Chapter 791： Jobs' disease?
As a businessman, you always have to argue, for the sake of good fortune, for the sake of face.
But Su Yun listened to Zheng Ren and silenced.
He repeatedly pondered the meaning of Zheng Ren's words, and soon touched Zheng Ren's thoughts.
"Boss, is the amount of surgery?" Su Yun is in the face of Peng Jia, not too clear.
"Well, 6 beds, not enough." Zheng Ren smiled and admitted.
Su Yun relieved.
As long as the boss does not have a head in the water, it is just a matter of the Madonna. If it is for the Nobel Prize, it can abandon certain interests.
After all, is everything going to give way to the Nobel Prize?
Can you really win the prize, how much is it? Still paying attention to the current small money?
Peng Jia has a dew.
He didn't know the situation of Zheng Ren and Su Yun. Although he could guess a little bit, he didn't know it.
However, this is not important. What is important is the attitude of Zheng Ren.
The unexpectedly smooth things made Peng Jia feel like a time to work.
This is a dream...
Peng Jia did not dare to tempted too much. If the doctor who was like a girl was not happy, he would lift his own rock and lick his own feet.
When he asked Zheng Ren for a few times, he said that he had a long-awaited solution, and Zheng Ren was also satisfied.
I can make publicity without increasing the workload on my own. As for the things that followed, Zheng Ren had to consider it, but they were all in the general direction, and the details did not think too much.
It’s useless to think too much, walking down, and occasionally looking up the road is enough.
Think of it, it is better to do it, this is the style of Zheng Ren.
Su Yun began to take over, and Peng Jia detailed the details in detail, so that Su Yunba can not live the next wave of patients with tips.
Talking, Zheng Ren’s cell phone rang.
"Yang Ge, what is it?"
"Oh, I am talking about something outside, then I will go back."
"No need, I will go to you."
After that, Zheng Ren hung up the phone and said with a smile: "There is a patient on the other side of Yang who is looking for me to take a look at the film. You should talk first."
Peng Jia: "..."
The Lord is not there, how can you talk about this?
Zheng Ren saw his expression and comforted: "Su Yun can be the master, you two discuss it, this matter will start as soon as possible."
After that, Zheng Ren took off his coat and went out.
Seeing Zheng Ren leaving, Peng Jia is still a bit embarrassed.
Su Yun asked aloud: "Boss, what patient?"
"It is pancreatic cancer, but Teacher Yang feels that something is wrong. I am looking for a staff officer." Zheng Ren said that he has gone far.
Peng Jia took a moment.
Professor 912, can't eat, look for Zheng boss to diagnose? This status of the rivers and lakes is higher than you think.
He immediately reflected, and he still looked down on Zheng Bo. People are the candidates of the Nobel Prize, but they can't be scornful and negligent because of their youth.
Peng Jia has a positive attitude, is more moderate, and the conversation with Su Yun is smoother.
......
......
Zheng Ren left the cafe and dripped a car back to 912.
The coffee shop is not far from the hospital, but Zheng Ren is still going back by car to save time.
In contact with Peng Jia, Zheng Ren is somewhat in conflict with this kind of transactional work. But this is much better than when it was in Haicheng. Zheng Ren would not have promised Peng Jia to come out.
Back to 912, Zheng Ren changed his clothes and strode to the hepatobiliary surgery.
"Yang Ge, what patient?" Professor Zheng Ren and Professor Yang are already familiar with it. He greeted him first.
Patients with liver hydatid disease have been successfully transferred from icu and are now recovering. The patient's surgery quickly pulled into the relationship between Zheng Ren and general surgery.
The level is high, the temper is good, and the person is very honest. Professor Yang appreciates Zheng Ren, so now there is a diagnosis that is not accurate. He is looking for Zheng Ren to help with a palm.
There are not many patients of this type, one in three or five days.
Zheng Ren has gradually adapted to the working environment and rhythm of the 912, and gradually got better.
"The following hospital gives the judgment that pancreatic cancer is associated with liver transfer. I always feel that there is a problem with the film." Yang Rui waved and waved, indicating that Zheng Ren had come in quickly, then he picked up the test list and looked at it.
"Yeah." Zheng Ren walked in, saw the upper abdomen ct inserted in the reader, and a pocket on the table in front of the reader, glanced at it, it should be nuclear magnetic enhancement.
On the film, Ming Huang can see a space-occupying lesion in the head of the pancreas, and the shape is irregular. And there are two places in the left liver, although not large, but the first impression is considered to be pancreatic cancer with liver metastasis.
Cancer with other organ metastases is end-stage. In the past few years, it was a contraindication to surgery. It can only be treated with radiotherapy and chemotherapy, and try to maintain the patient's survival.
In recent years, with the minimally invasive surgery, surgical trauma has become smaller, and some people advocate surgical treatment. However, even if the operation is only a cytoreductive surgery, the patient's immunity will be reduced after the operation, and the tumor tissue may explode and spread.
This film reminds Zheng Ren of a case he has learned.
"Do you see the disease like Jobs?" Yang Rui looked at the upper abdom ct and asked.
Yes, Zheng Ren thought, it is also the case of Jobs.
This case is bizarre, and the whole process has not been announced. It can only be speculated from certain known things.
Zheng Ren, a doctor who specializes in general surgery, has conducted research on this.
As early as 1987, at the press conference of Steve Jobs, a reporter described his symptoms of "slightly yellowed hands and shaking."
However, Jobs himself did not pay attention to it, or the inspection did not find out the truth.
In October 2003, after five years of chest and abdomen pain, Jobs finally went to the hospital. The original film is similar to the ct in front of the eye, with advanced pancreatic cancer and liver metastasis.
Because he is a Buddhist, and Jobs is very resistant to modern medicine, he has been through diet adjustments, leading to delays in the initial treatment.
Of course This is the media's statement, Zheng Ren does not think so.
After diagnosing the late stage of pancreatic cancer, Jobs refused surgery and was ready to die. Later, he was persuaded by the doctor to perform a series of examinations such as pathological biopsy under the endoscope.
The diagnosis showed that he did not get pancreatic cancer, but a pancreatic neuroendocrine tumor.
Unlike pancreatic cancer, pancreatic neuroendocrine tumors can be treated by surgery and have a cure rate of more than 50%.
At the end of July 2004, Jobs underwent surgery at the Stanford University Medical Center. The surgical procedure was not announced, and Zheng Ren guessed that it should be a combined pancreaticoduodenectomy.
After the operation of Jobs recovery, after all, the operation of pancreaticoduodenectomy combined surgery is very large. Moreover, after the operation, Jobs did not heal.
Five years later, his metastases on the liver increased and he flew to the Transplant Research Institute of the Methodist University Hospital in Memphis, Tennessee, for a liver transplant.
Two years after the operation, Jobs died on October 5, 2011.
But Su Yun listened to Zheng Ren and silenced.
He repeatedly pondered the meaning of Zheng Ren's words, and soon touched Zheng Ren's thoughts.
"Boss, is the amount of surgery?" Su Yun is in the face of Peng Jia, not too clear.
"Well, 6 beds, not enough." Zheng Ren smiled and admitted.
Su Yun relieved.
As long as the boss does not have a head in the water, it is just a matter of the Madonna. If it is for the Nobel Prize, it can abandon certain interests.
After all, is everything going to give way to the Nobel Prize?
Can you really win the prize, how much is it? Still paying attention to the current small money?
Peng Jia has a dew.
He didn't know the situation of Zheng Ren and Su Yun. Although he could guess a little bit, he didn't know it.
However, this is not important. What is important is the attitude of Zheng Ren.
The unexpectedly smooth things made Peng Jia feel like a time to work.
This is a dream...
Peng Jia did not dare to tempted too much. If the doctor who was like a girl was not happy, he would lift his own rock and lick his own feet.
When he asked Zheng Ren for a few times, he said that he had a long-awaited solution, and Zheng Ren was also satisfied.
I can make publicity without increasing the workload on my own. As for the things that followed, Zheng Ren had to consider it, but they were all in the general direction, and the details did not think too much.
It’s useless to think too much, walking down, and occasionally looking up the road is enough.
Think of it, it is better to do it, this is the style of Zheng Ren.
Su Yun began to take over, and Peng Jia detailed the details in detail, so that Su Yunba can not live the next wave of patients with tips.
Talking, Zheng Ren’s cell phone rang.
"Yang Ge, what is it?"
"Oh, I am talking about something outside, then I will go back."
"No need, I will go to you."
After that, Zheng Ren hung up the phone and said with a smile: "There is a patient on the other side of Yang who is looking for me to take a look at the film. You should talk first."
Peng Jia: "..."
The Lord is not there, how can you talk about this?
Zheng Ren saw his expression and comforted: "Su Yun can be the master, you two discuss it, this matter will start as soon as possible."
After that, Zheng Ren took off his coat and went out.
Seeing Zheng Ren leaving, Peng Jia is still a bit embarrassed.
Su Yun asked aloud: "Boss, what patient?"
"It is pancreatic cancer, but Teacher Yang feels that something is wrong. I am looking for a staff officer." Zheng Ren said that he has gone far.
Peng Jia took a moment.
Professor 912, can't eat, look for Zheng boss to diagnose? This status of the rivers and lakes is higher than you think.
He immediately reflected, and he still looked down on Zheng Bo. People are the candidates of the Nobel Prize, but they can't be scornful and negligent because of their youth.
Peng Jia has a positive attitude, is more moderate, and the conversation with Su Yun is smoother.
......
......
Zheng Ren left the cafe and dripped a car back to 912.
The coffee shop is not far from the hospital, but Zheng Ren is still going back by car to save time.
In contact with Peng Jia, Zheng Ren is somewhat in conflict with this kind of transactional work. But this is much better than when it was in Haicheng. Zheng Ren would not have promised Peng Jia to come out.
Back to 912, Zheng Ren changed his clothes and strode to the hepatobiliary surgery.
"Yang Ge, what patient?" Professor Zheng Ren and Professor Yang are already familiar with it. He greeted him first.
Patients with liver hydatid disease have been successfully transferred from icu and are now recovering. The patient's surgery quickly pulled into the relationship between Zheng Ren and general surgery.
The level is high, the temper is good, and the person is very honest. Professor Yang appreciates Zheng Ren, so now there is a diagnosis that is not accurate. He is looking for Zheng Ren to help with a palm.
There are not many patients of this type, one in three or five days.
Zheng Ren has gradually adapted to the working environment and rhythm of the 912, and gradually got better.
"The following hospital gives the judgment that pancreatic cancer is associated with liver transfer. I always feel that there is a problem with the film." Yang Rui waved and waved, indicating that Zheng Ren had come in quickly, then he picked up the test list and looked at it.
"Yeah." Zheng Ren walked in, saw the upper abdomen ct inserted in the reader, and a pocket on the table in front of the reader, glanced at it, it should be nuclear magnetic enhancement.
On the film, Ming Huang can see a space-occupying lesion in the head of the pancreas, and the shape is irregular. And there are two places in the left liver, although not large, but the first impression is considered to be pancreatic cancer with liver metastasis.
Cancer with other organ metastases is end-stage. In the past few years, it was a contraindication to surgery. It can only be treated with radiotherapy and chemotherapy, and try to maintain the patient's survival.
In recent years, with the minimally invasive surgery, surgical trauma has become smaller, and some people advocate surgical treatment. However, even if the operation is only a cytoreductive surgery, the patient's immunity will be reduced after the operation, and the tumor tissue may explode and spread.
This film reminds Zheng Ren of a case he has learned.
"Do you see the disease like Jobs?" Yang Rui looked at the upper abdom ct and asked.
Yes, Zheng Ren thought, it is also the case of Jobs.
This case is bizarre, and the whole process has not been announced. It can only be speculated from certain known things.
Zheng Ren, a doctor who specializes in general surgery, has conducted research on this.
As early as 1987, at the press conference of Steve Jobs, a reporter described his symptoms of "slightly yellowed hands and shaking."
However, Jobs himself did not pay attention to it, or the inspection did not find out the truth.
In October 2003, after five years of chest and abdomen pain, Jobs finally went to the hospital. The original film is similar to the ct in front of the eye, with advanced pancreatic cancer and liver metastasis.
Because he is a Buddhist, and Jobs is very resistant to modern medicine, he has been through diet adjustments, leading to delays in the initial treatment.
Of course This is the media's statement, Zheng Ren does not think so.
After diagnosing the late stage of pancreatic cancer, Jobs refused surgery and was ready to die. Later, he was persuaded by the doctor to perform a series of examinations such as pathological biopsy under the endoscope.
The diagnosis showed that he did not get pancreatic cancer, but a pancreatic neuroendocrine tumor.
Unlike pancreatic cancer, pancreatic neuroendocrine tumors can be treated by surgery and have a cure rate of more than 50%.
At the end of July 2004, Jobs underwent surgery at the Stanford University Medical Center. The surgical procedure was not announced, and Zheng Ren guessed that it should be a combined pancreaticoduodenectomy.
After the operation of Jobs recovery, after all, the operation of pancreaticoduodenectomy combined surgery is very large. Moreover, after the operation, Jobs did not heal.
Five years later, his metastases on the liver increased and he flew to the Transplant Research Institute of the Methodist University Hospital in Memphis, Tennessee, for a liver transplant.
Two years after the operation, Jobs died on October 5, 2011.
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