This idea lit up, and Lu Chengcheng directly snuffed it out.

It is disrespectful to call the patient directly in front of the patient.

If not, honestly I won't see it, and it is more appropriate to call them to see an orthopedic specialist.

I don't know how to look at some diseases, it's not ugly at all, and if it's just a half-understanding and it's making a lot of nonsense, then I'm humiliating myself.

Of course, Lu Cheng naturally wouldn't do this.

After organizing the language a little, recalling the professional knowledge I had learned, it took almost twenty seconds before I spoke:

"I've already seen the film, but there is a small lump on the little girl's femur. ”

"But there is no way to determine its nature based on physical examination and X-rays alone. My master and I are prescribing this examination for you for two purposes. ”

"First, clarify the location of this lump and its specific parts, so as to determine its approximate boundaries. ”

"Neither you nor I will be able to determine the true nature of it until there is a biopsy. ”

"So, here's what we need to do now. ”

Lu Cheng saw that the girl's mother was about to speak, and Lu Cheng took the initiative to interrupt her, because he knew what she would ask.

Lu Cheng continued: "The nature of the lump, but the location has been determined, we will call it a lump for the time being, and the biopsy must be taken first. ”

"Of course my recommendation is to go to the operating room and send a quick biopsy. Roughly determine its benign and vicious. ”

At this time, there are two possibilities. ”

"Benign, that's good, we were in the operating room, we took this lump, and did a curettage bone graft, a one-time solution. ”

"If you think it's more malignant, then you come out of the operating room and wait for the final biopsy results. If it is benign again, continue with the plan mentioned above and directly scrape the bone graft. ”

"If the nature is determined to be malignant, then we should use chemotherapy, adjuvant radiotherapy, neoadjuvant chemotherapy and other measures according to the specific nature of the tumor to make the tumor as small as possible, and then do complete resection and bone grafting, and in the adjuvant postoperative chemotherapy, to kill the possible residual tumor tissue. ”

"This is the best treatment option out there. ”

Lu Cheng continued to explain: "Of course, I know that you may consider whether it will worsen during the time you are waiting. ”

"If it is benign, then the nature of it will definitely not change in half a month. ”

"Even if it is determined to be malignant, it will not grow as fast as it will grow, and it will not grow much, so it will not delay your condition. ”

"But at the moment, it is necessary to be admitted to the hospital for a biopsy. ”

"I can give you a hospitalization certificate and go to the orthopedic department, and you can also go to Kyoto and the magic capital to have a look and listen to the experts over there. It's all up to you. ”

"My advice is to get diagnosed as soon as possible and deal with it as soon as possible. ”

Lu Cheng made the whole story clear in a series of words, and as for the specific chemotherapy plan, Lu Cheng naturally didn't say it pretentiously, because patients don't care at all, they generally only care about the treatment method.

The girl's mother finally nervously asked what was in her heart: "Doctor, what percentage of you have determined that this lump is malignant? If it is malignant, how sure is the treatment?"

Lu Cheng smiled bitterly in his heart, this kind of question is the most encountered in clinical practice, and it is also the most difficult to answer.

However, Lu Cheng had experience in dealing with it as early as his undergraduate internship, and he had vigorously checked the professional literature.

And he has an in-depth understanding of bone tumors.

This aspect is one of the purposes for him to change his major to clinical medicine at any cost in the first semester of his junior year.

"The question of probability, which is only statistically and epidemiologically useful, is not meaningful to the individual. ”

"It's either benign or malignant, and for the individual, it's 100 percent. ”

"I'm sure I can't tell right now. ”

"The lump in our orthopedic department generally occurs during the growth period of adolescents, when the bone tissue grows the fastest, let me tell you a probability, it is only the probability of national or even global statistics, is this important for individuals?"

"But I can give you this data, even if it is malignant, it is not untreatable. ”

"There are also people who can survive without tumors for 10 years, or even 20 years after treatment. ”

"It also depends on each person's sensitivity to chemotherapy drugs. ”

"It's about sensitivity, and it's also about personal physique. For example, some people are allergic to penicillin, and some people are not allergic, which is not something that we can tell by the naked eye, right?"

"There are people who are allergic to seafood, and there are people who are allergic to perfume, which makes no sense. ”

"Well, what are you going to choose? to be hospitalized or not to be hospitalized?"

This is not Lu Cheng's vagueness, the main thing is big data, which is really useless for individuals. But for prevention, it is very useful.

Lu Cheng's words are indeed easy to understand.

A lot of things are just so unreasonable, and what Lu Cheng said is also more in line with reality, not exaggerated, and not deliberately downplaying the condition itself.

Give them the power to choose.

But in fact, there is no choice.

Not to mention whether the daughter is so sensible, she has to be treated.

"We were hospitalized. We were hospitalized. The girl's father nodded quickly.

Lu Cheng tore up a hospitalization certificate, and while writing, he said: "I'll give you the hospitalization certificate, and then you take it to the second ward of the orthopedic department to reserve a bed." When will it be, and it will have to wait until the nurse notifies. ”

"In a case like yours, as soon as there is a bed in the ward, you will be notified immediately, and the department will arrange a treatment plan for you as soon as possible. ”

The girl's family stopped talking.

Including the girl who was still smiling, she was also faintly nervous.

……

"The hospitalization certificate has been issued, you can go to the surgery department to make an appointment now. ”

"Good. ”

The family left.

Lu Chengmu sent them out of the consultation room, and his face was also a little uncomfortable.

People don't choose their illnesses, they don't choose their sickness, and sometimes God is so unfair.

After the patient and his family members went out, the door of the consultation room was suddenly pushed open before Lu Cheng could call.

Lu Cheng was about to say wait a little when he saw an old man in a white coat walking in slowly.

He has white hair and is a little short, but he is very strong and has a good spirit.

"Young man, there is only one person in my clinic over there, there is something going on in the department today, how about we get together?"

"I'm getting older, and sometimes I'm a little slow to write checklists and prescribe medical orders. ”

Lu Cheng was stunned at first, he never imagined that Professor Xu would take the initiative to come to him, and he also offered to partner with him.

Lu Cheng hurriedly stood up and was about to fill a glass of water: "Professor Xu, please come in, I'll go get you a glass of water." ”

Professor Xu took out a big kettle from his arms like a treasure, and said, "I have been drinking bitter tea for so many years, and I can't get used to drinking water." You just sit down, and I'll give you my doctor's order number. You can help me write a test and a doctor's order, and then open a test form. ”

Professor Xu is at least in his 80s, retired for more than 20 years, and was once a powerful figure.

Lu Cheng understands that the status of the Department of Orthopedics of the Second Hospital of Hunan University now relies on their generation to work hard in the country, and if you can learn something from him, it will be a matter of infinite benefit.

His own master, did he have the opportunity to go to the clinic with Professor Xu?

Lu Cheng didn't know.

After Professor Xu sat down, he took the initiative to say, "Have you ever been to orthopedic rotation in your undergraduate before?"

"I've been there, but I didn't have the opportunity to go to osteopathy, but when I was an undergraduate, I spent a little more time in the laboratory. ”

"In that case, you shouldn't be an undergraduate at this college, nor from this university?"

Lu Cheng nodded back and began to log in to the doctor's account: "Hmm." No. I am an undergraduate from Han University, and I still regret that I was not able to come to our Hunan University for medicine. ”

"Zhonghan University, that is the famous top ten high-level universities. Professor Xu said with a smile.