readbooksol Chapter 339 Diagnosis of an unprecedented male PSAS patient!
Chapter 339 Diagnosis of an unprecedented male PSAS patient!
Chapter 339 Diagnosis-An unprecedented male PSAS patient!
Back in the office, Zhao Heng saw that the desk was already full of takeaway boxes.
"Who ordered this?"
Zhao Heng said to Tian Zhen with some doubts.
Originally, when he came out of the operation, he wanted to order takeaway.
Although Zhao Heng's physical fitness has improved now, his appetite is also constantly increasing. Now he can eat as much as two of himself by himself.
A good body naturally needs more energy to support it.
However, looking at the dazzling array of takeaways, Zhao Heng felt a little muggle, because there were all kinds of takeaways in them, and they were not for two or three people at all.
"I don't know. The takeaway boy came in with a few big boxes, and he said that someone ordered them to be delivered here."
Tian Zhen said.
She originally wanted to order takeaway, but because there was an emergency room, she planned to order after seeing the emergency room, but she didn't expect that when she wanted to order, the takeaway brother in yellow jacket came in with a big cardboard box.
"There are still such kind-hearted people now? These don't look cheap."
Li Yang looked at the takeaway on the table and said.
As a senior attending doctor, he is an expert in ordering takeaways. These takeaways look like the kind of takeaways made by Michelin restaurants. You can tell from the box that they are very delicate.
"Doctor Zhao?"
Tian Zhen looked at Zhao Heng, his eyes were asking for his opinion.
"Eat it, it looks like such an expensive takeaway, it must not be poisonous."
Zhao Heng said without thinking, anyway, it can't be that someone poisoned the takeaway, and as for who ordered it, Zhao Heng is more or less aware of this.
It is no exaggeration to say that there are not a few people who want to please Zhao Heng in various ways.
Among these people, the most blatant and hard-working ones are probably the sales staff of those medical device companies.
Because of his relationship with Gu Jia's old classmate, Zhao Heng basically handed over all the medical device orders that Zhao Heng could handle to Gu Jia.
Therefore, for such a large order, it was so easy for Gu Jia to get it. Many colleagues in medical device companies were envious and jealous.
Of course, in the eyes of many female medical equipment salesmen, Gu Jia probably climbed into Zhao Heng's bed a long time ago.
"Don't spend any money in the future."
Zhao Heng picked up his phone and sent a WeChat message to Gu Jia.
Except for Gu Jia, Zhao Heng couldn't think of anyone who would order food to him in such an exaggerated way.
Of course, Zhao Heng does not accept other forms of thanks, and Gu Jianeng can only do these very limited ways.
"Small things, don't worry too much."
On the other side, Gu Jia, who was sitting on the chair in the sales manager's office of Sino Company, replied to Zhao Heng's WeChat with a smile on his face.
Putting down the phone, Tian Zhen suddenly said to Zhao Heng: "Doctor Zhao, is this takeaway ordered by that female sales manager from Sano?"
As soon as Tian Zhen said this, Liu Meng and Li Yang looked at Zhao Heng with unison, gossiping.
"Ahem, eat quickly, there are still many things to do later."
Zhao Heng said.
It was nothing, it was just a takeaway, but when Tian Zhen asked, it seemed like something was wrong.
Next, several people quickly finished eating and cleaned up their desks.
Zhao Heng and Li Yang went directly to the Imaging Department to see the results of the young man's examination in the morning.
In the office, Liu Meng and Tian Zhen chatted.
"Sister Zhenzhen, who do you think is the sales manager?"
Liu Meng asked Tian Zhen curiously.
"It's the female manager of Sino Company, who is also Sino's youngest sales manager so far. I heard that she is Dr. Zhao's college classmate."
Tian Zhen said like a few treasures.
"This.."
When Liu Meng heard it, Tian Zhen's words contained a lot of information, a college classmate, the youngest female sales manager, and this. . .
"I think Dr. Zhao is also very nice to Sister Manny, so it should be nothing."
After a pause, Liu Meng said again.
"Doctor Zhao must have no idea, he can't stand others and wants to get angry."
Tian Zhen sighed and said, every time this Gu Jia came, Tian Zhen understood everything when he saw the way she looked at Zhao Heng.
In these days and months, it is quite normal for something to happen at the same time as business dealings, especially before doctors and beautiful women selling medical equipment.
"Dr. Zhao is so busy, how can he have time? Besides, he is just a classmate. I don't think she is as beautiful and temperamental as Sister Manny."
Liu Meng said.
To be honest, among the medical staff in the hospital, as long as they are girls, they all admire Xu Manni.
Of course, now that I have found a boyfriend like Zhao Heng, I am even more envious.
"Okay, you're right."
Tian Zhen didn't know what was going on, he said with some lack of interest, and didn't know what he thought of.
On the other side, Zhao Heng and Li Yang came to the neurophysiological testing room.
At this moment, the young man was already lying on the examination bed, covered with nerve electrodes.
On the electronic screen at the side, the neurophysiological activity of the instant test feedback is displayed in real time.
"Dr. Zhao, are you sure you want to test the electrophysiological feedback of the patient's sacral ganglia?"
Hu Tu, a doctor in the neuro-electrophysiology room, asked Zhao Heng with some doubts.
As a doctor in the neuroelectrophysiology room, Hutu is very clear about the areas and feedbacks controlled by various nerves in the human body.
The sacral ganglion, to put it bluntly, is the nerve center that controls the human body X, and under normal circumstances, there will be no neurophysiological activity.
Only in the short few seconds when the human body performs X activity and reaches the peak, will there be a neurophysiological peak.
The fluctuating neurophysiological center will only appear when X is active. Hutu does not think that patients in a resting state can have any results and fluctuations in the test.
If there is a result, it means that the young guy in front of him must not be in X high level all the time, and Hu Tu has never heard of such a thing.
"Yes, specific immediate neurofeedback related to X activity in the lower abdomen, to be tested."
Zhao Heng nodded and said.
"alright."
Hu Tu nodded. Since Zhao Heng asked, he had no choice but to do so, although he thought that this kind of test would not produce results.
You know, many people in the hospital are now saying that in the entire Eastern Hospital, except for the dean and director Gao, it is Zhao Heng who has the final say.
Although this kind of statement is biased, the directors of other departments are simply not taken seriously.
But everyone can spread it like this, which also shows that Zhao Heng does have a lot of power to speak now.
Of course, this is what Zhao Heng earned by proving himself time and time again. Whether other people are envious or jealous, they can only watch it.
Therefore, Hu Tu dared not neglect Zhao Heng's request.
After a while, Hutu adjusted the test feedback on the sacral ganglia.
Press the button and the test begins.
Almost at the same time, the display screen was a straight line just now, and the moment Hutu pressed the button, a fluctuating curve with ups and downs appeared immediately.
This kind of curve fluctuates strongly and peaks are so high that Hu Tu has never seen it in neurophysiological tests for so many years.
If he hadn't seen the young guy lying motionless on the examination bed, he would have thought that the young guy was rewarding himself, no, rewarding himself couldn't reach this peak at all, it was simply engaging in very intense X activities, even sucking D The peak of neurophysiological activity will appear only when it is under the condition!
This. . .
Hu Tu stared blankly at the activity curve on the screen, which looked like a group of demons dancing wildly. At this moment, he couldn't find the words to describe his mood.
Is there really such a person who is always in the state of X high and high? !
Hu Tu was amazed in his heart. He looked at the young guy lying on the examination bed, as if he had discovered a new world.
Li Yang, who was standing aside, was no better than Hu Tu at the moment.
Only Zhao Heng, with a calm face, seemed to have foreseen such an astonishing situation on the screen in front of him!
"Doctor Zhao, is this PSAS? Persistent Arousal Syndrome? Doesn't it mean that this disease only occurs in women?"
Hu Tu thought for a while before he realized that the astonishing situation in front of him was PSAS, but this disease usually only occurs in women, so Hu Tu hadn't thought of this aspect at all before.
"The high incidence of PSAS in women is due to the particularity of women's pelvic cavity structure, but it is also possible for men to develop it. After all, PSAS is still a nerve-related disease."
Zhao Heng explained.
In terms of clinical diagnostic thinking, it is necessary to make bold assumptions and carefully verify them.
In the work of doctors, technology is important, but more important is clinical thinking.
Clinical thinking refers to using the knowledge of medical science, natural science, humanities and social science and behavioral science, taking the patient as the center, conducting medical history collection, physical examination and necessary laboratory examination through sufficient communication and communication, and obtaining first-hand data, combined with the best other available evidence and information.
Combined with the patient's family and cultural background, critical analysis, synthesis, analogy, judgment and differential diagnosis are made based on the patient's symptoms and other information to form a personalized plan for diagnosis, treatment, rehabilitation and prevention, and implement and modify it Thought process and thought activity.
It sounds so complicated, but in reality, it may be just a few words.
Possible, impossible, proof.
Getting the results might be easy, but the process is tough.
Sometimes, it is easy to get stuck on a node because of blind spots in thinking and lack of information. This is a situation that doctors do not want to encounter.
"That's right, clinically, everything that is possible must be considered, and you can't preconceive something and think that something is impossible."
Hearing this, as an experienced emergency doctor before, Li Yang couldn't help but nodded in agreement.
What Zhao Heng admired Li Yang was not only his super-high technology, but also his delicate, quick and subtle clinical thinking.
Skills can still be developed, but this kind of thinking is really a matter of personal talent.
Some people are not lacking in high technical talents, but this way of thinking seems to be blocked in a certain part of the brain. Such people may be able to do technical work, but when faced with work that requires a lot of judgment and choice, then Very unsatisfactory.
This is the case of many PhDs in clinical medicine. They have done well in their studies, wrote excellent thesis, and are good at the operation alone, but they suffer from setbacks everywhere in the actual clinical work, and they are so bad that they can't even become doctors.
Some people may say that this is high-sightedness, but clinical work requires many choices and judgments. Each of these choices and judgments may be related to life, so not everyone can have such a talent.
"Doctor Hu, can we do a complete cycle test here?"
Zhao Heng thought for a while and asked Hu Tu.
"OK."
Hu Tu immediately nodded and said, he is now completely convinced by Zhao Heng. Before the other people in the hospital were telling how high Zhao Heng's level was, he still didn't take it seriously. It's too high, but looking at it now, it definitely has real skills.
Coming out of the neurophysiological examination room, Zhao Heng had a serious expression on his face.
The diagnosis can be confirmed, but the treatment simply does not know how to proceed.
Even the previous treatment of brain-eating amoeba infection, at least there are traces to follow, because it is known that a deadly parasite is indeed parasitic in the human body, and the cause of the disease is very clear.
To cure the patient, one must find a way to deal with this brain-eating amoeba. Although the treatment process is very difficult, the thinking is very clear.
Now, for patients with this persistent excitement syndrome, for a disease that originally only occurred in women, it now occurs in men. This is too rare, and there may be no such examples in the world.
There are no cases, no treatment experience, all treatments have to be explored from the beginning, and the difficulties involved can be imagined.
"Doctor Zhao, where should we start the next treatment?"
Li Yang also asked Zhao Heng with a solemn expression.
"First ask Sano for some water-based molecular anesthesia gel, let's talk about it after the symptoms are under control."
Zhao Heng thought for a while and said.
Although this anesthesia gel is a relatively common material now, this water-based molecular anesthesia gel is currently not produced by any biomedical industry in China, so it can only be imported.
This water-based molecular anesthesia gel was originally developed for use in space first aid, but because the effect is so good, it was used as a civilian product developed in space.
"The price of this water-based molecular anesthesia gel is not low, and it has not yet been included in the medical insurance list."
Li Yang couldn't help saying.
"Let's use it first, and see if Sino can include this patient as a rare experimental patient, and the cost can be reduced a lot."
Zhao Heng said.
Any pharmaceutical company actually has such a quota, which can reduce or even waive the fee. Of course, this is only for some brand-new imported drugs. At the beginning, of course, the effect will not be known until you use it.
Only when there are actual treatment cases and obvious effects can it be used as publicity to open up the market, which is basically what any medical device company does.
(End of this chapter)