Chapter 1416 1453 What is he going to do?
After get off work, Zhang You happened to have something to do and kept watching movies in the office. He thought about it for a long time but still had no answer.
A friend's mother recently had a severe cough and had a lung CT scan and found no problems.
After the family knew the CT results, it was fine.
But things are different from what I imagined.
Although the patient has no lung disease, trachea and bronchial problems, the elderly’s cough is getting heavier and heavier. It has been difficult to fall asleep in recent days. The interval between coughs is getting shorter and shorter, and it can be quiet for up to ten minutes.
Zhang You prescribed codeine phosphate, but this powerful cough antidote was useful at the beginning and was useless in less than 24 hours.
So the patient's family came to Zhang You again and pulled Zhang You to solve the problem with a frown.
Zhang You were also worried that this was a respiratory disease and there was no surgery.
But when he was eating, his personality was an expert in the eyes of his friends in society - an expert in the respiratory system, a heart system, and a director of the respiratory department. In his eyes, he was just a trivial doctor.
If you have something to do, don't you look for whom?
Troubled, he took the patient's family to have another CT scan, so Zhang You decided to do CT enhancement and hug the lungs carefully.
If there is any problem, you can see it. If there is really no problem, please contact Zhou Congwen to contact the rheumatism and immunization expert in 912.
Zhang You already understood this process very well. He could basically be sure that the patient should have a rheumatism and immune disease.
However, the level of the Department of Rheumatology and Immunology at the Second Hospital of Medical University is very poor, and the patient has been delaying for a long time. Zhang You did not think that a lung enhancement CT can find out the truth, so going to 912 is a better choice.
It’s great to have Zhou Congwen here! Zhang You thought to himself.
Unfortunately, this idea lasted for a short time.
When he arrived at the CT room, Zhang You suddenly saw Zhou Congwen taking the patient who was quarreling with him. The patient's family had an indulgent injection and was preparing to do CT enhancement.
Is it great to have Zhou Congwen?
Zhang You doesn’t think so now, why is Zhou Congwen so much trouble! A pretentious patient who is not esophageal cancer at all, how can you do it to enhance the CT yarn!
He felt a lot of complaints in his heart, but he couldn't show it. He bared his big teeth and greeted him, "Professor Xiao Zhou, what are you doing?"
Zhou Congwen didn't expect to meet Zhang You, but he was open-minded and did not sneak in. Instead, he smiled and said, "Take the patient for a checkup."
Zhang You was a little embarrassed. After the patient had an indwelling injection, 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 just pretentious, it is definitely not esophageal cancer. Why are you doing CT? Do you suspect that there is something wrong with the mediastinum? I watched the movie and it seemed that nothing happened. Did I miss the diagnosis?"
If it were someone else, Zhang You would have been sarcastic in a long time. Even Director Teng Feiteng would have been sarcastic in a direct way without hesitation.
But what he faced was Zhou Congwen, and Zhang You had to be afraid of it.
"It's not a missed diagnosis." Zhou Congwen said with a smile.
Zhang You let out a long sigh, but before he could finish his breath, he was stunned.
“Then why check for enhanced CT?”
"Let's talk about it after finishing it." Zhou Congwen smiled, "The patient has difficulty swallowing, and the root cause is not necessarily the esophageal matter."
A local anatomy of the human body appeared in front of Zhang You.
He has had thousands of radical esophageal cancer surgery, and he cannot be said to be rich in experience. If Zhou Congwen said this, it is not a problem with the esophagus itself, it is the growth of something in the mediastinum and compressing the esophagus from the outside.
But mediastinum...
Zhang You carefully recalled the patient's various examinations and finally confirmed that the patient had no mediastinal tumors.
Professor Xiao Zhou was really strange this time. What was he thinking?
"Director Zhang, what are you doing?" Zhou Congwen asked.
Zhang You talked about his patients and finally said, "Professor Xiao Zhou, I think it is a rheumatism and immunity disease. Can you help contact 912? You know, I can't believe them in our hospital."
"Rheumatism and immunity?" Zhou Congwen glanced at Zhang You. His big teeth were a little dim today. "Wait first, and we will talk about this patient after checking."
This was like the chief director teaching the young doctor a lesson from condescendingly, Zhang You felt particularly frustrated.
If it weren't for the expectation that Zhou Congwen would take him to the world's number one this year, Zhang You would probably be ready to turn against him.
Even if there is the world's number one endorsement, Zhang You was so upset that he was unwilling to communicate with Zhou Congwen.
I was in a bad mood today. The patient who was quarreling with me was secretly brought by Zhou Congwen for an inexplicable examination. What exactly did he want to do!
Do you want to dismantle your own desk? But Zhou Congwen's future is in 912, so he will not be worried about the position of director of the Department of Thoracic Surgery at the Second Hospital of Medical University.
Zhang You was puzzled. He was silent, his big teeth were completely dim and shining with gray light.
Zhou Congwen did not communicate much with Zhang You, and went to the operation room to see the patient's examination.
Zhang You followed Zhou Congwen without saying a word.
After more than ten minutes, after the examination, Shen Lang went to pick up the patient. Zhou Congwen focused on the image on the screen, focusing extremely.
The more Zhang You looked at him, the more he felt unhappy. The energy came up and couldn't help but start a sarcasm mode.
"Professor Xiao Zhou, I have watched all the previous films of the patient, and you must have watched them too. There will be no tumors in the mediastinum!"
"Although my level of watching movies is a little worse than yours, this is guaranteed."
"What do you think, Professor Xiao Zhou."
Zhang You talked about himself, but Zhou Congwen didn't say anything and looked at the images on the screen.
The machine is too old and has a lot of data to enhance CT, which is quite difficult to analyze. The CPU creaked and creaked, just like an old cow pulling a broken car.
Zhou Congwen was a little worried and missed the fast machines twenty or thirty years later.
But in 2003, there was no other way.
The images went down one by one, and Zhou Congwen raised his hand and wrapped his little flat head, rustling.
"Professor Xiao Zhou, the patient is just free."
"I think this kind of person has seen it too much, and I think it is a neuroautonomous symptom."
"Simply put, it's just pretending to be sick, but it's still too young... I'm too soft-hearted. You will know what's going on when you see such patients too many times. I'm not kidding, this patient should be sent to a mental hospital."
Zhou Congwen looked at the image, and Zhang You kept nagging.
"I'll just say that. The patient's mediastinum must be fine. If there were tumors that pressed the esophagus, we would have seen it. He was a mental illness!"
"Director Zhang." Zhou Congwen couldn't bear it anymore. Zhang You was noisy like a fly. "You must be careful when diagnosing mental diseases."
"Be careful? If he wasn't mentally ill, I'll go to the mental hospital tomorrow to report it and treat it for three months."
Chapter completed!