I Spent Those Years In the Operating Room Fighting Monsters

After Lu Cheng tidied up the house, he didn't sit still. First, he followed Fang Nixin's suggestion and read the literature on thyroid, breast, and Ewing's sarcoma.

Now that I have decided to take advantage of the relatively abundant time now, I want to get in touch with basic experiments, so I have to start.

Lu Cheng just glanced at the more classic articles, and found that in the field of Ewing's sarcoma, there is only one targeted drug for Ewing's sarcoma, and it is only for distant metastasis staging, that is, before the end stage. patients with better outcomes.

And it is not effective for all patients. Although the monoclonal antibody drug was made by Lu Cheng's master Lin Hui, it still has no effect on some patients.

On the other hand, in the field of breast cancer, there are only three or four kinds of corresponding specific targeted drugs that Lu Cheng has seen.

At present, breast cancer is one of the few tumors in the field of tumor diagnosis and treatment that has formed a standardized surgical diagnosis and treatment.

The depth of research on orthopedic-related tumors is far worse than that of breast tumors.

Of course, the research results of breast tumors can only be used as a reference for orthopedic-related tumors, but not popularized. Otherwise, some people have already brought breast cancer drugs to the field of orthopedic oncology for trial.

The cells and glands in each part of our body, as well as their own environment and functions are different, so the clinical manifestations and pathological mechanisms after illness are also very different.

A long way to go.

However, no matter what, at least, on the way ahead, with Lin Hui as the trailblazer, at least he knows how to study new topics in the field of Ewing's sarcoma in orthopedics. Talk to the door.

The most talked about tumor is staging.

But Lu Cheng carefully reviewed the relevant information and literature, but found that other orthopedic tumors have staging, which are mostly used for Enneg staging, and even giant cell tumor of bone has its own unique staging.

But Ewing's sarcoma does not have its own unique staging system.

Still not researched enough.

Lu Cheng didn't understand it himself, but he could ask his master Lin Hui for help.

After making a phone call and chatting for more than two hours, Lin Hui almost gave everything.

But Lu Cheng didn't get an accurate answer either, it was similar to the Enneg staging, and Lin Hui also gave a certain amount of guidance on the corresponding steps and plans. Without a specific plan, Lu Cheng and Fang Nixin could only find it themselves.

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Currently, the Enneg staging of bone tumors consists of GTM. G is pathological grade: G0 is benign, G1 is low grade, and G2 is high grade. T is the anatomical location of the tumor: T0 is the benign tumor confined to the bone, T1 is inside the compartment, and T2 is outside the compartment. M refers to transfer: M0 has no transfer, M1 has transfer.

Lu Chengcheng first went to the Second Orthopedic Ward and found the director of the Second Orthopedic Ward, Director Liu Jun.

Explaining the intention of the visit, Liu Jun is very welcome.

Although he is the director of the Department of Bone Oncology, and his academic performance is excellent, he is still much worse than Lu Cheng's teacher, Lin Hui, so when he learned that Lu Cheng wanted to further study Ewing's sarcoma when.

He was very cooperative and said that if Lu Cheng needed any help, he could provide manpower and laboratory support.

Well, Liu Jun's academics are good, and the hospital has its own dedicated laboratory.

In addition, Liu Jun and Lu Cheng also exchanged some experiences and ideas in the field of bone tumor research, and also told Lu Cheng that if the Department of Orthopedics in the current Second Xiangya Hospital wants to evaluate the next national key discipline construction project, The only bad thing is in the academic field.

In the current orthopedics, the most vacant and blank area in the academic field is bone tumor, so I hope Lu Cheng can do it well and work together to make up for the weaknesses in the research field.

He is studying osteosarcoma. Although it does not belong to the same tumor as Ewing's sarcoma, the source is all stroma. During the experiment, there will be many experimental reagents that are commonly used. Lu Cheng can discuss with Fang Ni if necessary. Xin went to his laboratory and used it herself without Lu Cheng's subsidy.

Moreover, after having in-depth contact with Director Liu Jun for a long time, Liu Jun also said something that touched Lu Cheng quite a bit.

That is, in the Second Xiangya Hospital, although there are many research groups in the Department of Orthopedics, for example, Qu Hongsheng is also studying bone tumors, and people in spine surgery are also studying bone tumors, but in fact these research groups are completely rushing articles and topics.

For the construction of disciplines and academics, there is no special idea.

Before Liu Jun, he couldn't stay, even if he had a lot of articles as support, it was difficult to stay. He was the former director of the Department of Orthopedics, that is, Liu Jun's mentor. He patted the table in front of the hospital leaders. That's what stayed.

Now that so many years have passed, he still has no special substantive construction in academics. One is that he has not really hosted a project for a long time, and the other is that he cannot find like-minded people.

After knowing that Lin Hui was an academic leader before, he visited Lin Hui, but Lin Hui couldn't get out of his inner obstacles and was unwilling to cooperate. He felt quite regretful...

Liu Jun also donated a lot of information to Lu Cheng, including some clinical data of current and past patients in the department collected by Liu Jun himself.

This surprised Lu Cheng greatly.

After Liu Jun left, Lu Cheng reflected and realized how lucky he was to be able to stay in the hospital.

Everything is because I went to the magic capital, and I was in the vascular surgery department by accident, and made a big move in the world-class field, and then some large hospitals in the magic capital and Kyoto robbed people, otherwise, It is almost impossible for Lu Cheng to stay.

In the Second Xiangya Hospital, from the perspective of Changshi No. 1 People's Hospital, it is a third-class general hospital with a good academic atmosphere and strong professionalism.

However, from the perspective of the No. 9 Modu Hospital, the Orthopedics Department of the Second Xiangya Hospital is indeed very professional, but it has reached a very delicate tipping point. If it does not take such an innovative step, now The position of the Orthopedics Department of the Second Xiangya Hospital has to be lowered.

At present, the clinical level of the Second Xiangya Hospital is at the top of the routine field, but these surgical procedures are actually being carried out gradually in prefecture-level city hospitals.

Liu Jun really wanted to throw away the brand of the Second Xiangya Hospital in the field of osteopathy.

Liu Jun also said that although he was the only one invited to the conference organized by the International Orthopaedic Association in the Second Xiangya Hospital, in fact, the lectures he taught there were still not innovative enough and were still a bit cliché, and some people even watched his lectures. From the beginning, you can guess the end.

Of course, Liu Jun also felt that Lu Cheng's appearance might affect some of the hospital's follow-up decisions...

Lu Cheng pondered for a long time and decided not to think about this more sensitive topic.

In this world, no position is reserved for the top people, it is only reserved for the most suitable people.

Lu Cheng first collected the basic information of the patients in the hospital and the patients with Ewing's sarcoma who had been hospitalized in the last month, and then checked them one by one. Unfortunately, through the review of the medical records, Lu Cheng found that the examination data of some patients were from the lower level. If it is brought by the hospital, it may not be queried through the hospital's system.

Among all the existing patients, there are only 3 people with Ewing's sarcoma, and they are neither too old nor too young.

Lu Cheng watched the three patients. Because Lu Cheng was wearing a white coat, the family members of the three patients cooperated to show Lu Cheng all the test results, and also asked Lu Cheng to take pictures.

It was only when he came out of the last boy's ward that the little boy said something.

"Mom and Dad, this big brother is so tall, how can I grow so tall?"

Then Lu Cheng heard his parents cry.

Lu Cheng closed the door quietly, he knew the answer himself, it was almost impossible.

This child has been identified as the metastatic stage of Ewing's sarcoma since the moment he saw the doctor. Even the best existing targeted drugs are useless for tumors of this level...

But the fate of a poor and lovely child is not something that Lu Cheng can control and reverse.

He originally had a battle scene system that could make him happy for a lifetime, but that artifact was given to another equally cute little girl, Chu Yiyi...

The onset of bone tumors is in adolescents and children in the period of rapid growth.

As with leukemia, it's only the children's troubles.

Lu Chengping calmed down and went back to track the data of discharged patients. He hoped that in the radiology department's reading system, it is best to have all the data from the moment the outpatient was admitted to the hospital.

Three days later, Lu Cheng obtained the admission conditions of the radiology department through the intervention and adjustment of the medical department of the hospital.

Get your own account and password.

Some colleagues in the radiology department have no idea that a stranger in the department of orthopedics is about to arrive, because this kind of thing, as long as the director agrees.

So when Lu Cheng wore a white coat to the reading area of ​​the radiology clinic, he used his account and password to log in.

There is no obstacle at all, but someone will occasionally glance at Lu Cheng and treat him as a regular Pearson or a rotating graduate student, forget it.

After Lu Cheng settled down, he passed the film reading system, recalled the films taken during the patient's outpatient clinic one by one, as well as the films taken after admission, and browsed through them. The film is marked with a pen.

I also took pictures with my phone.

These pictures are the best original material for writing articles.

This method was taught to him by Fang Nixin. It is a practical and stupid method.

Moreover, in general tumor staging, the prognosis is completely different before metastasis and without metastasis.

Lung metastases from Ewing's sarcoma, while rare, are not that rare. Because the average patient has no symptoms before, when they have symptoms, when they come to the doctor, they already have a brother with Ewing's sarcoma in the lungs, and they even have it all over the body.

So, Lu Chengcheng is also going to take a look at the chest X-ray to see if he can find the nodules.

Oh, the ground glass shadow of the lung interstitium is so classic, I have a cold.

This ground-glass opacity is actually the presence of protein in the interstitium of the lungs, which is a manifestation of pneumonia. It is a pity that I am not a teacher of respiratory medicine, otherwise, this is definitely a particularly good material for teaching students about pneumonia.

This kind of pneumonia, it is estimated that the preoperative preparation will not be short, no wonder the department arranged for him to be transferred.

No knots though, unfortunate little angel!

Bless you.

God finally closed the last window while not closing the door for you.

Well, look at the next one.

Second, third!

Until I saw the sixteenth, no nodules were found.

Well, maybe the nodules are not so easy to find, but unfortunately there is no routine CT, otherwise it will be better to find.

However, such bone tumor patients, even if they have a wealthy family, will spend a lot of money. CT is at least seven or eight times more expensive than X-ray. It can save a little bit.

Lu Cheng's expression became a little numb, but in order to finally have a deeper understanding of Ewing's sarcoma, he still insisted, hoping to find a metastatic patient.

In fact, Lu Cheng knew that such transferred patients might not have the opportunity to come here, when they were in the prefecture-level city hospital or in the outpatient clinic.

Go home, welcome back to the arms of God.

When Lu Cheng opened the chest X-ray of the seventeenth patient, he smelled a different breath.

Chest radiograph, ground-glass opacity, almost the same film, almost the same feudal oozing.

wrong!

When Lu Cheng opened the patient's chest X-ray again,

I saw the classic ground glass shadow on the chest film again,

it reappeared?

Are Ewing sarcoma patients prone to pneumonia?

After reading the clinical data~www.wuxiaspot.com~ the discharge time is 7 days before...

Lu Cheng felt his scalp tighten instantly!

This?

Lu Cheng felt a little pain in the ass, but his advanced epidemiological skills made Lu Cheng's inspiration fleeting.

Then I turned on the reading system of the outpatient, and then I didn't look at anything else. By choosing to read the images by part, only the chest X-ray was selected.

I didn't look at any details, I just looked for this more classic ground glass shadow. Lu Chengcheng still didn't believe it, it could be piled up.

Forty-two.

Seventy-ninth.

One hundred and twenty-four.

One hundred and eighty-third.

Two hundred and one.

Lu Cheng frowned slightly.

To be honest, there are so many classic ground-glass shadows in the patients who took the chest X-ray. Lu Cheng shouldn't have any doubts. It's the end of the year, and the flu itself is quite serious.

However, Lu Cheng has seen other films of ordinary flu patients, this thing is not so serious!

and?

Lu Cheng decided to stop thinking about it first, put the notebook and corresponding materials in his hand back at home, and then he went to the respiratory medicine department first...

When he came out, Lu Cheng's face was a little unsightly.

The number of such cases in the respiratory department is not many, but not many.

Shouldn't be a bunch of them.

Is it possible for respiratory medicine in other places?

Lu Cheng sent a message to Professor Qu Hongsheng and asked for a short leave, saying that he was going to leave the hospital...

As Lu Cheng, who only asked for a short vacation in half a year, Qu Hongsheng agreed without any hesitation.

Chapter 435 The New Year is almost here...Click to download the APP of this site, massive novels, free to read!