Chapter 2178 Lumbar vertebra compression fracture
Zheng Ren only heaved a sigh of relief after gade woods ‘team left yesterday. Zheng Ren was not used to giving lectures.
Today, he was relaxed. Director Kong and Lin Ge said that they wanted to have a meal together, which could be considered a celebration party.
It was said that director Yan had already agreed to Lin GE’s transfer and reported it to the Department. It would be done in the next half a month.
Although no one could say for sure what kind of accident would happen until the last moment, it would be strange if director Yan’s words did not count for the change of the hospital’s cadre.
After getting rid of the yellow-teeth, Zheng Ren, Department Director Kong, and the medical team went downstairs.
“Boss Zheng, what was that medical complaint about?” Department Director Kong asked as he walked. “Upper subotomy syndrome. This disease is easily missed. It’s a rare disease and was first discovered in 1998.”
“It’s a rare disease. You can tell at a glance?” Su Yun blew out a breath of air, and the black hair in front of her forehead fluttered.
“It’s just a suspicion. The patient’s symptoms are similar. I suggest a thin layer CT scan of the temporal bone. We can talk about it after it is done. ” Zheng Ren said with a smile.
“What’s upper Sutras?” Department Director Kong’s interest was piqued when he heard about the thin layer CT scan of the temporal bone.
This kind of examination rarely appeared in clinical practice.
“Under normal circumstances, the bone structure around the inner ear will have two holes. However, the bone Ridge at the top of the ear of a patient with upper-half radiance-sundered syndrome would become thinner or missing, resulting in the appearance of a third hole. Generally speaking, it’s when you’re on an airplane, and there’s a change in air pressure …”
“Boss, your butt is too crooked. We’re all on the same side. Can’t you tell us the truth?” Su Yun said in disdain.
“Hey,” Zheng Ren did not retort, but smiled instead.
Department Director Kong recalled the position of the temporal bone and smiled.
Boss Zheng said that the bone at the top of the ear would become thinner or missing. This kind of official term was to cover up a fact that the bone was injured.
According to the medical complaint, he had met a “busybody” person after a scam. As for what happened after that, everyone was clear in their hearts.
“According to the survey conducted by the organization of rare diseases in the United States, about 1% of people have a third hole in their inner ear. It’s this hole that caused the hearing imbalance. ” Zheng Ren ignored Su Yun’s words and continued,”actually, it’s not considered a rare illness. It’s just that it’s more difficult to discover. It was only confirmed in the recent 20 to 30 years.”
“You only found out in 1998. That’s really late.” Department Director Kong said with a smile.
“Yes. In 1998, doctor Minor reported on a set of clinical cases where strong sound stimulation, middle ear pressure, or intracranial pressure caused dizziness, vibration in the ear, and balance disorder.”
“The CT scan of the thin layer of the temporal bone shows that the direction of the tremor induced by the bone defect at the top of the upper semicircular canal is consistent with the plane of the upper semicircular canal …”
“Boss, why don’t you let us do an electroshock therapy?”
“I’m too lazy to write. ” Zheng Ren said irresponsibly for the first time.
Su Yun shrugged.”If this yellow-teeth guy continues like this, he’ll die without a proper burial place sooner or later.”
“More or less.” Zheng Ren said,”however, it’s really uncomfortable to have this illness. Ordinary people can’t bear to hear the sound secreted by their glands. “
“Don’t bother with him. ” Su Yun said,”if I were you, I would take him in and investigate him for four to five days.”
“I don’t dare to accept them.” Zheng Ren said frankly,”what if I really can’t take it and have an emotional breakdown to take revenge on society? The ward is full of patients, and it’s not appropriate to hurt anyone. “
“Hey, you think he’ll do it just because you gave him a note suggesting a checkup?”
“Does it matter to me whether I do it or not?” Zheng Ren smiled honestly.
There was a metaphor that everyone was lining up on a road of no return.
While the doctors were waiting in line, they kept pulling people out of the line and pushing them to the back so that they were slightly further away from the finish line.
If highly skilled doctors could make this gap a little longer, it would also be useful for ordinary doctors. And some quacks, or even godly doctors, would do the opposite.
He had already said it, but as for whether the yellow-toothed man believed him or not and when he would do the examination, Zheng Ren could not care, and he did not want to care.
While they talked and laughed, the medical group happily went to eat.
……
……
At this time, in the operating room of Xuanji Guta hospital, the largest Orthopedic Hospital in the imperial capital, professor Tian, who had once been a freelance surgeon in Haicheng, was performing the last surgery of the day.
There were so many surgeries here that the patients could not fit in every day, and patients from all over the country swarmed in. Professor Tian, on the other hand, focused on spine surgery, and his level could be ranked in the top ten in the country.
This was professor Tian’s last case after a day of surgery. The patient’s condition was not very serious, so the surgery was scheduled in the afternoon.
The patient was a 55-year-old female patient. One week ago, she felt pain in her waist after carrying heavy objects, but she did not notice it at that time. He thought it was a sprain or something and would be fine after two days of rest.
After resting for a few days, the pain became more and more severe, and the painkillers did not have any particularly good effect. It hurt every time he moved, and it was even quite painful when he was lying down.
After a local examination, the L2’s spinal tenderness and tapping pain were positive, its forward and backward bending movement was limited, and its standing and walking were limited.
The lumbar X-ray showed no abnormalities, the lumbar MRI showed that the upper edge of the L2 vertebral body was slightly sunken, the bone continuity was broken, and the fat suppression sequence was high signal. He was diagnosed with L2 vertebral body’s bone sparse compression fracture and severe osteoporosis.
The local doctor suggested that they perform perceptual spine arthroscopic meniscoplasty, which was also commonly known as applying bone cement to the bone in order to prop up the fractured and osteoporosis parts.
As soon as they heard that they were going to have surgery, the family members did not dare to delay and immediately brought the patient to the capital.
After all, it was spine surgery, and if it was not done well, lower limbs would be paralyzed. This was the simplest understanding of spine surgery for ordinary people.
The compression fracture of the lumbar spine was only a small problem, but when it was linked to lower limb paralysis, it became a major illness.
It was very convenient whether it was by air, high-speed rail, or Expressway now, but it was a little troublesome to register after coming to the capital.
Professor Tian took the patient in. With a clear diagnosis and no pre-operation taboos, he immediately arranged for the surgery.
This type of surgery was not a big deal, and professor Tian had performed hundreds of such cases. Compared to hip replacement surgery and vertebral resection in the orthopedics department, intradermal vertebral body receive surgery was indeed a minor surgery.
Although it was a small surgery, professor Tian had read the patient’s lumbar MRI scan again before the surgery, so he already knew the entire surgery process.
This was a habit, and only when the surgeon was careful could he avoid complications as much as possible.
“Teacher Tian, you should wash your hands.” Professor Tian’s assistant reminded him after he positioned the patient.
The surgery required local anesthesia, and the patient was in the prone position, hip, and knee position.
It was a little uncomfortable to be in this position, but the operation would not last long, so it was fine.
“The surgery won’t hurt. Relax.” Professor Tian comforted the patient. Then, he put on his lead coat, washed his hands, and went up the stage.
“I can get off work after the surgery in half an hour,” professor Tian thought to himself.