Liu Muqiao raised his head and said: "I suspect that the patient has CA in the large intestine."
The director said in surprise: "Color intestine? Large intestine Ca, can you identify it from the MRI?"
This is indeed incredible.
The diagnosis of colorectal cancer relies on colonoscopy and then biopsy. You invented the use of MRI to diagnose CA. This is too unreliable.
Among abdominal tumors, intestinal cancer cannot be diagnosed with CT and MRI films, because the accuracy is low and the missed diagnosis rate is high.
Now Liu Muqiao was originally invited to perform pancreatic cancer surgery, but he found a new tumor, which caused trouble.
Deny him, how talented is this guy? What if he is right?
Accept his diagnosis, this is unlikely.
You know, the incidence of one type of tumor is one in a thousand, while the incidence of two tumors at the same time is far less than one in a million.
Therefore, there is a clinical law that it is impossible for a person to get two types of cancer at the same time.
Or organize another conference?
Director Qin is in a dilemma.
He hates Liu Muqiao a little and thinks he is meddlesome.
However, he also knew that if the diagnosis was missed, then Liu Miqiao would be the rescuer.
Logically speaking, the best way at this time is to add a colonoscopy, and then everything will be fine.
The problem is that the patient is not an ordinary patient, and it is more difficult to change the plan temporarily.
When he was in trouble, Liu Muqiao noticed it and said, "Director Qin, you seem to be embarrassed, right? It's actually very simple. Isn't it me who will be the surgeon tomorrow? I've done surgery on both cancers by the way, so there's no conflict."
Liu Muqiao said it very easily.
"Brother, do you know who the patient is? They should have told you, right?" Director Qin looked confused.
"I know, you told me before you came here." Liu Maqiao smiled easily.
"You don't feel any pressure at all?"
Director Qin couldn't believe it. He hadn't slept well for three nights, but you, Liu Maqiao, the surgeon, didn't feel any pressure? Have you seen too few scenes, and ignorant people are fearless?
"What kind of pressure is this? The condition is not complicated."
"Isn't it complicated? You said he has two types of cancer!"
"Two types of cancer, don't they mean one plus one equals two? Pancreatic cancer is in the tail of the pancreas, it's very simple. Colorectal cancer is in the descending colon, and it's not in the late stage. It's very simple to do a radical surgery."
For Liu Muqiao, these two surgeries are not worthy of his stage. They are two common cancers. Doing them at the same time does not increase the difficulty at all.
"But, that person's identity! Among the diseases you treat, who has the highest status?" Director Qin wanted to know about Liu Muqiao's ability to withstand pressure.
"That queen, you know her, I helped her with acupuncture. As for the surgery, I was the one who performed the surgery on the Malay dignitary, the current No. 1, who had pancreatic cancer."
Director Qin knows who it is.
I thought to myself, you have had a lot of experiences, why are you not stressed?
Liu Muqiao is really not stressed. Isn’t it cancer of the pancreatic tail and colon cancer?
Jiang Weiwei began to dislike pancreatic tail cancer.
Of course, for pancreatic cancer itself, whether it is the head or tail of the pancreas, surgery is considered a major surgery. It is usually performed by senior doctors with the title of deputy director or above, and the survival rate is not very high.
However, at Antai Hospital, tens of thousands of pancreatic cancer cases are performed every year, most of which cannot be handled by other hospitals, or are at an advanced stage, and are mainly pancreatic head cancer.
Pancreatic head cancer, in its advanced stage, is the disease that tests the skill of doctors.
The overall level of pancreatic cancer in Antai Hospital is much higher, so doctors at Jiang Weiwei's level have already conquered pancreatic head cancer, and pancreatic tail cancer is completely for young doctors to practice.
After four years as a resident doctor, you can try to treat pancreatic tail cancer.
Therefore, Liu Muqiao has no psychological burden.
Colorectal cancer is not a difficult surgery in the first place. It is very common for county-level hospitals to perform radical resection of colorectal cancer, and even some larger township hospitals can also perform this kind of surgery.
For general colorectal cancer surgery, laparoscopy has been widely used.
Will such an operation be stressful for Liu Miqiao?
To say that there is pressure is nothing more than the person's social status, but it's not like Liu Maqiao has never seen big shots.
When he first debuted, when he was still an intern, he got to know the four elders in the capital. They were all powerful figures before taking a break.
In addition, Liu Muqiao's popularity has exceeded 100,000, so he won't feel scared when he meets anyone.
Liu Muqiao is not afraid, but Director Qin is.
"Professor Liu Muqiao, how sure are you about the diagnosis?" Director Qin asked seriously.
Liu Muqiao smiled and said: "How sure are you? I am absolutely sure. There is no need to worry about pancreatic cancer. For colon cancer, I can certainly confirm the diagnosis of colon cancer based on the gray value of CT and the T1T2 image of MRI."
, and I can also judge that it is stroke adenocarcinoma."
"Can you be sure of moderate differentiation?"
Director Qin smiled bitterly. He didn't believe it, because this was purely a pathological diagnosis, and he had never heard of imaging technology being used to determine the type of cancer.
Liu Muqiao nodded and said, "Yes, I have made many such judgments clinically, and they are almost always accurate."
Although the words were spoken very firmly and without any ambiguity, Director Qin was still very suspicious because it had exceeded his cognition and subverted his medical knowledge.
I discussed with Liu Muqiao what to do next, but obviously I couldn't come to a conclusion, because Liu Muqiao would handle it very simply and perform the two surgeries at the same time.
There is no problem in doing it together. The problem is that Director Qin does not believe that Liu Miqiao diagnosed him with colon cancer through MRI.
Liu Muqiao, it is permissible for you to suspect colon cancer, but it would be too much to draw an absolute conclusion.
He must report.
"I still have to ask for permission."
"No problem, it should be."
"Wait a moment."
"Please."
Director Qin went to report.
Several doctors who had been listening gathered around and said, "Guide and guide. Professor Liu."
Liu Muqiao was happy to tell them.
However, it is one thing to be willing to teach, and it is another thing whether others can understand. After talking for a long time, several chief doctors and deputy chief doctors seemed to understand.
Their ability to distinguish gray scale is so average that they can't tell the difference between area A and area B at all, almost!
Of course Liu Muqiao knew that they would not be able to learn. The reason why he taught them was just to pass the time, otherwise it would be embarrassing to sit in the department and do anything else.
At this time, Director Qin was reporting to the vice president. The vice president is the knife in the Department of Surgery at Peking University, and he is the final decision-maker on technology.
When big bosses in Beijing are sick, whether to go to Beijing University Hospital, Union Medical College Hospital, or Lu General Hospital is decided based on the advantages of each hospital.
The natural choice for pancreatic cancer is the First Hospital of Peking University. Liu Maqiao’s pancreatic cancer surgery is unparalleled in the world.
Vice President Shen frowned.
Where to put this face?
There were 7 consultations, 6 of which he attended, but no colon cancer was diagnosed.
What a slap in the face!
This chapter has been completed!