Back in 2002 as a doctor

Chapter 0396 Guess what disease

"Boss, please come this way." Zhou Congwen completely forgot the previous boss's values. Don't think too much about this thing. Let's take a step at a time.

In the last life, because the boss died suddenly of illness, he searched for various ways to treat cancer by himself, and finally had an accident.

In this life, seeing the boss sitting next to him, with a kind face and peaceful years, Zhou Congwen didn't want to think about those values.

I am so happy to have surgery every day, I don’t grow taller if I think too much.

"Boss, try it, his barbecue is not bad, and the proprietress is also pretty." Zhou Congwen suggested.

Mr. Huang glanced at Zhou Congwen, then at Deng Ming, and said dissatisfiedly, "When I'm old, there are people who care about me everywhere. You say you."

"Boss, we can't do this." Zhou Congwen persuaded, "The recipe given to you by the nutritionist..."

"Have you ever eaten what's in that recipe? It's not for people to eat, it's for livestock!" Huang Lao said unhappily.

"Zhou Congwen, is the donkey in the production team still alive?" Liu Xiaobie asked with a smile.

"He's alive, and he's still swearing." Zhou Congwen said angrily.

"Hahaha." Although Deng Ming felt that Zhou Congwen's words were disrespectful to the boss, but seeing his expression and the state that the boss didn't mind, Deng Ming found it very interesting.

"Boss, try the chicken feet grilled by Jiyang. It's very delicious. But you can only eat one, don't eat more!" Zhou Congwen emphasized.

"Emmmm." Huang Lao took the chicken paw and held it in his hand, moved his fingers slightly, with a smile on his face.

Deng Ming's bearded face was full of sighs, and he put his hands together in front of him, holding them vaguely, as if there was something real.

He knew very well what his boss was going to do.

"I'll test you on one case. If I get a wrong answer, I'll eat another one. Deng Ming, shut up and don't allow you to speak." Huang Lao said a little harshly.

"Boss, are you so sure that my diagnostic level is not as good as Director Deng's?" Zhou Congwen felt that the boss had exhausted all his tricks, but in the end it fell into his hands, and asked happily while looking at him.

"Young man, don't brag." Mr. Huang said while gnawing on the chicken paw, "A while ago, a family member of an old patient suddenly called me.

Older patients, as you know, were all operated on more than ten or twenty years ago, and they have all recovered.Come and see me during the holidays, just like a friend. "

Zhou Congwen nodded. No wonder the boss didn't let Deng Ming speak. It turned out that it was because it happened a while ago.

Li Qinghua finds it interesting that Mr. Huang's life is really simple, probably only the hospital and his home.

"The patient's family members said that the patient might be dying recently, and they didn't want to be treated, so they just told me. They even started crying."

"Oh? Can't do it anymore?" Zhou Congwen's eyes gradually narrowed.

Liu Xiaobie didn't seem to listen to what Huang Lao said, and ate the skewers with big mouthfuls. Zhou Congwen felt that if it wasn't for the fact that the sticks couldn't be digested, she could even eat the sticks.

"I felt something was wrong, so I asked a few questions. The patient's family members said that the old patient can always see dead relatives and friends standing at home recently, as if they want to take him away. This is not a disease, this is life."

"They said they wanted to take people to try the means of exorcising evil spirits, so they didn't come to 912. There are many dead people in the hospital, and the evil spirit is heavy. If you come to the hospital, you are afraid that people will die immediately."

"What you said is true." Zhou Congwen said while eating a skewer absent-mindedly, "The branch office is next to our hospital. People who just died at the end of the last century are still parked in the morgue of the hospital. That room is in the hospital. next to the branch office.

It didn't take long for the branch office to paint a big red wall and come out. "

"Hahaha, I've heard people say it too. It's said that the gate of the yamen is full of yang, hahaha." Li Qinghua laughed.

"Tell me what's wrong with the patient?" Elder Huang didn't care about Jianghai City's affairs, but asked.

"Boss, you are not honest at all." Zhou Congwen said contemptuously, "That's all, you let me guess what kind of disease it is? There are 27 categories in total, and 160 five diseases can have similar symptoms."

Li Qinghua was dumbfounded, Liu Xiaobie glanced at Zhou Congwen with a smile, and patted him on the shoulder, as if praising him for being so forceful.

"Are you afraid of ghosts?" Huang Lao asked with a smile.

"Humans are much scarier than ghosts. There is nothing to be afraid of." Zhou Congwen said indifferently.

"Boss, tell me, I'm not afraid, you don't need to take care of me." Liu Xiaobie gnawed on the meat skewers, regardless of the image of his mouth full of oil, "If there is a ghost, I will invite him to eat skewers together. Such delicious things can't be shared together. Pity."

Mr. Huang nodded and continued, "I didn't think it was right, so I went to the old patient's house to take a look. After I opened the door, I saw that he was in good health, sitting on the sofa watching TV, and his son and three daughters were there.

They were surprised to see me coming.I chatted with the patient for a few words, and I vaguely felt something was wrong. "

"What happened later?" Zhou Congwen asked.

"Later, his second daughter was going to pick up the child, so she left first. We went to the door to drop it off. When we turned around, the old patient suddenly froze, his hands trembling a little, looking at the blank space and saying, Shufen, when did you come? "

"At this time, the patient's son and the other two daughters were pale and pale. I knew it was a ghost."

"At this time, the old patient looked terrified and backed away desperately, almost knocking me down."

"He shouted while running, don't come to me, didn't I burn paper for you last night!"

Speaking of this, Huang Lao paused, and licked a small bone on a chicken paw with relish.

Li Qinghua felt a chill down his spine.

If a rural old man said this, Li Qinghua would think it was a feudal superstition.But this matter succeeded, Huang Lao said it out of his mouth, and said in advance that he was sick...

Although he knew it was a disease, Li Qinghua couldn't figure out what it was.

He only felt that the surroundings were gloomy, as if suddenly at night, all ghosts were walking around at night.

"Oh, that's it. Boss, are you going to trade such a simple case for chicken feet? That's not okay." Zhou Congwen asked with a smile.

"Don't brag, if you have the ability, tell me what's going on." Mr. Huang tsk-tsk-tucked the chicken paws, but his eyes were on the owner of the barbecue, and he wanted to order some more chicken by himself anytime he wanted to. Paws to eat.

Zhou Congwen felt delicious when he saw him eating.

Boss eating and Liu Xiaobie’s fragrance are two different concepts, one is savoring the taste, especially the aftertaste; Liu Xiaobie is a young man, as long as it is delicious, he will fill his stomach, as if he starved to death in his previous life Same.

"Is it because the old patients refuse to go to the hospital because they say nothing, and keep saying that they are back, back?"

Chapter 0397 Guess what disease

"Yes." Huang Lao nodded, "I persuaded him for five hours, and the old patient finally agreed at the end of get off work."

"Because it's time and the traffic jam, so the old patient kept nagging at the old friends behind and chased him, wanting to take him away. What he said was true, and he always looked back. I was afraid that he would go halfway. I jumped off the car and broke it."

"The patient's family members also cried, saying that they would go to someone to help them break it."

"Boss, this question is not as difficult as the penicillin allergy you mentioned last time." Zhou Congwen said seriously, "What kind of examination did you go to the hospital for?"

"Is it definitely a head CT? The report is that there are multiple old cavity stems in the bilateral basal ganglia and the center of the semiovale. No clear abnormalities were found."

Huang Lao looked at Zhou Congwen with a smile.

The original question is here, Zhou Congwen nodded, "Do an MRI, I guess it is a cavity stem in the temporal lobe, a small embolus, CT can't see it. DWI sequence, you can clearly see the new ischemic lesion in the temporoparietal lobe, Flair sequence, Ischemic lesions also appear in similar locations."

"..."

Huang Lao sighed, Zhou Congwen's answer disappointed him.

So he gave Zhou Congwen a "vicious" look.

"Did you guess right? I said that this topic is not difficult." Zhou Congwen smiled, "The temporal lobe is responsible for processing auditory information, and it is also related to memory and emotion. Boss, you told me early in the morning until the CT was fine. I'm sure."

Liu Xiaobie bumped Zhou Congwen's shoulder with his shoulder, "Zhou Congwen, why can't CT be seen but MRI can be seen? I heard from my mother that the hearts of doctors in the hospital are dark now. First CT and then MRI. They can't see a doctor without a machine. "

"In the acute stage of cerebral infarction, that is, within 24 hours, it is difficult to visualize ischemic lesions with head CT. Although the patient's time is relatively long, there is a possibility that CT may not be visible."

"The DWI sequence of magnetic resonance examination can display acute intracranial ischemic lesions within 6 hours or even 2 hours of onset, so the diagnosis of cerebral infarction is much earlier than CT examination."

"It's enough to check the NMR directly." Liu Xiaobie put down the stick in his hand, and there was a hill in front of him.

"The MRI is slow, but the head CT scan is so fast, the patient can do it whenever he arrives, and each scan can be completed in about 1 minute."

"And the first thing to do when looking at CT is to see if there is any cerebral hemorrhage. Speaking of MRI... yes, there is nothing wrong with 912. Our Jianghai City can't do MRI at night, and there is no one at all." Zhou Congwen laughed, "Boss, you know that Jianghai City does it. Are there nuclear magnetic rules?"

"Oh? There are still rules?"

"A private hospital bought a dilapidated MRI from the outside, and it can be opened at night. We refer patients to the emergency department and get money."

"It's fine if you can do it in the middle of the night. It doesn't matter how the profit is divided." Huang Lao can see it, but what makes him depressed is that Zhou Congwen solved the problem, and he can't eat another chicken paw justifiably.

"Boss, let me test your case. If you can answer it, I will discuss it with Director Deng." Zhou Congwen decided to release the water.

Deng Ming's beard was full of anger, and he looked at Zhou Congwen together with swords drawn.

Fortunately, it's not a real big brother, Zhou Congwen thought to himself when he saw Deng Ming's appearance.If this beard turned into a monkey, I'm afraid I would have been beaten to ashes.

"Big...Director Deng, not only the boss, but you can also answer the questions quickly." Zhou Congwen said with a smile, "It depends on the level, what do you think?"

Deng Ming didn't have much confidence. He gradually realized that Zhou Congwen's diagnostic standard was very high... no, extremely high.

The questions he posed were not sure that he would be able to answer them.

This kind of question is extremely dependent on clinical experience. You can know it after seeing or encountering it. There are too many strange cases that it is impossible to guess.

But the strange thing is that how can a young man like Zhou Congwen get rich clinical experience, Deng Ming is a little puzzled.

"Director Deng, you are being unreasonable." Zhou Congwen stood beside the boss, pretending to be powerful.

Deng Ming sighed, "Okay."

"Then I'll tell you." Zhou Congwen looked at the boss and Deng Ming with a smile.

Huang Lao nodded and looked at Zhou Congwen with great interest.

"I have a neighbor in my hometown who was 45 years old at the time. He was an old man and never married a wife." Zhou Congwen began to speak, "Did the countryside be poor in those years? During the Chinese New Year, you can kill a pig and eat a piece of meat. It’s green vegetables, and sauerkraut in winter, if the boss goes there, I probably won’t be able to survive.”

"I also came here from that time. I don't eat it if I don't have it, and I don't let it if I have it. It's very annoying." Huang Lao retorted.

"The boss is right!" Zhou Congwen said very quickly, "It is said that someone at home has started to raise pigs and sell meat exclusively, and life is getting better and better. The extra land is contracted by others, and semi-mechanization has gradually begun."

"Zhou Congwen, hurry up and talk about something, I'm in a hurry." Liu Xiaobie said contemptuously.

"Take it easy, the folks can eat pork, the days are better, but the bachelor is sick. It's not a serious illness, but he often feels uncomfortable. He has visited our health center and the county hospital many times. Nothing came of it."

"Allergy to pork?" Deng Ming asked with a frown.

"I didn't know what was going on at the time, but now that I think about it, it must be an allergy to lard. In the past, we only ate vegetable oil, not much. Later, when we had a pig farm, we could eat pork every now and then. The bachelor's chronic allergy symptoms started."

"you this……"

"Director Deng, I just said something casually. I haven't got a case yet." Zhou Congwen smiled slightly. , He didn’t dare to go out at all, for fear that a meteorite would fall from the sky and kill him.”

Everyone looked at Zhou Congwen, not knowing what he was going to say.

"Boss, Director Deng, look at the young man leaning against the wall at the corner table." Zhou Congwen said.

Deng Ming looked back, his eyes were round and round, and with his beard, Zhou Congwen felt that he could stop crying at night.

"Director Deng, don't stare at her girl directly. Be careful that the boyfriend next to you will come and point to your nose and ask you what you are looking at." Zhou Congwen reminded.

Deng Ming was taken aback, he was not used to this northeast way of greeting.

"That girl's eyelids have been twitching, and the twitching is very fierce. I guess I can't see anything." Zhou Congwen said lightly, "Now the boss and Director Deng have both seen it, so let's talk about what is wrong."

Mr. Huang was taken aback. Zhou Congwen obviously wanted to talk about a case of lard allergy, but he just "coincidentally" saw the man and woman, instantly had a diagnosis, and immediately took it out as a problem.

Knowing what kind of disease is at a glance is not something ordinary people can do.

"Zhou Congwen, do you have any humanity? If someone is sick, if you understand it, tell them so that they can be treated quickly." Liu Xiaobie said contemptuously.

"It's useless."

Huang Lao said lightly.

Deng Ming was taken aback, feeling a little frustrated, probably losing.

Chapter 0398 Guess what disease

"Boss, what disease do you think the patient is?" Zhou Congwen asked.

Then he stretched out his hand, "Boss! Add chicken feet!"

The owner of the barbecue shop is tall, thin, and has a slightly dark face. He was very happy to see Zhou Congwen reaching out for something, but lost interest when he heard that he only needed a chicken paw.

He waved his hand at Zhou Congwen, indicating that he knew.

"Deng Ming didn't notice." Mr. Huang said happily, "That girl kept her mouth open, but she didn't speak."

"Huh? What does this mean?" Deng Ming was puzzled.

"Why did you keep your mouth open? She couldn't open her left eye, and she was a little frightened. Her boyfriend kept comforting her, but it didn't work. The problem was the eyelids, but what happened to the mouth?" Mr. Huang customary question.

His words were a little convoluted, but Deng Ming understood, and looked back at the girl again, but he didn't have any clue.

Zhou Congwen felt that Deng Ming's movement of looking back looked like a wretched bus man peeping at other girls, which didn't match his mighty appearance at all.