MTL - Live Surgical Broadcast-v3 Chapter 2901 Ethical issues

"What are you talking about?" Su Yun thought he didn't hear him clearly, and immediately asked back.

"Well, Brother Yun, let me tell you that I also thought I was wrong." Zhou Litao said, "But this is the second re-examination. I'm worried about something else, so I left both phones. .The rest ... I don't know what to do yet. "

Zheng Ren knew that this involved an ethical issue, just like the entanglement between the man and his wife just now.

But doing nothing is even more wrong.

"It's a normal rule, you still report it, and then ask the patient's lover to talk about it. I don't know if I have AIDS? This is unlikely." Su Yun said.

"Brother Yun, do you say the patient is a window period, that is, an incubation period?"

"The undetectable AIDS is mainly in the window period of HIV infection, that is, there is a window period of 2 to 4 weeks that coexists when the HIV virus is first infected. The window period can be negative when the HIV antibody is detected again. But you That woman is an old patient and has been here many times. "Su Yun groaned.

"Yes, the first time I came was about six months ago, and then I often feel weak and short of breath. There are all kinds of problems, and the symptoms are like the symptoms of AIDS written in the book." Zhou Litao said strangely, "But people said no It ’s comfortable, and I ’m definitely not going to check it directly. I suddenly thought about it, so I checked it. ”

"Is it possible that a woman knows things long before she wants to expose them, and constantly pretends to be ill, and constantly hints that the doctor ask her lover to have an examination?" Zheng Ren frowned.

"I'm going ... Boss, you're too ridiculous!" Su Yun said in surprise.

Obviously, Zheng Ren's idea is too dark. The point is ... there really is such a possibility.

"It is possible." Zheng Ren said seriously.

"I want to say that this is not possible at all." Su Yundao, "You think, in the eyes of ordinary people, AIDS is terminally ill! You can't avoid it, and you can live under one roof every day? Why is my heart so big?"

"It may also be that she only has doubts but can't say it. Once this is said, there is no way to turn back." Zheng Ren added.

"Well, it's almost time to catch up with a family ethics drama. It's a coincidence if I said that a patient with autonomic dysfunction came to the hospital repeatedly and found that she was fine, but her lover happened to be AIDS."

"Well, it is indeed the most likely." Zheng Ren did not raise the bar with Su Yun. He thought that Su Yun was justified and directly overturned all the previous words, and then said, "Then there are some clues in life, She didn't realize that the psychological hints in this area were hidden in the subconscious, so she always leaned on AIDS by accident. "

"It's possible. Regardless, anyway, the trouble is always Zhou." Su Yun laughed.

"I called the man later, hoping that he wouldn't break down when he knew." Zhou Litao said slightly sadly.

"Who knows, you just need to be careful anyway." Su Yun said, "This is the time when things are most willing to happen. Everything is gray, and it will be **** to pull you to death, this kind of person is very common."

"Who knows?" Zhou Litao suddenly remembered and asked, "I have a CT scan of the maxillary sinus in patients with nosebleeds, why?"

"There is something in the nasal cavity, and there is a mucous membrane covering it. I can't see what it is. The boss guessed that there are teeth in the nose. Do you think it is possible? President Zhou?" Su Yun asked.

"Uh ... I read a report about rectal teeth." Zhou Litao said.

"Don't talk nonsense, it's because the dentures are missing, and it can't be discharged in the rectum." Su Yun reprimanded.

"I have also read similar reports. One piece was published in the journal Radiology. It was said that during the examination, a tooth-like object was grown on the toes, which was later removed." Zheng Ren Shensheng said.

"Huh huh!" Zhou Litao nodded again and again. "I was looking at a British patient who had frequent abdominal pain, so I checked and found that there was a tooth in the rectum. The exact length of the paper was not described in detail. Is the only one found. I think it may be a calcified neoplasm? "

"It's all possible. The possibility of real teeth is not high, because there are no more cases that indicate teeth." Zheng Rendao said, "In fact, the teeth in the nose, ears, and eyes should be real. Tooth in other locations, all Can't stand scrutiny. "

"Is the tooth germ in situ wrong? Is the tooth germ too far from the eruption point or the position is abnormal? Simply put, don't make it so complicated." Su Yundao, "It is basically caused by genetic factors or endocrine disorders, trauma, local infection. Can Boss, if you look at it across the mucous membrane, it is said to be an ambush tooth. I can't understand this. "

"Just guess, you have made bold assumptions, and be careful to verify. I ca n’t speak cautiously, I ca n’t just say anything. What do you want ?!” Zheng Ren asked.

Su Yun froze a bit, and was laughed at by the strange logic between them.

"In the past few years, there was a CT in the group, and the ambush tooth had grown to the right orbit. If one was not careful when pulling the tooth, it would lead to blindness." Su Yun changed the topic quite quickly, and he immediately began to talk about the case. "This is The first case of ectopic teeth I have seen. As for the nose and ears, I have never seen it. "

"It's amazing to see one case in person, I haven't seen one, and there are few similar reports in magazines."

"The teeth in the ear canal probably appear similarly in the eyes." Zheng Rendao said, "The principle is the same ~ www.novelbuddy.com ~ There is nothing to explain."

Speaking, Su Yun's cell phone rang. The doctor in the CT room opened and said that the patient had completed the examination and the image data was uploaded.

Su Yun immediately turned on the computer and found the film of the patient with a nosebleed.

Sure enough, the supernumerary teeth of the maxillary incisors were lying in the nasal cavity in the supine position. It's about 2cm in length, but this guy is long enough!

Looking at the film, Zheng Ren knew that the big pig hoof was right again. The teeth in the nasal cavity really turned out to be a tooth. No wonder he often bleeds his nose and hurts his nose.

"When the patient comes back, let him go to the oral hospital for treatment. At least one minor operation is needed. 2cm, how many chisels must be chiseled. Boss, do you think this is a tooth extraction? What to do for a fee." Su Yunzheng was surprised.

"If you want to pull it out completely, you need general anesthesia, and hospitalization should be. The difficulty of the operation is, but not great." Zheng Ren has already simulated the operation in his heart.

There is no systemic reward for this kind of minor surgery. Zheng Ren is unwilling to waste surgical training time. For the dentist, it may take a bit of work, but it will never happen.