"Dayong, take her to do it first. She will definitely be admitted to the hospital later, and the money will be included in the hospital bill then." Li Zheng said. It was obvious that the couple came from a very poor family.
Chen Dayong understood and immediately took people to check.
"Haiping, you go to the operating room to do preoperative preparations first. I will go up after I see the results." Li Zheng said.
Zhu Haiping took the order and rushed to the operating room. Although he also wanted to know the result, the patient in the operating room could not wait, and it would be the same if he asked Zheng Ge later.
Li Zheng returned to the office and Director Tang followed him.
"Director Tang, what do you think it might be a tumor?" Li Zheng asked.
Director Tang thought for a moment and shook his head. "It's hard to say. Judging from the location, it could be a colon tumor or a uterine adnexal tumor."
Li Zheng thought for a moment and said, "A colon tumor is unlikely because it can cause abnormal bowel movements. But judging by the patient's appearance, she doesn't have such symptoms. A tumor in the uterine appendages is more likely."
Director Tang knew that Li Zheng should have the answer, so he asked directly, "What do you think the tumor is?"
Li Zheng shook his head and said, "It's hard to say. I didn't palpate her, but judging from her symptoms, it should be 'ovarian goiter'."
"Ovarian goiter?" Director Tang asked in disbelief. "This disease is so rare. How did you diagnose it?"
Li Zheng nodded and said, "She's thin, sweating a lot, her eyes are bulging, and she has a bad temper. These are typical symptoms of hyperthyroidism, but my thyroid gland is normal when I palpated it, so it's probably not a thyroid problem."
After Director Tang heard what Li Zheng said, the symptoms and signs really matched up.
"Your knowledge is really broad. You understand this unpopular disease so clearly!" Director Tang praised.
Li Zheng shook his head and said, "These are just preliminary assessments. We have to wait for the B-ultrasound results before we can make a diagnosis."
Chen Dayong returned quickly. He handed the ultrasound report to Li Zheng and said, "The right ovarian mass is oval, with clear boundaries and mixed echoes inside. The mass also shows the typical 'sea of fire sign.'"
Li Zheng took the list. The so-called "sea of fire sign" refers to the presence of abundant blood flow signals in the tumor, which is a typical thyroid-like echo.
"It's basically confirmed to be 'ovarian goiter'. Send her to the gynecology department for surgery." Li Zheng handed the list to Director Tang.
Director Tang took the order, glanced at Li Zheng, and said, "Aren't you going to do it yourself?"
Li Zheng shook his head and said, "This operation is not that difficult. Director Peng of the Obstetrics and Gynecology Department will be able to handle it."
Well, you think the operation is too simple.
Li Zheng nodded and left with Chen Dayong.
Director Tang patiently explained to He Caigu and his wife, and then in an unquestionable tone, asked them to be hospitalized for surgery.
"Doctor, if surgery can remove the fish sperm, then let's do it!" Wang Laosi was still obsessed with the fish sperm.
Director Tang had no choice but to nod and said, "Don't worry, I promise to take it out for you."
"After it is taken out, will I still be able to get pregnant in the future?" He Caigu asked worriedly.
Director Tang nodded and said, "Sure!"
If only one side of the ovary is removed, you can definitely still get pregnant.
"Was it the doctor who performed the operation on me just now?" He Caigu asked.
"No, the obstetrician and gynecologist will do it." Director Tang said, and went to the nurses' station to call the obstetrician and gynecologist for a consultation.
Director Peng Yan arrived at the emergency room soon after. She took the ultrasound report and nodded, saying, "The diagnosis is indeed correct. Director Tang, your obstetrics and gynecology expertise is excellent, and you can even diagnose such a rare disease."
Director Tang coughed and said awkwardly, "It wasn't me who diagnosed it, it was Li Zheng."
Peng Yan, with her androgynous short hair, looked at Director Tang. After a brief moment of surprise, she nodded in admiration, saying, "Li Zheng is truly an all-rounder. He can diagnose and perform surgery on obstetrics and gynecology diseases. He can definitely handle this patient himself!"
Could Director Tang say that this operation was too easy for Li Zheng?
"Li Zheng has already arranged several operations and there is no time to do it. Besides, the emergency department can't perform all the operations of all departments!" Director Tang said with a smile.
"Doctor, I...can I ask that doctor to perform surgery on me?" He Caigu said cautiously.
Director Tang and Director Peng were both stunned.
"Why do you want him to do it for you?" Director Peng asked curiously. Li Zheng could do it better. After all, his surgery was more standardized and could better demonstrate a high level of skill. He could also learn from Li Zheng.
"From what I heard you guys talking, I think Doctor Li Zheng must be very capable. I'll feel more at ease with him doing the job." He Caigu said in a low voice.
Director Peng nodded and said, "Okay, you guys go ahead and arrange for hospitalization. I'll ask Dr. Li Zheng to perform the surgery."
…
Li Zheng and Chen Dayong were on their way to the operating room.
Chen Dayong couldn't help but be curious and asked, "Brother, how does this 'ovarian goiter' form? How can a thyroid gland grow from the ovary?"
Li Zheng shook his head and said, "It's not the thyroid gland itself, it's the thyroid tissue. It's generally believed that goiter originates from primordial germ cells. During the differentiation process of germ cells into somatic cells, they differentiate into a single germ layer, forming a tumor primarily composed of thyroid tissue."
Chen Dayong was in so much pain that he didn't quite understand. After thinking for a moment, he said, "Are you saying that there's a problem with the development of the germ cells, and they've all developed into thyroid cells?"
Li Zheng nodded.
Chen Dayong shook his head and sighed, "There are so many strange diseases in obstetrics and gynecology. Last time, there was a case of endometrium growing on a finger, and this time, there's a thyroid gland growing on an ovary. It seems that reproductive cells can definitely develop into other different tissues. Don't even think about an eyeball growing out of an ovary. That would be terrifying!"
"Theoretically, there is such a possibility, but it is an extremely low probability event after all, so there is no need to be too scared."
As they spoke, the two of them came to the operating room.
The first operation was a cholecystectomy, the first in the department.
This was also the first surgery Li Zheng taught.
The two came to operating room No. 8.
Director Xiao has already administered the anesthesia.
"Li Zheng, you're a little late today. Is there another emergency patient?" Director Xiao asked.
Li Zheng nodded and said, "Just now, there was a patient with 'ovarian goiter'. It has grown very large and will undergo surgery today."
"Ovarian goiter?" Director Xiao asked curiously, "Isn't that a gynecological patient? Are you here to treat it?"
Li Zheng shook his head and said, "No, Director Peng from the Obstetrics and Gynecology Department has seen it, and she can do it herself."
Director Xiao was a little disappointed.
This disease sounds rare. If Li Zheng can perform it, the operation will definitely be smoother and the process will definitely be more interesting. He knows the level of obstetrics and gynecology best. The last ectopic pregnancy operation was performed by Li Zheng.
Li Zheng tidied up the patient's clothes and went out to wash his hands.
When I returned to the operating room, I found that Director Peng was also there, chatting animatedly with Director Xiao.
When Director Xiao saw Li Zheng coming in, he laughed out loud and said, "Li Zheng, you can't get away. The patient specifically asked for you to perform the surgery!"
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