Sleepless Doctor

Chapter 112: Undecided, quantum mechanics

   What can I do when I encounter such a person who is not stingy, has a high academic status, and has great skills?

   The doctors and nurses in the department are all eating inside. If this fights, do you want to have this old face? After shifting every day, other people's eyes will be wrong when they look at themselves.

   He didn't want to retire early, Gu Weimian smiled wryly, wanted to say something, but didn't know where to start.

   Chu Zhixi has been standing next to Wu Mian. Seeing the embarrassment, she smiled and said, "Director Gu, hello, I haven't seen each other for several years."

   "Professor Chu." Gu Wei scratched his head, his wine was completely awake, and he felt a little uneasy, but he didn't dare to say anything.

   "Which patient, Lin Daochang's eyes are gone?" Chu Zhixi relieved and brought the topic to the profession.

  The person who knows Wu Mian best is Chu Zhixi. In the face of professionalism and treatment, he can even put down eating and sleeping, let alone Gu Weimian. Besides, Gu Weimian just drank a few more glasses, which was like an excessive joke with Lin Daoshi and his classmates, and it didn't get in the way.

   "Professor Chu... Mian Shao..."

   "Just call Teacher Wu." Chu Zhixi said with a smile, "What's the patient's situation?"

   "Progressive dysphagia for 6 months, accompanied by weight loss." Gu Weimian said quickly, "The medical history is indeed the history of esophageal cancer, and I don't blame Lin Yin, whoever asks the medical history has to be judged like this."

   Gu Weimian tried his best to find a patch, but his face felt a little hot and it was hot.

"and after?"

   "The patient went to the freshman year of the medical school, and I was admitted to the hospital to prepare for the operation. The preoperative examination showed that the liver function was normal, and other tests were fine. Digestive endoscopy showed no stenosis, the biopsy specimen was normal, and the esophageal pressure measurement showed no abnormal sphincter function."

   three consecutive "nones" proved that the previous diagnosis of esophageal cancer was wrong.

   It’s a typical esophageal cancer. Why didn’t I see the tumor?

   "Director Gu, let me take a look at the medical records when I have time." Chu Zhixi said.

   Gu Weimian nodded repeatedly.

   "Brother, let's go back." Chu Zhixi twisted the sleeve of Wu Mian's T-shirt with her left thumb and index finger, and said gently.

   Gu Weimian felt relieved, the young master was finally leaving. It's better to Professor Chu. No wonder everyone thinks that Professor Chu is amiable, but he is much easier to talk than that young master.

   "Yes, yes, little uncle, the porridge is almost ready, let's eat." Lin Taoshi didn't want Wu Mian to beat people, no matter how he was a classmate, it was the most difficult thing to be caught in the middle.

   Watching Wu Mian turn and leave with a cold face, Gu Weimian sweats coldly.

   But he was very unconvinced in his heart, because he was afraid of being young. With this thought in his mind, he sat down on the chair Wu Mian had just sat on.

   Gu Weimian knew about this chair for several kilos. When I was young... I guess I had to be slapped to the wall by Teacher Wu.

   The unconvinced energy came up, and Gu Weimian began to call the doctor on duty.

   The preoperative check-up is perfect, what did I do wrong! It is clear that Lao Lin sent the wrong patient. Gu Weimian was nagging in his heart, and then went back to the medical record again, for fear of mistakes.

   Laboratory examination results showed that hemoglobin was 11.9g/dL, white blood cell count was 11.03g/L, and platelets were 367g/L. White blood cells are slightly higher, but many people are like this, and it does not mean that there is definitely an infection.

   Later, I checked a liter of C-reactive protein, and the return was as high as 25mg/L. I took a look at the infectious disease department and treated it with antibiotics.

   Kidney function is normal, liver function test shows that aspartate aminotransferase rises to 2.5N, and alanine aminotransferase is normal. γ-glutamyltransferase increased to 2.6N, alkaline phosphatase was normal.

   The tumor markers are normal except for ferritin, and the ferritin level is 338ng/mL, which is slightly higher than the normal value. But this thing can't be mentioned at all. Many physical examinations found that the ferritin was high, and a full-body examination did not find anything.

   In general, the laboratory tests are not problematic. I am afraid of misdiagnosis. I even did an esophageal pressure test. What else can I ask myself to do? !

   After thinking about it again, Gu Weimian felt that there was no flaw in what he did.

   At this time, the mobile phone in Gu Weimian's hand kept ringing, and one by one laboratory test sheets were passed over. Films, laboratory test sheets, medical records, everything.

   I am right! Gu Weimian cheered himself up, and he got up from the chair very hard. No matter what I thought, my legs still trembled.

   Teacher Wu smiled, but his words were sharper than the other, and he didn't save a bit of face to himself, so he didn't look like a good person.

   Gu Weimian groaned, rubbing his legs with both hands, and doing facial expression management, and moved to the opposite private room in small steps.

   "Mr. Wu, Professor Chu, the medical records are here."

   Knocked on the door and walked into the single room, Gu Weimian said in a very gentle voice.

   "Let me see." Chu Zhixi wiped her mouth with a tissue, stood up and walked to Gu Weimian's side and took her mobile phone.

   "Look at the picture of the esophagus mirror." Wu Mian said.

   "Yeah." Chu Zhixi started looking for the picture, and quickly found the report of the esophagoscopy.

   General endoscopy is accompanied by a few pictures of typical positions~www.wuxiaspot.com~ It looks very intuitive.

   "Brother, there really is."

   "How?"

   "It's quite a lot, I can see 4 places in the field of vision."

   "Look at the CT, check it after confirming it." Wu Mian was drinking porridge very gracefully, and no one could connect him with the domineering image just now.

   Gu Weimian heard a dew, what's there? Didn't you see the polyp? probably not. The esophageal endoscopy was done by a professor with strong technical skills. He also took a look at the screenshot. The wall of the esophagus was smooth and no polyps were visible.

   No polyps, no ulcers, let alone esophageal tumors that can cause progressive dysphagia. It's weird, what are they talking about? !

   "Director Gu, is the patient still in your hospital?"

   A few minutes later, Chu Zhixi asked.

"Um."

   "Do a NXP2 check."

   "What?" Gu Wei was startled for a moment.

   "Huh? What do you still know to say?" Wu Mian just finished drinking the porridge and put down the chopsticks. The white jade-like fingers were held on the jade-colored chopsticks, which looked like a whole body, very beautiful.

   "……"

   "Undecided, quantum mechanics. Have you heard of this before." Wu Mian said coldly.

   It's just that this cold tone is not very heavy, as if the bowl of porridge calmed Wu Mian's irritable mood.

"Uh……"

   "Director Gu, you are not young anymore, and you should have rich clinical experience." Wu Mian looked at the fat cat on the red wall and blue sky outside the window, and said leisurely, "What should I do if I encounter an unintelligible disease?"

   "Look for a superior..."

   "You are all the director, where's the superior doctor! Go to the dean in charge? You are a promising one." Wu Mian scolded, "If you encounter a disease you don't understand, look for rheumatism immunity!"

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