Back in 2002 as a doctor

Suddenly Zhou Congwen's heart moved, he pulled out the plain chest X-ray and inserted it into the X-ray reader.

With a "click", Yuan Qingyao was even more confused.

The chest plain film taken at the patient's first visit showed no obvious abnormalities.

He also watched this film, and it was indeed all right. Brother Zhou still wants to take a look?

The film was inserted into the film reader, and Zhou Congwen squinted his eyes to review the image of the patient's right airway bit by bit.

At this time, Zhou Congwen is not like a doctor, but an archaeologist. All the images are being identified as artifacts or something else.

In Yuan Qingyao's imagination, Zhou Congwen's chest plain film should end soon, and then take the patient for bronchoscopy.

But Zhou Congwen stared at the flat film for a full 10 minutes and it was not over yet.

"Brother Zhou, is there a problem?" Yuan Qingyao asked in a low voice, making sure that the plain film was fine for the last time.

"Qingyao, don't you think the image of the right main bronchus is not beautiful?"

"Not beautiful?" Yuan Qingyao was taken aback. Is there such a way to describe the image?

"I don't know what the problem is, but the density has changed very slightly." Zhou Congwen said, his finger landed on the film, and drew a long line, "Here, the density has changed a little bit."

"..." Yuan Qingyao felt that Zhou Congwen was talking in his sleep.

But at the annual meeting, the patient selected by the Mayo boy was "not beautiful" in imaging, and finally fell into a big fall. Yuan Qingyao remembered this.

Chapter 0706 It Was It

"How to do it?" Yuan Qingyao asked puzzled.

"Check a chest X-ray."

"..." Yuan Qingyao was stunned.

Chest plain film can see far less things than lung CT, and even CT can’t see clearly. Can plain film solve the problem?

However, in some special cases, it is possible. After all, CT is a tomographic scan, while X-rays look at the whole.

Yuan Qingyao immediately turned the CPU to the maximum, wondering what Zhou Congwen meant.

But unfortunately, he still got nothing in the end.

Although I can't figure it out, I still have to listen to Zhou Congwen's opinion anyway.Just take it as a check, and it doesn't matter if you do more checks, it's better than watching a movie here like an old monk in meditation.

"Okay." Yuan Qingyao said in a deep voice after being stunned for ten seconds.

"Let's go, let's go together." Zhou Congwen said.

"Brother Zhou, take a rest, I'll just take it with me."

"No." Zhou Congwen shook his head, "You don't need to pay for a check-up, just go and have a scan, order a scan if there is any problem, and if there is no problem, I will do a bronchoscopy myself when I come back."

It turned out that he wanted to see it under a chest X-ray, but Yuan Qingyao didn't insist, but went to explain the situation to the patient and the patient's family.

After half a year of torture, the patient was on the verge of collapse.

Originally, I thought that I would get results immediately when I came to the higher-level hospital in the provincial capital, but when I found Yuan Qingyao, he was very unreliable and insisted on letting a young doctor see a doctor.

The patient and the patient's family were quite critical of this.

If Yuan Qingyao hadn't insisted repeatedly, the patient would have turned around and left.

When they heard that a chest X-ray was going to be taken, the family members of the patient couldn't bear their irritability.

Zhou Congwen saw a small dispute between the patient's family and Yuan Qingyao, and smiled slightly.

Similar disputes are very common, for example, why do you need to do CT if you have all done MRI, because it cannot be done in one step.

If it is too troublesome to explain, Zhou Congwen does not want to explain the principles of imaging to patients and their families.

He felt that there was a fleeting idea in his mind, and he couldn't grasp it all the time.I don't remember when this idea appeared, but there are clues, but I can't say it.

Looking at Yuan Qingyao's back, Zhou Congwen was not in a hurry, and carefully searched for what his thoughts were.

Generally speaking, it is subconsciously thinking that something is wrong, but unable to say it, similar to a flash of inspiration.

A few minutes later, Yuan Qingyao finally convinced the patient's family. His face was a little red on the mask, and he was probably a little emotional just now.

Turning around and coming back, Yuan Qingyao straightened his tie.

Zhou Congwen was taken aback.

He himself doesn't care about basic necessities of life. In his last life... Leaving aside this, although Zhou Congwen didn't care, after all, he has eaten and seen it before. Yuan Qingyao's tie is not a famous brand, but it is more expensive than all famous brands.

Zhou Congwen could tell that Yuan Qingyao's clothes were tailor-made by a London tailor, including the tie.

With just this body, one hundred thousand pounds can't beat it.

Yuan Qingyao's family is a secret, and Zhou Congwen is not very interested in it.

But watching him twist his tie, Zhou Congwen suddenly thought that the patient and the patient's family members must also have a certain background.

Although it is not as rich as Yuan Qingyao's family, it is definitely correct to describe it as a local tyrant of later generations.

This kind of person has a strange disease, not to mention going to the Mayo Clinic, Xiehe should always go.If you don't go to Xiehe, you should go to a high-level public hospital.

Why did he hesitate to come to the provincial capital for half a year, and he had been diagnosed and treated locally before?

"Pa~" Zhou Congwen even heard the sound of thoughts colliding with each other in his mind.

"Qingyao, wait a moment." Zhou Congwen said lightly.

"Oh."

"Did anything special happen before you got sick and coughed for the first time?" Zhou Congwen asked.

The patient and the patient's boyfriend were startled at the same time.

Especially the patient, his face was a little ugly, but he shook his head in a flash.

This means that she has concealed her medical history. Although Zhou Congwen doesn't know what she deliberately concealed, there is a breakthrough after all.

Zhou Congwen didn't ask any further questions. The patient made up his mind not to tell, and he couldn't get into the top ten tortures of the Manchu Qing Dynasty.

Because of the problem just now, both the patient and the patient's boyfriend were in a strange mood. Zhou Congwen took them to the radiology department and asked the patient to stand on the machine. Zhou Congwen "invited" the technician to one side and controlled the fluoroscopy machine to switch from different angles. .

At this time, Yuan Qingyao also understood what Zhou Congwen meant.

There is an odd streak looming in the right main bronchus on the chest x-ray.

The reason why it is said to be vague is that Zhou Congwen and Yuan Qingyao's reading skills are so high that doctors who are slightly inferior can't see it.

Switching from different angles, Zhou Congwen ordered a total of five films before letting the patient down.

Carrying the film out of the radiology department, Yuan Qingyao approached Zhou Congwen and whispered, "Brother Zhou, I think there is something foreign."

"Well, it should be a plastic bag or..."

"Or what?"

"Do you have a girlfriend?" Zhou Congwen asked.

Yuan Qingyao shook his head.

"Better lack than abuse?"

"Yeah, that's what my mother told me. She said that young people can't indulge, and I haven't met anyone I really like, so I haven't looked for it. And it's hard to find a girlfriend."

"There are quite a few people chasing you."

"Yes, not many, no more than fifty." Yuan Qingyao said.

This child, Zhou Congwen sighed.

"Then tell you that you don't understand either."

"What exactly is it?" Yuan Qingyao became more and more curious.

Zhou Congwen found a secluded corner and beckoned the patient and the patient's boyfriend to come over, "Half a year ago, before going to the hospital for the first time, in the period of about half a month to a month, did you have any experience of swallowing foreign objects?"

Both the patient and the patient's boyfriend were stunned.

Zhou Congwen has already guessed the truth. This disease...is not a complicated disease at all, but it is a particularly strange small case. "New England" should like similar case reports very much.

"Let's be honest, we are all friends, so I won't induce you to ask questions." Zhou Congwen said seriously, "Have you ever swallowed a condom?"

"!!!"

"!!!"

"!!!"

Yuan Qingyao and the patient and the patient's boyfriend exclaimed.

Swallowing a condom... Yuan Qingyao had a hard time accepting this result, but isn't a condom also a plastic bag in a sense?

The patient and the patient's boyfriend looked surprised, especially the patient, his face was flushed with white in the red.

"It didn't enter the digestive tract, but in the airway." Zhou Congwen said lightly.

"You...you...how did you...know?" the patient stammered.

"I saw a ribbon." Zhou Congwen raised the film in his hand and said with relief, "The condom gradually accumulated sputum in the right main bronchus, and then more and more, resulting in incomplete atelectasis. What happened next happened.”

"..."

Chapter 0707 clinical ~ experience ~

I go!

Yuan Qingyao was dumbfounded, he couldn't figure out why the condom appeared in the airway.

The patient bowed his head and said nothing.And her boyfriend blushed, looking to refute, but was speechless.

"It's okay, just a small problem, I'll have a bronchoscopy and I'll see what's going on." Zhou Congwen felt very relieved after confirming this.

This is the first time I have encountered a similar case, and it is more difficult to judge than many rare diseases.

The same goes for Shen Lang, but he missed the excitement that he should have watched. I don't know how he will stamp his feet and beat his chest when I tell him tomorrow.

When Zhou Congwen thought that Shen Lang had missed this big gossip, he felt very happy for some reason.

Back in the department, Zhou Congwen asked the inpatient on duty to open the bronchoscopy room and start diagnostic treatment.

"Can you do bronchoscopy?" Zhou Congwen asked Yuan Qingyao.

This question is very simple, but Yuan Qingyao thought about it, and felt that it was difficult for him to say that he could do it in front of Zhou Congwen, so he could only scratch his head.

"Basic operation meeting."

"Oh, then take a look. I'll tell you when I do some details." Zhou Congwen unknowingly seemed to bring his students to do operations in the previous life, explaining everything to Yuan Qingyao clearly.

"Appropriate nasal passages should be selected, and ephedrine can be instilled in advance when the turbinates are hypertrophic.

Be careful not to scratch the nasal mucosa here. "

"Next..."

Zhou Congwen began to ramble.

At first, Yuan Qingyao focused his attention on the patient's right main bronchus. He wanted to see if it was a condom.

But Zhou Congwen's operation was too standard and precise, and there were some small details that belonged only to him, which opened Yuan Qingyao's eyes.

It wasn't until the bronchoscope entered the right main bronchus and the pliers gripped the edge of the plastic and pulled it out little by little that Yuan Qingyao remembered what he was going to do.

With Zhou Congwen's gentle movements, the "plastic bag" that sucked the contents was pulled out.

It's obviously a condom.

The patient supported his body and wanted to look at it from different angles, but Zhou Congwen stopped him.

"Lie down, I'll suck up the secretions for you, and you'll be fine after you go home with a week of antibiotics. Pay attention to coughing up a lot of sputum, don't be embarrassed. The secretions in the respiratory tract must be drained, or you will have pneumonia. "Zhou Congwen exhorted while sucking phlegm.

Yuan Qingyao stared blankly at the condom that had just been taken out.

He never thought this thing would be in the airway.

After finishing the operation, Zhou Congwen carefully scanned again to see if there was any bleeding point.After seeing clearly, he pulled out the bronchoscope.

"It's okay." Zhou Congwen smiled slightly, "Qingyao."

"Ok?"