But when he heard Yang Ping's name, Fu Xiaotao immediately cheered up. When the doctor in charge told Fu Xiaotao that he wanted to ask Professor Yang Ping for consultation, the nurse who was making the bed of the discharged patient mentioned by the way: "If Yang Ping is allowed to consult,
Professor, take a look, I guess your disease is not far away from being cured."
Fu Xiaotao's parents heard what the nurse said, so they asked the nurse for details about Professor Yang. The nurse had the attitude of asking the right person. While making the bed, he kept talking, just like an insider telling a legend in the world, vivid and magical.
, whether it was true or false, the nurse’s words gave Fu Xiaotao and his parents a strong sense of expectation.
The complicated medical history seems to have no main line, and various atypical symptoms are pieced together. Indeed, this is like a rheumatology and immunology disease, but it is just "like". You cannot use "like" to make a diagnosis, you can only use "like" to make a diagnosis.
Make clues.
Yang Ping still has no way to figure out what the disease is. For a good doctor, if he encounters a disease that is difficult to determine, he still has a heavy weapon to use, and that is pathological diagnosis. Even if it is an unknown disease,
It can also infer the pathological changes of the disease from the pathological manifestations, thereby inferring the pathological mechanism of the disease and exploring what the disease is. Many new diseases are discovered through this method.
So Yang Ping decided to take the patient's swollen lymph nodes for pathological examination, hoping to find out what happened through the pathological changes in the lymph node tissue. This is the most reliable and effective method.
The medical history, physical examination and film reading have been completed. Yang Ping and everyone returned to the doctor's office and did some thinking while walking. The several diagnoses listed by the experts were not without basis. This was based on their own expertise.
The most reasonable judgment based on the perspective.
In diagnostics, there is a principle called monism, which is to try to use one disease to explain all the abnormal symptoms of the patient, because the patient is much more likely to suffer from one disease than multiple diseases.
"I suggest that the patient undergo a minor surgery and take pathological slices of the enlarged lymph nodes. Let's see what's going on from a pathological perspective." Yang Ping gave his own opinion.
At present, based on the comprehensive analysis of medical history, physical examination and auxiliary examination, it is temporarily impossible to determine what kind of disease this is. Removing lymph nodes for pathological examination may not be able to solve the problem, but it must be done now. In fact, lymph node puncture can also be performed, but sometimes the puncture cannot be obtained.
Real pathological tissue is not as reliable as direct surgery to remove lymph nodes.
It is impossible for all the tissues in a lymph node to be pathological tissue. There is a big problem with puncture. With such a small puncture needle, it is difficult to ensure that the punctured tissue is pathological tissue. Even if punctured multiple times, it is inevitable that the diagnosis will be missed. This is some lymph nodes.
The reason why patients with tumors still have normal diagnoses after multiple punctures.
Surgery to remove the entire lymph node can completely avoid the problem of missed diagnosis. If the lymph node is made into many slices, one of them will always be pathological tissue. If an enlarged and abnormal lymph node is taken, it is theoretically impossible to make pathological slices of the entire lymph node.
Diagnosis will be missed.
"Follow Professor Yang's advice."
Director Jiang agreed. In fact, he has no other choice now. This is Director Jiang’s last hope. Of course, if the disease has not been found out this time, Director Jiang will not have any psychological burden. Sometimes there is no clear diagnosis in internal medicine.
Being discharged from the hospital is not a strange thing.
Yang Ping took out his Montblanc pen from the upper left pocket of his white coat, and wrote down his consultation opinions on the consultation form smoothly. The handwriting was not sloppy. Compared to other doctors' flourishes, Yang Ping's handwriting was actually close to block letters, one stroke.
The structure can be seen clearly with just one stroke, which is very rare among doctors who have worked for many years.
The Montblanc pen is a small gift from August. Every doctor at the Institute of Surgery has one. It is the logo of the Institute of Surgery. However, Yang Ping's pen is a limited edition with Yang Ping's exclusive logo on it: Docter.
Yang.
"Do you want to go to the operating room for the operation? What time is more convenient for you?"
Director Jiang is a physician and is not very clear about some specific procedures of surgery.
Yang Ping replied: "You don't have to go to the operating room. It can be done under local anesthesia in the treatment room of your ward. You must sign an informed consent form before proceeding. Do you have a debridement kit? You also need a 2% debridement kit."
Lidocaine and a bottle of saline."
Many lymph nodes throughout the body are very superficial, and many people can easily feel them by themselves. Find an obviously large superficial lymph node, make a small incision, and completely remove the lymph node in a few minutes. Even if it is adherent, it will not affect the speed of the operation.
Yang Ping looked at the students who came with him. If there were experienced students, he could let the students do it. But there were obviously two students who came with him when he came. Why is there only one now?
It turned out that one of the students walked too slowly and missed the elevator. As a result, he was temporarily pulled by a doctor from a certain department to push a patient. His whereabouts are now unknown.
Now this student was a novice at the Institute of Orthopedic Surgery and did not have the ability to perform such a minor surgery, so Yang Ping decided to do it himself.
"Get things ready right away. I'm going to take the lymph nodes right now." Yang Ping urged Director Jiang.
Director Jiang was stunned for a moment. He obviously did not guess that such a small-scale operation would be done by the boss himself. Director Jiang was not slow to react just now, waiting for Yang Ping to urge him. He was waiting for Yang Ping to implement the work to the doctors below, such as
The following doctor, or the other doctors, had no idea that Yang Ping planned to do it himself.
Debridement kits, lidocaine, physiological saline, and of course sterile gloves, sterile specimen bags, and blades. These are all supplies that are lacking in the medical ward. Except for gloves, other supplies need to be temporarily prepared. Director Jiang issued the order, and Fu Xiaotao's
The doctor in charge and the head nurse started various arrangements. It was impossible to go to the warehouse to pick up supplies temporarily. They usually asked the surgery department for secondment.
During the secondment process, because there is a huge gap between internal medicine and surgery, people came over from time to time and asked how big the gloves should be, powdered or powder-free, and what specifications of blades to use, sharp, round, or curved.
If Director Jiang hadn't already started allocating supplies, Yang Ping would have simply called the doctors or nurses in his department to send a complete set faster. After many repeated communications, the Medical Oncology Department finally gathered the supplies needed for minor surgeries.
Of course, when they were arranging supplies, Yang Ping was not idle either. He drafted the informed consent form for the surgery, signed it, and talked about it all by himself. Director Jiang was by his side, but he couldn't help much.
The minor surgery was performed in the treatment room of the ward. The doctor in charge pushed Fu Xiaotao in a wheelchair and then helped him onto the treatment bed.
"Be my assistant!" Yang Ping ordered the students he brought.
The students were flattered and immediately began to help. Perhaps because of nervousness, it took several minutes to put on the gloves. Both gloves were wrinkled when they came on stage.
Yang Ping's movements were extremely quick. After local anesthesia, he raised and lowered the knife. No bleeding was seen. A lymph node was separated and fell into the sterile specimen bag. Director Jiang felt strange when he saw this scene. He always felt familiar.
Director Jiang felt that he must have seen a similar scene when he was a child, but he just couldn't remember it for the moment.
During the whole process, Fu Xiaotao felt no pain. He just felt that as soon as he lay down, it would be over. This was too fast. He even felt that he had not found a comfortable position just now.
The graduate student helped send the specimen directly to the Pathology Department. Wen Ruzheng from the Pathology Department was not in the department, and Director Guan happened to be there. Director Guan asked the graduate student which department sent the specimen in such a hurry. The graduate student replied that Professor Yang asked him to send it.
Director Guan immediately asked someone to take the pathological specimen in, and did not forget to say: "Let Wen Ruzheng handle this specimen. Call him."
The thing that Professor Yang Ping asked someone to deliver in person must be another difficult case. Director Guan knew very well that he was a little bit overwhelmed by this kind of specimen. Only Wen Ruzheng could chew it. Xiao Wen has a weird temper.
, but if he has real ability, Director Guan has always loved Wen Ruzheng very much, and is even planning to let him take over the position of department director.
After arranging the specimens, Director Guan asked the graduate student to bring a message to Professor Yang, and Wen Ruzheng would personally prepare and observe the pathological slices.
After the consultation, Yang Ping returned to the department. It takes a certain amount of time for the pathological diagnosis results to be obtained. Even if Wen Ruzheng handled it alone, the results would only be available 24 hours later.
At around six o'clock in the afternoon the next day, Yang Ping had just finished the operation and was discussing the case with Song Zimo and Xu Zhiliang in the doctor's office. He received a call from Wen Ruzheng: "I can see it, I can see it!"
"What did you see?" Yang Ping asked him. Wen Ru on the other end of the phone was silent and looked mysterious.
Since losing to Yang Ping and running naked around the hospital three times, Wen Ru has been struggling. During this period, except for eating, drinking and sleeping, he spent almost all of his time studying pathological knowledge. Today finally came the opportunity for revenge.
"Chat in person! Bring Song Zimo and Xu Zhiliang, are they both here?" Wen Ruzheng said, if these two guys are not here, they must change the time to chat in person.
So mysterious! Yang Ping called Song Zimo and Xu Zhiliang: "Let's go to the pathology department and see what Wen Ru is doing."
So the three of them came to the pathology department. Wen Ru was guarding a microscope, looking quite leisurely. He seemed to be waiting for Yang Ping to arrive: "Professor Yang, please sit down."
"How's it going? Have you seen Fu Xiaotao's pathology slides? What's going on?" Yang Ping asked him directly, not wanting to play some mysterious game with him.
Wen Ruzheng was not in a hurry to answer, but smiled strangely: "No rush, no rush, Professor Yang, how about we make another bet this time? The same bet as last time."
''Bet? What kind of bet?" Yang Ping had forgotten the last time Wen Ruzheng made a bet and ran around naked.
Wen Ru said confidently: "I have successfully deciphered this patient's pathological section. I am 100% confident that it will not be wrong. If you can also see it, I lose. I will run naked around the hospital three times. If you didn't see it, no."
Excuse me, how about you run naked around the hospital three times?"
Damn it, this was revenge. Yang Ping finally knew why he was so mysterious and asked to take Song Zimo and Xu Zhiliang with him. He just wanted to replicate the previous scene.
Let Professor Yang run naked! It’s exciting just thinking about it, haha, Wen Ruzheng has already laughed heartily in his heart.
''Why, you don't dare?" Wen Ru was showing off his provoking method at the right time, fearing that Yang Ping would retreat in the face of the battle and let him lose such a good opportunity for revenge. He got up from where he fell. This time Wen Ru was about to get up in a dignified manner.
Wen Ruzheng thought to himself, to be honest, I can count on one hand the number of hospitals in the world that can see this pathology slide. In the United States, only Mayo and Hopkins can see it. I, Wen Ruzheng
His level is not limited, it is now world-class. In China, it is estimated that only three or two can be seen. As a surgeon, Yang Ping's pathological knowledge is indeed powerful, but there is no way he can be so powerful. The professional barrier is still
Yes, this bet is 100% winnable.
If Wen Ruzheng hadn't been studying hard during this period, I'm afraid he wouldn't have been able to spot the opportunity this time. Opportunities are for those who are prepared.
"Let me take a look---" Yang Ping wanted to take a look.
Wen Ruzheng immediately stretched out his hand to stop Yang Ping, blocking his body in front of the microscope: "Let's talk about it first, do you want to gamble or not? If you don't gamble, you will admit defeat."
"Wen Ruzheng, what are you doing? Everyone is very busy and don't have time to play tricks with you. Please tell me what the disease is." Song Zimo said impatiently.
Wen Ruzheng immediately said displeasedly: "Master Song, why are you all afraid? Did I, Wen Ruzheng, be afraid last time? If I lost, I would still run around naked for three times."
"In this way, we are afraid that you will be embarrassed again. We are all brothers. There is no need to be so cruel." Xu Zhiliang and Wen Ruzheng said seriously.
Song Zimo also advised him: "Yes, just one time is enough. I need to do it twice. Is your muscle volume improving recently? I want to show it off."
When Wen Ruzheng heard this, he felt even more unhappy: "You don't have to worry about me. I'm willing to accept defeat. What's the matter? Do you dare to gamble?"
Song Zimo shook his head. He had seen people who were not afraid of death, but never this one: "You can't wear underwear this time!"
"Okay!" Wen Ruzheng didn't even think about it.
Yang Ping sighed and said: "Dr. Wen, in our relationship, must we do this? Is there no room for relaxation?"
"No! But don't worry, if I, Wen Ruzheng, lose again, I will never run away and run around Sanbo Hospital three times without wearing internal medicine." Wen Ruzheng was determined.
Yang Ping had no choice but to say: "Okay, let's bet!"
Only then did Wen Ruzheng let go and put Yang Ping over. Yang Ping sat in front of the microscope, looked at it, and said in less than a minute: "Castleman's disease!"
Upon hearing the diagnosis reported by Yang Ping, Wen Ru was like a thunderbolt, turning to stone on the spot. He couldn't believe his ears.
"Brother, choose your own time and remember not to wear underwear!"
Song Zimo patted the petrified Wen Ruzheng on the shoulder, and the three of them rushed out of the pathology department after getting the results.
''Xiao Wen! Are you okay?" Director Guan came out of the office and saw Wen Ru sitting on the chair, like a wood sculpture, with an expressionless face.
"Xiao Wen! Xiao Wen! Xiao Wen!"
Director Guan shouted three times, but there was no movement from Wen Ruzheng. Director Guan was startled and immediately came over. What could have happened? Why was he motionless?
"Oh it's all right!"
Wen Ruzheng finally spoke up.
"I was shocked. I thought you had a cerebral infarction." Director Guan took a deep breath.
