Chapter 1584: 1534: To Accept the Cheers or Stay and Perform the Surgery?

"That's right, you're sometimes too cautious." Su Yun glanced at the patient, then at Zheng Ren, and said with slight contempt.

In his view, the Xinsi Ming test is definitely positive, no need to think.

"When treating illness, being cautious is never excessive. No matter what, one must maintain a careful, cautious attitude, like walking on thin ice." Zheng Ren said seriously.

Su Yun pursed her lips, looking unconvinced.

The Xinsi Ming test results are right there, yet you're being this cautious—nonsense!

"Um, time's up." Zheng Ren glanced at the clock and said, "I have a lecture this afternoon, Director Wei, could you help me hold down the fort?"

"Of course, as agreed." Director Wei said, "Jianguo will stay home to guard, Xiaocao comes with me. Jianguo, report any patient news immediately."

"Yes, Director." Feng Jianguo immediately agreed.

"But if it's myasthenia gravis with thymoma, that's absolutely an indication for surgery." Su Yun suddenly said hesitantly.

"Yeah, so what?" Zheng Ren gave Su Yun a strange look.

Such an extremely simple matter, do we really need him to say it?

"I haven't done a thymoma surgery in a long time." Su Yun's expression was hesitant and torn, as if two little people were fighting inside her heart.

He was on his way to give a lecture to the students; the shadowless lamp shone down, and the whole venue was torn between astonished joy at the lecture and the exhilaration of performing a thymoma surgery.

A few seconds later, Su Yun's face showed a resolute expression, and she said, "Boss, you go give the lecture; I'll stay to see the patient and perform the surgery."

"Sure, no problem with the surgery?" Zheng Ren asked habitually.

"No problem at all—if you mess up your lecture this afternoon, my surgery will definitely succeed!" Su Yun, merely questioned, reacted like a cat whose tail had been stepped on, jumping up immediately.

Thymoma surgery is considered medium difficulty in provincial hospitals, but in local areas like Hai Cheng, it's rarely performed.

Because, speaking of incidence, it's a rare disease. In a place like Hai Cheng, one might not even encounter a single thymoma patient in a year.

Such patients would have to go to Sheng Cheng or Di Du; otherwise, even if diagnosed correctly locally, they couldn't receive surgical treatment.

Removing the thymus can treat myasthenia gravis; few people need the surgery, and it's one of the retained procedures of high-level top-tier hospitals.

Su Yun will definitely do it, and she'll probably do it well. As just said, the surgery ends in thirty minutes.

Zheng Ren looked at Su Yun with a smile, not arguing with her.

Thoracoscopic thymectomy? Should the thoracic department director take a look beforehand?

Never mind; just get a thymic CT, and everything will become clear.

As for the surgery, in local hospitals it's a forbidden zone, but in 912, under Su Yun's hands, it should just be a "small" procedure.

Zheng Ren said with a smile, "Director Wei, shall we go?"

"All right." Director Wei laughed, "Boss, what surgery did you just perform, stepping down from the stage?"

"Just now I saw Xiaocao pushing a patient in; I thought it looked urgent, so I went to take a look." Zheng Ren said while walking.

"Good thing you're here to keep an eye on things." Director Wei said, "This disease is very rare, with no clear triggers; it's really hard to consider myasthenia gravis. Boss, how did you discover it?"

"I've encountered it in Hai Cheng." Zheng Ren said expressionlessly.

Director Wei was stunned for a moment.

Hai Cheng...

It seems like a fourth- or fifth-tier small city.

I seem to have asked Boss before about a case of some rare disease, and he also said he'd seen it in Hai Cheng.

How come in such a fourth- or fifth-tier city, the diseases are so strange?

However, Director Wei then rationalized it, giving himself an explanation.

It's not that the diseases there are strange; it's that Boss has high diagnostic skill. Many patients, due to misdiagnosis from the start, have been misdiagnosed.

Like the patient right now whose initial symptom was intestinal obstruction—that's an example.

Even at 912 they almost misdiagnosed it, let alone the smaller hospitals below. Post-op, the patient's condition was extremely poor; the ventilator couldn't be weaned, so they kept using ventilator-assisted breathing until the patient died, and neither patient nor doctor realized it was actually myasthenia gravis.

Or after a hospital-wide consultation, everyone tried diagnostic therapy, and finally realized, damn, it's actually a thymoma! It's myasthenia gravis!

Or after a full-hospital consultation, everyone tried diagnostic therapy, and finally had an epiphany—damn, it actually had a thymoma! It was myasthenia gravis!

Perhaps by the time everyone finally understands, the patient is already beyond saving.

Is it a problem with the doctors' skill?

Zheng Ren doesn't think so.

I have the Big Pig Trotter; just a glance and I know it diagnoses myasthenia gravis, so naturally I'm full of confidence in stopping the surgery.

But what about other doctors? A patient comes, they do countless related tests—then it's pure nonsense. Missing the surgery window, who's responsible?

Director Wei smiled and said, "The kids going to school to listen to the lecture today are lucky."

"Mm." Quan Xiaocao whispered on the side, "I heard from the two intern undergrads that the school is already in an uproar. Yun Ge'er giving a lecture—this is a big deal."

They know the news; the girls all go twenty-four hours early to seize seats in the lecture hall.

"Then they'll be disappointed." Director Wei let out a laugh.

But then he immediately realized this joke was off the mark.

This isn't joking; it's mocking, saying Boss can't keep up with Doctor Su's pace.

But Zheng Ren seemingly didn't notice what Director Wei said; he drifted off.

"Boss, what are you thinking about?" Director Wei asked somewhat strangely.

"Removing the thymus is effective for some myasthenia gravis patients. I'm wondering how patients recover after surgery." Zheng Ren said.

"Removing the thymus is effective for some myasthenia gravis patients. I'm wondering how the patient's postoperative recovery is." Zheng Ren said.

I myself don't seem to care as much as Boss does; no wonder his skill is high. With high talent, he devotes all his time to work.

If his skill weren't that high, that would be seeing ghosts.

What was just said was only about disease diagnosis and treatment, but even if surgery is performed and the thymus removed, only some patients' symptoms will be alleviated.

What was just said is only the diagnosis and treatment of the disease, but even if one undergoes Shou Bing and has the thymus removed, only a portion of patients' symptoms will be alleviated.

If there are still symptoms, an intramuscular injection of neostigmine at home will do.

Like diabetes, long-term maintenance with injected medication doesn't seem like a big deal.

But some patients simply do not improve.

The symptoms of muscle weakness grow increasingly severe until eventually death.

"Still, the mechanism of the disease is unclear." Zheng Ren said with some regret: "I know that both Mayo Clinic and Xiehe have research groups studying the pathogenesis of myasthenia gravis; based on news from a few months ago, this research still has seen no breakthrough progress."

"Just wait, it's unavoidable." Director Wei said.

"It is said to Impact BoneBone muscle, but the patient I saw today had initial symptoms in the gastrointestinal smooth muscle. Although uncommon,..." Zheng Ren said halfway, then trailed off.

There are not too many diseases that current medical capabilities cannot clearly diagnose or treat.

Myasthenia gravis is merely one of them.