The Godfather of Surgery

Professor Su and his party left after watching the video and visiting the Department of General Orthopedics.

The child who was admitted to the free clinic in the classroom was considering osteoid osteoma. The operation had been completed. His father was wandering at the door of the doctor's office. When he saw Xiao Wu, he asked, "Dr. Lu, have the pathological examination results come out?"

"Didn't I tell you that it will take three to five days? You have asked seven or eight times." Xiao Wu was a little annoyed at him.

The child's father thought for a while and said, "Doctor Lu, can you pre-empt my son's examination? Others are not in such a hurry, so just slow down and bring him up alone, it won't affect anything, and no one else will know. of."

Xiaowu is the most annoying to this kind of person. His business is a big deal, and other people's business is not a matter. Usually, this kind of person likes to cut in line. Anyway, he thinks that it doesn't affect anything by cutting the queue alone.

"There is no way to advance, this matter cannot be hurried, and the pathologist is anxious to look at it casually, but you are not allowed to say it in the end?" Xiao Wu didn't care about him, and rejected him euphemistically.

The child's father was restless and grabbed his pants with one hand: "This is really urgent. Do you think it is benign or malignant? What should I do if I have to wait so long?"

"Now that I know I'm in a hurry, why did you go early? I told you to take your child to see a doctor early. You read a few articles on the Internet and thought you were really a doctor. They said that for three to five days, everyone can wait, but you can't wait?" The child's mother also came over, as if to pull his ears and pull him back.

This couple is also a bit interesting. The husband is short and timid, and the wife is tall and big, with a bold personality. Whether it is body shape or personality, the two husbands and wives are very discordant.

If there is a quarrel at home, it is estimated that the woman can carry the man like a chicken, and turn around the house for a few times, and the woman will not be out of breath.

The man was scolded by his wife like this, and returned to the ward in a dejected manner. The woman apologized to Xiao Wu, and then followed back to the ward.

Hearing someone asking about the pathology results, Song Zimo remembered that he had made an appointment with the pathology department. He was going to see Zhang Zhe's pathological biopsy this afternoon, and Song Zimo wanted to ask Yang Ping if he wanted to come and see it together.

Yang Ping said that it happened to teach everyone to look at pathological slices. In the future, this is a basic skill that Dr. Keli must master. Let Song Zimo and Xu Zhiliang master it first, and then look at pathological slices. They must be as skilled as X-rays.

In some countries, such as the United States, surgeons need to see the pathological sections themselves. Sometimes the chief surgeon removes the tumor and sends it to the supporting pathology room next to the operating room for frozen sectioning. Slices, find out what tumor is, then wash your hands again and go to the stage, and choose the appropriate surgical method according to the pathological diagnosis.

Pathology slides in our country are all seen by pathologists, and surgeons do not read them, and they have not received special relevant education. The pathology classes while reading, those few experimental classes can only be regarded as experience.

Therefore, if there are surgeons in our country who can see pathological slices, it is definitely a rare treasure.

When everyone arrived at the pathology department, they were all busy. The macroscopic examination room, microscopy room, and immunohistochemistry were all busy. There were only two people in the doctor's office, Director Guan of the pathology department, and Director Shi, who was retired and re-employed.

Director Shi was wearing a pair of sunglasses and was sitting at the window to rest. Director Guan was watching something on the computer. When he saw everyone coming in, Director Guan knew Song Zimo: "Young Master Song, here! I won't introduce you, this is from your department. Dr. Yang?"

Song Zimo and Guan Director Shi are very familiar with each other. He often comes to ask for histological biopsy. During the festivals, he often sends Maotai and the like to the two directors, making them happy.

"Director Guan, please." Yang Ping shook hands with Director Guan.

Director Guan said with a smile: "You're welcome, we are Qingshui Yamen, and I usually don't have much dealing with you. I read a lot of pathological slides from various departments every day, but I don't know a few people. Dr. Yang is young and promising. I still know you. Let's take a look at the pathological sections of the recent orthopedic patients, the specimens from the patients undergoing surgery today are still undergoing decalcification, and the sections from the surgery a few days ago have all come out and are ready for the microscope, I'll ask someone to find them for you."

"Mr. Shi, is this the beautiful woman wearing sunglasses looking out the window?" Song Zimo joked with Director Shi.

Director Shi pointed to his eyes: "I see too much under the microscope, and now the light is a little brighter, and my eyes can't stand it. If it was sunny a few years ago, I had to wear sunglasses when I went outside. No, keep shedding tears."

"Director Shi will quit this month and go home to retire." Director Guan explained.

Director Shi said: "I can't work anymore, my eyes are not good, if my eyes can hold up, I want to work for a few more years."

The pathology department is really a clear water yamen, not only has no money, but also deserted. Several doctors look at pathological slices under the microscope all day long. One doctor sees about 300 to 400 slices every day. Apart from going to the bathroom, he has no time to move his buttocks. .

However, in a national cancer hospital like the Southern Metropolis Medical University Cancer Hospital, the pathology department is much better. If a patient wants to find a doctor with better skills to see the pathology section in private, he or she has to take care of it.

It's not expensive. The doctor charges a labor fee of three or five hundred to help you see it.

There is no way, the pathology department is really poor, with a salary of several thousand yuan a month, without some private work, there is no way to live.

If the patient follows the normal procedures and takes the pathological slices outside, it is impossible for top hospitals to look at it for you. If you can't read your own slices, you can still look at other people's?

The so-called pathological diagnosis is theoretically the gold standard for tumors, but it is also said whether this gold is pure gold or K gold. After all, pathological slices depend on people to see.

After reading it, what kind of tumor is diagnosed, whether it is benign or malignant, and which stage of malignancy is, depends on people's knowledge and experience to judge, so there is also the possibility of error. This possibility is very low, but it exists.

Typical and simple ones are generally fine, but complex and atypical ones can be misjudged. It wasn’t originally cancer, but it’s not uncommon for them to be diagnosed with cancer.

Many patients were unwilling to be diagnosed with malignant tumors in grassroots hospitals. The family members found a doctor in charge to find a way to take out the pathological slices and send them to the top tumor hospitals in the country. It cost three to five hundred dollars, and they asked a pathologist to help them in private. , ask for peace of mind.

The probability of misdiagnosis is not high, but there are still cases. Some patients are diagnosed with malignant tumors, and they take a look at top hospitals: they are not malignant tumors, but inflammations. They are cured by treating them for a period of time.

Director Shi used to be a well-known pathology specialist at the Cancer Hospital of Nandu Medical University, and a mentor to Director Guan. After retiring, he was hired by Sanbo Hospital to train young people.

At this time, a hospital employee happened to be looking for a relationship. He called Director Guan, and wanted to ask Director Shi to help him see the relative's pathological biopsy in private.

Director Shi waved his hand: "If you don't look at it, no one's relatives will look at it."

Some time ago, a family member of a patient asked Director Shi to see the pathological section, and gave 500 yuan, but he secretly recorded the video. Hundred yuan, said the doctor privately charges.

This annoyed the old man, so he didn't watch it, no matter who's relatives, don't watch it.

After just sitting for a while, dozens of specimens have been received in the giant examination room, all of which were cut out in the operating room.

Carrying it in a specimen bag, there are excised tumors, excised parts of the liver, stomach, intestines, and everything.

On the sampling table, there are several clean cutting boards, and tools such as rulers, scissors, and tweezers are neatly arranged. The doctor is wearing gloves and is slicing a tumor on the cutting board.

The surgeon cuts a thing from the human body, this thing is called a specimen, and sends it to the pathology department. The doctor cleans, fixes, draws, dehydrates, soaks in wax, embeds, slices, stains, and seals more than ten procedures. , in order to make a pathological section.

This pathological section can be viewed under a microscope for pathological diagnosis, that is, a diagnosis of the disease.

In a typical case, after the doctor makes a diagnosis, the director will review it; if it is difficult, the experts in the department will discuss it, and everyone will look at it together. Finally, a diagnosis can be made to prevent wrongful convictions.

"The general surgery department sent a specimen for frozen section. I have to go and see. Zhang Zhe's pathological section has been found by me. You can go to the microscopy room to see it. I will go to work first." Director Guan told everyone greet.

"Go get busy." Yang Ping told Director Guan.

"Teacher Shi, help us to have a look together."

Frozen section is a rapid pathological diagnosis. To get the result within fifteen minutes, it requires a doctor's extremely high level of diagnosis. Director Guan asked Director Shi to take a look together, which is more secure.

In theory, the pathological diagnosis should be guaranteed 100% without the slightest error.

Even if his eyes were not good, Director Shi still had no intention of rejecting it. He took off his sunglasses, rubbed his eyes, and followed Director Guan out.

The surgeon is still waiting on the stage, waiting for the pathological results to decide the next operation. If it is benign, the operation will be declared over;

Everyone went to the microscopy room. Zhang Zhe's pathological section was already placed under the microscope. Yang Ping asked everyone to see it first.

This is a multi-head microscope, and Song Zimo, Xu Zhiliang and Gao Qiao all sat on it.

Under the microscope at 400 times magnification, the structure of the bone tissue on the paraffin section is clearly visible. Osteocytes, osteoprogenitors, osteoblasts, osteoclasts, and bone matrix can be seen cell by cell.

Looking at the pathological slides requires patience, not letting go of any doubts, and never jumping to conclusions.

Any sloppy, one misdiagnosis may ruin the patient's life.