Come on, Dr. Wu

Chapter 366 Cupping

outrageous.

Although they are all old doctors, they now treat various diseases in different specialties, and these strange cases are really rare.

Endometriosis is a gynecological disease. Now gynecological diseases and cardiothoracic surgery are combined together. It’s outrageous for them to think about it.

Can Song Tiantian see this correctly?

It's difficult. Who chose the cases? This is really a lie.

Everyone couldn't help but look at Wu Xiaofu. Wu Xiaofu also sensed something and faced everyone's gazes, a little speechless, "What do you mean? You don't think I chose you, do you?"

Everyone nodded, making Wu Xiaofu feel that he didn't know what had ruined his reputation and that he could be framed.

Looking at Lin Dongping and the others, Wu Xiaofu also spoke.

"Teachers, you have to testify for me. This has nothing to do with me. When we selected the case, we didn't know what disease the patient had. This was not my choice."

Lin Dongping and the others smiled when they heard this.

"Doctor Wu, don't refuse. This is your choice."

what!
These people are really bad. "We selected these cases together. I won't take the blame."

"Just tell me whether you participated or not."

It must be said that during this period of time, Wu Xiaofu felt that Lin Dongping had become much more naughty. Everyone was just joking. In fact, among the eight interns, each of the five cases basically had a case of similar difficulty, from difficult to easy. Although they did not know the patient's specific condition before, based on Wu Xiaofu and his friends' experience.

You can basically tell whether a patient's illness is serious or not by feeling.

So, it’s not that I’m partial to others, it’s just that Song Tiantian’s disease is indeed very difficult to treat.

But by the same logic, if Song Tiantian can figure out this patient, the score will be raised accordingly. This is the key to success, and it depends on whether Song Tiantian can grasp it.

However, when it comes down to it, if Song Tiantian really had a solid foundation, she would not be able to diagnose this disease.

The identification of various diseases is written in books. Song Tiantian’s disadvantage is that she does not have enough experience in reading films, and this is the difficulty.

However, everyone looked at Jiang Yuankai, who was full of confidence as a teacher.

"Director Jiang, you don't look worried at all."

Jiang Yuankai smiled upon hearing this, "What a coincidence. I happened to see a patient with pulmonary lymphangiomyoma when I was doing outpatient work a few days ago. The film was quite typical."

Ah!
No wonder Jiang Yuankai was not worried at all. It turned out that this was the case. It was pulmonary lymphangiomyomatosis, also known as LAM. In fact, in this case, it was just a differentiation between pulmonary lymphangiomyomatosis and endometriosis. It could not be determined which disease it was, so it would be fine to rule out one of them.

As for other identifications, if Song Tiantian cannot even rule out other identifications, it would be a shame to all the books she has read over the years.

Now that Song Tiantian has seen a typical case of pulmonary lymphangioleiomyomatosis, the success rate of this diagnosis will be greatly improved. It seems that Song Tiantian may really emerge as a dark horse this time.

"Have you had any abnormal menstruation recently?"

Ah!
When everyone saw Song Tiantian asked this question, they all started nodding. Since she asked about menstruation, it meant that Song Tiantian had already thought of endometriosis, which was very good. The most worrying thing was that Song Tiantian didn't even dare to think about endometriosis. After all, it was rare for endometriosis to occur in the lungs.

But as long as you think about it, the next step should not be difficult.

After all, endometriosis basically has gynecological symptoms, as expected.

"Well, I didn't have menstrual cramps before, but these two times I had severe menstrual cramps. Moreover, the amount of menstrual flow increased a lot and lasted for a few days. It was indeed abnormal. And, to be honest, it hurt a lot when I did that. I don't dare to do it anymore."

Since it was related to his own illness, the patient did not dare to hide anything and spoke quickly.

After hearing this, Song Tiantian felt relieved. Although she had seen typical pulmonary lymphangiomyomatosis, it was one thing to see, but it was not easy to identify it. She did not associate it with endometriosis at first, but looking at the female patients, Song Tiantian suddenly remembered what a teacher said when she was interning in obstetrics and gynecology during her graduate studies.

"Female patients, especially those of childbearing age, should consider endometriosis no matter what the circumstances are. At the very least, ask about menstrual periods and sexual life. Asking a few more words may not be a problem, but it may help you solve big problems."

According to the teacher at that time, nowadays diseases are becoming more and more bizarre. For example, endometriosis was basically what people knew before, but with the development of modern medicine, they found that the scope of this endometriosis is getting larger and larger, including the liver, spleen, and so on.

Song Tiantian took note of these words at that time, and now that she suddenly remembered them, she dared not reveal them.

Now that I asked, it turned out that there was something going on.

When I was learning about the differential diagnosis of chest diseases, there was actually a chapter on the differentiation of endometriosis in the book. Although it was placed at the end and mentioned briefly, people with good memory and serious study will still have an impression of it. As long as you have a little memory and a little suspicion, and with the support of relevant symptoms and signs, it is enough to become key evidence.

Menstrual abnormalities and painful sexual intercourse are all characteristics of endometriosis.

Looking at this atypical chest CT, it's stable.

"I suspect you have endometriosis. You need to be hospitalized and undergo some follow-up tests."

Endometriosis!
The patient and his family were all dumbfounded. They came to see a doctor for lung disease, so how did this have to do with the uterus? Well, don't doubt it, they don't know what endometriosis is yet. Not only them, but in fact most ordinary people don't know what endometriosis is.

Under normal circumstances, patients and their families might habitually question.

However, Song Tiantian just asked about the menstrual situation. After all, they are not doctors. They are all people who have received higher education. They know that professionals should do professional things. It is not a good thing to question the situation without understanding it.

"Doctor, what is endometriosis?"

"It means your endometrium has grown somewhere else."

Ah!
The patient and his family were even more dumbfounded. Where else did it grow? Where did it grow? It couldn't be in the lungs.

I looked down, then up. It was too far away, wasn't it? How did it grow up there?

"this!"

This was too hard to accept. For a moment, the patient and his family didn't know what to say. They were just shocked. After the shock, the patient asked worriedly, "Doctor, if this is endometriosis, will I be able to have children in the future?"

After all, they are female patients. Although they don't know what endometriosis is, they know the significance of the uterus to them. If childbearing is affected, it will be a disaster. Song Tiantian hesitated and said, "It is impossible to say that there is no impact. If it is confirmed to be endometriosis in the future, surgical treatment will be required. As long as the treatment is timely, fertility is generally possible. Of course, this disease has a certain family clustering, so if a daughter is born, she may also suffer from the same disease in the future."

This!
The patient was even more sad when she heard this. Although Song Tiantian spoke tactfully, her words told her that there would be an impact. This impact might not make her completely unable to get pregnant, but it would be quite difficult, which was enough for her to be unacceptable.

"Treatment, hospitalization, doctor, you must help me take a good look, surgery is necessary, I will actively cooperate with the treatment."

The patient hurriedly said, and Song Tiantian nodded and started to help with the process.

the other side.

When Wu Xiaofu and the others saw this scene, they all nodded. Song Tiantian's performance was indeed good. So far, the person with the highest score in the outpatient clinic was probably Song Tiantian.

"Director Jiang, Song Tiantian performed well this time. It looks like the first place will belong to you."

In fact, it is not just the eight interns that are being compared; they are also included. After all, the good performance of these interns also shows that they are good teachers.

"This is just the beginning, and we still have to look forward to the future."

Although he said so, Jiang Yuankai was obviously a little proud. After all, this disciple performed well, how could a teacher not be happy? It was just like Yu Shifu in the past, who always praised his disciples whenever he met someone. In the end, he didn't even need to praise himself, as some people would praise him and he just had to smile.

"Well, this patient is also quite interesting. Come, let's take a look together."

Wu Xiaofu looked at Chao Yuan's clinic and suddenly said.

Everyone looked over when they heard this. Wu Xiaofu said it was interesting, so it was definitely interesting.

Next to Chao Yuan was a middle-aged male patient who came here because of a headache.

Headache is the most common symptom for patients who come to the neurosurgery department. The difficulty with this patient is that he came here without any examination, which gave Chao Yuan a headache.

The patient came to the clinic because of headaches for ten days. The headaches were so severe that he felt his memory was gone and everything he saw was blurry. The symptoms looked like those caused by tumor compression or intracranial hemorrhage. The patient said he had no history of trauma before.

"Think about it again, what did you do before you got this headache?"

"What? Um, does cupping count?"

The patient thought for a while after hearing this, and seemed to have thought of something. His eyes lit up and he quickly spoke.

Cupping!

"Where did you pull them out?"

The patient quickly turned his head to show Chao Yuan, and his movements were very careful. "I had shoulder and neck pain before, so I went to a physical therapy shop. After taking a shower, they said they would do cupping. I do it normally, and I felt refreshed after the treatment."

Chao Yuan looked at the cupping marks on the patient's head and neck and frowned.

To be honest, it was the first time he saw cupping being performed here. He came from the North District, where cupping was extremely common. It was practiced not only in large bathhouses but also in physical therapy shops and even in every household. The elderly in particular had their own family-inherited cupping techniques.

Any bottle or jar, big or small, can be cupped, but cupping the back is fine, but why does it even apply to the neck? Scraping is fine, but cupping here can easily cause problems.

Chao Yuan touched the place where the patient had been cupped. This place was obviously different from other places where cupping had been done. The mark was deeper and darker, as if there was blood stasis.

Of course, this happens after cupping, but I don’t care about it.

"After the cupping, did you feel any obvious discomfort?"

"Well, you know what, it really happened. It might be because I had been cupping for 10 consecutive days. When I pulled out the tubes, I suddenly felt a severe headache, but the headache didn't last long, so I didn't pay much attention to it. Doctor, didn't he damage my health by cupping?"

Ten days!

Chao Yuan couldn't help but roll his eyes. "How much coldness is in your body? You can still do cupping for ten days. Are you addicted?"

The patient smiled when he heard this and said, "This folk method is effective. I used to do it often. I'm used to it."

shook his head.

"You have to use the right amount of cupping, especially the location of the cupping. You also have to pay attention to it. It's okay on the back, but the head and neck are very likely to have problems."

Wu Xiaofu and others who were watching everything in the clinic at this time were also speechless. After ten days of cupping, even a good person would be damaged.

"I'm afraid this isn't a subdural hematoma. I saw that it looks like the condition after cupping, and the symptoms match. Especially the location of the cupping, which is still in the head and neck. This location is not like the back, where there is little bone protection. The nerves and spinal cord are directly exposed. If you are not careful, problems can easily occur."

This is not a neurosurgeon, but this is basic knowledge and it is still very good to see.

"Well, there are very few people who use cupping at this location. Although there is no article saying that cupping can cause subdural hematoma, the causal relationship is basically unavoidable. What's more, he has been cupping for ten consecutive days."

Cupping is an excellent technology of traditional Chinese medicine with a history of more than 3000 years. In modern medicine, it has been continuously optimized and innovated. It has now become an effective skill for Chinese medicine to treat neck and shoulder pain, back pain, and even muscle strain and pain in the limbs.

Not only in China, but now even foreign websites have begun to broadcast foreigners' worship and application of this technology. Many foreigners have said that the effect of cupping is more obvious than taking medicine.

Not to mention others, Wu Xiaofu has been practicing cupping since he was a child. Not only cupping, but also scraping and bloodletting by pricking the fingertips are basically all useful. It can be regarded as a family inheritance in some families. Many families and many people in China are self-taught and have mastered these skills.

Well, looking at it online, cupping has become a bit crazy now, and people are starting to pay attention to the size of the cup and the amount of force used.

Wu Xiaofu had seen cupping done with such a big bucket. His scalp went numb when he saw it. He just wanted to say: proper cupping is beneficial to the body, but improper cupping can be fatal.

However, even if cupping becomes popular, the standardized operation cannot be ignored. Standard Chinese medicine operation will never place the cup at the junction of the head and neck.

Western medicine basically does not oppose cupping patients, and even welcomes everyone to learn cupping on their own and heal their "injuries". However, cupping is only allowed on areas with bones and plenty of flesh. It is not advisable to do this in areas like the junction of the head and neck where there is little flesh, gaps in the bones, and the occipital cisterns that can be directly disturbed.

Otherwise, it is very likely to become the "engine" of chronic subdural hematoma.

The reason why Wu Xiaofu said Chao Yuan's case was interesting was that he felt that this scene was very educational. When the program is broadcast on Monday, it will be a good opportunity to do some promotion. Well, popularizing knowledge and entertainment coexist, which is what a program should be like.

(End of this chapter)