Chapter 994: Opportunity for Revenge

But when he heard Yang Ping's name, Fu Xiaotao immediately perked up. When the attending doctor told Fu Xiaotao to ask Professor Yang Ping for a consultation, the nurse who was tidying up the bed of the discharged patient nearby mentioned: "If you let Professor Yang take a look, I guess your disease will be almost cured."

Fu Xiaotao's parents heard the nurse say this, so they asked the nurse for details about Professor Yang. The nurse was like someone you asked the right person. While tidying up the bed, he talked endlessly, just like an insider telling a legend, vivid and magical. Regardless of whether it was true or false, the nurse's words gave Fu Xiaotao and his parents a strong sense of expectation.

The complicated medical history seemed to have no main line, and various atypical symptoms were pieced together. Indeed, this was like a rheumatology and immunology disease, but it was just "like". "Like" could not be used for diagnosis, but "like" could only be used as a clue.

Yang Ping has no way to figure out what the disease is. For an excellent doctor, if he encounters a disease that is difficult to identify, he still has a powerful weapon to use, that is, pathological diagnosis. Even if it is an unknown disease, the pathological changes of the disease can be inferred from the pathological manifestations, and then the pathological mechanism of the disease can be deduced to find out what the disease is. Many new diseases are discovered by this method.

So Yang Ping decided to take the patient's enlarged lymph nodes for pathological examination, hoping to find out what happened through the pathological changes of the lymph node tissue. This is the most reliable and effective means.

The work of asking medical history, physical examination and reading films has been completed. Yang Ping and everyone returned to the doctor's office and thought about it while walking. The several diagnoses listed by the experts are not without basis. This is the most reasonable judgment they made from their own specialty.

In diagnostics, there is a principle called monism, which is to try to use one disease to explain all the abnormal symptoms of the patient, because the patient is much more likely to suffer from one disease than multiple diseases.

"I suggest that the patient undergo a small operation and take the enlarged lymph nodes for pathological sections. We will see what is going on from a pathological perspective." Yang Ping gave his opinion.

At present, it is not possible to determine what disease this is based on the comprehensive analysis of medical history, physical examination and auxiliary examinations. Taking lymph nodes for pathological examination may not necessarily break the deadlock, but it must be done now. In fact, lymph node puncture can also be performed, but sometimes puncture cannot obtain the real pathological tissue, and it is not as reliable as direct surgery to take lymph nodes.

It is impossible for all tissues of a lymph node to be pathological tissue, and there is a big problem with puncture. With such a small puncture needle, it is difficult to guarantee that the puncture is the pathological tissue. Even with multiple punctures, it is inevitable that there will be missed diagnoses. This is why some patients with lymphomas are still diagnosed normally after multiple punctures.

And surgical removal of the entire lymph node can completely avoid the problem of missed diagnosis. If the lymph node is made into many slices, there will always be a piece of pathological tissue. If the lymph node is abnormally enlarged, the entire lymph node is made into pathological slices, and in theory it is impossible to miss the diagnosis.

"Follow Professor Yang's opinion."

Director Jiang agreed. In fact, he has no other choice now. This is Director Jiang's last hope. Of course, if the disease has not been found out this time, Director Jiang will not have any psychological burden. Sometimes it is not strange to be discharged without a clear diagnosis in the internal medicine department.

Yang Ping took out his Montblanc pen from the upper left pocket of his white coat and wrote his consultation opinion on the consultation form smoothly. His handwriting was not sloppy. Compared with other doctors' flamboyant handwriting, Yang Ping's handwriting was close to regular script. The structure of each stroke could be clearly seen, which was very rare among doctors who had worked for many years.

The Montblanc pen was a small gift from August. Every doctor in the Surgical Research Institute had one. It was the symbol of the Surgical Research Institute, but Yang Ping's pen was a limited edition with Yang Ping's exclusive logo on it: Docter Yang.

"Do you want to go to the operating room for the operation? What time is more convenient for you?"

Director Jiang was an internal medicine doctor and was not very clear about some specific procedures of surgery.

Yang Ping replied, "You don't need to go to the operating room. You can do it in the treatment room of your ward under local anesthesia. You need to sign the informed consent form first, and then operate. Do you have a debridement bag? You also need a 2% lidocaine and a normal saline solution."

Many lymph nodes in the body are very superficial, and many people can easily feel them by themselves. Find an obviously large superficial lymph node, make a small incision, and the lymph node can be completely removed in a few minutes. Even if it is adhered, it will not affect the speed of the operation.

Yang Ping looked at the students who followed him. If there were experienced hands, he could let the students complete it, but there were obviously two students when they came, why is there only one now?

It turned out that one of the students walked too slowly and missed the elevator. As a result, he was temporarily pulled by a doctor from a department to push a patient in the middle of the way, and his whereabouts are unknown now.

Now these students are all newcomers who have just rotated to the surgical research institute and do not have the ability to do such a small operation. Yang Ping decided to do it himself.

"Get things ready immediately. I will take the lymph node now." Yang Ping urged Director Jiang.

Director Jiang was stunned for a moment. He obviously did not guess that the big boss would do such a small operation himself. Director Jiang was not slow to react and was waiting for Yang Ping to urge him. He was waiting for Yang Ping to assign the work to the doctors below, such as the one who was following him, or other doctors. He never expected that Yang Ping was going to do it himself.

Debridement kits, lidocaine, physiological saline, and of course sterile gloves, sterile specimen bags, and blades, these are all supplies that are lacking in the medical ward. Except for gloves, other supplies need to be temporarily prepared. Director Jiang issued the order, and Fu Xiaotao's The doctor in charge and the head nurse started various arrangements. It was impossible to go to the warehouse to pick up supplies temporarily. They usually asked the surgical department for secondment.

During the secondment process, because there is a huge gap between internal medicine and surgery, people came over from time to time and asked how big the gloves should be, whether they are powdered or powder-free, what specifications of the blade should be used, whether it is a sharp knife, a round knife or a curved knife.

If Director Jiang had not already started allocating supplies, Yang Ping would have simply called the doctors or nurses in his department to send a complete set faster. After many repeated communications, the Department of Oncology finally gathered the supplies needed for minor surgeries.

Of course, Yang Ping was not idle when they were allocating supplies. He drafted the informed consent for surgery, signed and had conversations all by himself. Director Jiang was by his side, but he couldn't help much.

The minor surgery was performed in the treatment room of the ward. The doctor in charge pushed Fu Xiaotao in a wheelchair and then helped him onto the treatment bed.

"Be my assistant!" Yang Ping ordered the students he brought.

The students were flattered and immediately started to help. Perhaps because of nervousness, it took several minutes to put on the gloves. Both gloves were wrinkled when they came on stage.

Yang Ping's movements were extremely quick. After local anesthesia, he raised the knife and dropped it. No bleeding was seen. A lymph node was separated and fell into the sterile specimen bag. Director Jiang felt strange when he saw this scene. He always felt familiar. Director Jiang felt that he must have seen a similar scene when he was a child, but he just couldn't remember it for the moment.

During the whole process, Fu Xiaotao felt no pain. He just felt that as soon as he lay down, it would be over. This was too fast. He even felt that he had not found a comfortable position just now.

The graduate student helped send the specimen directly to the pathology department. Wen Ruzheng from the pathology department was not in the department, and Director Guan happened to be there. Director Guan asked the graduate student which department sent the specimen in such a hurry. The graduate student replied that Professor Yang asked him to send it.

Director Guan immediately asked someone to take the pathological specimen in, and did not forget to say: "Let Wen Ruzheng handle this specimen. Call him."

The thing that Professor Yang Ping asked someone to deliver in person must be another difficult case. Director Guan knew very well that he was a little bit overwhelmed with this kind of specimen. Only Wen Ruzheng could chew it. Xiao Wen has a weird temper. , but with real ability, Director Guan has always loved Wen Ruzheng and is planning to let him take over the position of department director.

After arranging the specimens, Director Guan asked the graduate student to bring a message to Professor Yang, and Wen Ruzheng would personally prepare and observe the pathological slices.

After the consultation, Yang Ping returned to the department. It takes a certain amount of time to get the results of pathological diagnosis. Even if Wen Ruzheng handled it alone, the results would only be available 24 hours later.

At around six o'clock in the afternoon the next day, Yang Ping had just finished the operation and was discussing the case with Song Zimo and Xu Zhiliang in the doctor's office. He received a call from Wen Ruzheng: "I can see it, I can see it!"

"What did you see?" Yang Ping asked him. Wen Ru on the other end of the phone was silent and looked mysterious.

Since losing to Yang Ping and running naked around the hospital three times, Wen Ru has been struggling. During this period, except for eating, drinking and sleeping, he spent almost all of his time studying pathological knowledge. Today, he finally has the opportunity for revenge.

"Chat in person! Bring Song Zimo and Xu Zhiliang, are they both here?" Wen Ruzheng said that if these two guys are not here, they must change the time to chat in person.

Mysterious! Yang Ping called Song Zimo and Xu Zhiliang: "Let's go to the pathology department and see what Wen Ru is doing."

So the three of them came to the pathology department. Wen Ru was guarding a microscope, looking quite leisurely. He seemed to be waiting for Yang Ping to arrive: "Professor Yang, please sit down."

"How's it going? Have you seen Fu Xiaotao's pathology slides? What's going on?" Yang Ping asked him directly, not wanting to play some mysterious game with him.

Wen Ru was not in a hurry to answer, but smiled strangely: "No hurry, no rush, Professor Yang, how about we make another bet this time? The same bet as last time."

''bet? What bet? "Yang Ping has forgotten about Wen Ruzheng's last bet and streaking.

Wen Ru said confidently: "I have successfully deciphered this patient's pathological section. I am confident that it is 100% correct. If you can also see it, I lose. I will run naked around the hospital three times. If you didn't see it, no." Excuse me, how about you run naked around the hospital three times?"

Damn it, this was revenge. Yang Ping finally knew why he was so mysterious and asked to take Song Zimo and Xu Zhiliang with him, just to replicate the previous scene.

Let Professor Yang run naked! Thinking about it is exciting, haha, Wen Ruzheng has long been laughing in his heart.

''Why, don't you dare? "Wen Ru was showing off his provocative tactics at the right time. He was afraid that Yang Ping would retreat in the face of the battle and lose such a good opportunity for revenge. He got up wherever he fell. This time Wen Ru was about to get up in a dignified manner.

Wen Ruzheng thought to himself, to be frank, the number of hospitals in the world that can see this pathological section can be counted on one hand. In the United States, only Mayo and Hopkins can see it. My level is not to be underestimated. It is now world-class. In China, there are probably only three or two who can see it. Yang Ping is a surgeon and his knowledge of pathology is indeed great, but it is impossible to be so great. Professional barriers still exist. This bet is 100% win.

If Wen Ruzheng had not devoted himself to studying during this period, I am afraid that he would not be able to see it this time. Opportunities are for those who are prepared.

"Let me see--" Yang Ping wanted to look over.

Wen Ruzheng immediately stretched out his hand to stop Yang Ping, and his body blocked in front of the microscope: "Let's make a deal first, do you want to bet or not? If you don't bet, you admit defeat."

"Wen Ruzheng, what are you doing? Everyone is busy and has no time to play tricks with you. Tell me what the disease is." Song Zimo said impatiently.

Wen Ruzheng immediately said unhappily: "Mr. Song, what's wrong? Are you all scared? Was I scared last time? I ran naked three laps after losing."

"We are afraid that you will embarrass yourself again. We are all brothers. There is no need to be so cruel." Xu Zhiliang said to Wen Ruzheng seriously.

Song Zimo also advised him: "Yes, one time is enough. Why do you do it twice? Is it because your muscle volume has improved recently and you want to show it off?"

When Wen Ruzheng heard this, he was even more unhappy: "You don't have to care about me. I am willing to accept the loss. What's wrong? Do you dare to gamble?"

Song Zimo shook his head. He had seen people who were not afraid of death, but he had never seen this fearless person: "You can't wear underwear this time!"

"Okay!" Wen Ruzheng didn't even think about it.

Yang Ping sighed and said, "Dr. Wen, do we have to do this with this kind of relationship? Is there no room for easing?"

"No! But don't worry, if I, Wen Ruzheng, lose again, I will never escape. I will run around Sanbo Hospital three times without wearing an internal medicine uniform." Wen Ruzheng said firmly.

Yang Ping had no choice but to say, "Okay, let's bet!"

Only then did Wen Ruzheng let go of Yang Ping. Yang Ping sat in front of the microscope, took a look, and said in less than a minute: "Castleman disease!"

Hearing the diagnosis reported by Yang Ping, Wen Ruzheng was struck by lightning and petrified on the spot. He couldn't believe his ears.

"Brother, choose the time yourself, remember not to wear underwear!"

Song Zimo patted the petrified Wen Ruzheng's shoulder. The three of them were in a hurry. After getting the results, they left the pathology department directly.

''Xiao Wen! Are you okay? "Director Guan came out of the office and saw Wen Ruzheng sitting on the chair, like a wooden sculpture, with a blank expression on his face.

"Xiao Wen! Xiao Wen! Xiao Wen! "

Director Guan called out three times, but Wen Ruzheng didn't move at all. Director Guan was startled and came over immediately. He thought nothing had happened, why didn't he move.

"Oh - nothing!"

Wen Ruzheng finally spoke.

"You scared me, I thought you had a stroke." Director Guan took a deep breath.