Like a great painter, a simple picture quickly appeared on the A4 paper.
Looking at this picture, Mu Tao's eyes lit up.
No need to explain, Mu Tao seems to have understood several important nodes. If we go back and compare the nuclear magnetic dispersion films, we should be able to make new breakthroughs, Mu Tao thinks so.
"Old Mu, I won't tell you, you go back and see for yourself." After Zheng Ren finished the painting, he said: "If you don't understand anything or have any doubts, just leave me a message directly, or come early tomorrow , let’s discuss it together.”
Mu Tao nodded, he understood what Zheng Ren meant.
Chang Yue went to call the family of the next patient. Mu Tao saw that Zheng Ren was still thinking, and a thousand emotions surged in his heart.
This is a selfless teaching, and I am afraid that I will not understand it, so I try my best to explain it to myself.
From a normal perspective, this is a fucking idiot!
This thought flashed through Mu Tao's mind.
Isn’t the rapid progress of human society precisely because of such people? Edison received venture capital investment, summed up the experience of his predecessors, and invented the light bulb before all the money was spent, and he wanted to monopolize direct current.
He continued to suppress Tesla, but alternating current came into being, shattering Edison's dream.
Tesla did not use the alternating current patent to obtain patent fees that now seem to be more than 10 billion, and used everything for free.
This move greatly promoted the application of alternating current.
Zheng Ren did exactly this kind of thing.
Great kindness!
Recalling the first time he came into contact with Zheng Ren in the imperial capital, the scenes in Pengxi Township, and now, the image of Zheng Ren became three-dimensional and vivid in Mu Tao's mind.
In the following explanations, Zheng Ren drew a simple picture for Mu Tao every time.
Mu Tao took pictures of the film, tagged it, and put the pictures away carefully, waiting for him to go back and study them carefully.
Unfortunately, there were too many operations and the time was too short. Mu Tao was afraid that he would not be able to study thoroughly before the operation.
Doing research with Boss Zheng is much better than doing research at the Mayo Clinic, Mu Tao sighed sincerely.
After the three patients in the Department of Gastroenterology finished communicating one after another, Zheng Ren said hello to the chief resident and took Chang Yue and Mu Tao to the Hepatobiliary Surgery Department.
It was lunch break, and Zheng Ren didn't want to disturb Professor Yang Rui's rest.
But when he arrived at the doctor's office at the Department of Hepatobiliary Surgery, Zheng Ren saw that Yang Rui was reading a CT scan of the upper abdomen.
"Brother Yang, I'm here." Zheng Ren was not polite and greeted him with a smile.
"Boss Zheng, come on." Yang Rui didn't even take his eyes off the film, he just called for Zheng Ren to come over.
"Huh? What movie?" Zheng Ren asked.
Professor Yang must be looking for him to watch the film and make a diagnosis with him.
"It was a 62-year-old female patient. During the physical examination, changes in the gallbladder area were found, so a CT scan of the upper abdomen was performed." Professor Yang said: "Below the fourth segment of the liver, there is no gallbladder in the gallbladder area, only a cystic parcel. . There are calcification deposits, and it looks a little weird, like a porcelain gallbladder, but it is different from the porcelain gallbladders I have seen before."
"Oh? Don't have a gallbladder?" Zheng Ren walked over and asked first, then he held his chin and started reading the film.
On CT, the image of the gallbladder area is like a large bubble. Where the gallbladder was originally located, the gallbladder disappeared, and a huge cystic mass appeared there. The texture was uneven and looked very strange.
Is it a tumor
Zheng Ren doesn't think so. Generally speaking, tumors are solid, and cystic ones are rare.
what is that
Mu Tao took a look at the film and became interested.
The people who intervened, except for monsters like Zheng Ren, were basically doctors with a background in photography.
Whether it is X-ray plain film, CT, or MRI, there is a certain amount of research.
This film was interesting. Mu Tao temporarily forgot about the tip surgery patients with advanced liver cirrhosis, and started watching the film like Zheng Ren.
Chang Yue was very helpless. Going out to see the patient with Mr. Zheng was really a waste of time.
I said I was looking at the patient well, but then I stopped again after looking at an abdominal CT scan. When can I finish the work
But very quickly, within a few minutes, Zheng Ren said: "Brother Yang, I think what you said about the porcelain gallbladder is right, and there is malignant tissue in the gallbladder."
"I thought so too." Yang Rui said, "Is Boss Zheng interested?"
"Huh?" Zheng Ren looked sideways at Professor Yang, "The patient has been hospitalized?"
"Stay." Professor Yang said, "I can do the operation, but the possibility of completely removing the porcelain gallbladder is not high. When are you free?"
"I'm going to have tips surgery tomorrow, the day after tomorrow?" Zheng Ren said with a smile as his hands were a little itchy.
Porcelain gallbladder refers to a gallbladder that has a special shape that is hard, brittle, and light blue due to calcification of the gallbladder wall.
In terms of clinical and pathological characteristics, porcelain gallbladder has its own particularities.
Since Cornell first reported and proposed the concept of "porcelain (sexual) gallbladder" in 1959, sporadic related documents have been published abroad.
In particular, the correlation between porcelain gallbladder and gallbladder cancer was proposed. Porcelain gallbladders are prone to be accompanied by gallbladder cancer. Porcelain gallbladder cancer mostly occurs in the body of the gallbladder, and occasionally in the bottom and neck.
In the patient in front of me, the entire gallbladder has a tendency to become porcelain.
Therefore, it is best to completely remove these calcified lesions. Once broken, it may lead to tumor metastasis.
But as the name suggests, the entire gallbladder is as brittle as ceramics. It is not easy to cut it off completely.
Therefore, when Zheng Ren arrived, Professor Yang did not hesitate to invite Zheng Ren to participate in the operation.
The autologous liver transplantation for hepatic echinococcosis was performed by Zheng Ren. Yang Rui no longer had to worry about losing face in front of Zheng Ren.
I am not absolutely sure, but if Boss Zheng can do it, then just do it.
However, the porcelain gallbladder was only a preliminary diagnosis. Zheng Ren also asked about the patient's liver function, hydatid antibodies, cea and ca19-9 and other laboratory indicators.
Laboratory examinations were normal, and past medical and family history were unremarkable.
"It is highly likely that the gallbladder is simply porcelainized. No cancerous areas have been seen." Zheng Ren finally said with certainty: "But you still have to be careful during the surgery. I will go on stage the day after tomorrow. Brother Yang, give me a call and I will go." Give me a hand."
"Okay." Yang Rui smiled and took off the film.
"Two patients with advanced liver cirrhosis, let's go, I'll take you to see them." Yang Rui didn't take any rest. He took Zheng Ren to see the patients first, and then called them to the doctor's office one by one. Zheng Ren explained the condition to the patients' families.
Yang Rui wasn't very interested in Zheng Ren's drawings. After all, he was a surgeon. The bloody liver area was disgusting, so how could he be interested in a sketch
It is estimated that only a doctor like Zheng Ren, who spans general surgery and interventional medicine, can draw such a sketch.
After communicating with the patient's family, Zheng Ren and Professor Yang greeted each other and returned to the interventional department.
Chang Yue did not follow Zheng Ren. She stayed directly to explain the live broadcast of the surgery to the patient's family.
Mu Tao, on the other hand, couldn't wait to ask for leave from Zheng Ren, and took the image data and sketches to find a place to study.