Chapter 56: It's really a third-grade glioma
Probably this moon worship ritual has been done too much recently, and the effect has become worse and worse. As soon as he returned to the duty room, Chi Song saw a new patient.
A little boy of seven or eight years old, accompanied by a kind old man, I think it was his grandfather.
The child was unexpectedly sensible and cooperative, which saved him a lot of time and successfully completed the MRI of the skull.
Chi Song looked at the image repeatedly, and his heart sank little by little. This is an obvious case of tertiary glioma, anaplastic astrocytoma.
As the general resident of the imaging department, Chi Song has seen a lot of films, has become accustomed to various lesions, and has also learned how to convey bad news.
Only for this kind of lesion that occurs in the child, he can't get used to it.
Grade III and IV gliomas are notorious because they are incorrigible.
Although it was still early, it was tantamount to announcing the child's death sentence.
The heavy door slid open, and Chi Song took the child's hand and walked out together, just about to explain the situation to the family, when he was suddenly stunned.
It's only been a few minutes, but why are so many people coming outside the MRI?
Director Feng of his own imaging department, Director Hou of the Department of Neurosurgery, and Director Qian of the Department of Pediatrics...... Even Dean Lin came in person.
Tonight's moon worship ceremony, which gods and goddesses were alarmed, and what earth-shattering and weeping ghosts and gods were provoked?
Or, which of my films I didn't watch carefully today and made a major mistake? He was inexplicably weak-hearted.
"What was the result of the inspection just now? Tell us about it. Dean Lin instructed.
It turned out not to be my problem. Chi Song's heart relaxed a little, and he lifted it up again.
The results of this child's examination were really disappointing.
"MRI showed that there were three small masses in the posterior part of the infratentorial brain trunk, with low and equal confounding signals for T1 and equal confounding signals for T2 images."
Chi Song's voice was low: "...... The boundary is unclear, there is edema around the periphery, and the mass effect is obvious. There is a high suspicion of an early morphology of anaplastic astrocytoma. ”
There was silence. After a long time, Dean Lin said: "Xiao Chi is still young, I will let Lao Hou and them help check it, maybe I can't see it accurately." ”
Chi Song did not refute. He didn't care about his face at all, he would rather be dazzled by the wrong one.
Director Hou and Director Qian went in together and looked at the images again and again.
Unfortunately, for intracranial glioma, the results of MRI are the clearest, and it is impossible for them to overturn Chi Song's conclusions.
Director Qian remembered what he said in the afternoon. He said at the time: This child is obviously very good, I think the physical fitness is even stronger than that of ordinary children!
But now he was slapped in the face by the image, and his face was red and white, which was not very good-looking.
Director Hou didn't pay attention to him, but thought of Tao Le.
How the hell did she see it? Is it really based on simple superficial indications that a possible judgment is made and a reasonable suggestion is made?
Don't be afraid of authority, don't care about gains and losses. The heart of a healer, hot and sincere, without the slightest blemish.
He had forgotten at this time that only a few hours ago, Tao Le was still a "misfit" negative sample in his mouth.
The two walked out and shook their heads slightly at the eagerly awaiting.
"Another contrast-enhanced MRI can be done to further clarify the diagnosis." Director Hou said.
Everyone understands that whether or not to do enhancement will not change the diagnosis, but only to further determine it and lay the foundation for the next step of treatment.
I really didn't expect that Zhou Lao, a little apprentice, would really have a brain tumor. It is also a malignant third-degree glioma.
Everyone present was in a very heavy mood.
Only Tang asked himself, not knowing the ins and outs of this disease, and still had a bright smile on his face.
Chi Song just promised him that he would reward him with a lollipop!
Zhou Jishen's whole person seems to be ten years old, and his body is a little rickety.
He himself has never married in his life, and he has long regarded Tang Wen as his own grandson. This child is rare and intelligent and studious, he teaches carefully hand in hand, and has the meaning of passing on the mantle to him.
But God is jealous of talents, how can this kind of malignant glioma, which can only be developed by four to six people out of every 100,000 people, grow into Xiao Wen's head.
"Old Zhou, don't get angry. Let's do a comprehensive examination for Xiaowen tomorrow, and then arrange consultations with various departments to discuss the best plan. ”
Dean Lin held Zhou Jishen's hand: "The effect of traditional Chinese medicine on cancer is also very good, let's take a two-pronged approach, and we are not afraid that we will not be able to find a way to live." ”
Zhou Jishen also suddenly learned the bad news just now, and his brain was drowsy and stopped thinking.
At this time, as soon as he heard Dean Lin say, he immediately came back to his senses, and a wry smile appeared on his face.
Traditional Chinese medicine does have a good effect in inhibiting the progression of brain tumors and inhibiting recurrence.
He has used several acupuncture methods himself, and he also has the usual prescriptions, which are not only effective, but also significantly prolong the years of recurrence and survival after surgery.
He has previously treated patients with pediatric brain tumors, several of which were malignant.
For gliomas of the brain, surgery is a necessary precondition.
After the operation, he made a comprehensive adjustment to the patient's body through acupuncture decoction, trying his best to improve the quality of life and prolong the patient's survival.
But only prolonged, not cured.
He remembers that the best of those children survived seven years after the operation and successfully survived their eighteenth birthday.
Although he eventually died, his family was equally grateful to him and recognized his medical skills.
Because those seven years are already more than three times the theoretical survival time.
Now it's the turn of the question. Even if he used all his strength, how long would he be able to hold on?
Xiao Wen's age is still too young. The traditional Chinese medicine used in traditional Chinese medicine to extinguish wind and open the body, detoxify and dissolve knots is either poisonous insects such as centipedes, whole scorpions, toads, etc., or cold things such as bezoars and banxia, and the dosage is very large. While resisting tumors, the damage to the body is not small.
He was full of thoughts in his heart, but on the surface he forced himself to calm down. Although Dean Lin's suggestion is relatively safe, he still has to think about it again.
It's just that, I don't know why, he suddenly remembered Tao Le.
It was the girl who could see the question at a glance. It's a pity that she and others still think she is grandstanding.
I have been practicing medicine for so many years and have seen so many patients, but my vision still needs to be improved. In the final analysis, he is still accustomed to judging others by age and seniority.
This incident is really a good lesson for myself.
By the way, just now he found that Xiao Wen's pulse was different, and he was in a hurry, so he was about to get out of the car and go straight to the hospital, but he forgot to ask Cheng Yue's situation.
But even if her impression of that girl is reversed, Cheng Yue's illness is not something she can cure.
I only hope that her acupuncture can really have some effect, and it can somewhat improve Ah Yue's breathing problems and make him more comfortable.