774 Are you sure you're improving?
"Uh...... It may be that the earliest symptoms are not clear, but the later diagnosis is well founded, and I think it ...... Section Chief Wu, isn't it colon cancer?" Wei Dabao said vaguely.
"Not necessarily. Wu Mian smiled slightly, "Judging from the patient's current situation, there are still many possibilities, which need to be investigated little by little." ”
"......" Wei Dabao was speechless.
Seeing such a large tumor with a digestive endoscope is not the basis for diagnosis?
If it had been two months ago, Wei Dabao would definitely have wondered if the old Uncle Oushan had shown his powers and was compassionate, seeing that the girl was too young, and secretly didn't know what to do to "transform" a malignant tumor into a benign one.
But after memorizing "Diagnostics", he has inadvertently "reborn" and began to think about the condition with a serious clinical thinking.
Nonsense like being compassionate and treating lesions as no disease has never come to mind at all.
Wei Dabao was silent and quickly rethought the various diagnostic criteria for colon cancer.
"Knock knock~~" There was a knock on the door.
"Please come in. ”
Shi Zhonghua walked in with a pile of inspection reports.
"Mr. Wu, this is the information brought by the patient's family. Professor Barack has already seen it, and you can take a look at it. Shi Zhonghua said.
"What did Barack say?" asked Wu Mian as he sorted out the films chronologically.
Professor Barack thought it was primary colon cancer, but it did not metastasize, and the chance of recovery was greater than 90% without chemotherapy and radiotherapy after surgery. Shi Zhonghua said calmly.
Wu Mian nodded slightly.
The family also contacted Professor Zhu Changhong Zhu from the Modu Gastrointestinal Hospital, and the diagnosis given was the same as that of Professor Barack. Shi Zhonghua continued, "The attitude of the family is a little hesitant, I don't know whether to ask Professor Zhu Changhong to do the operation or Professor Barack to do the operation. ”
"Well, think about it slowly, this is not in a hurry, I'll take a look at the information. Wu Mian stood up and took the inspection report and film from Shi Zhonghua's hand.
Three CT image film bags, one of which has a thick stack of test sheets and examination reports in the belt.
The list was a little messy, Wu Mian first took out the earliest CT film, walked to the window and held it up to the sun.
Although Wei Dabao memorized diagnostics, reading the film is another skill on the skill tree, and he has not lit it up yet.
Not just temporarily, with Wei Dabao's age, it is estimated that he will not be able to completely light up in this life. There's so much expertise involved in this that it's hard to put into words.
Wei Dabao glanced at the film and couldn't understand it, so he began to look for the report.
The report is clear - swelling and thickening of the sigmoid colon wall, with significant localized thickening, and parenchymal nodular opacities of 1.5 cm × 3.0 cm, which are uniformly moderately enhanced after enhanced scanning, suggesting dynamic changes.
It is estimated that it is an examination given by a doctor in the Department of Gastroenterology, and CT generally does not need to look at the hollow organs? For example, the intestines. But what if something grows in there? A CT scan of the abdomen will be done to take a look at it as a basis for diagnosis.
One more piece of evidence? Wei Dabao thought in his heart. Even if you don't want to see a girl under the age of 30 diagnosed with colon cancer? But as a doctor, you have to be objective.
Wu Mian has been reading the film for a long time this time? He held the piece between his right thumb and forefinger, facing the sunlight of the window? Occasionally changing angles? Let the sunlight shine through the parts of yourself that need to be scrutinized.
There is no reader, so I can only deal with it for the time being. Shi Zhonghua stood behind Wu Mian, and he didn't quite know what Wu Mian was doing.
In fact, the diagnosis of the Provincial Cancer Hospital is sufficient, and this is not an incurable disease after all. In addition, the diagnosis of Professor Zhu Changhong of Modu Gastrointestinal Hospital and Professor Barack of Massachusetts General Hospital......
Shi Zhonghua didn't know why Mr. Wu was looking so carefully.
After 7′22"? Wu Mian finally finished watching the earliest film. He put the film in a film bag? Began to look through a mess of lab results and test results.
"Section Chief Wu, I'm coming, I'm coming. Wei Dabao realized that he was wrong. When Section Chief Wu was reading the film, since he couldn't understand it, he didn't know how to pretend to understand, how good it would be to do what he could.
For example, let's sort out the test sheets.
"No, I don't. Wu Mian said lightly? He seemed to be thinking about something, and his voice was slightly ethereal.
Next came the moment when Wei Dabao witnessed the miracle.
Wu Mian seemed to be a gambling god, holding a thick pile of various reports in his left hand? The right hand flipped through it as quickly as a poker, and then the slender fingers checked out 12 test sheets in it.
Look at them one by one? Wu Mian put the test sheets together with the first film, and then picked up the second film.
Wei Dabao is clever this time? While Section Chief Wu was reading the film, he separated the test sheets one by one.
Is differentiation a hard job? Most of the lab orders have different return dates? It can only be judged by experience. The results of routine blood test + C-reactive protein are generally available on the same day, but the CA12 item is estimated to be a few days late, and so on.
Wei Dabao carefully separated the test sheets one by one, and when Wu Mian finished watching the film, he had just finished dividing the last test sheet.
After Wu Mian read the test sheet, he went to see the third film.
"BOSS! I'm back!!" Professor Barack hurried back, Deng Ming following behind.
Wu Mian ignored him and continued to watch the last film.
"Mr. Wu, I've seen all the films, it's obvious colon cancer, and there should be no problem with the diagnosis. The damn pathology department couldn't find any cancer cells, and I wanted to ...... all the formalin-soaked specimens."
"Shut up. Wu Mian said.
Professor Barack seemed to be accustomed to similar conversations, and his unfinished words snapped. He looked at the film in Wu Mian's hand curiously, and glanced at the test sheet again, his face full of confusion.
"Have you watched the film carefully?" Wu Mian squinted his eyes and read the film, and asked lightly.
"I looked very carefully, and I almost took a magnifying glass and watched it frame by frame. Professor Barack replied.
"Diagnosed with colon cancer?"
"......" Professor Barack hesitated, he leaned over to Wu Mian and watched the third film together.
After a few seconds, Professor Barack said with certainty, "Yes, boss, I'm sure." ”
Wu Mian didn't say anything, and was still reading the film very carefully.
"BOSS, the patient's family has decided to stay at Jianxie Hospital for surgery. "You must come to the stage this time, and I want to show you how far I've been in the last few days!
"Progress?" Wu Mian sneered, "Are you sure?"