"Professor Yang, what do you think this pathological diagnosis is?" Dr. Wen still didn't give up.
It took him a whole day of research before he dared to confirm the diagnosis. How could he, a surgeon, figure it out so quickly? It only took him ten minutes to make the final calculation.
But from what Yang Ping said just now, it was clear that he already knew the diagnosis. In order to find out more, Dr. Wen still had to ask.
Dr. Wen loves the pathology profession very much and likes to delve into it. He believes that the professional barriers he has established cannot be broken down so easily.
"It is consistent with the pathological manifestations of high-dose radiation damage." Yang Ping answered with certainty.
Dr. Wen's heart felt cold again. He was afraid that he would have to run around the hospital three times in his underwear tomorrow. Dr. Wen's image as a noble gentleman in the pathology department would be ruined.
My professional barriers were actually broken by Yang Ping.
Song Zimo and Xu Zhiliang looked up at the same time. They hadn't seen what it was yet, but they knew from Dr. Wen's pig liver face that Yang Ping's diagnosis was correct.
"Tomorrow at noon, we will circle the hospital three times. Once a gentleman says something, it is hard to follow him." Dr. Wen gritted his teeth and said.
"Wear briefs!"
“The best cartoon yet!”
Song Zimo and Xu Zhiliang reminded.
"I know, I, Wen Ruzheng, mean what I say." Dr. Wen did not dare to look directly at this side. This lonely pathological man's heart was bleeding at this time.
It's not that you have to run along the hospital in your underwear, that's not a big deal, but that your professional dignity is hit, that's a big deal.
"How did you tell?" Dr. Wen wanted to know how he was defeated.
Yang Ping found a piece of paper and wrote down what he saw on it:
Right hand and right hip specimens: skin, fascia and muscle cells were all necrotic and massively disintegrated.
Bone marrow specimens taken from the right femoral greater trochanter and the distal end of the right radius and ulna showed that all cells of all lines in the hematopoietic tissue had disappeared.
Bone marrow aspiration in the necrotic area of the left upper limb and left lower limb showed that cells of various cell lines in the hematopoietic tissue were reduced or disappeared to varying degrees.
The local skin and skin appendages, subcutaneous tissue and skeletal muscles of the left thigh suffered extensive necrosis and diffuse bleeding, but the arrector pili muscle in the dermis remained.
A large number of epidermal cells in the skin of the left finger and palm showed vacuolar degeneration and necrosis, and formed vesicles of different sizes, resulting in separation of the epidermis and dermis, diffuse bleeding in the dermis, neutrophil infiltration, sweat gland epithelial cell degeneration, necrosis, and subcutaneous tissue
Diffuse internal bleeding and necrosis of a few fat cells.
Dr. Wen took the paper, read it several times, and looked at Yang Ping in disbelief. A fucking surgeon could see this.
Dr. Wen, who once considered himself a talented person in the pathology department, always felt that if God did not make me Wen Ruzheng, the pathology level of Sanbo would regress by three years. Now his self-esteem is deeply affected.
"We have to ask about the medical history again. If this is the case, I don't know where the radioactive source is. This thing can kill people." Yang Ping was worried about the radioactive source.
There is almost no possibility that the radioactive source is still on the body. If it were still on the body, he would probably be dead by now, and the people around him, such as his girlfriend, would definitely get sick, and he would not be the only one who would get sick.
But no matter where the radioactive source is, it is harmful.
"If the radioactive source was really damaged, this was a major public safety incident. If this report had come out a day earlier, it might have saved many people." Yang Ping was a little angry.
Dr. Wen felt very ashamed. Yes, why didn't I think about the dangers of radioactive sources? I still waited for Director Guan to come back before issuing a report. It's not that I have no sense of responsibility, but that I didn't think of it at all. I was the only one who read the pathology slides.
Just look at the microscope every day and take responsibility for the pathological slides. There are so many things to think about.
"Let's go up together." Yang Ping did not dare to waste time.
This matter was so serious that several people immediately rushed back to the orthopedic traumatologist's office.
The meeting has not ended yet. Director Tan is planning to perform emergency surgical debridement in the evening to remove necrotic tissue from the limbs to prevent secondary serious infection and toxins from the necrotic tissue entering the bloodstream.
The operating room is ready and we are waiting for the consultation meeting to end.
Professor Zhang and several directors were still talking. When they saw Yang Ping coming back, they asked:
"Xiao Yang, did you find anything?"
Yang Ping glanced at Dr. Wen and asked him to speak.
Dr. Wen was a little nervous: "From the pathological sections, it is consistent with the pathological manifestations of extremely high-dose radiation damage."
Yang Ping added: "We speculate that the patient may have picked up a radioactive source and put it in his right pants pocket. We need to ask the medical history carefully. If he really picked up a radioactive source, where is the radioactive source now? I'm afraid this
It’s a major safety matter.”
Radioactive source?
Professor Zhang's face immediately became very serious: "Then we need to confirm this immediately."
Director Tan and everyone were also livid. This is really a big deal. Where is the radioactive source? Is it still with you now?
If it is severe radiation damage, the patient's condition will be more complicated, and damage to the internal organs will soon appear.
If it is really a radioactive source injury, you will need to be transferred to a hospital that specializes in radiation injury treatment.
"I'm going to ask about the medical history again, and immediately notify the nurse station that no one is allowed to approach Zhang Tiejun's ward for the time being." Professor Zhang stood up without hesitation.
Yang Ping wanted to follow Professor Zhang to the ward, but Professor Zhang disagreed: "You all stay there and don't move. I'll go and ask questions before talking."
Professor Zhang did not let anyone else go and asked for medical history by himself.
Professor Zhang has his own concerns. If the radiation damage is really caused by the radioactive source, if the radioactive source is still placed on the body, everyone will be affected. As an 80-year-old person, there is nothing to fear.
Arriving at the ward, Professor Zhang called the two trainees out and asked them to go back to the doctor's office.
He also called Zhang Tiejun's girlfriend out and asked her to sit in the lounge for a while, saying that he and Zhang Tiejun would discuss his condition alone.
After calling all the irrelevant people away, Professor Zhang began to ask questions: "Zhang Tiejun, please recall carefully, did you pick up any metal objects before you fell ill, especially the bright ones that looked very beautiful? This matter is very special.
Importantly, it is related to how to treat your disease, because we judge that the necrosis of your limbs is radiation damage."
The old doctor in front of him suddenly asked this. Zhang Tiejun's face had a gloomy expression, as if he was trying his best to remember. He thought for a long time, scratched his head, and then said: "Professor, you reminded me like this. When I think about it, there is such a thing."
What happened, many days ago, I picked up a shiny bracelet among the rocks under a bridge."
"Where is that thing now? Is it still on you?" Professor Zhang asked immediately.
"No, I picked it up and put it in my pants pocket. Later I found that the pocket was torn and I didn't know where it fell. I didn't pay attention to it, so I forgot about it later. Now that you ask, I remembered it." Zhang Tiejun saw Zhang Tiejun.
The professor's expression was solemn and serious, knowing that he was asking about important matters.
"Why didn't you say anything then?"
"I don't know what else to pick up when seeing a doctor."
"Which pocket did you put it in?"
"It should be on the right."
"when did it happen?"
Zhang Tiejun had sweat on his forehead: "It must have been the morning of the day when I got sick. I was running on the bridge and saw something shining under the bridge. So I was curious and went under the bridge to look. It was difficult to get past the place where the shining object was. I wasted no time.
I had to work so hard that my shoes were covered in mud before I got over, and I almost fell into the river. It turned out to be a bracelet. I thought it was a valuable thing like a diamond, so I quickly picked it up, washed it by the river, and put it in my pants pocket.
"
Professor Zhang took a deep breath, was it really a radioactive source injury?
There are almost two thousand radioactive sources left outside in our country that have not been found. Most of these radioactive sources appear to be metal parts, and some are relatively beautiful metal parts, which are very confusing. Therefore, these radioactive sources are potential killers.
Therefore, don’t pick up metal of unknown origin in the wild, especially beautiful ones like this.
After Professor Zhang asked about the medical history, he asked Zhang Tiejun to rest and prepare for emergency surgical debridement.
He immediately called Dean Xia, Director Han, and Director Zhao of the Medical Department. Director Zhao felt that this matter was not trivial and took it very seriously, and immediately reported it to the G City Public Security Bureau in the name of the hospital.
Professor Zhang returned to the doctor's office and told everyone: "I have asked clearly. It is really a radioactive source injury. The radioactive source is no longer on my body and fell in Shipo County. I have already reported the matter to the medical office."
If the patient is injured by a radioactive source, the problem is more complicated. You need to seek support from a professional doctor who is familiar with the treatment of radiation injury, or transfer to a professional hospital.
Currently, Imperial City 307 Hospital has rich experience in treating patients in this area.
Director Xia, Director Zhao and Director Han's homes were not far from the hospital, and they rushed to the department quickly.
These old comrades used to live in hospital dormitories, and later bought houses nearby one after another.
The office of the orthopedic trauma surgeon suddenly became lively, and everyone was talking to each other.
"The patient has a high fever now. What should we do next?" Director Tan asked Director Han for his opinion.
"The necrotic tissue must be removed, otherwise the transfer will be prone to risks. According to the original plan, emergency surgery will be performed tonight to remove the necrotic tissue. If the amputation is necessary, the limb will be amputated." Director Han said decisively.
"I'll contact the No. 307 Hospital in Imperial City and they will be sent there by helicopter tomorrow morning." Director Zhao was responsible for contacting the transfer hospital.
"What did the police say?" Dean Xia also wanted to follow up on the handling of the radioactive source, which was discovered by Sanbo Hospital.
"They have reported it to the provincial department. The police from the nearest police station will arrive immediately. The police and radiation experts from the provincial department will arrive later. They will learn from Zhang Tiejun about the route and scope of the day's activities in order to locate the scope of the radioactive source, which will then be blocked by the Shipo Public Security Bureau.
The area is locked, and radiation technicians are responsible for recovery." Director Zhao was also busy.
As soon as we talked about the police, the police arrived. The first to arrive were the police from the police station. They met Director Zhao and were accompanied by Director Tan to understand the situation and investigate the route of the day's activities.
This is a major public safety incident, and everyone is very nervous.
It is said that the provincial department has reported it to the provincial government, and the provincial radiation safety experts have been sent to Shipo by helicopter with detection and recovery equipment.
Leaders from the provincial government, the Public Security Department, the Emergency Management Department and other departments have also rushed to the front line.
These police officers are here to collect information to support the search for radioactive sources.
It is said that three waves of police will arrive one after another.
The diagnosis has been made clear. There is no point for the directors of various consultations to stay here. They can only watch the excitement and practice medicine for a lifetime. It is estimated that this is the only case of this kind.
Professor Zhang knew that the directors were in trouble and it was not appropriate to leave or leave them, so he said: "The diagnosis has been made clear. Let's all leave. We will be busy tomorrow."
The directors took this opportunity to go back to their respective homes and shook hands with Professor Zhang before leaving.
Professor Zhang just refused everyone to go to the ward, which made all the directors admire him.
Dr. Wen felt extremely ashamed when he saw such a big fight. If Yang Ping hadn't come to the pathology department to see the slides, he would have had to wait until tomorrow to issue a report. This would have wasted so much time and maybe someone else would have been harmed.
Dean Xia, Director Han and Director Zhao have been on the phone.
After the police finished questioning, they reported the situation to their superiors and went to the doctor's office to rest. They did not dare to leave because they had to wait for the next wave of police to arrive, and they might need to supplement the information at any time.
"The bottom of the bridge has been sealed off, and the police over there have started a carpet search. The range of activities I just collected has been reported. They will conduct area blockade and evacuation tonight. Experts from the province will go there with detection robots."
The police told everyone.
Dean Xia finished the call: "I have also reported the patient's condition. I will perform emergency surgery tonight according to your plan. We will send the patient to 307 by helicopter tomorrow morning. We will contact the province directly."
"Mr. Zhang, Xiao Yang, why don't you go back and rest? You can go back, as long as we are here." Dean Xia had time to talk to everyone after finishing his work.
He looked around and said: "Anyone who is not participating in tonight's surgery should go back. Everyone will be busy tomorrow."
"The opinion of the experts at 307 is to perform emergency surgery first and then transfer to their hospital after the operation." Director Han put down the phone.
"How did you figure out the diagnosis just now?" Director Han's attention returned to this matter. Because this patient had not been diagnosed for three days, a hospital-wide consultation was organized today, and the medical history did not mention this aspect before.
"The pathological diagnosis is consistent with the manifestations of extremely high-dose radiation damage, and then after questioning the medical history, the patient remembered picking up the metal bracelet before the onset of the disease." Professor Zhang answered.
"This kind of severe radioactive source damage is very rare. Who can see the slices?" Director Han really cares about this. Most people can't see it.
"Xiao Wen from the Pathology Department, Xiao Wen, come here." Professor Zhang always thought that Dr. Wen was looking at the slides.
Dr. Wen's face was red and his neck was thick, and his voice was a little strange: "I discovered it, but I didn't dare to report it. I wanted to wait until Director Guan comes back tomorrow before reporting it. Professor Yang just reminded me to report it in time after discovering it."
Dr. Wen is an honest and stammering person. He says one thing when he has something to say, and another thing when he says something else.
Yang Ping?
It's him again!
Professor Zhang and Director Han are used to this kind of thing.
PS: This case is adapted from the case of Song Xuewen in Jilin in the 1990s. This case is interspersed with this case to serve as a warning and tell everyone a piece of safety knowledge: Do not pick up metal parts in the wild. According to current statistics, more than 2,000 radioactive sources have been left outside and have not been found.
Because the results of the last recommendation were pretty good, today I will go to the Qidian client to recommend the best-selling products. If the results are still good, there will be more recommendations in the future. I sincerely ask you to show your support - monthly tickets, recommendation tickets, give it a try!
