Five or six years ago, Wang Fan was just a medical student who came to Linhai First Hospital for internship.

At that time, he didn't like to talk. Wang Ping, who was the teacher, asked questions and asked cases, other interns would open their mouths and say a few words, but Wang Fan was dazed with dark circles on his eyes.

Until one time, a patient suspected of arthritis came to the emergency department.

It is characterized by multiple pains throughout the body, accompanied by increased pain sensitivity, etc.

The emergency department suspected that it was rheumatoid arthritis or chronic fatigue syndrome, so I wanted to transfer to the rheumatism and immunology department.

As a result, Wang Fan suddenly spoke, saying that the patient was a bit like "fibromyalgia".

Wang Ping was stunned for a moment and recalled carefully. He suddenly found that fibromyalgia was much more reliable than rheumatoid arthritis and other diagnosis.

He then took other interns to round the patients again, and at the same time called the doctor from the rheumatology department to come for consultation, which finally met the diagnosis.

Wang Ping was very surprised and returned to the department to praise Wang Fan.

After saying a few words, Wang Ping saw Vio syndrome on the computer.

The scientific name is wiskott-aldrich syndrome. This disease is a multidisciplinary syndrome that spans genetics, immunity, blood, and tumors. It is also a frontier in the academic community. It has not even been named in China, so Wang Ping transliterated it into Vio syndrome.

He asked casually, who knew about Vio syndrome.

As expected, the interns looked confused.

Wang Ping was about to take the opportunity to scold students for not taking the initiative to understand cutting-edge academics, but Wang Fan in the corner raised his hand silently.

Immediately afterwards, Wang Fan not only mentioned the full name of Vio syndrome, "wiskott-aldrich syndrome", but also mentioned that it has three major characteristics: chronic eczema, platelets and combined immune abnormalities, and is a sexually linked recessive genetic disease...

Wang Ping was shocked by heaven.

Wang Fan seemed to think it was not enough, and pointed to a book that was more than 700 pages thick next to Wang Ping's desk and said, "On page 327, the second line under the big title."

Wang Ping opened in horror and suddenly discovered that page 327 really recorded this rare disease.

Since then, Wang Ping will skip Wang Fan when asked all the questions during rounds. After all, it is too simple for him, so he should leave some opportunities for other interns.

Until the internship ended, Wang Ping left behind the genius Wang Fan as an exception.

In the next few months, Wang Ping realized that the reason why Wang Fan was able to blurt out "fibromyalgia" was because he was busy taking the postgraduate entrance examination at that time, and he happened to review this disease the night before.

Vio syndrome...

That was because when he and other interns went to consult with rheumatologists, he was bored in the department and happened to see Vio syndrome on Wang Ping's computer. He felt that he was a little confused, so he opened the book next to him and read for a long time, but he didn't understand anything. After finishing, he only remembered the directory page number.

He lowered his head and said nothing when he asked a question because he really didn't know how to do it. Instead of looking down on it...

However, later Wang Ping found out that the goods were not right and wanted to repent, but it was too late.

Wang Fan was so inexplicably able to accomplish things that he had not been able to complete in the top five majors at that time, and stayed in the hospital with exception.

To this day, Xiao Wang thinks that he was able to be kept because of his hard work.

And the truth is actually... he pretended to be two appropriate pussy when he was right.

...

"He Hai hired a special person and was quickly promoted to director, and Linhai First Hospital was even more prosperous.

I made an exception and stayed in the hospital. But in the end I was too ashamed to ask for a quota for the next few years…”

Wang Ping sighed.

When recalling the past, I suddenly felt that I was directing Wang Fan to pick up the feces, and the guilt in my heart was not that serious.

"Come on."

Wang Ping held his hands behind his back, sighed twice, and planned to go to the ward.

At this moment, he realized something was wrong, looked back and his pupils shrank.

Behind him is Wang Fan, and there are only a few interns.

“???”

Wang Ping was a little unresponsive and asked, "Where are the others, the director is going to check the rounds, won't he come to participate?"

Wang Fan grinned and said, "Director Wang, everyone else has followed Brother Xu to see the key patients."

"Running?!"

Wang Ping was stunned.

The director's rounds were clearly a grand event for a department, and no one wanted to be absent.

Damn, why did everyone go to Xu Qiu?

"Director, let's go, check the rounds?" Wang Fan said expectantly.

On the side of Xu Qiu, the interns squeezed into the corridor. They ran slowly and could not even see Mao, so they could only run back and mingle with Director Wang.

"Wang Fan, you are the most sensible in the end."

Wang Ping patted Xiao Wang's shoulder with relief, thinking that it was indeed the person he recruited. Between Xu Qiu and himself, he firmly chose the latter.

"It should be, it should be." Wang Fan scratched his head and smiled very simply.

...

At noon, after checking the room on both sides, Xu Qiu finally waited for the inspection report from the imaging department.

This lesion is particularly tricky.

Zhang Hao did not notice it immediately.

However, he followed Xu Qiu's tips and carefully searched in the pineal gland area, compared it repeatedly, and spent more than two hours of work, and actually saw some abnormal signals in the pineal gland area.

After multiple sequences are confirmed, a short t1 and t2 signal is successfully marked, with a certain amplitude strengthening, and an abnormal area of ​​necrosis can be seen.

Although pineal brain tumors cannot be directly identified.

but……

It is already quite suspicious to be able to appear an abnormal signal in this area.

"It's true here."

Xu Qiu was not surprised.

Combined with Tao Changhan's precocious puberty and neurological symptoms, it has been basically confirmed that it is a pineal gland brain tumor.

After confirming the diagnosis, Xu Qiu's mood became heavier.

Pineal gland area…

The tumor in this area is very deep, and there are many important structures to pass through, and the return veins are concentrated, making the operation very difficult.

Therefore, many brain surgeons are unwilling to encounter such surgeries.

Even if it is a medical oncology hospital or a Zhongshan oncology hospital, it will not do it if you can.

After all, its risk is tantamount to intracranial bomb disposal.

Dingling--

Before Xu Qiu finished reading the inspection report, Zhang Hao quickly called.

"Dr. Xu, what are you going to do next? Continue the examination?"

According to the general procedure, if a suspected tumor is found, the next step is to perform a puncture to further confirm the diagnosis.

But for tumors in the pineal gland area, biopsy is obviously unrealistic and too dangerous.

Therefore, most people can only choose simple radiotherapy.

On the radio and chemotherapy, the local field with a wide margin is basically irradiated for 25 gy/3 weeks, and then the CT scan is performed. By comparing it with the CT tablet before the treatment, the changes in the tumor size, properties, etc. are judged.

If the tumor shrinks significantly, the result will be very pessimistic, suggesting that this tumor is an extremely malignant tumor such as germ cell tumor.

At this time, minimally invasive surgery is required to be sober.

However, for Tao Changhan, this method obviously doesn't work, and he has a huge problem!

——
Chapter completed!