Doctor Peerless
Chapter 8 Malignant Development of Lymphoid Neoplasms
Chapter 8 Malignant Development of Lymphoid Neoplasms
In front of the emergency department.
Zhou Sheng and the others seemed to be in a daze, their minds went blank, and they didn't have the ambitions they had when they first arrived in front of the Central Academy building a few hours ago.It's a very powerless feeling, life is on the verge, and there's nothing you can do.
Are you a doctor after medical school?
Do not!
At this moment, they knew that they were still far behind!
Wang Fei's hands trembled a little, and he was unavoidably frightened when he first saw such a situation.
But when he looked at Zhou Sheng, he saw that his expression was calm, but his eyes wandered away, as if he was thinking about something.
"You are not afraid?"
Zhou Sheng came back to his senses and looked at Wang Fei: "There is nothing to be afraid of."
He understood what Wang Fei was thinking...
If they were the ones who dealt with this situation just now, their eyes would definitely be smeared, and the situation of the male patient obviously needs to be treated against time. effective treatment.
It's a frustration.
It is inevitable for medical students to be blindly arrogant and feel that their five years of hard work are not for nothing.
Only when you enter the hospital will you gradually recognize the facts.
Zhou Sheng said: "We are just interns, so we don't need to think so much about what we can do. Director Jiang and Dr. Qian also came from our state step by step. The most important thing is to have a correct attitude."
Such enlightenment is of little use.
The process of internship is also a process of tempering one's mind. Every year, 60 medical students graduate, and how many people are truly professional counterparts. How many people take this as a career?Many people can't get over this hurdle and leave.
The burden of being a doctor is other people's lives. This sense of responsibility may be what people call 'the unbearable weight of life'.
Zhou Sheng's ability to see openly is the influence of his family.
Grandpa has excellent medical skills, and countless people come to see him, but there are also patients who he can't help.Long-term conditioning and treatment, one month, two months, everyone is familiar with each other.
But one day, the patient who often visits the clinic suddenly disappears...
That is to truly disappear from this world.
Chen Tongwei took a deep breath: "Let's go, go outside for a cigarette?"
Zhou Sheng shook his head: "No."
"Go, give me one." Wang Fei went.
But he obviously doesn't smoke, and Wang Fei doesn't have the smoky tar smell of an old smoker.
Medical students, including doctors, are more aware of the dangers of smoking than ordinary people.
But why do doctors still smoke?
Because of stress!
The two left, and Zhou Sheng entered the emergency department alone.
After a while, six or seven people rushed into the emergency room, and a 60-year-old woman yelled, "My son, where is my son?"
Speaking in Qinzhong dialect, he roared hoarsely, attracting attention.
The nurse immediately came up to inquire about the situation, only to learn that this was the family member of the emergency patient who had just been sent.
The three patients were a family of three. They had just finished eating with their relatives at their parents' house. They drank a lot of alcohol during the meal. No one stopped them when they drove home. what will happen...
Finally, something went wrong! !
The nurse led a few people to the operating room to sign. The cries continued to come from the depths of the corridor, making countless people sigh.
For those who celebrate the New Year, no one feels bad when something like this happens.
Some people also said: "Don't drink while driving, and don't drive after drinking. In the past two years, there have been so many propagandas about drunk driving, and the inspections are also strict. There are always people who risk their lives. Hehehe... It seems that I am cold-blooded to say that he should, but if this car accident If someone else’s family suffers an innocent disaster, who will be responsible for the result?”
Zhou Sheng frowned when he heard this. This kind of propositional discussion could not reach a conclusion at all.
The man said it really coldly, but it is the truth.
Drunk driving is not only irresponsible to yourself and your family, but also irresponsible to others.
Can think of...
Even if the male patient is out of danger and the treatment is over, he still has to report to the detention center.
The integrity of the law is the foundation of social stability.
The red light in the operating room was on for a long time, but there was no result. The only good news was that the mother and daughter were not seriously injured when they got off work.
The three people from Jiaotong University got off work on time at seven o'clock.
Jiang Jiancheng hadn't left the operating room yet, so the three of Zhou Sheng could only report to the attending doctor.
The doctor on the night shift is named Tang Aiyun, and he didn't let the three of them idle: "The emergency department on the night shift is the busiest. The three of you are one with a resident doctor. Don't start with it, just wait for three days to familiarize yourself with it, and then help with some chores."
In addition to attending, there are three residents.
The three of Zhou Sheng were placed next to the resident doctor.
Emergency room at night, cold and fever, bumps and abrasions, minor illnesses, but no serious illnesses.
The resident doctor Zhou Sheng followed was named Jing Dong, who was young. He graduated three years ago and got his doctor's license last year. Now he is assigned to the emergency department. Because of his similar age, it is easier to deal with.
Nine p.m.
After working for two hours, Zhou Yisheng followed Jing Dong to treat [-] patients, three of whom needed basic sutures. Zhou Yisheng was eager to try, but Jing Dong would definitely not let him do it: "You are only here for the first day, don't worry, emergency department The rotation will take place after a month, and there will be plenty of opportunities in the future.”
Interns are newcomers, so they should watch more and do less, otherwise if something goes wrong, it will only cause trouble.
Twelve in the morning.
The operation, which lasted more than six hours, was finally over.
The patient was sent directly to the ICU ward, and he was not out of danger yet, but it was relatively successful depending on the operation.
After Director Li of chest surgery was sent away, Jiang Jiancheng was in charge of introducing the situation to his family. The chat lasted another 10 minutes. If Tang Aiyun hadn't called Jiang Jiancheng away with an excuse at the end, we don't know how long he would have been entangled.
"Director, hurry up and get off work, we'll leave this place to us."
Jiang Jiancheng said, "Where are the interns?"
"It's been arranged, let Xiaojing and the others take it, there will be no mistakes."
"Yeah." Jiang Jiancheng nodded, "Don't worry about the interns. Don't make any mistakes. If you want to see who is talented, just choose two fixed-subject internships. Don't rotate them, so you don't have to teach them all over again. The leader's side I'm going to say hello."
The emergency department is busy and urgently needs manpower.
If the interns rotate back and forth, they have to bring in new recruits every month, resulting in a waste of resources.
Small talk.
Jiang Jiancheng went to get off work with his bag.
But before passing through the infusion hall, more than a dozen people swarmed in outside the door, led by four policemen.
The people under control are covered in blood.
Ask about the situation.
Drunk and fighting, and being stabbed by a wine bottle, fortunately, none of the injuries were fatal, but the flesh needed stitches.
Hehe, drunk again!
Jiang Jiancheng casually handed the bag to a nurse, and immediately called for someone: "Doctor Tang, Xiaojing... all come here, ten sutures, I will take care of the most serious ones, and the rest of you will be one or two, and the interns will help. "
Chief Tang and three residents rushed over immediately, Tang Aiyun smiled wryly and said: "Director, you just had an operation, forget it, we can handle it."
Jiang Jiancheng shook his head: "Okay, I'll leave after suturing. There won't be a long delay, and there is a lot of bleeding. If you delay for a long time, it will cause problems."
There were too many people, and the treatment room couldn't accommodate them, so they simply sutured on the spot in the infusion hall.
This is the situation.
Not only the three interns Zhou Sheng, but even Tang Aiyun and the seniors in the department looked at Jiang Jiancheng in awe.
The little nurse's eyes were shining, and she was really attracted by her personality.
There is not much that Zhou Sheng can do. Nurses are responsible for handing scissors, gauze, and threading.He knew how to do basic stitching, and he wanted to contribute. His eyes fell on Jiang Jiancheng, and he wanted to ask if he could help pull the thread.
But before he could open his mouth, he saw Jiang Jiancheng's figure swaying, and his footsteps moved back half a step imperceptibly, before he stabilized his swaying figure, shook his head, and continued to focus on the matter in hand.
No one else paid attention, only he saw this scene.
Zhou Yisheng's thoughts were diverted when he opened his mouth. He was only worried about Director Jiang's situation. Severe fatigue caused fatigue, and lack of energy is very common. However, from the perspective of traditional Chinese medicine, Director Jiang's complexion is not very good...
It is definitely not caused by one or two days of fatigue. No matter in the theory of Chinese and Western medicine, there is a saying that overwork leads to illness. Long-term fatigue will reduce the resistance and cause more chronic diseases.
For Jiang Jiancheng, Zhou Sheng has a feeling of admiration.
A flash of light came to my mind...
Zhou Sheng suddenly thought to himself: "System, how to use the C-level human body scanning detection auxiliary function?"
In the field of vision, the system window jumped out.
A wavy line similar to a QR code scan, sliding continuously from top to bottom.
"Scan directly."
Zhou Sheng tilted his head and pointed the scanning frame at Jiang Jiancheng.
A dynamic diagram of a simulated human figure appeared immediately, but in an instant, there were rows of physical sign information data arranged on one side.
Just waiting for all the data to come out, the system even gave a detection conclusion——
"White blood cell count, increased platelets, increased erythrocyte sedimentation rate, accompanied by a large increase in neutrophils... found a large bean-sized mass in the armpit on the body surface, which can be diagnosed as lymph node enlargement."
"In addition, it is judged that lactate dehydrogenase has a significant upward trend, and the probability of malignant development of lymph node enlargement is assessed as 85%!"
"Please perform surgical resection in time!"
"The initial cure rate is 90%, and the actual situation is subject to the postoperative situation."
!!!
There is an 85% probability of malignant development of lymph node enlargement, and ordinary people may not understand what it means.
But Zhou Sheng understood...
Lactate dehydrogenase is one of the important reference indicators for the development of malignant tumors.
If the lymph node enlargement develops malignantly, it is a lymphoma——
It is also what people often say, lymphoma! !
(End of this chapter)
In front of the emergency department.
Zhou Sheng and the others seemed to be in a daze, their minds went blank, and they didn't have the ambitions they had when they first arrived in front of the Central Academy building a few hours ago.It's a very powerless feeling, life is on the verge, and there's nothing you can do.
Are you a doctor after medical school?
Do not!
At this moment, they knew that they were still far behind!
Wang Fei's hands trembled a little, and he was unavoidably frightened when he first saw such a situation.
But when he looked at Zhou Sheng, he saw that his expression was calm, but his eyes wandered away, as if he was thinking about something.
"You are not afraid?"
Zhou Sheng came back to his senses and looked at Wang Fei: "There is nothing to be afraid of."
He understood what Wang Fei was thinking...
If they were the ones who dealt with this situation just now, their eyes would definitely be smeared, and the situation of the male patient obviously needs to be treated against time. effective treatment.
It's a frustration.
It is inevitable for medical students to be blindly arrogant and feel that their five years of hard work are not for nothing.
Only when you enter the hospital will you gradually recognize the facts.
Zhou Sheng said: "We are just interns, so we don't need to think so much about what we can do. Director Jiang and Dr. Qian also came from our state step by step. The most important thing is to have a correct attitude."
Such enlightenment is of little use.
The process of internship is also a process of tempering one's mind. Every year, 60 medical students graduate, and how many people are truly professional counterparts. How many people take this as a career?Many people can't get over this hurdle and leave.
The burden of being a doctor is other people's lives. This sense of responsibility may be what people call 'the unbearable weight of life'.
Zhou Sheng's ability to see openly is the influence of his family.
Grandpa has excellent medical skills, and countless people come to see him, but there are also patients who he can't help.Long-term conditioning and treatment, one month, two months, everyone is familiar with each other.
But one day, the patient who often visits the clinic suddenly disappears...
That is to truly disappear from this world.
Chen Tongwei took a deep breath: "Let's go, go outside for a cigarette?"
Zhou Sheng shook his head: "No."
"Go, give me one." Wang Fei went.
But he obviously doesn't smoke, and Wang Fei doesn't have the smoky tar smell of an old smoker.
Medical students, including doctors, are more aware of the dangers of smoking than ordinary people.
But why do doctors still smoke?
Because of stress!
The two left, and Zhou Sheng entered the emergency department alone.
After a while, six or seven people rushed into the emergency room, and a 60-year-old woman yelled, "My son, where is my son?"
Speaking in Qinzhong dialect, he roared hoarsely, attracting attention.
The nurse immediately came up to inquire about the situation, only to learn that this was the family member of the emergency patient who had just been sent.
The three patients were a family of three. They had just finished eating with their relatives at their parents' house. They drank a lot of alcohol during the meal. No one stopped them when they drove home. what will happen...
Finally, something went wrong! !
The nurse led a few people to the operating room to sign. The cries continued to come from the depths of the corridor, making countless people sigh.
For those who celebrate the New Year, no one feels bad when something like this happens.
Some people also said: "Don't drink while driving, and don't drive after drinking. In the past two years, there have been so many propagandas about drunk driving, and the inspections are also strict. There are always people who risk their lives. Hehehe... It seems that I am cold-blooded to say that he should, but if this car accident If someone else’s family suffers an innocent disaster, who will be responsible for the result?”
Zhou Sheng frowned when he heard this. This kind of propositional discussion could not reach a conclusion at all.
The man said it really coldly, but it is the truth.
Drunk driving is not only irresponsible to yourself and your family, but also irresponsible to others.
Can think of...
Even if the male patient is out of danger and the treatment is over, he still has to report to the detention center.
The integrity of the law is the foundation of social stability.
The red light in the operating room was on for a long time, but there was no result. The only good news was that the mother and daughter were not seriously injured when they got off work.
The three people from Jiaotong University got off work on time at seven o'clock.
Jiang Jiancheng hadn't left the operating room yet, so the three of Zhou Sheng could only report to the attending doctor.
The doctor on the night shift is named Tang Aiyun, and he didn't let the three of them idle: "The emergency department on the night shift is the busiest. The three of you are one with a resident doctor. Don't start with it, just wait for three days to familiarize yourself with it, and then help with some chores."
In addition to attending, there are three residents.
The three of Zhou Sheng were placed next to the resident doctor.
Emergency room at night, cold and fever, bumps and abrasions, minor illnesses, but no serious illnesses.
The resident doctor Zhou Sheng followed was named Jing Dong, who was young. He graduated three years ago and got his doctor's license last year. Now he is assigned to the emergency department. Because of his similar age, it is easier to deal with.
Nine p.m.
After working for two hours, Zhou Yisheng followed Jing Dong to treat [-] patients, three of whom needed basic sutures. Zhou Yisheng was eager to try, but Jing Dong would definitely not let him do it: "You are only here for the first day, don't worry, emergency department The rotation will take place after a month, and there will be plenty of opportunities in the future.”
Interns are newcomers, so they should watch more and do less, otherwise if something goes wrong, it will only cause trouble.
Twelve in the morning.
The operation, which lasted more than six hours, was finally over.
The patient was sent directly to the ICU ward, and he was not out of danger yet, but it was relatively successful depending on the operation.
After Director Li of chest surgery was sent away, Jiang Jiancheng was in charge of introducing the situation to his family. The chat lasted another 10 minutes. If Tang Aiyun hadn't called Jiang Jiancheng away with an excuse at the end, we don't know how long he would have been entangled.
"Director, hurry up and get off work, we'll leave this place to us."
Jiang Jiancheng said, "Where are the interns?"
"It's been arranged, let Xiaojing and the others take it, there will be no mistakes."
"Yeah." Jiang Jiancheng nodded, "Don't worry about the interns. Don't make any mistakes. If you want to see who is talented, just choose two fixed-subject internships. Don't rotate them, so you don't have to teach them all over again. The leader's side I'm going to say hello."
The emergency department is busy and urgently needs manpower.
If the interns rotate back and forth, they have to bring in new recruits every month, resulting in a waste of resources.
Small talk.
Jiang Jiancheng went to get off work with his bag.
But before passing through the infusion hall, more than a dozen people swarmed in outside the door, led by four policemen.
The people under control are covered in blood.
Ask about the situation.
Drunk and fighting, and being stabbed by a wine bottle, fortunately, none of the injuries were fatal, but the flesh needed stitches.
Hehe, drunk again!
Jiang Jiancheng casually handed the bag to a nurse, and immediately called for someone: "Doctor Tang, Xiaojing... all come here, ten sutures, I will take care of the most serious ones, and the rest of you will be one or two, and the interns will help. "
Chief Tang and three residents rushed over immediately, Tang Aiyun smiled wryly and said: "Director, you just had an operation, forget it, we can handle it."
Jiang Jiancheng shook his head: "Okay, I'll leave after suturing. There won't be a long delay, and there is a lot of bleeding. If you delay for a long time, it will cause problems."
There were too many people, and the treatment room couldn't accommodate them, so they simply sutured on the spot in the infusion hall.
This is the situation.
Not only the three interns Zhou Sheng, but even Tang Aiyun and the seniors in the department looked at Jiang Jiancheng in awe.
The little nurse's eyes were shining, and she was really attracted by her personality.
There is not much that Zhou Sheng can do. Nurses are responsible for handing scissors, gauze, and threading.He knew how to do basic stitching, and he wanted to contribute. His eyes fell on Jiang Jiancheng, and he wanted to ask if he could help pull the thread.
But before he could open his mouth, he saw Jiang Jiancheng's figure swaying, and his footsteps moved back half a step imperceptibly, before he stabilized his swaying figure, shook his head, and continued to focus on the matter in hand.
No one else paid attention, only he saw this scene.
Zhou Yisheng's thoughts were diverted when he opened his mouth. He was only worried about Director Jiang's situation. Severe fatigue caused fatigue, and lack of energy is very common. However, from the perspective of traditional Chinese medicine, Director Jiang's complexion is not very good...
It is definitely not caused by one or two days of fatigue. No matter in the theory of Chinese and Western medicine, there is a saying that overwork leads to illness. Long-term fatigue will reduce the resistance and cause more chronic diseases.
For Jiang Jiancheng, Zhou Sheng has a feeling of admiration.
A flash of light came to my mind...
Zhou Sheng suddenly thought to himself: "System, how to use the C-level human body scanning detection auxiliary function?"
In the field of vision, the system window jumped out.
A wavy line similar to a QR code scan, sliding continuously from top to bottom.
"Scan directly."
Zhou Sheng tilted his head and pointed the scanning frame at Jiang Jiancheng.
A dynamic diagram of a simulated human figure appeared immediately, but in an instant, there were rows of physical sign information data arranged on one side.
Just waiting for all the data to come out, the system even gave a detection conclusion——
"White blood cell count, increased platelets, increased erythrocyte sedimentation rate, accompanied by a large increase in neutrophils... found a large bean-sized mass in the armpit on the body surface, which can be diagnosed as lymph node enlargement."
"In addition, it is judged that lactate dehydrogenase has a significant upward trend, and the probability of malignant development of lymph node enlargement is assessed as 85%!"
"Please perform surgical resection in time!"
"The initial cure rate is 90%, and the actual situation is subject to the postoperative situation."
!!!
There is an 85% probability of malignant development of lymph node enlargement, and ordinary people may not understand what it means.
But Zhou Sheng understood...
Lactate dehydrogenase is one of the important reference indicators for the development of malignant tumors.
If the lymph node enlargement develops malignantly, it is a lymphoma——
It is also what people often say, lymphoma! !
(End of this chapter)
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