Medical Immortals come from the future
Chapter 298 Worst Result
Chapter 298 Worst Result
After bringing him into the building of the outpatient department, Mei Ruotian was pestered by old man Wan all the time asking questions, so Sima Qing directly took Xiaoshizi to change the patient's clothes, and then prepared for the biopsy operation.
The effective means of Western medicine diagnosis of malignant melanoma is biopsy.
The scope of the biopsy operation is the en bloc resection of the lesion together with the surrounding normal skin and subcutaneous fat of 0-5 cm.
Xiao Shizi, who was lying on the cold operating table for the first time, looked at Sima Qing who had changed into a white surgical gown, a white surgical cap, and a white mask, holding a needle as thick as a finger. The excitement of new things has been replaced by a sense of unfamiliar fear.
"What is this for? In this life, I don't want to play with this!" The boy still had a proud tone, but tremblingly wanted to climb off the operating table.
Sima Qing signaled Mei Ruotian to hold him down.
"This is not for fun, this is to treat your illness!" Sima Qing glared at him, "Hey, so you are afraid? Who said before that he is a masculine man and will not be afraid of anything?"
"I, I, I... who is afraid?" Sure enough, the aggressive method is still somewhat useful.
"Well, it's good not to be afraid. In fact, there is really no need to be afraid. This is just a small operation." Sima Qing comforted him.
"What is that thing in your hand?" The boy pointed at the needle in fear.
"Oh, this is called a syringe, don't be afraid, just inject the anesthetic in it into your body, and you won't be in pain afterwards." The dose of anesthesia this time is relatively small, and it only needs to be done locally.
"Anesthesia? Could it be the legendary Mafeisan?!" Doctor Wan, who was watching from the side, yelled excitedly.
"Hehe, it's almost the same." Mei Ruotian rushed over to hold this person down again.
While taking advantage of the young man's distraction, Sima Qing didn't hesitate, her eyes were sharp and her hands were quick, the needle in her hand had already pierced into his skin.
The sting was like being bitten by an ant. Xiao Shizi came back to his senses and saw the strange thing stuck on his arm. Sima Qing's fingers slowly pushed it, as if some liquid had entered his body.
"Okay." After a while, Sima Qing pulled out the pillow, pressed a piece of medical cotton tightly on it, and said with a smile, "How is it? Doesn't hurt?"
Xiao Shizi shook his head, it really didn't hurt, and it seemed that it wasn't as scary as he imagined just now.
After 10 minutes, the anesthetic started to work.
Sima Qing used a micro scalpel to remove the living body of the lesion on the skin of his neck neatly.
This is something she can do with her eyes closed.
But for Doctor Wan, it was a shocking event!He was so scared that he screamed and almost fainted...
Sima Qing's temples twitched, thinking that the old man's endurance is too poor, right?Even Xiaolu was shocked like this, if she saw "disemboweled" and "heart-digged"...wouldn't she be seriously fainted?
In less than 10 minutes, this minor operation was over.
But that's just the first step for a biopsy.
Immediately afterwards, Sima Qing handed over the wound treatment to Mei Ruotian, and went to the laboratory with the "biopsy sample".
This laboratory has the conditions to do "frozen sectioning".
The so-called frozen section is a method in which the tissue is rapidly cooled to a certain hardness under low temperature conditions, and then sliced.
Because the production process is faster and simpler than paraffin sections, it is mostly used in rapid pathological diagnosis during surgery.There are many types of frozen sections, such as cryostat frozen section method, carbon dioxide frozen section method, methanol cycle refrigeration frozen section method, etc.
Conditions for a diagnosis of malignant melanoma are:
[-]. The anaplastic atypia of tumor cells is mainly due to enlarged nuclei and deep staining, and the cell shapes and sizes are different;
[-]. Junctionally active tumor cells at the junction of the epidermis and the dermis are atypically hyperplastic, the cells are scattered and fail to form nests, or nests fuse with nests, and there are continuous proliferation of atypical melanocytes in the basal layer between epidermal protrusions;
[-]. Atypical tumor cells break through the basement membrane and enter the dermis;
[-]. All nevus cell tumors have no mitotic phase inside the dermis, if any, it is often a sign of malignant melanoma;
[-]. Tumor cells spread throughout the epidermis;
[-]. The cells are immature, that is, the tumor cells do not gradually become smaller and longer from the dermis to the deep layer;
[-]. Interstitial reaction In the deep layer of intradermal nevus, more dense reticular fibers surround single scattered nevus cells, while the interstitial reaction of malignant lesions is mild;
Eighty or ninety...
There are a total of ten items, the first five are extremely important, and the last five are generally used as a reference.
Two hours later, the lab "frozen section" biopsy results came back.
It was the worst result that Sima Qing did not expect, the third stage of malignant melanoma.
It can already be counted as entering the final stage.
In fact, she thought before that, at most, it would be in the mid-term.
Fortunately, the cancer cells have not spread and metastasized.
Sima Qing told Mei Ruotian and Imperial Physician Wan about the result, and after discussing it, decided to hide it from Xiao Shizi, saying that the situation was not as serious as imagined.
In fact, due to the problem of the flow rate in the space, Sima Qing could have directly performed a tumor resection operation on Xiao Shizi this time, but considering all of this, she had to report to the emperor and queen to discuss it properly, so she gave up.
After taking anti-cancer western medicine for Xiao Shizi, and after the anesthetic effect on his body passed, the few of them left the space.
It was obvious that a long period of time had passed in the space, but when I came out, I found that less than an hour had passed outside.
While Imperial Physician Wan was still immersed in unbelievable emotions, Mei Ruotian had already dragged him to the emperor and queen, and confessed everything about the space. Of course, the words were the same.
The emperor and queen were amazed when they heard it, but they couldn't help but believe it, because there was Imperial Physician Wan testifying, and seeing Imperial Physician Wan's appearance, they couldn't hide their excitement, and they spit all over the place when they mentioned it, as if they saw something extremely strange.
By the way, considering that Imperial Physician Wan has to report Xiao Shizi's treatment situation to the emperor and empress all the time, the new function of space has not been opened for him for the time being. The emperor and queen talked about it.
Apart from the matter of space, it is about Xiaoshizi's condition.
Hearing what Mei Ruotian said about the not-so-good result, the Empress almost cried, but thinking of Sima Qing's magic, she already regarded her as a miracle doctor, and said that she would go there in person and beg Sima Qing to save her. Save the little world.
So the emperor and queen went together, watching Sima Qing stick a needle into the back of Xiao Shizi's hand, and then the liquid in a hanging bottle slowly flowed into the back of his hand through a transparent tube, it was amazing. And afraid.
Fortunately, Mei Ruotian explained to them in time that this is the method of western medicine to treat the disease, and it is injecting medicine for Xiaoshizi, and it will not hurt him.
Seeing that Xiao Shizi was in good health and said that he would not be in pain, they were relieved.
Here, the young prince is lying on the bed and receiving an infusion, and here Sima Qing has to take the emperor and queen into the space again. If they are not allowed to see it with their own eyes, they will definitely not believe it.
However, Sima Qing and Mei Ruotian kept an eye out for Xiao Yanchao's people to enter the space, that is to let the space master use thick fog to temporarily cover the few medicine mountains and medicine peaks in the space.
You know, most of the rare medicinal materials brought by the Golden Dragon Kingdom this time, including Dendrobium candidum, came from here. If they knew that there was such a huge "treasure house", what trouble might happen? Shangpiao, one thing more is worse than one thing less.
Although there was no Yaoshan, anything that existed in this space was enough to make them speechless.
The empress didn't understand what western medicine was for a short time, but she believed that this was what the fairy sister left for Sima Qing. Wouldn't the fairy sister's stuff be great?Therefore, she firmly believed that Sima Qing would be able to rejuvenate and treat her little nephew properly!
Knowing that the Empress is so optimistic about her, Sima Qing didn't know whether to cry or laugh for a while.
It seems that if Xiao Shizi is not completely cured this time, it will be difficult to leave this country.
In the end, the emperor and empress also promised to help her keep this secret. Sima Qing believed them quite a bit. At the very least, they should not reveal it to anyone during the period of helping Xiaoshizi to treat his illness.
As for the future, anyway, as long as they have any crooked thoughts, they will immediately forget everything. At that time, they can still pat their butts and leave, not even leaving a single Dendrobium.
Later facts proved that the pair of emperors and empresses of the Xiaoyan dynasty possessed the true character of the dragon and phoenix. They did not reveal this to anyone until many, many years later, when Sima Qing lifted the shielding function. , the husband and wife will occasionally talk about this magical "secret" that they cherish and hide with each other when there is no one else.
Among the people who have entered the space, there are also those who failed to keep this secret in the end. The moment they planned to speak to others, they completely lost that memory, and they will never remember it again for the rest of their lives.
……
This day, I was busy going in and out of the space, making a treatment plan for Xiao Shizi.
Various news also came from the Four Kingdoms Medical Skills Exchange Conference. What shocking theory did the medical team of the North Vietnam State put forward? You are so bold, that Cuckoo from Jinlong Kingdom is good at dealing with difficult and miscellaneous diseases, he is simply a miracle doctor...
There were all kinds of things, and Sima Qing felt that it was a pity that he didn't go to the scene to observe this day.
What's more, yesterday's "competition" in the first and second sessions has yielded some results.
There were 24 patients, oh no, there were 23 patients, and two patients were basically cured after drinking the medicine for more than a day, that is to say, they took the shortest time. One was from Sima Qing, one was from Imperial Physician Shi, but both of them were given acupuncture by Mei Ruotian.
With such "results" and today's "competition" in several sessions, after two days, Jinlong Elementary School shined brilliantly, with a vaguely dominant attitude.
On the contrary, North Vietnam, which has been gearing up for a while, performed mediocrely, and did not do any "earth-shattering" events.
(End of this chapter)
After bringing him into the building of the outpatient department, Mei Ruotian was pestered by old man Wan all the time asking questions, so Sima Qing directly took Xiaoshizi to change the patient's clothes, and then prepared for the biopsy operation.
The effective means of Western medicine diagnosis of malignant melanoma is biopsy.
The scope of the biopsy operation is the en bloc resection of the lesion together with the surrounding normal skin and subcutaneous fat of 0-5 cm.
Xiao Shizi, who was lying on the cold operating table for the first time, looked at Sima Qing who had changed into a white surgical gown, a white surgical cap, and a white mask, holding a needle as thick as a finger. The excitement of new things has been replaced by a sense of unfamiliar fear.
"What is this for? In this life, I don't want to play with this!" The boy still had a proud tone, but tremblingly wanted to climb off the operating table.
Sima Qing signaled Mei Ruotian to hold him down.
"This is not for fun, this is to treat your illness!" Sima Qing glared at him, "Hey, so you are afraid? Who said before that he is a masculine man and will not be afraid of anything?"
"I, I, I... who is afraid?" Sure enough, the aggressive method is still somewhat useful.
"Well, it's good not to be afraid. In fact, there is really no need to be afraid. This is just a small operation." Sima Qing comforted him.
"What is that thing in your hand?" The boy pointed at the needle in fear.
"Oh, this is called a syringe, don't be afraid, just inject the anesthetic in it into your body, and you won't be in pain afterwards." The dose of anesthesia this time is relatively small, and it only needs to be done locally.
"Anesthesia? Could it be the legendary Mafeisan?!" Doctor Wan, who was watching from the side, yelled excitedly.
"Hehe, it's almost the same." Mei Ruotian rushed over to hold this person down again.
While taking advantage of the young man's distraction, Sima Qing didn't hesitate, her eyes were sharp and her hands were quick, the needle in her hand had already pierced into his skin.
The sting was like being bitten by an ant. Xiao Shizi came back to his senses and saw the strange thing stuck on his arm. Sima Qing's fingers slowly pushed it, as if some liquid had entered his body.
"Okay." After a while, Sima Qing pulled out the pillow, pressed a piece of medical cotton tightly on it, and said with a smile, "How is it? Doesn't hurt?"
Xiao Shizi shook his head, it really didn't hurt, and it seemed that it wasn't as scary as he imagined just now.
After 10 minutes, the anesthetic started to work.
Sima Qing used a micro scalpel to remove the living body of the lesion on the skin of his neck neatly.
This is something she can do with her eyes closed.
But for Doctor Wan, it was a shocking event!He was so scared that he screamed and almost fainted...
Sima Qing's temples twitched, thinking that the old man's endurance is too poor, right?Even Xiaolu was shocked like this, if she saw "disemboweled" and "heart-digged"...wouldn't she be seriously fainted?
In less than 10 minutes, this minor operation was over.
But that's just the first step for a biopsy.
Immediately afterwards, Sima Qing handed over the wound treatment to Mei Ruotian, and went to the laboratory with the "biopsy sample".
This laboratory has the conditions to do "frozen sectioning".
The so-called frozen section is a method in which the tissue is rapidly cooled to a certain hardness under low temperature conditions, and then sliced.
Because the production process is faster and simpler than paraffin sections, it is mostly used in rapid pathological diagnosis during surgery.There are many types of frozen sections, such as cryostat frozen section method, carbon dioxide frozen section method, methanol cycle refrigeration frozen section method, etc.
Conditions for a diagnosis of malignant melanoma are:
[-]. The anaplastic atypia of tumor cells is mainly due to enlarged nuclei and deep staining, and the cell shapes and sizes are different;
[-]. Junctionally active tumor cells at the junction of the epidermis and the dermis are atypically hyperplastic, the cells are scattered and fail to form nests, or nests fuse with nests, and there are continuous proliferation of atypical melanocytes in the basal layer between epidermal protrusions;
[-]. Atypical tumor cells break through the basement membrane and enter the dermis;
[-]. All nevus cell tumors have no mitotic phase inside the dermis, if any, it is often a sign of malignant melanoma;
[-]. Tumor cells spread throughout the epidermis;
[-]. The cells are immature, that is, the tumor cells do not gradually become smaller and longer from the dermis to the deep layer;
[-]. Interstitial reaction In the deep layer of intradermal nevus, more dense reticular fibers surround single scattered nevus cells, while the interstitial reaction of malignant lesions is mild;
Eighty or ninety...
There are a total of ten items, the first five are extremely important, and the last five are generally used as a reference.
Two hours later, the lab "frozen section" biopsy results came back.
It was the worst result that Sima Qing did not expect, the third stage of malignant melanoma.
It can already be counted as entering the final stage.
In fact, she thought before that, at most, it would be in the mid-term.
Fortunately, the cancer cells have not spread and metastasized.
Sima Qing told Mei Ruotian and Imperial Physician Wan about the result, and after discussing it, decided to hide it from Xiao Shizi, saying that the situation was not as serious as imagined.
In fact, due to the problem of the flow rate in the space, Sima Qing could have directly performed a tumor resection operation on Xiao Shizi this time, but considering all of this, she had to report to the emperor and queen to discuss it properly, so she gave up.
After taking anti-cancer western medicine for Xiao Shizi, and after the anesthetic effect on his body passed, the few of them left the space.
It was obvious that a long period of time had passed in the space, but when I came out, I found that less than an hour had passed outside.
While Imperial Physician Wan was still immersed in unbelievable emotions, Mei Ruotian had already dragged him to the emperor and queen, and confessed everything about the space. Of course, the words were the same.
The emperor and queen were amazed when they heard it, but they couldn't help but believe it, because there was Imperial Physician Wan testifying, and seeing Imperial Physician Wan's appearance, they couldn't hide their excitement, and they spit all over the place when they mentioned it, as if they saw something extremely strange.
By the way, considering that Imperial Physician Wan has to report Xiao Shizi's treatment situation to the emperor and empress all the time, the new function of space has not been opened for him for the time being. The emperor and queen talked about it.
Apart from the matter of space, it is about Xiaoshizi's condition.
Hearing what Mei Ruotian said about the not-so-good result, the Empress almost cried, but thinking of Sima Qing's magic, she already regarded her as a miracle doctor, and said that she would go there in person and beg Sima Qing to save her. Save the little world.
So the emperor and queen went together, watching Sima Qing stick a needle into the back of Xiao Shizi's hand, and then the liquid in a hanging bottle slowly flowed into the back of his hand through a transparent tube, it was amazing. And afraid.
Fortunately, Mei Ruotian explained to them in time that this is the method of western medicine to treat the disease, and it is injecting medicine for Xiaoshizi, and it will not hurt him.
Seeing that Xiao Shizi was in good health and said that he would not be in pain, they were relieved.
Here, the young prince is lying on the bed and receiving an infusion, and here Sima Qing has to take the emperor and queen into the space again. If they are not allowed to see it with their own eyes, they will definitely not believe it.
However, Sima Qing and Mei Ruotian kept an eye out for Xiao Yanchao's people to enter the space, that is to let the space master use thick fog to temporarily cover the few medicine mountains and medicine peaks in the space.
You know, most of the rare medicinal materials brought by the Golden Dragon Kingdom this time, including Dendrobium candidum, came from here. If they knew that there was such a huge "treasure house", what trouble might happen? Shangpiao, one thing more is worse than one thing less.
Although there was no Yaoshan, anything that existed in this space was enough to make them speechless.
The empress didn't understand what western medicine was for a short time, but she believed that this was what the fairy sister left for Sima Qing. Wouldn't the fairy sister's stuff be great?Therefore, she firmly believed that Sima Qing would be able to rejuvenate and treat her little nephew properly!
Knowing that the Empress is so optimistic about her, Sima Qing didn't know whether to cry or laugh for a while.
It seems that if Xiao Shizi is not completely cured this time, it will be difficult to leave this country.
In the end, the emperor and empress also promised to help her keep this secret. Sima Qing believed them quite a bit. At the very least, they should not reveal it to anyone during the period of helping Xiaoshizi to treat his illness.
As for the future, anyway, as long as they have any crooked thoughts, they will immediately forget everything. At that time, they can still pat their butts and leave, not even leaving a single Dendrobium.
Later facts proved that the pair of emperors and empresses of the Xiaoyan dynasty possessed the true character of the dragon and phoenix. They did not reveal this to anyone until many, many years later, when Sima Qing lifted the shielding function. , the husband and wife will occasionally talk about this magical "secret" that they cherish and hide with each other when there is no one else.
Among the people who have entered the space, there are also those who failed to keep this secret in the end. The moment they planned to speak to others, they completely lost that memory, and they will never remember it again for the rest of their lives.
……
This day, I was busy going in and out of the space, making a treatment plan for Xiao Shizi.
Various news also came from the Four Kingdoms Medical Skills Exchange Conference. What shocking theory did the medical team of the North Vietnam State put forward? You are so bold, that Cuckoo from Jinlong Kingdom is good at dealing with difficult and miscellaneous diseases, he is simply a miracle doctor...
There were all kinds of things, and Sima Qing felt that it was a pity that he didn't go to the scene to observe this day.
What's more, yesterday's "competition" in the first and second sessions has yielded some results.
There were 24 patients, oh no, there were 23 patients, and two patients were basically cured after drinking the medicine for more than a day, that is to say, they took the shortest time. One was from Sima Qing, one was from Imperial Physician Shi, but both of them were given acupuncture by Mei Ruotian.
With such "results" and today's "competition" in several sessions, after two days, Jinlong Elementary School shined brilliantly, with a vaguely dominant attitude.
On the contrary, North Vietnam, which has been gearing up for a while, performed mediocrely, and did not do any "earth-shattering" events.
(End of this chapter)
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