Back in 2002 as a doctor

Although clinically speaking, pathology is the gold standard, but the gold standard also depends on who is doing it.

The level of pathology in Jianghai City and the Third Hospital is the same, and those with really good skills are almost equal to zero.

And even if the technology is good, there is still the possibility of mistakes, especially for some rare diseases or rare forms of common diseases.

Zhou Congwen once had a patient who was diagnosed with non-Hodgkin's lymphoma, and his pathological tissue sections had to be re-cut at every location.

It doesn't matter whether it's the local area or the provincial capital, or the Shanghai Metropolis, the imperial capital Beijing Medical University, and Xiehe Diagnostics.

When I came to Zhou Congwen's place, there was not enough pathological tissue to be cut once. Zhou Congwen also regretted that he could only watch the slices cut by other technicians.

In the end Zhou Congwen's diagnosis was fine...and the patient was indeed fine.

For pathology, it depends on who looks at the thing under the microscope. It may not be adenocarcinoma if the pathology department of the third hospital says it is adenocarcinoma.

Misdiagnosis is too common because of the limitations of science and the quality and level of personnel.

This is also the reason why every time I go to a hospital, I have to re-examine. Small things don't matter, but major things must be re-examined.

After smoking a cigarette, Zhou Congwen made his own judgment based on the vague prompts on the system panel.

Chapter 0478

Does the tumor grow in the rectum, penetrate the intestinal wall, and invade the uterus?Zhou Congwen thinks it is right to think so, but there is another possibility!

Endometriosis!

Just looking at the CT film, it is not a typical manifestation of rectal cancer, because Zhou Congwen has relatively little information, so he can't be sure.

However, Zhou Congwen has his own advantages, the half-dead little guy has been determined to be a misdiagnosis.

This is the real gold standard.

Dr. Gao's luck is good, Zhou Congwen is very happy.

Stepping back, Zhou Congwen felt that his steps were a little lighter.

This is a very strange feeling. In the previous life, Zhou Congwen would have made his own judgment calmly, indifferently, and coldly.

Whether it is unacceptable by the patient's family or something else, he will not consider it.

In his view, medicine is an objective science, and diseases are not transferred by people's will. How to accept the diagnosis is a matter for the patient's family members, and has nothing to do with him.

If this incident happened in his previous life, Zhou Congwen could be sure that he would find the basis for diagnosis step by step, but he would definitely not walk briskly and feel that the whole world has become colorful.

It's true that the more you live, the more you go back, Zhou Congwen smiled slightly.

Not to mention, Shen Lang's sense is quite accurate, he "looked" at once, and "looked" at the tumor, turning it into endometriosis.

No, it is not easy to make a judgment now, it depends on the MRI and the pathology.If you do your own immunohistochemistry...

Thinking of immunohistochemistry, Zhou Congwen sighed helplessly.

What a surprise!

In 2002, Jianghai City had not yet started immunohistochemistry.

But it's okay, behind Zhou Congwen stands the mighty 912, which has abundant resources and a super high level.

It feels good to have a backing, not to be confined to the big pond like the Third Hospital of Jianghai City.

Back in the General Surgery Department, Zhou Congwen knocked on the door and walked straight into the ward regardless of Dr. Gao's mood.

Dr. Gao held his lover's hand with tears in his eyes, whispering something in his mouth, his nose burst into tears, and he looked very pitiful.

Seeing Zhou Congwen coming in, he quickly turned his head and wiped his tears on his shoulders in an awkward position.

"Brother Gao, let me make a long story short." Zhou Congwen said straight to the point without hesitation, "I just went to the CT room to take a look at the film, and it makes sense to consider your diagnosis, but there is another differential diagnosis that you didn't make."

"..." Doctor Gao was stunned.

Immediately, Dr. Gao glared at Zhou Congwen, and he silently told Zhou Congwen not to talk about advanced tumors.

Now his lover is emotionally unstable and may collapse at any time.Dr. Gao was really afraid that the consequences would be disastrous if he said those embarrassing things in person.

"Brother Gao, I only had one CT scan, and I don't think it's a tumor. You may have misread it," Zhou Congwen said.

Doctor Gao breathed a sigh of relief.

If someone said this sentence, Dr. Gao would be furious, but now he wished he could see it wrong.

"I heard that a 1.5 MRI was done at the People's Hospital. What about the film? I'll take a look."

"Xiao Zhou, the film is at home. I'll show it to you tomorrow." Dr. Gao said softly, holding his lover's hand.

"It might be a mistake. You can see that Xiao Zhou also said the same. He is the one I often mention to you recently. I had two accidents during laparoscopy, and it was Xiao Zhou who helped..."

"Brother Gao, I'm telling you something serious." Zhou Congwen interrupted what Dr. Gao and his wife were saying, "I'm not trying to comfort you, but I really think you've misunderstood."

Dr. Gao was taken aback, what did Xiao Zhou mean by this?

His wife has done a lot of checkups, almost everything that can be done has been done, and the gold standard of diagnosis - pathology clearly says it is adenocarcinoma.

It's not a rare disease. The pathology is clear. Are there any accidents?

The eyes are right here, how can I go away!

"Brother Gao, let me take a look at the MRI film." Zhou Congwen said seriously and stubbornly, "Endometriosis can also be misdiagnosed as advanced rectal cancer. I don't think it is a typical malignant tumor on the image."

"Xiao Zhou." Dr. Gao's lover looked at him weakly, trying to try to smile, but his body had no strength, and half of his life was lost by gastric lavage.

"Sister-in-law, tell me."

"If you have pathology, you are all doctors. You don't need to comfort me. If you die, you will die. I just don't worry about your brother Gao and your child. He is almost forty, and he still looks like a child. He has no ability to take care of himself at all. I If we go..."

"Sister-in-law." Seeing that Dr. Gao's lover was in tears, Zhou Congwen immediately interrupted her, "Pathology depends on who does it. Our hospital's pathological diagnosis level is average, and immunohistochemistry has not yet been carried out. as the final diagnosis."

"..."

Neither Dr. Gao nor his wife expected Zhou Congwen to say that.

They originally thought that Zhou Congwen was just a "patient" and "patient's family" who came to comfort him.

I often do similar things myself, especially when facing cancer patients, I tell the truth to the family members of the patients, but tell the patients that it is just a minor problem, so as to avoid the emotional collapse of the patients.

But Zhou Congwen's serious attitude made Dr. Gao and his wife shaken a little.

Really?If it's true, it's... a miracle.

Dr. Gao was in a daze for a moment, then looked at Zhou Congwen in a daze.

"Brother Gao, I want an NMR film. Your home is not far away. I'll get it now. I'll look at my sister-in-law." Zhou Congwen said seriously, "I'll give you an answer after reading it. Call 912, and you will immediately take the pathological tissue to the imperial capital."

"..." Doctor Gao carefully discerned that there was no trace of joking in Zhou Congwen's expression.

"Really?"

"real!"

Dr. Gao hesitated for a moment, although he didn't think what Zhou Congwen said was true, but it's better to have a chance than nothing.

What if.

He said a few words to his lover just in case, handed it over to Zhou Congwen, and hurried home to get various materials.

Twenty minutes later, Dr. Gao rushed back, and Zhou Congwen was reading the films in the ward.

He didn't dare to leave the ward, for fear that Dr. Gao's lover would think too much.

When the doctor is sick, he has more worries.Dr. Gao's lover knows all these little tricks, and even if there is nothing wrong with him, he is afraid that she will think too much.

The T1 signal in the middle rectum is slightly longer than the T2 signal, and the high b-value of DWI shows a slightly high signal; nodular short T2 signal can be seen in the anterior wall of the uterus.The bladder was well filled, and no abnormal signal was found in the cavity.

Zhou Congwen watched it carefully for ten minutes, and finally put down the film.

"I don't think it's rectal cancer. Now I think it's probably endometriosis." Zhou Congwen took out his mobile phone and called Deng Ming while talking.

"Director Deng, I have something to trouble you." Zhou Congwen said directly.

Chapter 0479

Deng Ming on the other side of the phone was taken aback.

"Xiao Zhou, why are you looking for me so late?"

"That's right, Director Deng, a famous doctor in our unit has diagnosed advanced rectal cancer through various examinations. I have seen the MRI film, but I don't think it looks like it." Zhou Congwen briefly stated.

"What do you think?"

"Endometriosis." Zhou Congwen said, "I suggest that the family members of the patient go to our 912 with the pathological specimens. You can contact me for immunohistochemistry and get the results as soon as possible."

"I have seen a few patients diagnosed with advanced rectal cancer and endometriosis in the end. It is indeed difficult to distinguish." Deng Ming said leisurely, "You can ask the family members of the patients to come and call me directly in the imperial capital." .”

"How many days will it be out?" Zhou Congwen asked unrelentingly.

"You've already called, I'll hurry up, as fast as possible." Deng Ming said, he let out a breath, "Xiao Zhou, you tossed me up in the middle of the night, that's all. Just come here Well, you've finished watching the film, so what's not sure about it?"

Doctor Gao and his wife were taken aback.

Judging from what he said, the person on the phone should be a high-ranking director of 912 in the imperial capital.

But Zhou Congwen called her intimate, and he said that Zhou Congwen was enough after watching the movie...

When did Xiao Zhou become so prosperous? !

This idea only flashed in his mind, and Dr. Gao immediately raised infinite hopes.

Director Deng also said that he has seen several cases of patients diagnosed with advanced rectal cancer who were actually endometriosis.

if……

Feeling timid near the hometown, Dr. Gao no longer dared to think about it.

At the end of the day, someone suddenly told me to turn a corner and everything would be fine. Who would believe such a thing?Who dares to believe it?

Escaping from the dead is just a legend. Dr. Gao is really afraid that the greater the hope, the greater the disappointment, and he dare not think about it at all.

But inadvertently, his hands were already trembling.

Hanging up the phone, Zhou Congwen looked at Dr. Gao and his wife.

"On the opposite side is Deng Ming, director of thoracic surgery at 912. Brother Gao, go to the Imperial Capital to find him. I'll leave the phone number to you."

"I heard your tone of voice on the phone, it seems that you are very familiar with Director Deng." Dr. Gao's lover asked doubtfully.

"Mr. Huang accepted me as a student." Zhou Congwen said this, with a happy smile on his face, "It's only natural to call Director Deng Senior Brother."

"..." Dr. Gao was taken aback.

Huang Lao?Is it the one in the legend of thoracic surgery?

Xiao Zhou actually climbed such a high branch!

Instead of jealousy, he was overjoyed.

If this is the case, hope is a little higher.

"I...I...I'm going to ask the director for leave, and I'm going to the provincial capital to take the nearest flight." Dr. Gao stammered.

"Call the pathology department first, and bring the specimens over there." Zhou Congwen smiled, "Bring all the materials, and ask Director Deng to help find someone to look at."

"Good good."

As Dr. Gao said, he glanced at his lover worriedly.

"You go, I'm fine." Dr. Gao's lover tried to show a smile.

"En!" Doctor Gao nodded vigorously.

He hurried out and almost bumped into Director Wen who was about to come in.

"Director Wen, you haven't left yet?"

"Just had the operation, let's watch for a while." Director Wen walked in, "The situation is stable."

"Well, Xiao Zhou just called 912 for me and said it was..." Dr. Gao was already incoherent with excitement, and he recounted what happened just now in a mess.

"Director, I'm asking for a leave of absence, and I'm going to the imperial capital with pathological specimens and materials now."

Director Wen's expression was complicated, but he finally nodded.

He said a few words of relief, turned around and left with the doctor on duty.

After leaving the ward, Director Wen shook his head, "Xiao Gao is already in a daze."