Back in 2002 as a doctor

Zhou Congwen looked at Liu Xiaobie's symptoms with a blank expression, and remembered what she said that day about her knee pain.

【Hey, I'm sick. 】

[The location you mentioned, there is a turn in the intestine, it is probably stuck by feces.You go to the bathroom to fix it yourself.Otherwise, rub it with your hands and go down. 】

【…】

[By the way, drink more boiled water. 】

Chapter 0476 Shen Lang's Intuition

Thinking of Liu Xiaobie and Yuanbaishang, Zhou Congwen smiled, very happy.

I have become a little gentler in this life, partly because I saw the boss again, who was still a "younger" boss, and the regret in my heart was made up; partly because of this small landlord who appeared out of nowhere.

Zhou Congwen knew that he was a person who didn't care much about female sex, but when he saw Liu Xiaobie for the first time, he felt that she was very familiar and kind.

Moreover, Liu Xiaobie was a person who did not appear in his world in his previous life. After being reborn, he has changed a lot unconsciously.

In the current world, there are many people who did not appear in the previous life, such as Liu Xiaobie and Yuan Qingyao.

Even the fate of Li Ran, Shen Lang, Wang Chengfa, and Li Qinghua seems to be changing.

Zhou Congwen didn't care what Shen Lang did later in his previous life, and he didn't even have the slightest impression of this old colleague.

But in this life, at least 912 is waving to him, if he is really motivated.

In the future, no matter whether it's working around in 912 or going to a private hospital, it's a good choice. Even if Shen Lang is fishing while writing novels, he won't starve to death.

Just thinking about Shen Lang, there was a knock on the door of the small room.

The voice was very low, after one sound, Shen Lang pushed the door open again and came in.

Zhou Congwen frowned, what happened to this guy today?Why is it like a little sheep that has eaten coffee, bleating and bleating and refusing to sleep in circles?

"Shen Lang, why haven't you come home yet?" Zhou Congwen asked looking at the patient's ECG monitor.

"Congwen... Sigh." Shen Lang hesitated to speak, and sighed.

Um?Unlike Shen Lang who was talking about all kinds of gossip with great interest just now, it seems that this guy is a little sad.

Zhou Congwen was taken aback.

How long has he been sad since he just left the house?

And when he came back to look for himself, it was obviously not an accident at home.Zhou Congwen glanced sideways at Shen Lang, "What's wrong?"

"I was going to go home, and I met the little intern from the general surgery department to go through the hospitalization procedures."

Zhou Congwen squinted his eyes to look at Shen Lang, Shen Lang's listless look was not tired, but a kind of deep sadness.

Did he feel the same way?Ordinarily, as a qualified doctor, you generally don't have empathy, or you will go crazy after working in the hospital for a year.

"Brother Gao's lover was hospitalized and committed suicide." Shen Lang sighed.

"Hmm, huh?" Zhou Congwen seemed to have guessed something.

"It is said that the rectal cancer is in the late stage, the uterus has metastasized, and the pelvic cavity is in a mess, there is no cure." Shen Lang sighed, "Congwen, how old do you think Brother Gao's lover is, why is it in the late stage."

"No way." Zhou Congwen was startled for a moment, but then he sighed.

Many children died young, many... There is no fixed number of birth, old age, sickness and death in this world, so who can say it well.

The moon is cloudy and sunny, and people have joys and sorrows. This matter is difficult to complete in ancient times.

"I heard from the little intern that she didn't want to drag Lao Gao and the child down, so she committed suicide by taking medicine. It happened to be discovered, she was sent for gastric lavage, and she is now hospitalized for treatment. I think Lao Gao's emotions have collapsed..."

"..."

Zhou Congwen shrugged helplessly and lowered his head.

There are too many unsatisfactory things in life, I hope Lao Gao can survive this test.

What else?Rectal cancer is at an advanced stage, and I couldn't cure the disease at the peak of my previous life, let alone just reborn in 2002.

But in the last life... it seems that Dr. Gao's lover died early, Zhou Congwen was a little puzzled.

"Congwen, I'll look after it for you. I'll call you if I have something to do. You can go and have a look." Shen Lang looked at Zhou Congwen and said beggingly.

"What's the use of me taking a look? I'm not a heavy ion collider. I can blow away the tumor directly." Zhou Congwen said helplessly.

"Heavy particle? What is that? Has the tumor been bombarded yet?" Shen Lang asked habitually, but before Zhou Congwen could answer, he shook his head, "Congwen, I've been thinking about you a lot lately."

"I'm not a pretty girl. What are you thinking about me?"

"I always thought you were amazing. After a few rescues, you came back to life. I don't know how you did it, but it's all true. In fact, seeing how you directed the rescue, it was a big blow to me."

"Especially before Director Wang went to the outpatient clinic, Director Sui of the Department of Orthopedics said that I made a wrong diagnosis. You still remember that time. The two directors asked me to take the blame, but you pointed at my nose and scolded me."

"Oh, it's because they made a mistake in diagnosis. Doctors are a very objective profession." Zhou Congwen said lightly.

"Go and take a look, in case the diagnosis is still wrong."

Zhou Congwen thought about several possibilities, but compared to advanced rectal cancer with multiple organ metastasis, he thinks that the possibility is not high.

Moreover, Lao Gao himself is a general surgery major, so the possibility of misdiagnosis is very small.

I am a doctor, not a magician, how can I see the advanced stage of rectal cancer at a glance?Shen Lang is dreaming.

Seeing that Zhou Congwen was silent, Shen Lang touched his arm with his elbow, "Congwen, take a look, I...I..."

"What are you?"

"I think you can do it."

"Are you a doctor? Or do you think I'm a wizard from another world?" Zhou Congwen looked at Shen Lang like he was looking at an idiot.

"Go and take a look, just take a look." Shen Lang didn't explain, but just begged.

Zhou Congwen sighed, and told Shen Lang what to take care of, especially suctioning, he must be careful.If reexpansion pulmonary edema does not pay attention to suction, there will be more troubles in the follow-up.

Shen Lang listened carefully and nodded repeatedly.

"Then I'll take a look, I really don't understand you."

"I just think Brother Gao is so pitiful." Shen Lang looked at the patient's ECG monitoring, and the light reflected on his face, colorful, "Although I know it's impossible, I'll give it a try. Anyway, thank you for your hard work from Wen." .”

"It's not hard, I'll go and have a look." Zhou Congwen said.

Turning around and leaving the private room, Zhou Congwen sighed.

How to say Shen Lang?Kind or childish?Or he has a naturally keen sense of smell, so confident that he can "see" Dr. Gao's lover's advanced rectal cancer.

Seeing a ghost, Zhou Congwen habitually bowed his back and just took a step, then straightened up suddenly, cheered up, and strode out of the orthopedics department full of energy.

When he came to the general surgery department, Zhou Congwen did not go to see Dr. Gao and his wife directly, but went to see the patient who was undergoing surgery.

The patient was seriously injured. His spleen was removed, the liver was repaired, and several intestines were repaired. There was a serious infection.Although the operation was successful, he still had to face the problem of septic shock.

Seeing that the patient's vital signs were stable and he was wearing a tube, Zhou Congwen left the ward without saying anything after reading it, and asked the nurse where Dr. Gao was.

"Xiao Zhou, Brother Gao may not be in a good mood, you'd better not go." The nurse advised.

Chapter 0477 The Gold Standard

"Brother Gao... are you okay, what's the specific situation?" Zhou Congwen asked.

"Oh, brother Gao is so pitiful. He said that his wife had blood in his stool a while ago, so he came to the hospital for a checkup. The finger examination was done by Brother Gao himself. At that time, I saw that Brother Gao's face was pale and pale, like white paper. , I can’t even walk steadily.”

Tumors could be felt during the digital examination, which was probably a symptom of advanced rectal cancer. Zhou Congwen didn't speak, but continued to listen to the little nurse.

"Later, Brother Gao went to the gastroenterology department for a colonoscopy. I heard from our doctor that he saw a bunch of tumors when he entered the colonoscopy."

"Did you get a pathology?" Zhou Congwen asked.

"Three sites were taken, and it was probably adenocarcinoma. At that time, it was considered to be in the early stage. Brother Gao asked for leave and took his wife for a CT. Later, when he saw the CT, Brother Gao was stupid. I heard people said that the film was everywhere. Both."

"..." Zhou Congwen was silent.

"Brother Gao still didn't give up, and went to the People's Hospital for an MRI. It was indeed in the advanced stage. He was going to take his wife to the provincial capital for radiation and chemotherapy, but before he went, his wife... well, Xiao Zhou you Don't go in, Brother Gao is really in a bad mood." The nurse comforted.

"If you talk about this person, it's fate. Back then, Brother Gao and his lover were classmates, and many of them broke up after graduation. He said that he would not do anything, and insisted on transferring his lover to our city. What a good couple , why is it like this?"

Zhou Congwen sighed. If according to what the little nurse said, the results of CT, MRI, colonoscopy, and pathology all come out, and finally the diagnosis of rectal cancer is advanced, it is estimated that the diagnosis will not be wrong.

He nodded after hearing the nurse's words, and was about to turn around and leave when he suddenly paused.

Zhou Congwen's heart softened for no reason when Shen Lang's earnest eyes and his pitiful begging expression appeared in front of his eyes.

Going to see the film, I guess Brother Gao didn't bring it... Then go to the CT room, and I still have to do what I promised Shen Lang.

Zhou Congwen really felt that he had changed, not as indifferent as in his previous life.

At the same time, Zhou Congwen heard a "ding dong~" in his ear, he was taken aback for a moment, and then became happy.

The system promulgates tasks, and there is a high probability that it is a misdiagnosis!

"What's the name of Brother Gao's lover?"

"Cui Wen."

"Then I'm leaving. Please take a look at the chest bottle of the patient after the operation. Change the bottle every morning, two..."

"Xiao Zhou, I have been working for six years!" The nurse patted Zhou Congwen, "Don't worry, I know how to change the saline in the chest bottle."

"Ah."

Zhou Congwen didn't say much, turned around and left, and went straight to the CT room.

The task issued by the system in the upper right corner of the field of vision—[Urgent task: Misdiagnosed...]

The little guy in the system still looks weak, like a brave man, he has eaten so many mission rewards that he is not getting better at all, Zhou Congwen slandered, but he was very happy.

The system stamped it and judged it to be a misdiagnosis. Although it was not stated clearly that it was Dr. Gao's lover, based on Zhou Congwen's experience, it must be her.

Misdiagnosis of rectal cancer is based on pathology, the gold standard for diagnosis. It is said that the possibility of reversal is unlikely.

But system diagnosis is more valuable than pathological diagnosis!

Zhou Congwen pondered for a while, and realized that something went wrong.

He took a deep breath, pulled himself together, and wished Dr. Gao better luck and his own luck.

Gastric cancer and colon cancer generally check enhanced CT.

Because the stomach and colon are always moving, and the MRI takes a long time, the stomach and colon will be a little unclear.

For non-peristaltic organs such as the rectum, liver, and breast, the imaging effect of enhanced MRI is better.Ordinary CT can barely cope with it. Even if Zhou Congwen doesn't need to rebuild his ability, he can still make some different judgments.

When I came to the CT room, I picked up the doctor on duty from the bed in the duty room. The doctor on duty was quite unhappy.

Zhou Congwen didn't care how broken his emotions were, and apologized repeatedly in the process of explaining the reason.

The doctor in the CT room didn't have anything to say when he stretched out his hand without hitting the smiling face, he just babbled a few words.

After finding the CT data of "Cui Wen", the doctor in the CT room said, "Xiao Zhou, just watch, I'll go and squint for a while, I finally caught up with a quieter class, and I was tossed by you."

"How many did you make today?" Zhou Congwen asked absent-mindedly while looking at the video data frame by frame.

"22, I hope we don't make more than 50." The doctor on duty let out a sigh of relief, and went to take a nap as soon as possible.

Zhou Congwen quickly scrolled the wheel first, and glanced at the images of all the frames. He knew that the system was probably right.

On the image, it can be seen that Dr. Gao's wife's middle rectal wall is unevenly thickened, and the anterior wall is a little more serious.

Partial intestinal lumen narrowing: the lesion partially involves the whole thickness of the intestinal wall, and the boundary between the front of the lesion and the posterior wall of the uterus is unclear: the length of the lesion is about 50mm, and the distance from the distal end of the lesion to the anus is about 90mm.

Multiple lymph node shadows were seen around the rectum, bilateral groin area, and bilateral iliac vessels.

There are also some issues with the bilateral attachment area.

After all, CT is not the main way to make a diagnosis. Even Zhou Congwen can only get a rough look without using the reconstruction ability to convert CT images into MRI images.

But it was just a rough idea, Zhou Congwen saw the problem.

What made Dr. Gao emotionally collapsed was that the lesion partially involved the entire thickness of the intestinal wall, and the boundary between the front part of the lesion and the posterior wall of the uterus was unclear!

And this point is where Zhou Congwen considered a problem.

After staring at the screen carefully for nearly 10 minutes, Zhou Congwen left slowly until the CT doctor on duty was called up by the emergency patient to perform an examination with the machine.

He was not in a hurry to go back, but came outside the second hospital, sat on the steps and took out the ganoderma lucidum and lit it.

There is a problem, and it may really be a misdiagnosis.