My medical path

Chapter 84 Chen Bo is Right

Just now the case discussion of Zhang Jiahui has come to an end.

At this time, there was another patient who needed to be discussed collectively, that was Zhong Yuan who was admitted by Chen Bo in the outpatient clinic.

Ma Shangqu reported his medical history:
"Zhong Yuan, female, 28 years old, was admitted to the hospital for 1 week due to an examination of her left femur. This is her X-ray..."

While introducing, Ma Shangqu called up Zhong Yuan's movie to the projector.

"I took this patient number. The tumor in the patient's femur was discovered by accident. According to the X-ray, the tumor was located at the end of the bone and grew eccentrically. The X-ray showed soap-bubble-like changes. Consider diagnosing giant cell tumor of bone..."

Chen Bo took a sip of water and continued:

"And judging from the MRI-enhanced film, the tumor has broken through the cortical bone and involved a small amount of muscle tissue. I judge that it is more likely to be malignant..."

"For the malignant tumor at this location, our conservative approach is local resection and bone cement exclusion, and if there is no recurrence, the second-stage bone graft will be used to fill the bone defect... The more radical approach is osteotomy of the tumor segment and artificial joint replacement... ..."

Chen Bo talked eloquently:

"However, this patient has a strong desire to save his limbs. From the examination, the tumor has not metastasized to distant places. In this case, my opinion is to respect the wishes of the patient and perform limb salvage surgery."

Chen Bo gave his opinion.

"This patient has no pathological diagnosis, and the nature of the tumor is uncertain. What's the point of talking about treatment options?"

Deputy Director Zhao has recovered from the embarrassment of the last patient. Although he wants to stay away from Chen Bo, he still has a grudge against Chen Bo's repeated behavior of flattering him. This will catch Chen Bo's obvious flaws. raised his own doubts.

As soon as he said this, the office fell into a brief silence.

Director Wei nodded thoughtfully, he was not in a hurry to express his opinion, and he couldn't tell whether he agreed or disagreed.

"Although the nature is undecided, the diagnosis of giant cell tumor of bone should be pretty close..."

Chen Bo was not in a hurry when he heard Deputy Director Zhao's doubts, and said slowly:
"Since it is a borderline tumor, no matter what its nature is, surgery must be done, and the tumor has already broken through the cortical bone, so it must be treated as malignant..."

"Just now I also told everyone about the patient's wishes. The patient only accepts local excision, so I think it is not necessary to take the pathology before the operation. After all, it takes about five days to get the results. There is also the possibility of artificially causing the tumor to spread..."

"And if the degree of malignancy is relatively high, there is a risk of the tumor continuing to spread and metastasize while waiting for the pathological results..."

"So my opinion is straightforward to remove the tumor, treat it as malignant, and decide the final treatment plan later..."

"My opinion is to take the pathology first, and then consider the surgery after the pathological results come out..."

Deputy Director Zhao interrupted Chen Bo before he finished speaking, and turned to ask Director Wei for his opinion while speaking:
"What do you think, Director Wei?"

At this time, when I asked Director Wei for his opinion, Deputy Director Zhao was obviously waiting for Director Wei's last call.

If there is no accident, Director Wei doesn't have to argue against a young doctor like Chen Bo and himself, who is going to take over. After all, if he takes over, Director Wei has the right to suggest whether he should be rehired.

As soon as Deputy Director Zhao said this, the office fell into silence again.

Deputy Director Zhao had finished speaking, and it was definitely not suitable for others to express their opinions. They all looked at Director Wei, waiting for his final decision.

Director Wei frowned slightly after hearing Deputy Director Zhao's words, and then he was relieved.

"Then let me sum it up." Director Wei slightly adjusted his sitting posture and said:
"From the film, Chen Bo's analysis just now is very clear. There should be no big problem in diagnosing giant cell tumor of bone. Generally speaking, tumors can break through the natural barrier and grow outward. We must be vigilant that it is malignant..." Wei The director took a sip of water and continued:

"For this patient, the enhanced MR (nuclear magnetic resonance) has seen a small part of the muscle involved, so I personally tend to be malignant..."

When Director Wei said this, Deputy Director Zhao frowned obviously, and he had a very bad premonition.

Director Wei's next words confirmed Deputy Director Zhao's guess.

"Since it tends to be malignant, on the premise of not violating the principles of treatment, I think we should try our best to meet the patient's demands..." Director Wei looked straight at this time, and said:
"So I agree with Chen Bo's treatment! Of course, Chen Bo, your treatment method is flawed. You should learn more from Director Zhao. The formulation of the treatment plan should be considered comprehensively. The most important thing is to pay attention to medical safety..."

At this time, Director Wei gave Chen Bo a harmless club, and everyone present could hear it. This was considered to save face for Deputy Director Zhao.

At this time, Deputy Director Zhao frowned even deeper, and his face was a little gloomy...

"Director Wei is right. Director Zhao considers the issue comprehensively, which is worth learning from!"

At this time, Chen Bo doesn't mind giving Deputy Director Zhao a consolation prize...

Director Wei nodded secretly after listening to Chen Bo's words.

At this time, the discussion will have a result, and the discussion will be very calm, but everyone's minds are quite ups and downs.

Wu Zhennan was quieter than usual today. He observed Chen Bo carefully and found some patterns.

When Chen Bo spoke, his eyes were unusually focused, his mood was very stable, and he didn't fluctuate because the other party was the deputy director or director.

Combined with his well-founded analysis and insistence on reasoning, Wu Zhennan felt that Chen Bo had super confidence in himself and had strong execution ability.

"If this is me, can I do this?"

"Facing the deputy director or the director, even if I think it's right, can I persist?"

Wu Zhennan felt that he might not be able to do it.

So for Chen Bo, a colleague of the same age, for the first time, Wu Zhennan gave birth to a little recognition, and at the same time, he was more sure of the huge gap between himself and Chen Bo...

This guy Zhang Yu is always heartless. He is not interested in these debates. What he admires most about Chen Bo is not how solid his foundation is and how good his skills are, but that this guy is good at arming himself with knowledge.

Let others think that he not only has a great ability, a moral justice, but also a little humor...

The last point is what Zhang Yu wants to have even if he beat his chest and stamped his feet.

The two young men, Ma Shangqu and Pang Minghui, have completely become Chen Bo's fans.

They felt that after hugging Chen Bo's thigh tightly during this period of time, it seemed that the patients they managed respected them a lot during the ward rounds...

Luo Ming, a young guy who just arrived, saw that his master didn't flinch at all from bosses like Deputy Director Zhao, and even led the whole process of the preoperative discussion meeting.

He feels full of confidence now, and the future can be expected...

(End of this chapter)