The Surgeon’s Studio Chapter 1300 - Hidden metastasis

Chapter 1300: Hidden metastasis

Zheng Ren had no idea what was happening in Chengdu. He said a few words to Department Director Kong and went to Dr. Mehal.
The two of them didn’t even have lunch and chatted until past three in the afternoon.
In the end, their conversation was interrupted by Zheng Ren’s ringtone.
[They’re saying that they should quickly write a love song for both elegance and vulgarity …]
Zheng Ren smiled apologetically and walked out with his phone.
“Boss Zheng? President Yuan wants you to go. ” The voice on the other side of the phone was very familiar. It was ye Qingqiu, director ye.
“Director ye?” Zheng Ren was stunned for a moment. Why was she asking him to go over?
“What’s wrong?”
“Oh, nothing. I just wanted to ask what’s the matter with the director?” Zheng Ren immediately asked.
“Elder li from the Chinese Academy of Sciences is here to see a doctor. I wanted to ask director Luo and director Kong to come over to take a look, but I thought of you.” Director ye said with a smile.
/
“Oh, I’ll go over now.” Zheng Ren said immediately. After exchanging a few polite words with director ye, he hung up the phone.
People with different social status would come into contact with different patients.
Usually, department directors had high social status, but they would never ask Zheng Ren to treat old Li of the Chinese Academy of Sciences.
‘This could be considered the task of the health team,’ Zheng Ren thought to himself.
Just as he was about to say hello to Dr. Mehar, his assistant, Fisher, stood at the door and motioned for Zheng Ren not to go in.
It turned out that the doctor had been excited for too long and had fallen asleep.
When one was old, one’s spirit could not keep up. However, it saved him the trouble of explaining to Dr. Mehal. Zheng Ren smiled and walked straight to the mechanism building.
On the way, he began to ponder about elder Li’s condition.
They were looking for Department Director Luo and Department Director Kong, so they must have been looking for liver cancer. However, under normal circumstances, the hospital director would greet the patient first before taking the patient directly to the inpatient department. This seemed to be more formal.
Who knew that Zheng Ren would come to Deputy Director Yuan’s office and knock on the door gently.
“Enter.” Vice President Yuan’s voice could be heard.
Zheng Ren pushed the door open and took a look. He did not see the old man or the RED system panel. Vice President Yuan’s room had a middle – aged woman in her forties. She was sitting on the sofa and talking to Vice President Yuan.
“Come, li, let me introduce you.” Deputy Director Yuan smiled and stood up. He said to the woman,””This is doctor Zheng from our hospital. He’s been nominated for the Nobel Prize in Medicine this year. He’s quite skilled.”
The woman stood up and reached out her hand. She said politely,””Doctor Zheng, it’s a pleasure to meet you.”
“You’re welcome, you’re welcome,” “Director,” Zheng Ren said as he reached out to shake her hand.
“Let’s all sit down and talk. ” “Elder li from the Chinese Academy of Sciences has been performing interventional Hepatobiliary Surgery in Beijing ever since he was diagnosed with liver cancer three years ago,” said Deputy hospital director Yuan. The postoperative effect was quite good, and the tumor has been completely extinguished. ”
Zheng Ren listened quietly. Zhou chunyong? He was pretty good.
“However, since a year ago, elder Li’s alpha – fetal protein level has begun to exceed the normal range. They come for a follow – up every two months, and the value of each examination is much higher than the previous one. ” It seemed like Deputy Dean Yuan had done his homework. Otherwise, he would not be so familiar with it.
Zheng Ren nodded, his mind searching for similar cases.
“Little Zheng, this is elder Li’s x – ray and laboratory report. Take a look.” Associate Hospital director Yuan said,”I’ve been to Beijing’s liver cancer Center, Peking Union Medical College Hospital, and Eastern Tuoshan, and I think it’s liver metastasis.” However, the exact location of the transfer …”
Vice Principal Yuan only managed to finish half of her sentence.
Zheng Ren knew in his heart that this was a relatively rare situation in clinical medicine. It was rare, but not rare.
He had seen a similar patient in the First People’s Hospital of Haicheng.
He was not a patient under Zheng Ren’s care, but due to his special condition, Zheng Ren remembered it.
The patient had just undergone a hepatectomy for liver cancer. There were no problems with the CT and MRI scans of the liver, but the value of the crustacean protein was particularly high.
In the end, the amount of alpha protein increased to over 2000.
The patient did not have any symptoms of his own accord. Even after all the examinations, they could not find the exact location of the metastases.
Liu Tianxing was helpless, so he asked the patient to bring the information to the Affiliated Hospital of the medical University for treatment. It was said that the Affiliated Hospital of the medical University did not give a definite diagnosis in the end. They said that it was for observation, and the patient went home.
Other than a high amount of alpha – fetal protein, there were no other positive results.
After a year and a half of observation, the patient was getting older, and his vigilance was not as high as before. The few brothers were all over the world, preparing for a gathering.
At this age, it was really rare to see her.
The patient was the boss, and his hometown was in Haicheng. Therefore, the meeting place was naturally Haicheng.
It was supposed to be a happy and joyous occasion, but during the banquet, the patient’s daughter – in – Law flew into a rage because of the accumulated grievances, and she started scolding her son at the table where they were reunited.
The old man caught a cold as soon as he got angry.
One week later, he felt bloated and came to the first hospital of Haicheng City for treatment. Liu Tianxing had been a little careless at that time. He had done a liver examination and found no problems.
In less than a month, the old man showed nerve symptoms, followed by high paraplegia.
It turned out that the metastases were located in the thoracic spine. As the body’s immune system declined, the tumor metastases grew explosively.
The old man passed away three months later.
This was a very regretful thing. Zheng Ren guessed that if it wasn’t for the quarrel at the banquet, would he have lived a few more years?
Zheng Ren had seen many similar cases in the system library.
There was no way to make a definite diagnosis for this type of metastasis. In the end, due to certain triggering factors, or even no triggering factors at all, the tumor would spread in a large area and grow explosively.
There was a time bomb in his body, but he didn’t know where it was. He could only wait. This was a very troublesome thing.
Other tumors rarely had this kind of situation. Only liver cancer would have this kind of hidden growth and eventually erupt.
‘Perhaps elder li is in the same situation,’ Zheng Ren guessed.
He stood up and walked to Deputy Director Yuan’s desk. He picked up the film bag and a folder. The film bags were arranged according to the date, and on the top was a PETCT from three days ago.
Zheng Ren’s heart skipped a beat. His guess should be right.
There should not be any problems with PETCT, which was why he was looking for medical treatment everywhere.
There was no film reader in Deputy hospital director Yuan’s office. Zheng Ren carried the film bag and folder to the window.
He took out the PETCT report and looked at it.
There was no tumor tissue found in the whole body, nor was there any activity in the liver tumor lesion. At least, this was the case on the glucose tolerance test.
From the report, elder Li’s condition was quite optimistic.
“Doctor Zheng, director Zhou recommended you to me.” Elder Li’s daughter said softly,”please help me take a look.”
Zheng Ren pondered for a moment and nodded. He did not say his guess, but took out the film and went through it one by one.
……
……
[Note: an old patient passed away with regret.] I’ve been thinking about this case for a long time and asked many teachers, but none of them could come up with a good solution.