Zheng Ren looked at the test sheets and films very carefully and spent nearly twenty minutes on them.
Alpha-fetoprotein went from 12 to 31 and then to 501001000. Almost every time it was rechecked, the value doubled.
The more recently, the higher the multiple has increased.
Other examinations showed no signs of residual tumor lesions or metastases.
It was indeed the same as I imagined.
After reading all the inspections, Zheng Ren organized the films and inspection reports and put them back one by one in chronological order.
"Doctor Zheng, you..." Li Hui asked hesitantly.
"Sister Li, that's it." Zheng Ren put the film on the armrest of the sofa and said seriously: "I believe you must have seen the directors of relevant departments in many hospitals."
Li Hui nodded.
"The conclusions are all the same. We need to observe and see." Zheng Ren said: "Actually, this is what I want to say. I suspect there are metastatic lesions, but the current examination cannot determine where the lesions are."
Li Hui had a look of disappointment on his face.
Speculation about metastases but no evidence is the current situation.
"I have encountered similar cases. The outbreak of metastatic lesions of liver cancer is difficult to contain. How is Mr. Li's current mental state, diet and daily life?" Zheng Ren asked.
"It's all pretty good, there's no big difference from before." Li Hui said softly, her words were clear and light, but it was difficult to conceal her disappointment.
"Hmm..." Zheng Ren pondered for a few seconds, and finally said: "Well, if the old man has no objection to a CT scan, I would like to do a full-body CT scan."
"whole body?"
"Yes, including all positions." Zheng Ren said: "I am now in the interventional department, and my understanding of imaging is relatively in-depth."
"Dr. Mehar from Karolinska Institutet, a medical university in Stockholm, Sweden, highly recognizes Dr. Zheng's imaging technology." Vice President Yuan interjected at the right time.
Li Hui was not surprised. She should have heard about Zheng Ren's recent surgery on Dr. Mehar from Sweden.
That's why she came to 912 and asked Zheng Ren for medical treatment.
But for a full-body CT scan, how many parts will be done? How much radiation do I need to take? Generally, patients and their families are more concerned about this.
"I'll go home and discuss it with my father." Li Hui said hesitantly.
"Okay." After Zheng Ren finished speaking, he took out his mobile phone, called up the QR code, and said, "Leave a WeChat message. If Mr. Li agrees to do CT, I will say hello to Director Chu in advance."
Vice President Yuan looked at Zheng Ren and smiled slightly.
This little guy really doesn't understand the ways of the world. Mr. Li came to 912 for a checkup and still asked you to say hello
But he didn't say anything, he just looked interesting. I was dumbfounded. I wouldn't have been like this when I was young.
Li Hui immediately scanned Zheng Ren's WeChat account, added him as a friend, and then said goodbye and left.
"Xiao Zheng, how did you judge?" Vice President Yuan asked carefully after Li Hui left.
"Dean, I highly suspect it is a metastatic tumor, but the location is uncertain." Zheng Ren said truthfully, "Even if I do a CT scan, the chance of detecting it is not very high."
Vice President Yuan was stunned. What do you mean, even if you do a CT scan
That’s what I said!
How much trust do you have in your own technical level can you say this naturally
He smiled and said, "Sit down and talk, Xiao Zheng."
Zheng Ren felt a little strange. Did Vice President Yuan have something to do with him? Why don't you let yourself go
After the surgery on Dr. Mehar, a socially slow person like Zheng Ren could feel the change in Dean Yan and Vice Dean Yuan's attitude towards him.
But to him, it didn't matter.
"Although Xiao Zheng and Mr. Li are not medical scientists, they have made indelible contributions to the research and promotion of the protection of endangered and rare wild animals in our country." Vice President Yuan said slowly.
Zheng Ren looked into his eyes and acted like he was listening to the teacher's lecture when he was in elementary school.
"I am also very sorry that Mr. Li is ill." Vice President Yuan said: "Humans, birth, old age, illness and death are always normal. You just have to do your best. And Mr. Li used to see doctors in Xiehe and Imperial Capital, and his relationship with us is Not big either.”
"When I first started working, there was a huge campaign to save giant pandas across the country. Do you remember it?"
"Uh... is the bamboo blooming?"
"Well, Mr. Li is one of the main initiators." Vice President Yuan said with a smile: "If it hadn't been... let's not talk about this, how sure are you of making a clear diagnosis of Mr. Li's latent metastasis?"
Zheng Ren pondered.
If it had been before, there would have been no certainty at all.
Xiehe and Didu liver and gallbladder, so many big cows have not been diagnosed, which Zheng Ren thinks is normal.
But now, Director Zhou Chunyong of the Imperial Capital is extremely attentive. Zheng Ren looked at the so-called big cow with a completely peaceful attitude, and no longer had the feeling of worship he had before.
But it is unlikely that I can make a clear diagnosis.
Diagnosis with big pig's trotters? God knows if that guy would just give himself a diagnosis of bone metastasis cancer without indicating which part it was.
By looking at the CT scan and having the ability to reconstruct, several possible points can be determined. But in the end, Zheng Ren was still confused about what to do and how to do it.
After thinking for a few minutes, the office became unusually quiet. Vice President Yuan did not urge him, but looked at Zheng Ren with interest.
Young, honest and serious, these words appeared in Vice President Yuan's mind.
When Director Kong made the strong request, neither he nor Dean Yan expected that it would be such a young man.
What did you think at the time? Being a candidate for the Nobel Prize in Medicine is just a gimmick that can add a bright color to 912.
But it's just a flash of color, a gimmick or not. If it were taken seriously, it would be a loss.
Perhaps a few decades later, he might grow up to be an academician of the Academy of Engineering.
I agreed at the time, mainly for two reasons: my status as a Nobel Prize candidate and Director Kong’s persistence.
But now it seems that it is really a huge surprise.
In just a few months, the little guy has become so tough. I threw him the problem of liver treatment in China. He didn't express his inability with a wry smile, but was thinking about it.
He is actually thinking!
Thinking means possible. Although it is unlikely, as long as it exists, it is a breakthrough.
After a long time, Zheng Ren woke up and said with a wry smile: "Dean, you know that my level of reading radiographs is very high, but I can't guarantee it. There is only a 30% chance of finding uncertain abnormalities."
Thirty percent!
This is already very high.
Vice President Yuan smiled and said: "Thirty percent is enough. Then I will find time to persuade Mr. Li."