Chapter 879: with translation of chapter title

Like a master painter, a simple sketch quickly appeared on the A4 paper.

Looking at this drawing, Mu Tao's eyes lit up.

Without explanation, Mu Tao seemed to have already understood several important points. Going back to compare the Nuclear Magnetic Resonance diffusion images, he thought there should be a new breakthrough.

"Old Mu, I won't explain it to you; go back and look yourself." Zheng Ren said after finishing the drawing: "If anything is unclear or you have doubts, just leave me a message, or come early tomorrow and we'll discuss it together."

Mu Tao nodded, he understood Zheng Ren's meaning.

Chang Yue went to call the next patient's family; Mu Tao watched Zheng Ren still lost in thought, and a myriad of feelings surged in his heart.

This is selfless teaching, yet fearing he might not understand, he tried every means to have it explained to himself.

With a normal person's mindset, this is just a damn idiot!

This thought flashed through Mu Tao's mind and was gone.

Human society's rapid Progress, isn't it precisely because of such people? Edison obtained venture capital investment, summarized predecessors' experience, before all the money ran out he produced the light bulb, and sought to monopolize direct current.

He kept suppressing Tesla, but alternating current still emerged as needed, shattering Edison's beautiful dream.

Tesla did not use the alternating current patent to obtain what now looks like tens of billions of dollars in patent fees; everything was free to use.

This move greatly promoted the application of alternating current.

What Zheng Ren did is exactly this kind of thing.

Great goodness!

Recalling the first time I encountered Zheng Ren in Di Du, all the way through scenes in Pengxi Xiang, and up to now, Zheng Ren's image has become three-dimensional and vivid in Mu Tao's mind.

In the following explanations, each time Zheng Ren drew a simple diagram for Mu Tao.

Mu Tao kept the images, made marks, and carefully stored the pictures, waiting to review them thoroughly later.

Unfortunately, Shou Bing are too many, time is too short, Mu Tao fears he cannot fully study before the Shou Bing.

Following Zheng Lao Ban in research is much better than at the Mayo Clinic; Mu Tao sincerely sighed.

After the three patients in Xiao Hua Nei Ke finished their consultations one after another, Zheng Ren greeted the Inpatient Chief, then took Chang Yue and Mu Tao to Gan Dan Wai Ke.

It was lunchtime, and Zheng Ren also didn't want to disturb Yang Rui, Professor Yang's rest.

But upon arriving at the Gan Dan Wai Ke doctors' office, Zheng Ren saw Yang Rui reading films, an abdominal CT.

"Brother Yang, I'm here." Zheng Ren also wasn't polite, giving a hearty greeting.

"Zheng Lao Ban, come here." Yang Rui didn't take his eyes off the film, just calling Zheng Ren over.

"Huh? What film?" Zheng Ren asked.

Professor Yang's appearance surely meant he wanted to look at the films together and make a diagnosis.

"It's a 62-year-old female patient; during a check-up they found changes in the gallbladder area, so they did an abdominal CT." Professor Yang said: "Below liver segment four, the gallbladder area has no gallbladder, only a cystic wrapping. There are calcified deposits, looking somewhat strange, like a porcelain gallbladder, but different from the porcelain gallbladders I've seen before."

"Oh? No gallbladder?" Zheng Ren walked over, asked first, then propped his chin and began reading the films.

On the CT, the gallbladder area's imaging resembled a large bubble; where the gallbladder originally was, the gallbladder had disappeared, and a huge cystic mass appeared there, with uneven texture, looking quite strange.

Is it a tumor?

Zheng Ren didn't think so. Generally, tumors are solid; cystic ones are rare.

What is it?

Mu Tao glanced at the film and also became interested.

Those who do interventions, aside from Zheng Ren this monster, are basically doctors from imaging backgrounds.

Whether it's X-ray plain films, CT, or Nuclear Magnetic Resonance, they all have some study.

This film is interesting; Mu Tao temporarily forgot about the patients with late-stage cirrhosis undergoing TIPS Surgery, and like Zheng Ren, began to look at the films.

Chang Yue was quite helpless, going out to see patients together with Chief Zheng, really wasting time.

We said we'd see patients, but ended up stopping again at an abdominal CT; when will we finish the work?

"But soon, not a few Minutes later, Zheng Ren said: 'Brother Yang, I think your porcelain gallbladder is correct, and there is malignant tissue inside the gallbladder.'"

"I'm thinking the same." Yang Rui said: "Zheng Lao Ban, are you interested?"

"Huh?" Zheng Ren tilted his head to look at Professor Yang: "The patient is already hospitalized?"

"Hospitalized." Professor Yang said: "I can perform the surgery, but the chance of completely removing the porcelain gallbladder is low. Which day do you have time on your side?"

"Tomorrow I have to do TIPS Surgery, the day after?" Zheng Ren's hand was a bit itchy, he hehe laughed, and said.

Porcelain gallbladder refers to a special shape of the gallbladder wall that becomes hard, brittle, and pale blue due to calcification.

In clinical pathological features, porcelain gallbladder has its particularities.

Since Cornell first reported and proposed the concept of 'porcelain (type) gallbladder' in 1959, abroad there have been sporadic related publications.

It specifically pointed out the correlation between porcelain gallbladder and gallbladder cancer. Porcelain gallbladders are prone to accompany gallbladder cancer; porcelain gallbladder cancer mostly occurs in the gallbladder body, occasionally seen at the bottom and neck.

This patient before us shows a tendency toward porcelain change in the entire gallbladder.

Therefore, such calcified lesions should preferably be completely excised; if shattered, they could lead to tumor implantation and metastasis.

But as the name suggests, the whole gallbladder is already as fragile as porcelain; wanting to completely cut it out is easier said than done.

Therefore, Professor Yang, without hesitation, invited Zheng Ren to join the surgery when Zheng Ren arrived.

All autologous liver transplants for hydatid disease are done by Zheng Ren; Yang Rui, in front of Zheng Ren, no longer needs to worry about saving face.

I myself lack full confidence; since Zheng Lao Ban can do it, let's just do it.

But porcelain gallbladder is only a preliminary diagnosis; Zheng Ren also asked about the patient's liver function, hydatid antibody, CEA, and CA19-9 test indicators.

All test examinations were normal; past medical history and family history were unremarkable.

"Considering a simple porcelain gallbladder is likely, no malignant area seen." Zheng Ren finally said: "But the surgery still needs caution; the day after tomorrow I'll go on stage, Brother Yang, give me a call, I'll lend a hand."

"All right." Yang Rui laughed and took the film down.

"Two patients with end-stage cirrhosis, come on, I'll take you to see them." Yang Rui didn't rest either, bringing Zheng Ren to first see the patients, then one by one calling them to the doctors' office, Zheng Ren explained the condition to the patients' families.

Yang Rui isn't very interested in Zheng Ren's drawings, after all he's a surgeon; seeing the bloody liver area makes him nauseous, how could he still be interested in a sketch?

It is estimated that only a doctor like Zheng Ren, who spans general surgery and intervention, could produce such a sketch.

After finishing communication with the patient's family, Zheng Ren and Professor Yang greeted each other and then returned to the Intervention Department.

Chang Yue did not follow Zheng Ren; she stayed behind and directly explained to the patient's family the matter of the surgery live broadcast.

As for Mu Tao, he could not wait to take his leave from Zheng Ren, taking the image data and the sketch to find a place to study them.