"It's okay to look at the size." Zhou Congwen said at the screen, "And kidney cancer is a kind of lazy cancer, which develops very slowly. I haven't seen any enlarged lymph nodes for the time being. I suggest you hurry up and have surgery."

Manager Xue was already confused. He never expected that the final result of his old man's severe coughing was... it was caused by kidney cancer.

Not to mention that he is an outsider or an ordinary person, even an old gun like Zhang You is a little confused.

Zhou Congwen's ideas and facts caught Zhang You off guard.

Zhang You looked carefully at the images on the screen and asked in confusion, "Professor Xiao Zhou, there is indeed a problem. I have seen severe cough caused by kidney cancer stimulating the diaphragm. But I didn't find any stimulation of the diaphragm on the previous images, and now I don't seem to have any."

What he said is more subtle, the kidneys are far away from the lungs, and in addition to stimulating the diaphragm and causing cough, Zhang You also couldn't think of any other reason for the patient's severe cough.

"Oh, kidney cancer secretes prostaglandin, mainly prostaglandin E2, which enhances the cough reflex through the EP3 receptor pathway and causes coughing. Although this is not very common, it is also one of the more typical symptoms of renal cancer." Zhou Congwen said lightly.

Before his eyes left the screen, Zhang You glanced at Zhou Congwen in confusion.

Zhang You didn’t know what prostaglandin E2 and what EP3 receptor pathways are. As for the clinical manifestation of kidney cancer, he had no idea about it.

Are these related to clinical practice? Yes, but they are definitely not big.

As the eighteen weapons in the arsenal, they may not be able to be used once in their lifetime, and most of them are used in scientific research.

But before this, Zhang You despised scientific research? You just copy it and I copy it. A clinician who is so sick will study those things. Besides, it is not just for research if you want to study it. There are thousands of mountains and rivers in the middle, and the difficulty is not very great.

But Zhou Congwen's words shattered Zhang You's previous cognition.

If this patient hadn't met Zhou Congwen by chance in the CT room, it would have been delayed for another period of time.

It is true that a lazy cancer of kidney cancer.

Thinking of the word lazy cancer, Zhang You instantly thought of what Mr. Huang talked about on the operating table.

Although kidney cancer progresses slowly, it cannot be delayed for too long.

This is going to have a big problem.

Zhang You couldn't even refute it. After all, Zhou Congwen was looking at the images on the screen, and occasionally dragged them with the mouse to see a certain cross-section.

Just after just taking a look, Zhang You knew that Zhou Congwen was making sure of his judgment.

He was very careful and did not neglect because of the rudeness of the patient's family.

"No signs of metastasis are seen yet, nor are there any enlarged lymph nodes."

A few minutes later, Zhou Congwen smiled slightly.

"Just cut off one side of the kidney, it will not affect normal life."

After saying that, he turned his head and glanced at Manager Xue.

"Manager Xue?" Zhou Congwen called out again when he saw that the middle-aged man was still confused.

"Xiao Xue!" Zhang You hit Manager Xue with his shoulder, "Did you hear what Professor Xiao Zhou said?"

"What did you hear?" Manager Xue asked blankly.

"I haven't seen the transfer yet. I'll contact you with the urology department and hurry up and take the time to operate." After Zhang You said that, he looked back at Zhou Congwen and asked, "Professor Xiao Zhou, are there anything you need to pay attention to in the operation?"

The successive blows made Zhang You's attitude countless times better.

In other words, Zhang You is quite thick-skinned and is used to kneeling. Although he kneels and stands up again, he is not as entangled as he kneels down at the beginning.

He didn't care about his misdiagnosis at all, and took the initiative to lower his posture, asking Zhou Congwen like an intern.

"Nothing special. The lymph nodes look fine. You still need to clean them during the operation, so don't try to save trouble."

After Zhou Congwen finished speaking, he smiled slightly, "If it's okay, I'll leave."

"Professor Xiao Zhou, please be busy first. I'll handle it. When it's okay, let Xiao Xue treat you. You must come at that time." Zhang You made an appointment for a meal first.

However, Manager Xue was confused and had no idea what Zhang You was doing.

My old man is fine, but he just coughs, so why does he get kidney cancer? He can't understand at all.

...

...

After leaving the CT room, Xiao Kai followed Zhou Congwen and exclaimed, "Professor Zhou, you are so awesome."

Xiao Kai praised the kind that was very straightforward and did not leave any blank space.

"well enough."

"Haha, you will say it's okay. I learned prostaglandin and other things when I was in school. I have already eaten clinical work over the years." Xiao Kai said.

"It shouldn't be." Zhou Congwen said, "There is this in the differential diagnosis of cough, and you go back and read the textbook."

"..." Xiao Kai sighed in his heart.

In terms of basic skills, Xiao Kai was once proud of it.

Union Medical College has extremely high requirements for basic skills, otherwise it would not be the number one medical college in the country.

Xiao Kai was also very concerned when he was young, and his basic skills were extremely solid. However, facing Zhou Congwen's calm, indifferent, and asceticism, who had been polishing his basic skills for several years, Xiao Kai's efforts in the past were not worth mentioning.

He knew deeply how difficult it was to Zhou Congwen's opinion.

"Why shouldn't you not know?" Zhou Congwen glanced at Xiao Kai and smiled slightly, "We are doctors in cardiothoracic surgery and have cardiac bypass surgery. Before that, we must study arteriosclerosis."

"..." Xiao Kai couldn't even say the supporting actor at this time.

What Zhou Congwen thinks is natural is really too far away for him.

"PGI2 and TxA2 are the main prostaglandins of the cardiovascular system, produced by vascular endothelial cells and platelets, respectively. They have the opposite effect on blood vessels and platelets..."

There is something about prostaglandin, Zhou Congwen talks while walking, and Xiao Kai can't speak.

Moreover, Xiao Kai didn't listen to a word. Occasionally, he looked up at Zhou Congwen's back. He vaguely felt that Zhou Congwen should have bowed his hands and pulled his shoes.

That is Zhou Congwen's body, just like Huang Lao, it looks like it comes out of the same mold.

After Zhou Congwen finished talking, Xiao Kai smiled and did not hide his embarrassment of not listening. Then he said, "Professor Zhou, Manager Wang seems to have some movements recently."

"What trend?" Zhou Congwen asked.

"She asked me three times, whether there was any new progress in the valve replacement surgery." Xiao Kai is not as good as Zhou Congwen in his basic skills, but he still has his own expertise in interpersonal communication and seeing through people's hearts at a glance.

"I think Olida is more interested in the application of this technology."

"Oh, it should be." Zhou Congwen said, "Olida has been suppressed by Johnson & Johnson, Medtronic and Langco internationally for too long. This is a big piece of meat. As long as Olida doesn't lie, he will be interested in this."

...
Chapter completed!