Back in 2002 as a doctor

After a brief introduction, Zhou Congwen shook hands with the patient's family members as a greeting, and went directly to the patient to ask about the medical history.

The patient's family members frowned.

Zhou Congwen not only asked about the medical history and physical examination, but also focused on the old man's knees, and did a lot of joint physical examinations.

"Who is he?" A young family member of the patient asked.

"It is said that it is a doctor who has contact with 912 in the imperial capital. If he is so young, he is not good at the third hospital. I said that I can't come to the third hospital, and I just believed what President Li said."

"Grandma's urine turned black, and he kept fiddling with his knee joints. Is he a doctor?"

Dean Li's face gradually turned black, and he stared at Zhou Congwen viciously.

If it weren't for the leader of the group company standing beside him, he would have rushed to criticize and educate Zhou Congwen immediately.

Dean Xiao stood aside to watch the fun, with a contemptuous smile on his lips.

When Li Qinghua took over this matter, Xiao Qiang vaguely suspected that Zhou Congwen was going to appear on the stage.Xiao Qiang had a bad impression of Zhou Congwen the last time Zhou Congwen "shamefully" crossed the wall and demolished the ladder.

Xiao Qiang has always been worried about Zhou Congwen's ability to perform surgery but not doing it, and when he communicated with the patient's family and said "ugly" words, he was always worried about the completion of the surgery.

It may not be possible to see a doctor, but no one will be able to find faults.

Xiao Qiang sneered as Zhou Congwen was doing a physical examination, but he pretended he didn't see Dean Li's winks.Let him make a fool of himself, and rush forward as soon as he hears that the relatives of the leaders of the group company come to see the doctor. Xiao Qiang has seen a lot of people like this, and few of them can really pick up the leaders.

Especially when he heard other relatives of the leader's family whispering, Xiao Qiang was even more happy.

It's not his own relationship, let Zhou Congwen offend people thoroughly.

When Zhou Congwen is no longer under the protection of Dean Li, I have to deal with him once and let him know how many eyes Prince Ma has.

"The situation is basically confirmed, it is black diabetes arthritis." Zhou Congwen turned around and said to the leader of the group company after the physical examination, "There is no special treatment method now. Taking more vitamin C may help a lot."

The leader of the group company frowned, and gave Zhou Congwen a displeased look, but only one look, then looked at Dean Li and said in a deep voice, "Dean Li, I didn't want to see a doctor in the Third Hospital."

Dean Li was very embarrassed, and Xiao Qiang almost laughed out loud beside him.

Zhou Congwen is looking for death.

"Director Li, what's going on?" Dean Li asked fiercely.

"Uh……"

"That's right, there is no cure for black urine at the moment, only symptomatic treatment. If you want to go to the imperial capital, I can contact the orthopedics department of 912. The orthopedics department there is about the same level as Jishuitan." Zhou Congwen said, "There is no need to go to the urology department."

"Doctor Zhou, you can do whatever you are told, why are you talking so much nonsense!" Dean Li said coldly.

Zhou Congwen smiled, "Sending patients to the imperial capital is not done casually. If you make a mistake in the basic diagnosis, you will be laughed at by the teachers in the imperial capital."

"!!!"

Chapter 0354

"Young man, you have a big tone." The leader of the group company laughed angrily, "Tell me, how did you diagnose it."

"Leader, leader, don't listen to him..." Dean Li just finished speaking halfway, when he saw the leader of the group company raise his hand, he swallowed the rest of the words with interest.

"The diagnosis is very simple." Zhou Congwen said calmly, "Take two urine samples, and I will tell you in person."

"Don't you need a test?"

"No need." Zhou Congwen said with certainty, "You can understand it after reading it. Our hospital doesn't have the equipment for testing, so we have to go to 912."

"..."

The room was quiet, Zhou Congwen's words seemed to be still echoing.

Take a urine sample and he can give a diagnosis?Black urine is amauria, what about yellow urine?Yellow urine?

This joke was a bit big, what was bigger than the joke was Zhou Congwen's tone.

"Zhou Congwen!" Dean Li shouted in a low voice. Although the voice was low, everyone could hear the anger in it.

The leader of the group company sneered, "Okay, I didn't expect that the medical level of your third hospital is so high that you can make a diagnosis without using instruments. Dean Li, congratulations."

If it wasn't for Bureau Wei's affairs, the leaders of the group company wouldn't have come to the Third Court at all.

But what Zhou Congwen said was completely beyond his cognition, so his words gradually became cold.

Dean Li's head was covered in cold sweat, Xiao Qiang's smile became wider and wider, and he looked at Zhou Congwen happily, wondering how it would end.

Judging from Xiao Qiang's experience, Zhou Congwen flattered him too much, and ended up on the horse's hoof.

Now it is estimated that Zhou Congwen is at a loss and doesn't know how to explain it.

Hahaha, Xiao Qiang's heart was full of joy, and the leaders of the group company were really disappointed. Zhou Congwen's words came out of his mouth and became a diagnosis without instruments.

This time Zhou Congwen was forced to a dead end, and the next step is to see how he bows his head and admits his mistake.

Zhou Congwen shrugged, "Get the urine sample, and then go to the office and I'll explain it to everyone."

Li Qinghua lightly bumped Zhou Congwen's shoulder with his shoulder. Seeing Zhou Congwen smile slightly, although he was puzzled in his heart, he vaguely gained a little confidence.

I hope that Zhou Congwen can be like what I guessed, I hope that Huang Lao's eyes are bright, and he can tell that Zhou Congwen is different at a glance.

But... do you really want to taste salty?Besides, Li Qinghua didn't think of any other solution.

Abnormal urine can be diagnosed just by looking at its color. Li Qinghua only knows about porphyrin disease—urine will change color after being exposed to the sun for a while, which is very common medical knowledge.

But the condition of the patient in front of me...

"Director, please go to the Laboratory Department." Zhou Congwen whispered something to Li Qinghua in a low voice, and Li Qinghua secretly left with a strange expression on his face.

Xiao Qiang sneered, small tricks are useless, and he doesn't believe that Zhou Congwen can perform magic tricks.

Everyone came to the doctor's office. The doctor's office in the senior cadre ward was very bright, and the sunlight shone in, making people feel slightly warm.

It's just that none of the leaders of the three institutes has such leisure and elegance except for Xiao Qiang. They were frightened by the expressions of the leaders of the group company, and they were all afraid of offending this boss.

If that's the case, life in the Third Hospital will definitely be difficult in the future.

Soon, a nurse came in with a urine sample.

Zhou Congwen put the urine sample on the test tube rack, took a step back, and watched quietly.

"What are you looking at?" A few minutes later, the leader of the group company asked impatiently.

"Look at the color change."

"You..." The leader of the group company was about to reprimand angrily, but immediately felt that something was wrong.

He had been working in an overseas branch company before, and he hadn't come back for many years. Every time he called home, he always reported that he was safe. His mother never said that he had any problems.

When he was finally transferred back to work, he found that there were black marks on his mother's underwear, and finally he was anxious to go to the imperial capital to see a doctor.

He has never seen what urine looks like, and he heard what his mother said.

Now I see urine, but it is not as black as I imagined. Is there any problem? !He frowned and looked carefully at the urine sample in the test tube.

It is indeed different from what I imagined, the color of the urine is light yellow, and it is still very clear...

The leader of the group company was stunned for a moment, could it be an oolong incident caused by himself? !

The more he thought about it, the more unpleasant it was to see Zhou Congwen.

The young doctor would refuse if he wanted to, why was he talking about it, and made himself a fool of himself in public.

This time, everyone probably knows that they don't care about their mother, which is called unfilial piety!The fire in the hearts of the leaders of the group company has begun to burn.

"Isn't this normal? It's not black. Did the nurse take the wrong urine sample?"

"Could it be a mistake? The nurse must have missed it."

"I'll go... Maybe the second uncle hasn't seen it."

Just as he was thinking, he heard the younger generations in the family whispering behind him.These words were like dry wood, which was ignited by the raging fire, crackling and burning.

"Zhou Congwen, what are you telling us to watch!" Dean Li also realized that something was wrong, and hurriedly scolded in a low voice, trying to stop this farce from continuing.

This is not a clinical diagnosis, it is clearly slapping the leader in the face.

The statement of the medical history is not clear, either it is dementia, or it is not caring about the elderly at all.

Punish the heart!

Zhou Congwen doesn't want to do it anymore, let's play with everyone before leaving!Dean Li felt his tongue was extremely bitter.

Before Dean Li grabbed Zhou Congwen's arm and pulled him away, a sudden exclamation came from beside him.

"Changed color!"

"what!"

"It really changed color!"

Dean Li was startled, and carefully looked at the test tube containing the urine sample.

The originally light yellow, clear urine has begun to turn blue, very light blue, as if someone dropped a drop of blue ink in it.

How is this going?

Dean Li was stunned. Although the color changed, what about the black urine? !

"This is……"

"It's not over yet, let's continue watching." Zhou Congwen stood beside the table and said lightly.

Li Qinghua just rushed back and was stunned when he saw the scene in front of him.

My urine has turned a dull blue, or blue-gray, what could this be?Did Zhou Congwen do something wrong?

Observe carefully, Zhou Congwen is at least one meter away from the urine sample, and the room is full of people, so there should be no chance to do anything.

The leader of the group company snorted coldly, and the room suddenly fell silent.

The color of the urine in the test tube changed gradually, from clear light yellow to blue-gray, and then the color continued to deepen, and soon the blue color disappeared completely, turning into a tube of black liquid.

"That's it." Zhou Congwen smiled, "Urine will gradually turn black as time goes by."

"But we all know this." Xiao Qiang stabbed without losing the opportunity.

Chapter 0355, I'll give you a single room

"Please ask the nurse to take another urine sample." Zhou Congwen smiled slightly, glanced at the director of the high-ranking ward and said.

No one raised any objections, and the head nurse in the high-level cadre ward immediately went to collect the urine sample in person.

After a long time, she came back with half a reagent tube of urine sample, which was still clear light yellow urine.

"This is the ferric chloride solution from the laboratory." Zhou Congwen took the solution that Li Qinghua had brought, sucked some of it up with an ear wash ball, and dropped it into the test tube.

In an instant, the urine sample in the test tube turned blue-green, completely different from the color that the urine changed by itself before.

And this color seems to be fixed and has not changed over time.

"A brief explanation." Zhou Congwen said lightly, "The old man's urine is black, as I said just now, it is black urine, and the urine contains agentisic acid.

Homogentisic acid itself is colorless, but after being placed in the air for a period of time, it will react with oxygen and become a black substance. "

"It's like the first time we saw urine gradually change color, not magic, but an inevitable reaction that occurs after the patient's urine is oxidized."

"Because there are still some elements that will oxidize and turn black, I used ferric chloride to confirm it again."

"It turns out that the patient's urine contained homogentisic acid."

"Because black urine is a genetic disease, there is no solution in the world, only symptomatic treatment. Now the most serious symptom of the elderly is arthritis, so I suggest going to the orthopedics department of 912 instead of the urology department."

"Alkaptic acid can cause osteoarthritis?" Xiao Qiang's joy disappeared, and he accidentally said to himself.

Xiao Qiang wanted to overturn Zhou Congwen's conclusion, but Zhou Congwen did different tests with two urine samples and verified his words in front of everyone.

The point is that Zhou Congwen's theory sounds reasonable, but Xiao Qiang doesn't know it at all, and he has no way to refute it.

"In 1945, Hertzberg described the pathological process of joint lesions in patients with alkaluric acid.

Brown-yellow pigment is deposited in articular cartilage, especially aging cartilage with poor metabolism.The cartilage turns black, loses its elasticity, becomes brittle and can barely withstand mechanical stress.

The cartilage is easily broken, and small black fragments enter the joint cavity, firmly adhere to the synovium of the joint, and become embedded.

Mechanical stress leads to articular sclerosis, cyst formation, and infarction.The subchondral bone is activated, proliferates and grows into the diseased cartilage area.Osteophytosis at the joint margin.Cartilage disappears, resulting in bony ankylosis. "

"The condition of the elderly is quite serious, and they need knee replacement. Not to mention our Jianghai City, even the province is not very mature for similar operations, so it is right to go to 912."

It turned out to be the case.