Sleepless Doctor

"Boss, I feel praise and admiration for your idea of ​​flying in the air." Professor Barak said reluctantly after a few seconds.

This sentence didn't mean anything, even Wei Dabao could hear it.

"Bellak, you haven't made any progress in watching the film. What progress do you show me? That's it? Haha." Wu Mian said lightly.

"..." Professor Barak did not comment on Wu Mian's judgment in general, but approached the reader and carefully looked at the difference between the three films.

"The second film, pay attention to the difference with the first one." Wu Mian said, "The actual nodular shadow is much larger than the first film."

"Teacher Wu, can..."

"How long is the tumor doubling time?" Wu Mian interrupted Professor Barack.

"40 days."

"Look at the time between the second CT image and the first one." Wu Mian said, "The tumor grows too fast."

"BOSS, what you said makes sense, but you can't deny the fact that the younger the tumor, the faster the tumor growth."

"No lymph node metastasis was found on the patient's image, and the third CT image denies your claim." Wu Miandao, "The third film tells you that instead of growing rapidly, the parenchymal nodular shadow is seen because of a different perspective. Going up and getting smaller."

"..." Professor Barak couldn't refute, and Teacher Wu turned around to frustrate himself with what he had just said.

Based on his understanding of Wu Mian, as long as he dares to refute, what is waiting for him is definitely a chain of logical evidence. The chain of evidence hit the face directly, making his face hurt.

This happened more than once, and Professor Barak had had enough.

"BOSS, that..."

"And for the first time, the patient found that hematochezia coincides with menstruation, although there is no further evidence..." Wu Mian groaned, then smiled, "There is no way to deny it is endometriosis, isn't it?"

"Boss, you are right. In any case, it is necessary to surgically remove, and then look at the major pathology." Professor Belak said weakly.

Wei Dabao laughed inwardly. It seems that Teacher Wu, you are right. This sentence is already a certain habit of Professor Barrac. It is like a catchphrase. You can say it subconsciously whether it is right or not, even if he doesn't think so in his heart.

"Bellak, we are discussing the patient's condition, so just say if you have any questions." Wu Mian said.

"BOSS? The patient's ca125 value is high." Professor Belak whispered his doubts.

"It's hard to believe you would ask such a stupid question." Wu Mian shrugged? "Wei Dabao, tell Barack the definition of ca125."

Wei Dabao stands at attention like conditioned reflex? Immediately recite? "CA125 is a glycoprotein detected by Bast et al. from epithelial ovarian cancer antigen in 1981 that can be bound by the monoclonal antibody OC125. The diagnostic sensitivity is higher? But the specificity is higher. Difference."

"Okay." Wu Mian smiled, "The serum CA125 level of patients with ovarian cancer is significantly increased? The CA125 level of those who are effective in chemotherapy and surgery will drop quickly. If there is a recurrence, the increase in CA125 can precede the clinical symptoms."

"Other non-ovarian malignancies also have a certain positive rate, such as breast cancer 40%, pancreatic cancer 50%, gastric cancer 47%, lung cancer 44%, colorectal cancer 32%, and other gynecological tumors 43%."

"Barack, a 32% positive rate, do you think this is decisive?"

Professor Barack looked at Wu Mian? said? "Boss, I think you are right."

"Tell me what questions you have." Wu Mian said.

"Non-malignant tumors, such as endometriosis, pelvic inflammatory disease, ovarian cysts, pancreatitis, hepatitis, liver cirrhosis, etc., have increased in CA125 to varying degrees, but the positive rate is low." Professor Barack did not make a negative statement. Views, but from Wu Mian's perspective to refute what he just said.

Wu Mian smiled.

"And if endometriosis is diagnosed? There is a reasonable explanation for the time point of the first bleeding and menstrual period." Professor Barack continued.

Wei Dabao was startled. Is this professor sick? Section Chief Wu asked to find something wrong, but he agreed with Section Chief Wu.

See if someone is flattering? Don't... Before Wei Dabao finished thinking, Professor Barack suddenly changed his tone? Saying? "But there is only one bleeding? What about other menstrual periods?"

Wei Dabao was completely dumbfounded. Professor Barak might not be schizophrenic.

Immediately, Professor Barack’s tone changed slightly and he became another self. “Patients often go to the doctor for unexplained nosebleeds, hemoptysis, hematochezia, blood in the urine, etc., who are mistaken for tumors, frightened, and finally found bleeding symptoms and symptoms. The menstrual cycle is the same, it is endometriosis."

"You didn't answer why I only have one time."

"Stupid guy! Most of the endometriosis, menstrual blood is not communicated with the outside world, cannot be discharged, and is "closed" in the body, resulting in severe pain, nodules, fibrosis, and even infertility and other clinical symptoms.

In a misdiagnosed case in the Department of Orthopedics of Massachusetts General Hospital the previous year, I still remember that the diagnosis that caused the patient's paraplegia was endometriosis. "

"What you said makes sense..."

"No, it's not justified, but the truth! It's the truth that the BOSS said personally!" Professor Barack kept changing his tone, cursing his previous self, "Endometriosis seriously affects women's health and quality of life, and The disease is extensive, diverse in shape, highly invasive and recurrent, and is a refractory disease.

It is clinically described as a benign disease with the biological characteristics of malignant tumors. These are basic knowledge, don’t you know? "

Wei Dabao looked at Professor Barak obsessively. He was afraid that this person might not be sick...

Wu Mian had been accustomed to it for a long time, and smiled, "Look, as long as you think about it, you will find that this is also a possibility."

"No, BOSS, you are wrong." Professor Barak said solemnly, "After full dialectics, I think it is endometriosis!"

"Shut up~www.wuxiaspot.com~Doctor Wei."

"Yes." Wei Dabao was very uncomfortable with Professor Barak's split, and felt quite bad.

"Trouble you to go with the patient's family... Forget it, let me go." Wu Mian regretted before he finished speaking, "I'll go and explain to the patient's family."

Shi Zhonghua watched Wu Mian and Professor Barak go all the way to the ward, his eyes straightened.

Wei Dabao had at least seen Professor Barak’s schizophrenia at the Xiangjiang Sanitation and Hospital. However, Shi Zhonghua never thought that there would be a split face to face, and it was not the first time that Teacher Wu was accustomed to it. It can't be the last time.

Is it really good to let him do the surgery? Will it split directly on the operating table?

In Shi Zhonghua's mind, Professor Barak directly "exploded" into half on the left and the right, standing on both sides of the operating table, one person as the surgeon and the assistant.