Back in 2002 as a doctor

Although Director Geng is "only" the director of the Second Hospital of the Provincial Medical University, he also has his own self-confidence.If he didn't take a look, he would definitely feel uncomfortable, even if the gastroscope was done by Zhou Congwen.

Zhou Congwen didn't say much, and began to perform a gastroscopy on Director Geng.

Although he drank occasionally, Director Geng's esophagus and gastric mucosa were well protected, without ulcers or other problems.

Director Geng also heaved a sigh of relief after witnessing the red stomach wall without ulcers or tumors.

Although it was uncomfortable, the examination proved that there was no problem, and it could be regarded as a solution to a heart problem.

"Do a colonoscopy." Zhou Congwen began to position Director Geng.

When the colonoscopy was sent to the splenic flexure of the colon, Director Geng was in pain and sweated.

"Director Geng, how about anesthesia?" Zhou Congwen said.

"No." Although Director Geng knew that the pain of the splenic flexure of the colon was a normal reaction, he still rejected Zhou Congwen's suggestion without hesitation.

"Then I'll change positions for you."

Zhou Congwen moved Director Geng, and his right leg rested on his left knee as if he was crossing his legs.

It's just that Director Geng is lying on his side. This posture is a bit weird no matter how you look at it.

"Little Zhou is amazing, you know this little trick?" Standing behind Zhou Congwen, Academician Chu finally couldn't help but praised this scene.

"Oh, I've seen someone do it before." Zhou Congwen replied, "Director Geng, it's just a chance to get through. If it doesn't work, you should consider anesthesia."

"Do it, I'll bear with it. If it really doesn't work, I... I... I won't do it."

Director Geng felt that colonoscopy was really a pain, and he already had the idea of ​​​​retiring.

However, Zhou Congwen's posture is really easy to use. Director Geng stared at the screen transmitted by the probe of the fiber optic colonoscope on the screen. Seeing that the colonoscope passed the splenic flexure painlessly, he felt a little relieved and a little scared.

He was really afraid of something growing in his gut.

For so many years, I have only performed operations on others. If it was my turn, Director Geng would not know who to call for surgery.

Director Geng was worried about the others.

That's why he was uneasy.

Seeing that he was always smooth, Director Geng's heart gradually calmed down.

"Director Geng, it's fine." Zhou Congwen went through the colonoscope while chatting with Director Geng, "Look at your intestine, it's pink like a young person's, and it's usually well maintained."

"Hey." Director Geng smiled.As he gets older, Director Geng is particularly willing to listen to similar words.

As for the praise of technical level, Director Geng didn't care much for a long time.

Nearly fifty, it is true that I can live a few more years.

What about the technical level? My level is enough for ten years. As for another ten years, I should think about retirement.

"Old Geng, you're a good old boy." Director Gandanwen said enviously, "What do you usually eat for maintenance?"

"Eat less." Director Geng said to Director Wen while staring at the screen, "When you were in different departments, you didn't dry your stomach and intestines. How many days after I went home after the operation, I couldn’t eat a bite of food.”

"No matter how many layers of masks are useless, it is really useless." Director Geng said, "Eat less and drink less, and you will lose weight, unlike you, who eat nonsense every day. By the way, old Wen, your blood sugar is still normal... ..."

As soon as he said this, Director Geng paused, and his eyes were fixed on the screen.

On the screen, a light black, slightly blue object appeared in the field of vision.

Director Geng shuddered, and countless bad thoughts surfaced.

Zhou Congwen also paused, feeling helpless and ridiculous.

I still saw something that I shouldn't have seen, this thing... It doesn't look like a big deal.

Director Wen was about to retort, but then he also saw what appeared on the screen, and subconsciously let out an "ouch".

Both Director Wen and Director Geng thought that this thing was a malignant tumor, and a sense of sadness emerged spontaneously.

"Academician Chu, what do you think it is?" Zhou Congwen asked.

Academician Chu stood behind Zhou Congwen and took a few glances, "I think it looks like a hamartomatous polyp."

"Well, I think so too. Don't be afraid, Director Geng." Zhou Congwen comforted, "Academician Chu and I preliminarily judged that it should be Peutz-Jeghers syndrome. This is a type of autosomal dominant genetic disease, which is actually simple. It's a kind of polyp."

"..." Director Geng felt chills all over his body, and the pants on his lower body had fallen to his knees, and a gust of chill came up, and he couldn't help shivering.

Seeing Director Geng's body twitching irregularly, Zhou Congwen sighed.

Who is not afraid to change?

But it's all right.

"The clinical manifestations of Peutz-Jeghers syndrome are mainly skin and mucous membrane pigmentation and multiple hamartomatous polyps in the digestive tract." Zhou Congwen continued to comfort, "Here, look, this thing is not a malignant tumor."

"first……"

"Secondly..."

"Then……"

Zhou Congwen began to make a differential diagnosis.

He described the difference between hamartomatous polyps and malignant tumors in Peutz-Jeghers syndrome one by one, Academician Chu nodded frequently after Zhou Congwen.

Peutz-Jeghers syndrome is a relatively rare disease. Zhou Congwen learned it at his fingertips, and his basic clinical knowledge is really solid.

But these words are useless to Director Geng.

As Director Geng's body trembled more and more, there was no need to continue the examination.

Zhou Congwen left an image, and then pulled out the colonoscope.

Seeing director Geng's trembling and trembling, Zhou Congwen thought of the romance movies in the island country.

What the hell, Director Geng is so timid.

Although Zhou Congwen understood that there was once a brave man who went crazy for over-medication after he got liver cancer. In the end, his body couldn't bear the side effects of so many treatments, and his immunity was soon wiped out. Then his whole body metastasized, and he died after the tumor broke out.

Director Geng... It is estimated that his psychology has begun to show signs of collapse.

"Director Geng." Zhou Congwen took out the colonoscope, and winked at the person brought by Director Geng behind him, "Help me back first, and I'll talk about it after I've checked the other directors."

Chapter 1220 The Art My Boss Started Researching 20 Years Ago

Director Geng was taken away with a pale face, and Director Wen lay down on the bed with a pale face, like a walking dead.

"Director Wen, you... you can't, you can't." Seeing Director Wen's expression, Zhou Congwen could already guess that he was feeling uneasy, and he couldn't laugh or cry.

"Professor Zhou, is that thing in Lao Geng's stomach really a polyp?" Director Wen felt a bit sad.

"Yes, and it's definitely benign." Zhou Congwen said with certainty, "I agree with Academician Chu. Didn't I make a differential diagnosis just now? It's an obvious hamartomatous polyp."

"Professor Zhou, Academician Chu, Lao Geng has already left. To be honest, is it a polyp?" Director Wen still didn't believe it, and asked ramblingly.

"Anesthetize." Zhou Congwen was really helpless, he didn't want to say a word to Director Wen.

"Don't!" Director Wen shouted hastily, "I'm doing it normally."

"Oh." Zhou Congwen sighed, "Director Wen, look at you."

"I'm scared." Director Wen sighed, "Professor Zhou, whoever looks at this stuff can't be scared."

"People can't think too much when they are alive. A lot of them are fate." Zhou Congwen said, "Gas tanks, I often use them. Some time ago, a gas tank exploded in a small shop in Yunnan, and the bus stop sign at the door was blown up. Ten people died all at once. personal."

"..." Director Wen's nose soured.

"In a car, let's not even talk about driving. Seat belts must be worn in the back seat. I've only seen people who hit their heads on the front seat while braking without wearing a seat belt in the rear seat, causing cervical spine and craniocerebral injuries. There are at least a dozen patients."

"..." Director Wen felt uncomfortable when he heard what Zhou Congwen said.

"Many taxis in the imperial capital and magic capital are now equipped with small TVs for advertising." Zhou Congwen continued, "When you hit your head with that thing, your head will bleed."

Director Wen almost didn't cry.

"Earth-moving trucks, cement tank trucks, have you seen them before?"

"Professor Zhou, let's say something auspicious." Director Wen also began to tremble.

"Head nurse, please bring a piece of clothing to Director Wen." Zhou Congwen said.

After covering the clothes, Director Wen felt a little better, and he was speechless because the gastroscope was inserted.

Seeing that nothing happened, Director Wen heaved a sigh of relief.

After the gastroscope tube was pulled out, Director Wen said, "Professor Zhou, even if it is a polyp, the intestines have to be cut. At least 10cm must be required. There will be many complications in the future... and even if it is minimally invasive now, it can be done with a laparoscope. But no matter what, you have to cut the intestines."

"Who told you?" Zhou Congwen said disdainfully.

"Ah?!" Director Wen was taken aback.

Academician Chu frowned.

He heard Zhou Congwen briefly talk about a new operation called ESD before.

Could it be this?

It is estimated that this is it!

"Of course." Zhou Congwen said naturally, "It's normal to peel off the mucous membrane of the digestive tract and treat huge polyps."

"Don't make trouble." Director Wen took off his pants helplessly, and lay on his side, exposing the chrysanthemum in front of Zhou Congwen's eyes.

Because of this "humiliating" posture, Director Wen did not speak forcefully.

If the words are too serious, Director Wen is highly suspicious that Zhou Congwen will force himself into the colonoscopy for a while, and stab it raw.

That heart-piercing pain...

Director Wen shut his mouth tactfully.

Besides, ordinary patients and their family members are unwilling to offend the chief surgeon, and neither does Director Wen.

"Director Wen, I'm a chest doctor, how could I be talking nonsense." Zhou Congwen said.

Director Wen complained in his heart that chest surgery and gastroenterology do not have a dime... Although esophageal cancer also undergoes gastric surgery, it has nothing to do with peeling off the mucous membrane.

But man is a knife and I am a fish, Director Wen really dare not even fart now.

It is true that I dare not let it go, and I can't let it go.

After taking the bowel cleansing medicine, all he defecated was water, and all the gas in his intestines had already been expelled, let alone farting...

"Look, I'll tell you that you won't believe it." Zhou Congwen inserted the colonoscope.

Director Wen felt a chill behind him, and a strange feeling rushed into his mind.

"My boss started doing research in this area 20 years ago." Zhou Congwen said.

"Old Huang? Why study this?" Director Wen asked in surprise.

Academician Chu sighed inwardly.

Mr. Huang is really eager to be the first in everything. After 20 years, Mr. Huang started researching things that he didn't know about.

"Drinking alcohol, reflux esophagitis, early cancer, the boss has done similar projects." Zhou Congwen sent a colonoscope inside, carefully observed Director Wen's intestines, and said, "The boss thinks that early peeling off the mucosa of the diseased tissue is equivalent to resection."

"..." Director Wen was stunned.

He remembered what Director Geng said at the wine table when the academician workstation was just established not long ago and encountered biliary ascariasis.

"In the 70s, my boss went to Shanghai to cooperate with a state-owned factory to make the first fiber-optic gastroenteroscope in the country. Since then, I have been thinking about similar operations."

"!!!"

"!!!"

"Later, because the boss had a lot of operations at the time, and he really didn't have time. I didn't study it until after I retired. Once after I won the first place in the world, a patient came to the boss for consultation, and the boss proposed to peel off the mucous membrane for treatment."

"Patient?" Academician Chu glanced at Zhou Congwen.

Being able to find Huang Lao directly, and it seems to have something to do with being number one in the world, it must be either rich or expensive.

But Zhou Congwen didn't explain, and Academician Chu didn't ask any more questions.

"Wait for me to go down and see what Director Geng means. If you think my level is not enough, can you ask the boss to come?"

A gust of cold air rushed directly into Director Wen's head, as if a colonoscope had touched his prostate. Director Wen almost entered the sage moment.

Come directly to Mr. Huang!What Zhou Congwen said was to go directly to Mr. Huang!

You can distrust Zhou Congwen, but you must not distrust Huang Lao, even if Director Wen is not a cardiothoracic surgeon.