"Director Zhou, you are here." A doctor in his forties said.
"Hello, Professor Wu." Zhou Chunyong reached out and shook his hand, wanting to introduce Boss Zheng to him.
"Mr. Wu, I think there is something wrong with the imaging performance and further examination is needed." The girl didn't notice anyone coming in at all. She looked at the film on the reader and whispered.
Zhou Chunyong was startled for a moment. He was in such a hurry that he didn't hear clearly what the people inside said.
But when I walked in, I saw someone who had the same idea as Boss Zheng, a younger girl.
"Who is this..." Zhou Chunyong asked vaguely.
"Young people with Ph.D. degrees from Harvard always have their own ideas." Professor Wu said haha.
But the disdain for the diagnosis of this girl could be heard in his words. But for some reason, Professor Wu didn't scold him directly, but said something to the point.
Zhou Chunyong looked at the girl in confusion and immediately realized what he should do.
He immediately introduced: "Old Wu, this is Boss Zheng, the boss of 912."
Professor Wu's expression immediately became very exciting.
The rumors about 912 boss Xiao Zheng are already known to everyone in the high-level circles of the imperial medical community.
He is no longer a rising star, but a rising sun rising above the horizon with a fiery light.
I originally thought that Zhou Chunyong would come with his little doctor, but I didn't expect that the great boss Xiao Zheng would be brought here.
It is said that Zhou Chunyong relies very closely on Boss Zheng. Unexpectedly, such unreliable rumors turned out to be true.
Professor Wu was very polite and stretched out his hand to shake Zheng Ren's hand.
"Boss Zheng, I have long admired you."
"Professor Wu, you're welcome. Can I see the patient's other examination reports?" Zheng Ren asked.
"No problem, whatever you want to see."
"With all the test sheets and examination reports, how is the patient doing now?" Zheng Ren asked.
"The condition is not good, the cough is accompanied by hemoptysis. Every morning when I wake up, I can cough up dark red blood clots." Professor Wu sighed and said, "I just placed a closed chest drainage, which produced 800ml of dark red bloody fluid."
Zheng Ren nodded, watched Professor Wu click on a workstation on a computer, and walked over.
"Boss Zheng, sit down and watch." Professor Wu was very polite.
It's scary to think about the little boss Zheng sweeping across the Medical University Affiliated Hospital. Professor Wu doesn't want to offend this popular boss Zheng.
And the last thing he wants is to become the protagonist who gets slapped in the face in the legend.
"Then I'm welcome." Zheng Ren sat directly in front of the computer and began to look through the patient's various test sheets.
Su Yun squeezed in and watched together.
"Old Wu, what do you think?" Seeing Boss Zheng reading the test report attentively and seriously, Zhou Chunyong asked Professor Wu in a low voice.
"Lung cancer is in the late stage, people estimate..."
"Teacher Wu, I don't think it's lung cancer." The girl heard what Professor Wu said and repeated it again.
"Uh..." Zhou Chunyong did not ignore her like Professor Wu, but looked into the girl's eyes seriously and said, "May I ask your last name."
"My surname is Lin, Lin Yuan."
The girl was a little cold, maybe because she didn't know, or maybe she didn't care at all. She didn't seem to have much respect for Zhou Chunyong, the director of the Interventional Department of Hepatobiliary Surgery in the Imperial Capital.
"Dr. Lin, what disease do you think it is?" Zhou Chunyong asked directly without being polite.
"I… "
"CA125 89.4 u/ml, nse 18.5 mg/ml, tumor markers have increased, and with bloody pleural effusion, I think the diagnosis is very clear." Professor Wu interrupted the girl impatiently.
"Teacher Wu, most of the time the increase in tumor markers is related to the tumor. But other situations may also cause the increase in such indicators." Lin Yuandao.
The hope in Zhou Chunyong's heart became more and more fierce.
Boss Zheng was sitting over there and had already started whispering something to Su Yun. Here, a doctor from Harvard also has his own opinion.
Could it be that I really made a mistake
Zhou Chunyong reviewed the video data again and felt that there would be no mistakes.
Although his current main business direction is liver cancer, Zhou Chunyong's movie watching skills are definitely not bad.
Not only is it not bad, it is also very high.
After all, he is a doctor with a background in the imaging department. Zhou Chunyong believed that he would not be wrong about this obvious image.
"Director Zhou, go see the patient." Zheng Ren suddenly stood up, with a faint sheen on his face.
Zhou Chunyong was startled for a moment. He had been thinking about Boss Zheng for a long time, and he could guess that Boss Zheng already had a definite diagnosis in his mind.
"Boss Zheng, what do you think it is?"
"Left pulmonary vein stenosis." Zheng Ren said with certainty.
Zhou Chunyong and Professor Wu were a little confused, but Lin Yuan's eyes lit up!
"When I go to see the patient, I estimate that he has severe left heart failure. If his family agrees, it is recommended that he seize the time to do pulmonary venography, balloon dilatation, and stent implantation."
Zheng Ren said as he walked towards the door.
Zhou Chunyong hurriedly followed, but he forgot to greet Professor Wu and hurriedly took Boss Zheng to see the patient.
Su Yun smiled slightly as he passed by Lin Yuan, "That's pretty awesome."
Lin Yuan raised his head and flicked his ponytail.
Su Yun followed, and Lin Yuan looked at the two figures, thought about it, and followed them out.
Professor Wu did not go. He frowned and stared at the film on the reader.
"Pulmonary vein stenosis?"
While watching the movie, Professor Wu muttered quietly.
If it were explained by pulmonary vein stenosis... it would make sense. But using lung cancer to explain it is totally fine.
Differential diagnosis is the most difficult part of clinical practice, especially when the clinical symptoms of some diseases are almost identical. It is not easy to give a definite diagnosis.
Before having "malignant" pleural effusion, the patient had no symptoms of chest tightness and shortness of breath. His heart rate was consistent, his electrocardiogram was normal, his BNP was normal, his echocardiogram ejection fraction EF value was normal, and his pulmonary artery CTA showed no pulmonary artery filling defect.
Has Boss Zheng seen all these auxiliary inspections
Professor Wu felt confused, but he did not dare to directly judge that Boss Zheng’s statement was wrong.
The "tragic" example of the Imperial Medical University Affiliated Hospital is now made a joke by everyone when eating and drinking. Every time I talk about it, I wonder why the technical level has deteriorated so much without realizing it.
Although occasionally doctors from the Affiliated Hospital of Teito Medical University are present, they will explain how difficult bullet embolization is and so on.
But who cares!
Just make a harmless joke and let everyone have a good time.
Professor Wu doesn't want to be laughed at by everyone.
He tried hard to recall the various examination reports. The echocardiography showed no abnormalities, the pulmonary artery CTA showed no abnormalities, and the imaging...how could it be that it was lung cancer.
Just as Professor Wu was confused, Zheng Ren strode back.
"Professor Wu, the diagnosis is relatively clear. It is recommended to do pulmonary venography." Zheng Ren said with certainty.
"Uh..." Professor Wu was a little helpless.