"Boss, I applaud and admire the idea of soaring through the air. Professor Barack said reluctantly after a few seconds.

This sentence is not distracting at all, even Wei Dabao can hear it.

"Barack, you haven't made any progress in watching the film, what progress are you letting me watch? That's it? Wu Mian said lightly.

......Professor Barack did not comment on Wu Mian's judgment in a casual manner, but approached the reader and carefully looked at the difference between the three films.

"The second film, pay attention to the difference between it and the first one. Wu Mian said, "The parenchymal nodular shadow is much larger than the first film. ”

"Teacher Wu, you can ......"

"How long does it take for a tumor to multiply?" Wu Mian asked, interrupting Professor Barack.

"40 days. ”

"You look at the time between the second CT image and the first one. Wu Mian said, "The tumor grows too fast. ”

"BOSS, what you say has a point, but you can't deny the fact that the younger you are, the faster the tumor grows. ”

"No lymph node metastases were found on the patient's image, and the third CT image negates your claim. Wu Mian said, "The third film tells you that instead of growing rapidly, the parenchymal nodular shadow has become smaller because of the different angles. ”

"......" Professor Barack couldn't refute it, and Mr. Wu turned back to himself with what he had just said.

With his understanding of Wu Mian, as long as he dares to refute, what awaits him must be a bunch of logical and meticulous chains of evidence. The chain of evidence smashed directly on the face, and the skin hurt.

This had happened more than once, and Professor Barack had had enough.

"Boss, that's ......"

"And for the first time, the patient found that the blood in the stool was consistent with the menstrual period, although there was no further evidence...... Wu Mian groaned, and then smiled, "There is no way to deny that it is endometriosis, is it?"

"BOSS, you're right, anyway, it's going to be surgically removed, and then look at the big pathology. Professor Barack said weakly.

Wei Dabao snickered in his heart, it seems that Mr. Wu, you are right This sentence is already a habit of Professor Barack, just like a mantra, whether it is right or not, he will say it subconsciously, even if he doesn't think so in his heart.

"Barack, we're talking about the patient's condition, just say whatever you have. Wu Mian said.

“BOSS? Patients have high CA125 values. Professor Barack whispered his doubts.

"It's hard to believe you'd ask such a stupid question. "Wu Mian shrugged? " Wei Dabao, tell Barack the definition of CA125. ”

Wei Dabao's conditioned reflex is the same? Recite it right away? "CA125 is a glycoprotein that can be conjugated by the monoclonal antibody OC125 from epithelial ovarian cancer antigen detected by Bast et al. in 1981. However, specificity is poor. ”

"Alright. Wu Mian smiled, "The serum CA125 level in ovarian cancer patients is significantly increased? In patients who respond to chemotherapy and surgery, CA125 levels decline quickly. If there is a recurrence? Elevated CA125 may precede clinical symptoms. ”

"Other non-ovarian malignancies also have a certain positive rate, such as breast cancer 40%, pancreatic cancer 50%, gastric cancer 47%, lung cancer 44%, colorectal cancer 32%, and other gynecologic tumors 43%. ”

"Barack, 32% positivity, do you think that's decisive?"

Professor Barack looked at Wu Mian? Said? "BOSS, I THINK YOU'RE RIGHT. ”

"Tell me if you have any questions. Wu Mian said.

"Non-malignant tumors, such as endometriosis, pelvic inflammatory disease, ovarian cysts, pancreatitis, hepatitis, liver cirrhosis, etc., CA125 are all increased to varying degrees, but the positive rate is low. Professor Barack did not put forward a negative view, but refuted what he had just said from Wu Mian's point of view.

Wu Mian smiled.

"And if endometriosis is diagnosed? There is also a plausible explanation for the first bleeding to coincide with the timing of menstruation. Professor Barack continued.

Wei Dabao was stunned for a moment, is this professor sick? Section Chief Wu asked him to find fault, but he echoed Section Chief Wu.

Look at what people are patting on the back? Don't ...... Before Wei Dabao could finish thinking about it, Professor Barack suddenly changed his tone? Said? "But only one bleed? What about other menstrual times?"

Wei Dabao was completely dumbfounded, Professor Barack shouldn't be schizophrenic.

Immediately, Professor Barack's tone changed slightly, and he became another self, "There are often patients who come to the hospital for unexplained nosebleeds, hemoptysis, blood in the stool, blood in the urine, etc., and are mistaken for tumors, and are frightened, and finally find that the bleeding symptoms are in the same cycle as menstruation, which is endometriosis." ”

"You didn't answer why I only had one time. ”

Most endometriosis, menstrual blood is not communicated to the outside world, cannot be discharged, and is "locked" in the body, resulting in severe pain, nodules, fibrosis, and even infertility and other clinical symptoms.

In a misdiagnosis case in the Department of Orthopedics at Massachusetts General Hospital the year before last, I remember that the diagnosis that caused the patient's paraplegia was endometriosis. ”

"You have a point......

"No, it's not a reason, it's the truth! Professor Barack kept changing his tone and scolded his previous self, "Endometriosis seriously affects women's health and quality of life, and it is a refractory disease with extensive lesions, diverse forms, and extremely invasive and recurrent.

It is clinically described as a benign disease with biological characteristics of malignancy. These are the basics, don't you know?"

Wei Dabao looked at Professor Barack stupidly, this person is afraid that he is not sick......

Wu Mian had long been accustomed to it, and said with a smile, "Look, as long as you think about it, you will find that this is also a possibility." ”

"No, BOSS, you're wrong. Professor Barack said solemnly, "After full dialectic, I think it is endometriosis!"

"Shut up. ”

“OK。 ”

"Dr. Wei. ”

"In. "Wei Dabao was very uncomfortable with Professor Barack's split, and he felt quite bad.

"Please go and the patient's family...... Forget it, I'll go. Wu Mian regretted it before he finished speaking, "I'll go and explain it to the patient's family." ”

Shi Zhonghua watched Wu Mian and Professor Barack go all the way to the ward, and their eyes were straight.

Wei Dabao had at least seen Professor Barack's schizophrenia once in Xiangjiang Sanatorium & Hospital, but Shi Zhonghua never thought that someone would split in person, and looking at Mr. Wu's habitual appearance, this is not the first time, and it will definitely not be the last.

Is it really good to let him do the surgery? Will it split directly on the operating table?

In Shi Zhonghua's mind, Professor Barack directly "exploded", becoming half on the left and right, standing on both sides of the operating table, one person is both an operator and an assistant.