Like a great painter, a sketch of a drawing quickly appeared on A4 paper.

Looking at this picture, Mu Tao's eyes lit up.

Needless to say, Mu Tao seems to have understood several of these important nodes. Go back and compare the films dispersed by MRI, I think there should be a new breakthrough, Mu Tao thinks.

"Lao Mu, I won't tell you, you go back and see for yourself. After Zheng Ren finished painting, he said, "If there is anything you don't understand, or if you have doubts, leave me a message directly, or come early tomorrow, and let's discuss it together." ”

Mu Tao nodded, he understood what Zheng Ren meant.

Chang Yue went to call the next patient's family, Mu Tao looked at Zheng Ren still pondering, and a thousand feelings surged in his heart.

This is a selfless teaching, and I am afraid that I will not understand, so I will do everything I can to explain it to myself.

In a normal person's mind, this is a fool!

This thought flashed in Mu Tao's mind.

Isn't it precisely because of such people that there are people who have made rapid progress in human society? Edison obtained venture capital investment, summed up the experience of his predecessors, and made a light bulb before all the money was spent, and wanted to monopolize direct current.

He continued to suppress Tesla, but alternating current still came into being, shattering Edison's dream.

Tesla did not use the patent of alternating current to obtain the patent fee that now seems to be more than 10 billion yuan, and everything is used for free.

This move has greatly promoted the application of alternating current.

Zheng Ren did exactly this kind of thing.

Great goodness!

Recalling the first time I came into contact with Zheng Ren in the imperial capital, until the scenes in Pengxi Township, and then now, Zheng Ren's image is three-dimensional and vivid in Mu Tao's mind.

In the following explanation, Zheng Ren drew a simple picture of Mu Tao every time.

Mu Tao took a photo of the film, marked it, put the picture preciously, and waited for himself to go back and study it.

It's a pity that there are too many surgeries and too short a time, and Mu Tao is afraid that he will not be able to study thoroughly before the operation.

Following Boss Zheng to do research is much better than in the Mayo Clinic, Mu Tao sighed heartily.

After the three patients in the Department of Gastroenterology finished communicating one after another, Zheng Ren said hello to the hospitalized general manager and took Chang Yue and Mu Tao to the hepatobiliary surgery.

It was the lunch break, and Zheng Ren didn't want to disturb Professor Yang Ruiyang's rest.

But when he came to the doctor's office of the hepatobiliary surgery department, Zheng Ren saw that Yang Rui was reading a CT of the upper abdomen.

"Brother Yang, I'm here. Zheng Ren was also polite, and said hello with a smile.

"Boss Zheng, come on. Yang Rui didn't take his eyes off the film, but just beckoned Zheng Ren to come over.

"Hmm, what kind of film?" asked Jung-in.

Professor Yang must be looking for himself to watch the film and make a diagnosis.

"It was a 62-year-old female patient who found that there were changes in the gallbladder area during the physical examination, so she did a CT scan of the upper abdomen. Professor Yang said, "Below the fourth segment of the liver, there is no gallbladder in the gallbladder area, only a cystic package. There are calcified deposits, which look a little weird, like a porcelain gallbladder, but it's not the same as the porcelain gallbladder I've seen before. ”

"Oh, no gallbladder?" Zheng Ren walked over, asked first, and then began to read the film with his cheek back.

On CT, the imaging of the gallbladder area is like a large bubble, where the original gallbladder is located, the gallbladder disappears, and a huge cystic occupancy appears there, with uneven texture, which looks very strange.

Is it a tumor?

Jung in doesn't think so. In general, tumors are solid, and cystic tumors are rare.

What is that?

Mu Tao glanced at the film and became interested.

The people who intervene, except for demons like Zheng Ren, are basically doctors from the image.

Whether it is plain X-ray, CT, or MRI, there is a certain amount of research.

This film is interesting, Mu Tao temporarily forgot about the patients who had advanced TIPS surgery for liver cirrhosis, and like Zheng Ren, he began to watch the film.

Chang Yue was very helpless, and he came out to see the patient with Mr. Zheng, which was really a waste of time.

said that he looked at a good patient, but he stopped again after looking at an abdominal CT, when will he be able to finish his work?

But soon, within a few minutes, Zheng Ren said, "Brother Yang, I think what you said about the porcelain gallbladder is right, and there are malignant tissues in the gallbladder. ”

"That's what I thought about too. Yang Rui said, "Is Boss Zheng interested?"

"Huh?" Zheng Ren looked sideways at Professor Yang, "The patient is already hospitalized?"

"Lived. "I can do surgery, but the possibility of complete removal of the porcelain gallbladder is not high." When are you free here?"

"I'm going to have tips surgery tomorrow, the day after tomorrow?" Zheng Ren's hands were a little itchy, and he said with a smile.

Porcelain gallbladder is a designation for a gallbladder with a special shape that is hard, brittle, and pale blue due to calcification of the gallbladder wall.

In terms of clinicopathological features, the porcelain gallbladder has its peculiarities.

Since 1959, when RNELL first reported and proposed the concept of "porcelain (sexual) gallbladder", there have been sporadic related literature published abroad.

In particular, the association of porcelain gallbladder with gallbladder cancer has been proposed. Porcelain gallbladder is prone to gallbladder cancer, which mostly occurs in the body of the gallbladder, and occasionally occurs at the bottom and neck.

In front of the patient, the entire gallbladder has a tendency to porcelain.

Therefore, this calcified lesion is best removed completely. Once broken, it may lead to tumor implantation and metastasis.

However, as the name suggests, the entire gallbladder is already as brittle as ceramic, and it is not easy to cut it completely.

Therefore, Professor Yang did not hesitate to invite Zheng Ren to participate in the operation when Zheng Ren came.

The autologous liver transplantation of hepatic echinococcosis was done by Zheng Ren, and Yang Rui no longer had to worry about losing face in front of Zheng Ren.

I don't have the certainty of 10,000, Boss Zheng can do it, so do it.

However, porcelain gallbladder is only a preliminary diagnosis, and Zheng Ren asked the patient about liver function, hydatid antibodies, and BSP; and laboratory markers such as CA19-9.

Laboratory tests were normal, and there was no remarkability in past medical or family history.

"Considering the possibility of a simple porcelain gallbladder, I didn't see any cancerous areas. Zheng Ren finally said, "But you still have to be careful about the operation, the day after tomorrow, Brother Yang, you give me a call, and I'll take a hand." ”

"Okay. Yang Rui took off the film with a smile.

"Two patients with advanced cirrhosis, go, I'll take you to see. Yang Rui did not rest, and took Zheng Ren to see the patients first, and then called to the doctor's office one by one, and Zheng Ren explained the condition to the patients' families.

Yang Rui is not very interested in Zheng Ren's drawing, after all, is he a surgeon, the bloody liver area is disgusting, can he still be interested in a sketch?

It is estimated that only a doctor like Zheng Ren, who straddles the general and intervenes, can draw this kind of sketch.

After communicating with the patient's family, Zheng Ren and Professor Yang greeted each other and went back to the interventional department.

Chang Yue didn't go with Zheng Ren, she stayed directly and explained the live broadcast of the operation to the patient's family.

Mu Tao, on the other hand, couldn't wait to take leave with Zheng Ren, and took the video materials and sketches to find a place to study.

。