Back in 2002 as a doctor

Since his retirement, the boss has become visibly thinner and has no smile on his face.

All majesty is gone, worse than ordinary retired little old men.

This is the difference between heaven and earth. He couldn't accept such a big gap, so he was extremely depressed and his immunity was severely damaged.

There are many similar examples. Although Dean Lin told himself that he will have such a day, he must adjust his mentality when the time comes.

However, this day came so suddenly, so violently, so swiftly.

Before even reaching the age, this day came suddenly.

A heart seemed to be thrown into a frying pan to be oiled. Dean Lin could hear the sound of squeak, and the heart was also hurting, the pain penetrated into the marrow of the bone.

……

……

In the doctor's office, the professors from the Department of Neurology had no chairs to sit in, and stood in a row along the corner.

There were at least 20 related and unrelated directors in the hospital. Zhou Congwen stood in front of the blackboard where the schedule was written, and was erasing the schedule.

"Professor Zhou, why don't you contact Mr. Huang?" Director Tan of the school office gave an opinion in a low voice.

"Contact the boss? Is it because of diagnosis and treatment?" Zhou Congwen asked.

Director Tan of the hospital office nodded helplessly.

"No, the diagnosis is clear." Zhou Congwen said, "What needs to be done now is treatment."

"..."

"The diagnosis is clear? Professor Zhou, are you kidding me?" Director Hui said contemptuously.

Although he used Professor Zhou and you to address Zhou Congwen, the yin and yang in his tone overflowed directly.

Everyone who heard it looked sideways, Director Hui was about to go crazy.

Director Hao of the Chest Department wanted to hold Director Hui, but was held back by another director beside him.

"Old Hao, don't move."

"Director Hui, he..."

"I think Zhou Congwen of the Second Academy is too arrogant. No matter what, this place is not his home field. Look at him, he considers himself the director."

Chapter 1339 Collective decision-making, I am used to it

Director Hao looked at Zhou Congwen, a little helpless.

"I heard that in the Second Hospital, Zhang You was trained by Zhou Congwen to be like a grandson?" The director whispered, "With the endorsement of Mr. Huang, he has no scruples in doing things. He is too arrogant now, no wonder Director Hui doesn't like it." Happy."

"Don't say that, Professor Xiao Zhou just helped me solve a difficult problem a few days ago."

Director Hao briefly and quickly explained what happened to him and the PICC guide wire in his heart.

The director was startled, but soon woke up, shook his head and said, "It's all about your chest disease, Zhou Congwen can't do it well. I'm not saying he's not good enough, he's the best in the world, no matter what Mr. Huang If you want to help him to the top, you have to have real skills."

"But now Lin Yuan is suspected of having a cerebral infarction, so Zhou Congwen joins in the fun. This matter has nothing to do with thoracic surgery. What do you think, Director Hao?"

Director Hao wanted to say something for Zhou Congwen, but he didn't know what to say.

What they said makes sense, what does the disease in the neurology department have to do with Professor Xiao Zhou!What does it have to do with thoracic surgery! !

Alas, he is still too young, willing to show off, no matter what department, no matter what major, he has to stand out and say a few words.

This time it was good, I had an operation, but I slapped myself in the face.

This is really not good. Director Hao looked at Zhou Congwen and shook his head slightly.

Zhou Congwen looked at Director Hui with squinted eyes, and made Director Hui feel apprehensive.

Director Hui is really afraid that Zhou Congwen will make trouble.

Zhou Congwen is 1.8 meters seven, Director Hui is 1.6 meters seven, there is a difference of [-] centimeters, one looks down, and the other wants to raise his head...

One is in his 20s, full of vigor; the other is in his 50s, old and frail.

Director Hui felt that Zhou Congwen was using his height and age advantages to humiliate himself.

Just when he was about to explode, Zhou Congwen suddenly laughed.

"Director Hui, right?"

"What? Just say what you have to say." Director Hui raised his head and stared firmly into Zhou Congwen's eyes.

"It's not difficult to diagnose sarcoidosis and treat it." Zhou Congwen said lightly.

"The diagnosis is clear? Just kidding!" Director Hui said contemptuously, "What the hell is that? I haven't heard of this diagnosis."

Zhou Congwen had a mocking smile on his lips.

"Besides, if the diagnosis is clear, what are you going to do with so many directors?" Director Hui couldn't bear it anymore and started to attack.

"Oh, this is out of respect for the directors of the first hospital." Zhou Congwen laughed. "In the health care group, all decisions are made collectively, so I'm used to it."

"..."

"..."

"..."

Director Hui, Director Tan of the hospital office, and everyone around who heard Zhou Congwen's words were stunned.

All attacks were directly shattered by Zhou Congwen.

Health care group, none of the people here are qualified to join the health care group.No one knew how the health care team worked, and no one knew whether Zhou Congwen was right.

collective decision?

In order to take care of the face of all the directors of the First Hospital of Medical University?

Director Hui was stunned for less than a second, and Zhou Congwen immediately laughed.

"If I were you, I wouldn't know how to laugh. The more I laugh now, the more embarrassing it will be in the future." Zhou Congwen looked at Director Hui with a smile, and said condescendingly, "Do you have a diagnosis? You don't even know what sarcoidosis is. As a doctor, you still don't know how to laugh." Have a smile..."

Zhou Congwen didn't say the word shameless, but these four words had already hit Director Hui's nose heavily, causing his nose to bleed.

"you……"

Director Hui just said a word, Zhou Congwen turned around and tapped on the blackboard, "Be quiet, everyone."

The noise in the office immediately subsided a lot, and many eyes fell on Zhou Congwen.

"I believe everyone has seen Dean Lin's basic situation. Now I will talk about my judgment based on the images during the angiography and related examinations."

Director Tan of the hospital office pulled Director Hui to sit down.

Director Hui cast a sideways glance at Zhou Congwen, both in expression and in action, full of dissatisfaction and disdain.

"First, let me say my diagnosis."

After Zhou Congwen finished speaking, he wrote three words on the blackboard - sarcoidosis.

The office just became quiet, and after Zhou Congwen wrote the diagnosis, an uproar began.

"According to the normal process, I said the diagnosis and diagnosis basis and differential diagnosis. If you have no opinions, follow my treatment plan." Zhou Congwen glanced at the directors present and said in a flat tone.

"What is this?" A director whispered to the people around him.

"I don't know, Zhou Congwen will not enlarge the small pulmonary nodules. I heard that he will perform thousands of wedge resections of small pulmonary nodules a year. Is he delusional?"

"Who knows, it looks really unreliable. Is this a diagnosis? This is the conclusion of the inspection, right?"

Listening to the directors' discussion, Zhou Congwen shook his head.

"Sarcoidosis is a relatively rare disease name."

Zhou Congwen explained.

"Sarcoidosis is a non-caseating necrotizing epithelial cell granulomatous inflammatory disease with unknown etiology, mainly invading the lung parenchyma, and involving multiple organs throughout the body, such as lymph nodes, skin, joints, liver, kidney and heart, etc. organize.

After a series of clinical changes, patients may die suddenly due to complete atrioventricular block or congestive heart failure, or even take sudden death as the first symptom. "

"The patient... Dean Lin's situation is relatively lucky, but he has symptoms of cerebral infarction."

"After the interventional angiography examination, no cerebral infarction was found. When the C-arm was moving, I saw several chest pictures on the X-ray image, and it was judged that the patient had small nodules in the lung apex and mediastinum."

Director Hui's mouth almost reached the base of his ears, and he crossed his legs and asked, "Professor Zhou, you mean that because of the small nodules in the lungs, Dean Lin has the symptoms of cerebral infarction?"

"Boom~"

Director Hui's words are like a stone thrown into a small pond, causing ripples.

Is there a relationship between small nodules in the lungs and cerebral infarction?

This is whether the two organs are good or not. Dean Lin is a very typical symptom of cerebral infarction. Even if no clear cerebral infarction is found in angiography or CTA, almost everyone thinks that it should be treated according to cerebral infarction.

The reason why there is no imaging performance is because it was discovered too early and the emboli were tiny.At this time, thrombolytic therapy is performed, and there are almost no sequelae.

However, Zhou Congwen was talking nonsense from the small nodules in the lungs, bluntly related to the neurological symptoms in the brain.

All the people present here are directors, based on the most basic common sense judgment, what Zhou Congwen said has no theoretical basis at all.

"Is he crazy? Or is he pretending to be a horse?" A director communicated with the people around him in astonishment.

"I don't know, are you bullying us? Is there any connection between the small pulmonary nodules and the neurological symptoms of cerebral infarction? Why don't I know."

"What the hell, I can't stand it. Who invited him!"

Chapter 1340 Coincidence

Director Tan of the hospital office heard the voices of people around him talking, and his face turned red and then white, white and then red.

All the directors expressed doubts about Zhou Congwen's statement, and Director Tan of the hospital office could not understand many words, but he understood that Director Hui's conclusion seemed to be correct——Zhou Congwen believed that Dean Lin's neurological symptoms were caused by small lung nodules. of.

Although he is not a clinical practitioner and does not know much medical knowledge, it is absolutely impossible for the small nodules in the lungs to cause blockage of cerebral blood vessels and to cause typical neurological symptoms of cerebral infarction.

"Dong Dong Dong~"

Zhou Congwen tapped on the blackboard and scanned the directors present with some displeasure.

"Quiet." Zhou Congwen said, "When I finish speaking, if you have any questions, tell them one by one."

"As for you." Zhou Congwen looked at Director Hui, "Your question only shows that your basic clinical knowledge is not solid, and you really don't know how to become a director."

"!!!" Director Hui's three corpses were furious. If he hadn't made it clear that he couldn't beat Zhou Congwen, he really wanted to punch Zhou Congwen.

"Sarcoidosis is a systemic disease. Apart from the heart, other organs can be affected, especially the lungs, lymph nodes, and skin." Zhou Congwen did not continue to say anything to Director Hui, but began to explain sarcoidosis.

"Just to put it simply, if you don't know, you can go home and read the book."

A slap in the face was slapped heavily on the faces of all the directors.

"Next, I will talk about the diagnosis basis."

"first……"

Seeing Zhou Congwen standing by the blackboard and listening to his confident words, Director Hao was a little dazed.

"Old Hao, do you know what's going on?" The person next to him asked suspiciously, "Sarcoidosis, which occurs in the lungs and mediastinum, how did it affect the nervous system?"

"I don't know." Director Hao replied honestly.

"Diagnostic basis four, ordinary chest X-rays are only 50% accurate in diagnosing sarcoidosis, and even a small number of people with normal chest x-rays have lung biopsy as sarcoidosis.

Therefore, CT has been widely used in the diagnosis of sarcoidosis in recent years.It can accurately estimate the type of sarcoidosis, the degree of pulmonary interstitial lesions and the situation of lymph node enlargement.

In particular, high-resolution thin-slice CT is more accurate for the diagnosis of pulmonary interstitial lesions, and its slice thickness is 1-2 mm. "

Zhou Congwen has already mentioned the fourth diagnostic basis.

Everyone present was dizzy.

It seems to make sense, but it is not logical.Every sentence of Zhou Congwen shattered everyone's three views, and then stepped on them a few more times.

He is quibbling!

Director Hui felt that he understood, so Zhou Congwen frankly set up a situation that was impossible to exist, and then pulled out countless theories, and then fished in troubled waters, confusing everyone.

Is this what a doctor should do?

He is not a doctor at all, Director Hui even began to have conspiracy theories in his mind.

Is Zhou Congwen deliberately delaying time to make Dean Lin's condition worse?Is this even the meaning of Dean Chen of the hospital next door?