Back in 2002 as a doctor

As for Director Lu, he is also very arrogant. Usually when he consults with him, he basically looks impatient, as if engraved on his face-you will also see a doctor.

Let's see, Director Lu got mad first, and the doctors in the infection department laughed secretly.

"Academician Chu is going to do it?" Director Lu said in a strange tone.

"Yes, we all said it's unreliable." A professor leading the group said with a smile, "Director Lu, do you think it's true, we do gastrointestinal endoscopy for everything, and we are also worried about how to explain it to the patient's family."

"It is estimated that our Director Pei has negotiated with Academician Chu. We have to respect the consultation opinions, but this is too outrageous."

"Director Lu, please sit down and wait a moment."

Director Lu looked serious, pondered for a few seconds, and murmured, "I can't, how could academician Chu know."

"what do you know?"

"It's not your patient yet. I went back and thought about it. There must be something wrong, so I made several phone calls." Director Lu didn't hide anything, and said directly, "Later, Teacher Zhang Naizheng from Xiehe gave an opinion, saying that he should do a gastrointestinal endoscopy. Let's see if it's caused by ulcerative colitis."

"..."

"..."

"..."

There was silence in the doctor's office of the infection department.

Mr. Zhang Naizheng of Union Medical College Hospital is known as the father of rheumatism immunity in the Republic.

This patient, no matter what, found Teacher Zhang on his head.But this is not important, why did Mr. Zhang suggest gastrointestinal endoscopy.

"Director Lu, ulcerative colitis...doesn't cause wet gangrene on the surface of the body?" A professor leading the team asked doubtfully.

It's just that their confidence just now is long gone, and everyone begins to doubt life in an instant.

Director Lu raised his head, and the words "You will also see a doctor" were written all over his face.

Everyone became curious, some began to urge the nurse to give the patient an enema, some explained the condition, asked in detail about the medical history of colitis, and checked if they had missed something.

Two hours later, the patient was lying in the gastroenteroscopy operating room.

Chapter 1111 diagnosis, clear

"Academician Chu, you are really amazing." Director Pei began to praise him before the examination.

Praising people at this time is to take a high risk. Once the inspection is all right, this kind of praise is more worrying than cursing.

But Director Pei doesn't seem to have this kind of self-awareness.

Director Lu of Rheumatic Immunology said that Mr. Zhang Naizheng's diagnosis of Xiehe coincided with that of Academician Chu, so do you need to think too much about the diagnosis of the patient in front of you?

"Excellent?" Academician Chu scratched his head.

"That's right, Director Lu said it, and Teacher Zhang Naizheng made the diagnosis in the same way. You two really coincide with each other."

Academician Chu didn't speak, feeling complicated.

I didn't make a diagnosis, and I even thought that the disease had nothing to do with gastroenterology during the consultation in the whole hospital.

Although ulcerative colitis with similar symptoms during the normal diagnosis and treatment process may not be under the control of the Department of Gastroenterology, academician Chu judged the matter objectively and did not shirk responsibility. Misdiagnosis.

Forget about Mr. Huang, why can Zhou Congwen give the correct diagnosis?

Thinking about these things for now, Academician Chu focused his attention, got rid of distracting thoughts, and began to perform colonoscopy on the patient himself.

After all, ulcerative colitis is just a guess. Whether it is true or not, a colonoscopy is needed to confirm it.

Several doctors from the infection department also came to the endoscopy room to check the situation.

They were a little surprised and at a loss for the coincidence between Academician Chu and Teacher Zhang Naizheng.

Those doubts just now seem to only confirm one thing - not to see a doctor.

Although not all doctors are general practitioners, it is not normal to see a rare classification of ulcerative colitis, but after all, the previous doubts are so embarrassing in retrospect.

The operating room in the endoscopy room was quiet, and academician Chu performed the colonoscopy in full view.

Everyone was thinking about different things in their hearts, and their eyes fell on the TV screen of the colonoscope, watching the mirror go inward a little bit.

Circumferential tumors were seen in the middle section of the transverse colon, and the endoscope could not pass through!

The tumor is relatively smooth from the surface, not a malignant tumor!

With years of clinical experience, Academician Chu immediately judged that the diagnosis of ulcerative colitis was correct.

But it is not enough to see with eyes alone, and objective examination is also required as the basis for diagnosis.

Then Academician Chu performed 3 biopsies. When he took the biopsies, he found that the texture of the tumor was relatively brittle, and the surrounding mucous membrane was not congested and edematous.

In less than 20 minutes, Academician Chu finished the operation neatly.

This kind of examination + treatment method of gastrointestinal endoscopy is not difficult for Academician Chu.Even on the premise that he has been practicing ercp surgery recently, Academician Chu feels that his level of operating colonoscopy to take pathological tissue biopsies has also improved to a certain extent.

He has made progress, but Academician Chu is not complacent because of this. Seeing the abnormal colon, he feels extremely complicated.

"Academician Chu..." Director Pei whispered.

"The diagnosis of ulcerative colitis should be no problem, relatively rare clinical signs. Generally speaking, ulcerative colitis manifests as diarrhea and blood in the stool. But the patient's situation is very special. The symptoms of diarrhea are not severe, and there is no blood in the stool, mainly in the eyes. on the conjunctiva and surface skin."

Academician Chu said pretending to be calm.

"Excellent!" Director Pei praised sincerely.

Academician Chu didn't say anything else.

He couldn't say that this was the diagnosis given by Mr. Huang, nor could he have the cheek to put everything on himself, saying that he had diagnosed an extremely rare disease.

Regarding Director Pei's praise, he could only remain silent.

"What should we do next?" Director Pei asked.

"Biopsy for pathology, if you're in a hurry... Forget it, I'll call Director Chi of the pathology department." Academician Chu said.

Pathological tissues need to be sliced ​​and made into wax blocks, which takes a long time.

If the normal process is followed, the results will be available in at least 2-3 days, which is considered fast.

But at this moment, academician Chu wanted to get the result immediately, to prove whether the news Chu Yuntian got from 912 was true or not.

"That troubles you." Director Pei said, "Academician Chu, after all, your diagnostic skills are really high. You can diagnose such a rare clinical manifestation. It's amazing, amazing."

As he spoke, Director Pei turned his head slightly and glanced at the doctors behind him.

Especially the doctor who jumped the highest and questioned the loudest at that time, Director Pei's gaze stayed on him for a second.

Why don't you just be modest and question Academician Chu's words as well as you can say?

Although Director Pei didn't speak, the meaning in his eyes was enough to clearly express his meaning.

The professor leading the group was still a little dazed, and he lowered his head helplessly, not meeting Director Pei's eyes.

Why do conjunctival lesions and epidermal abscesses occur in ulcerative colitis? Not to mention ordinary doctors, even experts in the infection department don't know about this kind of thing.

The medical classification is already very detailed, and he really doesn't have the slightest impression.

Academician Chu didn't know that someone was slandering him behind his back, even if he knew, he wouldn't care.How can I care what others say?

It is true to seize the time to do pathology and clarify the diagnosis of this rare disease.

Director Chi of the pathology department was retained, and he stayed up all night for a pathological examination.

Academician Chu is the only academician in this hospital, and he has a very high status in the world. After 6 hours of his insistence, the results came out.

Colonoscopy biopsy pathology: inflammatory bowel disease, combined with colonoscopy findings, tends to ulcerative colitis.

Not a tumor, or any other weird disease, just ulcerative colitis!

The diagnosis is clear.

"Considering that the systemic skin lesions are inflammatory bowel disease accompanied by pyoderma gangrenosum, starting from tomorrow, methylprednisolone 40mg qd intravenous infusion, tolvatib 5mg bid orally, supplemented with calcium supplementation, stomach protection, and iron supplementation." Academician Chu then began to give oral medical orders.

"Okay, academician Chu." Director Pei felt that he had learned a lot, and kept nodding.

Not only him, but even Director Lu, who is immune to rheumatism, looked at Academician Chu with admiration.

No wonder he is a bigwig in the Department of Gastroenterology. Even this kind of disease related to immunity can be seen. Academician is not for nothing.

"Academician Chu, how long do you think it will take?"

"It can be controlled in about a week, and I can be discharged from the hospital in 10-14 days. I will take a look at the specific situation when the time comes, and contact me at any time." After Academician Chu finished speaking, he chatted with Director Chi of the Pathology Department and left quickly.

Before Academician Chu could go out, he heard whispered discussions behind him.

Most of the words were praise and admiration. Academician Chu should have been particularly satisfied, but at this time his mood was extremely contradictory.

He hurried back to his office, recalled the entire diagnosis process, and picked up his phone.

"Yuntian."

Chapter 1112 Him, why!

"Dad, what's wrong?"

Academician Chu talked about the diagnosis process. When he was talking, he was slightly distracted and talked a lot, at least more than talking to an infection doctor.

"Medzole 12mg tid and Tovacibib 5mg bid were discharged from the hospital. Afterwards, they were taken orally and gradually reduced."

"Medzole was reduced by 4 mg per week, reduced to 16 mg qd, then reduced by 2 mg every 4 weeks, and then reduced to 8 mg qd, and then maintained orally; at the same time, oral tovactinib was maintained at 5 mg bid.

The systemic skin lesions improved significantly for two months, and then tolvatib was discontinued. "

Chu Yuntian listened quietly. He also knew that his father told him that the treatment of ulcerative colitis was meaningless.

But he also knew that his father's current emotions should be very complicated. He only needs an audience, or even no audience.

After academician Chu finished speaking, he paused for 20 seconds before he recovered and burst out laughing.

"Talk too much, talk too much." Academician Chu smiled, "Mr. Huang is very powerful, no wonder 912 always asks Mr. Huang to solve any difficult and miscellaneous diseases."

Hearing what his father said, Chu Yuntian was stunned for a moment, and said shyly, "Dad, the situation at that time was that Mr. Huang asked Zhou Congwen, and the two of them gave the diagnosis at the same time."

"!!!"

Academician Chu was stunned.

If it is said that his diagnostic level is not as good as Huang Lao's, Academician Chu can accept it.

When Mr. Huang was young, there were few doctors in China, and almost all of them were general practitioners.

Moreover, Mr. Huang traveled all over the country, and went to the frontier many times just to support the frontier. It is said that he also participated in the biochemical warfare to resist the U.S. and aid Korea and resist the U.S. imperialism.

It's the clinical experience that people have experienced through blood and fire, and it's normal that I can't compare it.

But this little fellow Zhou Congwen...

Academician Chu thought for a while and asked, "Yuntian, tell me about the situation at that time."

After Chu Yuntian narrated the incident, Academician Chu fell silent.

"Dad, I also don't understand why Zhou Congwen can give a diagnosis. If similar patients were in Mayo, they would definitely undergo PET-CT as soon as possible to find out the place of abnormal glucose metabolism, and then perform related biopsy. Diagnose."

For PET-CT, Academician Chu was first hit by the rich clinical experience of Huang Lao and Zhou Congwen, and then shocked by the wealth of the American Emperor.

There is also PET-CT in Shanghai, but because of the cost, except for tumor patients, there is basically no need for examination and diagnosis of common diseases.

Mayo's thinking is simple and rude. In the words of ordinary people in China, even if they leave the examination, they will not see a doctor.

But Mr. Huang can see a doctor, but his thinking is too mysterious.

Compared with Mayo Clinic's PET-CT, Huang Lao's diagnostic level is obviously higher, but Academician Chu would rather do PET casually.

It's nice to have money.

"Clinical experience, isn't it accumulated little by little?"

One is in Shanghai and the other is in Imperial Capital. One of the father and son is thinking in his heart, and the other is asking directly.

The exact same question, but neither of them had an answer.

Mr. Huang and Professor Zhang Naizheng from Union Medical College gave a diagnosis of ulcerative colitis, which was accepted by everyone.But why should Zhou Congwen!

This question is unsolvable.

Academician Chu couldn't help thinking of the scene when he first met Zhou Congwen in the Second Hospital of Medical University last summer.

At that time, I felt that I knew people well, so I sent the invitation without hesitation.However, the olive branch offered by an academician was rejected without hesitation by Zhou Congwen, who was still a young doctor at the time.