After half a year of clinical practice, Dr. Shen can clearly feel that the effective rate of interventional surgery in the treatment of liver cancer is different from before, not only for small nodular liver cancer. For relatively large liver cancer that cannot be resected by surgery, 64-slice CT 3D reconstruction was done before surgery, and the surgical effect was particularly good.

Boss Xiao Zheng's imaging level is really high.

It's just that...... As a doctor of imaging, Dr. Shen burst into tears after listening to a few words.

The diagnosis of mitochondrial encephalomyopathy, a rare disease, is not understood, and Dr. Shen can explain it in terms of not his specialty.

But...... Can't even understand the image performance of the special CT scan?

Abdominal CT mainly looks at organs, but Boss Xiao Zheng is telling Director Luo about the differential diagnosis of intestinal wall with abdominal CT.

This is the level problem, Dr. Shen watched Zheng Ren and Director Luo discuss abdominal CT together in front of the film reader, and he was in a trance.

Originally, I just took Boss Xiao Zheng to visit the pier today, but I didn't expect that after coming, Boss Xiao Zheng directly began to discuss the case with Director Luo.

Looking at this posture, it gave Dr. Shen an "illusion", and the two had become friends in less than an hour.

Is......

Alas, it is said that gold always shines. Boss Xiao Zheng is a piece of real gold, no matter where you throw it, as long as there is a little light, you can blind your dog eyes!

If you're not convinced, it's really not good.

After half an hour, the discussion between the two on an abdominal CT was not over, and depending on the situation, it had begun to mix the knowledge of pathophysiology, genetics and other disciplines from imaging.

Director Luo's interest is getting higher and higher, and he can't stop it.

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

"Director Luo, the doctor in the EMG room said that there is a problem with EMG, what ......line to consider," the patient's family said with a dewy face, "He wrote on the back of the list, I can't read it." ”

Director Luo nodded, took the electromyography, and flipped to the back, where was the EMG report and diagnostic opinions written by the director of the EMG room.

Consider ME, which is an abbreviation for mitochondrial encephalomyopathy.

This is true, Director Luo looked at the line of words, was silent for a minute, and finally smiled.

Director Luo was also very curious, and specially arranged for the patient to go to the relevant department for an urgent investigation, and he wanted to follow up this patient all the way to see if the diagnosis was like this.

The patient's family left with great gratitude, and went for genetic testing according to Director Luo's arrangement.

Seeing that there were preliminary results here, Zheng Ren also took his leave. After all, there are still so many patients lined up outside, and Director Luo can't be delayed for too much time.

Director Luo sent Zheng Ren to the door, patted him on the shoulder and said, "Boss Zheng, you often come and walk when you have time." I went out of the clinic on Monday, and I had time for the rest except for ward rounds. ”

Zheng Ren hurriedly responded politely.

This time to visit the pier, it can be said that it is a big victory, and there is an unexpected joy.

"Boss Zheng, you have a ...... on your face" Director Luo asked when he finally said goodbye.

Although it was the first time they met, the two felt very familiar, and Director Luo didn't feel abrupt. He just wanted Zheng Ren'an to share a little, be careful when driving, if anything happens, it's a big loss.

Zheng Ren touched the bruises in the corners of his eyes, lowered his head, and whispered, "I just came back from the front line yesterday." ”

"......" Director Luo was stunned for a moment and patted Zheng Ren's shoulder hard.

"Director Luo, then I'll go first. Zheng Rendao.

"Go back and have a good rest, if there's anything I need to do here, just say it!" Director Luo said unabashedly this time.

There is still a distance between mutual appreciation in the profession. But the inadvertent words completely touched Director Luo's heart, and he agreed to Zheng Ren without any reservations.

This was really unexpected, Zheng Ren bowed, then grinned and said goodbye to Director Luo.

"Boss Zheng, you ......" Walking out of the gastroenterology department, Dr. Shen said with heartfelt emotion: "You are too powerful." ”

Jung Ren smiled.

This is all normal, academics are close to academics, and it is also expected by Zheng Ren.

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

It's just that Zheng Ren didn't expect it to go so smoothly.

And Director Luo's last question, and his unreserved support, although unexpected, are also reasonable.

It seems that the big pig's trotters have not issued a task to increase luck for a long time, and it is only at this moment that Zheng Ren suddenly understands the importance of luck points.

After chatting with Dr. Shen for a few words, his phone rang.

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

"Hey. ”

"Well, where are you?"

"Okay, wait a minute. Dr. Shen covered his phone and looked at Zheng Ren, "Boss Zheng, I came to a fellow countryman, she came to see a doctor, and she thought it was breast cancer." ”

The last three words, Dr. Shen didn't say, just made a lip shape.

"It's fine. Zheng Ren smiled, "Just go and have a look." ”

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

"My high school classmate, the physical examination found that something was long, I looked at the B-ultrasound image, and thought it was a bad thing. Dr. Shen said, sighing.

Dr. Shen is also in his thirties, and his classmates ...... Zheng Ren sighed, this kind of thing, it's really hard to say.

People have joys and sorrows, birth, old age, sickness and death, there is no way.

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

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

And surgery, like in the past, is not completely removed. For women, the psychological trauma is greater than the physical trauma.

Nowadays, more and more patients are undergoing breast-conserving surgery, and the results are good.

"I haven't been in touch since I graduated from high school, and after so many years, when I was suddenly contacted at first, I thought it was a scammer. Dr. Shen said in a wordy manner, "Both husband and wife are my high school classmates, but I didn't expect them to end up together." The boy was the most honest man in our class, and I didn't believe him when he told me about their marriage. ”

Jung Ren smiled.

High school classmates, childhood sweethearts, pretty good.

"Boss Zheng, my classmates don't know, they always thought it was hyperplasia. She loves someone, and I didn't go into details, just vaguely told him that it might be something bad. Dr. Shen stopped talking.

Zheng Ren patted Dr. Shen on the shoulder, nodded, and signaled that he knew, reassuring him.

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

Dr. Shen still thought too much, Zheng Ren pondered in his heart.

But for this kind of thing, his classmates are not very old, and it is normal for Dr. Shen to have mood fluctuations in his heart.

Seeing that Dr. Shen was a little depressed, Zheng Ren did not speak, but followed him all the way to the outpatient clinic.

Outside the outpatient clinic, there was a crowd of people, and although it was almost time to get off work, there were still a lot of people.

A woman stands by a flower bed, wearing a red close-fitting suit, setting off her figure exquisitely. Seeing Dr. Shen, she raised her hand, waved, and walked over quickly.

Behind her, there was an honest-looking man, carrying a trolley suitcase.

The man was using his mobile phone to contact something and didn't notice Dr. Shen's appearance.

The woman walked a few steps, turned around and said a few words, and the man hurriedly put away his phone and smiled. When he saw Dr. Shen, he smiled a lot more naturally, raised his hand, and walked after her.

"Student Shen, I haven't seen you for a long time. The woman said with a smile, and there was no sad expression on her delicate face.

Zheng Ren was silent.

The upper right corner of the system panel gives a clear diagnosis, triple negative breast cancer!

Against the red background, the bright red suit looks more and more eye-catching.

Triple negative breast cancer is almost the most serious type of breast cancer. Refers to breast cancer patients who are negative for estrogen receptor, progesterone receptor and human epidermal growth factor receptor 2.

Triple negative breast cancer has nothing to do with the size of the tumor and whether the lymph nodes have metastasized, which are closely related to the malignancy of ordinary tumors.

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

In particular, most recurrences are complicated by brain metastases.

Clinically, there is no good solution for triple-negative breast cancer.

Dr. Shen shook hands with the woman, shook hands with the man behind him, and hugged him, very close.

"He always said he couldn't live without me. I've said it all, it's just a minor illness, and he still has to follow. "The woman smiles and is charming.

"Hehe, what is Lao Lian doing now?" Dr. Shen asked with a smile.

"High school teacher, teaching physics. This time I said let him watch the children at home and let my mother accompany me. He said he wouldn't say anything, and he had to come along. The woman smiled and said, "Anyway, it's a minor operation, so it's a tour." ”

"It's okay to come out and have fun. Dr. Shen didn't say it thoroughly, forced a smile, took the woman to the breast surgery, and then arranged for hospitalization.

For this kind of thing, you must contact a few days in advance. Not to mention Dr. Shen, even if he came to the hospital due to the relationship of the dean, he had to wait at least half a day in advance.

Imperial Capital Hospital, if you have to queue up, you have to wait until at least two or three months later.

After completing all the formalities, Dr. Shen came to the door apologetically, rubbed his hands and said, "Boss Zheng, I'm sorry." ”

"It's fine. Zheng Ren said: "Anyway, there is nothing to do today, and there will only be three patients with second-stage TIPS surgery tomorrow." Your new patient who is admitted today will have a check-up and the day after tomorrow before the operation. In the past two days, I will take a look around casually and familiarize myself with the environment in the hospital. ”

"Uh-huh. Dr. Shen nodded repeatedly.

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

Dr. Shen was stunned, and from the tone of Zheng Ren's speech, he heard some clues and a hint of ominous premonition.