Yu Wangshan was stunned for a moment, then he was overjoyed.
At this time, as long as someone said that it was not a cancer metastasis, he was willing to believe it. However, Boss Zheng said it with more force.
“Boss Zheng, Boss Zheng, what do you suspect?” Yu Wangshan asked anxiously.
“Good-for-nothing,” Su Yun said as he looked at him with disdain.
“I think it’s ectopic ossification,” Zheng Ren said.
“Doesn’t ectopic ossification often appear near large joints?” Su Yun asked with a frown.
Yu Wangshan knew the term ‘ectopic ossification’, but that was something he had to review before the exam. Since the beginning of the clinical era, it was rare for a genitourinary surgery doctor to… not come into contact with ectopic ossification.
He tried his best to recall what ectopic ossification was.
“Didn’t you already say that it often occurs near large joints, such as the hip and elbow joints? However, there is a small probability that it will occur in other places, such as the patient in front of us.” Zheng Ren shook the radiographic films in his hand. He smiled and said, “Don’t worry, Chief Yu. It’s fine.”
Yu Wangshan saw Zheng Ren’s affirmation and smiled in a relaxed manner.
Ectopic ossification referred to the appearance of osteoblasts in soft tissue and the formation of bone tissue. Yu Wangshan recalled the definition of this term. If it was ectopic ossification, there were many difficult points that could be explained. For example, the CT looked like there was a local calcification focus.
But…incision, ectopic ossification… why did it sound so unreliable.
“Boss Zheng, how did this ectopic ossification form?” Yu Wangshan asked in a low voice.
“The inducing factors may be neurological and bioelectrical factors, but until now, there is no definite explanation,” Zheng Ren said. “Most of these changes will occur near the major joints. It will start to become red, swollen, and painful. Finally, after the osteogenesis, it will lead to impaired joint activity.”
“In the fibrous connective tissue, the primitive cells are proliferating and active, accompanied by a rich network of capillaries. Calcium salts are deposited to form bone.
“Mature ectopic ossification has the structure of bone. The outer layer is wrapped in fibrous connective tissue, and inside are osteoblasts. There are trabecular junctions and bone-like tissues. At the center are active primitive cells,” Zheng Ren pointed at the radiographic films. “The images in the radiographic films are exactly the same as the definition of ectopic ossification.”
“Boss, it’s useless for you to say so much.” Su Yun blew a breath, and his black lock of hair fluttered in the wind. “Can’t we just cut it off and do pathology?”
“No,” Zheng Ren said firmly.
“…”
“…”
Su Yun and Yu Wangshan were both stunned.
Usually, the gold standard for judging whether an abnormal hyperplasia was a malignant tumor was a pathological diagnosis. If there was doubt, a biopsy would be done and a pathological diagnosis would be sent.
This was already a fixed thinking in the clinic.
Why did Zheng Ren say no?
“Ectopic ossification was first recognized in large numbers during the First World War. Explosive injuries and spinal cord injuries are thought to be the causes of ectopic ossification. However, subsequent research shows that this is only a part of the reason.
“Urinary tract infection is also one of the causes,” Zheng Ren said. “The specific mechanism is still unclear. It’s just a guess.”
Su Yun sighed. With the current state of medical science, there was no conclusive conclusion about many diseases. In other words, there was a big minefield everywhere. It was hard to say which foot would step on it and would be broken into pieces.
Ectopic ossification was still considered good. Although ossification of the incision was extremely rare, it would not cause the patient to die.
If it was a disease that came menacingly, such as the malignant high fever that the boss encountered…
The more he thought about it, the more he felt sick of it. Su Yun sighed and said, “Boss, why do you want to quit more and more?”
“Because you know more and come into contact with more, so the unknown is also…”
“Stop, don’t give me chicken soup.” Su Yun raised his hand. “You haven’t said why you can’t cut it.”
“It’s still the osteogenesis period. If it’s cut off, it will be longer. It can only be carried out after 9-12 months or when the ossification has matured and the ossification has stopped. After the surgery, get disodium etidronate and take it orally for a year.”
“At the cellular level?” Su Yun asked
“Probably.”
“Can you be more reliable?”
“The research institute hasn’t come to a conclusion yet. I’ve never seen any publicly recognized and useful information.” Zheng Ren was also very helpless. He put away the radiographic films.
“Chief Yu, let Chief Miao know,” Zheng Ren said, “If there’s nothing else, I’ll be leaving.”
“That…” Yu Wangshan was a little hesitant. He wanted to say something, but he was in a difficult position.
“The radiographic films are very clear. Don’t worry.” Zheng Ren knew what he was thinking. He smiled and patted Yu Wangshan’s shoulder to comfort him.
“It won’t delay the illness, right?” Yu Wangshan whispered.
“You don’t understand,” Su Yun was displeased and directly retorted. “It’s fine, it’s fine. What’s there to delay? Are you hoping that it’s a tumor?”
“Brother Yun…” Yu Wangshan quickly said, “Aren’t you especially afraid?”
“I’m not,” Zheng Ren smiled and said. “If you’re concerned, you’ll be a mess. If it’s a patient from another department or if you see them in the outpatient clinic, I believe you’ll be able to give the correct diagnosis.”
After saying that, Zheng Ren opened the door of the duty room and walked out.
Chief Yu did not leave. He was silent for a moment and picked up his phone to call Chief Miao.
“Chief, I just met Boss Zheng. I looked for him to take a look at the radiographic films.”
“Yes, yes, I just happened to see him.”
“Boss Zheng said that it was ectopic ossification.”
“Oh, Chief Chu thinks so too? That’s good, that’s good.”
“Okay, we’ll talk about it when you come back.” Yu Wangshan hung up the phone and looked at the bag of radiographic films in a daze.
Boss Zheng and Chief Chu had the same opinion. That was good.
The patient’s condition recovered very well. There were no other organ metastases, and urea nitrogen and creatinine were not high.
Excluding the incision and implant metastases, then there was a chance of survival for more than five years. It could even be said that there was a great chance of survival.
No problems at all; that was good.
Chief Yu let out a long breath. On this day, he had scared himself to death. Yesterday, the patient came for a check-up and took the local radiographic films. Chief Miao was worried about the problem regarding the resolution, so he asked the patient to do one there.
Ever since Chief Miao brought the patient for a check-up after the surgery, he had been very nervous. Now, he was finally at ease.
It was good that he was fine.
However, ‘I should find time to treat Boss Zheng to a meal and get in touch with him,’ Yu Wangshan thought to himself. He would see him whenever he saw him. What could he not do? He was still counting on Boss Zheng to help him out next time.
This did not count. Yu Wangshan asked around about the incident in the operating theater. According to Chief Xu of the Anesthesiology Department, if Boss Zheng was not there, he would not be able to perform the resuscitation so perfectly.
Boss Zheng seemed to have experienced the successful resuscitation of the malignant fever first-hand. After everyone recalled, they realized that Boss Zheng was indeed able to keep himself busy. Every order was very accurate.
With this kind of person, it was better to have a good relationship with him.
Yu Wangshan secretly made up his mind.
