Like a great painter, a simple picture quickly appeared on the A4 paper.
Looking at this picture, Mu Tao's eyes lit up.
Without needing to explain, Mu Tao seemed to have already understood a number of important points. If he went back and compared the radiographic films with nuclear MRI, he should be able to make a new breakthrough. That was what Mu Tao thought.
"Old Mu, I won't tell you. Go back and see for yourself." After Zheng Ren finished drawing, he said, "If there's anything you don't understand or have doubts about, just leave me a message. Otherwise, come earlier tomorrow and we can discuss it together."
Mu Tao nodded. He understood what Zheng Ren meant.
Chang Yue went to call the next patient's family member. Mu Tao saw that Zheng Ren was still deep in thought, and a thousand emotions surged in his heart.
This was a selfless teaching. He was even afraid that he would not understand and tried his best to explain it to him.
From a normal person's point of view, this was a f * cking idiot!
This thought flashed through Mu Tao's mind.
Wasn't the rapid progress of human society because of such people? Edison obtained venture capital investment and summed up the experience of his predecessors. Before all the money was spent, he created the light bulb and wanted to monopolize direct current electricity.
He kept suppressing Tesla, but alternating current still came into being and shattered Edison's beautiful dream.
Tesla did not use the alternating current patent to obtain what now seemed to be more than ten billion yuan in patent fees. He used everything for free.
This move greatly promoted the application of alternating current.
Zheng Ren was doing exactly this kind of thing.
Great!
Thinking back to the first time he met Zheng Ren in the Imperial Capital, the scenes in Pengxi Village, and now, Zheng Ren's image became three-dimensional and vivid in Mu Tao's mind.
In the following explanations, Zheng Ren would draw a simple picture for Mu Tao every time.
Mu Tao took a picture of the radiographic films, marked them, and put the picture away carefully, waiting for himself to study it later.
Unfortunately, there were too many surgeries and too little time. Mu Tao was afraid that he would not be able to study it thoroughly before the surgery.
Following Boss Zheng to do research was much better than being in the Mayo Clinic. Mu Tao sighed in his heart.
After the three patients from the Department of Digestive Medicine finished communicating one after another, Zheng Ren greeted the chief resident and brought Chang Yue and Mu Tao to the Department of Hepatobiliary and Pancreatic Surgery.
It was lunch break, so Zheng Ren did not want to disturb Professor Yang Lei's rest.
However, when he arrived at the doctor's office in the Department of Hepatobiliary and Pancreatic Surgery, Zheng Ren saw Yang Lei reading a CT scan of the upper abdomen.
"Brother Yang, I'm here." Zheng Ren did not stand on ceremony and greeted him with a smile.
"Boss Zheng, come here." Yang Lei's eyes did not even move away from the radiographic films. He only called Zheng Ren over.
"Hmm? What film? "Zheng Ren asked.
Professor Yang was definitely looking for him to look at the scans and make a diagnosis.
"It's a 62-year-old female patient. During the physical examination, she found that there were changes in the gallbladder area, so she did a CT scan of her upper abdomen," Professor Yang said. "Below the fourth segment of the liver, there is no gallbladder in the gallbladder area, only a cystic package. There are calcification deposits, and it looks a little strange. It looks like a porcelain gallbladder, but it's different from the porcelain gallbladders I've seen before. "
"Oh? No gallbladder? "Zheng Ren walked over and asked first. Then, he rested his chin on his hand and began to read the radiographic films.
On the CT scan, the image of the gallbladder area was like a large bubble. Where the gallbladder used to be, the gallbladder had disappeared, and a huge cystic space had appeared. The texture was uneven, and it looked very strange.
Was it a tumor?
Zheng Ren did not think so. Generally speaking, tumors were solid, and cystic tumors were rare.
What was that?
Mu Tao took a look at the radiographic films and was also interested.
Other than a monster like Zheng Ren, the people who were involved in the intervention were basically all doctors who came from imaging backgrounds.
Whether it was X-rays, CT scans, or nuclear magnetic resonance imaging, they all had a certain level of research.
This radiographic film was interesting. Mu Tao temporarily forgot about the patients with advanced cirrhosis who had TIPS surgery. Like Zheng Ren, he began to look at the radiographic films.
Chang Yue was very helpless. Coming out to see the patients with Chief Zheng was really a waste of time.
He said that he wanted to look at the patients, but in the end, he stopped after looking at an abdominal CT scan. When would he be able to finish his work?
However, very quickly, within a few minutes, Zheng Ren said, "Brother Yang, I think what you said about the porcelain gallbladder is right. Moreover, there is malignant tissue in the gallbladder."
"That's what I'm thinking too," Yang Lei said. "Boss Zheng, are you interested?"
"Huh?" Zheng Ren turned his head to look at Professor Yang. "The patient is already hospitalized?"
"Yes," Professor Yang said. "I can perform the surgery, but the possibility of completely removing the porcelain gallbladder is not high. When are you free here? "
"I'm going to do the TIPS surgery tomorrow. The day after tomorrow?" Zheng Ren's hands were a little itchy. He chuckled and said.
The porcelain gallbladder was a reference to the gallbladder wall that was hard, fragile, and light blue in color due to calcification.
In terms of clinical pathology, the porcelain gallbladder had its own special characteristics.
Since 1959, when Nell first reported and proposed the concept of "porcelain gallbladder", there had been sporadic related literature published abroad.
In particular, the relationship between the porcelain gallbladder and gallbladder cancer was mentioned. Porcelain gallbladders were easy to be accompanied by gallbladder cancer. Porcelain gallbladder cancer mostly occurred in the body of the gallbladder, occasionally at the bottom and neck.
The patient in front of him had the entire gallbladder showing signs of porcelain.
Therefore, it was best to completely remove this kind of calcified lesion. Once it was broken, it could lead to tumor implantation and metastasis.
However, as the name implied, the entire gallbladder was as brittle as porcelain. It was easier said than done to completely cut it off.
Therefore, when Zheng Ren came, Professor Yang did not hesitate to invite Zheng Ren to participate in the surgery.
The autologous liver transplantation of liver hydatid disease was done by Zheng Ren. In front of Zheng Ren, Yang Lei no longer needed to care about his face.
He was not 100% confident. If Boss Zheng could do it, then he would do it.
However, the porcelain gallbladder was only a preliminary diagnosis. Zheng Ren also asked about the patient's liver function, hydatid antibody, BSP
And other laboratory indicators.
The laboratory tests were all normal. There was no special medical history or family history.
"Considering that the possibility of a simple porcelain gallbladder is high, I didn't see any cancerous areas," Zheng Ren said with certainty. "However, we still have to be careful during the surgery. We'll go on stage the day after tomorrow. Brother Yang, give me a call. I'll go and help."
"Okay." Yang Lei chuckled and took off the radiographic films.
"Two patients with advanced cirrhosis. Let's go. I'll take you to see them." Yang Lei did not rest. He brought Zheng Ren to see the patients first. Then, he called them to the doctor's office one by one. Zheng Ren explained the condition to the patients' families.
Yang Lei was not very interested in Zheng Ren's drawing. After all, he was a surgeon. The bloody liver area was disgusting. How could he be interested in a sketch?
It was estimated that only a doctor like Zheng Ren, who had crossed the general surgery and interventional surgery, could draw such a sketch.
After communicating with the patient's family, Zheng Ren greeted Professor Yang and returned to the Interventional Department.
Chang Yue did not leave with Zheng Ren. She stayed behind and explained the live broadcast of the surgery to the patient's family.
As for Mu Tao, he could not wait to take a leave from Zheng Ren. He brought the video information and the sketch to find a place to study.
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