515 Approaching Scientific Reality Edition
Ji Xiang's heart moved, and he went in to see what was going on.
Zhai Yuhan sat in front of the computer, reading the film and talking on the phone, not knowing who he was communicating with or what.
Ji Xiang recalled what Zhai Yuhan had just said, a little strange, turned around and walked quickly to change clothes.
Coming to the doctor's office, he stood behind Zhai Yuhan and caught a glimpse of a strange video material.
Zhai Yuhan used a screen of double fields, both of which were abdominal CT, and they also had a round, white-flowered large tumor on the image.
The tumors should be the same,
Probably so,
Ji Xiang is also not sure.
According to the size and density, it is the same, and Ji Xiang can determine this with a high probability.
The difference is that the tumor in the left image is at the lower edge of the liver, next to the gallbladder; The tumor on the right image is in the lower abdomen, near the colon, slightly compressing the colon.
This is too similar, Ji Xiang looked at the two tumors, and compared the size and density again.
Soon he was surprised to determine that the two tumors should be the same!
Twins? A thought flashed through Ji Xiang's mind, but he quickly denied it.
"Huh? It looks like it. Zhao Zhe also said in surprise.
"You're here." Zhai Yuhan covered the phone and turned around to say hello, and she smiled slightly to express her kindness.
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"Teacher Zhai, what kind of patient is this?" Ji Xiang asked.
The patient, a 78-year-old man, was admitted to the hospital with "abdominal pain and bloating for 3 years and worsening for 1 month". The patient had intermittent abdominal pain, abdominal distension and constipation for 3 years without obvious causes, and the abdominal pain and abdominal distension were relieved after defecation, and no examination and treatment were performed. 1 month ago, the patient's constipation worsened, accompanied by urinary frequency and urgency. ”
Zhai Yuhan casually said the patient's current medical history, as if he was repeating it to the computer, almost word for word, and Zhao Zhe admired it very much.
If you copy and paste, you can do it yourself, but if you can recite it backwards after reading it once, you definitely can't.
Zhai Yuhan inadvertently revealed the difference between doctors in grassroots hospitals.
Zhao Zhe knows very well what the quality of doctors who can stay in high-level large-scale tertiary hospitals is, and if it is true, gold will definitely shine, which is extremely rare.
If it was gold, it would have been picked up a long time ago, and Zhao Zhe never thought of himself as gold.
"Are there any other tests?" Ji Xiang asked.
"There was a B-ultrasound before admission, suggesting a pelvic mass."
Pelvic cavity?
Pelvic cavity!
Neither Ji Xiang nor Zhao Zhe thought it was Zhai Yuhan's slip of the tongue.
The two tumors in front of me that are round and white but in different locations illustrate the problem.
There is a third position!
Could it be that the tumor has a long pedicle? Zhao Zhe watched the film carefully, but he didn't see the existence of Ti at all.
"Doctor Xiaoji, tell me what you think." Zhai Yuhan frowned and asked in a low voice.
"Go under the knife." Ji Xiang said, "You can't do laparoscopy, open surgery, and take out the tumor completely." There is a high probability that it is benign, so there is no need to be nervous. ”
"I didn't ask you how to treat it, I asked ......," Zhai Yuhan said, and she herself was stunned.
How to ask?
Zhai Yuhan was speechless for a while.
She had never seen anything like it, and she didn't even know what to ask.
The tumor does not have a pedicle, and it can be seen clearly from different angles on CT. But here's the problem!
Can a pedunculeless, round, white-flowered, 8cm diameter tumor appear in the body out of thin air?
Is it magical?
Generally speaking, the growth of tumors must have blood vessels, participate in human metabolism, and the growth of benign tumors or malignant tumors needs nutrients.
Somehow, there's an 8cm tumor rolling around in the abdominal cavity, this thing...... Anyone with a bit of scientific spirit would not think so.
So Zhai Yuhan's words began, and she fell silent.
"Xiao Zhai, watch the film."
Director Yang walked in while wearing a white suit and asked.
"Boss, here." Zhai Yuhan stood up, "You slap your palm." ”
Director Yang didn't say much, and watched the film seriously after sitting down.
Occasionally, a group of professors came in to take a look, but at first they just glanced casually, and their eyes fell on a screen of Shuangye's video materials.
It was as if there was 502 glue on those two sheets, and I glued my eyes firmly to them.
Director Yang was silent for a long time, compared the tumor on the image, made a ruler measurement, and then found the medical records of the gastrointestinal surgery and looked at them almost word by word.
The head nurse came in and was about to hand over the shift, but was stopped by a professor who led the group.
"The director reads the film."
"What film? Do you want to hand over the shift first? The head nurse asked tentatively.
"It's a very weird film, or it's a shift this morning."
The head nurse was stunned, and the department couldn't move the shift, so how could it be forgotten? And the film crew was also standing at the door, Director Fan was very obedient and took his people in the corner, and made an appointment today to shoot a few shots of the handover.
"What's going on?" The head nurse's eyes glanced at Director Fan.
But the professor who led the group didn't care about the hint that the head nurse looked at Director Fan, his eyes were fixed on the screen, he frowned and whispered, "There is a patient on the other side of the gastrointestinal tract, and the position of the tumor has been moved three times. ”
"What?!" The head nurse was stunned.
"The emergency examination is in the pelvis, and the first CT examination after admission is next to the gallbladder at the lower edge of the liver, and the second examination is in the colon position."
“!!!”
"It's weird, and I didn't see the tumor pedicle, otherwise it would have moved so widely, and it is estimated that it would have twisted early and began to necrosis."
"No, tumors rely on siphoning to draw nutrients?" The head nurse asked in a whisper of disdain.
Her tone was full of disdain, and she didn't hide it at all, and she almost cursed the words.
"I'm weird, I guess it shouldn't be." The professor with the group said.
"Doctor Zhao, Doctor Zhao." After Director Fan heard the words of the head nurse and the professor who led the group, his heart moved and he beckoned to Zhao Zhe.
Zhao Zhe has been "squeezed" out of the crowd.
He was not unhappy, he saw everything that should have been seen, and Zhao Zhe walked to Director Fan's side.
"Doctor Zhao, what patient is Director Yang looking at?"
Zhao Zhe described it again, and his description was very different from the description of the professor who led the group, basically the same.
"The problem is that the tumor can't grow out of thin air, but there are no blood vessels, nerves, connective tissue, and tumor connections on imaging." Zhao Zhe frowned, "This is a very strange case. ”
Director Fan didn't understand much, but there was light in his eyes.
I used a foreign body in the respiratory tract to make a coincidence, and I made an episode of related programs, but as for the back, I only had a vague idea, and I didn't know what to do at all.
However, there are so many materials in the hospital, and listening to the description of Zhao Zhe and the professor who led the group, Director Fan began to get excited.
Isn't that also a gimmick!
"Approaching Science" has been popular for so many years, because of deception, but these things encountered in the hospital are all facts.
There are few drawbacks other than the fact that the doctor defends himself like a thief.