Chapter 184 181. The "flexible" medical theory foundation is to jump repeatedly

Such a patient with a high degree of breast cancer had persistent and severe headaches. During the hospitalization, he also suffered upper limb fractures and multiple epilepsy on the same side of the tumor. Most doctors' diagnosis would be biased towards breast cancer brain metastasis + bone metastasis.

It is also necessary to have a examination of the head CT+ fracture site as soon as possible.

The function of the examination is nothing more than to clarify the diagnosis and provide an indication basis for the subsequent treatment.

Once the diagnosis is clear, the next step is to establish a more tormenting treatment plan. Local surgery, systemic chemotherapy, positioning radiotherapy, palliative care that only considers quality of life, completely giving up after considering money, or a different way to decide to take a gamble

.

Although modern medicine is far from perfect cure when facing cancer, fortunately, every patient and family member can have their own choices, and the risks, money spent and possible outcomes are also acceptable.

Foresee in advance.

But in the 19th century, all patients had to face were unknowns.

First of all, the condition is unknown.

There was no objective judgment standard for diagnosis in the 19th century, nor even a theoretical basis, but it was entirely dependent on the experience of doctors. For the king of diseases, tumors, and early medicine only knew its harm and lacked vigilance for tumor metastasis.

Therefore, based on Masimov's decades of medical experience, the reason for Madame Santini's upper limb fracture is a simple fall. However, with Ednelson's decades of medical experience, such a stubborn and severe headache should be the evil spirit.

Trouble.

Secondly, the treatment they need to face is unknown.

Patients can almost passively accept doctors’ suggestions, and themselves and their families can only do right and wrong questions, rather than multiple-choice questions after weighing the pros and cons like modern medicine. Right and wrong questions determine not only the execution of the treatment, but also the patient’s stay or stay.

and prognosis.

The pain in early stages of breast cancer can be tolerated, so the patient chooses to ignore the choice, and the result is spread + metastasis.

Because the headache is unbearable, the patient can only receive treatment unconditionally in order to relieve the pain, and the result is that the more he treats it, the more outrageous it becomes.

The prognosis of all treatments is also unknown.

The treatments chosen by doctors are the most suitable treatments for the patient's current symptoms in their mouths, with no adverse reactions or complications. This is not against their will, because they receive this kind of education in class, and most doctors also treat this.

Believe it without doubt.

Of course, all the above three points require a foundation, that is, the foundation that is extremely lacking in medical theory knowledge. If you don’t have enough ability, no matter how much you talk about the system, it will be in vain.

When it comes to the height of Masimov and Ednelson, many years of experience will bring them some doubts after colliding with reality.

For example, Masimov once questioned whether his surgical ability could really solve Mrs. Santini's already swollen breast cancer. For example, Ednelson now began to question Mariana's spiritual and exorcist society.

Have you really reached the level that can eliminate disease evil?

However, due to Mariana's identity and her own cultivation, his wording was extremely restrained: "It is rare to experience severe epilepsy when casting spells and treatments."

"The barrier is definitely fine, and the altar is fine. I arranged it according to the standard "Bible Magic".

Mariana sat in the physician's office, holding Buster in her arms: "It is even more impossible for Buster to have problems. Its psychic ability is impeccable, and it has even been recognized by the Pope. Although the Pope himself

I don't like cats, but Buster is special."

Speaking of this, Ed Nelson raised his eyebrows: "From the symptoms, her epilepsy seems to be more like a backlash. Perhaps our anti-evil arts are too strong and stimulated it."

"Maybe."

Mariana was also shocked by Mrs. Santini's strange reaction just now, and subconsciously stroked Buster's hair to relieve stress: "How is Mrs. Santini now? The reaction just now is so terrible."

"The convulsions are over, but the headache is still there."

"Oh, if you can, I really hope to continue the remaining magic of evil spirits."

This happened halfway through the exorcism. Even if the patient has faith, he would doubt the feasibility of exorcism. At least he would question Marianna's level like Ed Nelson. Mariana also knew that she had no chance, so these could only be

Just self-comfort in the aftermath: "She will get better, right?"

"We will do our best." Ednelson nodded, and said, "Countess, I need to see my patient now."

Mariana said one thing: "Go, I won't bother you."

"Let me call you a carriage."

"No need to worry, Nora is here." Mariana walked to the door with Buster in her arms, "If possible, please tell me the follow-up situation when the treatment comes to an end."

"must."

At this time, Kavi and Masimov were standing in the internal medicine ward, with the busy internal medicine doctors and nurses in front of him.

The internal medicine department was still confused about Mrs. Santini's illness. From top to bottom, it was believed that the soul of an octopus in the dark deep sea was at work. But as a surgeon who trusted the reality in front of him, the old man next to the door was in trouble.

Yi Shao's view has reached a basic agreement.

It’s just that there are too many traces of Kawei guidance in this "consistency".

"Is the tumor metastasis you mentioned that it is metastasis along the lymphatic duct?"

"In addition to the lymphatic ducts, there are also blood vessels in the body," Kawei said.

Masimov took a deep breath and lowered his head to think for a moment: "The tumor needs blood supply, so it is not impossible to think so, but can such a huge tumor really transfer to such a faraway place?"

"Left breast cancer, fracture of the left upper limb, and the headache is also close to the left side, so this cannot be considered far."

"What? The fracture site is also a tumor?" This made Masimov unexpectedly. "I have checked it and the symptoms seem to be just an ordinary fracture."

"The patient is only in his 30s and just fell down on the ground. The chance of fracture is not high." Kavey explained, "Even if there is a fracture, it should be on the thinner forearm, not the thicker back arm. Unless it is normal

The bones have been damaged to a certain extent, which increases the brittleness of the bones and eventually leads to fractures."

Overall, Masimov still trusts Kavi.

But trust is based on surgery. For example, in abdominal surgery and breast surgery, Kavi has made a big name in the Austrian surgical community. Masimov almost looks at the youth in front of him as an peer.

people.

But in medical theory, the old man acted very cautiously.

If he really wants to believe Kavi, his attitude towards intracranial and bone tumors should be as active in surgical treatment as breast cancer. But now Masimov is just standing by the door and looking at Sandy lying on the bed in the distance.

Mrs. Nee, said nothing.

"Does the teacher think there is a loophole in my opinion?"

Masimov shook his head: "On the contrary, the theory that I mentioned is self-consistent."

"The tumor has developed to this point, and we can't delay it anymore," Kavey suggested. "The patient should be sent to the surgical ward immediately, and the surgeon should take over it, and then a set of surgical plans suitable for the patient will be formulated. Even if it cannot be completely removed, it cannot be completely removed.

The tumor should also make Mrs. Santini live a better life.”

"I only say that logic is self-consistent, but there is still a lack of theoretical proof."

"Does it take a dissection after Madam Santini's death and then compare the cell structure under a microscope to prove the theory?" Kawei shook his head again, "How can surgery be bound by such things?"

"But the patient is not mine." Masimov said the key point, "You can't even convince me, how can you convince Ednelson?"

Kawei realized that the root of the problem was that the theoretical foundation of medical science was not deep enough. Nowadays, the knowledge of cell biology, physiology, and pathology is still too shallow and has not formed a system. Even if you learn it all, it gives people a hazy feeling.

In order to make the old man in front of him agree to have an opportunity to have an operation with Ed Nelson, he must explain the "theory" more thoroughly.

"In fact, this is like some robber countries colonizing outwards, such as France, which claims to be romantic and Britain, which is full of gentlemen," said Carvey. "They send colonial troops around the world, just a small group of people can

A large colony developed in several years.”

The explanation is so blunt, Masimov cannot understand: "You mean that after a small part of the tumor's tissue falls off, a new tumor grows in other places along the pipe."

After the theory is updated, clinical thinking always requires some adaptive work.

Although Masimov felt that Kavi's theory was worthy of belief, he was still struggling with the name and source of the tumor because the tumor was different in location and symptoms. Intracranial tumors manifested as headaches and epilepsy, and tumors on the bones manifested as increased bone fragility.

, while breast cancer itself is just swelling and tingling.

Is it inappropriate to use the same name to express three tumors?

"Teacher should look at the other side of the ocean. After the Americas occupied by Britain and France were expelled from the Aboriginal people who originally lived there, America had developed into the United States."

Masimov's thoughts suddenly became clear: "So that's it."

At this time, Ed Nelson's voice came from afar. After sending Mariana away, he went straight to the ward, hoping to see the situation of Mrs. Santini: "The Shuicheng is over, why haven't you left yet

?”

“We are discussing the condition.”

"Such a stubborn and serious headache is really difficult," Ed Nelson said helplessly, "In addition, the failure to exorcise evil spirits just now, it is unlikely to completely heal it."

"Have the teacher considered changing the treatment method?"

"I have changed many kinds, and the effect is average." Ed Nelson did not lose confidence in treatment, and also showed his right to treat the patient, "But don't worry, I have already had treatment strategies that match his symptoms.

”

“What treatment?”

“We applied to the hospital for an electric bathtub to treat some refractory skin diseases, muscle pain and mental disorders,” Ed Nelson said. “But later, because of the funding, the application was put on hold.”

Masimov scoffed at this: "Come on, do you think the life of a shoemaker's wife can get the dean to spend a lot of money to buy this expensive machine?"

"Of course I won't buy it."

Ed Nelson knows the dean well: "But if the treatment is really effective, then Mrs. Santini can become strong evidence. Even if the dean continues to refuse, it will be considered as a favor for me. I will apply for other devices later.
To be continued...