Chapter 36: Inexplicably, I think it is a bit reliable

Author: Yu Chenhuan

Chapter 36: Inexplicably, I think it is a bit reliable

Huo Qianchu returned to her seat and sat down. After sorting out the medical records of last week, a message came from her mobile phone. She picked up her mobile phone and it was a message sent by Cen Beichen. [Don't you like it?]

She didn't answer the question, just asked, [Dr. Cen, you haven't come to work for a week, aren't you busy?]

The implication is that he thinks that he is giving flowers is too idle to do.

Cen Beichen frowned, and before he could say anything, Director Liang asked everyone to go to the rounds together, so he had to put away his cell phone first.

On the way to the ward, Huo Qianchu walked with several interns and spoke in a low voice.

Daily rounds are the time when superior doctors ask the most questions, and naturally the time when interns are the most nervous.

After entering the ward, the first patient was a six-month-old baby. There was no abnormality at birth, but later it was found that the head circumference was significantly enlarged, the reaction was stagnant, and the growth and development were slow.

An intern doctor reported his medical record and was diagnosed with the Fourth Ventricular Forest Occlusion Syndrome, a very rare congenital developmental malformation of the nervous system.

Director Liang also asked the interns several questions, such as what is the fourth ventricular foramen occlusion syndrome, what is the clinical manifestation, and what are the characteristics of imaging, which are all relatively routine questions.

Dr. Zhang then added the medical records and said that he planned to perform a shunt surgery.

Director Liang nodded, and before he could speak, Lu Song spoke first, "Doctor Yuan, clinical diagnosis of this kind of deformity is relatively difficult. What diseases do you need to distinguish from?"

Last night, he had already informed Yuan Xingye in advance, and even told him what questions he asked in advance.

So when he heard this question, Yuan Xingye immediately replied, "It is necessary to distinguish it from other congenital cysts and hydrocephalus in the posterior fossa."

Dr. Zhang is the attending doctor of this patient. After he talked about the planned operation, Director Liang would ask about some situations, such as the details of the operation. Lu Song suddenly interrupted, and Director Liang frowned slightly. However, seeing that Yuan Xingye's answer was particularly quick and smooth, he knew that he was a hard-working child. He was naturally happy with such a young doctor in the department, so he said a few more words to Dr. Zhang.

After finalizing the general procedure of the operation, Director Liang planned to walk to the next patient's bed.

But Lu Song spoke again, and this time he directly called Huo Qianchu, "Doctor Huo, do you know what are the treatment indications and contraindications for this surgery?"

Huo Qianchu was a little strange when he was named. Lu Song took Yuan Xingye. He asked him questions as soon as he asked, but she was led by Cen Beichen, and in the past, the questions were usually raised by Director Liang.

Director Liang also knew that she had few opportunities to enter the operating room, so she rarely took the initiative to ask questions about the operation.

She was stunned for a second or two, and Lu Song spoke again. He had a few smiles in his tone and said half-jokingly, "It doesn't matter if you don't know. Go back and read more books. You and Dr. Yuan came in the same group. The education is better than Dr. Yuan. Don't be left behind by Dr. Yuan."

Huo Qianchu frowned and walked forward half a step back, "The indications for the surgery are the fourth ventricle foramen occlusion syndrome accompanied by hydrocephalus and the autism of the fourth ventricle combined with hydrocephalus."

"The contraindications are intracranial infections that have not been controlled; inflammation or ascites in the abdominal cavity; excessive cerebrospinal fluid protein content, more than 500 mg per liter, or fresh bleeding; infections in the skin of the head, neck, chest and abdomen."

Listening to Huo Qianchu answering the question, Lu Song's smile disappeared, even frowned, and then asked again, "What are the treatments?"

"One in five patients does not need treatment, and there is still debate about the treatment methods of hydrocephalus. Generally, there are three methods: simple cyst removal; ventricular shunt, cyst shunt, and lateral ventricle and cyst double shunt; endoscopic treatment." Huo Qianchu looked at Lu Song, and this time there was no pause.

This condition is hard to see, especially for surgical problems. Normally, it should be to ask the attending physician rather than a resident.

She probably understood that Lu Song asked her to go with him, but she didn't, so he deliberately looked for an opportunity to make things difficult for her.

Lu Song's face was a little bad this time, "Let me talk about it, how to perform lateral ventricle and ventricle-cyst combined shunt surgery?"

"Deputy Director Lu, this question should be more appropriate to ask the attending physician, right?" Cen Beichen's brows had been frowning for a while, and he could see that Lu Song was looking for trouble.

If Huo Qianchu couldn't answer, he would have spoken out long ago, but since Huo Qianchu could answer, he wouldn't mind letting Huo Qianchu destroy Lu Song's majesty.

Seeing that Huo Qianchu had answered, he thought Lu Song would stop at the right time, but he didn't know that he was getting worse?

"Yes." Dr. Zhang also took over, "This operation is preoperative basic anesthesia or general anesthesia..."

"Pre-operative basic anesthesia or general anesthesia, take a supine position, turn the head to the left, prepare the skin of the head, neck, and chest; head incision, 4 to 5 cm above the right auricle, backward to the outer occipital apex, down to the level of the neck 1; drill holes on the posterior fossa..." Huo Qianchu interrupted Dr. Zhang and repeated the entire surgical process.

After saying that, she smiled and looked at Lu Song, "When I was abroad, I happened to have participated in a joint lateral ventricle-ventricular cyst shunt surgery. This patient was treated with Dr. Zhang last week, so when I got home, I looked through the surgical records at that time. I didn't expect it to be used today."

After saying that, she turned to look at the parents of the child who was nervous and comforted her, "You don't have to worry too much. This operation sounds complicated, but it is actually easy to do. The operation I did abroad was five months old, one month younger than your child. The operation was very successful and the postoperative effect was also very good."

Although parents don’t understand some professional terms, they can understand some words. For example, Huo Qianchu’s education should be very good. She has been abroad and has undergone such an operation. Although she looks young, she inexplicably feels it is a bit reliable.

The child's mother nodded quickly, "Please trouble the doctor. I don't worry if you are here, I don't worry."

Dr. Liang looked at Huo Qianchu and nodded with satisfaction, then said, "Doctor Huo, then you can do this operation with Dr. Zhang."

"Okay." Huo Qianchu immediately responded.

Director Liang looked at Lu Song again, and in front of others, he couldn't criticize him directly. He knew that Huo Qianchu didn't take Lu Song, so he felt a little resentful, and he also held his breath to prove that Yuan Xingye was better than Huo Qianchu, but it was not good to have this mentality. He had to have a good chat with Lu Song when he turned around.

Unable to stump Huo Qianchu, he also won her the opportunity for an operation. Lu Song felt extremely unhappy, but he could see Director Liang's expression just now and knew that today would only end here.

After coming out of the ward, Cen Beichen slowed down and walked to Lu Song. While walking, he asked as if nothing had happened, "Deputy Director Lu, what did the Vice President promise you?"
Chapter completed!