Chapter 811 - 379: Moyamoya Disease, Massive Health Point Reward

Chapter 811: Chapter 379: Moyamoya Disease, Massive Health Point Reward

This aspect aligns with Li Jingsheng’s diagnostic direction.

Based on the previous head examination results of the patient, it can be basically determined that her head blood vessels are more abundant than those of a normal person. However, it is not clear whether there is any abnormality or malformation.

Now with the DSA examination, obvious lesions have been discovered.

The supraclinoid segment of the patient’s internal carotid artery bed shows significant stenosis, and near the anterior and middle cerebral arteries, there is even partial blockage.

The distal segment of the basilar artery is similarly blocked.

Seeing this, Li Jingsheng finally understands why the patient’s bilateral head vessels are far more abundant than normal.

When arterial vessels become stenosed or even blocked, the brain is forced to cause changes in the terminal vessels to ensure sufficient blood supply.

When a relatively thick artery is blocked, it may require ten or even twenty tiny blood vessels to thicken or more tiny vessels to extend to replace the work of this thick vessel.

In fact, even with ten or twenty tiny vessels tasked with the blood transfer work, their efficiency still does not meet the original requirements.

In this case, when there is a problem with the blood supply, a person’s brain will become dizzy and may even temporarily shut down.

This patient’s multiple brain blood supply vessels are blocked or stenosed, which prompted the blood vessels to proliferate from the base of the brain upward, forming a rich collateral circulation in a fan shape.

They traverse the meninges, the brain parenchyma, and then form an abnormal vascular network at the base of the brain.

"Damn, isn’t this moyamoya disease?"

Li Jingsheng is not unfamiliar with this brain disease.

Because his online medical supplies operator — Wen Tianqi often experiences paroxysmal headaches, dizziness, which improves somewhat after Li Jingsheng’s massage treatment. He somewhat suspects that Wen Tianqi has this disease.

Now the changes in this female patient’s brain blood vessels highly match moyamoya disease.

However, it cannot be simply classified as pure moyamoya disease.

Because she has a malformed lesion in a part of her cerebral arteries.

It’s very likely that this malformation is congenital.

He deduces that the malformation in this cerebral artery may result in a domino effect affecting the related vessels, causing them all problems.

It seems Director Luo’s reminder was correct.

There must be a reason for the changes in the vessels.

When there is a massive proliferation of blood vessels in the patient’s brain, the body is making great efforts to save itself, proliferating numerous collateral vessels or making the original tiny vessels thicker to meet the body’s needs.

[Congratulations on comprehending neurosurgical diagnostic skills.]

[Neurosurgical diagnostic +1, life value +1. You have successfully diagnosed a super high difficulty case, life value +1000.]

Successfully comprehending neurosurgical diagnostic skills was no surprise.

Li Jingsheng had long had this premonition.

After all, he has diagnosed multiple neurology and neurosurgery cases recently.

There is already a substantial foundation in this area.

The life value reward is a whole thousand points, which makes him extremely surprised and delighted.

Doing good deeds and good things is still very nice.

There’s almost always some unexpected reward.

He promised Lian Tao to improve the colonoscopy skills within a month. The sudden surge in a thousand life value points also makes him feel much less pressure.

The issue of the female patient has been identified now.

But how to solve it?

Li Jingsheng is not skilled in this aspect of treatment, given the patient’s condition, it very likely needs craniotomy surgery.

The surgical plan, costs, and whether it requires one procedure or needs to be performed multiple times?

All these need to be understood clearly.

There are many experts at the People’s Hospital, even though Professor Wang Weiwei is neither a neurosurgery nor neurology expert, upon seeing this DSA result, he must have already identified the problem.

However, the family did not mention it to Li Jingsheng.

Li Jingsheng speculated that Professor Wang might be worried about breaching protocol.

After all, the patient was received by Li Jingsheng, and was treated at his clinic. Asking him for help with a checkup should not lead to taking over the patient.

It is precisely for this reason that Professor Wang did not tell the family what the disease was or suggest treatment at the People’s Hospital.

"Old Wang is indeed a decent man!"

Li Jingsheng thought to himself.

However, his small clinic just cannot handle this patient currently.

This matter still needs to be discussed with Professor Wang.

Li Jingsheng immediately dialed Wang Weiwei’s WeChat voice call.

Since WeChat became popular, the mobile company’s business has basically become redundant.

For sending text messages, WeChat is free.

Text, pictures, short videos, voice; send whatever you like.

A mobile text message costs ten cents apiece.

Except for strangers or people not very familiar communicating, friends and acquaintances mostly no longer use mobile text messaging.

Making phone calls is unnecessary as well, WeChat voice and video are very convenient.

And still free.

Ordinary people have already voted with their feet on how to choose.

The call was connected quickly.

"Jingsheng, just got off work?"

"Yeah! Just came home from work, we doctors have a tough life!" Li Jingsheng complained.

"Haha, once you chose this path, it’s too late to regret it. From the day you became an intern, you should have understood that being a doctor is a hard and tiring job. We all persevere because of our passion. Patients need us too."

Professor Wang had gone through the same path and naturally understood the hardships of being a doctor.

"You’re right, we do this because of our passion. Every time I see patients recovering after treatment, I feel it’s worth all the effort. That female patient who was completely paralyzed successfully underwent a DSA examination under your arrangement. I checked the results—it turns out she has Moyamoya disease and arterial vascular malformation!"

Li Jingsheng brought up the topic himself.

"This disease is quite troublesome, I’m afraid surgery is needed to improve it."

"Yes, I also believe surgery is necessary. You know the conditions at the second hospital, the technical level is limited, I estimate we can’t handle such high-precision surgeries. Can the People’s Hospital take this on?"

Li Jingsheng truly wasn’t trying to disregard his own institution.

The patient’s vessels had multiple issues, something the second hospital simply couldn’t manage.

The neurosurgery team, apart from having their heads and eyes high in the sky, only had passable skills with their hands.

The gap with larger hospitals remains significant.

"Uh... our hospital’s neurosurgery department should be able to take this on. To ensure a higher success rate of the surgery, I suggest consulting with Professor Yi Haiyang. His surgical skills are recognized."

Wang Weiwei’s tone seemed very calm.

As if he had already anticipated this result.

"Is it possible for the patient to directly register with Professor Yi Haiyang?"

Li Jingsheng was well aware that for a top-tier surgical expert like Yi Haiyang, whose schedule is packed with surgeries, teaching, research, and academic conferences, securing an appointment with him wouldn’t be easy.

The waiting time could be long.

"Let the family try to book an appointment first. Sometimes, with a stroke of luck, they might get scheduled soon. From what I know about Yi Haiyang, as long as they can register with him, he takes full responsibility. For less difficult surgeries, he might let his junior doctors handle it, but if it’s highly complex, he usually leads the surgery personally."

Wang Weiwei offered some advice.

"Okay, I’ll communicate with the family later. Traveling all the way from another province is really not easy. Old Wang, are you familiar with Professor Yi?"

Li Jingsheng’s thought was that if the family couldn’t secure an appointment and had to wait too long, he might ask Wang Weiwei to make a recommendation. Perhaps they could get an additional slot.

It’s generally not easy to get such an additional slot with a professor at this level.

Because their time is already scheduled, and unless it’s a life-or-death emergency, they can’t be expected to sacrifice personal time for this favor.

No personal connection, no obligation.

"Even if I wanted to help, I couldn’t. You know the little rivalry between internal medicine and surgery. It’s just mutual disdain. I’ve lived a long life and don’t want to have to plead with surgery. If you need someone to speak on your behalf, you’d better find one of our hospital’s surgery experts. Yi Haiyang is quite unique; going through the hospital leadership won’t be effective. He has good relations with several surgery experts in this hospital.

If you can find someone familiar in that area, a word might work."

Wang Weiwei was only this direct with Li Jingsheng.

But it was indeed the reality.

The mutual disdain between internal medicine and surgery has been long-standing, in some hospitals experts get along well.

It’s unexpected that it’s so severe at the People’s Hospital.

Li Jingsheng remembered when Lian Tao took him to cardiothoracic surgery for a child’s hospitalization, the nurse was lukewarm and showed no respect to him as a dual-department director.

Of course, Li Jingsheng is now connected with cardiothoracic surgery.

Director Shang Fu of cardiothoracic surgery and Lian Tao now seem to have some personal connection.

For now, they could only let the family try first.

If it doesn’t work out, he’d think of a solution.

Li Jingsheng’s relationship with Director Shang wasn’t strong; they had just recently established contact.

His classmate Zhang Chao, however, works in cardiothoracic surgery.

But Zhang Chao’s position was still low, his words might not be as effective as Li Jingsheng’s.

This matter could only proceed step by step, helping wherever possible.

Operate within capacity.

Beyond personal capability, he could do nothing more.

He took the examination results outside to the RV and called the family down. He explained the patient’s general situation and informed the old man to try getting a ticket for Professor Yi Yanghai’s outpatient department at the People’s Hospital.

Li Jingsheng also checked that Professor Yi Yanghai only consulted twice a week.

Monday mornings from nine to noon.

Then all day Friday.

Many senior experts follow this pattern basically.

The family was delighted to find out the cause had been identified.

This time, the DSA examination alone cost nearly ten thousand yuan, which was a considerable amount for them.

But it was money well spent.

At least the cause of their daughter’s condition, which had troubled them for over ten years, was identified.

If surgery could be successful, there was hope for their daughter to regain her health.

The next day, Li Jingsheng was consulting at his private clinic, and the paralyzed girl’s father walked in with a silk banner.

"Dr. Li, thank you for helping diagnose my daughter’s condition. I don’t have much to offer in thanks; this banner is a small token of my gratitude. If only we had met you earlier, we wasted eleven years going down the wrong path!"