godfather of surgery

Chapter 617
"Professor Yang, what do you think is the pathological diagnosis?" Dr. Wen didn't give up.

It took him a whole day of research before he dared to confirm the diagnosis. How could he, a surgeon, figure it out so quickly? It took only ten minutes just now.

But from what Yang Ping said just now, it is clear that he already knows the diagnosis, and Dr. Wen still has to ask in order to find out.

Dr. Wen loves pathology very much, and likes to delve into it. He thinks that the professional barriers he has established cannot be broken so easily.

"It is consistent with the pathological manifestations of high-dose radiation injury." Yang Ping replied very positively.

Dr. Wen's heart skipped a beat again, it was icy cold, I'm afraid he will have to run around the hospital three times in his underwear tomorrow, and Dr. Wen's image of a tall gentleman in the pathology department will be ruined in one fell swoop.

His professional barriers were actually broken by Yang Ping.

Song Zimo and Xu Zhiliang raised their heads at the same time. The two of them haven't figured out what it is, but they can tell from Dr. Wen's pig liver face that Yang Ping's diagnosis is correct.

"At noon tomorrow, I'll go around the hospital three times. Once a gentleman speaks, it's hard to catch up." Dr. Wen said through gritted teeth.

"Wear panties!"

“Best cartoon ever!”

Song Zimo and Xu Zhiliang reminded.

"I know, I, Wen Ru, mean what I say." Dr. Wen didn't dare to look directly at this side, this lonely pathological man's heart was bleeding at this moment.

It's not about running down the hospital in your underwear and that's not a big deal, it's about taking a blow to your professional dignity and that's the big deal.

"How did you find out?" Dr. Wen wondered how he was defeated.

Yang Ping found a piece of paper and wrote down what he saw on it:

Right hand and right hip specimens: skin, fascia and muscle cells were all necrotic and disintegrated in large quantities.

The bone marrow samples taken from the greater trochanter of the right femur and the distal end of the right radius and ulna showed that all the cells of hematopoietic tissue disappeared.

Bone marrow puncture in the necrotic area of ​​the left upper limb and left lower limb showed that cells of various lines of hematopoietic tissue were reduced or disappeared to varying degrees.

There was extensive necrosis and diffuse hemorrhage of the local skin and skin appendages, subcutaneous tissue, and skeletal muscle of the left thigh, but the arrector pili muscle in the dermis remained.

A large number of vacuolar degeneration and necrosis of the epidermal cells of the left fingers and palms, and the formation of vesicles of different sizes, resulting in the separation of the epidermis from the dermis, diffuse hemorrhage in the dermis, neutrophil infiltration, degeneration and necrosis of sweat gland epithelial cells, and subcutaneous tissue Diffuse internal hemorrhage, a small number of fat cells necrosis.

Dr. Wen took the paper, read it several times, and looked at Yang Ping in disbelief, which a fucking surgeon could tell.

Dr. Wen, who used to consider himself a genius in the pathology department, always felt that I was not born to be Wen Ruzheng, and Sanbo's pathology level fell back three years.Self-esteem is taking a hit now.

"We need to ask about the medical history again. If this is the case, where is the radioactive source? It will kill people." Yang Ping was worried about the radioactive source.

There is almost no possibility that the radioactive source is still on the body. If it is still on the body, it is estimated that he would have died by now, and people around him, such as his girlfriend, will definitely get sick, and he will not be the only one.

But no matter where the source of radiation is, it is a scourge.

"If it's really a radioactive source injury, it's a major public safety incident. If this report comes out a day earlier, it may save many people." Yang Ping was a little annoyed.

Dr. Wen was very ashamed, yes, why didn’t I think about the hazards of radioactive sources, and I waited for Director Guan to come back to issue a report, not because I was irresponsible, but because I didn’t think about it at all. Just look at the microscope every day and be responsible for the pathological slides, so there are so many things to think about.

"Let's go up together." Yang Ping didn't dare to waste time.

The matter was so important that several people rushed back to the trauma orthopedic surgeon's office immediately.

Before the meeting was over, Director Tan planned to perform emergency debridement at night to remove necrotic tissue in the extremities to prevent secondary severe infection and necrotic tissue toxins from entering the blood.

The operating room is ready, just wait for the consultation meeting to end.

Professor Zhang was still talking with several directors. When he saw Yang Ping came back, he asked:

"Xiao Yang, did you find anything?"

Yang Ping glanced at Dr. Wen, meaning to let him speak.

Dr. Wen was a little nervous: "According to the pathological section, it is consistent with the pathological manifestations of extremely high-dose radiation damage."

Yang Ping added: "We speculate that the patient may have picked up the radioactive source and put it in the right trouser pocket. We need to ask the medical history carefully. If the radioactive source is really picked up, where is the radioactive source now? It's a matter of safety."

Radioactive source?
Professor Zhang's face immediately became very serious: "Then we need to confirm this right away."

Director Tan and everyone else turned pale. This is really a big deal. Where is the radioactive source?Are you still there?
If it is a severe radiation injury, the patient's condition is more complicated, and the internal organs will soon appear damaged.

If it is really radiation source injury, it needs to be transferred to a hospital specialized in radiation injury for treatment.

"I'll ask about the medical history again, and immediately inform the nurse station that no one is allowed to approach Zhang Tiejun's ward for the time being." Professor Zhang got up without hesitation.

Yang Ping wanted to follow Professor Zhang to the ward, but Professor Zhang strongly disagreed: "You all stay here, don't move any of you, I'll ask after I've finished."

Professor Zhang didn't let other people go, and went to ask about the medical history by himself.

Professor Zhang has his own concerns. If the radiation injury is really caused by the radiation source, if the radiation source is still on the body, everyone will be recruited. I am 80 years old, nothing to be afraid of.

When they came to the ward, Professor Zhang called the two Gui Peisheng out and told them to go back to the doctor's office.

He also called Zhang Tiejun's girlfriend out, asked her to sit in the lounge for a while, and said that he and Zhang Tiejun would talk about the illness alone.

After calling away all irrelevant people, Professor Zhang began to ask questions: "Zhang Tiejun, please recall carefully, did you pick up any metal objects before you got sick, especially the brighter ones, which looked very beautiful, this matter is very important. It is important because it is related to how your disease is treated, because we judge that the necrosis of your extremities is radiation damage."

The old doctor in front of him suddenly asked, Zhang Tiejun's face was cloudy and uncertain, as if trying to remember, he thought for a long time, kept scratching his head, and then said: "Professor, you reminded me so much, I remembered that there is such a thing. What happened, many days ago, I picked up a shiny bracelet in a pile of rocks under a bridge."

"Where is that thing now? Is it still on you?" Professor Zhang asked immediately.

"No, I picked it up and put it in my trousers pocket. Later I found that the pocket was torn, and I didn't know where it fell off. I didn't care about it, so I forgot it later. You asked now, and I remembered it." Zhang Tiejun saw Zhang The professor has a serious expression on his face, knowing that what he is asking is a big deal.

"Why didn't you say it then?"

"I don't know what to pick up when seeing a doctor."

"Which pocket did you put it in?"

"It should be on the right."

"when did it happen?"

Sweat dripped from Zhang Tiejun's forehead: "It should be the morning when I got sick. I was running on the bridge and saw something glowing under the bridge. I was curious and went to the bottom of the bridge to see. The place where the glowing thing was located was difficult to pass. After a lot of effort, I made my shoes full of mud and almost fell into the river. It turned out to be a bracelet. I thought it was a valuable thing like a diamond, so I quickly picked it up, washed it by the river, and put it in my trouser pocket. "

Professor Zhang gasped. Is it really radiation damage?

There are almost [-] radioactive sources left outside in my country that have not been found. Most of these radioactive sources exist in the appearance of metal parts, and some are relatively beautiful metal parts, which are very confusing. Therefore, these radioactive sources are potential killers.

So don't pick up unexplained metals in the wild, especially this kind of beautiful ones.

After asking about the medical history, Professor Zhang asked Zhang Tiejun to rest and prepare for emergency debridement.

He immediately called Dean Xia, Director Han, and Director Zhao of the Medical Office. Director Zhao felt that the matter was serious and took it very seriously. He immediately called the G City Public Security Bureau in the name of the hospital.

Professor Zhang returned to the doctor's office and said to everyone: "I have asked clearly. It was really a radiation source injury. The radiation source is no longer on my body and fell in Shipo County. I have already reported to the Rang Medical Office."

For radiation source damage, the problem is more complicated. It is necessary to request the support of a professional doctor who is familiar with the treatment of radiation damage, or to transfer to a professional hospital.

At present, the No. 307 Hospital in the Imperial City has rich experience in treating patients in this area.

The homes of Dean Xia, Director Zhao and Director Han are not far from the hospital, and they rushed to the department quickly.

These old comrades lived in hospital dormitories back then, and later bought houses nearby one after another.

The trauma orthopedic doctor's office suddenly became lively, and everyone talked to each other.

"The patient has a high fever now, what should I do next?" Director Tan asked for Director Han's opinion.

"The necrotic tissue must be removed, otherwise the transfer will be risky. According to the original plan, we will perform emergency surgery tonight to remove the necrotic tissue, and the amputation will be amputated." Director Han said decisively.

"I'll contact the No. 307 Hospital in the Imperial Capital, and I will send it there by helicopter tomorrow morning." Director Zhao is in charge of contacting the transfer hospital.

"What did the police say?" Dean Xia wanted to follow up on the disposal of the radioactive source, which was discovered by Sanbo Hospital.

"They have already reported to the provincial department. The police from the nearest police station will arrive immediately, and the police and radiation experts from the provincial department will arrive later. They will ask Zhang Tiejun about the route and scope of the day's activities in order to locate the radioactive source, and then the Shipo police will block it. The area is locked, and radiation technicians are in charge of recovery." Director Zhao is also busy.

As soon as we talked about the police, the police arrived. The first ones were the police from the police station. They had a face-to-face meeting with Director Zhao. They were accompanied by Director Tan to understand the situation and investigate the day's activity route.

This is a major public safety incident, and everyone is very nervous.

It is said that the provincial department has reported to the provincial government, and the provincial radiation safety experts have sent the detection and recovery equipment to Shipo by helicopter.

The leaders of the provincial government, public security department, emergency management department and other departments have also rushed to the front line.

These police officers are here to gather information to support the search for the source of the radiation.

It is said that three waves of police officers will arrive successively.

The diagnosis has been made clear, and it is meaningless for the directors of various departments to stay here. They can only watch the fun and practice medicine for a lifetime. This is probably the only case like this.

Professor Zhang knew the difficulties of the directors, and it was not appropriate to leave or leave, so he said: "The diagnosis has been made clear, everyone should leave, we will be busy tomorrow."

The directors took this opportunity to go back to their respective homes and shook hands with Professor Zhang before leaving.

Just now, Professor Zhang refused everyone to go to the ward, which made all the directors admire.

Seeing such a big fight, Dr. Wen felt ashamed. If Yang Ping hadn't come to the pathology department to look at the slides, he would have to wait until tomorrow to deliver the report. How much time would be lost, and someone else might be victimized.

Director Xia, Director Han and Director Zhao have been on the phone.

After the police finished their questioning, they reported the situation to their superiors. They came to the doctor's office to rest, but they did not dare to leave. They had to wait for the next wave of police to arrive, and they might need additional information from here at any time.

"The bottom of the bridge has been blocked, and the police over there have started a carpet search. I have just reported the range of activities collected. They will conduct an area blockade and evacuation tonight. Experts from the province went with detection robots." The police tell everyone.

Dean Xia finished the phone call: "I have also reported the patient's condition. Tonight, you will perform emergency surgery according to your plan. Tomorrow morning, we will send the patient to 307 by helicopter, and we will contact you directly in the province."

"Old Zhang, Xiao Yang, why don't you go back to rest, you go back, as long as we are here." Dean Xia had time to talk to everyone after finishing his work.

He looked around and said, "Those who don't participate in tonight's operation go back, everyone will be busy tomorrow."

"The opinion of the experts at 307 is to do emergency surgery first, and then transfer to their hospital after surgery." Director Han put down the phone.

"How did you figure out the diagnosis just now?" Director Han returned his attention to this matter, because the patient had not been diagnosed for three days, and the hospital-wide consultation was organized today, and the previous medical history did not mention this aspect.

"The pathological diagnosis is in line with the performance of extremely high-dose radiation injury. After asking about the medical history, the patient remembered picking up the metal bracelet before the onset of the disease." Professor Zhang replied.

"This kind of severe radioactive source damage is very rare. Who saw the slices?" Director Han hated to care about this, and most people couldn't see it.

"Xiao Wen from the pathology department, Xiao Wen, come here." Professor Zhang always thought that Dr. Wen was looking at the section.

Dr. Wen blushed at this moment, his neck was thick, and his voice was a little strange: "I found out, but I dare not report it. I want to report it when Director Guan comes back tomorrow. It was Professor Yang who just found out and reminded me to report it in time."

Dr. Wen is an honest and stuttering person, who has one thing to say and another thing to say another.

Yang Ping?

It is him again!
Professor Zhang and Director Han are used to this kind of thing.

PS: This case is adapted from the case of Jilin Song Xuewen in the 90s, interspersed with this case, mainly as a warning, and tells everyone a safety knowledge: do not pick up metal parts in the wild. According to current statistics, more than 2000 radioactive sources have been left outside and have not been found.Because the results of the last recommendation were not bad, today the best-selling and featured recommendations on Qidian’s client are available. If the results are not bad, there will be big recommendations in the future.I implore you to raise your hands high - monthly tickets, recommendation tickets, let's smash it!
(End of this chapter)