Practicing Medical Skills in a Small Clinic novel Chapter 805

Chapter 805: Chapter 376: There Must Be a Reason for Vascular Changes, Direct Thorough Examination_2

This evaluation is quite high.

Li Jingsheng doesn’t really feel his achievements are remarkable.

At least for now, they aren’t at a particularly high level, barely reaching the director-level.

He feels a bit embarrassed to call himself an expert.

He exchanged a few modest words with Teacher Yu before ending the call.

After adding each other as WeChat friends, Teacher Yu soon sent over more than a dozen sectional images of human head blood vessels.

When creating specimens, the blood vessels are typically dyed.

Veins are dyed blue, arteries red, nerves yellow. Ligaments are usually left undyed.

Medical students, when first learning anatomy, have to strongly endure their inner fear and discomfort, carefully observing the distribution of blood vessels and the structure of muscles and nerves.

More complex blood vessels and nerves are often arranged in a tree-like distribution.

Even if one commits their distribution to memory, when it actually comes to performing surgery and dissecting the patient, it’s basically a mess in their brain.

After multiple exercises like Li Jingsheng, one can remain calm and have clarity in mind.

He examined the physical images sent by Teacher Yu, carefully analyzing the direction and distribution of the blood vessels.

Teacher Yu was very thoughtful, even specially sending over a vascular specimen image.

The patient’s other tissues were dissolved away, leaving only the blood vessels. Even the capillaries were clearly visible.

They spread out like roots, densely across the whole body.

The head’s blood vessels are also extremely abundant.

Li Jingsheng quickly picked up the head imaging report of the female patient.

Even though it’s MRI and CT, it can only distinguish the main tissues and blood vessels.

After all, what is observed now isn’t dynamic.

If you really want to check, doing an MRA or CTA is a good choice.

In comparison, he found the female patient indeed has more abundant head blood vessels than normal.

Could overly abundant blood vessels cause head lesions?

Never heard of that.

But the vascular network formed in the patient’s head is clearly different from ordinary people, how do you explain this?

He decided to consult Director Luo from the Neurology Department at the Second Hospital.

Although he doesn’t quite like Director Luo’s personality, within the Second Hospital, only Director Luo has a higher level in this area.

As for the Neurosurgery Department, that’s a cold and arrogant division, feeling even more arrogant than General Surgery.

Li Jingsheng has had no contact with the doctors from Neurosurgery so far.

Cardiac Surgery and Neurosurgery, both are known as high-tech and cutting-edge surgical divisions.

The doctors in these two departments generally have a bit of arrogance.

And indeed they’re quite capable.

The call was quickly connected.

"Hello, Director Luo. It’s Li Jingsheng from Orthopedic Surgery!"

"I have your number saved, Dr. Li, even if you don’t introduce yourself, I know. Is there something you need?"

Director Luo appeared very affable.

"I have a case I want to discuss with you..."

Li Jingsheng explained the situation of the patient.

"Uh... this issue—I’m not very familiar with it either. But I think that if the blood vessels are more abundant than normal, unless they’re like that throughout the body, it means there may be some changes in the head blood vessels. Blood vessels have a strong ability to self-modify. For instance, when a major artery gets blocked, as long as the blockage doesn’t happen suddenly, the surrounding blood vessels will definitely respond.

They will slowly replace the blocked vessel.

For such intracranial bilateral vascular networks becoming more abundant, I think you should consider doing an angiography. If possible, checking an MRA at their People’s Hospital or Qiaobang, or further doing a DSA would be good."

Director Luo never hesitates to prescribe tests for patients.

If he deems it necessary, he will prescribe them all for the patient.

"Okay, thanks for your advice! I’ll have the patient go for an MRA check."

"If you’re going to do it, it’s best to also check a DSA. Even if it doesn’t reveal a problem, it should at least uncover something."

Director Luo emphasized.

"Sure, I’ll communicate with the family."

Li Jingsheng felt that applying for both tests might not be agreeable to the family.

Moreover, his small clinic cannot perform them, so he can only let the patient go to the People’s Hospital or Qiaobang Hospital.

Usually, doing these two tests would require an appointment and might possibly need hospitalization.

Taking advantage of some time he had left, he talked with the family.

At the People’s Hospital, however, he had numerous acquaintances. 𝘧𝓇ℯℯ𝑤ℯ𝘣𝓃ℴ𝓋𝑒𝑙.𝑐𝘰𝑚

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