Back in 2002 as a doctor

Li Qinghua could keep up with Zhou Congwen's words at first, but he couldn't understand what Zhou Congwen said.

As for Weger's granuloma... Such an unfamiliar diagnosis made Li Qinghua slightly confused.

Li Qinghua squatted in CT for a period of time to learn how to watch movies. He wanted to go to the CT room for a while during his training, but he was not allowed to go in. It was a pity.

Li Qinghua knew many weird diagnoses, at least more than ordinary thoracic surgeons, but he didn't have any impression of the diagnosis of Weger's granulomatosis.

From Director Sun's expression, Li Qinghua knew that Zhou Congwen's "guess" was right.

"Congwen, you..." Li Qinghua didn't know how to describe it for a moment.

Zhou Congwen smiled, "At first I also thought it was the lung cancer of Gypsophila, but when I heard the patient had sniffles and asthma, I suddenly thought of Weigl's granulomatosis."

Li Qinghua smiled wryly. It suddenly occurred to him that when he was having dinner with Mr. Huang, Zhou Congwen and Mr. Huang would tell about their medical records as if they were playing a game.

They don't waste any time, this habit has penetrated into the bone marrow and blood.

Not far away, Director Sun looked confused and asked the patient and the patient's family to wait for a while before turning around and coming back.

"Xiao Zhou, the patient hasn't seen it, but when you said it, I thought about it carefully, and it does look like sinusitis. Are you... how do you think about it?"

"Weiger's granulomatosis." Zhou Congwen said with certainty.

"What needs to be done to check?"

"There are quite a lot of immunization tests that need to be done. Our Third Hospital and Jianghai City don't have all of them."

Director Sun had a strange expression.

"Diagnostic treatment is possible." Zhou Congwen said lightly, "Glucocorticoids and cyclophosphamide, re-examination of CT in about 5 days will not cost much."

At this time, Director Sun must consider not only the diagnosis and treatment, but also the expenses borne by the patient's family.

If it is said that the cancer is in the late stage, and he forcibly leaves the patient to spend sky-high medical expenses, the patient's family will definitely not bow to him before leaving, and it would be considered polite for him to point at his nose and scold him.

However, hormones and cyclophosphamide are really not expensive, and 5 days seems to be acceptable. Director Sun began to think about the plan Zhou Congwen said.

You can try it!

Although Director Sun didn't believe in the diagnosis of Weger's granuloma, in his impression granuloma was a hyperplasia, and sinusitis could also be considered. How could granuloma grow in the lungs?

No matter how many doubts there are, Director Sun needs to come up with a decision now, immediately, immediately.

The patient with lung torsion in the room, the patient who ignored the symptoms of sinusitis behind him, and the cheap treatment plan made Director Sun's mind active.

It is indeed a bit risky, but it is still within the acceptable range.

What if?

If what Zhou Congwen said is true, if the patient is let go, he will most likely die.Not to die of illness, but to be scared to death.

Director Sun couldn't bear to let the patient out of the hospital.

"I'll try, you put..."

"Director Sun, let the patient go back first, I'll look at the medical records and test sheets." Zhou Congwen said calmly.

The patient and the patient's family returned to the ward in bewilderment, and Director Sun took Zhou Congwen to see the medical records and test sheets.

Zhou Congwen flipped through the laboratory test sheet casually, and then wrote down the treatment plan on a piece of medical record paper.

泼尼松1.0-1.5mg.kg-1.d-1；给予环磷酰胺每天口服1.5-2mg/kg。

It was a very simple line, so simple that Director Sun was a little confused.

"That's it?"

"Enough." Zhou Congwen gave Director Sun a smile, "A CT scan of the lungs will be re-examined in about 5 days. Will the flowers bloom and fade soon?"

"..."

"..."

Director Sun and Li Qinghua looked at Zhou Congwen in a daze.

Forget it, Director Sun held his nose and accepted Zhou Congwen's words in the end.

What if it works?What if I misdiagnose myself?

It's not expensive anyway, and it's good to try for a few days to hope.

Seeing that Director Sun should come down, Zhou Congwen felt relieved and went back to the ward with Li Qinghua.

On the way, Zhou Congwen said, "Director, I would like to ask for a few days off after Mr. Chen comes for surgery this week."

"Oh? Going out with your girlfriend?" Li Qinghua asked with a smile, although there was an inexplicable difference in his heart, but there was no expression on his face.

"Going home, I was tossing all night yesterday, and I suddenly felt homesick." Zhou Congwen said truthfully.

homesick.

Li Qinghua's home is in Jianghai City, and he doesn't have the same feeling as Zhou Congwen.

But he had already opened his mouth, and it was impossible for Li Qinghua to object, and Zhou Congwen made it very clear that Professor Chen would come for surgery on weekends, and he would ask for leave after the emergency operation was over.

It is estimated that I will take advantage of the interval between the two operations to go home and have a look.

Is it human nature?

"Congwen, if you have more time to spend with your girlfriend, it's different now than before." Li Qinghua said.

"Did you have time to accompany me at that time?" Zhou Congwen asked.

"No, but more than ten years ago, doctors were trimmed with gold rims. Do you know what kind of occupation girls were looking for in those days?" Li Qinghua continued directly, "Doctor, teacher, driver. Even to the extreme, the profession of teacher is very important. It doesn't count."

Zhou Congwen laughed, the one who holds the scalpel and the steering wheel in the legend.

But who knew that a few years later, the ownership rate of private cars was so high that holding the steering wheel became a coolie.And the scalpel walks on the tip of the knife every day, exhausted physically and mentally.

"Yeah." Zhou Congwen nodded, "I'll take my girlfriend back with me."

Thinking of Liu Xiaobie, Zhou Congwen saw her sitting on a tree.If she is like a sloth, she has this potential.

……

Zhou Congwen left, but Director Sun fell into deep thought.

Can't use medicine for no reason, he sorted out what Zhou Congwen said, first went to appease the patient, made a little fuss, said that he would ask his teacher in the imperial capital to see if he could apply for special medicine, and then started calling one after another type out.

The phone bill was very expensive, especially for long-distance calls, which made Director Sun's heart bleed.

After spending more than 100 yuan on the phone bill, Director Sun finally got a vague answer——Zhou Congwen seemed to be right.

Then try it.

However, Director Sun refused to believe that he could see flowers blossom and fade within five days.

Chapter 0431

Five days later.

Director Sun took the CT scan of his lungs that had just come out and was still warm.

The two lung window films were inserted into the film reader. Director Sun had been watching them for half an hour, his eyes were fixed, and his posture had not changed.

The two films were taken one week apart, and the drug was used for five days. The result is like the image structure of two people. The stars in the sky have disappeared without a trace, just like the clouds in the sky and the flowers on the ground.

Director Sun couldn't believe it was true.

If he hadn't personally followed the patient to the CT room, if he hadn't seen the image on the machine first, Director Sun must have thought that he was the wrong person.

As the flowers bloom and fade, all he thinks about are these four words.

The film taken a week ago was a typical image of stars all over the sky, with hundreds of "tumor" nodules so conspicuous.

But after five days of medication, the patient's lung windows were clean and refreshed, and hundreds of "tumors" disappeared.

Really so amazing?

It's so amazing!

Director Sun looked at the two films without blinking, feeling a little confused.

The flowers bloom and fall, which is really appropriate.

A week ago, countless flowers bloomed in the patient's lungs, and symptoms such as cough, asthma, hemoptysis, and dyspnea came one after another.

But after five days of taking the medicine, hundreds of flowers all fell, as if the winter had come, leaving only normal lung tissue.

Weiger's granulomatosis is really the disease!

The more Director Sun looked at it, the more ashamed he felt.

A patient who had completely improved after five days of treatment with glucocorticoids and cyclophosphamide actually asked him to go back to wait for death.

This is my dereliction of duty!

If it hadn't happened that Zhou Congwen came and watched the film by chance, the patient might have been frightened to death not long after returning home.

Scaring the patient to death... Director Sun felt guilty when he thought of this.

In the future, I have to read the book carefully. If I read the book for one more day, combined with so many years of clinical experience, it is possible to avoid a similar "mistake".

"Dong Dong Dong~"

The knock on the door interrupted Director Sun's thoughts.

"Please come in." Director Sun said.

As soon as the words came out of his mouth, he realized that something was wrong. His voice became so hoarse that he couldn't even hear it.

Alas... Director Sun sighed.

I thought too much just now, especially when I thought that the patient would be scared to death by what I said before when I went home. I was not only ashamed, but also nervous.So that the adrenaline is excessively secreted, the vocal cords spasm.

The patient's family members opened the door cautiously. He didn't even dare to look at Director Sun. He lowered his head and asked in a low voice, "Director, has the film my dad reviewed improved...does it improve a little bit?"

His expectation is not to recover at all, but to get better a little bit, and it would be good to live for another month or two.

When faced with despair, the patient's family members did not even have excessive expectations, and their thoughts were simple and humble.

Director Sun was silent for a few seconds.

What should I say?Admitting to a previous self-diagnosis error?

"It's completely healed." Director Sun then made up his mind, with a heartfelt smile on his face.

"Oh, that's good, then... ah?! All right? Completely all right?" The patient's family thought it was good news, but they didn't expect it to be good news beyond their expectations!

He was taken aback for a moment, thinking that he had heard wrongly, subconsciously raised his head to look at Director Sun.

"That's right, the previous film can basically be considered to be cancer." Director Sun calmed down and talked eloquently, "But there is also a very rare, very rare disease that also manifests in this way."

"..." The patient's family members' minds went blank, and they listened to Director Sun's words in a foolish manner.

"Because it's a very rare disease, Jianghai City and the provincial capital don't have relevant inspection methods. Because we know each other well, and you are also very filial and cooperative, so I finally want to try to treat it."

"It turned out! It's the old man's fate!" Director Sun grinned happily.

A passage that covers up past mistakes and praises patients and their families is the pinnacle of doctor-patient communication.

Director Sun is also very pleased with himself.

"Here, look at these two films." Director Sun tapped the films on the film reader with his fingers, and the thumping sound seemed to be beating on the heart of the patient's family members.

"Even if you don't understand, you can tell. This was a week ago. Does it look like there are a lot of flowers blooming on your lungs? According to imaging...according to the doctor's opinion, this is lung cancer, and it is already terminally ill. saved.

This was taken today, after the treatment, look how clean your dad's lungs are! "

The imaging manifestations are so typical that even the family members of the patient can see the changes at a glance.

"It's all right. After a period of consolidation, I can be discharged home." Director Sun said cheerfully.

Although he made a mistake, did he turn around in the end? Director Sun smiled and forgot all the unpleasant things, and took the film to announce the good news to the patient.

The spitting stars were flying all over the place, and Director Sun was happy, and he hadn't felt this way for a long time.If the self five days ago could tell that it was Weger's granulomatosis, I would probably be happier.

"Go, let's show your dad." Director Sun said to the patient's son while holding the film.

"Oh……"

Director Sun talked with the patient for at least half an hour, until the father and son cried because they escaped from death, he turned and walked out of the ward satisfied.

"Director Sun!" The patient's family members chased after him.

"Huh?" Director Sun turned back, "Do you have any questions?"