"Xiao Liao, how much is your lover's lung tissue compressed this time?" Wang Chengfa then asked.

"25%."

"I took a look at the film and decided not to have surgery if I can. If you do too much closed thoracic drainage, you're prone to sinus tracts. The more you do it, the more you can't do it."

Wang Chengfa said a very awkward sentence, but everyone understood what it meant.

After entering the treatment room, Shen Lang respectfully handed the film to Wang Chengfa, "Master, take a look."

Wang Chengfa took the film and pressed it on the window.

"Xiao Liao, have you brought all the previous materials?" Zhou Congwen asked.

"No, there is no difference between the previous films and this one." Dr. Liao whispered.

He also knew that Zhou Congwen and Wang Chengfa had a bad relationship, and he didn't want Zhou Congwen to be scolded, so he kept his voice down as much as possible to communicate.

"Let's stay in the hospital for observation first, inhale oxygen, anti-inflammation and treat the symptoms. If you feel uncomfortable, you can take it for a chest X-ray. If you can get better, you can keep it. Surgery is not recommended." Wang Chengfa said in a deep voice after watching the film for more than ten seconds .

"Okay." Dr. Liao quickly took the film, "Thank you, Director Wang."

Wang Chengfa glanced at Zhou Congwen who was hiding in the corner, curled his lips, and walked out.

After he left, the atmosphere in the disposal room became a little more relaxed.

"You said that you have applied for VIP in our department. The two of you will be at a disadvantage if you don't pick up money when you walk." Zhou Congwen said with a smile.

Several people are very familiar with each other, they all came to the hospital once, and they occasionally have dinner together, so they joked directly.

But I dare not tell patients about the VIP treatment.

"You wait for me to recover." Dr. Liao's lover coughed and wanted to have a joke with Zhou Congwen, but her chest tightness and shortness of breath were serious, so she was too lazy to say anything.

"After you were hospitalized last time, I felt something was wrong, so I went to the library to check the documents for a few days. I read a report a few days ago, saying that adult women often have recurrent pneumothorax, and there is a 30% possibility of menstrual pneumothorax."

"Slap~~~" Dr. Liao raised his hand and slapped Zhou Congwen on the back of the head.

"what are you doing."

"Congwen, my wife is sick, why are you still joking? There's been a lot on Tianya recently? Did you read menstrual posts?"

"..."

Zhou Congwen was taken aback, Tianya and Uncle Ya haven't heard this name for a long time.

2002 was the era when Tianya was just emerging. Everyone was talking, laughing, and playing around in the community, which was completely different from the self-media and short video platforms ten or twenty years later.

Menstrual stickers...

No, what do you think.

"Don't make trouble, I'm talking about serious things, I'm not joking." Zhou Congwen said seriously.

Dr. Liao, Dr. Liao's lover, and Shen Lang all looked at Zhou Congwen suspiciously.

They are all doctors. How can pneumothorax and menstruation be connected? Is Zhou Congwen crazy?

"You know about endometriosis."

"I know... right..." Shen Lang said hesitantly.

"Endometriosis has gone into the chest cavity, so pneumothorax occurs before and after menstruation." Zhou Congwen looked into the patient's eyes and asked, "If you think about it carefully, do you have menstruation every time pneumothorax occurs?" Before and after?"

Dr. Liao's lover thought about it carefully and nodded.Although Zhou Congwen was right, she still didn't believe it.

Menstruation, pneumothorax, two irrelevant things, how strange it is to think of them together.

"And the location also gave strong evidence - a spontaneous pneumothorax on the right side."

Zhou Congwen continued to persuade them.

"Uh, is there a specific location?" Shen Lang felt that Zhou Congwen's words became more and more mysterious.

"After the endometrial tissue transferred through lymphatic vessels or veins reaches the lungs, it shrinks and falls off with the menstrual period, causing rupture of the visceral pleura and pneumothorax.

Assuming that the metastases are located in the lung tissue closer to the center, hemoptysis is manifested. The distribution of lymphatic drainage on the surface of the diaphragm is not uniform, and it is often more distributed on the right side. This can also be used as one of the reasons why the right side is more common than the left side. one. "

This is impossible, Shen Lang looked at Zhou Congwen speechlessly.

"Xiao Liao, I suggest surgical treatment. Don't be nervous, thoracoscopy, the trauma is relatively small." Zhou Congwen comforted.

"Uh..." Doctor Liao hesitated, he couldn't tell whether what Zhou Congwen said was true or not.

"Director Wang's thoracoscopy seems to be... ahem, it may be necessary to assist with small incisions." Dr. Liao's lover was a little scared.

"Wang Chengfa's level is indeed not good enough. You can ask Professor Chen from the Medical University." Zhou Congwen said affirmatively, "Even if you don't need surgery, it's good to see Professor Chen for a consultation. The rare diagnosis of menstrual spontaneous pneumothorax really requires superiors." Hospital consultation."

……

……

At the same time, Chen Houkun stood outside the merged area, looking at the young woman opposite with stern eyes.

Chapter 0123 If you can't stand up, it's the original sin

"Mr. Chen, let's go back and discuss it again."

"No need." Chen Houkun said coldly, and walked away after speaking, too lazy to say another word to the person opposite.

Chen Houkun felt bitter in his heart.

No matter what I say now, I am the deputy director of the department of one of the few large public hospitals in the provincial capital, and I usually contact many medical representatives and consumable suppliers.

Not to mention the deputy director, even if he is leading a group of professors, those medical representatives can't coax him?

But now!

This group of people, like the red top and white, knew that they had been sidelined, so they couldn't even ask them to borrow a grinding drill.

Although it is said that a grinding drill costs hundreds of thousands, but that is the selling price!Aolida produces grinding drills, so it’s not enough to transfer one from within the company?

Chen Houkun also knew that the procedures were cumbersome, but he said that the number of surgeries performed by the regional managers of [-] to [-] was not enough, the product sales were small, and the regional managers had no status, and he was unwilling to disrupt the company's process for his own "whimsical" request.

Really fucking!

What three opportunities to study in the United States, I don't need it!Xiao Zhou... Well, is it possible that he really wants to find Xiao Zhou?

Thinking of the "second generation" living in the rivers and lakes, Professor Chen has mixed feelings in his heart.

"Hey, Director Chen, who are you angry with?" Seeing Chen Houkun walking in quickly with a gloomy face, Zhang You asked with a smile.

In fact, Zhang You knows what happened.

Chen Houkun does not have a director's office, and it is inconvenient to talk about some things in the doctor's office, so Zhang You has long seen the scene of him standing outside with Olida's regional manager.

One look at Chen Houkun's expression and you can tell that his work has not been done.

Zhang You is proud of himself, Chen Houkun is in a good mood when he is not doing well, bah!Let you threaten Lao Tzu.

Chen Houkun bowed his head, unwilling to let Zhang You see his distress.

"Ms. Chen, Mr. Chen, don't be angry." Olida's manager Wang Xueteng hurried over, nodded to Zhang You politely and awkwardly, and then took Chen Houkun's arm, "Mr. Chen, let's discuss it again. "

Zhang You smiled brightly, hummed a little tune and turned to take over the shift.

"There's nothing to discuss. If you disagree, please go back. I'll ask Olympus." Chen Houkun said coldly.

"Don't tell me...Mr. Chen, you also know your request...We haven't heard of it. To tell you the truth, I have been in sales for many years, and basically one or two domestic travel meetings in various foreign countries can open up the situation."

Wang Xueteng looked at Chen Houkun sincerely, and said very seriously and innocently.

"It's almost enough for a backbone technical talent like you to arrange one or two opportunities to study and exchange in the United States. I am sincere, three times, if it is really impossible, I will give you all the places this year."

Chen Houkun sighed.

He couldn't bear to look at the big watery eyes on the other side, and the anger just now dissipated.Chen Houkun also knew that he took the opportunity to get angry, and vented all his anger on the sales manager of Olida.

Moreover, Chen Houkun also knew that what Manager Wang said was true, she was full of sincerity.

"Drilling, that's not something that can be used in thoracic surgery. How do you think I should report this to the superior?" Wang Xueteng shrugged helplessly and begged.

"Surgical training, your superiors know nothing." Chen Houkun was in a bad mood, and he was envious of Zhou Congwen's drill at home, so he cursed in a deep voice.

Wang Xueteng was also a little helpless, she felt that Teacher Chen was losing his temper like a child.

The development of thoracoscopy in the provincial capital was not smooth, not only in the provincial capital, but even in the imperial capital.

After all, it is a "new" project. Although it has been in clinical practice for more than ten years and has many benefits, it is strange that it cannot be carried out.

Knowing that the Second Hospital of Medical University established a medical group specializing in thoracoscopy, Wang Xueteng was also excited about it, but it was only after contacting him that he discovered that Professor Chen had a lump on his head.

If you are a thoracic doctor who insists on a neurosurgery drill, what else can you do if you have a bag on your head.

However, respect should still be respected. You can't say something like a brain bag in person.

Even if Chen Houkun's request cannot be met, the salesman is still alive and well, and he can't make enemies, let alone let Professor Chen contact Olympus and Johnson & Johnson.

Wang Xueteng was young, but shrewd and capable. After a little hesitation, he immediately said, "Mr. Chen, our leader is currently organizing a nationwide public surgery publicity tour. Look..."

"Who does it?"

"Teacher Pan Chengpan from the imperial capital." Wang Xueteng said immediately.

Chen Houkun thought for a while, "Then let's get in touch in the afternoon. It's not convenient for Corey, so I'll find a coffee shop. Just let me think about it, why are you so stingy."

"Okay, okay." Wang Xueteng quickly responded.

Although the Second Hospital of Medical University is tasteless, business must always be carried out.

Chen Houkun's cell phone rang, he answered the phone, gestured to Wang Xueteng, and ignored her.

"Xiao Zhou, what's the matter?"

"Huh? Menstrual spontaneous pneumothorax? Are you sure?"

Zhou Congwen communicated much more smoothly with Chen Houkun than with Dr. Liao.

He explained the basis of his diagnosis, but although he said it simply, it took a full 3 minutes.

"So, make a judgment based on the above diagnostic basis."

"Then you ask the patient's family to bring the film and I'll take a look."

"Brother Chen, there should be no mistakes in the diagnosis. Dr. Liao and his wife are both my friends and employees of our hospital. They cannot be reimbursed if they go to the provincial capital for surgery. Why don't you make a trip?" Zhou Congwen was not polite, and directly Said.

Chen Houkun also felt that Zhou Congwen's request was a little too much, but who made him agree to buy him a grinding drill?

Thinking of the scene of Zhou Congwen grinding eggs with a drill, Chen Houkun's heart was not only warm, but his eyes seemed to be on fire.

"Okay, isn't it convenient for you to talk to Lao Wang? Then let the patient's family members talk, and then let Lao Wang contact me. If Lao Wang disagrees... I can call directly."

Zhou Congwen smiled, "Brother Chen, don't you want to see how to do thoracic endometriosis under the endoscope?"

"..." Chen Houkun was stunned.

He was talking about the cautious approach of the old city. Although it was a bit convoluted, Wang Chengfa was after all a gutter between him and Zhou Congwen.

The local director must be respected, otherwise he will stumble and can't do anything.

But Zhou Congwen...

Chen Houkun hesitated for a while, and after a lot of thoughts, he finally chose to believe in Zhou Congwen.

"That's fine, I'll call Lao Wang directly."

"Later, let's say that the patient's family asked you to watch the film."

"Ah."

After discussing with Chen Houkun, Zhou Congwen hung up the phone and took a deep breath of the cigarette. The pungent smell felt like a needle prick in his trachea.

We still need to smoke less, even less, Zhou Congwen thought with a smile.

Wang Chengfa was in the middle, and there were too many procedures for many things, which was really inconvenient.

Chapter 0124 Menstruation and pneumothorax

A few hours later, Wang Chengfa walked to the ward with a gloomy face.

"Xiao Liao, did your relatives go to the medical university?" Wang Chengfa asked very unhappy.

"Yes." Dr. Liao was a little timid, but still nodded.

Although he didn't believe Zhou Congwen's judgment, menstruation and pneumothorax sounded far-fetched, but Zhou Congwen was very happy to help contact professors in the provincial capital to solve intractable diseases.

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