"Boss, the young wife you met with without pulse is probably a cephalic arm type." Zhou Congwen continued.

"Bone shape?" Director Zhang was calling for consultation. Suddenly, he heard Zhou Congwen say this and asked.

Pulseless syndrome is rare in clinical practice, and Director Zhang does not know the specific classification.

"When the carotid artery or vertebral artery is narrowed or occluded, it will cause different degrees of cerebral ischemia symptoms, often accompanied by weakening or disappearing carotid artery pulsation. Physical examination may cause vascular murmurs and upper limb ischemia symptoms with reduced blood pressure or not measured. Vascular ultrasound examination indicates a decrease in the brachial artery blood flow velocity."

"So it is called pulseless syndrome. The treatment in traditional Chinese medicine is to acupuncture the Taiyuan point." Zhou Congwen glanced at his boss and asked, "Boss, did you treat it like this back then."

"Yeah." Old Huang nodded, "Acupuncture Taiyuan acupoint has some effect, but the effect is not obvious. Three months of treatment cannot be cured. Although I also know that it is best to treat the immune system, it is better to lower the carotid artery stent..."

As he spoke, Mr. Huang's voice became lower and lower, lighter and lighter, and finally he faintly gathered into a sigh.

Director Zhang has no idea about acupuncture and treatment.

She looked at Zhou Congwen in confusion, and Huang Lao sat there silently, becoming Zhou Congwen's background. Director Zhang had no idea why this young man knew more than himself.

The doctors who consulted arrived one after another, Mr. Huang sat in the main seat and Zhou Congwen sat next to his boss. Faced with the arrival of the directors, Zhou Congwen was not nervous at all and greeted him gently one by one.

"Director Zhang's disease looks very strange, what did Mr. Huang say?" asked one person.

"Old Huang suggested that the whole hospital consult, and then..." Director Zhang paused.

"And what?"

"Old Huang and Mr. Huang will not participate, so let Professor Zhou Congwen and Zhou consult." Director Zhang said.

"Uh..." The director was stunned for a moment, "Does Huang really think that a young man like Zhou Congwen can do it?"

"I guess it's right."

"The old man is really confident. I thought Mr. Huang could not keep up with his body and his eyes were shaking, so he found a young man for surgery. By the way, Director Li of the Trauma Hospital went to a private hospital in the Pearl River Delta to do a finger replantation. Do you know?"

"I don't know, what's wrong?" Director Zhang frowned slightly. The topic was a bit far-reaching.

"He has a dozen young doctors in his 20s who don't even have to take the doctor's qualification certificate. He does surgery, and does surgery every day."

"That's OK." Director Zhang was puzzled.

"A double-headed microscope? Director Li can just look at it, and he guides students to suture it." The director smiled, "In fact, he knows how to do it, and can also have relevant experience to deal with it in special circumstances. This is clinical experience. It is perfect with the eyes and hands of young people."

Director Zhang glanced at Zhou Congwen who was chatting with Mr. Huang, and felt that their combination seemed to be like this.

But it doesn't seem to be like it.

Although Mr. Huang is old, he can take any surgery before Zhou Congwen comes. It is said that this year's World Competition for Cardiac Thoracic Surgery was also the only one that Huang Lao was willing to be a green leaf, which sets off that Zhou Congwen won the world's number one.

Thinking of this, Director Zhang was a little envious.

Such a master who is willing to contribute is hard to find a lantern.

"This is called a surgical beast. It is said that Lao Li can do thousands of broken finger replanting in the Pearl River Delta a year."

"The operation is done well, that is, in a certain aspect, but the diagnosis is definitely not good." Director Zhang said, "Look at that big octopus. I have been in clinical practice for 30 years and have never encountered a similar patient."

"Hey, Mr. Huang is showing off his little apprentice." The director said with a smile, "Is this the old man? Is it all like this? Is there any treasure that is afraid that others won't know."

"Zhou Congwen this time..."

"You are afraid that Zhou Congwen will be embarrassed." The director smiled, "It's okay, isn't Mr. Huang sitting there?"

Director Zhang suddenly realized Mr. Huang’s true intention. He wanted to formally introduce this closed disciple to the director present.

As long as Zhou Congwen can tell something, who will be more concerned about a young man?

She smiled, "I understand, I will give Zhou Congwen a face."

"Right, don't think too much if you don't look at the monk's face and Buddha's face." The director simply persuaded him, and when he saw Director Zhang wake up, he didn't say much.

Soon, the hospital consultation began.

Director Zhang's hospitalization chief introduced the patient's medical history. After all the directors read the test form and the CTA image, Director Zhang coughed twice and cleared his throat.

"The patient's condition is quite special, please Mr. Huang..."

"You talk first." Mr. Huang waved his hand.

Director Zhang smiled slightly, "The patient's C-reactive protein increases, and the blood vessels of the heart and coronary arteries change, I consider that it is more likely that Becephala disease is."

"first……"

“Second…”

Director Zhang thought a lot, so she was the most prepared and began to talk about the basis for diagnosis.

Bethel disease is a rheumatoid and immune disease, which is rare. Director Zhang can speak very well, which shows his profound foundation.

A few minutes later, Director Zhang finished speaking and looked at Mr. Huang.

"Old Huang, you just said that it was caused by arteritis. I think it was caused by cardiovascular damage caused by Bethel disease."

Mr. Huang smiled slightly and looked at Director Xu of the Rheumatology and Immunization Department.

"I think what Director Zhang said makes sense. I will see the patient later." Director Xu said with a smile.

"Zhou Congwen, tell me." Huang Laodao.

Zhou Congwen put his hands on the desk, glanced at Director Zhang, and then looked at Director Xu, saying, "The main sign of Bethel disease is the triple reaction of the oral-eye-appreciation system."

"Professor Zhou, intestinal blepharops and nerve blepharops can have no triple reactions to the oral-eye-appreciation system." Director Zhang had long seen the patient have no oral ulcers, and she interrupted Zhou Congwen with a smile.

"Indeed, Director Zhang is right." Zhou Congwen said, "There is 32.2% of patients with Bessel disease in the cardiovascular system that do not have a triple reaction between the oral-eye-appreciation system."

Director Xu of the Department of Rheumatism and Immunology frowned and looked at Zhou Congwen with his eyes fixed on him.

How did he get this data?

But Mr. Huang was right next to him, and Director Xu immediately realized that this was the old man’s clinical experience.

Just when he was confused, Zhou Congwen continued, "From this perspective, Director Zhang's diagnosis is possible."

Director Zhang smiled.

Of course, it is not just possible. She thought the patient was Bethel disease. What she was even more curious about was what Zhou Congwen would say next.

“But what.”

Sure enough, Zhou Congwen's but arrived immediately.

Director Zhang concentrates.

"Based on the patient's clinical signs, Bethel disease can be ruled out, which is impossible." Zhou Congwen smiled slightly.

“!!!”

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