Doctor: start with the heart
Chapter 91 Nanophotographing - Everyone's Shock
Chapter 91 Nanophotographing - Everyone's Shock
Six pm.
Inside a biological laboratory at Nantah University.
After Zhao Xu contacted Mr. Fu, he took the couple, the little girl, and Wang Ming and Sun Chang, who had heard about this new inspection method and wanted to go together, to the laboratory where Mr. Fu was located.
At this moment, the little girl was lying quietly on the operating table, looking sound asleep. This was because Zhao Xu gave her a light inhalational anesthesia, and it was also for the effect of the next development.
The little girl's parents were standing outside the laboratory at the moment, looking nervously at their daughter lying on the operating table through the thick glass windows.
Before that, Zhao Xu had already signed the relevant consent form for the inspection with them.
These processes are all mandatory.
"Xiao Zhao, you can think of using nanotubes for imaging on this patient. This is very groundbreaking thinking. Whether it is clinical or scientific research, you should have such groundbreaking thinking."
Mr. Fu stood beside Zhao Xu and said very appreciatively.
In his opinion, the most precious thing about Zhao Xu is this kind of pioneering thinking. Without this kind of thinking, it would be impossible to develop such a major achievement as a stem cell inducer at a young age.
"Yes, this is equivalent to creating a brand new inspection method, which is very meaningful for many very concealed tumor inspections."
Wang Ming also went on to say.
Clinically, tumors are generally checked through CT and MRI. For further examinations, surgery is necessary to directly expose the location of the tumor, so as to have a more intuitive understanding of the tumor.
But this also leads to a very serious problem. Sometimes the tumor tissue is seriously adhered to blood vessels and nerves, which is not found before the operation, which is very likely to lead to the failure of the operation.
"Xiao Zhao, Xiao Sun, what kind of problem do you think this patient will have?"
After a pause, Wang Ming asked Zhao Xu and Sun Chang again.
As for the little girl's illness, even he couldn't be sure.
At most, he could think of a few rare diseases. In fact, the patient's parents took her to so many hospitals and saw so many doctors, but they didn't see a reason.
However, he also wanted to see if Zhao Xu and Sun Chang could think of these rare diseases.
"Maybe it's some kind of rare tumor, and there's too little information from patients right now to be sure."
Sun Chang shook his head and said.
A doctor's diagnosis of a patient must also be based on obtaining enough information from the patient. In this little girl, the information available is too little, except for a abdominal pain, there is almost no other information.
So, she couldn't be sure.
"Student, what do you think?"
After a pause, Sun Chang turned to Zhao Xu and asked again.
As soon as Sun Chang said this, Wang Ming and Fu always looked at Zhao Xu. They also wanted to hear what Zhao Xu had to say. After all, it was Zhao Xu who thought of using nano-markers to develop images. Zhao Xu was the first to see him.
"It's hard to say. My sister and I have the same opinion. It may be some kind of tumor. After all, there is too little information now, but it may be a very rare condition."
Zhao Xu also shook his head. He was not a fortune teller, and now he could get too little information from the patient. He couldn't even guess with such a little information.
However, during the physical examination of the little girl, his right hand seemed to have a very strange feeling. This feeling seemed to have another very weak breath of life in the little girl's body.
However, this feeling was quickly ruled out by him.
Another life?
So whimsical!
"Then wait for the results of the development to come out and see."
Fu Lao said slowly.
He is also very curious at the moment, what kind of problem this little girl will have, but anyone who does scientific research is very curious.
After a while, Fu Lao's assistant injected nanotubes carrying harmless markers into the molecular resonance instrument next to the operating table, and quickly projected the developed image on the electronic screen.
hiss~
Seeing the portrait displayed on the electronic screen, everyone present could not help but gasp.
It was impressively displayed on the electronic screen that inside the little girl's abdomen, near the spine, there was a small embryonic figure.
It looks like a small fetus, but only the outline can be seen.
"This is?"
Seeing the small figure appearing on the electronic screen, Sun Chang couldn't help muttering.
In the past few years of her medical practice, she has never seen such a strange situation.
"This is a fetus in a womb, also called a parasitic fetus."
Zhao Xu said solemnly, the strange feeling in his right hand before was confirmed now.
Parasitic fetus is a rare congenital disease. It is also called "fetus in fetus" in genetics. The incidence rate is one in 50. carcass.
Parasitic fetus, also known as fetal-in-fetus or entrapped parasitic fetus, refers to a certain part of a complete carcass parasitizing another or several incomplete carcasses, which is rare in clinical practice.
Geneticists believe that parasitic births are due to "missed twin syndrome".In layman's terms, this is a parasitic fetus formed by twins in the mother's womb.
No wonder, the little girl had persistent abdominal pain, but no other tests came up.
It turned out that there was another embryo conceived during the twin period in her body, but because this embryo had not competed for the little girl in terms of nutrition when it was in the mother's body, it degenerated, or it was not fully developed.
Since the embryo was completely suppressed by the little girl's embryo in the early stages of twin development, the little girl's mother did not realize that the children she was carrying were actually twins!
"I didn't expect to see this extremely rare disease that I only read about in textbooks in my lifetime."
Wang Ming also said with some sighs.
As the director of the emergency department, he has very rich clinical experience, but he has never encountered such a parasitic patient in his many years of practice.
In his impression, apart from the fact that this disease was mentioned in textbooks, he only occasionally saw a case reported in foreign literature.
So it's no wonder that this little girl went to so many hospitals and saw so many doctors, but she couldn't find out, because this disease is so rare.
"This kind of situation is too rare. If it is not developed by nano-markers, there is no way to detect it with conventional methods."
Fu Lao continued.
This parasitic fetus was swallowed by another embryo during the embryonic period, so it has been completely integrated with the main body during the growth and development period.
No matter whether you use abdominal B-ultrasound or abdominal CT MRI, etc., at most, you can find out unknown shadows.
The method of marking and developing with nanotubes carrying markers can show the subtle differences of tissues in the body to the greatest extent.
"Xiao Zhao, if you hadn't thought of using nanotubes to carry markers for visualization, the patient might not be able to detect this problem for the rest of his life."
Wang Ming said with a sigh.
This is the importance of clinical thinking, especially in modern medicine. Up to now, there are so many inspection methods and technologies used, and there are many different types of technologies, large and small.
As a doctor, it is necessary to choose the method that can really detect the problem of the patient from these complicated inspection techniques.
Medicine is an empirical discipline. When a doctor sees a patient, he can only make some empirical decisions based on the symptoms described by the patient and the results of the physical examination done by the doctor. Most of the time, Doctors can only draw a predisposition to the disease.
Then, according to the choice of this tendency, go for examination and treatment, and then determine the real disease that the patient is suffering from.
Therefore, when many patients see a doctor, it is difficult for them to accept so many examinations prescribed by the doctor. The reason lies in the limitations of medical and technical means.
"It would be great if there is a universal method that can help doctors make a quick diagnosis. In this way, not only will there be no misdiagnosis and missed diagnosis, but the examinations required by patients will be greatly reduced, and medical expenses will also be reduced. It is unbearable for many patients like it is now."
A thought suddenly flashed through Zhao Xu's mind, and he said slowly.
"Are you talking about an artificial intelligence system similar to automatic triage?"
Hearing Zhao Xu's words, Fu Lao said with great interest.
Zhao Xu's way of thinking is completely different from that of ordinary people. Zhao Xu's thinking always starts from the big picture, from the place that can benefit more patients.
This also shows that he has great ambitions and big minds, which can be seen from his handling of the stem cell inducer patent.
When he met his student Zhang Huaiyi before, Zhang Huaiyi was full of praise for Zhao Xu, a junior, and praised him as the hope of the biological science community.
Mr. Fu knew that Zhang Huaiyi, his student, had a very high vision. It might be difficult for ordinary young people to catch his eyes, let alone get such an evaluation.
"Although some hospitals are trying to use the automatic triage system, the general feedback is that the level of intelligence is not high, and the accuracy of the application is still very low."
After a pause, Fu Lao said again.
"Teacher, this is just my idea, but now, we still have to deal with the patient's situation first."
Zhao Xu said slowly.
"Well, but scientific research and discovery start with ideas. If you have any ideas, come to me, and I will fully support you here."
Fu Lao said.
With Fu Lao's status and his full support, he can really do a lot of things.
"I haven't been involved in clinical matters for many years, and I will leave it to you. Today's method of developing nanotube markers has given me more ideas about the use of nanotubes. I will sort them out. .”
Fu Lao said to Zhao Xu and Wang Ming again.
"OK, all right."
Wang Ming and Zhao Xu nodded at the same time.
After Mr. Fu left the laboratory, Wang Ming asked Zhao Xu, "Xiao Zhao, what are you going to do with this patient?"
Speaking of this, Wang Ming was also a little bit scratching his head, because this patient's condition is too rare, and there is no precedent for reference on how to deal with this situation.
Moreover, the most important thing is that the immature embryo in the patient's body has now integrated with the patient's body. The reason why the patient has abdominal pain is because the immature embryo is compressing the nerves around the spine and the abdomen. organs.
"To completely eliminate the patient's abdominal pain, the immature embryo must be taken out, but the degree of fusion between the embryo and the patient's body is too high, and many important nerves and blood vessels in the patient's body are connected to this embryo. How to separate, I still need to think about it."
Zhao Xu said slowly.
It is extremely difficult to separate the remaining embryos in this little girl's body. Among all the operations that Zhao Xu has done, it can be said to be the most difficult one.
Among them, the most difficult situation is that part of the remaining blood vessels and nerves of the embryo are shared with the main body, and the degree of deformity is not small. In this case, not only the separation, but also the remodeling of the deformed blood vessels and nerves.
"Well, we can unite various departments when we go back. This operation cannot be done by one department alone."
Wang Ming also nodded. Modern medicine has long passed the era of fighting alone. Modern medicine emphasizes cooperation. Without a team, no matter how great a person's ability is, he can't bring it out.
"Ah."
Zhao Xu nodded.
Next, Zhao Xu and Fu Lao's assistant kept the nano-radiography data.
The radiography has been completed. Together, Zhao Xu and Sun Chang moved the little girl to a mobile examination bed, and rolled out of the laboratory together, waiting for the little girl to wake up naturally.
When they came out of the laboratory, they hurriedly greeted the couple who saw Zhao Xu coming out. Among them, the father of the little girl asked anxiously and anxiously, "Doctor, have you found out what's wrong with your niece?"
The little girl's father is in a very anxious and tormented mood at the moment. He really hopes to hear a good news. So many times, he has been to so many hospitals and seen so many doctors. He has gone from hopeful to disappointed again and again. The roller coaster-like drop, having experienced so many times, made his current mental state very fragile.
Moreover, Zhao Xu introduced to him just now that this is the academician's laboratory.
It can be said that the biggest person that the little girl's father met in his life was just that a head of the township where he lived once went to the countryside to do research at his home.
Usually, the village director is already a big shot to the little girl's father.
Now he was in a nervous and terrified mood, and he couldn't even imagine what kind of big man an academician is. Such a big scientific laboratory is currently doing examinations for his daughter.
"The test results came out, and the cause was also clarified."
Facing the anxious and anxious little girl's father, Zhao Xu said directly and affirmatively.
(End of this chapter)
Six pm.
Inside a biological laboratory at Nantah University.
After Zhao Xu contacted Mr. Fu, he took the couple, the little girl, and Wang Ming and Sun Chang, who had heard about this new inspection method and wanted to go together, to the laboratory where Mr. Fu was located.
At this moment, the little girl was lying quietly on the operating table, looking sound asleep. This was because Zhao Xu gave her a light inhalational anesthesia, and it was also for the effect of the next development.
The little girl's parents were standing outside the laboratory at the moment, looking nervously at their daughter lying on the operating table through the thick glass windows.
Before that, Zhao Xu had already signed the relevant consent form for the inspection with them.
These processes are all mandatory.
"Xiao Zhao, you can think of using nanotubes for imaging on this patient. This is very groundbreaking thinking. Whether it is clinical or scientific research, you should have such groundbreaking thinking."
Mr. Fu stood beside Zhao Xu and said very appreciatively.
In his opinion, the most precious thing about Zhao Xu is this kind of pioneering thinking. Without this kind of thinking, it would be impossible to develop such a major achievement as a stem cell inducer at a young age.
"Yes, this is equivalent to creating a brand new inspection method, which is very meaningful for many very concealed tumor inspections."
Wang Ming also went on to say.
Clinically, tumors are generally checked through CT and MRI. For further examinations, surgery is necessary to directly expose the location of the tumor, so as to have a more intuitive understanding of the tumor.
But this also leads to a very serious problem. Sometimes the tumor tissue is seriously adhered to blood vessels and nerves, which is not found before the operation, which is very likely to lead to the failure of the operation.
"Xiao Zhao, Xiao Sun, what kind of problem do you think this patient will have?"
After a pause, Wang Ming asked Zhao Xu and Sun Chang again.
As for the little girl's illness, even he couldn't be sure.
At most, he could think of a few rare diseases. In fact, the patient's parents took her to so many hospitals and saw so many doctors, but they didn't see a reason.
However, he also wanted to see if Zhao Xu and Sun Chang could think of these rare diseases.
"Maybe it's some kind of rare tumor, and there's too little information from patients right now to be sure."
Sun Chang shook his head and said.
A doctor's diagnosis of a patient must also be based on obtaining enough information from the patient. In this little girl, the information available is too little, except for a abdominal pain, there is almost no other information.
So, she couldn't be sure.
"Student, what do you think?"
After a pause, Sun Chang turned to Zhao Xu and asked again.
As soon as Sun Chang said this, Wang Ming and Fu always looked at Zhao Xu. They also wanted to hear what Zhao Xu had to say. After all, it was Zhao Xu who thought of using nano-markers to develop images. Zhao Xu was the first to see him.
"It's hard to say. My sister and I have the same opinion. It may be some kind of tumor. After all, there is too little information now, but it may be a very rare condition."
Zhao Xu also shook his head. He was not a fortune teller, and now he could get too little information from the patient. He couldn't even guess with such a little information.
However, during the physical examination of the little girl, his right hand seemed to have a very strange feeling. This feeling seemed to have another very weak breath of life in the little girl's body.
However, this feeling was quickly ruled out by him.
Another life?
So whimsical!
"Then wait for the results of the development to come out and see."
Fu Lao said slowly.
He is also very curious at the moment, what kind of problem this little girl will have, but anyone who does scientific research is very curious.
After a while, Fu Lao's assistant injected nanotubes carrying harmless markers into the molecular resonance instrument next to the operating table, and quickly projected the developed image on the electronic screen.
hiss~
Seeing the portrait displayed on the electronic screen, everyone present could not help but gasp.
It was impressively displayed on the electronic screen that inside the little girl's abdomen, near the spine, there was a small embryonic figure.
It looks like a small fetus, but only the outline can be seen.
"This is?"
Seeing the small figure appearing on the electronic screen, Sun Chang couldn't help muttering.
In the past few years of her medical practice, she has never seen such a strange situation.
"This is a fetus in a womb, also called a parasitic fetus."
Zhao Xu said solemnly, the strange feeling in his right hand before was confirmed now.
Parasitic fetus is a rare congenital disease. It is also called "fetus in fetus" in genetics. The incidence rate is one in 50. carcass.
Parasitic fetus, also known as fetal-in-fetus or entrapped parasitic fetus, refers to a certain part of a complete carcass parasitizing another or several incomplete carcasses, which is rare in clinical practice.
Geneticists believe that parasitic births are due to "missed twin syndrome".In layman's terms, this is a parasitic fetus formed by twins in the mother's womb.
No wonder, the little girl had persistent abdominal pain, but no other tests came up.
It turned out that there was another embryo conceived during the twin period in her body, but because this embryo had not competed for the little girl in terms of nutrition when it was in the mother's body, it degenerated, or it was not fully developed.
Since the embryo was completely suppressed by the little girl's embryo in the early stages of twin development, the little girl's mother did not realize that the children she was carrying were actually twins!
"I didn't expect to see this extremely rare disease that I only read about in textbooks in my lifetime."
Wang Ming also said with some sighs.
As the director of the emergency department, he has very rich clinical experience, but he has never encountered such a parasitic patient in his many years of practice.
In his impression, apart from the fact that this disease was mentioned in textbooks, he only occasionally saw a case reported in foreign literature.
So it's no wonder that this little girl went to so many hospitals and saw so many doctors, but she couldn't find out, because this disease is so rare.
"This kind of situation is too rare. If it is not developed by nano-markers, there is no way to detect it with conventional methods."
Fu Lao continued.
This parasitic fetus was swallowed by another embryo during the embryonic period, so it has been completely integrated with the main body during the growth and development period.
No matter whether you use abdominal B-ultrasound or abdominal CT MRI, etc., at most, you can find out unknown shadows.
The method of marking and developing with nanotubes carrying markers can show the subtle differences of tissues in the body to the greatest extent.
"Xiao Zhao, if you hadn't thought of using nanotubes to carry markers for visualization, the patient might not be able to detect this problem for the rest of his life."
Wang Ming said with a sigh.
This is the importance of clinical thinking, especially in modern medicine. Up to now, there are so many inspection methods and technologies used, and there are many different types of technologies, large and small.
As a doctor, it is necessary to choose the method that can really detect the problem of the patient from these complicated inspection techniques.
Medicine is an empirical discipline. When a doctor sees a patient, he can only make some empirical decisions based on the symptoms described by the patient and the results of the physical examination done by the doctor. Most of the time, Doctors can only draw a predisposition to the disease.
Then, according to the choice of this tendency, go for examination and treatment, and then determine the real disease that the patient is suffering from.
Therefore, when many patients see a doctor, it is difficult for them to accept so many examinations prescribed by the doctor. The reason lies in the limitations of medical and technical means.
"It would be great if there is a universal method that can help doctors make a quick diagnosis. In this way, not only will there be no misdiagnosis and missed diagnosis, but the examinations required by patients will be greatly reduced, and medical expenses will also be reduced. It is unbearable for many patients like it is now."
A thought suddenly flashed through Zhao Xu's mind, and he said slowly.
"Are you talking about an artificial intelligence system similar to automatic triage?"
Hearing Zhao Xu's words, Fu Lao said with great interest.
Zhao Xu's way of thinking is completely different from that of ordinary people. Zhao Xu's thinking always starts from the big picture, from the place that can benefit more patients.
This also shows that he has great ambitions and big minds, which can be seen from his handling of the stem cell inducer patent.
When he met his student Zhang Huaiyi before, Zhang Huaiyi was full of praise for Zhao Xu, a junior, and praised him as the hope of the biological science community.
Mr. Fu knew that Zhang Huaiyi, his student, had a very high vision. It might be difficult for ordinary young people to catch his eyes, let alone get such an evaluation.
"Although some hospitals are trying to use the automatic triage system, the general feedback is that the level of intelligence is not high, and the accuracy of the application is still very low."
After a pause, Fu Lao said again.
"Teacher, this is just my idea, but now, we still have to deal with the patient's situation first."
Zhao Xu said slowly.
"Well, but scientific research and discovery start with ideas. If you have any ideas, come to me, and I will fully support you here."
Fu Lao said.
With Fu Lao's status and his full support, he can really do a lot of things.
"I haven't been involved in clinical matters for many years, and I will leave it to you. Today's method of developing nanotube markers has given me more ideas about the use of nanotubes. I will sort them out. .”
Fu Lao said to Zhao Xu and Wang Ming again.
"OK, all right."
Wang Ming and Zhao Xu nodded at the same time.
After Mr. Fu left the laboratory, Wang Ming asked Zhao Xu, "Xiao Zhao, what are you going to do with this patient?"
Speaking of this, Wang Ming was also a little bit scratching his head, because this patient's condition is too rare, and there is no precedent for reference on how to deal with this situation.
Moreover, the most important thing is that the immature embryo in the patient's body has now integrated with the patient's body. The reason why the patient has abdominal pain is because the immature embryo is compressing the nerves around the spine and the abdomen. organs.
"To completely eliminate the patient's abdominal pain, the immature embryo must be taken out, but the degree of fusion between the embryo and the patient's body is too high, and many important nerves and blood vessels in the patient's body are connected to this embryo. How to separate, I still need to think about it."
Zhao Xu said slowly.
It is extremely difficult to separate the remaining embryos in this little girl's body. Among all the operations that Zhao Xu has done, it can be said to be the most difficult one.
Among them, the most difficult situation is that part of the remaining blood vessels and nerves of the embryo are shared with the main body, and the degree of deformity is not small. In this case, not only the separation, but also the remodeling of the deformed blood vessels and nerves.
"Well, we can unite various departments when we go back. This operation cannot be done by one department alone."
Wang Ming also nodded. Modern medicine has long passed the era of fighting alone. Modern medicine emphasizes cooperation. Without a team, no matter how great a person's ability is, he can't bring it out.
"Ah."
Zhao Xu nodded.
Next, Zhao Xu and Fu Lao's assistant kept the nano-radiography data.
The radiography has been completed. Together, Zhao Xu and Sun Chang moved the little girl to a mobile examination bed, and rolled out of the laboratory together, waiting for the little girl to wake up naturally.
When they came out of the laboratory, they hurriedly greeted the couple who saw Zhao Xu coming out. Among them, the father of the little girl asked anxiously and anxiously, "Doctor, have you found out what's wrong with your niece?"
The little girl's father is in a very anxious and tormented mood at the moment. He really hopes to hear a good news. So many times, he has been to so many hospitals and seen so many doctors. He has gone from hopeful to disappointed again and again. The roller coaster-like drop, having experienced so many times, made his current mental state very fragile.
Moreover, Zhao Xu introduced to him just now that this is the academician's laboratory.
It can be said that the biggest person that the little girl's father met in his life was just that a head of the township where he lived once went to the countryside to do research at his home.
Usually, the village director is already a big shot to the little girl's father.
Now he was in a nervous and terrified mood, and he couldn't even imagine what kind of big man an academician is. Such a big scientific laboratory is currently doing examinations for his daughter.
"The test results came out, and the cause was also clarified."
Facing the anxious and anxious little girl's father, Zhao Xu said directly and affirmatively.
(End of this chapter)
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