Zhao Yuan followed Ling Zhen and came to the next ward to conduct a preoperative examination for another patient.

This patient's condition is quite normal!

If you are a general doctor, you may have to open your chest, but with Zhao Yuan's strength, you can do laparoscopic and tubeless surgery.

The patient's family knew a lot about finding the right doctor, and they knew that Zhao Yuan was even more powerful than Mori Kawasaki, so they racked their brains to invite Zhao Yuan.

At this time and then, the consultation patients that Zhao Yuan is in contact with now generally have connections and unusual identities.

He also wants to do more things to hoe the strong and help the weak.

But as his fame and strength become more and more famous, the proportion of patients with family difficulties is actually gradually decreasing.

However, Zhao Yuan believes in fate very much, and once he encounters him, he will not only do his best to rescue, but also try to help each other financially.

When I got to the position of department head, I already had a part of the funds in my hands that could be used flexibly.

He has a clear understanding that the funds seem to be a lot, but the people who can help are still limited.

Only by going further and higher can we have the ability to bring the gospel to more people.

Zhao Yuan initially communicated the details of the operation to the patient, and then said goodbye and left.

Ling Zhen silently paid attention to Zhao Yuan.

The biggest feeling is that the character of the little junior brother is too calm.

No matter what kind of patient he is, he can remain neither humble nor arrogant.

When he came to the dean's office, the man who had set up a banquet before had already waited, and when he saw Zhao Yuan and Ling Zhen appear, he stood up instantly.

"Director Zhao, when my dad met you just now, he spoke more impulsively, and I apologize to you on his behalf."

Zhao Yuanxin said that the patient's son has a very high emotional intelligence.

He waved his hand with a serious expression, "I can understand why he reacted that way, it is closely related to his condition."

When Ling Zhen heard Zhao Yuan say this, his brows tightened, and he fell into deep thought, and then his eyes lit up.

Ling Zhen is a Changjiang Scholar in thoracic and cardiac surgery, and although his main research area is not lung tumors, he is also an experienced top specialist.

He is usually busy, so he can't have too much contact with patients, and many things will be handed over to the people below to deal with them, so sometimes it is inevitable that there will be negligence.

"You mean, his lung tumor has metastasized?" Ling Zhen said tentatively.

Zhao Yuan's expression was serious, "Yes, it should be transferred to the brain. However, according to my judgment, it should be an isolated brain metastasis, and the process is relatively short, and the occurrence time is not long."

Although the patient's son does not know what the brain metastasis mentioned by Zhao Yuan is, normal people know that once the tumor metastasizes, it means that the tumor has entered the middle and late stages, which means that the degree of deterioration is high, and the difficulty of radical treatment is low.

He looked at Zhao Yuan nervously, "What should I do then?"

Zhao Yuan was relieved, "Don't worry, do a check first."

Ling Zhen called Liang Hongbin into the office and instructed, "Give the old gentleman in the senior ward a more detailed examination, especially the brain."

Liang Hongbin's eyes widened, "Do you want to check for brain metastases?"

Ling Zhen said, "There was no investigation before, and there was a mistake. In the future, we have to think more carefully and thoroughly."

In the early stage after brain metastasis, conventional CT MRI is not easy to detect, but there will be some pain, nausea, vomiting and other uncomfortable symptoms.

Brain metastases occur in lung cancer, and many of them appear quietly.

In this case, it is necessary to judge by cerebrospinal fluid puncture, etc., and it will be accompanied by an increase in pressure and protein.

Liang Hongbin will be skeptical, because the probability of lung tumors metastasizing before the medium stage is relatively low.

Waiting for the latest test results, the man looked a little restless.

Ling Zhen also became silent.

Zhao Yuan held his mobile phone and studied the patient's information.

Liang Hongbin soon appeared in the office with the report, his expression was as complicated as his mood, and he said with difficulty, "As analyzed by Uncle Xiao, the patient's lung tumor has brain metastases

。」

The man asked excitedly, "What does it mean to have brain metastases from lung tumors?" Is there no help?"

Ling Zhen looked at Zhao Yuan silently.

Zhao Yuan knew that Ling Zhen and others had indicated the treatment method, so he compared the two CTs and reassured, "There are many cases of brain metastases of lung tumors, but your father's case is relatively mild. He was lucky that it didn't metastasize to any other location except for two lesions in his brain."

Among the metastatic sites of lung cancer, the most common sites in the brain include intracranial brain tissue metastases and meningeal metastases. Data show that 20%~65% of lung cancer patients will develop brain metastases during the course of the disease.

The man's face became much more relaxed, "Director Zhao, please cure my father."

Zhao Yuan nodded, "Tomorrow's surgery will go on normally. However, there is a need to add a neurosurgical procedure."

Liang Hongbin looked at Zhao Yuan in surprise, he knew that Zhao Yuan planned to do surgery to remove brain lesions at the same time.

Some people say that anyway, they all have brain metastases, the tumor is advanced, and the disease is terminal, and there is no difference between early detection and late discovery.

This is not true, if the intracranial lesion is detected early, there is no obvious cerebral edema, and after precise radiotherapy, complete intracranial remission can be achieved.

A small number of patients may even choose surgery if the systemic lesions are well controlled.

Although the man's father is not one of the few patients, Zhao Yuan is confident that he can remove the metastatic lesions in the brain in one operation.

You must know that Uncle Xiao is also a master of neurosurgery.

Waiting for the patient's son to leave, Liang Hongbin was puzzled, "Uncle Xiao, how did you tell that the patient had brain metastases?"

Zhao Yuan explained, "When I examined the patient, I found that his mood fluctuated very much, and he even had symptoms of Alzheimer's disease. In general, Alzheimer's disease is related to brain atrophy, but there is also a high probability that it is closely related to brain metastases."

Ling Zhen glanced at Liang Hongbin lightly, "Just say that your junior uncle is not a cow?"

Liang Hongbin came back to his senses from his surprise, "Cow, it's too good."

Many people only pay attention to the elderly in the ward, and the tone of speech is very impulsive and irritable, but they do not associate it with the development of the disease.

But Zhao Yuan observed this detail.

To be honest, if it weren't for Zhao Yuan's unexpected discovery, although this operation could still be completed, it would be unfair to patients and their families.

If the brain metastases are not treated in time, they will quickly turn from mild to severe, and even if the tumor development can be controlled by chemotherapy and other methods, there is still a great risk of recurrence.

Sometimes that's where the difference between a good surgeon and a bad surgeon comes in.

It seems that all have been examined, but there are differences in diagnosis and the extent of resection.

Ling Zhen had a new perspective on Zhao Yuan.

See big with the small!

Starting from the physical examination, he showed his unique strength.

Despite being in an unfamiliar environment, you will be able to stand on your feet immediately.

This kid has a natural ability to be trusted.