The Volvo XC60 stopped in front of the emergency building of Haicheng City No. 1 Hospital. When Zheng Ren got out of the car, a familiar smell hit his face.
Mr. Wang stood at the gate. There were specks of blood on the corners of his white clothes. It looked like he had just undergone a major emergency rescue not long ago.
He opened his arms and smiled.
Zheng Ren didn't have time to recall the memories brought to him by the emergency room building. He hugged Mr. Wang and asked, "Where is the director?"
"It's dripping." Mr. Wang asked very cautiously: "Boss Zheng, are you really okay?"
"Well, it looks like this in the movie." Zheng Ren said hurriedly.
"..." Mr. Wang was speechless.
Are the movie I watched and the movie Boss Zheng watched the same movie
With such obvious space-occupying lesions in the lungs and the high possibility of malignant tumors, Boss Zheng actually thought there was nothing wrong
"What did you order?" Zheng Ren asked.
"Antibiotics, now the director has a fever and high blood count." Mr. Wang said.
Zheng Ren nodded and walked straight to the emergency department director's office with ease.
"Are you still used to this?" Su Yun put his arm around Mr. Wang's shoulders and asked with a smile.
"It's okay, Brother Yun, have you watched the movie?" Mr. Wang asked Su Yun in a low voice.
"Look, it's a typical malignant lesion. But the boss insisted that it was an infection caused by Talaromyces marneffei. He also confirmed that the director came back from earthquake relief and was infected by eating wild bamboo rats while passing through the Qinling Mountains." Su Yun did not hide it. ,be honest.
"Uh..." Mr. Wang made a strange sound in his throat.
"What?" Su Yun's arms tightened slightly.
"I heard Director Lao Pan say that when we went out to Qinling with the 120 ambulance from Tiannan Province, we actually ate wild bamboo rats, and he caught them with his own hands." Mr. Wang was a little surprised.
But what the hell is Talaromyces marneffei? Mr. Wang was confused.
Never heard of it at all.
Su Yun smiled, it was probably true and not just made up out of thin air. Although there is something about Talaromyces marneffei, I have already looked it up on my mobile phone. But when Mr. Wang said that Mr. Pan had the experience that Zheng Ren had said, he felt relieved.
"Brother Yun, you are outside your chest, it feels..."
"Two days ago, the boss stopped your gastrointestinal surgery operations." Su Yun changed the topic in another direction.
But Mr. Wang immediately knew what Su Yun meant.
You, please don’t deny Boss Zheng’s diagnosis. My own surgeries are stopped whenever Boss Zheng says. Who can stop surgery? Not only do you need preparation for diagnosis, but you also need to have a standing in the world.
MD! That was an emergency surgery, and Mr. Wang suddenly became interested.
"What disease?" Mr. Wang asked curiously.
"Intestinal obstruction." Su Yun said with a smile.
Mr. Wang fell silent immediately.
intestinal obstruction? ! It's really hard.
"Who did it? Was it the kind of intestinal obstruction that stuck together in the end?" asked Mr. Wang.
In his opinion, an intestinal obstruction formed into a lump is already an intestinal obstruction of heavenly difficulty.
"The diagnosis of intestinal obstruction was finally stopped by the boss. The boss said that the consideration was myasthenia gravis, which first affects smooth muscles, not skeletal muscles. Later, a neostigmine test was performed, which confirmed this.
Surgery? I did it. I cut off the thymus in 23 minutes. I’m just asking you if you accept it. "Su Yun said with a smile.
Myasthenia gravis... Mr. Wang suddenly became stupid.
It is estimated that the film is a very typical one, otherwise the department would read the films at different levels and there would be no problem of misdiagnosis.
Looking at Mr. Wang's expression, Su Yun guessed what he was thinking and said, "Do you dare to stop Lao Feng's surgery?"
“…”
Mr. Wang felt that as soon as they met, he suffered a series of critical blows.
Boss Zheng immediately stopped Professor Feng's surgery. It seemed that he had only been in Haicheng for a few months. How could he never imagine that it was his own hospital
"Don't be frustrated." Su Yun smiled and said: "I have no impression of Talaromyces marneffei at all. I found out after asking someone from the Department of Epidemiology. Later, they sent me several case reports. I went to the cloud I checked again and found out. So, if I can question what the boss said, you just have to listen carefully."
Mr. Wang immediately abandoned the damn myasthenia gravis and intestinal obstruction, stopped thinking about it, and concentrated on Director Pan's condition.
"Really?" He still couldn't believe it.
"Who knows, I don't know about you, but I believe it anyway." Su Yun followed Zheng Ren into the director's office.
Zheng Ren sat on the bedside, looked at Director Pan, and said, "Director."
Director Pan opened his eyes drowsily and saw it was Zheng Ren. He asked feebly: "Why are you back?"
"Really, if you have a problem, don't tell me early. You will suffer here." Zheng Ren did not answer Old Director Pan's question, but opened his mouth to complain.
It's like a son who works out of town complains about his parents with the same expression.
"It's okay, it's just a cold." Director Pan coughed twice and said.
"What's a cold? Don't talk nonsense." Zheng Ren said unhappily: "I have necrotizing maculopapular rash on my forehead and chest. I don't know it, but I'm still holding on here. Mr. Wang, go open a box of voriconazole."
After saying that, Zheng Ren paused, called to Mr. Wang, and said: "It's better to just calm down and be careful."
"Just go to the quiet spot?" Su Yun asked, he was afraid that Zheng Ren would be in a hurry and make a mistake.
"It has been delayed for a long time. Let's use medicine to suppress the fungal infection first."
"I just ordered antibiotics less than 2 days ago, why do I need antifungals?" Director Pan asked.
"Director, you don't have a cold or inflammation, it's Talaromyces marneffei." Zheng Ren smiled, his mood no longer as anxious as when he came in before, "I'll do a check-up on you later to make sure." good."
"What more tests are needed? Just a little antibiotic will be fine." Old Director Pan muttered, but the fever persisted and he felt very uncomfortable. He had no time or energy to bother with it.
Zheng Ren ignored Director Pan. He didn't have to say how to diagnose and treat.
Now at home, you make your own decisions.
Su Yun was asked to contact the bronchoscope, and Zheng Ren began to enter the system operating room for training.
Because Director Pan’s infection focus was not in the center, it was difficult to perform a bronchoscope. But this couldn't stop Zheng Ren. After training 10 times, Zheng Ren was already good at it.
Bronchoscopy was used to collect tissue, biopsy, and etiological examination.
Took 4 hours.
Zheng Ren saw with his own eyes typical broom-shaped branches under a microscope, with double whorls and scattered branches, with 2 to 7 stem bases, and 2 to 6 bottle stems on them, which are short and straight; the bottle body is enlarged and the stem neck is short and straight. , a single vase stem can be seen, growing directly from the hyphae in the air, with single-stranded conidia at the top.
After confirming several times, Zheng Ren felt relieved that it was typical Talaromyces marneffei, not lung cancer, definitely not lung cancer.