Gou is practicing medicine in the clinic

Chapter 379 Moyamoya Disease, huge health reward

This is consistent with Li Jingsheng's diagnosis.

Judging from the patient's previous head examination results, it can be basically determined that her head has more blood vessels than normal people.However, it is not clear whether there are abnormalities or distortions.

Now with DSA examination, obvious lesions have been found.

The patient had obvious stenosis in the supraclinoid segment of the internal carotid artery, and even partial occlusion in the proximal segments of the anterior cerebral artery and middle artery.

There is also occlusion of the distal basilar artery.

Seeing this, Li Jingsheng finally understood why the blood vessels on both sides of the patient's head were much richer than those of normal people.

When arteries are narrowed or even occluded, the brain can only force the terminal blood vessels to change in order to obtain sufficient blood supply.

When a thick artery is occluded, ten or even twenty small blood vessels may be required to thicken or extend into more small blood vessels to take over the work of this thick blood vessel.

In fact, even if there are ten or twenty small blood vessels to complete the blood transfusion work on its behalf, their work efficiency still cannot meet the original requirements.

In this case, when there is a problem with the blood supply, the human brain will experience dizziness or even a temporary shutdown.

In this patient, multiple blood vessels supplying the brain were occluded or narrowed, which prompted the blood vessels to fan out upward from the base of the brain to develop abundant collateral circulation.

They pass through the meninges and brain parenchyma, and then form an abnormal blood vessel network at the base of the brain.

"Holy crap, isn't this just moyamoya disease?"

Li Jingsheng is no stranger to this brain disease.

Because his online drug sales operation officer, Wen Tianqi, often suffers from paroxysmal headaches and dizziness, which can be improved through massage by Li Jingsheng.He had some doubts that Wen Tianqi had this disease.

The changes in the blood vessels in the brain of this female patient are highly consistent with moyamoya disease.

However, it cannot be simply characterized as a simple moyamoya disease.

Because there was a local malformation in her cerebral artery.

It is possible that this abnormal lesion is congenital.

He concluded that it was probably because of the distortion of this cerebral artery that some of the blood vessels associated with it would have a domino effect, and they would also be unlucky and have problems.

It seems that Director Luo’s reminder is right.

There must be a reason for the changes in blood vessels.

When a patient's brain develops a large number of blood vessels, the body is trying to save itself, growing a large number of collateral blood vessels or making the originally small blood vessels thicker to maintain the body's needs.

[Congratulations on understanding the diagnostic skills of neurosurgery. 】

[Neurosurgery diagnosis +1, health +1. If you successfully diagnose a very difficult case, health +1000. 】

There is nothing unexpected about successfully understanding the diagnostic skills of neurosurgery.

Li Jingsheng had already had this premonition.

After all, he has diagnosed many neurological and surgical cases recently.

There is already a considerable foundation in this regard.

He was rewarded with a full thousand health points, which made him feel extremely surprised and surprised.

It is still good to do more good deeds and do more good deeds.

Almost every time there is some unexpected gain.

He promised Lian Tao that he would try to raise the level of the colonoscopy to one liter within a month.His health points suddenly increased by a thousand, which also made him feel that the pressure instantly became much lighter.

The female patient's problem has now been discovered.

But how to solve it?

Li Jingsheng is not good at this aspect of treatment. Based on the patient's condition, it is likely that he will need a craniotomy.

What are the surgical options, costs, and whether it will be one surgery or multiple surgeries?

These all need to be understood clearly.

There are many experts in the People's Hospital. Even if Professor Wang Weiwei is not an expert in neurology or neuroscience, he must have discovered the problem after seeing this DSA result.

But the family members did not mention it to Li Jingsheng.

Li Jingsheng thought about it and guessed that Professor Wang might be worried about breaking the rules.

After all, the patient was treated by Li Jingsheng, and he was treated in Li Jingsheng's clinic.Ask him to help with an examination, and you can't abduct the patient as well.

It was precisely because of this that Professor Wang did not tell the family what kind of disease it was and that it could be treated at the People's Institute.

"Lao Wang is a kind man!"

Li Jingsheng thought to himself.

It's just that this patient and his small clinic can't eat it now even if he wants to.

This matter needs to be discussed with Professor Wang.

Li Jingsheng immediately dialed Wang Weiwei's WeChat voicemail.

Since the popularity of WeChat, the business of mobile companies has basically become useless.

Sending text messages on WeChat is free.

Text, pictures, short videos, voices, you can send whatever you want.

Mobile text messages cost a dime each.

Except for communication between strangers or people who are not very familiar with it, and chatting between friends and acquaintances, basically no one uses mobile text messaging services anymore.

Not to mention making phone calls, WeChat voice and video are all very convenient.

And it's still free.

Ordinary people basically vote with their feet and know how to choose.

The voice call came through quickly. "Jingsheng, did you just get off work?"

"Yeah! I just got home from get off work. As doctors, our lives are miserable!" Li Jingsheng complained.

"Haha, I have embarked on this path, and now it is too late to regret it. From the day you became an intern, you should understand that being a doctor is a hard and tiring job. It is because of love that everyone can persevere in the end. Patient We are also needed.”

Professor Wang also came all the way, so he understands the hard work of doctors.

"You are right. I do this because of my love. Every time I see a patient recover after treatment, I feel that it is worth the effort. The paralyzed female patient successfully completed DSA under your arrangement. Check. I looked at the results and it turns out she has moyamoya disease and arterial vascular malformation!"

Li Jingsheng took the initiative to talk about this matter.

"This disease is quite troublesome. I'm afraid I need surgery to improve it."

"Yes! I also think that surgery is needed to solve the problem. You also know the conditions of the Second Hospital, and the technical level is limited. I probably can't do this kind of high-precision surgery. Can the People's Hospital take over this job?"

Li Jingsheng really didn't turn his elbows outward.

There are many problems with the patient's blood vessels, and the second hospital simply does not have the ability to do so.

The people in the neurosurgery department, except for raising their heads and eyes high, can only be said to be pretty good at their skills.

There is still a big gap between it and the compound.

"Well... the surgeon at our hospital should be able to take on this job. If you want to ensure the success rate of the operation, then I suggest you find Professor Yi Haiyang. His surgical skills are recognized."

Wang Weiwei's tone seemed very calm.

It seems that this result has been known for a long time.

"Is it possible to directly ask the patient to register with Professor Yi Haiyang?"

Li Jingsheng knew very well that for top surgical experts like Yi Haiyang, their schedules for surgery, teaching, scientific research, academic exchange conferences, etc. were basically full.

It is not easy to make an appointment with him for surgery.

The wait may be long.

"Let the family members try to make an appointment first. Sometimes if you are lucky, you may be able to get one soon. Based on my understanding of Yi Haiyang, as long as he can get his number, he will be responsible to the end. For less difficult surgeries, maybe He will let his doctors do it, and if the difficulty is too high, he will usually lead the operation himself."

Wang Weiwei gave some opinions.

"Okay, I will communicate with the family members later. It is not easy to come all the way from outside the province. Lao Wang, are you also familiar with Professor Yi?"

Li Jingsheng’s idea is that if family members’ registration is not going well and they have to wait for a long time, then he should ask Wang Weiwei to say hello from the middle.See if you can add a number.

Generally, it is not easy to get a plus sign at Professor Yi's level.

Because everyone's time has been arranged, it is not an urgent life-saving operation, and it is impossible for them to sacrifice their personal time to help with this.

People who are not relatives or friends have no such obligation.

"I can't help with this matter even if I want to. It's not that you don't know about internal medicine and surgery. You just despise each other. I've also lived a long time, so I can't be ashamed to ask surgery for help. . If you want to say hello to an acquaintance, it is best to ask for the surgical experts in our hospital. Yi Haiyang is very personal, and it is not easy to find the hospital leaders. He has a good relationship with many surgical experts in our hospital.

If you can find an acquaintance in this area, saying hello should work. "

Wang Weiwei was so direct only when talking to Li Jingsheng.

But it's true.

Internal medicine and surgery have a long history of disdain for each other, and experts in some hospitals get along well with each other.

I didn't expect the People's Hospital to be so serious.

Li Jingsheng remembered the time Lian Tao took him to the cardiothoracic surgery department to hospitalize the child. The nurse was lukewarm and had no respect for him, the director of both departments.

Of course, Li Jingsheng is now connected with cardiothoracic surgery.

Director Shang Fu and Lian Tao of the Department of Cardiothoracic Surgery seem to have some personal relationships now.

We can only let the family members try it themselves first.

If it doesn't work, please help me think of a way.

The relationship between Li Jingsheng and Director Shang was far from being a close relationship, and they had just been online for a short time.

His classmate Zhang Chao works in cardiothoracic surgery.

It's just that Zhang Chao's status is still very low, and his words may not be as effective as Li Jingsheng's.

This matter can only be taken step by step, and we can help wherever we can.

Do what you can.

It is beyond his own ability and he is helpless.

He took the test results to the outside of the RV and asked the family members to get out of the car.He briefly described the patient's general condition, and then told the old man to find a way to register Professor Yi Yanghai's outpatient number at the People's Hospital.

Li Jingsheng also checked and found that Yi Yanghai only attended the clinic two days a week.

Consultation is available from [-] a.m. to [-] noon on Monday.

Then I have a full-day consultation on Friday.

Many more advanced experts basically follow this tune.

The family members were very happy when they learned that the cause of the disease was found.

The DSA inspection alone cost nearly [-] yuan this time, which was definitely a huge sum of money for them.

But it's money well spent.

At least the cause of the disease that has troubled their daughter for more than ten years has been found out.

As long as the surgery can be successful, their daughter has hope of regaining her health.

The next day, Li Jingsheng was sitting in his clinic, and the father of the paralyzed girl walked in holding a banner.

"Dr. Li, thank you for helping me find out the cause of my daughter's disease. I have nothing to thank you for. This banner is a small token of my gratitude. I wish I had met you earlier. We have gone through a detour in 11 years! "

(End of this chapter)