My future daughter added me on WeChat, saying that the school belle is her mother

When I came to the surgery department.

Ye Pingan found out that the department was in a meeting.

It is rare for a hospital to have a meeting in the afternoon, and the opportunity is always a consultation.

There is a tricky case to deal with.

There were also two 'experts' present.

There is still a difference between hospital experts and experts outside the medical system.

At present, the general health management department allows hospitals to register in the name of expert clinics, with professional titles above deputy senior.

If you want to evaluate experts, there are generally two types of doctors in the hospital.

Deputy Chief Physician and Chief Physician.

The deputy chief physician is equivalent to an associate professor, and the chief physician is equivalent to a professor.

And at the level of chief physician, experts can be evaluated.

Level [-] to Level [-] Expert.

These are all professional and technical titles uniformly assessed by the state, and it is relatively strict to be conferred by a provincial-level professional senior judge.

When Ye Ping'an just walked into the department, more than a dozen pairs of eyes looked over at him.

The youngest doctors present were in their thirties, and the oldest ones were at least over fifty.

It can be seen that everyone's complexion is not very good, and the eyes looking at Ye Ping'an are very cold.

"who are you?"

A doctor in a white coat and glasses asked coldly.

"Ye Pingan."

Ye Pingan answered honestly.

Everyone: "..."

Who did you ask?

"I'm asking which department you are in, and who let you in?"

The glasses doctor almost laughed angrily.

"Not in any department."

Ye Pingan smiled, "I just came to the hospital for an internship today, and I want to learn along with it."

Is there anything wrong with that?

The Great Dean said to let him take a casual look to familiarize himself with the next session.

Then take a look.

The two deans also said that they are busy during the day, and at night they will call the directors and chief physicians of the various departments to hold a meeting before get off work, and let him meet with the chief physicians of the hospital to get acquainted with each other, so that they can cooperate in the future.

So these people don't know him yet...

The other party didn't have a good face, and Ye Pingan didn't take it seriously.

"intern?"

Everyone present was stunned for a moment, and their expressions eased a lot.

Everyone knows that a group of interns came to the hospital today.

The lad was probably in the wrong place and didn't mean to interrupt their meeting.

"We're busy, you go out first."

An old doctor waved his hand, "Let's continue discussing this case. The patient's tumor is growing so fast that it has already compressed the nervous system..."

Everyone ignored Ye Ping'an and began to listen to the old doctor.

Ye Pingan blinked, did not leave, and quietly listened to the consultation.

After listening to it for ten minutes, I understood it.

One patient had cancer, spinal cancer.

Scientific name: Spinal tumor.

Refers to primary and secondary tumors that occur in the spine.

The explanation given by the medical community so far for this kind of cancer is that the etiology is unknown and the pathogenic factors are relatively complicated.

Clinical manifestations include back pain, localized mass, spinal deformity, and neurological dysfunction.

There are known cases.

The vast majority of adolescent spinal tumors are benign, while young and middle-aged patients are more likely to have malignant tumors.

Unfortunately, the patient is a middle-aged man with spinal cord and nerve root compression.

That is to say, the patient's tumor has reached the point of compressing the nerve, resulting in temporary paralysis.

If the tumor is not surgically removed in time, there is a risk of high paralysis.

But the problem is.

The tumor is now in a state of oppressing the nerves, and surgery may damage the nervous system.

Moreover, any surgery involving contact with the nervous system needs to be done under a microscope.

The success rate of this kind of operation is only maintained at about 65%, which is a high-risk orthopedic surgery.

Even if the surgery is successful, chemotherapy and radiotherapy are still required after surgery.

Right now, the headache for the two experts and surgeons is.

The patient's tumor deteriorated severely, covering and compressing a large area of ​​spinal nerves.

Surgical resection without touching the nervous system is almost impossible.

Nine out of ten patients may be completely paralyzed due to nerve damage.

If the operation is not performed as soon as possible, the patient's life will be in danger at any time...

Chapter 49 It's You

"Hey, the little guy hasn't left yet?"

An expert doctor found that Ye Ping'an hadn't left and was still standing aside and listening obediently, so he couldn't help but smile and said, "Can you understand me?"

Others looked over one after another.

Ye Pingan smiled and nodded, "Spine tumors, Spinal Neoplasms, and primary benign spinal tumors generally progress slowly and have a long course of disease. Malignant spinal tumors progress faster and have a short course of disease. Clinical symptoms appear faster, accounting for about 10% of new malignant bone tumors every year. [-]%."

The doctors present were suddenly surprised, and all of them looked at Ye Pingan very gently.

There are even smiles on some people's faces.

As a doctor, I'm afraid of pretending to understand what I don't know.

"good."

The expert doctor looked at the oldest doctor beside him, "Director, the quality of interns today is quite high."

"Xiao Zhou, go ask after the consultation and bring this little guy to our department." The director smiled.

Everyone likes clever young people, and it's not a big deal to bring them along and train them.

With the words of the director of surgery, the eyes of the others looking at Ye Ping'an became more gentle.

"Come, come!"

The expert doctor waved to Ye Pingan.

Ye Pingan walked over.

"Then let me test you. Since you know it's a spinal tumor, do you know what caused it?"

The expert doctor smiled and prepared to test Ye Ping'an.

The others also looked at Ye Pingan cheerfully.

"You're joking, spinal tumors, like bone tumors, have no known cause."

Ye Ping'an was almost happy, "But there are currently five theories that have been decided. The first virus theory has been proved by animal experiments that viruses can induce osteosarcoma."

"The second theory of chronic stimulation is that certain physical factors such as radiation, radioactive isotopes, and certain chemical factors such as methyl choline can induce osteosarcoma."

"The third theory of ectopic residual embryonic tissue is that embryonic notochord tissue and cartilage tissue can lead to chordoma and chondrosarcoma."

"The fourth type, the theory of malignant transformation of spinal tumors..."

"The fifth theory of genetic inheritance is that normal cell genes change to produce tumors, and tumor cells continue to proliferate and inherit their biological characteristics."

Ye Pingan talked eloquently, "But with the current knowledgeable theory, it is not enough to really lure the cause of spinal tumors."

When these words were finished, the expert doctor was stunned.

Not just him.

The others were also surprised by Ye Pingan's words, and they all stared blankly at the young man in front of them.

You must know that spinal oncology is considered a partial branch of the department of orthopedics, and few people really study it, let alone understand it.

But it is such a partial department of orthopedics, the little guy in front of him actually 'understands' it thoroughly.

Is this really an intern who hasn't graduated from college yet?

"How to detect?"

This time it was the chief of surgery who spoke.

"X-ray film, CT and MRI, etc."

Ye Pingan opened his mouth and said, "For metastatic lesions, whole-body bone scans and single-photon emission computed tomography scans are available."

That's right, it did come with an open mouth.

At this time, all the information about the 'spinal tumor' was surging in Ye Pingan's brain.

For this, he is not surprised.

After obtaining the 'Surgical Specialization', everything related to surgery is involved.

Ye Ping'an's brain will always have the most complete information and memories.

There are tens of thousands of surgical options.

And this surgical plan was firmly imprinted on his 'body'.

You can be the chief surgeon at any time to restore the operation!

"How to diagnose?"

Another expert doctor spoke.

"According to clinical symptoms, signs, imaging examinations, combined with laboratory examinations, such as erythrocyte sedimentation rate, etc., it can be diagnosed."

Ye Pingan said: "If necessary, a biopsy under the guidance of CT can confirm the diagnosis."

"How to identify?"

A middle-aged doctor immediately asked.

"Suppurative inflammation of the spine."

Ye Pingan said warmly, "And, degenerative spondylosis, spinal tuberculosis. Currently, there are only three differential diagnoses."

"How to treat it?" Another doctor asked.

"Surgical resection is advocated, and if the stability of the spine is affected, spinal internal fixation should be performed in the first stage to maintain the stability of the spine."

Ye Pingan raised his lips, "For those with symptoms of spinal cord and nerve root compression, surgery should mainly relieve the compression of the nerves under the operating microscope. Malignant tumors can be biopsied first to confirm the pathology, and radiotherapy and chemotherapy or other methods of treatment can be performed according to the nature of the pathology. For malignant spinal tumors that affect the stability of the spine, surgical tumor resection and spinal internal fixation can be performed to relieve symptoms and maintain spinal stability, and provide a basis for postoperative radiotherapy and chemotherapy. Those with limb movement disorders should undergo rehabilitation treatment!"

"Oh my God!"

A doctor in his 30s exclaimed, "Is this guy really an intern?"

Everyone looked at Ye Pingan in shock, as if they were looking at a monster.

"Clap clap clap!"