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Chapter 1390 1427 The boss's opponent is already dead and clean

"Everyone says doctors are cowardly." Xiao Kai said with a smile.

"Well, the boss is afraid that I am afraid that I am afraid. This person is really destined to not walk far when facing the pressure." Zhou Congwen said, "That's why I asked what I was going to do."

"I thought before that it's not worth wasting time for people like Zhu Jun." Xiao Kai said.

"Do you kill the chicken and show the monkey?" Zhou Congwen smiled, "It's not possible to have an oversimplified model. Do you think the boss's status in China is made by doing research? That's just a part."

"I thought..."

Today's events are combined with the previous rumors about the Bordeaux Central Hospital, which makes Xiao Kai a little confused.

He murmured.

"Do you think the boss is really gentle and a gentle elder?" Zhou Congwen asked with a smile.

"Yes." Xiao Kai nodded and looked at Zhou Congwen very seriously, "I really think so."

"Let me give you an example. I thought it was very appropriate when I read martial arts novels." Zhou Congwen said, "There is a saying in the story of the Heaven Sword and Dragon Saber - Zhang Sanfeng has been famous for 70 years, and the people who fought with him that year have died completely, and there is no one in the world."

"Well……"

"The same is true for my boss." Zhou Congwen said seriously, "The person who had academic disputes with his boss back then had already died completely. Whether it was old age, sickness, accidents, or depressed by the boss' continuous blows, in short, the boss is the one who laughed at the end."

Zhou Congwen said this passage that cannot be thought about. If you think about it a little more, Xiao Kai feels that his views have been completely subverted.

Could it be that the kind-hearted Huang Lao was brave enough to come out with a bloody path when he was young?

Although Xiao Kai had a little understanding of the academic community, he never expected that the old man standing at the top of the food chain would have such a life.

Yes, things like you, I, everyone’s good things will only appear in the dean’s speech.

That's a fairy tale, not a reality.

"Don't think about it." Zhou Congwen said, "Just go step by step. By Dean Xiao, the thing you answered today is really beyond my expectations."

Xiao Kai turned his attention back, "I'm just thinking about it."

"That's not what I said." Zhou Congwen said, "The problem is that you don't know the existence of the nursing department. Now your nurses don't have a turntable management department."

"Yeah, no."

"Director Xiao, let's go with me." Zhou Congwen suddenly said something that surprised Xiao Kai.

This was the first time Professor Zhou Congwen and Zhou invited him openly, and Xiao Kai felt blank.

"Talent, I deserve to be an old doctor who has been engaged in clinical practice for decades." Zhou Congwen smiled, "If I were a teenager, I guess Director Deng would ask you to be the director of the hospital office for him."

"Well……"

"Director Deng is now the vice president, so will he always be the president in the future?" Zhou Congwen said, "This idea is right, I wish we met too late."

"Hahaha." Xiao Kai smiled, "Professor Zhou, you are so proud of me."

Seeing that Xiao Kai did not answer his words, Zhou Congwen was not in a hurry and walked quickly to the center of chest pain.

...

...

Shen Lang sat next to the patient's bed, with a medical record clip on his legs, and he flipped through the printed test sheets one by one, with a hint of sorrow on his face.

The patient is a female, 49 years old, with a previous history of hypertension for 10 years.

No other geriatric diseases.

Two years ago, he developed an onset chest pain, accompanied by numbness in his left arm, and each time lasted for 4-5 minutes. At that time, the Second Hospital of Medical University had just performed an angiography, and Director Fujiteng performed a coronary angiography on her.

The angiography showed irregular lumen in the anterior descending branch, and no obvious stenosis or blockage was found in the proximal myocardial bridge, cyclone branch and right coronal coronation. Chest pain was controlled after drug treatment.

The patient's chest pain relapsed 1 week ago, and the nature was the same as before. The pain worsened, the duration was prolonged, and accompanied by sweating, which lasted for 30 minutes.

The patient came to the Second Hospital of Medical University for treatment. The coronary angiography performed by Shen Lang's emergency room showed that there was no stenosis in the left main trunk, 40% of the proximal descending branch, 50% of the middle section, 30% of the proximal cyclone branch, 95% of the distal section, and 40% of the middle section of the right coronary section.

So Shen Lang implanted a stent in the distal circumferential section of the patient.

Originally, this was a minor operation, and the patient would be cured after the patient had finished it. He didn't need to consider the narrowness of less than 50% of the area, and the impact was not big.

After regular oral administration of antiplatelets, lipid regulation, blood vessel expansion, and ventricular rate control, the patient's pain will improve.

However, unexpectedly, the chest pain problem of the patient was not completely solved after stent implantation.

Less than two days after discharge, the patient suffered another chest pain yesterday, accompanied by numbness and sweating on the left arm, and repeated attacks, lasting 20-30 minutes. He came to the chest pain center. After the emergency treatment, the chest pain was relieved after intravenous drip of isosorbate mononitrate.

However, the relief was temporary, and the patient had another chest pain a few hours later.

The emergency room was performed, and the results of the imaging made Shen Lang scratch his head.

The angiography showed that the patient had no obvious stenosis on the left main trunk, the proximal stenosis of the anterior descending branch was 50%, the middle stenosis was 40%-50%, and the anterior blood flow was TIMI grade III.

The proximal stenosis of the circumcision branch was 30%-40%, the distal stent was unobstructed, and the anterior blood flow was TIMI grade III; the middle right coronary stenosis was 40%-50%, and the anterior blood flow was TIMI grade III. The stent was unobstructed, and there was no obvious residual coronary stenosis.

This is a problem. No matter how you check it, it will be fine. At least you won’t have such severe chest pain.

Shen Lang looked at the test form sadly, did he look up at the electrocardiogram waveform on the patient's electrocardiogram monitoring?

Suddenly someone patted Shen Lang on the shoulder behind him.

"Shen Lang, consultation." Teng Fei said.

Shen Lang nodded and followed Director Tengfeiteng to the office next door.

"I think the patient's condition is caused by perimenopause female hormones and autonomic nervous system disorders and coronary microvascular lesions." Teng Fei was not polite and said straight to the point.

The other doctors listened to Teng Fei's words silently, and the doctor in charge immediately wrote down a series of words that Teng Fei said.

Shen Lang frowned.

"Director Teng, the patient's electrocardiogram seems to be very serious, unlike autonomic nervous system disorders or menopausal syndrome." Shen Lang said honestly.

Tengfei glanced at Shen Lang.

This guy is really stubborn. Although he is not the director of the Chest Pain Center, he belongs to a temporary institution and is under the responsibility of Zhou Congwen, but he is also the director of the University of Circulation Science and Technology. Shen Lang, a young doctor who has no Jin in charge, dares to refute his words.

If it were someone else, it would be that I didn’t understand the rules.

However, Shen Lang and Zhou Congwen have a close relationship. In recent months, except for the time when they were sick, Shen Lang has undergone many interventional emergency surgeries, and his level is obvious to all.

Although it is not as good as Zhou Congwen last year, Tengfei feels that she is still a little taller than herself.

She suppressed her anger and asked, "Doctor Chen, then what did you think about it?"
Chapter completed!
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