Back in 2002 as a doctor

"Director Zhang, I watched the video of the surgery, is this really the surgery for next year?" Li Qinghua asked.

"Of course." Zhang You sighed, but he didn't hide his complacent expression. "This is the world's leading surgery, and it can even be said to be 5-10 years ahead of Europe and the United States! The world's first-hand grasp."

"..."

"I am indeed an old man. It is too difficult to learn new technologies. But no matter how difficult it is, I will help Professor Xiao Zhou, and the old comrades still have to do a good job of escorting. Put on the horse and walk with support."

"Being able to help Professor Xiao Zhou become the number one in the world before retirement, my life can be regarded as a consummation of merit."

Chapter 1452 Zhou Congwen's dog leg

Li Qinghua was silent.

Zhang You's words were so shameless, Li Qinghua didn't even know what kind of brain circuit Zhang You had to be able to say that.

The more shameless people are, the better they are. Li Qinghua understands this truth.But Zhang You is the best among them. Both he and Li Ran know what's going on, but he can still speak so seriously.

Almost, I believed it myself.

"Don't worry, Professor Xiao Zhou will definitely solve it." Zhang You handed the film to Li Ran, almost smacking his chest to promise.

If you don't know, you will definitely think that Zhang You invited experts from all over the country to solve Li Ran's problems.

But the three people present knew the truth of the matter, and Li Qinghua admired Zhang You for saying this without changing his face.

Li Ran took the film and bowed his head in silence.

Even Li Qinghua, who is as old-fashioned as he is, doesn't know what to say for a while.

To say that Jiang is still old and hot, Director Zhang You Zhang is just shameless, and his skills are really full.

"Although I haven't seen the operation before, I guess it's not that difficult, but it must be difficult for Professor Xiao Zhou." Zhang You didn't seem to feel embarrassed, and said with his big teeth and spitting stars flying all over the sky.

He seemed to be bragging about his surgery, not Zhou Congwen at all, his eyes were shining brightly, and he was very energetic.

"Director Zhang, it's fine if you're here." Li Qinghua held back for a long time before choking out a word.

But before he could continue talking, Zhang You smiled and said, "I'm just helping Professor Xiao Zhou, and he needs to do the surgery."

"..." Li Qinghua sighed deeply in his heart.

What did Zhou Congwen do in the Second Hospital of Medical University, and why did Zhang You become what he is now?

As the chief director of the Cardiothoracic Surgery Department of the Second Hospital of Medical University, he should show some face no matter what.

But Zhang You didn't. Li Qinghua even noticed that every time Zhang You mentioned Zhou Congwen's name, there was a hint of intimacy in his tone, and even a little admiration.

Zhou Congwen actually turned Zhang You into a standard dog leg?Li Qinghua was extremely surprised by this.

Before Zhou Congwen went to the Second Hospital of Medical University, Li Qinghua was still a little worried.After all, Zhang You's reputation is not very good.

Although you can't believe everything others say, but looking at Chen Houkun being suppressed by him, you can guess what kind of person Zhang You is.

However, after Zhou Congwen left for a year, Zhang You suddenly became his dog-legged existence.

This made Li Qinghua unacceptable.

He admits that Zhou Congwen is very strong, and he is probably the strongest person he has ever met in his life, but Li Qinghua cannot accept that Zhang You has become Zhou Congwen's dog leg.

"Isn't that Director Zhang You from the Second Hospital of Medical University? Why is he here?"

Seeing Li Qinghua talking to Zhang You, the doctor in the MRI room asked in a low voice.

"Maybe it's because of Li Ran."

"Zhang You is so fucked up. A few years ago when my relatives went to see a doctor in the Second Hospital of Medical University, Zhang You's chin almost went up to the sky, so there was no need to look directly at him."

"Huh? He's like this."

"Of course, I've heard people say that Zhang You also fucked up in the Second Hospital of Medical University."

Facing the fucking Zhang You, the doctor who spoke couldn't understand, who was Li Ran, Zhang You, and why the expressionless little doctor from the Third Hospital of Jianghai City made Zhang You come here without hesitation.

"I've heard that too." Another person said, "Didn't Wang Chengfa invite Zhang You to undergo surgery when he was still there last year? It is said that the car that picked him up was not an Audi, but an ordinary private car. Zhang You almost didn't go back directly. "

"why?"

"Zhang You thinks that Wang Chengfa is neglecting him." The man smiled wryly, "Are you saying Audis are not as important as Audis? What kind of car you take isn't medical treatment."

Although they are in two cities, the doctors of the Third Hospital of Jianghai City know some of Zhang You's messy things.

If it wasn't for Audi to pick him up, he would feel that he was being slighted. This temper is really a bit too much.

The doctors in the NMR room looked at Zhang You, who was talking to Li Qinghua and Li Ran standing in front of the window, and talked a lot.

Soon after the MRI examination was finished, Li Ran went in, carefully helped his old lady onto the flat car, and pushed her to the thoracic surgery department.

Li Qinghua gave up a private room, so that Li Ran's mother could rest in a quiet environment.

Li Ran sat on the side of the bed with a blank expression and took care of him, adjusting the drip rate of the antihypertensive medicine.

The Third Hospital of Jianghai City does not yet have a micropump, and Li Ran is not used to it.Fortunately, the old lady's blood pressure was still stable. Li Ran ignored Zhang You and waited silently for Zhou Congwen.

Li Qinghua wanted Zhang You to go to his office to rest for a while, and was going to bite the bullet and accompany Zhang You.

In any case, Zhang You is the director of the higher-level hospital and one of the leaders in the cardiothoracic surgery field in the province. Li Qinghua will not neglect.

But Zhang You rejected Li Qinghua's invitation, but stood outside the ward and continued talking.

Li Qinghua was also very helpless. He felt that Zhang You was a little strange, very strange.

After nearly an hour, Li Ran came out of the private room and said to Li Qinghua, "Director Li, Cong Wen has arrived."

"Really!" Zhang You's eyes lit up, and his big die grew half an inch, "Where are you?"

"Speaking of downstairs."

Zhang You immediately turned around, as if Li Qinghua, who was chatting enthusiastically just now, did not exist at all, and walked quickly to the door of the ward.

Li Qinghua seemed to be the same as Li Ran, watching Zhang You's brisk steps with a blank face, as if he was about to fly.

And then Zhang You really "flyed" the moment he saw Zhou Congwen's figure!

From brisk walking to trotting, he flew in front of Zhou Congwen in a very short time.

Li Qinghua looked at Zhang You silently, not knowing whether to laugh or cry.

As for what!

"Director Zhang, is he like this in his sophomore year of medical university?" Li Qinghua asked in a low voice.

"Yes." Li Ran said.

Then Li Ran rushed over with the film.

"How is Auntie?" Zhou Congwen asked.

"The blood pressure is fairly stable. I just took a shot of pethidine and fell asleep." Li Ran replied.

"Then don't disturb auntie's sleep and watch the film first." Zhou Congwen took the film, came to the doctor's office very familiarly, and inserted the film into the film reader.

"Professor Zhou, I will perform the carotid artery stent with you later." Zhang You followed Zhou Congwen's side, using his tone, demeanor, and movements to deeply interpret the three words Goulegzi.

"Surgery?" Zhou Congwen asked.

"Yeah." Zhang You didn't seem to hear the meaning of Zhou Congwen's words, and continued, "We must lower the support, I am worried that the people here are not good enough, although Professor Xiao Zhou can do it yourself, no matter how much you have a helper OK."

Li Qinghua sighed again.

Director Zhang really...he had a huge change in his feelings towards Zhang You.

"No need for surgery," Zhou Congwen said.

"What?" Zhang You was surprised.

"Not a carotid dissection."

Chapter 1453 My Boss Has Researched It

Zhou Congwen watched the film with a smile, "It's not carotid artery dissection."

"No? Then what is this?" Zhang You asked in surprise.

"You are talking about CTA showing eccentric perivascular infiltration at the bifurcation of the left carotid artery, and MRI showing enhanced positions in the corresponding parts."

"Yes, it's definitely not an image of atherosclerosis." Zhang You was puzzled, but his voice became smaller and smaller. Before Zhou Congwen could explain, Zhang You had already doubted himself.

"CTA showed an eccentric hypointensity spot along the posterior wall of the terminal end of the left common carotid artery, without obvious luminal stenosis. There were slight changes in the surrounding soft tissue and fat, consistent with the imaging features of perivascular inflammation." Zhou Congwen said.

"Perivascular inflammation?"

"..."

"..."

“看核磁。”周从文把核磁片子插到阅片器上，“增强前和增强后脂肪抑制3D T1以及3D T2加权，MRI显示颈动脉分叉处短T1和长T2血管周围浸润，可见强化。

A soft intimal plaque was seen in the posterior part of the carotid artery.

Right ICA sagittal surface reconstruction enhanced T1 shows the right carotid bifurcation and perivascular infiltration can be seen at the end of common carotid artery and proximal internal carotid artery.There were no blood vessels or abnormal signals around blood vessels in the common carotid artery and other parts of the internal carotid artery. "

"From the perspective of imaging, it is an obvious manifestation of perivascular inflammation."

Everyone listened with dew, and piles of question marks popped up.

"Li Ran." Zhou Congwen turned to look at Li Ran, "Give your mother dexamethasone, 5 mg at a time, twice a day, and change it to once a day after three days."

Li Ran nodded.

Although he was still expressionless, it was obvious that the tense facial muscles were gradually relaxing.

For Li Ran, no matter who said it, it was only a preliminary diagnosis, and only Zhou Congwen's diagnosis was the final definitive diagnosis.

Even if he couldn't understand what Zhou Congwen was saying, Li Ran believed it.

"Give some non-steroidal anti-inflammatory analgesic drugs and anti-platelet aggregation drugs orally, and you will be fine soon." Zhou Congwen said with certainty.

"Okay, I'll go right away." Li Ran turned around and hurriedly went to the nurse to push the medicine.

"Professor Zhou, this..." Zhang You was a little embarrassed. He traveled a long distance, and when he arrived, he insisted that it was a carotid artery dissection, but Zhou Congwen directly denied it.

It was indeed embarrassing, even Li Qinghua who was on the side was worried for Zhang You.

It's not like this to be a dog's leg.If it were him, Li Qinghua would have wanted to find a crack in the ground to get in.

But only a moment later, Zhang You came to his senses, and he said with a smile, "Professor Xiao Zhou, amazing! Take a look, I'll say you can do it!"

"Hehe." Zhou Congwen looked at Zhang You with a smile, "What's so amazing?"

"..."

Li Qinghua laughed heartily, Zhou Congwen hardly gave Zhang You any face when he asked this question.

Zhang You was taken aback, Zhou Congwen then said with a smile, "This disease is not rare, the key is that there is no diagnosis."

"So, don't blame Director Zhang."

"Ah?" Zhang You was stunned for a moment, no diagnosis at all?What did Zhou Congwen say?

But he immediately became happy and smiled at Zhou Congwen with his big teeth bared.

"My boss has done some research on this disease, but the previous technical means did not support it, so the research progressed slowly. Later, after the enhanced CT was available in the imperial capital, some information was collected."

Huang Lao, Huang Lao again!

Zhang You and Li Qinghua were dumbfounded. How could Mr. Huang have so much energy to do research not only on diseases in the thoracic surgery department, but also on diseases of the carotid artery, which is very unpopular in the Department of Vascular Surgery.

Zhou Congwen pointed at the film and said, "The boss's research included a total of 1998 cases from 2003 hospitals in the imperial capital and Shanghai from 10 to 47.

Patients presenting with acute neck pain or tenderness and at least one imaging study with unclassified carotid abnormalities. "

"The average age of these patients is 48 years old, which is similar to Li Ran's mother. All patients presented with acute neck pain, and 8 patients had transient neurological symptoms. The imaging studies of all patients also found eccentric infiltration around the carotid artery. Well, that's it .”

"Intimal soft plaque was found in 16 patients, and mild stenosis of the lumen was found in 1 patient. After treatment, the pain of all patients was completely relieved within an average of 13 days. The 3-month follow-up imaging showed that vascular abnormalities were completely complete in 8 patients. disappeared, and other patients also improved significantly."

Zhou Congwen talked endlessly about Li Ran's mother's film.

It took a full 3 seconds after he finished speaking before Zhang Youcai asked in astonishment, "Why is Mr. Huang studying this?"

"Patients need it." Zhou Congwen replied, "Clinical misdiagnosis is often made, and the boss has retired, so it's okay, so I did research by the way. Look, isn't this just useful."

"..."

Zhang You and Li Qinghua were speechless.