many people who needed surgery. This was one of the reserved surgical methods of high-ranking large Grade A Hospitals.
Su Yun would definitely do it, and he would probably do it well. Didn't he just say that the surgery would end in thirty minutes?
Zheng Ren looked at Su Yun with a smile and did not argue with him.
A mediastinoscope thymectomy? Was there a need for the director of the Thoracic Department to take a look before the surgery?
Whatever, as long as he did a CT scan of the thymus, everything would come to light.
As for the surgery, it was a forbidden area in local hospitals. However, in the 912, under Su Yun's hands, it should only be a "small" surgery.
Zheng Ren smiled and said, "Director Wei, shall we go?"
"Okay." Department Chief Wei smiled and said, "Boss Zheng, what surgery are you doing? Did you just get off the stage?"
"Two live surgeries. One is hepatectomy after interventional embolization and the other is splenectomy for Gaucher disease," Zheng Ren said as he walked.
"As soon as I came down, I saw Xiaocao pushing the patient in. I thought it was urgent, so I went to take a look."
"Fortunately, you're here to keep an eye on things." Director Wei said, "This disease is very rare, and there is no clear cause. It is really difficult to think of myasthenia gravis. Boss Zheng, how did you find out? "
"I met him in Sea City," Zheng Ren said expressionlessly.
Department Head Wei was stunned.
Sea City …
It seemed to be a small fourth-tier or fifth-tier city.
He seemed to have asked Boss Zheng about the case of a rare disease in the past. He also said that he had seen it in Sea City.
Why were the illnesses in small fourth-tier and fifth-tier cities so strange?
However, Department Head Wei then justified himself and gave himself an explanation.
It was not that the illness was strange, but that Boss Zheng's diagnosis and treatment skills were high. Many patients were misdiagnosed from the beginning because of the wrong diagnosis.
For example, the patient whose first symptom was intestinal obstruction was an example.
He was almost misdiagnosed in the 912, let alone in the small hospitals below. After the surgery, the patient's condition was extremely poor. The ventilator could not be taken off. He had been using the ventilator to assist in breathing. Until he died, the patient and the doctor did not know that it was myasthenia gravis.
Or after the consultation of the whole hospital, everyone tried to carry out diagnostic treatment. In the end, they suddenly realized that there was actually a f * cking thymoma! It was myasthenia gravis!
There were many similar situations.
Perhaps by the time everyone suddenly realized it, the patient would already be too late to save.
Was there a problem with the doctor's skills?
Zheng Ren did not think so.
He had the System. He knew at a glance that the System was diagnosed with myasthenia gravis. Of course, he was full of confidence to stop the surgery.
But what about the other doctors? A patient came and did countless relevant tests? That would be bullsh * t. Who would be responsible if the surgery was missed?
Department Head Wei smiled and said, "The children who went to school today are lucky."
"Yes." Quan Xiaocao whispered, "I heard from the two undergraduate students who came for their internship that the school is already in an uproar. Brother Yun's lecture is a big deal.
When they heard the news, the girls went to the lecture hall 24 hours in advance to occupy a seat. "
"Then they'll be disappointed." Department Head Wei laughed.
However, he immediately realized that this joke seemed to be wrong.
This was not a joke, but a mockery, saying that Boss Zheng was not as good as Doctor Su.
However, Zheng Ren did not seem to realize what Department Head Wei said. He was a little distracted.
"Boss Zheng, what are you thinking about?" Department Head Wei asked curiously.
"Removing the thymus is effective for some patients with myasthenia gravis. I'm thinking about how the patient recovered after the surgery, "Zheng Ren said.
Department Head Wei sighed.
He did not seem to be as attentive as Boss Zheng. No wonder his standards were high. While he was talented, he spent all his time on business.
It would be strange if his standards were not high.
What he had just talked about was the diagnosis and treatment of the disease. Even if the thymus was removed, only some patients' symptoms would be relieved.
If there were still symptoms, they could go home and inject neostigmine.
Like diabetes, long-term injections of drugs to maintain it did not seem to be a big deal.
However, some patients would not get any improvement at all.
The symptoms of myasthenia gravis would worsen until they died.
"The mechanism of the disease is still unclear," Zheng Ren said with some regret. "I know there are research groups in Mayo and Concorde studying the pathogenesis of myasthenia gravis. From the news a few months ago, there was still no breakthrough in this research."
"Just wait. There's no other way," Department Head Wei said.
"They say it affects skeletal muscles, but the first symptom of the patient I met today is in the intestinal smooth muscle. Although it's rare, but … "Zheng Ren paused halfway through his sentence.
There were too many diseases that could not be clearly diagnosed and treated with the current medical level.
Myasthenia gravis was just one of them.
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