864 Bones on the Belly (Leader cws66824)
Yu Jianshui was stunned for a moment, and then he was overjoyed.
At this time, as long as someone says it is not a cancer metastasis, he is willing to believe it. But Boss Zheng said it, and it seems that it is more powerful.
"Boss Zheng, Boss Zheng, what do you suspect?" Yu Jianshui asked anxiously.
"Prosperity." Su Yun glanced at him with contempt and said.
"I'm considering it being ectopic ossification." Zheng Ren said.
"Don't ectopic ossification often appears near large joints?" Su Yun asked with a frown.
Yu Jianshui knows the word ectopic ossification, but that is something I reviewed before the exam. Since clinical practice, for a urologist, there has been very few... no contact with the disease of ectopic ossification.
He tried hard to recall what ectopic ossification was.
"Didn't you say it all, it often appears near large joints, such as hip joints and elbow joints. But there is a low probability that events will appear in other locations, such as the patient in front of you." Zheng Ren shook the ct film in his hand and smiled: "Don't worry, Mr. Yu, it's okay."
Yu Jianshui said it was certain and smiled relaxedly.
Epitopic ossification refers to the appearance of osteoblasts in soft tissues and the formation of bone tissue. Yu Jianshui recalled the definition of this word. If it is varitopic ossification, many difficulties can be explained, such as ct-appearance, local calcification foci.
But... incisions, ectopic ossification, how unreliable it sounds.
"Boss Zheng, how did this kind of ectopic ossification form?" Yu Jianshui asked in a low voice.
"The inducing factors may be neural and bioelectric factors, but so far, there is no definite statement." Zheng Ren said: "Most of this kind of change will appear near the large joints, starting to be red, swollen, and finally after bone formation, leading to joint movement disorders."
"In fibrous connective tissue, primitive cells proliferate and active with rich capillary networks, calcium salt deposits, forming bones. Mature ectopic ossification has a bone structure, the outer layer envelops fibrous connective tissue, inside are osteoblasts, trabecular knots and bone-like tissues, and the center is active primitive cells." Zheng Ren pointed to the film and said, "The images in the film are exactly the same as the definition of ectopic ossification."
"Boss, it's useless to say so much." Su Yun blew a breath, his black hair floating, "Isn't it okay to cut it down directly for pathology?"
"No." Zheng Ren said firmly.
“…”
“…”
Su Yun and Yu Jianshui were both stunned for a moment.
Generally speaking, the gold standard for judging whether an abnormal hyperplasia is a malignant tumor is pathological diagnosis. If you have any doubts, you will perform a puncture biopsy and send a pathological diagnosis.
This is already a fixed clinical thinking.
Why did Zheng Ren say no?
"Assotopic ossification was first recognized in large numbers during World War I. Knock injuries and spinal cord injuries are considered to be the cause of induced ossification. But subsequent studies have shown that this is only part of the cause."
"Urgent tract infection is also one of the causes of this inducement." Zheng Ren said: "The specific mechanism is not clear, it's just a guess."
Su Yun sighed. Judging from the existing medical science, many diseases have not been concluded. In other words, there are big minefields everywhere, and one foot is a piece of cake that can be broken into pieces.
Epitopic ossification is quite good. Although ossification of incision is extremely rare, it will not cause death to the patient.
If it is really a violent disease, such as the malignant high fever encountered by the boss...
The more I thought about it, the more I felt tired. Su Yun sighed and said, "Boss, why are you not wanting to do it anymore?"
"Because you know more and contact more, the unknown is just..."
"Stop, don't give me chicken soup." Su Yun raised his hand and said, "You haven't said why you can't cut it."
"It is still the osteogenesis stage now, and if it is cut off, it will be longer. It will take 9-12 months or the ossification is mature and the ossification can only be performed after the ossification is still. After the operation, use disodium etidronate and take it for one year orally."
"Cell level?" Su Yun asked
"Probably."
"Can you rely on some tricks?"
"The research institution has not concluded, and I have never read recognized useful materials." Zheng Ren was also helpless and put on the film.
"Mr. Yu, let me tell Director Miao." Zheng Ren said: "If it's okay, I'll leave."
"That..." Yu Jianshui hesitated a little, trying to say something, but he was very embarrassed.
"The film is already very clear, don't worry." Zheng Ren knew what he was thinking about, and smiled and patted Yu Jianshui on the shoulder, comforting him.
"It won't delay the condition, right?" Yu Jianshui said in a low voice.
"You can't understand the words." Su Yun was unhappy and directly replied, "It's okay, what's the point of delaying it? Are you looking forward to a tumor?"
"Brother Yun..." Yu Jianshui said quickly: "Aren't you particularly afraid?"
"No." Zheng Ren smiled and said, "If you care, it will be messed up. If patients in other departments or see them in the outpatient clinic, I believe you can also give the correct diagnosis."
After saying that, Zheng Ren opened the door of the duty room and walked out.
Mr. Yu did not leave. He was silent for a moment, picked up his cell phone and called Director Miao.
"Director, I just met Boss Zheng, so I looked at him and took a look at the movie."
"Yeah, I happened to meet it."
"Boss Zheng said it was anotopic ossification."
"Oh, Director Chu thinks so too? That's good, that's good."
"Okay, let's talk about it when you come back." Yu Jianshui hung up the phone and was stunned when he looked at the movie bag.
Boss Zheng and Director Chu have the same opinion, that's good, that's good.
The patient's condition recovered well, and there was no metastasis of other organs, and the urea nitrogen and creatinine were not high.
If the incision transplantation transfer is ruled out, there is hope for survival for more than 5 years, and it can even be said that there is great hope.
No problem, that's fine.
President Yu breathed a sigh of relief. On this day, he scared himself. Yesterday the patient came for a review and was given a local film. Director Miao was worried about the resolution issue and asked the patient to do one on this side.
Since the surgery was done, Director Miao took the patient to have an examination, and he has been very nervous, and now he is finally relieved.
It's okay, that's fine.
But I found time to invite Boss Zheng to have a meal and contact him. Yu Jianshui thought to himself. He looked up but didn't see him. He had something he couldn't do, and he pointed at Boss Zheng to help him next time.
This time, Yu Jianshui asked about the incident of malignant high fever in the operating room. According to Director Xu of the Department of Anesthesiology, if Boss Zheng was not there, he would not be so perfect.
It was like Boss Zheng who had experienced successful rescue of vicious high fever. After everyone recalled, they found that Boss Zheng was indeed busy without being confused. Every command was extremely targeted.
Such a person should have a better relationship with him.
Yu Jianshui made up his mind secretly.
Chapter completed!