Chapter 390: The Difference Between Cancer and Tumor
The depressed old Gu didn't even want to invite dinner, anyway, the protagonist Yang Xi said that he was going to be on the night shift tonight, and the tall boss with a loyal face but a bad stomach, hum, this bird is not worthy of Lao Tzu's meal at all.
!
Seeing Lao Gu enter the elevator, Gao Yong and Yang Xi looked at each other and smiled.
Each cursed the other in their hearts: You are really a pit that eats people and doesn't spit out bones.
Taking advantage of the opportunity of Gao Yong to guard his home, Yang Xi went to the cafeteria for dinner, and then replaced Gao Yong home when he came back. Gao Yong didn't seem to want to open his legs, but Yang Xi was fascinated by the practice of peeling grape skins, and sent Gao Yong into the elevator with a retreat.
Return to the duty room and continue to practice.
Half past six in the evening until eleven in the evening.
In the middle, I came out twice, once to go to the toilet, and once to prescribe painkiller injections to the patient who had surgery that day.
At least four hours should be spent on practice.
If it weren't for the grapes being peeled, Yang Xi wouldn't be happy to go to bed, just because he had achieved two breakthroughs in the process, and he was so excited that he couldn't wait to go out and have two drinks.
Peeling five grapes in ten minutes is no longer a problem, and one of them is a few seconds away from solving the sixth grape, so it seems that it should not be a big problem to complete this week's task tomorrow.
The next day, I checked the ward and found Ye Qiuhe's hospital bed.
Gao Yong couldn't help frowning.
He remembered this patient, and he also knew that Ye Qiuhe had a very good relationship with Yang Xi, and what he was worried about was that Ye Qiuhe's follow-up treatment was only adjuvant chemotherapy, and among the five doctors in the surgical oncology, none of them knew how to formulate a chemotherapy plan.
"Are you going to ask the chemotherapy department to come for a consultation?"
Gao Yong's questioning was obviously aimed at Yang Xi.
But Yang Xi looked at Lian Xiangdong, old man, you are the doctor in charge of the bed, and it is up to you to answer Boss Gao's question.
Even Xiang Dong replied directly: "Friends of Xishao, listen to Xishao's arrangement." ”
Yang Xi shrugged his shoulders and responded: "Next bed, hurry up and wait for the stage to open the knife." ”
Gao Yong's face turned a little dark, Lao Tzu is better than you on the operating table, but you have more experience than you in clinical comprehensive treatment, so you ignore the director?
After checking the room, he returned to the doctor's office to give medical orders, Yang Xi hid aside, took a pen and paper, wrote and drew a stroke, and then handed it to Lian Xiangdong.
"Is this it?"
"Ye Qiuhe's chemotherapy regimen. ”
"I mean, it turns out that you have already looked for someone from the chemotherapy department. ”
Yang Xi smiled faintly and said, "Do I still need to ask others to get a chemotherapy plan?"
On the side, Gao Yong was just about to speak, but Yang Xi saw at a glance that his gaze was quite profound, which made Gao Yong suddenly start, and his ears couldn't help but sound a piece of advice that Yang Xi often hung on his lips, "In order to maintain your image, please be cautious." ”
This wickedness...... Gao Yong shook his head, and sure enough, he didn't say anything anymore, in case that demon really knew how to treat chemotherapy, the words at this moment would definitely become a slap in the face to himself.
"I'll do these two surgeries in the morning, Brother Rabbit will help, boss, you recuperate, let's have an early meal at noon, and rush to Sushan County to do a thoracoscopic lung cancer resection, two patients yesterday, one with central lung cancer, let me persuade me to go to the General Hospital of Mines to do gamma knife, and the other is this one in Sushan County. Last night, Yang Xi received a WeChat message from the young man, and made an appointment to go to Sushan County for surgery this afternoon.
Xi Dashao spoke, who dares to disobey?
The first one was a patient with gallbladder polyps, and recently I had an examination and found that the polyp enlarged trend was obvious, and I was worried about the possibility of malignant transformation, so I decided to cut off Anxin. The second is a rarer disease called jejunal stromal tumor.
The question is, all of them are malignant tumors that grow on the gastrointestinal tract, the stomach is called gastric cancer, the colon is called colon cancer, and the rectum is called rectal cancer.
Dai Hui has a strong desire for knowledge and is good at observing problems, so he asked Yang Xi and Lu Haoming such questions during the interval between operations.
Yang Xi immediately set his eyes on Lu Haoming, among the three, you have the highest seniority, who will answer if you don't answer?
Lu Haoming sloppily and replied: "It's easier to call it stromal tumor than mesenchymal cancer, so it's called down." ”
Obviously not a standard answer.
Dai Hui couldn't help but look at Yang Xi.
Yang Xi secretly gave Dai Hui a thumbs up, the young man has a future, it is very novel to use this way to pat the horse's whiskers, and at the same time looked at Lu Haoming again, Brother Rabbit, don't blame me, if you want to blame it, the spy leader is too uninteresting, he insisted on slapping you in the face, and it has nothing to do with me.
"There are three major tissues in the embryonic origin, epithelial tissue, connective tissue, and nerve tissue, malignant tumors that originate from organs of epithelial tissue are called carcinoma, and malignant tumors that occur in organs that originate from other two types of tissues are called tumors, jejunal stromal tumors belong to a type of gastrointestinal stromal tumor, which is a group of tumors that independently originate from gastrointestinal stromal stem cells. The degree of malignancy is not high, but the recurrence and metastasis rate is not low, it is extremely insensitive to chemoradiotherapy, surgical resection is the only effective treatment at present, for our surgeons, it is especially necessary to be vigilant that the implantation and metastasis of gastrointestinal stromal tumors tend to be very obvious, so the operation must be done cleanly. Yang Xi retold the chapters on gastrointestinal stromal tumors in "Medical Oncology" in one breath.
Dai Hui listened carefully, and couldn't help nodding his head to express his admiration for Yang Xi, and at the same time secretly rejoiced in his heart, the old brother was so right, no matter how difficult the question was, just ask Xi Dashao a question, and at the same time pat Xi Dashao's ass by the way.
Lu Haoming's face was mixed.
It's no wonder that those internists laugh at surgeons behind their backs for being surgeons, but after they go to the clinic, they put almost all their energy into the operating table, so that all the theoretical knowledge they learned in school is returned to the teacher.
The difference between cancer and tumor is so simple, why do you forget it?
However, just such a little gloom can't stop the sunshine in Lu Haoming's heart at all, the previous operation was said to be Yang Xi's main surgery, but on the stage, Yang Xi handed over all the work of the main knife to him.
Five minutes to open the abdomen.
Ten minutes cut the gallbladder.
Fifteen minutes later, the pathological results came out, proving that the patient's polyps had not become malignant, the abdominal cavity was cleaned, and the abdomen was closed.
One operation, easily completed in 40 minutes.
It seems that I, Lu Haoming, am also full of potential and have a bright future!
With this feeling, how can the heart not be sunny?