"The emergency department is so lively, it's much better than being with Director Zhang." Shen Lang complained, "Congwen, you don't know how uncomfortable it is to throw me into Frankfurt if you and Mr. Huang first return home and throw me into Frankfurt. It's better to send me to the emergency department if you work with Zhang You."

"What?" Zhou Congwenming asked knowingly.

"Zhang You is simply too much. It's not that I'm saying bad things about him, and I can't believe that he thinks everything is his credit." Shen Lang said, "Tell me, what does it have to do with him."

"You have also done the surgery and are one of them. You can't say that you have nothing to do with it." Zhou Congwen patted Shen Lang's shoulder and comforted him, "If you go directly to the hospital, just have a meal first."

"You..." Shen Lang stared at Zhou Congwen, "You have dinner with me? Today the sun came out from the west?"

"I'm leaving, I don't have any impression of the emergency department of the sophomore year. I'll go to 912 in a few days." Zhou Congwen smiled, "Go and take a look."

"If you don't eat, the plane meal is hard to eat. Now I feel a little disgusting when I think about it. I'll take a shower and go to the emergency department in my energy. You can wait for me."

Seeing Shen Lang's anxious look on his face, if he didn't know, he would think he was going to see his girlfriend.

Zhou Congwen didn't know how to describe Shen Lang. He rarely saw the idea of ​​being the head of the emergency department in the doctor. The emergency department, what is it? It is equivalent to the place where people are sent to the Siberian area.

But Shen Lang was willing to accept it. Zhou Congwen smiled happily when he saw Shen Lang talking about the emergency department. He sighed slightly.

When Shen Lang took a shower, the two of them came to the emergency department of the Second Hospital of Medical University. Shen Lang's mood finally calmed down. In the corridor of the emergency department, he was like a cheetah waiting to hunt, with his eyes flashing with a shiny light.

Zhou Congwen was funny, "Shen Lang, do you like this place so much?"

"Don't mention it." Shen Lang said, "No matter how messy the emergency department is, it is better than being with Zhang You. He heard those stupid words from him."

"Tsk tsk." Zhou Congwen sighed.

"By the way, Congwen, when I was in Frankfurt, I heard that something happened to Bai Wuchang again."

Zhou Congwen still remembers that there was a doctor with an emergency 120 ward nicknamed Bai Wuchang.

It is really too much to give this nickname to 120 emergency doctors.

"What's going on?" Zhou Congwen asked.

"At the New Year, he took a patient with backache and came to the hospital for examination."

Shen Lang said, and glanced at Zhou Congwen.

"What do you think of me?"

"I asked very carefully. Do you want to listen carefully?" Shen Lang said mysteriously.

"I don't want to tell you the result." Zhou Congwen replied very simply, "I will talk about whether to talk in detail after I talk about it."

"It's just an ordinary patient who looks ordinary and comes to the hospital for examination. It's a typical lumbar disc herniation. The emergency doctor's examination was very careful, and only the direct push and elevation test was slightly positive."

"Then what?"

"Mixed hyperplasia of lumbar bone; old compression fracture of thoracic 12 vertebrae; lumbar 3-4, 4-5, lumbar 5 sacral 1 disc bulge; lumbar 4-5, lumbar 5 sacral 1 disc horizontal bilateral vertebrae."

"Oh, the diagnosis is relatively clear, degenerative changes, interdisciplinary bloating, and bone hyperplasia." Zhou Congwen said, "What happened later?"

"Patient... I won't talk about it anyway." Shen Langshen said mysteriously, "Congwen, what's the problem?"

"It's very simple." Zhou Congwen Literature said as the Institute of Literature. "Generally, doctors' physical examinations focus only on observing the lumbar vertebrae and attachment bones, lumbar discs, and spinal canal conditions, and ignore the observation of peripheral muscle tissue. This is the main reason for the missed diagnosis."

Shen Lang stared at Zhou Congwen with wide eyes. He didn't understand at all, so he said a few words and gave him a few "induce" why Zhou Congwen had already gotten direction.

"There is the problem of lumbar spine CT. Sequential segmentation scanning and segmentation imaging methods cause continuous interruption of lesions, alternating imaging of vertebral bone windows and interdisc soft tissue windows, single axis observation, no continuity of lesions and lack of three-dimensionality."

"The most important thing is that many doctors lack the understanding of the causes of low back pain in the elderly, which is limited to lumbar spine degeneration, fractures, disc bulge, spinal stenosis, etc.

Especially orthopedics will have insufficient understanding of primary and secondary tumors in the waist, and intramuscular metastasis of malignant tumors is relatively rare, so there is a lack of understanding of this."

"Since you said something happened, I guess I had encountered intramuscular metastasis of the malignant tumor."

"!!!" Shen Lang looked at Zhou Congwen, as if he had seen a monster.

"It has nothing to do with Bai Wuchang, so don't call him that in the future." Zhou Congwen said, "It's a problem with the level of a clinician."

"How did you know so clearly!" Shen Lang ignored what Zhou Congwen said about Bai Wuchang, but looked at him in surprise and asked.

"I have heard from someone that I didn't see the intramuscular metastasis of the malignant tumor. The more I treated the disease, the more severe it became. Finally, when I remembered to do the examination, the tumor had spread throughout my body."

Shen Lang remained silent.

"Here, this is the gossip spirit I told you." Zhou Congwen was earnest and tempted.

"I know." Shen Lang sighed, "But you are too awesome."

"What does it have to do with this?" Zhou Congwen smiled, "What you think is a rare disease may be a common disease in my opinion."

Shen Lang glanced at Zhou Congwen, and this sentence full of complaints made Shen Lang speechless.

But in nearly two years, Zhou Congwen has used countless cases to prove his rich clinical experience. Although he uses his boss or heard of it to be perfunctory, he cannot do his awesomeness.

"So, you're still young."

"It seems like you are old." Shen Lang was dissatisfied.

"Take it slow." Zhou Congwen smiled, "When I went to 912, I could see the boss every day, and you would know what is really amazing."

"Congwen, does Mr. Huang usually know what disease is when he looks at him?" Shen Lang asked with his eyes shiny.

"What are you talking about? The boss is a human being." Zhou Congwen frowned, "Don't deify the boss."

"hey-hey."

"The boss has a lot of clinical experience and is meticulous enough in daily life, so he discovers many problems that people cannot find." Zhou Congwen patiently guided Shen Lang, "So there are still many ways you have to go."

There are not many people in the emergency department. Now it is the Chinese New Year. If you don’t have any unbearable diseases, you will generally choose to delay.

Although it was not as "lively" as usual, Zhou Congwen clearly saw from the expression on Shen Lang's face that this guy would rather squat here for a day and watch the patients walking around and the patients' families than give a report with Zhang You.

He didn't even realize that he and Director Han had asked for leave in advance.

Shen Lang was looking around when suddenly a Peking Opera singing voice came from one end of the corridor.

"Mr. Prince Consort, look closer and see..."

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