Doctor of Healing
Page 347
"It's useless. If I hadn't met you and Director Liu, I would have been an old attending for the rest of my life, and I wouldn't even be promoted to the deputy senior position." Zhao Zhe said.
The two chatted and returned to the hotel.
Ji Xiang washed and rested, got up early the next morning, ran a half-marathon in the hotel gym, and then went to the hospital with Zhao Zhe after dinner.
Lu Gang was nowhere to be seen, he seemed to have been following the crew.
Ji Xiang didn't call Lu Gang either. Everyone has his own ambitions, so it's useless to talk too much.
When he came to the hospital, Ji Xiang passed by the doctor's office to change clothes, when he heard Zhai Yuhan's voice, "Is this a film of a patient?"
Chapter 515 Approaching the Scientific Reality Edition
Ji Xiang's mind moved, and he probed in to see what happened.
Zhai Yuhan was sitting in front of the computer, reading the film and making a phone call at the same time, not knowing who and what he was communicating with.
Ji Xiang recalled what Zhai Yuhan said just now, a little strange, turned around and walked quickly to change clothes.
When he came to the doctor's office, he stood behind Zhai Yuhan and caught a glimpse of a strange video.
Zhai Yuhan used one-screen dual-field CT, both of which were abdominal CT scans, and both had a round, white-flowered large tumor on the image.
The tumor should be the same,
Maybe,
Ji Xiang is not sure either.
In terms of size and density, they are the same, and Jixiang can confirm this with a high probability.
But the difference is that the tumor on the left image is at the lower border of the liver, just next to the gallbladder; the tumor on the right image is in the lower abdomen, near the colon, slightly compressing the colon.
This is too similar, Ji Xiang looked at the two tumors intently, and compared the size and density again.
Soon he was surprised to confirm that the two tumors should be the same!
Twins?A thought flashed through Ji Xiang's mind, but he immediately denied it.
"Eh? It looks very similar." Zhao Zhe also said in surprise.
"You are here." Zhai Yuhan covered the phone and turned around to say hello. She also smiled slightly to express her kindness.
"Teacher Zhai, what kind of patient is this?" Ji Xiang asked.
"A 78-year-old male patient was admitted to the hospital because of 'abdominal pain and distension for 3 years, which aggravated for 1 month'. The patient had intermittent abdominal pain, abdominal distension, and constipation for 3 years without obvious incentives, and the abdominal pain and distension were relieved after defecation. One month ago, the patient's constipation worsened, accompanied by frequent urination and urgency."
Zhai Yuhan casually recited the patient's current medical history, as if repeating it to a computer, almost word for word, Zhao Zhe admired it very much.
If you copy and paste, you can do it yourself, but if you can recite it backwards after reading it, you will definitely not be able to do it yourself.
Zhai Yuhan inadvertently revealed the difference from doctors in primary hospitals.
Zhao Zhe knows very well the quality of doctors who can stay in high-level large tertiary hospitals. To be honest, gold will definitely shine, which is extremely rare.
If it was gold, it would have been picked up long ago, and Zhao Zhe never thought of himself as gold.
"Any other checks?" Ji Xiang asked.
"There was a B-ultrasound before admission, which suggested a pelvic mass."
Pelvic cavity?
Pelvic!
Neither Ji Xiang nor Zhao Zhe thought it was Zhai Yuhan's slip of the tongue.
The two round, white tumors in front of my eyes but in different positions illustrate the problem.
And there is a third position!
Does the tumor grow a long pedicle?Zhao Zhe watched the film carefully, but he didn't see the existence of Di at all.
"Doctor Xiaoji, tell me what you think." Zhai Yuhan frowned and asked in a low voice.
"Surgery." Ji Xiang said, "We can't do laparoscopy, surgery, and take out the tumor completely. There is a high probability that it is benign, so don't be nervous."
"I didn't ask you how to treat it, what I asked was..." Di Yuhan said, she was also stunned.
How should I ask?
Zhai Yuhan was momentarily at a loss for words.
She had never seen a similar situation, and she didn't even know what to ask.
The tumor has no pedicle and can be clearly seen from different angles on CT.But here lies the problem!
Can a peduncleless, round, white tumor with a diameter of 8 cm appear in the body out of thin air?
Magic?
Generally speaking, the growth of tumors requires feeding blood vessels to participate in human metabolism, and the growth of both benign and malignant tumors requires nutrients.
Inexplicably, there was an 8cm tumor rolling around in the abdominal cavity. This thing... anyone with a scientific spirit would not think so.
So after Zhai Yuhan's question started, she fell silent.
"Xiao Zhai, you're watching a movie."
Director Yang walked in and asked while wearing white clothes.
"Boss, here we come." Di Yuhan stood up, "Give me a look."
Director Yang didn't say much, and watched the film seriously after sitting down.
Occasionally, a group of professors came in to take a look, but at first they just took a casual look, and their eyes couldn't move away from a screen of Shuangye's video data.
It seems that there is 502 glue on the two sheets, and I stick my eyes firmly on them.
Director Yang was silent for a long time, compared the tumors on the images, took a ruler measurement, and found the medical records of the gastrointestinal surgery department to read almost word by word.
The head nurse came in and was about to hand over the shift when she was blocked by a professor leading the group.
"The director is reading the film."
"What film? Do you want to hand over the shift first?" The head nurse asked tentatively.
"It's a weird film, if it's just a shift this morning."
The head nurse was taken aback, and the change of departments could not be changed, so why let it go?And the film crew was also standing at the door. Director Fan was very disciplined and led his people in the corner. Today, he made an appointment to shoot a few shift scenes.
"What's going on?" The head nurse glanced at Director Fan.
But Professor Lead Group didn't care about the hint from the head nurse at all. He stared at the screen, frowned and said in a low voice, "There is a patient on the gastrointestinal side. After three checks, the position of the tumor has moved three times."
"What?!" The head nurse was taken aback.
"The emergency examination is in the pelvis. After admission, the first CT scan is next to the gallbladder at the lower edge of the liver, and the second re-examination is at the colon."
"!!!"
"It's weird, and I didn't see the tumor has a pedicle. Otherwise, if it moved in such a large range, the pedicle would have twisted and started to die early."
"It's okay, does the tumor absorb nutrients by siphon?" The head nurse asked in a low voice with contempt.
Her tone was full of disdain, and she didn't hide it at all, almost swearing.
"I'm also surprised, it shouldn't be." said the professor with the group.
"Doctor Zhao, Doctor Zhao." Director Fan waved to Zhao Zhe after hearing the words of the head nurse and the professor leading the team.
Zhao Zhe has been "squeezed" out of the crowd.
He was not unhappy, he saw everything he needed to see, so Zhao Zhe walked over to Dao Fan.
"Doctor Zhao, what patient is Director Yang seeing?"
Zhao Zhe described it again, and his description was almost the same as that of the professor with the group.
"The problem is that tumors cannot grow out of thin air, but there are indeed no blood vessels, nerves, connective tissue, and tumor connections on the images." Zhao Zhe frowned, "This is a very strange case."
Director Fan didn't quite understand, but there was light in his eyes.
I took advantage of the foreign body in the respiratory tract and made an episode of related programs. As for the latter, I only had a vague idea, and I didn't know how to do it at all.
However, there are so many materials in the hospital, and Director Fan became excited after listening to the descriptions of Zhao Zhe and the group professor.
Isn't this also a gimmick!
"Approaching Science" has been popular for so many years because of deceit, but these things encountered in the hospital are all facts.
There are almost no disadvantages except that the doctor defends himself like a thief.
Chapter 516 What the hell is it
"Doctor Zhao, what disease are you considering?" Director Fan asked in a low voice.
Zhao Zhe glanced back at the camera, without saying a single extra word.
Director Fan smiled, "It's okay, let's talk in a low voice, we can't record it. Besides, you need your consent before the show, and if you disagree, it will be cut."
"I do not know."
Although Director Fan said so, Zhao Zhe put his hands in his pockets and began to perfunctory.
"Doctor Zhao, if you just talk about it, you are so familiar." Director Fan has been in contact for a while, and has already gained a basic understanding of the ethics of doctors.
The doctor is usually aggressive, and he speaks in a haphazard, vague manner, not in a good mood.
"Hey." Zhao Zhe faintly heard the sound of the camera, feeling a thorn in his back, and the problem of talking tuberculosis was cured, but he just laughed a few times and then fell silent, turning a deaf ear to Fan Dao's question.
Director Fan was extremely helpless.
This group of doctors is completely different from the lawyers and practitioners in other industries they have come into contact with before.
The group of doctors in front of them was aggressive. They were guarding themselves from the bottom of their hearts, and they were more cautious than facing the most difficult patients.
"Doctor Zhao, it's boring for you to do this." Director Fan complained.
Zhao Zhe ignored Dao Fan's resentment at all, he just rubbed his hands and smiled.
"I'll take a look at the stomach and intestines, you hand it in first." Director Yang got up and said to the head nurse.
"Oh, good." The head nurse was a little confused, and replied blankly.
It was a "good thing" that Ji Xiang followed Director Yang half a body behind, and followed closely to "watch the excitement".
Director Fan greeted Ji Xiang, and he followed Director Yang all the way away as if he didn't hear it.
Director Fan had no choice but to wave his hand. He led a film crew to follow Director Yang to see the situation, and the other film crew left behind to record the scene of shift handover.
As for which one is useful, as for whether he will be kicked out, Director Fan has no idea.
Arriving at the Gastrointestinal Surgery Department, Director Yang went directly into the doctor's office, and the camera crew was recording outside the door. The doctors inside were discussing the condition, but they immediately quieted down.
"Old Yang, your row of noodles is getting bigger and bigger. I'm under a lot of pressure to bring so many people here." An old doctor said with a smile.
It seems that he is the director of gastrointestinal surgery.
"No way, you don't accept the tasks that are suppressed in the courtyard."
"Who made you a student of the old dean." The director of gastrointestinal surgery whispered.
He immediately saw Ji Xiang, and immediately asked with a smile, "You are Ji Xiang, I have seen you on the show."
"Teacher, hello." Ji Xiang bowed at 30°.
"Young man, not bad." The director of gastrointestinal surgery said politely, and then dragged Director Yang to the computer, "Old Yang, what do you think is the situation?"
"I'll see the patient first."
"Any ideas?"
"No."
The director of gastrointestinal surgery sighed, he estimated that Director Yang would not have any constructive suggestions.
They are all old doctors, and anyone can see the weirdness of the patients.
He took Director Yang to see the patient in the ward, and when he walked to the door of the ward, Director Yang stopped the film crew.
Director Fan is used to it. He feels that every inch of the hospital has a red line, and the idea of drawing the ground as a prison has always been there.
A few minutes later, the Director of Gastrointestinal Surgery and Director Yang came out, and Director Fan pricked up his ears.
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