In the past, when Zheng Ren was reading Lu Xun's collected works, he did not feel that this sentence was very meaningful.
However, the longer he had been a doctor, the more he felt that this sentence was very profound.
Zheng Ren did not feel that they were noisy. It was just that sometimes, he felt very helpless about his own inability.
He found a film from half a month ago. It was a punctured c.h.e.s.t and abdomen.
When the c.h.e.s.t and abdomen were scanned, the doctor would leave an image of the patient when he found the source of the problem. The scan was not very detailed and the resolution was not that great, but he could roughly see the patient's condition.
On the scan, there were dense white spots all over the patient's bones. Some were big, while others were small. People who were agoraphobic would definitely not be able to see such a scan.
Those white spots were bone tumors.
However, it was also Zheng Ren's first time seeing so many bone tumors all at once.
His first impression was that this patient was in the tumor's advanced stage and could no longer be treated.
The bone protection medicine and the targeted medicine were already useless at this stage. To use the old saying, the patient was terminally ill.
Zheng Ren sighed in his heart.
"Boss, do you want to have dinner tomorrow night?" Professor Rudolf Wagner was still immersed in the sadness of his parting and asked the question dejectedly.
"Shut up, Lil Fugui." Zheng Ren was not in a good mood.
The professor was stunned for a moment. He looked up and said in surprise, "Damn, I didn't expect to see such a serious case here."
"Shut up," Zheng Ren said disdainfully with a frown on his face.
The professor could hear the unhappiness in Zheng Ren's tone. He immediately kept quiet and stood behind Zheng Ren, watching him insert another CT scan into the scanner.
This was a 64-slice CT scan with 3D-image reconstruction of the c.h.e.s.t. Usually, it was mainly used to examine rib fractures.
At this time, it was the best way for them to look at the bone tumors on the ribs.
There was a visible decrease in bone density for the patient's bilateral ribs. There were both white and grey pieces. From an imaging perspective, these were pathological changes in the bones.
If the patient did not go to the hospital in Shanghai for an examination, she would soon have a fracture. Clinically, it was called a pathological fracture.
This was a clinical manifestation of bone tumors and metastases.
Zheng Ren crossed his arms, holding his chin and carefully examining the images on the film.
The film seemed very normal, but Zheng Ren felt that something was wrong.
However, what was it? Zheng Ren was a little puzzled.
This feeling appeared when he first saw the film but disappeared immediately in his mind.
This kind of feeling was really bad. Zheng Ren looked at the film and carefully searched frame by frame.
It was not because of the bone tumor, but...what was the reason?
"Boss," Professor Rudolf Wagner was a little confused, "why doesn't it look like a bone tumor to me?"
"I also feel that there's a problem," Zheng Ren said softly.
The eyes of the patient's family member suddenly lit up. From Shanghai to Sea City, there was not a single doctor who had said it was not a bone tumor.
His child had just returned, so he brought her to Sea City General Hospital to take a look. The plane tickets had been booked and she would be flying to the Capital. He had also found someone to contact a professor there.
It was not... If they were not bone tumors then that would be great.
Chapter 528 - Boss, I Want To Praise You
"Here." Zheng Ren took out a pen and tapped on the film with the tip of his pen. He said, "The density doesn't seem right. The CT reconstruction isn't reminiscent of malignant tumors."
Su Yun stood at the back and watched quietly.
He could not understand why Zheng Ren would find an excuse to disagree with the diagnosis of such obvious bone tumors.
Was it to comfort the patient's family?
However, would it be crueler to give hope during despair and then stamp it out?
Professor Rudolf Wagner hesitated and did not agree with Zheng Ren's words.
Although he was a top imaging expert, he would still hesitate when encountering rare diseases.
After Zheng Ren finished speaking, he continued to ponder.
He seemed to have an epiphany earlier but before he could put a finger to it, the thought quickly ran away from him.
What was wrong? When did it start?
Zheng Ren looked at the film, but his mind began to recall what the patient's father had said when he came in.
Could it be...
"Tell me again about your daughter's previous discomfort," Zheng Ren said.
"Weakness in the limbs, panic, shortness of breath, bloating..." It was difficult for the patient's family to repeat every word, but these words had long taken root in his mind. He could not forget them even if he wanted to.
There it was!
A lightning-like figure appeared in Zheng Ren's mind, cutting through the endless night sky.
What did a bone tumor have to do with shortness of breath and abdominal distension? It was not as if they had absolutely no connection, but there was no real basis for those symptoms appearing.
If it were really a tumor, it would definitely affect other organs.
Zheng Ren's gaze immediately focused on the top half of the 64-slice CT scan with 3D-image reconstruction on the patient's c.h.e.s.t.
The pen in his hand tapped hard on the film. It made a sharp sound, startling the professor.
"Lil Fugui, look here!" Zheng Ren was a little excited.
"Boss, in the mediastinum..." Subconsciously, Professor Rudolf Wagner wanted to say something but when he looked over, all his words were stuffed back into his mouth by an invisible hand.
There was a white shadow in the mediastinum. At first glance, it looked like a fat shadow. However, one could tell that it was not fat if they looked carefully. It was more like...a hyperplastic thyroid or parathyroid gland.
Retrosternal thyroid was rare, but it could certainly not be ruled out.
However, it had nothing to do with bone tumors.
"Boss, I'm not quite sure what you mean... " Professor Rudolf Wagner's words were a little hesitant as he was confused and uncertain.
Su Yun was a little confused but for a moment, he recalled some special cases he had studied through records in the literature journals about retrosternal thyroid.
"Hyperparathyroidism!" Su Yun was excited, struggling to lower his voice.
After saying that, he regretted it.
That should not have been the case... During this time, he pretended to stand in front of the film reader calmly and told everyone that it was the hyperparathyroidism that caused the abnormal bone density. Would exclaiming it not make him stand out as standoffish?
Could it be that he had been suppressed by Zheng Ren until he had become unnoticed, so he had found an opportunity to make himself known, unable to control himself from doing so?
This was a bad habit to develop.
Su Yun was a little depressed after that.
Even if he wanted to show off, he could not. After all, it was Zheng Ren who had used a pen to point at it, allowing him to draw his conclusion.
Everything about the film was weird. When it was taken out, what came into view was a bunch of white dots. It definitely looked like a malignant tumor. Who would have thought that it was a rare disease?
While Su Yun was self-examining, Zheng Ren smiled and said, "I was also thinking that the patient is not suffering from a bone tumor. Just like what Su Yun said, it's hyperparathyroidism."
When the patient's family heard Zheng Ren's confirmation, they were also in a daze.
Although he now had a glimmer of h
ope, he knew that it was probably just a dream.
If this was not Sea City but actually a hospital in the Capital or Concord, perhaps he would believe them.
However, who would believe a doctor in Sea City saying that it was not a bone tumor?
Clearly not him.
"When the parathyroid gland is hyperactive, bone absorption intensifies, causing osteoporosis to occur earlier, faster, and more seriously. The patients for this basically have all different degrees of bone pain symptoms, especially in the waist and legs. One will tire easily, and it's difficult for those who are on the heavier side to even walk. Your daughter couldn't even stand," Zheng Ren said. "Let's hurry up and treat her. But even if we treat her right away, your child will probably still suffer."
The patient's father was in a daze then.
"In another month or two, the patient will experience a reduction in height and severe pain all over her body. However, it'll be better if she has the corresponding treatment. However, whether she can stand up and walk in the future depends on her willpower and how well the treatment works for her," Zheng Ren said.
The more he told him, the more it seemed to be true. The patient's father was just inches away from fully believing him.
In the office, there was silence.
Chang Yue and the rest could not understand even if they tried. It was as if they were ducks listening to thunder.
Su Yun was pondering things in his head. Had he been too 'oppressed' by Zheng Ren lately? His state of mind was a little out of balance.
Zheng Ren thought about the next treatment plan and was comparing it with various articles he had already memorized.
As for the patient's family... They did not believe it was real, but they did not dare to say anything, afraid to awaken for this beautiful dream. If he said it, then they would be forced to face reality.
"Boss, I want to give you a compliment but I can't find the right words." Professor Rudolph Wagner suddenly broke the silence.
Zheng Ren glanced at the professor.
"I remember similar cases. It's indeed an abnormal bone density caused by hyperparathyroidism. It seems to be an imaging manifestation of a malignant tumor. We can only use a rich..." The professor racked his brain for the words to praise Zheng Ren but was interrupted by him.
"Su Yun, go to the operating room and push down the ultrasound machine during the operation," Zheng Ren said. "It should be obvious once we do the ultrasound."
Indeed, a thyroid ultrasound was enough.
However, who would give a thyroid ultrasound to a patient with advanced bone cancer?
Su Yun did not say anything and left in silence. The black hair resting on his forehead was slightly messy.
"Chief Zheng, you aren't... You aren't doing this just to console me, right?" the patient's father finally mustered up his courage and asked.
He was afraid that this ray of hope would immediately disappear immediately. He did not even want to ask Zheng Ren. Even if it was a lie, it was still good while it lasted.Find authorized novels in , faster updates, better experience, Please click #'s-studio_%!d(string=16489637605120805)/boss-i-want-to-praise-you_%!d(string=50350432123412293) for visiting.
Zheng Ren smiled and said, "There's no reason for me to lie to you. It's the truth."
This was the best news the patient's father had heard in recent times.
He wiped the tears on his face with his sleeve and thanked him profusely.
"It's still not that simple," Zheng Ren said seriously. "Although it's not a malignant tumor or well... The probability is not high but if my judgment is correct, your daughter will suffer a lot in the next few months. Her whole body will be in pain as it shrinks, and her bones will be deformed."
This was the second time Zheng Ren had said this. The patient's father listened carefully and was stunned.
If Zheng Ren's words were true, her body would shrink right in front of him... It would be like a scene from hell.
Chapter 529 - Skin Slides
Soon, Su Yun pushed down the ultrasound machine in the operating room. The patient's father also pushed the young patient over.
After Dr. Zhou heard the patient's father's description of the situation, he was very surprised and came along.
In his opinion, the patient's diagnosis of bone malignancy seemed quite legit.
Although it was a little pitiful, facts were facts. He also wanted to try his best to help the patient, so he brushed his face and asked Zheng Ren to help take a look at the scan.
Perhaps Zheng Ren knew what to do?
After all, the operation after the last transverse lumbar artery embolism had left a deep impression on him.
After the operation, Professor Tian called twice and told him to look for Chief Zheng to do the operation if he encountered any similar patients again. He would rush over just before the operation to watch the interventional embolization.
However... He never expected Chief Zheng to overturn an unmistakable diagnosis.
Dr. Zhou did not believe it nor did he want to. Instead, he took a neutral attitude and rushed to the emergency ward with the patient's father.
When he arrived at the emergency ward, Dr. Zhou saw Zheng Ren. He immediately walked a few steps forward and said with a smile, "Chief Zheng, I'm here."
When he said it, he squinted at Zheng Ren.
Dr. Zhou looked a little feminine. When his eyes were wrinkled, he looked like he was winking.
Zheng Ren felt a slight chill down his spine.
However, he knew what Dr. Zhou meant. He immediately said, "Su Yun, bring the patient to the treatment room. I have something to do. I'll perform a b-scan on her later."
After he said that, he brought Dr. Zhou to the office.
"Chief Zheng, are you sure about your diagnosis?" Dr. Zhou asked.
"I'm at least eighty percent certain." Zheng Ren smiled. "I need to do an ultrasound before I can be absolutely certain."
"Is it hyperparathyroidism? Is it really?" Dr. Zhou still refused to believe it.
"Boss, you're taking such a conservative approach." Professor Rudolf Wagner's long golden hair danced in the wind. He was dissatisfied with Dr. Zhou's questioning words.
As long as he was not talking to Zheng Ren, Professor Rudolf Wagner would be full of vigor and dignity, giving young doctors an oppressive feeling that made it difficult for them to breathe.
Dr. Zhou felt the same.
"What do you think? As an orthopedist, don't you know the various factors that cause bone deposition and bone loss in images?" Professor Rudolf Wagner regained the dignity of a world-class professor as he looked at Dr. Zhou and lectured him, "Most things are superficial to the n.a.k.e.d eye."
"Lil Fugui!" Zheng Ren stopped the professor from continuing and smiled apologetically at Dr. Zhou. "Both the professor and I feel that's the case so there shouldn't be too much of a problem."
Dr. Zhou believed him this time.
In his opinion, Zheng Ren was only the emergency department's chief resident in Sea City General Hospital. His words held no weight. However, Professor Rudolf Wagner was a professor of one of the world's top medical centers. There were certainly no issues with his diagnosis.
However, Dr. Zhou could not understand why the professor would call Chief Zheng his boss.
"It's okay. Let's do an ultrasound first. After that, we can formulate a treatment plan," Zheng Ren said with a smile as he patted Dr. Zhou's shoulder.
Some of the patient's family members were looking around nervously. They wanted to know what the doctors were talking about.
However, it was not good to ask for all of the details. They could only listen to a few sentences to resolve their doubts.
As they spoke, they walked out of the office and came to the treatment room in the emergency ward.
The patient was already lying on the treatment bed. The buttons on the patient's clothe
s were undone, her neck completely exposed.
Su Yun intentionally moved a chair and placed it beside the treatment bed. Zheng Ren sat down on it.
"Close the curtains," Zheng Ren said.
Su Yun was just about to make a move when Professor Rudolf Wagner beat him to it. With a 'whoosh', he closed the curtains that had not been moved for many years in the treatment room.
Fine dust flew up into the air and around the room.
Zheng Ren saw that the machine had been turned on and warmed up, so he squeezed a little coupling agent on the patient's neck before placing the ultrasound probe on it.
Su Yun had seen Zheng Ren do an ultrasound before. He even mocked him for throwing a tissue at the patient and asking the patient to wipe herself clean. His behavior was unsavory.
However, he still could not understand how a doctor with a background in general surgery could actually do an ultrasound.Find authorized novels in , faster updates, better experience, Please click #'s-studio_%!d(string=16489637605120805)/skin-slides_%!d(string=50350433750798678) for visiting.
Not only could he do it, but Zheng Ren also sat next to the patient. His actions were firm and steady, so people could not help but trust him.
Even he himself was a little dazed.
The ultrasound probe scanned the patient's neck before giving him a complete reading.
"Su Yun, record it," Zheng Ren said. "The parathyroid tumor on the right side has a diameter of about 2.2 to 3.2 cm with a smooth surface. There's hyperplasia of the thyroid gland behind the sternum, but the details are unclear."
Su Yun would not insult Zheng Ren in front of the patient's family.
After that, he took out a piece of paper from the pocket of his white coat and wrote down what Zheng Ren had said.
The patient's father was pleasantly surprised. He stood on the spot nervously with his hands clenched into fists, his palms all sweaty.
Soon, Zheng Ren finished the ultrasound. He turned off his phone and stood up.
"Chief Zheng..." The patient's father hesitated. He only called out to him and did not say anything else.
Zheng Ren smiled and said, "It's parathyroid adenoma. There's no mistake about it. The patient's imaging findings were caused by a parathyroid adenoma, not a bone tumor."
The Surgeon's Studio c1-799 Page 251