However, if patients usually find some specious professional terms on the Internet to question themselves, Professor Wu will definitely not want to pay attention to them.
Even if Lin Yuan, who graduated from Harvard Medical School, raised questions, Professor Wu was unwilling to pay attention to her. At such a young age, do you think you are invincible if you have a degree
If she hadn't been Dean Lin's daughter, he would have kicked her out long ago.
However,
The one who spoke was Boss Xiao Zheng!
Professor Wu asked cautiously: "Boss Zheng, can you tell me the reasons for your judgment?"
"Professor Wu, from your point of view, there is no problem with the diagnosis." Zheng Ren said with a gentle smile: "All the evidence points to late-stage left lung cancer, accompanied by a large amount of pleural effusion, or malignant pleural effusion. .”
Professor Wu was even more confused when he heard what Zheng Ren said.
Is this to take care of one's own face, or because of something else
Boss Xiao Zheng is different from the rumors.
"But if doctors in the interventional department see the film, they will... Doctors in the circulatory interventional department will have other ideas after seeing the film." Zheng Ren said with a smile: "This is a complication of cardiac radiofrequency ablation. Generally, It’s hard to think of.”
Everyone except Su Yun was stunned.
How come late-stage lung cancer is related to radiofrequency ablation
"Radiofrequency ablation, heart surgery, Professor Wu probably knows about it, but I won't..."
"Boss Zheng, I've never done this." Professor Wu quickly stopped Zheng Ren's words and said without any embarrassment: "You'd better tell me about it. To be honest, I don't expect Lao Li's diagnosis. It's late-stage lung cancer. But now that I'm looking at the film, I still think the diagnosis is correct."
"Oh, okay." Zheng Ren looked for it, and Su Yun handed over a piece of paper, then picked up a ball pen from the table and handed it to Zheng Ren.
"That's it. I'll draw a sketch of the surgical route." Zheng Ren immediately began to draw.
"It's a catheter that goes from the femoral vein to the inferior vena cava to the right atrium and then across the interatrial septum to the left atrium."
Zheng Ren said while drawing pictures.
"Radiofrequency ablation uses electric discharge to ablate the myocardial tissue that generates abnormal electric waves around the atrium or pulmonary veins. This process will cause muscle cell necrosis, collagen fiber proliferation, and tissue deformation."
"Pulmonary vein stenosis is a complication that must be explained when performing cardiac radiofrequency ablation surgery. Although it is unlikely that there will be problems with the pulmonary veins under normal circumstances, the patient's medical history is clear and there is a history of radiofrequency ablation surgery."
"It's one of those with a clear past history, so the odds are stacked against it."
"Boss Zheng, based on this alone?" Professor Wu still didn't understand, so Boss Zheng made a judgment, which was illogical.
"This is the medical history, and we should think about it this way." Zheng Ren then stood in front of the image reader, pointed at the film and said, "There is inflammation and atelectasis in the left upper lobe of the lung. Well, at least we can see from the CT enhancement that it is Like this. Professor Wu, you have to pay attention to something at first."
Lin Yuan looked at Zheng Ren, his eyes straightened.
She just had a vague feeling that there was something wrong with the diagnosis. If Boss Zheng could confidently tell the truth, Lin Yuan couldn't do it.
Seeing that Boss Zheng was in high spirits and had more aura than the professors at Harvard Medical School, Lin Yuan was puzzled that this little doctor really had his skills.
Not much older than myself, he was able to make the professor at the Imperial Cancer Hospital speechless.
"Here." Zheng Ren tapped the reader with his finger and said, "Judging from the CT enhancement, there is a problem here. It can be simply thought of as atelectasis. But if we look carefully, we can see the deposition of hemosiderin cells. , and pulmonary capillaries were dilated, and the infiltration of interstitial inflammatory cells was not obvious."
"What do these mean?"
Zheng Ren asked a question.
Zhou Chunyong felt that the film reading skills he had accumulated before were completely abused by Boss Zheng.
Deposition of hemosiderin cells, can this image be seen on enhanced CT? !
Professor Wu listened in confusion.
"So it can be thought that it is not atelectasis and pneumonia, but pulmonary congestion."
"From pulmonary congestion, it takes many steps to figure out that there is a problem with the left pulmonary vein. The logical reasoning between this is not difficult, so I won't go into it."
Zheng Ren was talking eloquently, and both Professor Wu and Zhou Chunyong were a little confused.
"I know we can discuss it all day just by talking." Zheng Ren said with a smile: "If the patient's family agrees, I suggest doing a pulmonary venography examination. Just to improve the examination and make differential diagnosis, I think the problem should not be big. "
"..." Professor Wu carefully considered Zheng Ren's suggestion.
Boss Zheng didn't bite the bullet, it was a diagnosis of pulmonary vein occlusion. No, they confirmed it, but they didn’t say that surgery was necessary.
This saves some face for myself.
Check it out, it's definitely true.
It is just a pulmonary venogram, which can be considered as diagnosis and differential diagnosis.
If Boss Zheng makes a wrong diagnosis, the patient will not suffer further harm. Make a shadow, what can you do
But once the diagnosis is correct...impossible, it must be lung cancer.
Professor Wu looked at the film and hesitated a little whether he should persist.
"Boss Zheng, Old Wu, let me go and talk to Old Li." Zhou Chunyong said directly while Professor Wu was thinking.
He doesn't have that much doubt about Boss Zheng.
Boss Zheng just said with his ears that there was a problem with the pulmonary veins. Do you still question Boss Zheng here
Nonsense!
Zhou Chunyong's trust in Zheng Ren is based on countless surgeries and teaching surgeries. For him, except that Boss Zheng is younger, he is completely his teacher.
Professor Wu had no choice but to follow suit and said, "Boss Zheng, if Lao Li agrees, can you do it?"
"No problem, it only takes ten minutes." Zheng Ren said casually.
Soon, Zhou Chunyong came back and said to Professor Wu: "Lao Li and his wife agreed."
Professor Wu hesitated and started to contact the interventional department.
The interventional department of the cancer hospital only deals with liver cancer, and other areas are rarely touched, which is a bit embarrassing.
Zhou Chunyong didn't care. He directly called the director of the interventional department of the cancer hospital to explain the situation.
Although they were all mixed up in the academic circles of the imperial capital, Zhou Chunyong still had a considerable status in the world. Finally, the interventional department opened the operating room and a doctor on duty came.
"Professor Jiang will be here soon," the doctor on duty said repeatedly.
"Well, it's okay. I'm just doing an imaging. You can do that too." Zhou Chunyong was not polite at all.
"Director Zhou, I'm not very good at it." The doctor on duty quickly said politely: "Let's wait until Professor Jiang comes."
"Xiao Jiang will be here soon, let's prepare first." Zhou Chunyong said directly.
He glanced at the doctor on duty, full of disdain and contempt.
He is such a careless doctor. Even if he takes the blame, can he let you take the blame? !