Back in 2002 as a doctor
Page 160
"Huh? Say it."
"From now on, if you see Xiao Zhou with his hands behind his back, you can beat him for me. If you don't learn well at a young age, you have to learn from us old people." Huang Lao glanced at Zhou Congwen.
Zhou Congwen was distressed, his boss really knew what he was afraid of.Leave it to Liu Xiaobie... I will pay attention in the future, and I must not let her become arrogant.
"Zhou Congwen, do you hear that?" Liu Xiaobie asked triumphantly.
"Got it." Zhou Congwen was listless.
Watching them get on the train, Zhou Congwen finally relaxed as the train drove away slowly.
"Zhou Congwen, I heard that Academician Chu wanted to accept you as a graduate student when you sent patients to the Second Hospital of Medical University, but you rejected it. I thought you had a lump in your head. Why didn't Academician Huang say anything?" Liu Xiaobie asked.
"Who did you hear that from?" Zhou Congwen asked.
"When we were discussing business with Geng Haoran, the director of the intensive care unit of the Medical University said it." Liu Xiaobie looked at Zhou Congwen with a smile, "It's amazing, why don't you agree? The director of the ICU told me about it, let me I advise you well."
"Oh." Zhou Congwen said perfunctorily.
"At that time, I thought you wanted to do surgery, and thought internal medicine was boring. But you see, what's the use of speculating with Mr. Huang, he still won't accept you." Liu Xiaobie said contemptuously.
"It doesn't matter. The boss is more cautious in doing things and is not in a hurry." Zhou Congwen smiled slightly.
"Boss called this dear before and after the boss, where did you get such a familiar temper? You call me the boss when you meet."
Where did it come from?I got used to it in my previous life.
"Send you home, I'm going to get busy." Liu Xiaobie didn't even think about Zhou Congwen answering his question, and said to himself, "Can you rest for a few days?"
"Rest? Are you kidding me? I'm on duty tomorrow."
"I really don't understand, do you doctors really think that you are the donkeys of the production team?" Liu Xiaobie said contemptuously, "The labor law is there, and you can't read? Or are you reading all the books in the dog's stomach?" went."
"It's not that easy. Doctors are a special type of work and are not protected by the labor law." Zhou Congwen took out his mobile phone.
"Call my little lover? Sitting next to your real girlfriend, pretending that I can't breathe? I've worked hard to drive you for two days, and you just..."
"Don't make trouble." Zhou Congwen dialed a phone number, "Mr. Huang is gone, I have to report to the director."
Zhou Congwen didn't know when Liu Xiaobie became his real girlfriend.
Do you have a girlfriend like her?
I don't say good words well, and I take pleasure in laughing at myself, but it is indeed quite fragrant.If it weren't for her pretty looks, Zhou Congwen would have turned his back on her long ago.
"Director, it's me."
"I just sent Mr. Huang away. What are you doing? Why are you breathing so hard?"
Zhou Congwen fell silent immediately, quietly listening to what Li Qinghua said on the phone.
"Okay, then I'll wait for you in the hospital."
"What's wrong?" Liu Xiaobie asked in a particularly good manner.
"Director Li is running with someone." Zhou Congwen took a long breath.
"Running? He's a doctor, and he even runs with others... I know!" Liu Xiaobie laughed, "If you say that Li Qinghua is better than you, the technique is indeed useful, but someone needs to know about it."
Zhou Congwen's expression was a little strange.
In the last life, I had no contact with Li Qinghua. After all, one is the prince of the thoracic surgery department of the People's Hospital, and the other is a poor little doctor in the third hospital. The gap between the two can be said to be vast.
If there is no system, Li Qinghua is the ceiling that Zhou Congwen can't touch.
Even if he didn't become the director in the end, he couldn't hold back his high emotional intelligence, so he won the favor of academicians and directly took him to work in a Sino-US joint venture hospital.
Originally, Zhou Congwen only wanted to drive Wang Chengfa away, and the thoracic surgery department of the Third Hospital was still operating normally.But I didn't expect that Li Qinghua would be so concerned about thoracoscopic removal of small lung nodules, and went to run with others after the ward rounds on weekends.
Everyone has their own reasons for their success. After getting in touch with him, Li Qinghua is really not an easy person.
"Look at him." Liu Xiaobie curled his lips, his red lips moved slightly, and Zhou Congwen's heart moved accordingly.
It felt so weird, Zhou Congwen was a little confused.
"Believe it or not, if Li Qinghua was in your position, he would be able to fool Academician Huang and Director Deng into understanding, and he would be able to go to 912 in a short time."
"Really?" Zhou Congwen concealed his disdain with a smile, the relationship between himself and the boss is not the kind that Liu Xiaobie understands.
"Sure, the person he is running with is at least the deputy director-level leader of the group company."
Indeed, Liu Xiaobie was right.
She is really a little genius, she can guess Li Qinghua's actions without any information in her hand.
"What did he ask you for?"
"The person who was running with the director was diagnosed with small pulmonary nodules a few years ago. He went to see it in the capital and suggested him to observe it. Half a year later, he was checked twice intermittently, and the small pulmonary nodules disappeared."
Zhou Congwen said calmly, leaned on the back of the co-pilot, and slowly closed his eyes.
"Zhou Congwen, are you imitating Mr. Huang? He's not here, so stop pretending." Liu Xiaobie said contemptuously.
"No, I'm just used to it." Zhou Congwen thought about it while perfunctory Liu Xiaobie.
"It would be disgusting if the leader's small pulmonary nodules disappeared. If you want to carry out similar medical examinations and surgeries on a large scale, without the support of the group company, you can only make small troubles."
Zhou Congwen nodded, and Liu Xiaobie got to the bottom of it all at once.
Herein lies the problem.
In the state-owned group company, the leaders in charge of logistics are handled, and the regular physical examinations of the entire group employees are promoted from top to bottom, so that many relevant patients can be screened out in a short period of time.
Coupled with a little hint from the leader, the Third Hospital is afraid that the number of surgeries will increase dramatically in a short period of time.
This is something that everyone benefits from. If the selected employees of the group company do not have a physical examination, their life expectancy may only be 3-5 years.However, after resection, it is basically equivalent to recovery, and a life was lost in vain.
It's just that they don't know it.
Just as Zhou Congwen thought of this, a "ding dong~" sound came from his ear.
[Urgent Mission: Inexplicably disappearing...]
The system issued a task, and there were more writing on the panel than at the beginning.Although the one behind is still in a thick fog, one can roughly guess who it is.
Inexplicably disappearing small pulmonary nodules?
Can this thing disappear?Impossible, Zhou Congwen thought with a smile.Either a misdiagnosis or something else.
As for misdiagnosis, Zhou Congwen didn't consider it.
It is possible that Jianghai City can misdiagnose.But the patient went to the capital to see him and gave him a very clear diagnosis.
If not...
Zhou Congwen already had plans.
Liu Xiaobie drove to the Third Hospital, and she said in a very incomprehensible manner, "Zhou Congwen, you said that you are at two o'clock and one line every day, wouldn't you get tired of it?"
"No." Zhou Congwen said seriously, "For example, the patient in front of me, the small nodules in the lungs are... in terms you can understand, they are called real diseases."
"Who do you look down on? What do you mean speaking in a language that I can understand?" Liu Xiaobie said dissatisfiedly, "Speaking normally, I can understand."
"When something grows, it can't disappear for no reason. Don't you think it's like solving a case?"
"I don't think so, I just feel that you are a piece of wood, and your mind is full of healing. Zhou Congwen, you are a human being, not a machine!"
Chapter 0275 say something nice
Li Qinghua was sitting in the office chatting with a middle-aged man who seemed to be in good shape and was not blessed. Zhou Congwen knocked on the door and came in.
"Mr. Zhao, let me introduce you. This is Zhou Congwen, the chief physician in charge of our ward." Li Qinghua enthusiastically took Zhou Congwen's hand and introduced it to the middle-aged man.
"Congwen, this is Mr. Zhao from the group company."
"Mr. Zhao, hello." Zhou Congwen smiled and held out his hand.
Mr. Zhao was not indifferent, he stretched out his hand and shook Zhou Congwen with a gentle smile.
"I just took Mr. Zhao to check a lung CT scan, and there is a small problem." Li Qinghua said, "There is no previous film, just take a look at the text."
As he spoke, Li Qinghua inserted the two lung CT scans into the viewer next to his desk.
Turning on the light of the film reader, Zhou Congwen stared at the lung window.
"Mr. Zhao found a small nodule in the upper lobe of the left lung during his physical examination 5 years ago. I can't remember the size. At that time, the advice given by the People's Hospital was to observe. Later, Mr. Zhao went to the capital to look around, and his opinions were similar. It is recommended to watch it."
"Did there be a glitch last time?" Zhou Congwen asked.
"It is said that there are."
Li Qinghua's answer was very vague.
In addition to what he said earlier, Zhou Congwen knew that Mr. Zhao must have lost the previous video data, and everything can only rely on his memory.
This is also very normal. The patient must breathe a sigh of relief after the reexamination. Who would keep the film neatly?
Of course, there are such people, but they are extremely rare.
But the problem is... big.
Mr. Zhao said that it was a small nodule in the upper lobe of the left lung 5 years ago, but this time it was a small nodule in the middle lobe of the right lung with a spiky shadow, an obvious ground glass nodule with a size of about 0.8cm.
Zhou Congwen's eyes gradually narrowed.
"Congwen, Mr. Zhao wants to observe for a period of time. Do you think three months or half a year is better? I feel that the amount of thread in the CT scan of the lungs is not large, and there is no problem in the three-month examination." Li Qinghua introduced the current situation to Zhou Congwen. Condition.
Every sentence of his has a special meaning, and Zhou Congwen can understand it.
but,
Zhou Congwen didn't speak.
Li Qinghua looked at Zhou Congwen in surprise, shouldn't he be flattering himself at this time?How come there is no such tacit understanding.
"Half a year is enough. I guess the small nodules will disappear in the next re-examination. It is meaningless to check frequently." Mr. Zhao said with a smile.
Li Qinghua smiled and did not speak, and kept staring at Zhou Congwen.
"Mr. Zhao, do you have symptoms of hemoptysis?" Zhou Congwen asked suddenly.
A trace of displeasure appeared on Mr. Zhao's face.
"Congwen, look at what you said. Mr. Zhao is in very good health. He didn't have hemoptysis, which was discovered by the physical examination." Li Qinghua hurried out to smooth things over, "I'm going to run the half-marathon with Mr. Zhao this time. I really can't hold on anymore. , Mr. Zhao didn't even take a breath."
Mr. Zhao is slightly proud.
"Oh, how many half-marathons does Mr. Zhao run each year?" Zhou Congwen continued to ask, as if he didn't realize that what he just said was annoying.
"I run regular races 1-2 times a year, and usually exercise 200km a month." Mr. Zhao said proudly.
Ordinary people, in their 40s, in high positions, can still maintain an exercise volume of 200km a month, which is indeed something to be proud of.
Zhou Congwen reached out and touched his small crew cut, rustling.
"Mr. Zhao, your body is really good. This time, I overestimated my strength." Li Qinghua said with a smile, "I thought I was younger than you, and I could survive no matter how hard I gritted my teeth. But I tried. Know how far your level is."
"You don't exercise often. I have been running all the way since I was young. I am still old now, and I start to feel a little tired after running a few kilometers every day. I think 10km a day is like playing when I was young." Mr. Zhao said happily.
"Awesome, amazing." Li Qinghua stretched out his right hand, gave a thumbs up and praised sincerely, "You don't know if you don't try it, my breathing just now... Hahaha, it's a standard airway spasm, which is called a wind box in the words of the common people. .”
"I told you not to let you run away with me." Mr. Zhao laughed.
"Mr. Zhao, it's okay." Zhou Congwen took the film off the film reader and put it in a bag, "Director, it's not a nodule."
Faced with Zhou Congwen's betrayal, Li Qinghua was suddenly taken aback.
Could it be because Mr. Zhao was upset just now, and Zhou Congwen wanted to follow him?
He doesn't want to be a fan of himself, but wants to be a fan of Mr. Zhao?
Alas, Zhou Congwen is still young.
It is sometimes difficult to be a doctor. For example, a big leader of the imperial capital came to inspect and suddenly developed a fever when he returned to his hometown. The local doctor gave him an injection and the fever subsided.
The big leader was full of praise. Later, he inspected Jianghai City and found that he was still having a fever, and the city organized a doctor from the respiratory department to see a doctor.
Everyone knows what the local hospital used for the patients. It must be hormones that can reduce the fever with just one injection.It's just a common cold, the symptoms of pneumonia are not severe, and the fever is not high, so there is no need to use hormones at all.
But can it work without it?If the fever didn't subside that day, the big leaders would think that the medical level in Jianghai City was not good, and it was not as good as the small hospitals in the county, leaving a bad impression.
This is not bad, if the kind of leader who must repay him will think that Jiang Hai City is embarrassing himself, and such a small disease can't be cured.
Therefore, hormones must be used, and ordinary dexamethasone cannot be used, and methylprednisolone, which has a better effect, must be used.
Anyway, it's just a minor problem, and it doesn't matter if you use a few armored prednisosaurs in just a few days.
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