When doctors have a simulated operating room

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After sending the picture to the group, Zhang Yi began to explain:

"Let me tell you my personal opinion."

"First of all, we can't just look at the appearance when looking at the film, we have to combine it with the actual situation of the patient.

If you look closely, you can find that the patient's lungs are If the patient's lungs are swollen, it means that he has inflammation.

But the infection was not found out, not even mycoplasma or chlamydia.

This means that the patient's pneumonia is not caused by fungal infection, so antibiotics cannot be used. treatment.

This also proves why Li Xiuhui, you have used antibiotics for treatment but it has no effect.

You can zoom in on the first picture I posted. The blood vessel I marked is the pulmonary artery, and there is a parallel bronchus behind it, with a distal micronodule The nodules are distributed between the branches of the pulmonary artery, indicating that they are located in the lymph nodes.

This type of microscopic nodules distributed in the lymph nodes is most common in pneumoconiosis, pulmonary nodules, Pneumoconiosis and lymphangitis carcinomatosa.

But the first one, pneumoconiosis, can be basically ruled out.

The second one, pulmonary nodular disease, is very likely.

And the most important point, I think everyone has overlooked.

Li Xiuhui, since you can Considering pneumoconiosis, why don’t we think about the patient’s current working environment?

The patient is the owner of a bakery, making bread and cakes every day, and he must be in contact with flour frequently.

Factory workers are exposed to heavy metals or dust for a long time. It can make the lungs sick.

Then flour will not?

Combined with your main complaint, the patient has no coughing blood and chest tightness, but has white sputum.

So my first diagnosis is inhalation allergic alveolitis, followed by pulmonary sarcoidosis .

Of course, to be more conservative, lung cancer cannot be ruled out.

My personal opinion is that it is more inclined to the first two symptoms. You can focus on checking them out. "

Zhang Yi finished speaking.

The entire class group immediately fell silent! ! Hiss!

I knock!

What's wrong with Zhang Yi? !

Why does your analysis seem to make sense? ?

Just like a teacher!

Li Xiuhui was also confused.

From the moment she admitted this patient, she first considered common pneumonia.

Because the patient is very young, the chance of getting cancer is very small.

But after losing a few days The antibiotics had no effect at all.

The CT scan was still a white shadow.

She was scolded by the teacher for this.

But now...

Zhang Yi's words really woke her up!

Li Xiuhui: "Yes, why didn't I think of that! The bakery must be related to flour! I will ask him right now, thank you Zhang Yi!"

Zhang Yi: "You're welcome."

Liu Yuanyuan: " Zhang Yi, how come you are so good at reading CT scans that you can even tell where the bronchi are?"

Mao Jun: "That's right, where did you learn this?"

Liu Zifei: "I never thought..."

At this moment, Lu Gao took He muttered while diving on his phone:

"Nonsense! I guess it must be a rare anaerobic infection in the end. It definitely can't be the two types Zhang Yi mentioned!"

Liu Zifei asked in the group what she had been doing these days. Something I've always been curious about:

"By the way, last time our hospital had a thoracoscopic coronary artery bypass grafting surgery, which was performed by our department director Wang and a doctor named Zhang Yi.

I'm a little curious... Doctor Zhang Yi Is it you? "

Liu Zifei has been suspicious.

I always feel that it is impossible for it to be the same person by such a coincidence.

But Zhang Yi happened to come to attend the seminar that day.

And he left with Director Tian halfway through.

Just happened to have the same name? !

It's hard not to be suspicious.

Lu Gao: "@刘梓菲, what are you thinking about, how could it be him!"

Classmates in the group have also heard about this Surgery.

After all, it was performed by the director and a resident intern together.

Everyone was extremely envious!

When they heard that he had the same name as Zhang Yi, everyone found it a little hard to believe.

Chen Yuhan: "No way?! It can't be such a coincidence?!"

Wang Jing: "Ah... I really feel like Zhang Yi has been giving us some unexpected surprises lately!"

Gong Shiming: "No Could it really be @Zhang Yi you?"

Lu Gao: "You really believed it? Even if such a difficult operation was performed by a resident intern, they should be top students from a hospital like Peking Union Medical College, right?"

Lu Gao: "How is it possible? Is it Zhang Yi from our class?"

Zhang Yi smiled and asked:

"What if it was me? Wouldn't you be mad to death?"

Lu Gao gritted his teeth and said, "I don't believe it. It can't be me anyway.

You!"

Wang Haiqing also stood up and said:

"@Lu Gao, if it was really Zhang Yi, would you still do a handstand to poop?"

Cheng Qian: "Ha... Wang Haiqing, don't be so mean."

Cheng Qian, who was lurking, couldn't help laughing.

Then she immediately withdrew the message.

She said she didn't want to participate in the fight between these men.

Hurry up and pretend to be transparent.

On the other end of the phone, Lu Gao was about to send a message about doing a handstand.

But then he thought it was wrong.

These two people are in the same group.

What if they were trying to scare me?

Could it be... that the operation was really done by this Zhang Yi?

Lu Gao simply stopped talking.

The classmates in the group were really curious.

They all asked if it was Zhang Yi who did it.

Zhang Yi: "Let Lu Gao ask their Director Wang and he will know if it was me who did it."

Wang Jing: "Fuck! Is it really you? ! Awesome!"

Mao Jun: "Oh my god... ! ! ”

Liu Yuanyuan: “Oh my God, Boss Lu, why don’t you go ask? I really want to know!”

On the other end of the phone, Lu Gao stared at the phone screen in shock.

Could it be Zhang Yi?!

So, he strode to Wang Xiaomian’s desk.

Wang Xiaomian was discussing the cost of a patient with He Tao.

He was startled to see Lu Gao suddenly appear.

“What’s wrong with you? Is there anything?”

“Director Wang, did the resident who performed the thoracoscopic coronary surgery with you that day… come to attend the seminar?”

Wang Xiaomian looked at Lu Gao in confusion:

“What’s wrong? His name is Zhang Yi, do you know him?”

“There is a classmate in my class who is also called Zhang Yi. He said that he and you performed this surgery together?”

After hearing this, Wang Xiaomian snorted coldly:

“Haha, Zhang Yi who performed the surgery with me is a genius!

Not everyone named Zhang Yi can be a genius, okay?

Who is your classmate? Let me see what he looks like.

He likes to brag. Don't believe him. Zhang Yi who performed surgery with me is so handsome. He is not comparable to ordinary people. "

Lu Gao also nodded in agreement:

"Yes! I said it was definitely not him! But he asked me to ask you!"

As Lu Gao said this, he clicked on Zhang Yi's WeChat Moments.

But there was not a single photo in the Moments.

But at this moment, Wang Xiaomian found Zhang Yi's profile picture!!

"Wait a minute!" Wang Xiaomian stopped Lu Gao's hand.

Lu Gao asked: "What's wrong, Director Wang? I'm looking for a photo for you."

Wang Xiaomian said with surprise:

"Wait a minute! How come your classmate Zhang Yi's WeChat profile picture is exactly the same as the profile picture of Zhang Yi in my phone? ! "