After half a year of clinical practice, Dr. Shen can clearly feel that the effectiveness of interventional surgery in treating liver cancer is different from before, not just for small nodule liver cancer. For relatively large liver cancer that cannot be removed by surgery, 64-slice CT three-dimensional reconstruction is performed before surgery, and the surgical effect is particularly good.
Boss Xiao Zheng’s imaging skills are really high.
It's just... As a doctor of imaging, Dr. Shen burst into tears after listening to a few words.
I don’t understand the diagnosis of a rare disease like mitochondrial encephalomyopathy. Dr. Shen can still explain it by saying that he is not a professional.
But...can't you even understand the imaging performance of the special CT scan
Abdominal CT mainly looks at the organs, but boss Xiao Zheng was telling Director Luo about the differential diagnosis of using abdominal CT to look at the intestinal wall.
This is a matter of proficiency. Dr. Shen felt a little dazed when he saw Zheng Ren and Director Luo discussing abdominal CT together in front of the reader.
Originally, I just took Boss Zheng to visit the pier today, but unexpectedly, after arriving, Boss Xiao Zheng directly started discussing the case with Director Luo.
This posture gave Dr. Shen the "illusion" that in less than an hour, the two had become friends.
It’s really…
Alas, they say gold always shines. Boss Xiao Zheng is a piece of real gold. If you throw it wherever you want, as long as there is a little light, you can blind yourself!
If you don’t accept it, it really can’t be done.
Half an hour later, the discussion between the two of them on an abdominal CT scan has not ended yet. Depending on the situation, they have started to incorporate knowledge from imaging studies into pathophysiology, genetics and other subjects.
Director Luo's interest is getting higher and higher, and he can't stop.
The patient's family came back with the electromyogram and interrupted the case discussion.
"Director Luo, the doctor in the EMG room said that there is a problem with the EMG. What kind of line should I consider..." the patient's family member said with a look of tears, "He wrote it on the back of the list, and I can't understand it."
Director Luo nodded, took the EMG, and turned to the back. There was the EMG report and diagnostic opinions written by the director of the EMG laboratory.
Consider me, which stands for mitochondrial encephalomyopathy.
This is true. Director Luo looked at the words, 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 examination. He wanted to follow this patient all the way to see if the diagnosis was correct.
The patient's family members left with great gratitude and went for genetic testing as arranged by Director Luo.
Seeing that there were preliminary results here, Zheng Ren took his leave. After all, there are still so many patients lined up outside, so Director Luo cannot be wasted too much time.
Director Luo sent Zheng Ren to the door, patted him on the shoulder and said, "Boss Zheng, come here often when you have time. I am out of the clinic on Monday, so I have time for the rest of the time except for ward rounds."
Zheng Ren quickly responded politely.
This visit to the dock can be said to be a great victory and an unexpected surprise.
"Boss Zheng, what's on your face..." Director Luo asked when he was leaving.
Although it was their first meeting, the two of them felt very familiar with each other, and Director Luo did not feel that he was being intrusive. He just wanted Zheng Ren to be careful and drive carefully. If something happened, it would be a big loss.
Zheng Ren touched the bruises at the corners of his eyes, lowered his head, and whispered, "I just came back from the front line yesterday."
"..." Director Luo was startled for a moment and patted Zheng Ren hard on the shoulder.
"Director Luo, I'll leave first," Zheng Ren said.
"Go back and have a good rest. If there is anything you need me to do here, just tell me!" Director Luo said unabashedly this time.
There is still a distance between mutual appreciation of each other professionally. But a casual remark completely touched Director Luo's heart, and he agreed to Zheng Ren without any reservation.
This was really unexpected. Zheng Ren bowed, then grinned and said goodbye to Director Luo.
"Boss Zheng, you are..." After walking out of the Department of Gastroenterology, Dr. Shen said sincerely: "You are so amazing."
Zheng Ren smiled.
This is all normal. Academics are close to academics, which is also expected by Zheng Ren.
Zheng Ren had thought about it before coming. Cooperation with the Department of Gastroenterology must be based on equal cooperation. To do this, Director Luo must be recognized by himself.
But Zheng Ren didn't expect it to go so smoothly.
Director Luo's last question and unreserved support, although unexpected, are also reasonable.
It seemed that Big Pig Hoof hadn't issued a task to increase luck for a long time. It was only now that Zheng Ren vaguely understood the importance of luck.
After chatting with Dr. Shen for a while, his phone rang.
Dr. Shen held the phone with some 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 countryman here. She comes to see a doctor and thinks it is breast cancer."
Dr. Shen didn't say the last three words, he just made a mouth gesture.
"It's okay." Zheng Ren smiled, "I just went to take a look."
Dr. Shen said a few more words and then hung up the phone.
"My high school classmate found a growth during a physical examination. When I looked at the B-ultrasound image, I thought it was something bad." Dr. Shen said and sighed.
Dr. Shen was only in his thirties, and his classmates... Zheng Ren sighed, it's really hard to talk about this kind of thing.
People have joys and sorrows, birth, old age, illness and death, there is nothing we can do about it.
Nowadays, the technical level of clinical surgery and treatment of breast cancer is still good. If it is not too late, the survival rate over 5 years will reach over 80%.
Even if the diagnosis is slightly late and the degree of malignancy is high, if there is no shortage of money, the survival rate will be improved if corresponding targeted drug treatment is given.
And surgery, unlike in the past, requires complete resection. For women, the psychological trauma is greater than the physical trauma.
Nowadays, more and more patients are undergoing breast-conserving surgery, and the postoperative results are also good.
"We haven't contacted each other since we graduated from high school. So many years later, when he suddenly contacted me at first, I thought he was a liar." Dr. Shen said in a worried voice, "Both husband and wife were my high school classmates. I didn't expect that they would end up together." The boy is the most honest person in our class. When he told me about their marriage, I didn’t believe him."
Zheng Ren smiled.
High school classmates, childhood sweethearts, pretty good.
"Boss Zheng, my classmate didn't know, and always thought it was a growth. I didn't elaborate on her lover, I just vaguely told him that it might be something bad." Dr. Shen hesitated to speak.
Zheng Ren patted Dr. Shen's shoulder and nodded, indicating that he knew and reassured him.
An old clinical doctor would never say the word cancer in front of a patient. Unless it is an old patient, the doctor makes sure that the patient knows it and can face it correctly.
Dr. Shen still thinks too much, Zheng Ren thought to himself.
But for this kind of thing, his classmates are not very old. It is normal for Dr. Shen to have emotional fluctuations in his heart.
Zheng Ren saw that Dr. Shen was a little depressed, so he didn't say anything and just followed him all the way to the outpatient clinic.
Outside the clinic, there was a huge crowd. Although it was almost the time to get off work, there were still many people.
A woman stood next to the flower bed, wearing a red close-fitting suit that highlighted her exquisite figure. Seeing Dr. Shen, she raised her hand, waved, and walked over quickly.
Behind her was a man who looked honest and honest, carrying a trolley suitcase.
The man was talking about something on his cell phone and didn't notice Dr. Shen's appearance.
The woman walked a few steps and turned back to say a few words. The man hurriedly put away his cell phone with an apologetic smile on his face. When he saw Dr. Shen, his smile became much more natural, he raised his hand and followed her.
"Classmate Shen, long time no see." The woman said with a smile, no sad expression on her delicate face.
Zheng Ren fell silent.
The upper right corner of the system panel gives a clear diagnosis, triple negative breast cancer!
Against the red background, the bright red suit looks even more eye-catching.
Triple-negative breast cancer is almost the most serious type of breast cancer. It refers to breast cancer patients who are negative for estrogen receptors, progesterone receptors 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 common tumors.
In other words, as long as it is triple-negative breast cancer, even if it is completely removed by surgery, there is a high probability of recurrence 1 to 3 years after surgery.
In particular, most relapses are complicated by brain metastasis.
Clinically, there is no good solution for triple-negative breast cancer.
Dr. Shen shook hands with the woman, then shook hands with the man behind him, and hugged her, making her very close.
"He always says he can't live without me. I told you it's just a minor illness, but he still insists on following me." The woman smiled, charming.
"Haha, what is Lao Lian doing now?" Dr. Shen asked with a smile.
"A high school teacher who teaches physics. This time I asked him to take care of the children at home and ask my mother to accompany me. He refused to say anything and insisted on coming." The woman said with a smile: "It's a minor surgery anyway. , just treat it as a trip.”
"It's okay to come out as a family and have some fun." Dr. Shen didn't explain clearly. He forced a smile and took the woman to the breast surgery department, and then made arrangements for her hospitalization.
For this kind of thing, you must contact us a few days in advance. Not to mention Dr. Shen, even if he was connected to the dean, he would have to arrive at the hospital at least half a day in advance.
If you have to wait in line at Imperial Hospital, you have to wait at least two or three months.
After all the procedures were completed, Dr. Shen came to the door with an apologetic look, rubbed his hands and said, "Boss Zheng, I'm sorry."
"It's okay." Zheng Ren said: "Anyway, there's nothing to do today. There will only be three patients for the second-stage tip surgery tomorrow. The new patients you admitted today will be examined and the surgery will not be performed until the day after tomorrow. Just wander around these two days. Look, let’s get familiar with the environment inside the courtyard.”
"Yeah." Dr. Shen nodded repeatedly.
"Um... Dr. Shen, are your classmates' B-ultrasound sheets here?" Zheng Ren asked.
Dr. Shen was stunned. He heard some clues and an ominous premonition from Zheng Ren's tone of voice.