Chang Yue answered the phone and then raised her hand to Zheng Ren, "Mr. Zheng, I'm here to see you."
Zheng Ren took the receiver and said, "Hello, I'm Zheng Ren."
"Oh, hello, Brother Zhou."
"Well, okay, okay, you ask the patient's family to take down the film and let me take a look."
After that, hang up the phone.
"Orthopedics?" Su Yun asked.
"Um."
"Are you looking for transverse lumbar artery or pelvic fracture?" Su Yun asked.
"There is nothing they can do for a patient with a bone tumor. Brother Zhou asked the patient to take a film to see if we can cure it." Zheng Ren was also helpless.
Interventional surgery is not a universal surgical method, and not many diseases can be treated.
Last time, when we embolized the transverse lumbar artery, we knew that we had to remove the vertebral body, so we dared to do the embolization. If it is not cut, vertebral body necrosis will follow immediately after the bolting is completed, which can be fatal.
"You are so easy to talk to." Su Yun scorned.
"Brother Zhou has no choice but to take a look at the film and help if you can." Zheng Ren didn't care.
"Boss, um, I'm going to leave soon." Professor Rudolf Wagner walked in and said to Zheng Ren.
"Oh." Zheng Ren nodded.
The patient with prostatic embolism recovered well after surgery, and it was time for the professor to go back.
He is a professor from Heidelberg University and has been staying at Haicheng No. 1 Hospital for a long time. The professor doesn't think anything of it, but Zheng Ren even feels awkward.
"Boss, you're not sad? This is a Gaha thing." Professor Rudolf Wagner made an exaggerated body movement, with his long blond hair flying.
"Are you sure your operation will go smoothly after you go back? You don't need me to go to the rescue?" Zheng Ren asked back, and his words seemed... threatening.
Professor Rudolf Wagner was stunned for a moment, then a flattering smile appeared on his face.
"Boss, look at what you said, my old nose is out of touch..."
"Don't talk nonsense. When are you leaving? I'll treat you to dinner before leaving and see you off." Zheng Ren said.
"The details have not yet been determined." The professor said: "The patient's physical function does not allow him to fly, but crossing the Eurasian continent is simply too far. It will take three to five days to get back to Heidelberg from this place."
It didn't matter that Zheng Ren arrived. Anyway, the professor saw him off before leaving, and the professor also helped him a lot during this time.
While they were chatting, a middle-aged man knocked on the door of the doctor's office in the emergency ward with a sad face.
"Doctor Zhou asked you to come." Zheng Ren stood up with a warm smile on his face.
Su Yun gave him a disdainful look, feeling that the boss's situation was a bit similar to Chang Yue's.
"Yes, you are Mr. Zheng." The middle-aged man said, "Dr. Zhou asked me to come and ask you to help me look at the film."
Zheng Ren took the film bag and started looking for the date.
There were many films in the thick bag, and Zheng Ren wanted to watch them in chronological order.
Most of the patient's family members are confused. It is rare for the patient's family members to be marked in chronological order like last time.
While searching, Zheng Ren asked, "Please tell me the whole story of your illness."
"Mr. Zheng, my daughter is in her junior year in Shanghai. In recent months, she has felt weak all over. She often feels flustered and short of breath, and her stomach becomes bloated when she eats something. She didn't care at first, and went to a hospital in Shanghai for a checkup half a month ago. , found many tumors on the bones... "
As he spoke, his voice was choked and tears fell silently.
The pain of a white-haired person giving away a black-haired person is unbearable.
Zheng Ren wanted to comfort him, but just as he was about to speak, he felt that no matter what he said, it would make no sense to him.
Lu Xun has a saying, "Downstairs a man is dying of illness. The family in the next room is singing on the gramophone; opposite is the nanny. Upstairs there are two people laughing wildly; there is also the sound of playing cards. There is a woman on the boat in the river crying for her dead mother. .The joys and sorrows of human beings are not the same, I just think they are noisy."
When Zheng Ren read "The Collected Works of Lu Xun" in the past, he didn't think this sentence was very sharp.
But the longer I practice medicine, the more profound I feel this sentence.
Zheng Ren didn't think they were noisy, but sometimes he felt helpless at his own powerlessness.
I found a photo taken half a month ago, which was a point x-ray of the chest and abdomen.
During the chest and abdominal X-ray, if the doctor discovers a problem, he will leave an image file. The film won't be very detailed and the resolution won't be high, but you can probably see some of the disease.
On the film, the patient's bones all over his body have dense white spots. Some are big, some are small, people with trypophobia will never watch this kind of movie.
Generally speaking, these white spots are bone tumors.
But it was also the first time for Zheng Ren to see so many bone tumors appear.
At first glance, this patient had a terminal tumor and was of no therapeutic value.
Bone protection drugs and targeted drugs are no longer useful. As the old saying goes, the patient is terminally ill.
Zheng Ren sighed inwardly.
"Boss, would you like to have dinner tomorrow night?" Professor Rudolf Wagner, still immersed in the sorrow of farewell, asked sadly.
"Shut up, Fugui." Zheng Ren's attitude was a little rough.
The professor was startled for a moment, then raised his eyes and said in surprise: "Come on, such a serious disease can often be seen in our place."
"Shut up." Zheng Ren frowned and said in disgust.
The professor heard the displeasure in Zheng Ren's tone, and immediately shut up, stood behind Zheng Ren, and watched him insert another CT film into the reader.
This is a 64-slice three-dimensional reconstructed CT film of the chest, which is usually used to look at rib fractures.
At this time, it is also very appropriate to use it to look at bone tumors on the ribs.
On both sides of the patient's ribs, it can be seen that the bone density has decreased, with white and gray patches. From an imaging point of view, this is a pathological change in the bone.
If the patient did not go to the hospital in Shanghai for examination, the fracture would soon occur and become a clinically pathological fracture.
This is a clinical manifestation of bone tumors and bone metastases.
Zheng Ren put his left hand under his armpit, put his right elbow on his left arm, held his chin, and carefully looked at the images on the film.
The film was very typical, but Zheng Ren felt something was wrong.
But what's wrong? Zheng Ren was a little confused.
This feeling appeared when I first watched the movie, but it disappeared from my mind immediately.
This feeling was really bad. Zheng Ren looked at the film and carefully searched for the images frame by frame.
It's not because of bone tumors, but... what is the reason
"Boss." Professor Rudolf Wagner was a little confused, "Why doesn't it look like a bone tumor to me?"
"I also think there is a problem." Zheng Ren said softly.
The eyes of the patient's family members suddenly lit up. From Shanghai to Haicheng, no doctor from any hospital said it was not a bone tumor.
The child had just come back, so he took him to Haicheng City No. 1 Hospital to have a look. The air tickets have been booked and I will fly to the Imperial Capital tomorrow. I have also found someone to contact a professor in Jishuitan.
No...it would be nice if it wasn't.