This doctor has a system

Chapter 180 178. Wild pigs can't eat fine bran

The high-level bronchoscope allowed him to easily handle this group of rookies. This morning, everyone picked up the mirror and played with it for a while, and everyone was very satisfied.

"Let's continue tomorrow." Gao Feng explained before leaving. There is a group of advanced students who will be responsible for distributing reports in the afternoon, so he can just come over when the time comes.

When he came over in the afternoon, the intern student had already reviewed yesterday's report and filled in the pathological results of the biopsy. Gao Feng looked at it. There were 27 reports in total, 13 of which were tumors.

It seems that the proportion of tumors is high, but in fact it is not, because the vast majority of patients have found problems in imaging, and the purpose of bronchoscopy is to confirm the diagnosis.

Provincial medical tracheoscopy documents are very standardized, which has been praised by many colleagues. Speaking of the former director, he is a person who pays great attention to document writing.

"Mr. Gao, I have a report that I can't find my family members. Can you send it to me?" A student came in with an impact bag, "The family members have been unable to get through to the phone."

"What's the matter?" Gao Feng asked.

"There is a patient and an old couple at the door, but his report indicates squamous cell carcinoma of the lung." The intern student was a little embarrassed, "It doesn't seem appropriate to give it to him directly."

Gao Feng looked at the report, the patient is 81 years old, and his mental capacity may not be enough, in case he gets excited.
"Grandpa, where is your son?" Gao Feng asked, "We are going to hand over this report to the family members. I'm afraid you won't understand it when you are old. I have to explain some precautions to the family members carefully."

"My son is busy with work, so I won't be here until tomorrow." The patient spoke in an orderly manner, "Just tell me what you have, I have a clear mind."

This time Gao Feng also encountered difficulties.

Seeing that Gao Feng hesitated a bit, the old man spoke again, "Is the result not good?"

"It's okay, I'm at this age, and I'm mentally prepared for it."

"That's right, doctor, just tell us what you have. The old man has a high degree of education, and he really can't hide any son." The patient's wife said.

Now that the patient and family members have said so, Gao Feng has no more ideological concerns, "Master, your result is indeed not very good, it is squamous cell carcinoma of the lung, and the treatment will continue." After finishing speaking, he handed over the report to "Take it back and show it to the doctor in the ward, they all know."

The patient took the film and was silent for a while, "My dad died of lung cancer. He was only 60 years old at that time, and I am 80 now. It's not a loss."

"You shouldn't be smoking so much." The wife at the side said softly.
-
Hu Jiaran is in a good mood for this meeting, the conditions in the Z Big Laboratory are much better, and the instruments inside are quite expensive.In the field of scientific research, expensive means advanced + easy to use + high efficiency.

With this estimate, at least 10 days in advance, Hu Jiaran sat on the bench downstairs in the experiment and began to think.

At this time, a girl with long hair and shawl walked over slowly, with a beautiful appearance and a graceful figure, which immediately attracted Hu Jiaran's attention.He took out his mobile phone and wanted to talk to Wang Liang, but gave up after thinking about it for a while. How do you say that sentence: Wild pigs can't eat fine chaff.

Let me, Hu Jiaran, appreciate it slowly by myself!

Wang Liang: You MMP
"Why are you so rude?" The girl was a little dissatisfied.

"What you said, didn't I just look at you twice?" Hu Jiaran retorted.

"Did you look at it twice? Obviously you have been staring at me all the time?"

"I stared at it all the time, but I didn't blink, so I can only count it as two eyes." Hu Jiaran explained, "Besides, it's all your fault, and it has nothing to do with me."

"What?" The girl was shocked, "What kind of logic are you talking about!"

"When you encounter beautiful things, everyone wants to take a look. Isn't this normal?" Hu Jiaran asked strangely, "If you want to blame it, you are too beautiful."

"I was thinking about a problem, but my thoughts were interrupted by you!"

"Excessive words!" The girl gave him a blank look and left.

Forgot to ask for a contact information, Hu Jiaran regretted it a bit, but the other party might not give it to him if he asked for it.

As soon as he arrived at the laboratory, Wang Liang ran over in a panic.

"Something went wrong with the experiment?" Hu Jiaran's heart tightened.

"Xu Bing went shopping in the morning, and he hasn't come back until noon, and he can't get in touch by phone." Wang Liang said quickly, "Penghui and the others took people to look for it separately, and the dormitory is not there."

Now Hu Jiaran was also in a hurry. Xu Bing was sent by Gao Feng himself. Although he didn't know the specific identity of the other party, Gao Feng called him several times to ask him.

"Call the police!"

"It is said that he has been missing for less than 24 hours." Wang Liang quickly replied.

Hu Jiaran immediately called Gao Feng, who also became worried, "Xu Bing is just a fool, if nothing happened to him, he definitely wouldn't be like this."

Gao Feng's brain was running fast, "Call the nearby 120 and ask if there is any driving record!" As a doctor, he immediately thought of car accidents, sudden death and other possibilities.

Hu Jiaran was about to contact Secretary Zhou when the phone in the laboratory rang, and Wang Liang hurried over.

"Found it!" Wang Liang was very excited after hanging up the phone, "This kid has gone to earn money."

? ? ?Hu Jiaran.

"Three sentences got 3 yuan from a woman." Wang Liang began to shake his wits again.

"1. Beauty"

"2. Good driving skills"

"3. Hit me so far."

"What time is it, you're still out of your mind!" Hu Jiaran dissatisfied, "What's wrong with you?!"

"I'm fine, except that I have three broken ribs and some bruises on my body, but it's not a big problem." Wang Liang hurriedly reported, "The doctor said that there is no need for surgery, just observe for two days."

Everyone rushed to the hospital quickly, and Xu Bing was lying on the ward, his thighs were wrapped thickly with gauze, and his chest was still wrapped with a chest strap.

"The phone was smashed to pieces." He said depressedly, "I was walking on the sidewalk, who would have known that a car would rush out of the green belt to kill me."

"Where is the person who bumped into you?" Wang Liang asked curiously, "Didn't he say she was a beautiful woman?"

"Give me the money, he just left." Xu Bing said.

Gao Feng heaved a sigh of relief knowing that there was nothing wrong with him, he was so scared just now, if something really happened, he couldn't explain it to Xue Donglai.
-
Zheng Xinglong's pathological results came out, squamous cell carcinoma of the lung, and his wife burst into tears when she learned about it. Although she had prepared mentally earlier, at this point, she still wanted to collapse.

Zheng Xinglong himself could not accept this fact, and he repeatedly asked Gao Feng if he had made a mistake.

"Doctor Gao, you can't do it again! I'm in such good health, how could I have lung cancer?"

Gao Feng could only comfort him over and over again.

Psychology of cancer patients is generally divided into four periods

1. The first stage is the resistance stage, where patients refuse to accept the reality that they have cancer.Zheng Xinglong is currently in this period.

2. Next, the patient will enter the anger stage, and his state of mind will show why I have a tumor, why is so-and-so around me, I pay more attention than he usually does, etc., similar psychological activities.During this period, the patient's temper will become weird and irritable.

3. The third stage is to enter a period of depression. At this time, you will be more depressed and may not be willing to talk to others. After all, you are facing the psychological impact of a major illness.

4. Gradually, the vast majority of patients will eventually transition to a quiet period, that is, an acceptance period.All patients want to absorb alive in the end, and once they receive the treatment, they can show certain effects, and the patients will be full of hope for the subsequent treatment. hope of survival.

Except for older people, it is generally recommended not to conceal the patient's condition, so that the patient can receive treatment better after psychological adjustment.

After obtaining the family's consent, Dong Qianqian gave Zheng Xinglong a chemotherapy regimen of paclitaxel + cisplatin, which is also the first-line chemotherapy regimen for lung squamous cell carcinoma.Due to the relatively young age, the latter did not show obvious adverse reactions, which relieved the hearts of the family members a little.

Bronchoscopy Room, 09 am.

"What's the condition of this patient?" Gao Feng asked.

"It was transferred from the hospital below, and the chest CT indicated that there was a new organism in the airway." Qin Hao said, this is the patient he was in charge of, "Today I want to take a biopsy to see the nature."

Qin Hao's bronchoscopy is not bad, and he has no problem with this kind of biopsy that can see specific lesions, so Gao Feng didn't continue to ask.

When he walked to the door, he glanced at the patient's chest CT from the corner of his eye, and suddenly, he took back the steps he had taken.

"Is this the patient's chest CT?" Gao Feng picked it up and looked at it carefully.

"That's right, it was taken in an outer hospital, and the clarity is not bad." Qin Hao had already picked up the bronchoscope and entered the main airway of the patient, "Hey, I can see things!"

He hurriedly left two pictures, "It looks like a new creature, but it doesn't look like a malignant thing! Let me take a few pieces for him to test." The nurse on the side has already handed over the biopsy forceps.

"Don't!" Gao Feng suddenly lost his soul, "Don't move!"

Qin Hao was startled, he looked at Gao Feng hesitantly, "Is there any problem?"

"This is not a new creature, I suspect it is a mutated azygos vein!" Gao Feng picked up the film and explained to him, "Normally, the azygos vein originates from the right ascending lumbar vein, passes through the diaphragm, and runs along the right side of the spine. Go up, and then inject the superior vena cava along the right front direction of the thoracic vertebral body”

"But look at him, his shape is obviously different from others, after coming out of the diaphragm"

"There is a high probability of considering the variation of the azygos vein!"

"Don't do the biopsy yet, let's have a chest enhanced CT."

Qin Hao quickly stopped what he was doing, and listened to people's persuasion to have a full meal. He is not the kind of person who loves bars.

Everyone has no objection, if this is really the azygos vein, then the fun will be great.Qin Hao picked it up with pliers, the patient and the whole village must have a feast
　I've been very busy recently, asking for a monthly pass.

　　
　
(End of this chapter)