Zheng Ren didn't know what was happening in Rongcheng at all, so he said a few words to Director Kong and went to Dr. Mehar's side.

The two didn't even eat lunch and chatted until more than three o'clock in the afternoon.

In the end, the selfless conversation was interrupted by Zheng Ren's mobile phone ringing.

[They say write a love song quickly, and the elegance and vulgarity will appreciate it......]

Jung Ren smiled apologetically, picked up his phone and walked out.

"Boss Zheng? Dean Yuan asked you to go. "The voice on the other side of the phone is very familiar, it is Director Ye Qingqiuye.

"Director Ye?" Zheng Renleng paused, what is this letting himself do?

"How?"

"Oh, it's okay, I just wanted to ask what's going on with the dean. Zheng Ren immediately asked.

"Mr. Li from the Chinese Academy of Sciences came to see a doctor, and I originally wanted to find Director Luo and Director Kong to come and see, didn't I think of you. Director Ye said with a smile.

"Oh, I'll go over it. Zheng Ren said immediately, and after a polite word with Director Ye, he hung up the phone.

The social status is not the same, and the patients you come into contact with are not the same.

Generally, the social status of the department director is very high, but he will definitely not ask Zheng Ren to see Li Lao of the Chinese Academy of Sciences.

This may be regarded as the task of the health care team, Zheng Ren thought to himself.

As he prepares to say hello to Dr. Mehal, his assistant Fischer stands in the doorway, motioning for Jeong-in not to go in.

It turned out that the doctor had been excited for too long and had fallen asleep.

When you get old, your spirit really can't keep up. However, it is also easy to save yourself and Dr. Mehal to explain. Zheng Ren smiled and walked straight to the organ building.

On the way, he began to ponder Li Lao's condition.

Looking for Director Luo and Director Kong again, it should be liver cancer. However, in general, the dean will greet the patient first and then take the patient directly to the inpatient department. It seems a little more formal to do so.

Who knows, Zheng Ren walked to the door of Vice President Yuan's office and knocked lightly.

"Enter. Vice President Yuan's voice came out.

Zheng Ren pushed the door in, glanced at it first, and didn't see the old man and the system panel of Honghuhu. In Vice Dean Yuan's room sat a middle-aged woman about forty years old, who was sitting on the sofa and talking to Vice Dean Yuan.

"Come, Xiao Li, let me introduce you. Vice President Yuan stood up with a smile and said to the woman: "This is Dr. Zheng from our hospital, who has been nominated for this year's Nobel Prize in Medicine, and his level is quite high. ”

The woman stood up, stretched out her hand, and said politely, "Doctor Zheng, I'm glad to meet you." ”

"Polite, polite. Zheng Ren stretched out his hand and shook it, and said, "Dean." ”

"They all sat down and said. Vice President Yuan said: "Mr. Li of the Chinese Academy of Sciences has been doing interventional surgery on the liver and gallbladder in the imperial capital since he was diagnosed with liver cancer three years ago. The postoperative results are very good, and the tumor has been completely inactivated. ”

Zheng Ren listened quietly, Zhou Chunyong? His level is also good.

But since one year ago, Mr. Li's alpha-fetoprotein levels have begun to exceed the normal range. The test is repeated once every 2 months, and the value of each check is much higher than the last time. "Vice Dean Yuan seems to have done his homework, otherwise he wouldn't be so familiar.

Zheng Ren nodded, his mind searching for similar cases.

"Xiao Zheng, here is Li Lao's film and test report, you can take a look. Vice President Yuan said: "The imperial capital hepatobiliary and Xiehe and Dong tumors have all been there, and it is considered liver metastases." But the specific transfer location ......"

The last sentence was only half of what Vice President Yuan said.

Zheng Ren knew in his heart that this was a relatively rare situation in clinical practice. It's just rare, but it's not uncommon.

In Haicheng First Hospital, he had seen similar patients.

It is not a patient managed by Zheng Ren, but because the condition is relatively special, Zheng Ren remembers it.

The patient had no problems with liver CT and MRI enhancement after liver cancer resection, but the alpha-fetoprotein value was particularly high.

Eventually, alpha-fetoprotein soared above >2000.

The patient did not have any voluntary symptoms, and all the tests were done, and the specific location of the metastases was not found.

Liu Tianxing was helpless, so he asked the patient to go to the Affiliated Hospital of the Medical University with the information. It is said that the Affiliated Hospital of the Medical University did not give a definitive diagnosis in the end, saying that it was for observation, and the patient went home.

Apart from a high alpha-fetoprotein value, there were no other positive test results.

After a year and a half of observation, the patient is getting older and less vigilant. Brothers a few days from the sea, ready to party.

At this age, it's really one less time to see one.

The patient is the eldest and his hometown is also in Haicheng, so the meeting place is naturally Haicheng.

It was supposed to be a happy celebration, but the patient's daughter-in-law went crazy because of the grudge and scolded his son at the reunion wine table.

As soon as the old man got on fire, he caught a cold.

1 week later, I felt bloated and came to Haicheng First Hospital for treatment. At that time, Liu Tianxing was also a little careless, and did a liver examination, but no problems were found.

Less than 1 month later, the old man developed neurological symptoms, followed by high paraplegia.

Originally, the metastatic lesion was located in the thoracic spine, and with the decline of the body's immunity, the tumor metastatic lesion grew explosively.

Later, the old man died 3 months later.

This is a very regrettable thing, Zheng Ren guesses, if it is not for the quarrel at the banquet, he will live a few more years?

Zheng Ren has also seen many similar cases in the system library.

There is no way to diagnose this kind of metastasis, and in the end, the patient has a large area of tumor spread and explosive growth due to some predisposing factors, or simply no predisposing factors.

There is a time bomb in the body, but you don't know where it is, you can only wait, which is a very headache.

This is rarely the case of other tumors, and only liver cancer will have this kind of insidious growth and finally a big outbreak.

Maybe this is also the case with Li Lao, Zheng Ren guessed in his heart.

He stood up, walked over to Vice Dean Yuan's desk, and picked up a bag of films and a folder. The bag is arranged by date, with a PETCT at the top 3 days ago.

Zheng Ren's heart moved, and his guess should be right.

There shouldn't be any problems with PETCT, so I will seek medical attention everywhere.

There was no film reader in Vice President Yuan's office, so Zheng Ren walked to the window with a bag of films and a folder.

I took out the PETCT report book and looked at the report first.

No tumor tissue was found in the whole body, and the liver tumor lesions were not active, at least according to glucose tolerance.

Judging from this report, Li Lao's condition is quite optimistic.

"Dr. Zheng, Director Zhou recommended you to me. Elder Li's daughter said softly, "Please help me take a look." ”

Zheng Ren pondered for a moment, nodded, and did not say his guess, but took out the films and reviewed them one by one.

……

……

Note: An old patient, sadly gone. I have been pondering this case for a long time and asked many teachers, but there is no good way.

Sogou reading website: