Chapter 798: with translation of chapter title
"So that's how it is." Professor Yang looked at the film and said softly.
Zheng Ren did not explain this through imaging, but instead proposed the changes after interventional embolization.
Professor Yang expressed great kindness toward himself, and Zheng Ren certainly would not show off his skill in front of the patient's family. He used a rather clever way to prove that the occupancy in the liver area was the spleen, not a tumor.
In that case, Professor Yang would think, it's normal that he, not being an interventional doctor, doesn't know.
Preserving Professor Yang's face while achieving the goal, Zheng Ren's explanation pleased both sides.
Moreover, Professor Yang wasn't completely unaware; if he truly hadn't noticed, he wouldn't have come to me to look at the films.
As the saying goes, "the bridal sedan is carried by people"; as long as the patient receives proper treatment, Zheng Ren doesn't mind letting Professor Yang feel a bit more at ease.
Actually, Zheng Ren reached his conclusion by straightforwardly using CT and nuclear magnetic resonance plus reconstruction. Professor Yang's approach was the reverse, but there's no need to mention that to him.
"Boss Zheng, are you interested in surgery?" Professor Yang asked.
"No, no." Zheng Ren waved his hands repeatedly, saying: "I still have a lot on my plate, few beds, the TIPS surgery volume never goes up, and I have to visit all departments in the hospital."
Professor Yang was just being polite, or perhaps curious about Zheng Ren's general surgery level.
If even routine outpatient surgeries required Zheng Ren to do them, would the general surgery department still have any face?
Seeing Zheng Ren troubled, Professor Yang smiled.
The bed situation… the general surgery department's outpatient surgeries are already booked two months out; he has no standing to promise Zheng Ren two beds.
After packing the films, Professor Yang handed the film bag to the patient's family, saying: "Bring your loved one to the hospital; once you're here, just find me."
"Professor Yang, is it benign?" the patient's loved one still couldn't believe it.
"Huh? Didn't I just say it was the spleen?" Professor Yang said, greeted Zheng Ren, then turned and left the office.
The patient's loved one stood there dazed in the doctor's office, really finding it hard to believe that this young doctor before them was actually a capable person.
He hesitated a moment, put on a smile, approached Zheng Ren, and asked timidly: "Teacher Zheng, could you explain to me what spleen transplantation is about?"
Zheng Ren was about to change clothes and go home to find Xie Yiren, when the patient's family stopped him.
Although it delayed him a bit, Zheng Ren didn't mind.
"This is how it is: after a normal spleen removal, with an intact dorsal membrane, an accessory spleen may compensate for part of the spleen's function, possibly enlarging, which is a good thing.
But your loved one's situation is different. The spleen rupture, whether from a car accident or not, considering the circumstances, it's possible that splenic tissue fell onto the liver surface."
As Zheng Ren spoke, the patient's family imagined a seed falling into the soil, then going through autumn and winter, waiting for spring to sprout roots and shoots.
"The spleen's regenerative capacity is a bit weaker than the liver's, but still strong. For example…" Zheng Ren mused, "I have a patient who, after liver cancer resection, saw the hepatic tail lobe proliferate several times over two years, basically taking over the function of the removed left hepatic lobe."
"Spleen regeneration does have similar cases in academia. Some say the regeneration probability can be as high as 66%, which I view with reservation. But the possibility of regeneration does exist, and it's not small. Your loved one's condition is due to spleen regeneration."
"Don't be tense; it only takes a small surgery, it's nothing major."
The patient's family broke into a sweat; is a small surgery really just a small thing, do doctors always comfort people like that?
"Teacher Zheng, are you sure? To be honest, I've been to many places, and they all diagnosed liver cancer." The patient's family had countless questions; seeing Zheng Ren was easy to talk to, they asked a few more.
Feeling uneasy inside, just having someone talk could ease some anxiety.
"It can't be 100% certain, but from an imaging perspective, it's definitely a change in the spleen's imaging, not a tumor. Rest assured, removing it and doing a pathology will make it clear." Zheng Ren smiled; he fully understood the family's thoughts.
Seeing the patient's family still unwilling to leave, Zheng Ren pondered, then said.
"This is how it is: liver cancer, dubbed the king of cancers, has no specific first- or second-line chemotherapy. Before targeted drugs, the main treatments for liver cancer were two: surgical resection and interventional embolization."
That sentence hit the patient's family's concern.
"Your loved one has already received interventional surgery, but the fact shows the effect is not ideal. Therefore, the only option left is surgical resection. I believe the lesion is relatively localized, so the chance of successful surgical removal is relatively high."
The patient's family nodded repeatedly, but then in an instant they felt lost.
How did we end up talking about liver cancer?
"Teacher Zheng, is it really liver cancer or not? Why are you telling me it's liver cancer?" He quickly interrupted Zheng Ren to ask.
"Most likely not, but you're worried, aren't you?" Zheng Ren looked into his eyes and said seriously: "Then let's analyze from the worst-case scenario; that way, you might come to accept it more quickly in your heart."
"Um..." the patient's family froze for a moment, then gave a bitter smile.
Indeed, that's the case.
Teacher Zheng has said many times it's not cancer, but happiness came too suddenly, and I can't accept it.
Still, looking from the worst-case angle seems better.
"Whether it is or not, resection is the best choice. So I suggest you hurry and bring your loved one to Di Du, then see Professor Yang to arrange admission. He's currently quite interested in your loved one's condition, so no need to wait in line." Zheng Ren appealed to emotion and reason, and a few words got the patient's loved one nodding repeatedly.
That statement is true.
……
Yang Rui walked out of the interventional doctor's office, also feeling a bit tired; after an overnight surgery, he left the operating room and spent half a day in the ICU caring for patients, and at noon he performed four surgeries in a row.
His body could barely take it.
First go to the ICU for a quick look, then head home to rest. Handing the post-op patient over to Dong Jia for handling is still relatively reassuring.
He was mulling things over in his mind when he ran into Professor Zhao head-on.
"Old Zhao, busy!" Yang Rui, though fatigued, still gave an enthusiastic greeting.
"How come you're here?" Professor Zhao, after his morning ICU visit, had been feeling somewhat down all day.
"It's not that there's a patient with an unclear diagnosis; I came to ask Boss Zheng for a hand." Yang Rui had no mind to guess the scheming of other departments; those matters had nothing to do with him.
"……" Professor Zhao was speechless; seeing Yang Rui's appearance, he had already guessed the outcome.
This Boss Zheng really can't be held back.
Could it be the posture of a fierce dragon crossing the river?
End of Chapter
