Chapter 754 Unexpected (Leader Xiao Yuwannan Adds 3)

After half a year of clinical practice, Dr. Shen can clearly feel that the effectiveness of interventional surgery for liver cancer is different from before, not only for small nodules of liver cancer. For relatively large liver cancer that cannot be removed by surgery, 64-slice CT three-dimensional reconstruction is performed before operation, and the surgical effect is particularly good.

Boss Xiao Zheng's imaging level is really high.

It's just... As a doctor of imaging, Dr. Shen burst into tears after hearing a few words.

The diagnosis of a rare disease such as mitochondrial encephalomyopathy is incomprehensible, and Dr. Shen can explain it by saying that he is not a professional.

But... don't you even understand the CT images?

Abdominal CT mainly looks at the organs, but Boss Xiaozheng is telling Director Luo to use abdominal CT to look at the differential diagnosis of the intestinal wall.

This is a matter of level. Dr. Shen became a little dazed when he saw Zheng Ren and Director Luo discussing abdominal CT in front of the film reader.

Originally, I just took Boss Xiaozheng to visit the pier today, but I didn't expect Boss Xiaozheng to discuss the case with Director Luo directly after he arrived.

Looking at this posture, Dr. Shen gave Dr. Shen an "illusion". In less than an hour, the two had become friends.

really...

Alas, it is said that gold always shines. Boss Xiao Zheng is a piece of real gold, he can throw it anywhere, as long as there is a little light, he can blind his dog's eyes!

If you don't accept it, it really doesn't work.

Half an hour later, the two hadn't finished their discussion on an abdominal CT, and depending on the situation, they had already mixed knowledge of pathophysiology, genetics and other disciplines from imaging.

Director Luo's interest is getting higher and higher, and he can't stop it.

The family member of the patient came back with the EMG and interrupted the case discussion.

"Director Luo, the doctor in the myoelectric room said that there is a problem with the myoelectricity, what wire should I consider..." the patient's family member said with dewy eyes, "He wrote it on the back of the list, and I can't understand it."

Director Luo nodded, took the EMG, and turned it over to the back. There was the EMG report and diagnostic opinion written by the director of the EMG room.

Consider ME, short for mitochondrial encephalomyopathy.

This is really true, Director Luo looked at the line, was silent for a minute, and finally smiled.

Director Luo was also very curious, and specially arranged for the patient to go to the relevant department for emergency investigation. He wanted to follow this patient all the way to see if the diagnosis was true.

The family members of the patient left with gratitude and went for genetic testing according to Director Luo's arrangement.

Seeing the preliminary results here, Zheng Ren also left. After all, there are still so many patients queuing up outside, so we can't waste Director Luo's time too much.

Director Luo sent Zheng Ren to the door, patted him on the shoulder and said, "Boss Zheng, come and walk often when I have time. I am out of the clinic on Mondays, and I have time for the rest except ward rounds."

Zheng Ren quickly responded politely.

This visit to the pier can be said to be a complete victory, with unexpected joy.

"Boss Zheng, your face..." Director Luo asked when he was leaving at the end.

Although it was the first time they met, the two felt very familiar, and Director Luo didn't feel that he was abrupt. He just wanted Zheng Ren'an to calm down and drive carefully. If anything happened, it would be a big loss.

Zheng Ren touched the bruises in the corners of his eyes, lowered his head, and whispered, "I just came back from the front line yesterday."

"..." Director Luo froze for a moment, then patted Zheng Ren's shoulder vigorously.

"Director Luo, I'll go now," Zheng Ren said.

"Go back and have a good rest. If there is anything I need to do here, just tell me directly!" Director Luo said this time without any concealment.

There is still a distance between professional mutual appreciation. But a casual sentence completely touched Director Luo's heart, and he agreed to Zheng Ren without any reservations.

This was really an accident. Zheng Ren bowed, then grinned, and said goodbye to Director Luo.

"Boss Zheng, you..." Walking out of the Department of Gastroenterology, Dr. Shen said sincerely, "You are too powerful."

Zheng Ren smiled.

This is all normal, and Zheng Ren expected that academics are close to academics.

Before coming, Zheng Ren thought about it. The cooperation with the Department of Gastroenterology should be established on the basis of equal cooperation. To do this, Director Luo must approve of himself.

It's just that Zheng Ren didn't expect it to go so smoothly.

Director Luo's last question and unreserved support, although unexpected, are also reasonable.

It seems that the big pig's trotters haven't announced the task of adding luck points for a long time. Only now did Zheng Ren vaguely understand the importance of luck points.

After chatting with Dr. Shen for a few words, his phone rang.

Dr. Shen held the phone in embarrassment, Zheng Ren smiled and said, "You are busy, you are busy."

"Hello."

"Well, where are you?"

"Okay, wait a minute." Dr. Shen covered his phone and looked at Zheng Ren, "Boss Zheng, I have a fellow villager here. She came to see a doctor and thought it was breast cancer."

Dr. Shen didn't say the last three words, but just made a mouth shape.

"It's okay." Zheng Ren smiled, "Just going to take a look."

Dr. Shen said a few more words, then hung up the phone.

"My high school classmate found something growing in the physical examination. I looked at the B-ultrasound image and thought it was something bad." Dr. Shen said with a sigh.

Dr. Shen was only in his thirties, and his classmate... Zheng Ren sighed, it's hard to say about such things.

People have joys and sorrows, birth, old age, sickness and death, there is no way.

But now clinical surgery, the treatment of breast cancer, the technical level is still good. If it is not too late, the 5-year survival rate will reach more than 80%.

Even if the diagnosis is a little late and the degree of malignancy is high, if there is no shortage of money, the corresponding targeted drug treatment will improve the survival rate.

And surgery is not like before, it needs to be completely removed. For women, the psychological trauma is greater than the physical trauma.

Now more and more patients are undergoing breast-conserving surgery, and the postoperative effect is also good.

"I haven't been in touch since I graduated from high school. After so many years, I suddenly contacted me at the beginning. I thought it was a liar." Dr. Shen said long-windedly, "Both husband and wife are my high school classmates. I didn't expect them to get together in the end. Yes. The boy is the most honest person in our class, I don’t even believe him when he told me about their marriage.”

Zheng Ren smiled.

High school classmate, childhood sweetheart, very good.

"Boss Zheng, my classmate didn't know about it, and always thought it was hyperplasia. I didn't elaborate on her lover, but just told him that it might be something bad." Dr. Shen hesitated to speak.

Zheng Ren patted Dr. Shen on the shoulder and nodded, signaling that he knew and reassuring him.

An old clinical doctor would never say the word cancer in front of a patient. Unless it is an old patient, the doctor is sure that the patient knows it and can face it correctly.

Dr. Shen still thought too much, Zheng Ren pondered.

But for this kind of thing, his classmates will not be very old, and it is normal for Dr. Shen to have emotional fluctuations.

Seeing that Dr. Shen was in a low mood, Zheng Ren didn't speak, but followed him all the way to the outpatient clinic.

Outside the outpatient clinic, there was a surge of people. Although it was almost closing time, there were still many people.

A woman stood by the flower bed, wearing a red close-fitting suit, which set off her exquisite figure. Seeing Dr. Shen, she raised her hand, waved it, and walked over quickly.

Behind her was a man who looked honest and honest, carrying a trolley case.

The man was using his mobile phone to contact something, so he didn't notice Dr. Shen's appearance.

The woman walked a few steps, turned around and said a few words, the man hastily put away his phone with an apologetic smile on his face. When he saw Dr. Shen, he smiled more naturally, raised his hand, and walked behind her.

"Student Shen, long time no see." The woman said with a smile, no sad expression could be seen on her delicate face.

Zheng Ren fell silent.

A clear diagnosis is given in the upper right corner of the system panel, triple-negative breast cancer!

Against the red background, the bright red suit looks more eye-catching.

Triple-negative breast cancer is almost the most serious type of breast cancer. Refers to breast cancer patients who are negative for estrogen receptor, progesterone receptor and human epidermal growth factor receptor 2.

Triple-negative breast cancer has nothing to do with tumor size and lymph node metastasis, which are closely related indicators for judging the malignancy of ordinary tumors.

In other words, as long as it is triple-negative breast cancer, even if it is completely removed by surgery, there will be a high probability of recurrence 1-3 years after surgery.

In particular, most relapses are complicated by brain metastases.

Clinically, there is no good solution for triple-negative breast cancer.

Dr. Shen shook hands with the woman, then with the man behind him, and hugged him, very close.

"He always says he can't leave me. I've said it all, it's just a minor illness, and he insists on following." The woman smiled charmingly.

"Hehe, what is Lao Lian doing now?" Dr. Shen asked with a smile.

"A high school teacher, who teaches physics. This time I told him to look after the children at home and my mother to accompany me. He won't say anything, so he must follow." The woman said with a smile: "Anyway, it's a minor operation. , it’s a trip.”

"It's okay for the family to come out and have fun." Dr. Shen didn't say anything, forced a smile, brought the woman to the breast surgery department, and then arranged for hospitalization.

This kind of thing must be contacted a few days in advance. Not to mention Dr. Shen, even if it is the relation of the chief dean to come to the hospital, it has to be at least half a day in advance.

For Imperial Hospital, if you queue up, you have to queue at least two or three months later.

After completing all the formalities, Dr. Shen came to the door with an apologetic face, rubbed his hands and said, "Boss Zheng, I'm sorry."

"It's all right." Zheng Ren said, "Anyway, there's nothing wrong today. Tomorrow there will only be three patients undergoing stage II TIPS surgery. The new patients you admitted today will be examined and will not be operated on until the day after tomorrow. Just wander around in these two days." Look, familiarize yourself with the environment in the courtyard."

"Hmm." Dr. Shen nodded repeatedly.

"That... Dr. Shen, is your classmate's B-ultrasound list in place?" Zheng Ren asked.

Dr. Shen was stunned. From Zheng Ren's tone of voice, he heard some clues and a hint of ominous premonition.