"Hello, Director Qi." Su Yun and Han Tianjiao stood at attention at the same time and greeted respectfully.
"Xiao Han, who is doing this?" Director Qi glanced at Su Yun and ignored him if he recognized him, and asked Han Tianjiao directly.
"It's Dr. Su's boss, here to perform an ultrasound on an acquaintance." Han Tianjiao said.
Taking people to see a doctor is the most common thing in the hospital. If during the day, he would still consider the feelings of other patients and not jump in line, which would be a very good thing.
It was late at night, so there were no queues of patients, just using the machines. If the director is pretentious, he will repeatedly reiterate the cost issue to show his majesty. But Director Qi is obviously not such a person, he doesn't care about this kind of thing at all.
Director Qi is concerned about the cholesterol granuloma in the chest.
The diagnosis of cholesterol granuloma is not made lightly. Because B-ultrasound is difficult to distinguish between benign and malignant adenomas and granulomas.
The best way is to send for a pathological biopsy instead of just doing an B-ultrasound and concluding that it is cholesterol granuloma in the chest.
This is simply too loose.
"Which department?" Director Qi asked.
"Intervention." Su Yun bowed slightly, the usually acerbic smile on his face disappeared, and what hung on his face was a gentle and humble expression.
Director Qi's first impression of Su Yun was good, especially his attitude, which made people unable to dislike him.
"Interventional Department? Under Director Kong? Or is Old Kong back?" Director Qi had a question mark on his head.
"It's not Director Kong, it's Boss Zheng Renzheng." Su Yun smiled, looking gentle, but actually very tough.
Director Qi felt something was wrong, frowned and asked: "Boss Zheng... huh? Is he the Nobel Prize candidate that Lao Kong mentioned?"
"Yes." Su Yun said without changing his smile.
Just as he was talking, Zheng Ren came out and said as he walked, "It's cholesterol granuloma, but I suggest you do a pathological biopsy first, and then wait for the pathology to come out. If you want to have surgery, we can do it in the outpatient department. If you don't want to, we can do it in the outpatient department." It doesn’t matter if you do it.”
"Boss Zheng?" Director Qi looked at Zheng Ren and didn't dare to recognize him. He asked tentatively.
"You are..." Zheng Ren stopped immediately, his first impression should be Director Qi.
"This is Director Qi from the B-ultrasound room." Su Yun introduced again: "This is my boss, Zheng Ren."
"Boss Zheng, I've heard this name for so long that I'm almost scratching my ears." Director Qi smiled and stretched out his hand.
Zheng Ren quickly stretched out his hands and shook Director Qi's hand.
"A prize, a prize, a prize." Zheng Ren said quickly.
Zhou Jinxi and Wu Xiaomei walked through the cracks in the crowd, and their bulging figures became the biggest obstacle at this moment.
Director Qi gave way, and several people followed him. Director Qi did not rush in, but looked at Zheng Ren and asked: "Boss Zheng concluded that it was cholesterol granuloma in the chest just by using B-ultrasound? Is the shape obvious?"
This question... Zheng Ren felt a hint of murderous intent.
Using B-ultrasound alone, Zheng Ren could only determine the probability of 60%. But Zheng Ren gained a new unknown ability. While doing B-ultrasound, he restored the image to the original data in his mind, and then re-outlined it. But this ability seems to be very rudimentary, so Zheng Ren is not sure.
However, mutual comparison is much more certain than a simple B-ultrasound diagnosis.
Various conventional imaging examinations have their own characteristics.
X-rays are highly penetrating rays that can penetrate the human body.
The human body is like a piece of bread or cotton. You cannot see the fiber texture inside, but it will be clearer if you press it with your hands. The biggest disadvantage of x-rays is that the images of deep and shallow tissues overlap and hide each other, and sometimes multiple x-rays are taken from multiple angles.
CT is computed tomography, which simply means slicing bread.
B-ultrasound examination uses the principle of ultrasonic waves to produce echoes.
Ultrasound can propagate in a certain direction and can penetrate objects. If it encounters an obstacle, it will produce an echo. People use instruments to collect this echo and display it on the screen, which can be used to understand the internal structure of the object and assist in diagnosis.
Just when picking watermelons, knock them beforehand and listen for the sound.
As for NMR, you shake it and look again. (Note 1)
Each has its own advantages, but it cannot be said that MRI is better than CT. It’s just that the most primitive X-ray films have gradually withdrawn from the stage of history, and only a few diseases still require X-rays to judge.
After Zheng Ren obtained the B-ultrasound image data and restored it, he found that he could outline the CT images.
But it's no use.
Breast CT? There is no such inspection at all. As for why there is no such inspection, I can’t explain it for several days.
Finally, Zheng Ren converted the image data into breast MRI. Although it was a bit blurry, he finally came to the final conclusion.
Zheng Ren has never seen MRI of the breast with his own eyes less than ten years after it entered clinical practice. I only saw relevant information in the system library.
Zheng Ren was also surprised that the MR image could initially outline the breasts. But who cares? As long as the diagnosis is clear, it's good.
Director Qi's question sounded like a discussion, but in fact Director Qi dug a big hole.
Zheng Ren thought about it and felt that this matter was difficult to explain, so he smiled and said: "Director Qi, you see the patient first. I will report to you when you are done."
The words were very polite. Director Qi was slightly startled, and then his eyes on Zheng Ren changed slightly.
Zheng Ren and Su Yun came out and passed by the patient and his family.
The patient was a little boy, about ten years old. His mother held his hand and entered the B-ultrasound room.
Zheng Ren felt a little depressed when he saw the red background and diagnosis on the system panel. At such a young age, the tumor is already in the advanced stage, which is really a bit sad.
After coming out, Zheng Ren and Wu Xiaomei said: "You guys go back first. It's best not to eat or drink water tomorrow morning. I see that you have done preoperative examinations in Shanghai. Tomorrow we will look for opportunities to do pathological biopsy. As for resection or Whether or not to remove it depends on your individual thoughts."
Wu Xiaomei was in a state of confusion, and the more Dr. Zheng said it, the more it seemed true.
However, shouldn’t the most beautiful things be just imagined? Is this really going to be the case
"Zheng..."
"Little sister, the boss has said it. Just follow what the boss said is right." Su Yundao said, "If there is a problem, do a pathology tomorrow and the truth will be clear. You keep asking here and there, but in the end you are still confused. of."
Zheng Ren touched Su Yun, Chang Yue glared at him, and Su Yun curled his lips.
He had nothing to do with Wu Xiaomei. Unlike Zheng Ren, who performed a hernia repair operation on Wu Xiaomei's father at that time, it was considered a relationship between the doctor and the patient's family.
But he was right, no matter how many times he said it, some things would never be as accurate as the gold standard of pathological examination.
…
…
Note 1: This metaphor comes from an article on the official website of Good Doctor in 2017. I felt that although the description was not exact, it was simple and easy to understand, so I quoted it.