Sometimes, physical examination can indicate many things. The boundary is unclear and the base is unclear. Most benign lesions can be ruled out!

Most of the remaining tumors after excluding benign lesions are not good things.

Lu Cheng was opening the checklist and looking at the smile on the little girl's face.

I also ask in my heart, why does this kind of thing happen to such a cheerful and sensible little girl?

Did she do something wrong?

No.

but?

People don’t choose diseases, and diseases don’t choose people.

"Doctor, am I okay?" The girl asked Min Hong while holding her mother's hand.

"It's nothing serious. We need to take a picture first." Min Hong also smiled and replied, "Don't worry."

"Well! Look, I just said it's okay, mom." The girl said to her mother. She seemed to blame her mother for making a fuss.

The woman who said nothing suddenly burst into laughter after hearing this. When she smiled, tears burst out of her eyes.

He quickly said: "Xiaoxiao, it's mom who's making such a fuss. It's mom who loves you so much."

Before she brought her daughter to the Second Xiangya Hospital, how could she not have seen it elsewhere? She just didn't want to accept it, so she wanted to ask a few more hospitals, hoping that there was a misdiagnosis in the previous place!

Although it was just a glimmer of her own beautiful hope, she also wanted to pursue it.

Lu Cheng ordered the examination, and Min Hong also handed over the diagnosis and treatment card. Lu Cheng said: "The examination is in the lobby on the first floor, turn left, and then you can see the sign of the imaging department."

"This is just an ordinary film, not CT or MRI, so there is basically no need to queue up. After you finish taking it, you can come directly to the outpatient clinic, and we can see the film here."

The little girl wiped her mother's tears and said, "Mom, don't cry anymore. Let's go for a check-up. After it's done, we can go back."

The girl was still a little shy. After all, her mother actually cried in front of the doctor. She felt that when she cried in front of others, her mother actually felt a little embarrassed. At that time, she was really not very sensible.

After all, the doctor said so, it's not a big deal.

"You take your daughter down for a checkup first."

"I need to write something in the medical record here. I will ask your husband to bring the medical record later. It is also a good thing to save more time, so you can finish it quickly." Min Hong said to the girl's mother,

To save them time.

Her mother also knew that she was losing her temper and quickly said, "Okay, thank you doctor, we'll go right now. We'll go right now."

Then I walked to the door with my daughter.

In fact, she understood, so she closed the door directly after going out.

The girl's father had been laughing along with him, but after his wife and daughter turned around, his face immediately became serious, his eye circles were a little red, he tilted his head and touched the back of his head, and after rolling his full eyes a few times, he said: "Thank you.

Doctor, you didn't tell the truth in front of my wife and daughter. I'm mentally prepared now."

He knew that Min Hong deliberately did not hand over the medical records directly, and he must have something to say.

My wife also understands.

Min Hong raised his head and only said: "Although this disease has not yet been characterized, I have made a rough judgment through our physical examination."

"Looking at your expressions again, I know that you must have seen it not only from me, but also from the First and Third Affiliated Hospitals or from the Provincial Oncology Department."

Hunan University has three affiliated hospitals, and the Second Hospital is just one of them.

The First Affiliated Hospital is actually higher than the Second Xiangya Hospital in terms of popularity. But the technical level is actually not much different.

The middle-aged man didn't reply or say no, so he acquiesced.

Just kidding, he only has such a daughter. When the daughter told her mother that she had a lump on her leg, she almost scared him and his wife to death. The daughter was naughty when she was young, but she gradually became sensible as she grew up.

Just last night, he and his wife pressed their shoulders again. If his wife hadn't stopped him, they would have been almost blocked from the kitchen door.

From childhood to adulthood, they have sacrificed a lot for their daughter, from toddlerhood, to ruthlessly setting rules for her, to going to kindergarten, and then to elementary school...

It can't be said that the harvest season is approaching now, but as their daughter gradually grows up, they have less and less to worry about, and instead their daughter can bring them warmth.

God has played such a big joke.

Min Hong thought for a moment and then said: "This disease can be treated now."

"In our hospital, we have many treatment experiences, but what we are not sure about is the survival rate and recurrence after treatment."

"The five-year survival rate is almost between 70 and 80 percent."

"There is also a certain chance that the disease will not relapse for life."

"But it costs a lot of money to combine it with chemotherapy and other series of treatments."

When the man heard this, his body became a little soft.

He couldn't help but believe what the doctor from the Second Hunan University Hospital said, but he still asked with a glimmer of hope: "Is it possible that it is benign?"

Min Hong shook his head and nodded again: "Then the only way to confirm the diagnosis is through biopsy. What I say now is only based on my experience."

"Only pathology can confirm what this thing is. Any other auxiliary information is only a foil and a pointer."

"Thank you." Although the man didn't get the answer he wanted, he left with the medical record.

"Thank you, Professor." He bowed to Min Hong again at the door.

This is the second time Lu Cheng has seen this kind of thing. The first time was during a gynecological consultation. At that time, she was the mother of a child, and now it is on the body of a young girl.

Min Hong quickly regained his mood and said, "Xiao Lu, go call a patient in the back."

Lu Cheng was still deep in thought, so he didn't hear it at first.

Min Hong smiled at the corner of his mouth. The fact that Lu Cheng was in a daze proved that he took the patient's condition into his heart and did not regard the patient as just a medical treatment object.

"Xiao Lu?" Min Hong reminded again.

Young people like Lu Cheng are like this. They can easily be infected by various emotions of patients. But as a beginner, if you don't even have this original intention, it won't work.

As a doctor, you have to be responsible for every patient, so you cannot bring the pity and helplessness of everyone in front to the next innocent person. If you control your emotions like this, you will naturally be able to feel like a rock soon.

"Oh, okay, Master." Lu Cheng went out and called the next patient in...

After the outpatient service.

Lu Chengdu did not wait for the little girl and the couple who Min Hong had deliberately told them to come to the clinic directly after taking the pictures.

Walking side by side with Min Hong on the way back to the ward, Lu Cheng was a little puzzled: "Master, why didn't that little girl come back in the end? Doesn't she want to be treated?"

Min Hong's habit is that after attending the outpatient clinic on Thursday, he will have a small round in the department!

Usually there are only three to four people, including the graduate student from his outpatient clinic, Lin Hui, the chief resident, and the doctor on duty.

Lu Cheng naturally had to accompany him.

Min Hong said: "This is what you don't know. The little girl's family is obviously not short of money. Our place is definitely not the first place he has seen!"

"Those who have financial strength like this will usually go to Kyoto and Magic City after receiving a targeted diagnosis."

Having said this, Min Hong sighed helplessly and said: "The most important thing is the bone tumor department of our hospital, which has not developed much in the past twenty years. Although the current development of bone tumors has only been in the thirties.

Years ago, it was in a bottleneck period.”

"But you have to know that the reason why the level of bone tumors in the entire world continues to develop is because a small number of places developed it in advance, and then extended this experience. From one hospital to a country, and then

Be recognized all over the world.”

"So, if a department wants to develop, it will never be able to keep up with others if it sticks to the rules, is old-fashioned, waits to be fed, and waits to keep up with others."

"So far, the generally accepted treatment experience and medications for osteosarcoma are still in the 1970s and 1980s."

“The bone tumor surgeries performed by professors at our hospital are as good as any other hospital in the country.”

"But the treatment effect of bone tumors in our hospital is not comparable to that of top hospitals. Think about it."

Min Hong's question is a bit difficult.

What does this make Lu Cheng think?

The gold standards for the treatment of osteosarcoma are all written in textbooks, including preoperative adjuvant chemoradiotherapy, surgery, and postoperative chemotherapy.

Now Professor Min Hong also said that the surgical skills of the professors in our hospital are not inferior to anyone in the country, and the chemotherapy regimens written in the textbooks are the gold standard. The medicines that can be obtained in Kyoto and Shanghai can also be obtained by the Second Xiangya Hospital.

Get it.

However, there are differences in treatment effects.

What this proves is that other hospitals have made fine-tuning of doses, changes in chemotherapy drugs, and optimization of chemotherapy cycles and medication regimens to these gold standards.

This kind of optimization has not yet been recognized by the world and has not been made public, but they have already touched the path of improvement and are better than the gold standard. However, they have not yet reached the step of leapfrog improvement, so they cannot achieve a breakthrough.

Change your outlook!

Being old-fashioned means sniffing other people's butts!

But this is something that Min Hong can talk about at his level. Lu Cheng hasn't even systematically studied yet. How dare he talk about the meaning of Min Hong's words?

Lu Cheng then shook his head.

Min Hong said: "Just be in our department! Chang Weilong is too much like them. He sticks to the gold standard and dare not let it go, for fear of making mistakes. Every time he looks for a plan or a solution to a problem, he just bases himself on the existing
To be continued...