When doctors have a simulated operating room

The doctor said that the operation was not completed.

"Okay! That's settled, Dean Jin. I'll go find Zhang Yi now."

Tian Feilong walked out of the cardiac surgery department with full confidence.

He knew that Zhang Yi was in the outpatient clinic today, so he turned around and went to the outpatient clinic to find Zhang Yi.

Tian Feilong had a general impression of Zhang Yi before, and only knew that he was a very talented doctor.

But I didn't expect that this guy could learn heart transplant surgery after just one look? ?

This is not an ordinary talented doctor!

This is a super super genius!

On the way to find Zhang Yi, Tian Feilong was still muttering in his heart:

"Hmph, this Kang Yanming is really blind. At the beginning, Zhang Yi wanted to come to the emergency department, but this old bastard refused him.

Now, I'm going to find Zhang Yi. I wonder if he is still willing to come to the emergency department?"

Young people are easy to talk to, and most of them are soft-hearted.

If you want to recruit such a genius to the emergency department, and a genius who has been offended by Kang Yanming, the director of the emergency department, you have to work hard.

In the blink of an eye, Tian Feilong came to the third floor of the outpatient department.

After looking around, I saw a clinic next to the ENT department. The display screen at the door read:

Cleft Lip and Palate Love Clinic.

Doctor: Zhang Yi.

Below is Zhang Yi's qualifications.

There is not much introduction. It only says that he graduated from the Imperial Capital Medical University and his work experience is only in Tianhe City Hospital.

Compared with the experts in the clinics next to it, this simple two-line introduction is simply unbearable.

But the number of people waiting to see a doctor outside his clinic was no less than that of the clinics next to him.

Tsk tsk.

Is this the charm of Zhang Yi? !

Tian Feilong was about to reach out and knock on the door of the clinic, and the door suddenly opened.

A young mother holding a child walked out from inside.

The child had a cleft lip and palate, and should have come to Zhang Yi for surgery.

Zhang Yi has been doing charity work, and Tian Feilong knows this.

Zhang Yi also looked up at the door, and was about to call the next number when he saw Tian Feilong walking in.

Zhang Yi was puzzled.

Isn't Tian Feilong the deputy director of the emergency department? It seems that he is in charge of the work of the second emergency group.

Why did he suddenly come to him?

"Director Tian?" Zhang Yi greeted him.

Tian Feilong smiled and said:

"Zhang Yi, I came to talk to you about something."

Hearing that Tian Feilong's tone was a little excited, Zhang Yi was even more puzzled.

What could make a director so excited?

"I think..."

Tian Feilong was about to speak when someone knocked on the door of the clinic.

Zhang Wanqing and her husband came back with the checkup sheet.

Zhang Yi looked at the patient and looked at Tian Feilong apologetically:

"Director Tian, ​​if you have anything to say, please tell me at lunch. I have a lot of patients today. I will see the patients first."

"I...Okay, you go ahead and I will wait for you in the cafeteria at noon."

The patient is more important, so Tian Feilong did not force him.

Before leaving, he glanced at the checkup sheet in Zhang Wanqing's hand and frowned immediately.

Hmm?

Isn't this Zhang Yi's loving clinic?

Isn't it only for cleft lip and palate patients?

Why are there adults coming to see a doctor?

And it seems to be a blood disease?

Zhang Yi...

Can he see this kind of disease? ?

Before leaving, Tian Feilong glanced into the clinic and left a slightly shocked expression.

"Sit down, let me see the checklist."

Zhang Yi pointed to the chair in front of him and took the test results.

It took more than three hours to get the results, from 9 to 11:30 in the morning.

"Doctor Zhang, I see an upward arrow symbol behind my wife's white blood cells. What does this mean? Is it a bad sign?"

While Zhang Yi was observing, the man in the suit asked with great concern.

White blood cells: 20×10^9/L (4-10×10^9/L)

Platelets: 88×10^9/L (100-300×10^9/L)

Hemoglobin is only 82g/L.

This blood picture does look abnormal, and it is very close to the symptoms of myelofibrosis.

B-ultrasound also shows that the liver, spleen and surrounding lymph nodes are enlarged to varying degrees.

And the most important ECT result.

ECT is the most powerful means of proving myelofibrosis besides bone marrow biopsy.

Zhang Yi turned on the computer and saw this ECT picture in the patient's medical record.

...Sure enough!!

After reading all the results, Zhang Yi's expression was slightly heavy.

He looked at Zhang Wanqing and her husband and said.

"Results

Considering all the circumstances, including the purple scar on your body.

I currently suspect that it may be related to blood disease, look at the bone density.

Normal people can see it after a radionuclide bone marrow scan.

But yours does not show up, which means that there is something wrong with the bone marrow.

There is only one situation in the radiation concentration area where it will not show up, that is, the cell fibrosis in the bone marrow.

Further examination is needed to confirm the diagnosis, such as taking a bone marrow biopsy. "

Boom!

Zhang Yi's words were like a bolt from the blue, shocking the two young couples in the clinic.

Although both of them had made very bad plans.

But when they heard the real bad news, they still couldn't bear it.

Instantly, the girl's eyes were filled with tears.

Her husband also endured for a long time before he let out a long sigh and asked:

"It means... suspecting her... blood disease? Is it a disease that is very similar to leukemia? ”

Zhang Yi nodded:

“That’s right, I will arrange hospitalization for you first. In this case, you must be hospitalized and have a bone marrow biopsy after hospitalization.

Normal bone marrow can be directly extracted. If you really have myelofibrosis, you may not be able to extract it. ”

“What? ?” Zhang Wanqing covered her mouth in disbelief, and the tears in her eyes slid down with her gently shaking shoulders.

Although it is cruel to say such things, but...

Zhang Yi is a doctor, and she has to speak directly even if it is cruel.

“Then doctor, can this disease be cured?” Her husband asked hurriedly.

Before Zhang Yi answered, he rushed to say:

“Don’t worry, doctor, I am not short of money, no matter how much money it costs, as long as it can be cured, you can use the best medicine, the best environment and treatment!

Money doesn’t matter, as long as it can be cured! "

Looking at the expectant eyes of the family members, Zhang Yi felt mixed emotions.

Brother, it's not that I can't treat it.

It's this disease... it's really hard to treat.

"Well, let me be frank. I now highly suspect that your disease is myelofibrosis.

It means that the hematopoietic stem cells in your bone marrow have mutated and proliferated abnormally, understand?

It has become fibrous in shape.

Normally it is round, but now it has become the shape of hay.

It not only proliferates in the bone marrow, but also proliferates outside the bone marrow.

This is why the bones in your joints proliferate.

This disease can be cured, but the only way to cure it is bone marrow transplantation, also called hematopoietic stem cell transplantation.

Only when normal hematopoietic stem cells are transplanted into your body can your bone marrow start to produce blood again. "