This doctor has a system

Chapter 404 469. Toothpick in the rectum
It turned out that the doctor at the hospital in Shanghai was only highly suspicious and did not make a complete diagnosis because not enough evidence was found.

This is also the reason why Zhou Feng's parents came to the capital.

Seeing their son getting worse day by day, but still not sure what the disease is, this is unacceptable to the family.

Even though many patients have accepted death, they still want to know the cause of their death.

Gao Feng had come into contact with a patient before. He was an orphan. He had lived a hard life and had never married or had children.

In my later years, there was something growing inside my head. From the imaging point of view, it was probably malignant. The key is that the thing was already very big and the location was particularly bad.

"Actually, at your age, there is no need to go through any trouble." The doctor in charge advised.

But the patient still insisted on finding out, and for this he was willing to take great risks and undergo surgery.

“I was an orphan and I didn’t know how I got here,” the patient said, “but now I wonder how I got there.”

Zhou Feng's situation is just the opposite. His parents must know how he came here. It would be best if his condition can be improved. If not, they still want to know why it is not happening.

"Is there a mistake? We just arrived yesterday." Zhou Feng's father was very honest, "No one has contacted us before."

"Isn't that too deliberate?" Li Youliang asked, "Should we use some other methods, for example?"

"Let's start with 10, and we'll talk about it later." Li Youliang thought for a moment and said.

"Let him be hospitalized and we'll check him carefully." Gao Feng said to Zhou Feng's father.

"The patient is unlucky, and the conditions at home are not good, to be precise, very poor." Li Youliang said to Gao Feng, "His parents had sold the house before they came."

"Just accept it. If it doesn't work, just give me a banner." Li Youliang advised from the side.

Li Youliang immediately contacted Zhao Xingye in the capital and told him about the matter.

It seems that except for the medical industry, other industries have a relatively low probability of receiving the banner.

As introduced before, this high-end examination, PET-CT integrates PET and CT. PET provides detailed functional and metabolic information of the lesion, while CT provides the precise anatomical positioning of the lesion. All directions of the whole body can be obtained with one imaging. The tomographic images are sensitive, accurate, specific and precise in positioning.

Zhou Feng's parents were stunned when they received the news.

"Let's do a PET-CT first." Gao Feng indicated.

"It's up to you." Gao Feng said casually. He really wanted to find out Zhou Feng's condition and didn't want to worry too much about other things.

"How much is the sponsorship?" Zhao Xingye hesitated.

It can understand the overall condition of the whole body at a glance and achieve the purpose of early detection of lesions and diagnosis of diseases.

"It's not bad luck. At least he met me." He looked at Li Youliang, "Go and pay him some hospitalization fees."

"When the time comes, just come over and say it's sponsorship or something."

Gao Feng was silent for a moment, but soon a smile appeared on his face.

So Zhao Xingye received the first banner in his life, and he felt it was quite fresh when he took the photo.

"It's you. The boss of our company has known about the child's situation for a long time and was very moved by his strong will." Zhao Xingye said, "This is just a small gesture, you must accept it."

Since there was no need to pay too much attention to cost, Zhou Feng's inspection was arranged to be comprehensive.

80% of things in the world can be solved with money. In fact, this statement is also common in medical treatment.

Zhou Feng's situation is very suitable for this examination. There is nothing wrong with the latter except that it is expensive and cannot be reimbursed.

"The tumor and immunity were also checked." Gao Feng explained, "By the way, blood will be drawn and NGS will be sent to see if it is an infectious disease."

Some doctors like to treat rich people. In fact, it’s not that they hate the poor and love the rich. The main thing is that spending money on some things is better than not spending money at all.

As before, the diagnosis of pneumonia mainly relied on auscultation and physical examination by respiratory physicians. Sometimes, the results were not accurate due to one or other reasons.

But now chest CT is basically universal, and it is so clear that even young doctors can clearly know the patient's lung condition after taking it.

This is the benefit brought by the development of science and technology and the popularization of technology, and these two things are often closely related to money.

"Professor Gao, please help me look at my uncle's films." A trainee doctor came over, holding a lumbar spine MRI CD in his hand.

His uncle is 68 years old and has been experiencing pain in his right hip and thigh for more than a year.

When he visited a local hospital, the doctor suspected that he had a lumbar disc herniation or spinal stenosis, so he prescribed an MRI examination of the lumbar spine.

After magnetic resonance imaging, spinal stenosis was indeed discovered, so the spinal surgeon recommended surgical treatment.

"But I don't think it's right." The training doctor expressed his opinion. "My uncle does have spinal stenosis, but it doesn't look serious, but his pain is still quite obvious."

So he came here specifically to have a look at Gao Feng. After so many days of getting along with him, everyone was convinced of the latter's achievements in imaging.

Gao Feng took the CD and inserted it into the computer, and soon the system started playing it automatically.

"No, something is wrong with this place." Gao Feng discovered the problem after just one glance. "Tell the local hospital and let the patient do a proctoscopy first."

"Proctoscope?" The training doctor looked confused. Is this span a bit too big?

"Yes, this area should be a foreign object." Gao Feng pointed to an area on the film and said.

"The patient does have spinal stenosis. I don't know if this is the cause of his hip and leg pain, but it's best to take out the foreign body and take a look first."

The training doctor came back confused. He was blinded and still couldn't see why there was a foreign body in the rectum.

However, he still communicated with the doctor at the local hospital. Although the other party did not understand, he followed the advice and made an appointment for the patient to undergo a proctoscopy first.

Doctors in lower-level hospitals are more cautious about the advice given by doctors in large hospitals.

Soon, the proctoscopy was carried out smoothly. The doctor who performed the procedure had just hummed a song and inserted the thick and long mirror when he discovered a foreign body in the rectum.

A yellow, thin foreign object was inserted into the rectum. When it was taken out, it was found to be a toothpick. This is definitely an accidental ingestion, because it is impossible for someone to deliberately insert a toothpick into his rectum. This thing is not suitable for doing weird things at all.

The patient didn’t know how the toothpick got in, but after taking it out, he found that the pain in his buttocks and thighs had disappeared!
"The nerves above the rectum are closely connected to the nerves in the buttocks and thighs. It should be that the toothpick happened to be stuck in the spinal cord close to the intestinal branch, so the positioning was unclear." Gao Feng analyzed.

This seems to be the only explanation at the moment.

But no matter what, the patient's symptoms are now relieved and surgery can be avoided, which makes him quite happy.

At the same time, Hu Jiaran led the entire team to get busy.

The general condition of the male patient introduced by Academician Bao was very good. Gao Feng took a look and handed over the preliminary work to Hu Jiaran when he came back.

"Little comrade, it's not easy for me to raise some blood." The patient said with a troubled face, "How many more times do we need to draw blood?"

Good guy, the young man in front of me has been here with the nurse 6 times, and every time there is a clicking, the patient suspects that he is a little anemic now.

"I estimate there will be two more times." Hu Jiaran said with a smile, "Exactly eight times, which is quite auspicious."

"I'm not superstitious about this. It's okay to smoke less once." The patient said seriously.

"Whether you're superstitious or not, you have to take 8 strokes." Hu Jiaran said, "You are too fat and you need a relatively large dose of treatment."

"I was thinner than you when I was young. I am getting older." The patient touched his belly slightly unnaturally. "You will be like me in the future." He said to Hu Jiaran.

The target dose of Akilense injection is 2×106 CAR-positive live T cells per kilogram of body weight, with a maximum of 2×108 CAR-positive live T cells. The larger the body, the higher the dosage.

So in life, I would like to advise everyone not to eat too much, otherwise it will be really expensive to gain weight.

And it’s not easy to find a partner.

When Gao Feng was in college, he had a classmate, nicknamed "Big Fat", who weighed 200 pounds and was so tall that he looked like a wall.

Someone had introduced his girlfriend to him before, but the other person backed out the first time they met him.

"I can't bear this pressure." The girl felt embarrassed, "Why don't we just forget about it."
-
"Professor Gao, hello, have the results of my son Zhou Feng been out?" Gao Feng was watching a movie in the office when Zhou Feng's father walked in timidly.

"Part of the results have already come out." Gao Feng said to him with a smile, "pet-ct still found some problems."

The results showed that Zhou Feng's thoracic and lumbar spine segments had relatively high metabolism.

The occurrence of increased metabolism in PETCT examination needs to be determined based on the SUV value. In the case of increased metabolism, including inflammatory damage repair or malignant tumors, the nature of the lesion is mainly determined based on the location of abnormal metabolism and the SUV value.

Generally speaking, malignant tumors have a greater uptake of glucose tracers. Cancer is more likely to occur if the SUV value is above 7, and inflammation rarely reaches this standard.

"His SUV value is about 4 on average. I feel that the probability of malignant tumors is still relatively small." Gao Feng said, "For now, this is good news."

There was a little smile on Zhou Feng's father's face, but it quickly disappeared.

"Even though he still complains about pain all over his body, the pain often makes him unable to sleep at night." He worriedly said to Gao Feng, "I don't dare to let him take more painkillers."

Due to the continuous use of medication after being ill, Zhou Feng's gastrointestinal tract is very fragile. After taking painkillers, he often suffers from stomach pain and loss of appetite. Therefore, unless the pain is particularly obvious, his family is not willing to let him take too many painkillers.

There are 10 levels of pain in the medical community.

0为无痛；0到3为轻度疼痛；达到4就会影响睡眠4到6为中度疼痛。

If it reaches 7, you will be unable to sleep; if it reaches 7, it means severe pain; if it reaches 10, it means severe pain.

Like a needle pricking the back of the hand, clapping vigorously, about level 1 to 3; hair being pulled, level 4 or less;
Knife cuts to the hand, soft tissue contusions, sprains, etc., approximately grade 4 to 7;
During childbirth, the persistent pain in the early stage is generally grade 2 to 3, and when the contractions are the most severe, it can reach grade 7 to 8;
Severe lumbar disc herniation, severe vascular headache, migraine, grade 8 to 9;
Trigeminal neuralgia, neuralgia caused by herpes zoster, cancer pain caused by advanced tumors compressing nerves, etc., level 10.

Some readers asked, what is the level of pain when one is kicked in the balls?
Then it definitely depends on who kicked it. A slight kick will hurt less, and the pain level will be between 2-3. A strong external impact will cause the testicles to be strongly stimulated, and the pain level will reach 9-10. Severe Patients may face painful shock.

Zhou Feng's current pain level is 4-5, which is moderate pain. But this is persistent pain, which is very unbearable and can easily affect your mood.

There is no particularly good way to deal with this high risk. Before the cause of the disease is found out, there will definitely be no way to solve this problem.

In fact, even if the cause is clear, it is hard to say whether it can be solved. After all, there are not many diseases in the world that can be completely cured.

Zhou Feng's father left with a complicated look on his face.

Gao Feng directly called Director Ma to go to the imaging department. He wanted to communicate with the doctors in the imaging department again.

"Old Bian, hurry up! Put the stuff in your hands first." Director Ma started shouting as soon as he arrived at the Imaging Department, "Hurry up and call all of you who have some skills over here!"

"What are you doing?" Director Bian stood up from his stool, "I'm busy right now. Don't make trouble if you have nothing to do."

"Who would come to this crappy place like yours if they have nothing to do?" Director Ma curled his lips and said, "As soon as I walked in, I felt like two more hairs fell out. They must have been radiated by your machines."

Director Bian pulled up the movie and watched it, but said nothing.

"Mute?" Director Ma asked, "Tell me quickly, what are you thinking about?"

"It doesn't feel like a tumor. It's hard to say anything else." Director Bian touched his smart head, "This has to be combined with clinical practice. What did you think about it?"

"We have considered coming to your place." Director Ma said dissatisfied.

"I told you a long time ago. It's all in vain. Their level is average." He turned to Gao Feng and said again.

Director Ma's behavior of knocking down a group of people with a rake angered the experts in the imaging department. A group of bald old men stood up from all corners.

"The SUV value is not high, and the probability of bone tumors is very small." A director commented, "The only thing that makes people confused is that there is indeed bone destruction."

"I think we still need to check for bone tuberculosis." Another director held his chin and said, "This piece should be the diseased dead bone."

"Bone tuberculosis?"

"I think the probability of bone tuberculosis is even lower. There are many lesions on the patient's body, but no cold abscesses are seen around it."

(End of this chapter)