MTL - Doctor’s Life Simulator-Chapter 20 The shock of all the attendings, and the possibility of staying in the hospital

Hearing Qin Lang's voice, several attending physicians looked over in surprise.

Wu Youtu was mentally prepared for Qin Lang's words, but the other two attending physicians couldn't believe it.

After all, at this level of consultation, a small doctor is not qualified to discuss at all. Previously, Zhong Chengfa's care was just a courtesy. After all, the discussion of this kind of case requires profound professional experience and a large amount of clinical accumulation.

If this little doctor was his subordinate, Dr. Yu would have reprimanded him long ago. He didn't understand the rules at all. He only needed a pair of ears for this kind of meeting.

However, after all, this was a multidisciplinary consultation organized by Wu Youtu, and no one said anything, so Physicians Yu and Zhang would naturally not point it out.

This is a real diagnosis and treatment, not a class in the school where everyone can talk freely.

In the highly stressful environment of the hospital, as an authoritative superior doctor, what you want is more obedience and obedience, rather than your words and my words, wasting everyone's time and energy.

When Wu Youtu saw Qin Lang's remarks, he wanted to stop it, but after thinking about the previous rounds, Qin Lang's excellent performance nodded:

"Qin Lang, tell me your thoughts in a refined way, and let the attending chiefs listen to it together."

Qin Lang reopened the first photo of the patient's back, and then picked out the results of the B-ultrasound examination on the following pages and re-merged them into a slide for comparison.

Looking at Qin Lang's operations like this, the attending physicians were a little unclear at first, but with the reorganization of several symptoms and some subtle symptoms that were missed, the hearts of several people were thumping and thumping.

"It seems that this little doctor means something. Did he really see something?"

Physician Yu from Pediatric Surgery is very quick-thinking. After Qin Lang reorganized the photos and deleted the distracting items, she also began to reason on these clues, and she seemed to have a term in her mind.

It was Zhong Chengfa from the dermatology department who first raised his doubts: "Xiao Qin, you have rearranged these examination results, what did you find?"

Qin Lang nodded, and after distilling all the information that could reflect the truth, he looked at the attending physicians:

"Just now after I saw these photos and the results of the physical examination, I felt that in addition to the space-occupying lesions in the spinal canal deduced by Dr. Yu, there is another possibility, which is the very rare segmental spinal hemangioma, also known as Cobb's syndrome."

"Cobb's syndrome?"

Physician Zhang and Physician Yu both muttered to themselves and quickly searched for information about this disease in their minds. The incidence of this disease is really too low.

At the same time, Qin Lang's calm and determined voice echoed in the conference room:

"Cobb's syndrome is a complex vascular malformation involving the spinal cord, epidural space, vertebral body, paravertebral soft tissue, muscle, subcutaneous tissue, skin..."

Hearing Qin Lang's further narration, Doctor Yu finally recalled it and slapped his thigh.

"When Dr. Qin mentioned this, I really remembered that I encountered such a case before, but the last time the patient was in his teens. Clinically, Cobb's syndrome is indeed easy to be misdiagnosed, especially in the early stage. Due to the lack of symptoms and typical manifestations, it is possible to be misdiagnosed as lipoma, space-occupying lesions in the spinal canal, and even a patient in the Second Provincial Hospital at that time was misdiagnosed as cholecystitis because of internal organs."

For doctors, as long as there is technical support and the words have something to say, they can communicate on the same level. At this moment, Dr. Yu and Dr. Zhang no longer treat Qin Lang as a small doctor.

Being able to become the attending physician of the first hospital of the city, of course, has two brushes. Before, it was only because he was misled by other symptoms. At this moment, he had a new direction of thinking, and Qin Lang also reorganized the key information and photos. one serving.

Physician Yu watched carefully again, with a serious expression on his face, and motioned at the same time, "Doctor Qin, you continue!"

Wu Youtu and Zhong Chengfa also looked at Xiao Qin with bright eyes.

"Looking at this photo, it is the most obvious subcutaneous tissue hemangioma, and some of the skin is brown."

As Qin Lang said, he pointed the laser pointer to the corresponding photo data,

"This one is the paravertebral hemangioma seen by Dr. Yu before."

"Then, look at this one again. Although it is very blurry, you can still see the epidural hemangioma in the spinal canal."

"So, based on these three symptoms, I speculate that the child is most likely to have Cobb's syndrome."

For Qin Lang, according to the results, it was natural, but the four attending physicians who didn't know about it were astonishing!

It was not until Qin Lang finished the analysis that the attending physicians recovered.

Especially Physician Yu, who is most familiar with pediatric diseases, can't stop nodding:

"Although it is not yet fully confirmed, according to the current symptoms, it is really possible that it is Cobb's syndrome."

"Xiao Qin, what else do you think, let's talk about it?"

Wu Youtu obviously did not expect Qin Lang to rush out like this, but he was a little surprised. After all, he specially asked Qin Lang to participate in this consultation, and he was able to make such a contribution. There is light on it.

Therefore, he simply let Qin Lang speak freely, and he also wanted to know what amazing views Qin Lang could bring up.

Qin Lang was authorized by Wu Youtu, but he no longer kept secrets, and directly stated the gold standard for the diagnosis of Cobb's syndrome:

"I suggest that on the basis of the MRI suggested by Dr. Yu, a spinal angiography can be done to comprehensively display the location, volume, flow rate, feeding arteries and draining veins of the malformed vessels, as well as the relationship between the malformation and adjacent vascular structures. ."

After Qin Lang finished speaking, Wu Youtu nodded, then looked at the other attendants: "What do you think?"

Dr. Yu took the lead: "I also agree with Dr. Qin's point of view. If it is really Cobb's syndrome, spinal angiography is the gold standard for diagnosis. As long as the cause is identified, treatment can be started immediately."

"Okay, that being the case, that's the end of today's consultation. I will immediately go to arrange an MRI examination and spinal angiography. When the results come out, I will inform everyone to formulate a treatment plan together."

Wu Youtu is very satisfied with this consultation. As long as the cause can be confirmed, then the merit will be complete.

"This little Qin is really my lucky general."

Wu Youtu sighed in his heart. It seems that UU reading www.uukanshu.com will give Qin Lang a chance. Although Qin Lang's education is not enough, as long as the clinical ability is sufficient, then Director Wei can be used to solve it.

After the meeting, Zhong Chengfa also gave Qin Lang a thumbs up with eager eyes, and then took care:

"Xiao Qin, don't forget to come to my plastic surgery hospital on Saturday, I'll send you the location in a while!"

Although this condition is very rare, for these attending physicians, it is just one of many patients.

After completing this consultation, everyone went to work on their own, and the doctor was a high-intensity job.

Of course, after today's consultation, Dr. Yu and Dr. Zhang were both impressed by Qin Lang.

Outside the conference room, Dr. Yu and Wu Youtu walked together: "Old Wu, which medical school did this little Qin graduate from? He has very solid basic skills. Besides, he is very talented in diagnosis."

In Dr. Yu's view, Xiao Qin is at least a master's student in 985 famous schools, and may even be a master's student in a top institution such as Union Medical College.

Therefore, when Wu Youtu gave a brief introduction, he was obviously very surprised to hear that Qin Lang was only an undergraduate of a third-rate medical school or a community doctor.

"That's such a pity."

After all, everyone knows that in today's top three hospitals, it is too important to get promoted and have a good background.

In this regard, Wu Youtu smiled:

"It's not a pity. Director Wei took special care of him. As long as Qin Lang is clinically talented enough to prove that he is a useful candidate, then Director Wei will accept Xiao Qin as his graduate student and sign a contract to stay in the hospital. It is not impossible to even say that it will be compiled later.”

Only then did Dr. Yu feel a little more at ease: "Then it depends on the little guy's own efforts."