Chapter 755： Unexpected

After half a year of clinical practice, Dr. Shen can clearly feel that the efficiency of interventional surgery for liver cancer is different from that of the past, not just small nodular liver cancer. Larger, unresectable liver cancer, 64-slice CT three-dimensional reconstruction before surgery, the surgery is particularly good.

Xiao Zheng’s imaging level is really high.

Just... As a doctor of imaging, Dr. Shen heard a few words and burst into tears.

The diagnosis of this rare disease of mitochondrial myopathy is not understood. Dr. Shen can still explain it without using this major.

But... I don’t understand the image performance of CT?

Abdominal CT, mainly looking at organs, but Xiao Zheng boss is talking to Director Luo about the differential diagnosis of the intestinal wall with abdominal CT.

This is the level problem. Dr. Shen saw Zheng Ren and Director Luo discuss the abdominal CT before the reader, and some of them got up.

Originally, I just took Xiao Zheng’s boss to the dock, but I didn’t expect it to come. Xiao Zheng’s boss started to discuss the case with Director Luo.

Looking at this posture, Dr. Shen has an "illusion", and in just less than an hour, the two have become oblivious.

Really...

Oh, it’s said that gold always shines. The boss of Xiaozhen is a piece of real gold. Just throw it wherever you want, as long as you have a little light, you can flash your dog's eyes!

If you don’t accept it, it’s really not good.

After half an hour, the two men have not finished the discussion of an abdominal CT. Moreover, from the perspective of imaging, they have been involved in the knowledge of pathophysiology and genetics.

Director Luo’s interest is getting higher and higher, and he is getting stronger and stronger.

The patient's family returned with an electromyogram and interrupted the case discussion.

"Director Luo, the doctor of the electromyography room said that there is a problem with myoelectricity, what line to consider..." The patient's family said with a dew. "He wrote the back of the list, I don't understand."

Director Luo nodded, took the EMG, and turned to the back, where the director of the electromyography room wrote the EMG report and diagnosis.

Consider ME, ME is an abbreviation for mitochondrial myopathy.

This is really, Director Luo looked at the line of words, silence for a minute, and finally laughed.

Director Luo is also very curious. He specially arranged the patient to go to the relevant department for emergency investigation. This patient, he has to follow all the way to see if the diagnosis is the case.

The patient's family left in a grateful manner, and according to Director Luo's arrangement to do genetic testing.

Seeing the preliminary results here, Zheng Ren also said goodbye. After all, there are so many patients outside, and I can't delay the director Luo too much time.

Director Luo sent Zheng Ren to the door and patted him on the shoulder and said: "Zheng boss, I have time to come and go. I go out on a clinic every Monday, and there is time left in addition to the rounds."

Zheng Ren was very polite.

This time I wandered the dock, it can be said that it was a big win, and there was an unexpected surprise.

"Zheng boss, you face..." At the end of the speech, Director Luo asked.

Although it was first sighted, the two felt that they were already familiar with it, and Director Luo did not feel that he was abrupt. He just wants Zheng Ren'an to divide it a bit, drive carefully and so on. If there is anything, it is not a small loss.

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

"..." Director Luo snorted and patted Zheng Ren's shoulder.

"Director Luo, then I will go first." Zheng Rendao.

"Go back and have a good rest. There is something I need to do on this side, just say it!" Director Luo said this time without any disguise.

Professional mutual appreciation, there is still a distance. However, inadvertently, I completely touched Director Luo’s heart. He did not agree with Zheng Ren.

This is really an accident, Zheng Renzhen, then grinned, and Director Luo said goodbye.

"Zheng boss, you..." Out of the Department of Gastroenterology, Dr. Shen said with sincerity: "You are too powerful."

Zheng Ren smiled.

This is normal, academic close to academics, and Zheng Ren's expectations.

Before coming, Zheng Ren thought about it. The cooperation with the Department of Gastroenterology is based on equal cooperation. To do this, you must let Director Luo recognize himself.

It’s just that Zheng Ren didn’t think that it was so smooth.

The final question of Director Luo and the unreserved support, although unexpected, are also reasonable.

It seems that the big pig's hooves have not issued the task of adding lucky value for a long time. Until now, Zheng Rencai understands the importance of the lucky value.

Having talked with Dr. Shen, his phone rang.

Dr. Shen was embarrassed to hold the mobile phone. Zheng Ren smiled and said: "You are busy, you are busy."

"Hey."

"Well, where are you?"

"Well, wait a minute." Dr. Shen grabbed his mobile phone and looked at Zheng Ren. "Zheng boss, I came to a fellow village. She came to see a doctor and considered breast cancer."

The last three words, Dr. Shen did not say anything, just made a mouth shape.

"Nothing." Zheng Ren smiled. "Just look."

Dr. Shen said a few more words and then hung up.

"My high school classmates, physical examination found long things, I look at the B-video, consider the bad things." Dr. Shen said, sighed.

Dr. Shen is also in his thirties. His classmates... Zheng Ren sighed. This kind of thing is really hard to say.

People have joys and sorrows, and they are old and sick, and there is no way.

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

Even if the diagnosis is a little late, the degree of malignancy is high. If there is no shortage of money, the corresponding targeted drug treatment will be given, and the survival rate will be improved.

Surgery is not the same as before, and it should be completely removed. For women, psychological trauma is greater than physical trauma.

More and more patients are undergoing breast-conserving surgery, and the postoperative results are also good.

"I didn't have any contact after graduating from high school. After so many years, I suddenly contacted me. I thought it was a liar." Dr. Shen said, "The husband and wife are both high school classmates. I didn't expect them to come together." The boys are the most honest people in our class. He told me that they are married, I don't believe it."

Zheng Ren smiled.

High school classmates, childhood, very good.

"Zheng boss, my classmates don't know, I always thought it was hyperplasia. She loved people, I didn't elaborate, just told him that it might be a bad thing." Dr. Shen wants to stop.

Zheng Ren took a shot of Dr. Shen’s shoulder and nodded, indicating that he knew and let him rest assured.

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

Dr. Shen still thinks too much, and Zheng Ren ponders.

However, this kind of thing, his classmates will not be very old, and Dr. Shen’s mood is fluctuating and normal.

Zheng Ren sees that Dr. Shen’s mood is somewhat low, so he doesn’t talk, just as he walks to the clinic all the way.

Outside the clinic, the crowds are surging, although there are already close to work, there are still many people.

A woman stood next to the flower bed, wearing a red suit and a beautiful body. Seeing Dr. Shen, she raised her hand and waved, and walked quickly.

Behind her is a man who looks honest and honest, holding a trolley.

The man is using a mobile phone to contact him and has not noticed the appearance of Dr. Shen.

The woman took a few steps and turned back and said two sentences. The man hurriedly put away his mobile phone and smiled. When he saw Dr. Shen, the smile was naturally a lot, raising his hand and coming behind her.

"Shen classmate, I haven't seen you for a long time." The woman said with a smile, the delicate face could not see any sad expression.

Zheng Ren is silent.

A clear diagnosis is given in the upper right corner of the system panel, Sanyin Breast Cancer!

In the red background, the bright red suit is more and more eye-catching.

Three-negative breast cancer is almost the heaviest type of breast cancer. It refers to breast cancer patients with negative estrogen receptor, progesterone receptor and human epidermal growth factor receptor 2.

There is no relationship between the three-negative breast cancer and the size of the tumor and whether the lymph nodes are metastasized.

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

Especially most recurrences will be complicated by brain metastasis.

Clinically, there is no good solution for Sanyin breast cancer.

Dr. Shen shook hands with the woman and shook hands with the man behind him. He hugged the situation and was very close.

"He, always said that I can't do without it. I said it, it's just a minor illness, he still has to follow." The woman smiled and flattered.

"Oh What is Lao Lian doing now?" Dr. Shen asked with a smile.

"High school teacher, teach physics. This time I said let him watch the children at home, let my mother come with me. He said nothing, must come over." The woman smiled and said: "It is a small surgery It is a tourist."

"A family out, it's good to play." Dr. Shen did not say through, smiled, brought the woman to the breast surgery, and then arranged the hospitalization.

This kind of thing, definitely have to contact a few days in advance. Not to mention Dr. Shen, even if the hospitality of the president is to be hospitalized, it must be at least half a day in advance.

Royal Hospital, if you line up, at least two or three months to go.

After all the procedures were completed, Dr. Shen came to the door with apologetic sorrow and said with a hand: "Zheng boss, I am sorry."

"Nothing." Zheng Ren said: "There is nothing wrong with it today. There are only three patients with Phase II TIPS surgery tomorrow. You will have a new checkup today and you will have surgery. The day will be transferred. Look, get familiar with the environment inside the courtyard."

"Hmm." Dr. Shen nodded again and again.

"That... Dr. Shen, your classmate's B-single list, is it?" Zheng Ren asked.

Dr. Shen stunned. From the tone of Zheng Ren’s speech, he heard some clues and a hint of uncertainty.