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755 Unexpected (Leader Xiaoyuwannan 3)

After half a year of clinical practice, Dr. Chen could clearly feel that the effectiveness of interventional surgery for liver cancer treatment is different from before, not only small nodule liver cancer. For relatively large liver cancers that cannot be removed by surgical procedures, 64-row CT three-dimensional reconstruction was performed before the operation, and the surgical effect was particularly good.

Boss Xiao Zheng’s imaging level is really very high.

But... As a doctor of imaging, Dr. Chen burst into tears after listening to a few words.

The diagnosis of a rare disease such as mitochondrial encephalomyosis is not understood, and Dr. Chen can still explain it by not being the major.

But... can't even understand the image performance of the tum ct?

The abdominal CT mainly depends on the organs, but Boss Xiao Zheng told Director Luo that he used the abdominal CT to see the differential diagnosis of the intestinal wall.

This is the level issue. Dr. Chen saw Zheng Ren and Director Luo discussing abdominal CT together before the film reading device, and he became a little dazed.

Originally, I was just taking Boss Xiao Zheng to the dock today, but after coming, Boss Xiao Zheng directly began to discuss the case with Director Luo.

Judging from this attitude, Dr. Chen had an "illusion" and the two had become friends in less than an hour.

It's really...

Alas, it is said that gold will always shine. Boss Xiao Zheng is a piece of real gold. No matter where you throw it, as long as you have a little light, you can blind your dog's eyes!

If you don’t agree, it’s really not OK.

After half an hour, the two people's discussion on a abdominal ct has not ended, and depending on the situation, they have already started to dopant knowledge of pathophysiology, genes and other disciplines from imaging.

Director Luo's interest is getting higher and stronger, and he is already unable to stop.

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

"Director Luo, the doctor in the IEM room, said that if there is a problem with IEM, what line should be considered..." The patient's family said with a dewy end, "He wrote the back of the list, and I can't understand it."

Director Luo nodded, took the electromyography and turned it to the back, where the electromyography report and diagnostic opinions were written by the director of the electromyography chamber.

Consider me, me is the abbreviation for mitochondrial encephalomyosis.

This is true. Director Luo looked at the lines of words and 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 check. He had to follow the patient all the way to see if the diagnosis was like this.

The patient's family left with great gratitude and went for genetic testing according to Director Luo's arrangement.

Seeing that there were preliminary results here, Zheng Ren said goodbye. After all, there were so many patients outside, so it was not too late for Director Luo to spend too much time.

Director Luo sent Zheng Ren outside the door, patted his shoulder and said, "Boss Zheng, come and walk often when you have time. I went out of the clinic on Monday, and I have time except for rounds."

Zheng Ren quickly responded politely.

This time I visited the Wharf, I could say that I had a great victory and had an unexpected surprise.

"Boss Zheng, you have a face..." Director Luo asked when he said goodbye.

Although it was the first time we met, the two of them felt very familiar, and Director Luo didn't feel abrupt. He just wanted Zheng Ren to be more at ease and be careful when driving. If something happened, it would be a big loss.

Zheng Ren touched the corner of his eyes, lowered his head, and whispered: "I just came back from the front line yesterday."

"..." Director Luo was stunned for a moment and patted Zheng Ren on the shoulder hard.

"Director Luo, then I'll leave first." Zheng Ren said.

"Go back and have a good rest. If I need to do anything on this side, I will just say it!" Director Luo said without any concealment this time.

There is still a distance between mutual appreciation in professionalism. However, an inadvertent sentence completely touched Director Luo's heart, and he agreed to Zheng Ren without reservation at all.

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

"Boss Zheng, you..." After walking out of the Department of Gastroenterology, Dr. Chen sighed sincerely: "You are so awesome."

Zheng Ren smiled.

This is normal, and academic closeness to academics is also expected by Zheng Ren.

Before coming, Zheng Ren thought that cooperation with the Department of Gastroenterology should be based on equal cooperation. To do this, Director Luo must recognize him.

But Zheng Ren didn't expect that it would be so smooth.

Director Luo’s final question and unreserved support, although unexpectedly, are also reasonable.

The big pig's hoof seemed to have not issued a task of adding lucky values ​​for a long time. It was not until this moment that Zheng Ren vaguely understood the importance of lucky values.

After chatting with Dr. Shen for a few words, his phone rang.

Dr. Chen held his cell phone a little embarrassedly. Zheng Ren smiled and said, "You are busy, you are busy."

"Hello."

"Well, where are you?"

"Okay, wait." Dr. Chen covered his cell phone and looked at Zheng Ren, "Boss Zheng, I've come to see a fellow villager. She is considering breast cancer."

Dr. Chen didn't say the last three words, but just made a lip shape.

"It's okay." Zheng Ren smiled, "It's just right to go and have a look."

Dr. Chen said a few more words and hung up the phone.

"My high school classmate, I found something big during the physical examination. I saw B-ultrasound images and thought it was bad." Dr. Chen said and sighed.

Dr. Chen is only in his thirties, and his classmate... Zheng Ren sighed. It's really hard to say about this kind of thing.

People have joys, sorrows, separations, birth, old age, sickness and death, and there is nothing we can do about it.

Now, the technical level of clinical surgery and breast cancer treatment is still good. If it is not too late, the survival rate for more than 5 years will reach more than 80%.

Even if the diagnosis is a little late and the degree of malignancy is high, if you are not short of money, the survival rate will be improved with corresponding targeted drug treatment.

Surgery is not completely removed as before. For women, psychological trauma is greater than physical trauma.

Now more and more patients undergo breast-conserving surgery, and the results are also good after surgery.

"I didn't contact me after graduating from high school. So many years have passed. I suddenly contacted me at the beginning. I thought I was a liar." Dr. Chen said verbally, "The husband and wife are both my high school classmates, but they didn't expect them to come together in the end. The boy is the most honest person in our class. I don't believe him telling me about their marriage."

Zheng Ren smiled.

A high school classmate, childhood sweetheart, very good.

"Boss Zheng, my classmate doesn't know about it. I always thought it was hyperplasia. I didn't say in detail about her lover, but just told him in a vague way that it might be a bad thing." Dr. Chen stopped talking.

Zheng Ren patted Dr. Chen on the shoulder, nodded, signaling that he knew and reassured him.

An old doctor in clinical practice will never say the word cancer in front of the patient. Unless it is an old patient, the doctor is sure that the patient himself knows it and can face it correctly.

Dr. Chen was still thinking too much, Zheng Ren thought in his mind.

But for this kind of thing, his classmates are not very old, so it is normal for Dr. Chen to have fluctuations in his heart.

Seeing that Dr. Chen was feeling a little depressed, Zheng Ren stopped talking and just followed him all the way to the outpatient clinic.

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

A woman stood by the flower bed, wearing a red close-fitting suit, making her figure look exquisite. Seeing Dr. Chen, she raised her hand, waved her, and walked over quickly.

Behind her was a man who looked honest and honest, carrying a trolley case.

The man was using his mobile phone to contact something, but he didn't notice Dr. Chen's appearance.

The woman took a few steps and turned around and said a few words. The man hurriedly put away his cell phone and smiled apologized. When he saw Dr. Chen, his smile became much more natural, he raised his hand and walked behind her.

"Student Chen, long time no see." The woman said with a smile, and there was no sad expression on her delicate face.

Zheng Ren remained silent.

A clear diagnosis is given in the upper right corner of the system panel, triple-negative breast cancer!

Against the red background, the bright red suit looks more and 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 receptors.

There is no correlation between the malignant breast cancer and tumor size and lymph nodes, and the malignancy of common tumors, and the judging of the malignancy of ordinary tumors.

In other words, as long as it is triple-negative breast cancer, even if the surgery is completely removed, it will have a high probability of recurrence 1-3 years after the operation.

Especially most recurrences will cause brain metastasis.

Clinically, there is no good solution to triple-negative breast cancer.

Dr. Chen shook hands with the woman, shook hands with the man behind him, and hugged him with a momentum, very close.

"He always said he couldn't live without me. I said it was just a minor illness, and he insisted on following him." The woman smiled and was so charming.

"Haha, what is Lao Lian doing now?" Dr. Chen asked with a smile.

"High school teacher teaches physics. This time I told him to see the child at home and let my mother accompany me. He refused to say anything and must follow me." The woman said with a smile: "Anyway, it's a minor surgery, so I'll treat it as a travel."

"The whole family is out, and it's okay to have fun." Dr. Chen didn't say it thoroughly, forced a smile, took the woman to the breast surgery department, and then arranged for hospitalization.

For such a thing, you must contact us a few days in advance. Not to mention Dr. Chen, even if you are hospitalized with the dean, you have to be at least half a day in advance.

If you queue up in the Imperial Capital Hospital, you have to wait for at least two or three months later.

After completing all the procedures, Dr. Chen came to the door with apologetic look, rubbed his hands and said, "Boss Zheng, I'm sorry."

"It's okay." Zheng Ren said: "Anyway, there's nothing wrong today. There are only three patients with phase 2 tips tomorrow. The newly admitted patients today will have to undergo surgery the day after tomorrow. Let's take a look around these two days and get familiar with the environment in the hospital."

"Yeah." Dr. Chen nodded repeatedly.

"That...Dr. Chen, is your classmate's B-ultrasound order?" Zheng Ren asked.
Chapter completed!
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