My Medical Skills Give Me Experience Points Chapter 1530: Chapter 619: Opportunistic Infection, Major Ev

Chapter 1530: Chapter 619: Opportunistic Infection, Major Events Follow

Tu Ya’s lab results are indisputable; this child is definitely infected with the tubercle bacillus, and it’s a spinal cord infection.

However, this makes the cause of his illness somewhat difficult to determine.

Based on the results of the sensory evoked potential test, it was initially thought that the first pair of cervical nerves was injured, leading to the child’s high-level paraplegia. Now that a tubercle bacillus infection in the spinal cord has been detected, the cause must be re-evaluated.

Zhou Can believes it’s very likely that the injury was just a trigger.

After the cervical spine injury, the spinal cord’s resistance decreased further, allowing the tubercle bacillus to multiply rapidly and invade the child’s entire spinal cord.

At the time, the cervical spine injury caused a hematoma, resulting in immediate high-level paraplegia for the child.

Not crying, unable to move, this is the best proof.

After treatment, the hematoma in the cervical spine area gradually subsided, and the pressed cervical nerves began to recover gradually. However, by this time, the tubercle bacillus had erupted, starting to destroy the nerve conduction function of the spinal cord.

This also explains well why the child’s motor nerve function is almost pletely lost, but the sensory nerves still exist.

Moreover, his sensory nerves weaken from the Medulla Oblongata at the upper neck downward, further proving that the tubercle bacillus infection likely started from the coccyx area or somewhere closer to the pelvic cavity.

The infection of the bacteria is a process.

Because the body’s various tissues and organs are interconnected yet independent, much like a series of fortresses.

When bacteria or viruses conquer one fortress, they must find a breakthrough point and need time to invade the next.

Some organs even have incredibly strong defensive abilities, making it extremely difficult for bacteria to infect them.

After Zhou Can slowly clarified his thoughts, the diagnosis became gradually clear.

“The conduction problem with this child’s first pair of cervical nerves should not be significantly related to the tubercle bacillus infection.”

This was his first diagnostic insight after summarizing.

Because the tubercle bacillus rampages within the spinal cord, advancing from the coccyx to the midbrain, it should proceed incrementally, progressing from the bottom upward.

It doesn’t make sense that other cervical nerve conduction potentials are fine, but the first pair of cervical nerves, farthest from the coccyx, is promised by the tubercle bacillus; this is somewhat unscientific.

Of course, on the battlefield, there are examples of bypassing enemy lines and directly targeting enemy strongholds in the rear.

Bacteria are pervasive and extremely cunning, and they may have taken advantage of the weakened state of the first pair of cervical nerves, attacking and conquering them while they were weak.

“Initially, it was undoubtedly the pressure from the hematoma and the cervical spine injury that caused the high-level paraplegia. However, now the hematoma has long been eliminated, and the injured cervical spine should have mostly healed. Normally, the symptoms of high-level paraplegia in the child would at least be alleviated, slowly recovering. However, currently, there is no sign of recovery at all. This can only mean two possibilities.”

Zhou Can carefully considered and finally identified two possible causes.

The first possibility is that the neck’s spinal vertebrae damage is too severe, making it unable to recover independently even after the hematoma dissipates, resulting in partial spinal nerve transection and rupture. This possibility exists but is relatively small.

Because the lower-level central transmission is smooth, and the sensory nerve transmission is also not pletely interrupted.

If there were a nerve rupture, the sensory nerve could not gradually weaken downwards but would directly cease.

The second, and most likely possibility, is that the tubercle bacillus took advantage of the injured first pair of cervical nerves and invaded. Its infection caused a decremental conduction disorder in the cervical nerves.

However, there are some doubts about this argument as well.

You regret not having enough books to consult and feel that your knowledge is insufficient and experience is not rich enough at this moment.

Since it’s caused by the cervical nerve injury, you might need to consult the pinnacle of Neurosurgery — Director Wu Baihe.

Making more moves is also a good thing.

Some relationships with these chief physicians are not solidified.

Except for General Surgery’s Director Liu, Cardiothoracic Surgery’s Xue Yan, Pediatric’s Tang Fei, and Internal Medicine’s Director Tan…these directors with some emotional foundation that doesn’t require much effort to maintain.

Even if there is no contact for a year or half, they remain old friends.

With Wu Baihe, it is more of a gentleman’s friendship.

The saying goes, a gentleman’s friendship is as light as water. Without frequent contact, the connection slowly fades.

Director Wu Baihe is a righteous person, just a bit arrogant and relatively solitary, making interactions naturally less warm and more restrained.

Of course, this is also because Zhou Can does not have a deep friendship with him.

In fact, Director Xue Yan and Director Tang Fei are also quite aloof. Zhou Can formed close friendships with them because of significant shared interests or certain events.

For instance, with Director Xue Yan, they are both students of Director Hu Kan, sharing a kinship as fellow disciples.

Later, when she was in her most difficult, impoverished, and helpless times, Zhou Can stepped in to help her out of her predicament, forging a bond as close as siblings with unbreakable ties.

Even when her ex-husband tried to hire a killer to take out Zhou Can, it didn’t create a wedge between them.

The friendship with Director Tang Fei is established on the basis of shared interests.

Pediatrics needs Zhou Can as a valuable asset.

It’s just that simple.

After eating, looking at the fully booked surgery schedule for the afternoon, Zhou Can couldn’t help but sigh internally, realizing he is truly destined for a busy life.

In the afternoon, there are a total of three Level 3 surgeries and two Level 2 plex surgeries that require him to take charge.