(Thanks to Lone Wolf of the Desert, the Crazy Chieftain, and the promising Growth Monthly Ticket encouragent)
"Old Wu, if my patient really has spinal cord tethering syndro, can you handle it?" Liu Banxia asked.
Wu Mingyu glanced at him helplessly, "If I had that kind of capability, I wouldn’t be . Once the test results are out, you make the first judgnt. If it’s confird, both Teacher Wang and Director Xu can handle it, just depends on who’s less busy."
Liu Banxia nodded, "I just feel the indications are quite obvious, but we have to see the results."
"What else can you expect? Mistakes can’t be afforded in this kind of surgery, the difficulty factor is too high." Wu Mingyu said.
"But from the X-ray, the bones are quite clean. This should lower the difficulty factor a bit. We’ve encountered much more severe cases before coming to the ergency center, our orthopedics departnt just had one."
"Do many congenital patients show so symptoms in their spine?" Liu Banxia asked.
"That’s true, and it gets troubleso if a repair is needed. If your patient only has adhesion, it becos much simpler." Wu Mingyu said.
"But it’s really uncertain, we still have to see the results. There aren’t many patients today, so the results will co out quickly. You’ve already noticed it, surely you can explain it clearly, I’ll take it easy and leave it to you."
Having said this, Wu Mingyu walked back leisurely.
Everyone’s ti is precious, and in this area, Liu Banxia is definitely up to the task. It’s not like he’s doing the surgery directly; the situation still needs the teachers’ evaluation.
Despite the weather getting a bit chilly at night, it doesn’t stop people from enjoying their drinks and skewers. Drinking happily can land you in the hospital.
With the long-term training from handling drunk patients, the other interns are able to manage it. This is a form of growth, and all are valuable experiences accumulated.
"Director Liu, when are we starting the new rules? Our internal dicine doctors can have a proper rest." Wang Huan edged up to Liu Banxia.
"Brother Wang, I really can’t say for sure. Anyway, I’ve submitted the application, just waiting for approval. It needs to be reported to the hospital too, and I guess it’s just following the process." Liu Banxia said.
"As long as our ergency center can organize the work well, it’s fine, as long as there’s no delay. Cardiology, neurology, and you, three internal dicine departnts doing night shifts, I think it’s unnecessary."
"Now our ergency reception capacity has improved, and those coming at night are mostly ergency patients, so internal dicine doesn’t have much opportunity to get involved, right?"
Wang Huan nodded, "Usually, it’s just pediatrics that’s busier, so kids have fevers at night, and parents dare not delay."
"Most of the remaining patients are surgical cases, while internal dicine issues will usually be brought during the day. However, urology’s business has been quite good lately, there have been many lithotripsy patients coming in."
"Kidney stones, this illness can indeed be troubling at tis, the pain can be unbearable." Liu Banxia said with emotion.
"And you never know when it will flare up, exhausted like a dog might be nothing, relax a bit, and it cos knocking."
"It’s quite good, at least our ergency center can perform lithotripsy now, patients don’t need to be referred elsewhere. If the blood pressure isn’t high, it’s done here directly."
"Ah..., in over three months it’ll be New Year again, another year. What are your plans this year?" Wang Huan asked curiously.
"Sa as last year, it seed like everyone was quite happy." Liu Banxia said.
"Initially, I hoped, perhaps this Spring Festival I wouldn’t need to be on duty and could have a peaceful year at ho. But now it’s off the table, I still have to keep working."
"I’m actually already a bit worried for my child, with their little birthday approaching. Obviously, the day is getting closer, whether it’s a boy or girl, I don’t even know yet, Qiaoqiao insists on not looking."
"Be content, have twins and solve all the problems," Wang Huan quipped.
"It’s not that I’m discontent or favor boys over girls. It’s just like, the more crucial the mont, the more curious I am." Liu Banxia said.
Wang Huan found this amusing, patting his shoulder, "Everyone’s the sa, it’s that unease of impending fatherhood. Liu Yiqing and the others are coming over; probably the patient’s tests are done."
Liu Banxia nodded and went over to them.
"Teacher Liu, just finished, you can check from the computer first." Liu Yiqing said.
"Where’s the child?" Liu Banxia asked.
"The child’s going to the ward shortly, accompanied by his mom. I’ll check the situation, then decide how to explain it to the child." the father said.
Liu Banxia went to the computer, pulling up the child’s imaging results, focusing particularly on the filum terminale and cauda equina.
"It can be diagnosed now, it’s spinal cord tethering syndro. Look here, from an imaging perspective, the filum terminale has adhesions and it’s compressing the cauda equina nerve."
"There might also be so fatty degeneration of the filum terminale. Based on the symptoms, I can’t make a detailed judgnt yet, but I know this condition can be treated through surgical intervention."
Ding! Consultation task completed
Gained 200 experience points, Glory Points 2
This consultation task is rated as Flawless, gained 300 experience points, Glory Points 3 2
"Doctor, is this surgery dangerous?" the patient’s father asked.
"If I said it wasn’t dangerous at all, I’d be fooling you. Every surgery carries so risk," Liu Banxia said.
"However, this surgery offers quite a high level of safety compared to similar procedures. All we need to do is cut out the adhesive portion during the surgery so that it doesn’t compress the cauda equina nerve."
"So patients have congenital skeletal abnormalities that lead to tethered cord syndro, requiring corresponding treatnt for the bones."
"What is the filum terminale? It’s sothing that extends from the end of our spinal cord, serving a stabilizing function. There’s no nerve inside it; the cauda equina nerve, which is responsible for nerve conduction, is alongside it."
"Normally, during our growth, the spinal cord gradually moves upward in the spinal canal, and upon completing developnt, the length of the spinal cord becos fixed in the canal."
"The growth rate of the spinal cord is much slower than that of the spine. As a result, during developnt, the spinal conus becos slender and descends, turning into the filum terminale."
"Simply put, you can think of it as a rope tied here. In normal people, the filum terminale has a certain degree of mobility, allowing us to perform any physical activity without experiencing discomfort."
"But now his filum terminale has undergone degeneration and adhesion, fixing it here and even causing compression to the cauda equina nerve."
"In such circumstances, even if he does nothing, it will still affect the cauda equina nerve. If he performs stretching or bending movents of the spine, the filum terminale’s pressing issue becos worse."
"He’s currently in his growth period, developing quickly. To the naked eye, it may be imperceptible, but any slight increase in distance within the spinal canal becos quite apparent."
"Thus, surgical intervention is very necessary, as conservative treatnt cannot achieve its goal. As ti progresses, the child’s continued developnt will increasingly compress the cauda equina nerve."
"This may lead to incontinence, loss of sensation in the lower limbs, and other issues. Right now, the situation remains in its early stages since he is experiencing a growth spurt."
"Will it affect his growth?" the child’s father continued to ask.
"Normally, it won’t, but there will be an appropriate care process following surgery," Liu Banxia said.
"What I’m telling you now is based on what I know. We’ll have to wait until tomorrow when our orthopedic director works, and he’ll explain details to you."
"We’ll discuss the surgery date based on the situation. We can’t delay too long. Even if the child doesn’t move and stays lying down, the body will grow."
"Thank you, doctor. I understand. I’d appreciate your help in making an appointnt with the orthopedist," the child’s father nodded.
"Rest assured, we’ll definitely recomnd a very experienced chief surgeon," Liu Banxia assured.
"You’ll also need to comfort the child’s emotions, as it’s a significant surgery for him. There’s also a recovery period to consider; we’ll discuss other matters tomorrow."
The child’s father expressed gratitude again before leaving.
"Oh...actually, it should be a happy thing when there’s a dical condition that we can help resolve, but I can’t feel happy right now," Liu Yiqing said.
"What’s the big deal? Not all patients have noticeable premonitions of their symptoms when visiting the hospital," Liu Banxia said.
"Many patients accidentally discover them, much like in movies. By the ti you genuinely feel sothing, treatnt value is often lost."
"You did well today. The mask is a good piece of gear. Keep working hard. Focus on your tasks and don’t dwell on it."
"Oh."
Liu Yiqing replied, but didn’t seem particularly energetic.
Liu Banxia left her be, as it was also a typical matter.
Although as a doctor, one cannot calmly accept all situations, it’s crucial to adjust one’s emotions.
In his view, it was already a good outco for the patient. Congenital diseases require early intervention upon presenting symptoms.
Without intervention, delaying further would not only make treatnt difficult but also affect the patient’s growth and developnt.
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