Chapter 767: with translation of chapter title
After a little over half a year of clinical practice, Shen Boshi could clearly feel that the effectiveness of Interventional surgery in treating liver cancer was different from before, not only for small nodular liver cancer. For larger liver cancers that cannot be removed by surgery, performing a slice CT three-dimensional reconstruction before the operation results in a particularly good surgical effect.
Zheng Lao Ban's imaging level is really high.
But... as an imaging PhD, Shen Boshi burst into tears after hearing just a few sentences.
The diagnosis of this rare disease, mitochondrial encephalomyopathy, is incomprehensible, yet Shen Boshi can still explain it using non-specialty knowledge.
But... you can't even understand the damn CT image performance?
Abdominal CT mainly looks at organs, but Zheng Lao Ban is discussing with Director Luo using abdominal CT to differentiate intestinal wall issues.
This is a matter of level. Shen Boshi saw Zheng Ren and Director Luo discussing abdominal CT together at the viewbox, and felt a bit dazed.
Originally today I just brought little Zheng Boss to pay respects at the dock, but I didn't expect that after arriving, little Zheng Boss directly started discussing the case with Director Luo.
Seeing this, Shen Boshi felt an 'illusion' that the two had become close friends despite their age difference in less than an hour.
Alas, they say gold always shines. Little Zheng Boss is a piece of pure gold; throw him anywhere, and with just a bit of light he'll blind your dog's eyes!
After half an hour, their discussion of an abdominal CT scan had not ended, and it seemed they were already mixing knowledge from imaging with pathology, physiology, genetics, and other disciplines.
Director Luo's interest grew higher and stronger, until he could not stop.
The patient's family returned with the electromyogram, interrupting this case discussion.
"Director Luo, the doctor in the EMG lab says the EMG has a problem, considering what line?" The patient's family, sweating profusely, said, "He wrote it on the back of the slip; I can't read it."
Director Luo nodded, took the electromyogram, flipped to the back, where the head of the EMG lab had written the EMG report and diagnostic opinion.
Considering ME, ME is the abbreviation for mitochondrial encephalomyopathy.
Indeed, Director Luo stared at that line, fell silent for one minute, then laughed.
Director Luo was also curious; he specially arranged for the patient to go to the relevant department for an urgent check, and he intended to follow the patient all the way to see whether the diagnosis was indeed like that.
The patient's family thanked profusely and left, then went for genetic testing as Director Luo had arranged.
Seeing that preliminary results were in, Zheng Renye took his leave. After all, there were still many patients waiting outside; he couldn't take up too much of Director Luo's time.
Director Luo saw Zheng Ren to the door, patted his shoulder, and said, "Boss Zheng, whenever you have time, come by. I have outpatient clinic on Mondays; aside from rounds, I'm free the rest of the time."
This time paying respects at the dock can be called a complete victory, with an unexpected joy.
"Boss Zheng, your face..." At the moment of farewell, Director Luo asked.
Although it was their first meeting, both felt already quite familiar, and Director Luo didn't feel he was being abrupt. He just wanted Zheng Ren to behave a little more carefully, to drive safely, because if anything happened, it would be a considerable loss.
Zheng Ren touched the bruise at the corner of his eye, lowered his head, and whispered, "I just got back from the front line yesterday."
"..." Director Luo was stunned for a moment, then firmly patted Zheng Ren on the shoulder.
"Director Luo, I'll be going first," Zheng Ren said.
"Go back and rest well; if there's anything you need me to do on this end, just say so!" Director Luo said this time without hiding anything.
There was still a distance in their professional mutual appreciation. But an offhand comment completely moved Director Luo's heart, and he promised Zheng Ren without any reservation.
This was truly unexpected; Zheng Ren Jiu Gong, then gave a grin, and bade farewell to Director Luo.
"Boss Zheng, your..." Stepping out of Xiao Hua Nei Ke, Shen Boshi sincerely exclaimed, "You're just too amazing!"
This is all normal; academia draws close to academia, and it was within Zheng Ren's expectations.
Before coming, Zheng Ren had thought about it. Cooperating with Xiao Hua Nei Ke must be based on equal partnership; to achieve that, Director Luo must acknowledge him.
But Zheng Ren never expected it to go so smoothly.
And Director Luo's final question, along with his unreserved support, though unexpected, was still reasonable.
Big Pig Trotter seemed not to have issued any Luck Value-adding tasks for a long time; only now did Zheng Ren dimly grasp the importance of Luck Value.
After chatting a few sentences with Shen Boshi, his phone rang.
Shen Boshi somewhat embarrassedly held his phone; Zheng Ren smiled and said, "You're busy, you're busy."
"All right, wait a moment." Shen Boshi covered his phone, looked at Zheng Ren, and said, "Boss Zheng, an old fellow townsman has come to see a doctor; I'm considering it might be breast cancer."
The last three words, Shen Boshi didn't utter them; he just made the mouth shape.
"It's fine." Zheng Ren chuckled, "Perfect, let's go have a look."
Shen Boshi said a few more things, then hung up the phone.
"My high school classmate, during a checkup they found a growth; looking at the ultrasound image, I consider it something bad." Shen Boshi said, sighing.
Shen Boshi is just in his thirties; his classmate… Zheng Ren sighed, this kind of thing really is hard to say.
People have joy and sorrow, parting and reunion, birth, aging, illness, death; there's nothing to be done.
Moreover, clinically, surgical Shou Bing for breast cancer still has a decent technical level; if caught early, the five-year survival rate can reach over 80%.
Even if diagnosis is slightly delayed and malignancy is high, as long as funds are not lacking, giving appropriate targeted drug therapy will also improve the survival rate.
And surgical Shou Bing is no longer like before, requiring total removal. For women, the psychological trauma is greater than the physical trauma.
Nowadays, more and more patients accept breast-conserving Shou Bing, and the postoperative results are also not bad.
"After high school we lost contact; after so many years, when they suddenly got in touch, I first thought they were scammers." Shen Boshi chattered, "Both the husband and wife are my high school classmates; I never expected they'd end up together. The guy is the most honest person in our class; he told me about their marriage, and I still didn't believe it."
High school classmates, childhood sweethearts—pretty good.
"Boss Zheng, my classmate didn't know, always thought it was hyperplasia. Her spouse, I also didn't go into detail, just vaguely hinted it might be something bad." Shen Boshi wanted to speak but stopped.
Zheng Ren patted Shen Boshi's shoulder, nodded, indicating that he knew, letting him relax.
Clinical senior doctors would never say the word "cancer" in front of a patient. Unless it's an old patient, the doctor confirms the patient themselves knows and can face it properly.
Shen Boshi was still overthinking, Zheng Ren mused to himself.
But this sort of thing, his classmates aren't that old; Shen Boshi's heart had a Fluctuation, which is normal.
Zheng Ren saw Shen Boshi's mood was a little low, so he stayed silent and simply followed him all the way to the outpatient clinic.
Outside the outpatient clinic, the crowd surged; although it was nearly time to leave work, there were still many people.
A woman stood by the flowerbed, wearing a red form‑fitting suit that accentuated her figure. Seeing Shen Boshi, she raised her hand, waved, and quickly walked over.
Behind her was an honest‑looking sturdy man pulling a rolling suitcase.
The man was using his phone to contact something, not noticing Shen Boshi's appearance.
The woman walked a few steps, turned back and said a couple of sentences; the man hastily put away his phone, wearing an apologetic smile. When he saw Shen Boshi, his smile became much more natural, he raised his hand and followed behind her.
"Shen classmate, long time no see." The woman said with a chuckle, her delicate face showing no trace of sadness.
Zheng Ren, however, fell silent.
The System Panel's upper‑right corner gave a clear diagnosis: triple‑negative breast cancer!
Against the red background, that bright red suit became even more eye‑catching.
Triple‑negative breast cancer is almost the most severe type of breast cancer. It refers to breast‑cancer patients whose estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 are all negative.
Triple‑negative breast cancer has no relation to the indicators that closely correlate with ordinary tumor malignancy judgments, such as tumor size and whether lymph nodes have metastasis.
In other words, as long as it's triple‑negative breast cancer, even if the surgery completely removes it, there is a high probability of recurrence within 1–3 years post‑operation.
Moreover, most recurrences are accompanied by brain metastasis.
Clinically, there is still no good solution for triple‑negative breast cancer.
Shen Boshi shook hands with the woman, then shook hands with the man behind her, and naturally embraced briefly, being quite close.
"He always says he can't leave me. I told him it's just a minor illness, but he insists on coming along." The woman smiled, alluring and charming.
"Hehe, what's Old Lian doing now?" Shen Boshi asked with a laugh.
"He's a high‑school teacher, teaches physics. This time I told him to stay home and watch the kids, and let my mother keep me company, but he refuses anything and insists on coming along." The woman said with a chuckle: "It's just a minor surgery, might as well treat it as a trip."
"Going out as a family, having fun is fine too." Shen Boshi didn't elaborate, forced a smile, took the woman to the breast surgery department, then arranged the hospitalization.
Such matters definitely need to be contacted several days in advance. Not to mention Shen Boshi; even if it's the hospital director's connections for admission, you still need at least half a day's notice.
At Di Du Hospital, if you have to queue, you'll at least be waiting until two or three months later.
After all the paperwork was finished, Shen Boshi came to the entrance with an apologetic look, rubbing his hands and saying: "Zheng Lao Ban, sorry about that."
"It's fine." Zheng Ren said: "Anyway, there's nothing much today; tomorrow there are only three patients scheduled for second‑stage TIPS Surgery. The patients you admitted today need to be examined, and surgery can only be done the day after tomorrow. These two days you can just wander around to get familiar with the hospital environment."
"Mm‑hm." Shen Boshi nodded repeatedly.
"Um… Shen Boshi, do you have your classmate's B‑ultrasound report?" Zheng Ren asked.
Shen Boshi was stunned; from Zheng Ren's tone of voice he sensed a hint of something and a vague premonition.
End of Chapter
