Back in 2002 as a doctor

But Zhou Congwen made it very clear that long-distance calls are more expensive.

One piece of two per minute is indeed an unbearable burden for young clinical doctors.

Then do it.

Shen Lang first used the department's landline to call the CT room, and asked who was on duty today and whether he knew him or not.

Otherwise, it would be embarrassing if people didn't know me and didn't give face.

However, Li Ran had worked in the medical department after all, and his face was wider than Shen Lang's, and with the blessing of a masked face, Li Ran took him for an examination.

Shen Lang didn't leave, but just stayed on duty.

Thinking of Zhou Congwen, Shen Lang felt a little scratchy.

While doing the examination, he picked up the book of internal medicine and surgery, and used his memory to find the diagnosis of multiple motor venous malformations.

It's a pity that this is a very unpopular diagnosis, and there are not many related descriptions, and Shen Lang didn't want to understand why the patient's blood routine is fine since so much blood has been produced.

After nearly half an hour, Li Ran walked back with frost on his serious face.

"What's going on?" Shen Lang's fire of gossip burned more and more intensely.

"There is a problem with the lung CT. I printed the film and returned it. You can take a look." Li Ran inserted the film into the film reader.

The faces of the mother and daughter behind them were not good-looking. The middle-aged woman had lost the blush when she first arrived, and her daughter was even more frightened, hugging the middle-aged woman's arm.

No one expected that a serious illness would be discovered after a good blind date.

At that time, in the CT room, it seemed that the doctor said that there was a big problem, what is the specific problem...

The more they thought about it, the more afraid they became.

Li Ran and Shen Lang looked at the film carefully, and found that the middle-aged woman had a frizzy shadow in the left lower lung, but it was not a space-occupying lesion, but a relatively clear vascular mass.

It's just that similar situations are quite rare, and the two of them have never seen it before, so they can only guess based on imaging.

Shen Lang looked at it for a long time and didn't dare to make a diagnosis, so he took out his mobile phone and prepared to summon Zhou Congwen.

Alas, it would be great if he was his own divine beast, one can be summoned with a piece of talisman paper, and he can go out when he reaches level 7.

"Congwen, the film came back. There is a shadow in the left lower lung, but I think it looks like a blood vessel mass."

"If you don't understand, ask the director to take a look. Normally, it should be a shadow of blood vessels." Zhou Congwen said simply.

Shen Lang sighed, he just wanted to treat Zhou Congwen as a beast, but he had already turned the director into a level 7 beast to greet him casually.

Chapter 0370 Zhou Congwen, you stinky hooligan!

"Congwen, it's not convenient to call the director, just tell me briefly." Shen Lang swallowed, but still rejected Zhou Congwen's request.

"If you feel inconvenient, then I will call the director."

"No, just talk briefly. Don't always think about one yuan per minute, you have finished speaking now." Shen Lang said.

"I haven't seen the film, so I'm talking nonsense." Zhou Congwen said cautiously, "The medical history I heard from you suspects hereditary hemorrhagic telangiectasia. The most common ones are epistaxis and genetics. By the way, the blind date girl Here."

Shen Lang glanced at the girl.

"Ask her if she has any subcutaneous telangiectasia, it's important."

"Well, I'll ask later." Shen Lang seized the time to ask Zhou Congwen. After all, the phone bill is one yuan and two per minute. Who knows when Zhou Congwen will hang up the phone.

"Well, is there anything else to check?"

"Abdominal B-ultrasound, head MRI or CT should all be checked. Similar conditions may occur in all organs of this disease."

"Then why did you say to check the lung CT first?" Shen Lang's focus was always different from other people's.

"We are in thoracic surgery. It's more convenient to get a CT scan of the lungs. Do you know the MRI side? Besides, the MRI room is closed now, and we will do it tomorrow." Zhou Congwen took it for granted, and Shen Lang was speechless. Word.

"Congwen, why doesn't the hemoglobin drop? Ordinarily, there should be a lot of blood."

"Do you know what HFE protein is?" Zhou Congwen asked.

"..."

"The HFE protein regulates circulating iron uptake by modulating the interaction of transferrin with the transferrin receptor.

The protein is inactivated by a genetic mutation, causing patients to absorb increased amounts of iron from a normal diet. "Zhou Congwen said lightly, "That's almost the case. The point is not this, but whether the lungs and brain need surgery. "

"Do you still need surgery?"

"Of course, some patients have severe vascular malformations and need surgical treatment. The head...you should look at it first. If you need surgery, I will go to 912 or the Temple of Heaven."

Shen Lang was speechless. When Zhou Congwen talked about 912 and the Temple of Heaven, it was as simple and casual as talking about the corn grown in his own backyard.

They are all the same little doctor, Zhou Congwen walked away so fast recently, Shen Lang felt more and more confused.

……

……

Zhou Congwen hung up the phone and glanced at Liu Xiaobie with disgust, "You still want to drink up the soup? Didn't you say that you rich people gargle with shark's fin early in the morning? It's the particular kind."

"First of all, it's us rich people and not you rich people." Liu Xiaobie corrected, "Secondly, if it wasn't for pretending to show others, who would gargle with a bowl of vermicelli, wouldn't that be sick.

Again, save food, refuse extravagance and waste..."

We rich people, Zhou Congwen smiled slightly, completely ignoring the nonsense behind Liu Xiaobie.

Although he doesn't have a good idea of ​​money, a penny can't beat a hero. Zhou Congwen thinks it must be better to have more money.

"You're quite busy, what's going on at home?" Liu Xiaobie almost licked the bowl clean.

Zhou Congwen frowned slightly, the family's words to describe the department were particularly offensive in Liu Xiaobie's mouth.

"Why frown, you always frown when your boss beats you while walking with your hands behind your back."

"Let me tell you, I just have a better temper now." Zhou Congwen said lightly.

"Or else?"

"Otherwise you would have been pregnant."

"Zhou Congwen, you stinky rascal!"

"Basic skills of a surgeon, just get used to it. Don't make trouble, eat quickly." Zhou Congwen hurriedly urged, and he regretted a little if he accidentally said something wrong.

When I was with Liu Xiaobie, I was a little relaxed, as if the main operation had been completed on the operating table, people would relax and make some jokes involuntarily.

Be careful next time, next time... emmmm, Liu Xiaobie looks better when she blushes.

"There's no such thing as a serious guy, can your boss drive a car on the operating table?" Liu Xiaobie asked.

"The boss is very serious. He always said that if we were all arrested for hooliganism 30 years ago." Zhou Congwen said with a smile.

"Hahaha, that's it!"

Zhou Congwen felt that Liu Xiaobie almost licked the bowl clean, just like eating skewers at Fat Sheep Barbecue, it was simply too embarrassing.

If I didn't have much cash, I really wanted to pay the bill and leave.

"When are you going home?" Liu Xiaobie asked.

"The train at night." Zhou Congwen looked at her, "What about you?"

"I don't know, there are a lot of things to be busy here. You are the major shareholder, and all requirements must be met. I have to watch the laboratory, or I won't worry."

Will all requirements be met?

If the previous two embarrassing princess hugs were forgotten, I don't know if Liu Xiaobie would do it, Zhou Congwen thought to himself.

After eating, Zhou Congwen called Mr. Huang, contacted his senior brother Deng Ming, and then went to the train station.

Taking the train once or twice in 2002 was a novel and nostalgic experience.

But once it is used as a serious means of transportation, it really feels too slow. Zhou Congwen has already begun to miss Harmony, Fuxing, and Maglev.

But what made Zhou Congwen happy was that there was no broadcast loudspeaker calling for first aid on the vehicle, and he slept peacefully.

After washing up the next day, I waited for a few hours and returned to Jianghai City.

After going out and tossing around, Zhou Congwen was not tired, and instead of going home, he went straight back to the department.Doctors and nurses always call their departments "home" habitually, and everyone has long been used to this in almost unlimited work.

Zhou Congwen is like this, if he doesn't go to the department to take a look, even if he goes home, he doesn't sleep soundly, always worrying that something will go wrong.

He first talked to Li Qinghua about the two days in the imperial capital. It is better for Li Qinghua to maintain the relationship with the leaders of the group company. He needs this.

Knocking on the door, Li Qinghua was reading the film, he gave Zhou Congwen a smile, indicating to wait for him for a while.

Zhou Congwen was a little relieved to be a patient with pulmonary nodules again.

Doctors have a circle of doctors, and patients also have circles of patients. The technology of instant messaging is not yet developed, and QQ is just born, and that person seems to be optimistic about it. Now he is thinking about selling the shares of QQ to cash out.

Liu Xiaobie didn't know how many QQ shares he bought, so he had to ask her sometime.

If it feels inconvenient to use WeChat after many years, a phone call to Zhang Xiaolong seems to be a very touching thing.

Zhou Congwen looked at the patient with a smile, and he suddenly felt that something was wrong with the patient.

It looks like they don't look like employees of the group company, but people from nearby counties.

Could it be that the ripples in the circle of patients have already spread to the surrounding counties?According to Zhou Congwen's expectation, it will take at least 2-3 years to conceive.

probably not.

Chapter 0371

"The film is very clear that it is a small pulmonary nodule. If it is less than 5mm, I suggest waiting, but your small nodule is about 8.5mm, so you should cut it directly."

Li Qinghua glanced at Zhou Congwen after watching the film, seeing that he had nothing to say, so he directly explained to the patient's family.

"Director Li... what will happen if we don't cut it?" the patient's family asked.

The patient stood in the back, with expectant light in his eyes.

"If you don't do it, there are two situations. One is to review every 6 months or so. It may remain unchanged, grow slowly, or grow explosively. The medical community has not yet clarified what happens to the patient. statement."

"Instead of worrying about it, it's better to just cut it off. It's almost time to prepare for cat winter. You can go back and think about it. The current situation is still stable, so don't worry." Li Qinghua said empathetically.

Around eleventh is the time when the autumn harvest is busy, and there is one less strong laborer in the family, and it is impossible to finish the work if someone comes to take care of it.

Now if it is not sick, injured and unable to walk, the patient will definitely go home and work first.

In 2002, the agricultural tax was still collected. After a few years, the industry began to feed back the agriculture, and the agricultural tax was cancelled... That would not delay the autumn harvest. This is something that has been engraved in the genes of Chinese people for thousands of years.

Zhou Congwen thought and smiled.

"Director Li, we...we..."

"What's wrong with you?" Li Qinghua looked at the patient's family and said very gently.

"I don't want to invite a professor, Director Li, can you do it?" The patient asked directly.

It was strange for his family members to say this, so the patient asked directly.

"Yes." Li Qinghua said, "All kinds of high-value consumables in the surgery...even if they are very expensive, I will try my best to save them for you. Don't worry, you can spend as little as you can. But this is when there are no special circumstances. If it is really a special case, surgery is still the main method, and saving money is secondary."

The patient and the patient's family members looked at each other, and both Zhou Congwen and Li Qinghua could see the hesitation and anxiety in their eyes.

"Just tell me what you want. My home is so far away, so it's not convenient to ask." Li Qinghua asked.

After a few seconds of silence, the patient said, "Director Li, your thoracic surgery is too dark. I heard from my in-laws that the operation costs more than 1 yuan."

Zhou Congwen looked at Li Qinghua, ready to hear how the director explained the patient's questions.

Li Qinghua's expression remained unchanged, and he was not moved in the slightest by the sharp question. "There are two explanations for this question. First, if you really don't have the money, you can have a thoracotomy. The total cost is about 5000-6000, and it will be halved directly. I personally Do it, don't worry."

"Secondly, laparoscopic surgery with less damage is indeed expensive, but..."

Li Qinghua said, looking at the construction site in the distance through the window of the director's office.

"Here, that side is commercial housing, and our unit will not divide the housing in the future."

The patient and the patient's family members looked at each other, not knowing what Director Li meant by this.

"House is definitely becoming more and more expensive, but do you think that the high price of houses has something to do with the workers on the construction site?" Li Qinghua asked a rather ethereal question.

Zhou Congwen laughed, Li Qinghua is really awesome.

This explanation is easy to understand, and patients and their families can understand it in seconds.

The construction workers can get a little salary at most, but Li Qinghua is a small contractor and will be the role of the future.