Back in 2002 as a doctor

"There are still some problems with the gastroscopy." Zhou Congwen suddenly interrupted them, "I guess... I suggest a chest CT scan."

"what?!"

Shen Lang and the patient's family were stunned at the same time.

What is chest enhanced CT?

Did Zhou Congwen suspect that enlarged lymph nodes were compressing the esophagus?Shen Lang thought to what extent the lymph nodes must be swollen to have difficulty swallowing.

Still need to check?The patient's family members thought about it.

Zhou Congwen put down the report sheet and smiled, "Let's do an inspection."

"Doctor, how much is it?" The patient's family members were obviously a little unhappy.

Chest enhanced CT is the kind that needs to be sprayed with drugs, and it is quite expensive to do.Zhou Congwen hesitated, "Let me ask."

The patient's family made no secret of their contempt for such a young doctor as Zhou Congwen, and the corners of their mouths almost reached their ears.

Shen Lang was also a little confused.

For esophageal cancer, the longest examination is the upper gastrointestinal barium examination, which is simple and trouble-free, and does not cost much.To be honest, Shen Lang felt that the gastroscopy that Zhang You did later was a bit excessive.

But Zhou Congwen went too far, and even wanted to check the enhanced chest CT.

"President Xiao, is there any doctor in CT?" Zhou Congwen asked while holding his mobile phone.

"Oh, there is a patient. I want to see a chest enhanced CT. My family's financial conditions are limited. If possible, I'd better do it secretly."

"Okay, then wait until after get off work."

After hanging up the phone, Zhou Congwen said to the patient's family, "At five o'clock in the afternoon, bring your father."

The patient's family asked in a daze, "No money?"

"Well, it doesn't cost money." Zhou Congwen replied very seriously, "But you need to make an order first. You don't have to pay the fee, just do it first and sign it."

"..." The patient's family was confused by this series of procedures.

Zhou Congwen patiently explained that enhanced CT is still slightly dangerous.

Some patients will have allergic reactions when they spray the medicine. Although there are not many, the probability is similar to that of small and medium lottery tickets, but it is not impossible.

After explaining to the patient's family for a long time, Shen Lang asked in confusion after sending him away, "Congwen, why do you need enhanced CT?"

"When the patient was undergoing gastroscopy, a smooth external indentation was seen at the back wall of the 24cm endoscope. It was not very obvious, but it could be seen." Zhou Congwen said, "I suspect it is a vascular problem in the chest."

"Is there really a problem?" Shen Lang looked at Zhou Congwen in surprise, but immediately asked, "What did you and Director Zhang talk about?"

"Nothing to talk about." Zhou Congwen shrugged.

"Really?"

"Director Zhang said that the patient's family has a problem, and the patient's family said that Director Zhang has a problem." Zhou Congwen said with a smile, "Anyway, he just said that he was right. There have been many such things, and if you don't meet them, you can just get along with each other. Besides, The patient also has intermittent dysphagia."

Shen Lang guessed it was like this, "Are you going to let Director Zhang calm down first, then let the patient's family members calm down, and finally make a clear diagnosis?"

"What else? Help the patient's family beat up Zhang You? Or help Zhang You beat up the patient's family." Zhou Congwen asked.

"I think the patient's family is quite reasonable. They don't just want to know if it is esophageal cancer, but why they choke on food." Shen Lang said.

He did not hide his position at all, and stood directly on the side of patients and their families.

"Let's do an inspection." Zhou Congwen knew that Shen Lang was messing with each other, "Do you know that human beings have a rebellious mentality?"

"Reverse psychology?"

"Originally, I think the patient and the patient's family members were just worried about whether it was cancer. After all, the medical history of more than ten or twenty years depends on it." Zhou Congwen explained with a smile.

Shen Lang nodded, this is also what he thought of.

"But Zhang You's attitude is not good, and the patient's family has spent a lot of money, so they are not reconciled. So, let's not let go of the fact that there is no diagnosis. This is a kind of rebellious psychology. Director Zhang also has it, so I won't say much about it. It is." Zhou Congwen simply explained.

"real or fake?"

"If you don't get married, that's one way." Zhou Congwen brought the topic to Shen Lang.

"..." Shen Lang was speechless.

"Your parents say to go south, but you want to go north. Your parents say to eat dry food, but you want to drink watery food. It's not because you like to go north and drink watery food, but because you want to be the opposite of your parents."

"No way!" Shen Lang argued.

"I remember that you expressed a similar attitude when you were in the Third Hospital of Jianghai City. At first, you had thoughts about Manager Wang, but soon you stopped." Zhou Congwen joked.

"I'm……"

"Don't talk about you, just talk about a lot of rebellious children." Zhou Congwen said, "The family hopes that their daughter will find a boyfriend, fall in love, get married and have children, so she will do the opposite. Elope, you know?"

"Wang Qiang like that?"

"Hmm." Zhou Congwen nodded, "Actually, how much do you think Wang Qiang likes that girl? I don't think so. But the greater the pressure, the more he will do the opposite. But it has nothing to do with me, I'm talking about this kind of reverse psychology."

"On the day when the parents are really mad at death, the child will be overwhelmed with pain, and pray for you to live a long life. But this is not because the child is reluctant to part with the parents. Everything must be reversed. Seeing that it will not work, or it is also suffering, but the child Why don't you let it go."

Shen Lang was stunned by Zhou Congwen's brain circuit, he looked at the guy opposite him in a daze in surprise.

What a godsend brain circuit.

The kind of person Zhou Congwen mentioned is a filial son, but when it comes to him, he becomes a rebellious child.

"So, let's comfort Director Zhang first, so that the gaffe doesn't get out of control soon. Let's take a look at the laboratory report, I have my own judgment." Zhou Congwen said, "We all work under the same roof, so we can't look at Director Zhang and the patient. The family members are not fighting."

"That's true." Although Shen Lang didn't agree with Zhou Congwen's previous statement, he still agreed with the last sentence.As for the others, Shen Lang did not refute.

"Go get ready, the patient is here..." Zhou Congwen began to tell Shen Lang what to do.

If it is a chest X-ray, ordinary CT, you can do it if you do it, and there is no danger.

But this is enhanced CT, and some procedures still need to be perfected to push the contrast agent.After hearing Zhou Congwen's words, Shen Lang nodded repeatedly.

Zhou Congwen seemed to be real, at least he was thinking clearly and there were no flaws.

The time soon came to the afternoon, and the family members of the patient brought the patient to the door after get off work.

It can be done for nothing, and it is still relatively expensive. After thinking about it, the family members of the patients still came.

He likes Shen Lang better, but doesn't trust Zhou Congwen.After all, Shen Lang looked kind and kind, with a bit of market spirit.

Chapter 1419 What is he going to do?

Zhang You happened to have something to do after get off work, so he kept watching the film in the office, pondering for a long time but still couldn't find an answer.

The mother of one of his friends had a severe cough recently. She had a CT scan of her lungs and found no problems.

The family was relieved after knowing the CT results, and it was fine.

But things are not the same as imagined.

Although the patient has no lung disease and no problems with the trachea and bronchi, the old man's cough is getting worse and worse. In recent days, it has been difficult to fall asleep. The interval between coughs is getting shorter and shorter, and he can be quiet for more than ten minutes at most.

Zhang You prescribed codeine phosphate, but this powerful antitussive was somewhat effective at first, and it was useless within 24 hours.

So the family members of the patient came to Zhang You again, and pulled Zhang You to solve the problem with a sad face.

Zhang You is also distressed, this matter is a disease of respiratory medicine, and no operation is required.

But when he usually eats, in the eyes of friends in the society, he is regarded as an expert-an expert in the respiratory system and heart system, and the director of the respiratory and circulatory departments is just an insignificant little doctor in his eyes.

If you have something to do, don't ask him to find someone.

Distressed, he took the patient's family members to have another CT scan, and Zhang You decided to do enhanced CT scans to hug the lungs carefully.

If there is any problem, you can see it after reading it. If there is really no problem, you can find Zhou Congwen and contact the rheumatology and immunity specialist of 912.

Zhang You had already thought clearly about this process, and he was basically sure that the patient should be suffering from rheumatic immune disease.

But the Rheumatology and Immunology Department of the Second Hospital of Medical University is very poor, and the patient has been delayed for a long time. Zhang You does not think that an enhanced CT of the lungs will be able to find out the truth, so it is a better choice to go to 912.

It's great to have Zhou Congwen here!Zhang You thought to himself.

Unfortunately, this idea only lasted for a short time.

When he came to the CT room, Zhang You suddenly saw that Zhou Congwen was taking the patients and their family members who had quarreled with him to insert indwelling needles, preparing for CT enhancement.

How nice to have Zhou Congwen?

Zhang You doesn't think so now, why is Zhou Congwen so troubled!A hypocritical patient who is not esophageal cancer at all, why do you do enhanced CT dry hair!

He was full of complaints in his heart, but he couldn't show it.With his big teeth bared, he went up to him, "Professor Xiao Zhou, what are you doing?"

Zhou Congwen did not expect to meet Zhang You, but he was open-minded and did not sneak around. Instead, he smiled and said, "Take the patient for an examination."

Zhang You was a little embarrassed. After the patient had the indwelling needle inserted, he entered the CT examination room. Zhang You pulled Zhou Congwen away from the patient's family and asked, "Professor Xiao Zhou, the patient is hypocritical. It must not be esophageal cancer. Why are you doing CT? You suspect lung cancer." , Is there a problem with the mediastinum? I saw the film, and it seems to be fine. Did I miss the diagnosis?"

If it had been someone else, Zhang You would have been in the taunt mode long ago, even if it was Director Teng Feiteng, Zhang You would have taunted directly without hesitation.

But facing Zhou Congwen, Zhang You had to be afraid.

"It's not a missed diagnosis." Zhou Congwen smiled.

Zhang You let out a long breath, but before the breath was finished, he was stunned.

"Then why check enhanced CT?"

"Let's talk after we're done." Zhou Congwen said with a smile, "The patient has difficulty swallowing, and the root cause of the disease may not necessarily be the esophagus."

The partial anatomical structure of the human body appeared in front of Zhang You.

He has done thousands of radical resections for esophageal cancer, and his experience cannot be said to be rich.According to what Zhou Congwen said, it is not the fault of the esophagus itself, but it is caused by something growing in the mediastinum that presses the esophagus from the outside.

But the mediastinum...

Zhang You carefully recalled the patient's various examinations, and finally confirmed that the patient had no mediastinal tumor.

Professor Xiao Zhou is really strange this time, what is he thinking?

"Director Zhang, what are you doing here?" Zhou Congwen asked.

Zhang You talked about his patients, and finally said, "Professor Zhou, I think it is a rheumatic immune disease, can you contact 912 for help? You know our hospital, I can't trust them."

"Immune to rheumatism?" Zhou Congwen glanced at Zhang You, his big teeth were a bit dim today, "Wait a minute, we'll talk about this patient after we investigate this patient."

When he said this, it was as if the chief director was condescendingly teaching the little doctor, Zhang You felt extremely aggrieved.

If Zhou Congwen hadn't been counting on Zhou Congwen to lead him to become number one in the world this year, Zhang You would probably be ready to turn his back on him.

Even with the world number one endorsed there, Zhang You was too restless and unwilling to communicate with Zhou Congwen.

Today I am in a bad mood. The patient who quarreled with me was brought in by Zhou Congwen quietly for an inexplicable examination. What exactly does he want to do!

Are you going to tear down your desk?But Zhou Congwen's future is on 912, so he won't worry about the position of director of thoracic surgery in the Second Hospital of Medical University.

Zhang You was puzzled, he was silent, his big teeth were completely dim, glowing with gray light.

Zhou Congwen didn't communicate too much with Zhang You, and went to the operation room to see the patient's examination.

Zhang You followed behind Zhou Congwen without saying a word.

Ten minutes later, after the examination was completed, Shen Lang went to pick up the patient.Zhou Congwen stared at the image on the screen with great concentration.

The more Zhang You looked at it, the more he felt that his heart was not going well. With that energy coming up, he couldn't help but turn on the mocking mode.

"Professor Xiao Zhou, I have seen all the patient's previous films, and you must have seen them too. There will be no tumor in the mediastinum!"

"Although my level of watching movies is a little worse than yours, this can be guaranteed."

"What do you think, Professor Xiao Zhou?"

Zhang You babbled to himself, but Zhou Congwen didn't speak, just looked at the image on the screen.

The machine is too old, and there is a lot of enhanced CT data, so it is quite difficult to analyze. The CPU creaked and creaked, like an old cow pulling a broken car.

Zhou Congwen was a little distressed, and he missed those fast machines 30 or [-] years later.

But in 2003, there was no other way.

The image went down frame by frame, and Zhou Congwen raised his hands and curled his small crew cut, rustling.

"Professor Xiao Zhou, the patient just has nothing to do."

"I see this kind of person a lot, and I think it's a neuroautonomic symptom."

"To put it simply, you are just pretending to be sick. You are still too young... Your heart is too soft. You will know what's going on if you see this kind of patient a lot. I'm not joking. This patient should be sent to a mental hospital."

Zhou Congwen looked at the image, while Zhang You chattered non-stop.