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Chapter 768

Words:2880Update:22/06/27 09:07:47

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After half a year of clinical practice, Chief Resident Shen could clearly feel that the efficiency of interventional surgery in the treatment of liver cancer was different from before. It was not just small nodules of liver cancer. For liver cancer that could not be removed by surgery, a 64-slice CT scan with 3D-image reconstruction before the surgery was especially effective.

Little Zheng's imaging skills were really high.

However … As a doctor of imaging, Chief Resident Shen burst into tears after listening to a few words.

He could not understand the diagnosis of a rare disease like mitochondrial encephalomyopathy. Chief Resident Shen could still explain it by saying that he was not a professional.

But … did he not even understand the imaging performance of the CT scan?

The abdominal CT scan mainly looked at the organs, but Little Zheng was telling Chief Luo about the differential diagnosis of the intestinal wall using the abdominal CT scan.

This was a problem of skill. Chief Resident Shen watched Zheng Ren and Chief Luo discuss the abdominal CT scan in front of the radiographic film viewer. He was a little absent-minded.

Originally, he had only brought Little Zheng to the dock today, but he did not expect that after he came, Little Zheng would directly start to discuss the case with Chief Luo.

Looking at this posture, Chief Resident Shen had an 'illusion' that the two of them had become friends in less than an hour.

Really …

Sigh, it was said that gold would always shine. Little Zheng was a piece of real gold. No matter where he was thrown, as long as there was a little light, he would be able to blind his dog eyes!

He really could not accept it.

After half an hour, the two of them had not finished discussing an abdominal CT scan. Moreover, looking at the situation, they had already begun to mix in pathophysiology, genetics, and other subjects from imaging.

Chief Luo's interest was getting higher and higher. He could not stop himself.

The patient's family came back with the electromyography and interrupted the discussion of the case.

"Chief Luo, the doctor in the electromyography room said that there is a problem with the electromyography. What line to consider …" the patient's family said with a dewy head. "He wrote it on the back of the list. I can't understand it."

Chief Luo nodded. He took the electromyography and flipped it to the back. There was the electromyography report and diagnosis written by the chief of the electromyography room.

Consider ME. ME was the abbreviation for mitochondrial encephalomyopathy.

That was true. Chief Luo looked at the line of words and was silent for a minute. Finally, he smiled.

Chief Luo was also very curious. He specially arranged for the patient to go to the relevant departments for urgent examination. He wanted to follow this patient all the way to see if the diagnosis was true.

The patient's family thanked him profusely and left. They went to do genetic testing according to Chief Luo's arrangements.

Seeing that there was a preliminary result, Zheng Ren took his leave. After all, there were still so many patients lined up outside. Chief Luo could not be delayed for too long.

Chief Luo walked Zheng Ren to the door, patted him on the shoulder, and said, "Boss Zheng, come often when you have time. I'll be out of the clinic on Monday, so I have time for the rest of the day except for ward rounds. "

Zheng Ren quickly agreed politely.

This visit to the pier could be said to be a complete victory, a pleasant surprise.

"Boss Zheng, your face …" Chief Luo asked when he finally left.

Although it was their first time meeting, the two of them felt very familiar with each other. Chief Luo did not feel that he was being rude. He just wanted Zheng Ren to behave himself and be more careful when driving. If anything happened, it would be a big loss.

Zheng Ren touched the bruise at the corner of his eye, lowered his head, and whispered, "I just came back from the frontline yesterday."

Chief Luo was stunned for a moment before he patted Zheng Ren's shoulder hard.

"Chief Luo, I'll be leaving first," Zheng Ren said.

"Go back and have a good rest. If there's anything you need me to do, just say it!" Chief Luo said without hiding anything this time.

There was still a distance between professional mutual appreciation. However, a casual sentence completely touched Chief Luo's heart. He agreed to Zheng Ren without any reservations.

This was really unexpected. Zheng Ren bowed, then grinned and said goodbye to Chief Luo.

"Boss Zheng, you …" Walking out of the Department of Gastroenterology, Chief Resident Shen sighed sincerely. "You're too amazing."

Zheng Ren smiled.

This was all normal. Academics being close to academics was also within Zheng Ren's expectations.

Before he came, Zheng Ren had thought about it. The cooperation with the Department of Gastroenterology had to be established on the basis of equal cooperation. In order to do this, he had to get Chief Luo's approval.

However, Zheng Ren did not expect it to go so smoothly.

Chief Luo's last question and unreserved support, although unexpected, were also reasonable.

It seemed that the System had not issued a mission to increase his luck value for a long time. It was only at this moment that Zheng Ren suddenly understood the importance of luck value.

After chatting with Chief Resident Shen for a while, his phone rang.

Chief Resident Shen held his phone in embarrassment. Zheng Ren smiled and said, "You're busy, you're busy."

"Hello."

"Yes, where are you?"

"Okay, wait a moment." Chief Resident Shen covered his phone and looked at Zheng Ren. "Boss Zheng, I have a fellow villager. She came to see a doctor and is considered to be breast cancer."

Chief Resident Shen did not say the last three words out loud. He only mouthed them.

"It's okay." Zheng Ren smiled. "I'll go take a look."

Chief Resident Shen said a few more words before hanging up.

"My high school classmate found something growing during the physical examination. I looked at the ultrasound image and thought it was something bad," Chief Resident Shen said and sighed.

Chief Resident Shen was only in his thirties. His classmate … Zheng Ren sighed. It was really hard to say.

People had joys and sorrows, birth, old age, illness, and death. There was no other way.

Now, the clinical surgical technique for treating breast cancer was still quite good. If the duration was not too late, the survival rate of more than five years would reach more than 80%.

Even if the diagnosis was slightly late and the degree of malignancy was high, if there was no lack of money, the survival rate would be increased if the corresponding targeted drug treatment was given.

Surgery was not like in the past, where one had to completely remove it. For women, the psychological trauma was greater than the physical trauma.

Now, more and more patients were undergoing breast-conserving surgery, and the postoperative results were also good.

"We haven't been in contact since high school. After so many years, he suddenly contacted me at the beginning. I thought it was a scam," Chief Resident Shen said. "Both of them were my high school classmates. I didn't expect them to end up together in the end. The boy was the most honest person in our class. I didn't believe him when he told me about their marriage. "

Zheng Ren smiled.

High school classmates and childhood sweethearts. It was quite good.

"Boss Zheng, my classmate didn't know. He always thought it was hyperplasia. I didn't tell him in detail about her lover. I just vaguely told him that it might be something bad, "Chief Resident Shen said hesitantly.

Zheng Ren patted Chief Resident Shen's shoulder and nodded, indicating that he knew and told him to rest assured.

An old clinical doctor would never say the word 'cancer' in front of a patient. Unless it was an old patient, the doctor was sure that the patient knew and could face it correctly.

Chief Resident Shen was still thinking too much, Zheng Ren thought to himself.

However, his classmate would not be very old. It was normal for Chief Resident Shen's emotions to fluctuate.

Zheng Ren saw that Chief Resident Shen was a little depressed, so he did not say anything. He just followed him all the way to the outpatient clinic.

Outside the outpatient clinic, there was a crowd. Although it was almost time to get off work, there were still a lot of people.

A woman stood by the flower bed. She was wearing a red close-fitting suit, which accentuated her exquisite figure. When she saw Chief Resident Shen, she raised her hand and waved. Then, she walked over quickly.

Behind her was an honest-looking man carrying a suitcase.

The man was using his phone to contact something and did not notice Chief Resident Shen's appearance.

The woman took a few steps and turned around to say a few words. The man hurriedly put away his phone and smiled apologetically. When he saw Chief Resident Shen, his smile became much more natural. He waved his hand and followed behind her.

"Long time no see, Student Shen," the woman said with a smile. There was no sad expression on her exquisite face.

Zheng Ren fell silent.

The upper right corner of the System panel gave a clear diagnosis. Triple-negative breast cancer!

Against the red background, the bright red suit appeared even more eye-catching.

Triple-negative breast cancer was almost the most serious type of breast cancer. It referred to breast cancer patients who were negative for estrogen receptors, progesterone receptors, and human epidermal growth factor receptor 2.

Triple-negative breast cancer had nothing to do with the size of the tumor and whether there were metastases in the lymph nodes, which were closely related to the malignancy of ordinary tumors.

In other words, as long as it was triple-negative breast cancer, even if it was completely removed, there was a high probability of recurrence one to three years after the surgery.

Especially when most of the relapses were accompanied by brain metastases.

Clinically, there was no good solution for triple-negative breast cancer.

Chief Resident Shen shook hands with the woman, then shook hands with the man behind him. He hugged her very intimately.

"He always says that he can't leave me. I already said that it's just a minor illness, but he still insisted on following me. "The woman smiled charmingly.

"Hehe, what is Old Lian doing now?" Chief Resident Shen asked with a smile.

"A high school teacher. He teaches physics. This time, I said that he should stay at home to take care of the child and let my mother accompany me. He refused no matter what I said. He insisted on following me, "the woman said with a smile." Anyway, it's a minor surgery. Just treat it as a vacation. "

"It's fine to have fun as a family." Chief Resident Shen did not say it clearly. He forced a smile and brought the woman to the breast surgery department. Then, he arranged for her to be hospitalized.

This kind of thing had to be contacted a few days in advance. Not to mention Chief Resident Shen, even if he came to be hospitalized with the director's connections, he would have to be at least half a day in advance.

If he were to queue up at the Imperial Capital Hospital, he would have to wait at least two to three months.

After completing all the procedures, Chief Resident Shen came to the door with an apologetic expression. He rubbed his hands and said, "Chief Zheng, I'm sorry."

"It's fine," Zheng Ren said. "Anyway, there's nothing much to do today. There are only three patients for the second-stage TIPS surgery tomorrow. The new patient you accepted today will be examined and will only be operated on the day after tomorrow. Just walk around and familiarize yourself with the environment in the hospital for the next two days. "

"Yes, yes." Chief Resident Shen nodded repeatedly.

"Um … Chief Resident Shen, is your classmate's ultrasound report here?" Zheng Ren asked.

Chief Resident Shen was stunned. From Zheng Ren's tone, he could hear some clues and an ominous premonition.

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