Chapter 763

"Director Qi, hello." Su Yun and Han Tianjiao stood at attention at the same time and greeted respectfully.

"Xiao Han, who is doing it inside?" Director Qi glanced at Su Yun, and asked Han Tianjiao directly whether he knew him or not.

"It's Dr. Su's boss. He's here to do a B-ultrasound for an acquaintance." Han Tianjiao said.

Taking people to see a doctor is the most common thing in the hospital. If it is during the day, you will still be concerned about the feelings of other patients, and it is already a very qualified thing not to jump in line.

At night, there are no patients in line, just use the machine. If it is a hypocritical director, he will repeat the cost issue repeatedly to show his majesty. But director Qi is obviously not such a person, he doesn't care about such things at all.

Director Qi was concerned about the cholesterol granuloma in the chest.

The diagnosis of cholesterol granuloma is not made casually. Because it is difficult to distinguish between benign and malignant adenomas and granulomas by B-ultrasound.

The best way is to send for a pathological biopsy, instead of just doing a B-ultrasound to conclude that it is a chest cholesterol granuloma.

This is simply too imprecise.

"Which department?" Director Qi asked.

"Intervention." Su Yun bowed slightly, the usual acerbic smile disappeared, and a gentle and humble expression hung on his face.

Director Qi's first impression of Su Yun was quite good, especially this attitude, which was even more irresistible.

"Intervention Department? Director Kong's subordinate? Is Lao Kong back?" Director Qi asked questions.

"It's not Director Kong, it's Boss Zheng Renzheng." Su Yun smiled, looking gentle, but actually very tough.

Director Qi felt something was wrong, and asked with a frown, "Boss Zheng...huh? Is it the Nobel Prize candidate that Old Kong mentioned?"

"Yes." Su Yun said with a unchanged smile.

Just as he was talking, Zheng Ren came out from the inside and said as he walked, "It's cholesterol granuloma, but I suggest to do a biopsy first, and then wait for the pathology to come out. If you want to have an operation, you can do it in the outpatient clinic. Do it, it's okay."

"Boss Zheng?" Director Qi didn't dare to recognize Zheng Ren's appearance, so he asked tentatively.

"You are..." Zheng Ren stopped immediately, and his first thought should be Director Qi.

"This is Director Qi from the B-ultrasound room." Su Yun introduced again: "This is my boss, Zheng Ren."

"Boss Zheng, I've heard about the name for a long time, and Lao Kong is almost making my ears callous." Director Qi smiled and stretched out his hand.

Zheng Ren quickly stretched out his hands and shook Director Qi.

"Thank you for your praise." Zheng Ren said hastily.

Zhou Jinxi and Wu Xiaomei passed through the crowd, their bulging figures became the biggest obstacle at this moment.

Director Qi gave way, and several people followed behind him. Director Qi didn't rush in, but looked at Zheng Ren, and asked, "Boss Zheng concluded that it was cholesterol granuloma in the chest just by using B-ultrasound? Is the shape obvious?"

Asking this question... Zheng Ren felt a trace of murderous intent.

With B-ultrasound alone, Zheng Ren can only have a 60% probability of making a decision. But Zheng Ren acquired a new unknown ability. While doing B-ultrasound, he restored the image to the original data in his mind, and then re-sketched it. It's just that this ability seems to be very elementary, so Zheng Ren is not too sure.

However, mutual comparison is more certain than simple B-ultrasound diagnosis.

Various routine imaging examinations have their own characteristics.

X-rays are highly penetrating rays that can penetrate the human body.

The human body is like a piece of bread or a piece of cotton. You can't see the fiber texture inside, but it will be clearer when you crush it with your hands. The biggest disadvantage of X-rays is that images of deep and shallow tissues overlap and hide each other, and sometimes X-rays need to be taken multiple times from multiple angles.

CT is computerized tomography, which simply means sliced ​​bread.

B-ultrasound examination is based on the principle that ultrasonic waves produce echoes.

Ultrasound can propagate in a certain direction and can penetrate objects. If it encounters an obstacle, an echo will be generated. People collect this echo through the instrument and display it on the screen, which can be used to understand the internal structure of the object and assist in diagnosis.

That is, when picking watermelons, knock in advance to listen to the sound.

The MRI is to shake it and then look at it. (Note 1)

Each has its own advantages, and it cannot be said that MRI is better than CT. It's just that the most primitive X-ray film has gradually withdrawn from the stage of history, and only a very small number of diseases still need X-ray diagnosis.

After Zheng Ren obtained the B-ultrasound image data and restored it, he found that he could outline the CT image.

But it's no use.

Breast CT? There is no such inspection at all. As for why there is no such inspection, I can't finish talking about it for several days.

In the end, Zheng Ren converted the image data into breast MR. Although it was a little blurry, he barely reached the final conclusion.

Zheng Ren has not seen the MRI of the breast in less than ten years since it entered the clinic. I just saw relevant information in the system library.

Zheng Ren was also surprised by the MR image that could initially outline the breast. But who cares? As long as it can be diagnosed clearly, it is good.

The question Director Qi asked sounds like a discussion, but Director Qi actually dug a big hole.

Zheng Ren thought for a while, and felt that this matter was beyond words, so he smiled and said, "Director Qi, you see the patient first, and I will report to you after you finish your work."

The words were very polite, Director Qi was slightly taken aback, and then the way he looked at Zheng Ren also changed a little.

Zheng Ren and Su Yun came out, brushing shoulders with patients and their families.

The patient was a little boy about ten years old. His mother took him by the hand into the B-ultrasound room.

Seeing the red background and diagnosis on the system panel, Zheng Ren felt a little depressed. At such a young age, the tumor is already at an advanced stage, which is really embarrassing.

After coming out, Zheng Ren and Wu Xiaomei said: "You guys go back first, it's best not to eat or drink tomorrow morning. I see you did the preoperative examination in Shanghai, and tomorrow we will find an opportunity to do a pathological biopsy. Whether or not to cut it off depends on your own ideas."

Wu Xiaomei was in a state of bewilderment, and the more Dr. Zheng said it, the more it seemed to be true.

However, shouldn't this most beautiful thing be just imagined? Really?

"Zheng..."

"Little girl, the boss has already said it, you just follow what the boss said." Su Yundao, "If there is a problem, a pathology will be done tomorrow, and the truth will be revealed. You ask here and there, but in the end you are still confused of."

Zheng Ren touched Su Yun, Chang Yue glared at him, and Su Yun pouted.

He has nothing to do with Wu Xiaomei, unlike Zheng Ren, who performed the hernia repair operation on Wu Xiaomei's father at that time, which can be regarded as the relationship between the doctor and the patient's family.

But he is right, some things, no matter how many times they are said, are not as accurate as the gold standard of pathological examination in the end.

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Note 1: This metaphor comes from an article on the official website of Good Doctor in 2017. I feel that although the description is not perfect, it is simple and easy to understand, so I quoted it.