After watching the video, Professor Su and his entourage visited the Department of Comprehensive Orthopedics before leaving.

The child who was admitted to the free clinic in the classroom was considered osteoid osteoma, and the operation had been completed, and his father was wandering at the door of the doctor's office, and when he saw Xiao Wu, he asked, "Doctor Lu, have the pathological examination results come out?" ”

"Didn't you tell you it was going to take three to five days? You've asked seven or eight times. Xiao Wu was a little annoyed with him.

The child's father thought for a while and said, "Doctor Lu, can you take my son's examination to the forefront, the others are not in such a hurry, just slow down, and advance him alone, it will not affect anything, and others will not know." ”

Xiao Wu is the most annoying to this kind of person, his business is a big thing, other people's business is not a thing, usually queuing, it is also this kind of person who likes to cut the line, anyway, he thinks that a person cutting in line does not affect anything.

"There's no way to advance it, you can't rush this matter, urge the pathologist to be anxious, take a random look, and don't you be allowed to say okay?" Xiao Wu didn't care about him either, and politely rejected him.

The child's father was restless and grabbed his pants with one hand: "This matter is really urgent, do you say it is benign or malignant?" What should I do if I have to wait so long? ”

"Now I know that I am in a hurry, why did I go early, I told you to take the child to see a doctor early, you read a few articles on the Internet, you think you are really a doctor, people say three to five days, everyone can wait, you can't wait?" The child's mother also came over, with a posture of pulling his ears and pulling him back.

The couple is also a little interesting, the husband is short and timid, and the wife is tall and big and has a bold personality, both in terms of body type and personality, the two couples are very discordant.

If you quarrel at home, it is estimated that the woman can carry the male like a chicken cub, and turn around the house a few times, and the female will not pant.

The man was scolded by his wife like this, and went back to the ward in a gloomy manner, and the woman apologized to Xiao Wu, and then followed back to the ward.

Hearing someone ask about the pathology results, Song Zimo remembered that he had made an appointment with the pathology department and was going to see Zhang Zhe's pathological slides this afternoon, and Song Zimo wanted to ask Yang Ping if he wanted to go over and see it together.

Yang Ping said that it is just to teach everyone to look at pathological sections, which is the basic skill that Dr. Corey must master in the future, let Song Zimo and Xu Zhiliang master it first, and then look at pathological slides, which must be as skilled as watching X-rays.

In some countries, such as the United States, surgeons have to look at pathological sections by themselves, sometimes the surgeon removes the tumor and sends it to the supporting pathology room next door to the operating room to do frozen sections, and the surgeon takes off the surgical gown and goes to the pathology room to look at the slides with a microscope in person, and after figuring out what the tumor is, he washes his hands again and goes to the stage to choose the appropriate surgical method according to the pathological diagnosis.

The pathological sections in my country are all read by pathologists, and surgeons do not read them, nor have they received special relevant education.

Therefore, if there are surgeons in our country who can look at pathological sections, it is definitely a rare treasure.

When everyone arrived at the pathology department, they were all busy, the giant examination room, the microscopy room, and immunohistochemistry were all busy, and there were only two people in the doctor's office, Director Guan of the pathology department, and Director Shi, who was retired and rehired.

Director Shi was wearing a pair of sunglasses and sitting at the window to rest, Director Guan was watching something on the computer, and when he saw everyone coming in, Director Guan knew Song Zimo: "Song Gongzi, here!" I won't introduce you, but this is Dr. Yang from your department, right? ”

Song Zimo and Director Guan Director Shi are very familiar, he often comes to ask for advice to see pathological sections, and usually gives Moutai to the two directors during the New Year's holidays, so that they can enjoy themselves.

"Director Guan, I'm sorry for you." Yang Ping shook hands with Director Guan.

Director Guan smiled: "You're welcome, we are Qingshui Yamen, we usually have little contact with you, I see a lot of pathological sections in various departments every day, but I don't know a few, Dr. Yang is young and promising, I still know, you are here to see the pathological sections of the recent orthopedic patients, the specimens of today's surgical patients are still doing decalcification treatment, the surgical sections have come out a few days ago, and they can be photographed, I asked someone to find them for you." ”

"Teacher Shi, is this a beautiful woman looking out the window with sunglasses?" Song Zimo joked with Director Shi.

Director Shi waved his hand: "I have seen too much under the microscope, and now I have a little stronger light, and my eyes can't stand it, if it was sunny in previous years, I had to wear sunglasses outside, and from this year, I also have to wear sunglasses indoors, and I can't stand the light, and I keep crying." ”

"Director Shi will stop doing it after this month and go home to care for the elderly." Director Guan explained.

Director Shi said: "I can't do it, my eyes can't do it, if my eyes can hold it, I want to work for a few years." ”

The pathology department is really a clear water yamen, not only has no money, but also is deserted, several doctors look at pathological slides under the microscope all day long, a doctor has to see almost three or four hundred sections a day, except for going to the bathroom, the butt has no time to move.

However, like the Nandu Medical University Cancer Hospital, a national cancer hospital, the situation in the pathology department is much better, if there is a patient who wants to find a doctor with better skills to look at the pathology section privately, he has to do it.

It's not expensive, the doctor charges a labor fee of three or five hundred, help to see.

There's no way, the pathology department is really poor, with a salary of thousands of yuan a month, and if you don't do some private work, you can't live your life.

If the patient follows the normal process and does the pathological biopsy outside, the top hospital will not be able to help you see it, and you can't see your own biopsy, and you still look at someone else's?

The so-called pathological diagnosis is theoretically the gold standard for tumors, but it is also said that this gold is pure gold or K gold, after all, pathological sections depend on people to see.

After reading it, what kind of tumor is diagnosed, benign or malignant, and which stage of malignancy it is to be judged by human knowledge and experience, so there is also the possibility of error, which is very, very low, but it exists.

Typical and simple are generally fine, but when encountering complex and atypical, there will also be misjudgments, which are not cancer, and it is not impossible to judge them as cancer.

Many patients are unwilling to be diagnosed with malignant tumors in primary hospitals, and their families find a way to find a way to take out the pathological slides and send them to the top cancer hospitals in the country.

The probability of misdiagnosis is not high, but there are still patients who are diagnosed with malignant tumors and take them to the top hospital to see: it is not a malignant tumor, it is inflammation, and they are cured after treating inflammation for a period of time.

Director Shi used to be a well-known pathology expert in the Cancer Hospital of Nandu Medical University, and after his retirement, he was hired by Sanbo Hospital.

At this time, a hospital employee happened to be looking for a relationship, and he called Director Guan to ask Director Shi to help him privately look at his relative's pathological sections.

Director Shi waved his hand: "If you don't look at it, you don't look at it, no one's relatives will look at it." ”

Some time ago, a patient's family asked Director Shi to look at the pathological slides and gave 500 yuan, but the result was photographed and videotaped, and after Director Shi helped watch it, the patient's family handed over the video to the hospital's discipline inspection office, asking for a return of 500 yuan, saying that the doctor charged privately.

This incident annoyed the old man, and he didn't look at it, no matter whose relatives he was.

After sitting for a while, dozens of specimens have been sent to the giant examination room, all of which have been cut out of the operating room.

Carrying it in a specimen bag, there are cut out tumors, parts of the liver, stomachs, intestines, everything.

On the table, there are several clean cutting boards, as well as rulers, scissors, tweezers and other tools neatly placed, and the doctor is wearing gloves and is slicing a tumor on the cutting board.

The surgeon cuts a thing from the human body, which is called a specimen, and sends it to the pathology department, where the doctor goes through more than ten processes such as cleaning, fixing, material collection, dehydration, wax impregnation, embedding, sectioning and staining to make a pathological section.

This pathological slice can be put under a microscope to make a pathological diagnosis, that is, to diagnose the disease.

In typical cases, after the doctor makes a diagnosis, the director will conduct an audit; If it is difficult, the experts in Corey have to discuss it, and everyone will look at it together, so that the diagnosis can be made in the end and prevent the occurrence of unjust and wrongful convictions.

"The Department of General Surgery sent a specimen, to do a frozen section, I have to go and see, Zhang Zhe's pathological section, I have people have found it, you go to the microscopy room to see, I will go to work first." Director Guan greeted everyone.

"Go ahead." Yang Ping said to Director Guan.

"Teacher Shi, help us take a look."

Frozen section is a rapid pathological diagnosis, and the result will be available within fifteen minutes, which requires a very high diagnostic level from the doctor.

Theoretically, the pathological diagnosis should be guaranteed to be 100% free from the slightest error.

Even if his eyes were not good, Director Shi still had no intention of refusing, took off his sunglasses, rubbed his eyes, and followed Director Guan out.

The surgeon is still waiting on the stage, waiting for the pathological results to decide on the next step of surgery, if it is benign, the operation will be completed, if it is malignant, according to the results of the medical records, the operation will be expanded, such as lymph node dissection.

Everyone went to the microscopic examination room, Zhang Zhe's pathological slides had been placed under the microscope, Yang Ping asked everyone to look at it first, and Song Zimo sat up.

Under the microscope of 400 times, the structure of the bone tissue on the paraffin section is clearly visible, osteocytes, osteoblasts, osteoclasts, bone matrix, Song Zimo looked at the cells one by one.

Looking at pathology slides requires patience, not letting go of any doubts, and never jumping to conclusions.

Any sloppiness, a misdiagnosis, may ruin the patient's life.