Back in 2002 as a doctor
Page 543
This made sense, and everyone nodded in agreement.
Social status determines many things, but that is the queen, in our country...
If it is said that Zhou Congwen was still prejudiced against his age when he first saw him, then with his personal experience and the aura of going to England to perform surgery on the Queen, who can underestimate this Zhou Congwen.
"Dean Xiao, if Professor Zhou performs the operation, how big will the incision be?"
Xiao Kai briefly explained thoracoscopic radical resection of esophageal cancer.
What he said was very concise. There is no need to popularize this kind of thing, and it is enough to grasp a few key points when talking to ordinary people.
The first is the incision size, which is the most intuitive.If you tell the patient's family about lymph node dissection, it is thankless.
The other is when you can go to the ground after surgery, and finally the expected survival time.
These are matters that the patient's family members care about, and are relatively intuitive and understandable.
Xiao Kai didn't say the last point, some things are hard to say at the wine table, so I'd better wait for him to find time to talk alone after he goes to the Second Hospital of Medical University.
Besides, I haven't even seen the film now, and I don't know the specific situation of the patient, so why talk so much.
What Xiao Kai has to do now is to highlight his "importance" inadvertently, so that all the leaders present know his importance.
What can Dean Guan Xiaozhe do?The medical resources in his hands are simply incomparable to his own!
This is what Xiao Kai wants to say.
"Surgery, it's enough for Professor Zhou to do it alone." Xiao Kai still has a trump card, and he said with a smile, "But recently, by coincidence, Director Deng of the 912 Cardiothoracic Surgery Department often comes to the Academician Workstation of the Second Academy of Medical University. If time allows If you make it together, you can ask Director Deng to take the stage."
"Oh why?"
Xiao Kai once again told about Zhou Congwen's participation in the World Surgery Competition, which made everyone's eyes straighten.
The atmosphere was pretty much the same, Xiao Kai smiled faintly, "Let me express my opinion here."
Although these words seem nondescript, the more they are like this, the more it can express Xiao Kai's respect for everyone present.
Back then, he hooked shoulders with the old dean, and then was trampled on the ground, which was a painful experience that he will never forget.
"The Central Hospital, or myself, will definitely do my best to provide logistical support. If others have it, we should have it; if others don't, we should have it!"
The crowd was moved.
"The commander-in-chief's mansion is impossible to enter, but I will work hard for another two years. After a few years, all the leaders present here will be able to go to the imperial capital for a physical examination and live in a single room."
The guarantee is simple and crisp, and the sword is on the ground. Although there are many empty words, it makes people feel that Xiao Kai is very real.
After three bottles of Feitian Moutai went down, Xiao Kai was also a little bit flustered.
Zhou Congwen's medical team has really become his help, especially looking at these leaders who used to be out of reach but now sit together as brothers, Xiao Kai knows what they need.
……
……
The next day, Xiao Kai personally went to see a patient with esophageal cancer at home, and planned to take him to the Second Hospital of Medical University.
Although Xiao Kai drank a lot last night, he still didn't forget to call Peng Yiming to arrange a bed.
The beds are tight, but Zhou Congwen is interested in the surgery for esophageal cancer. Xiao Kai also knows that Zhou Congwen basically does not perform such an extremely simple operation as wedge resection.
Go home and take a patient with esophageal cancer home, I guess Zhou Congwen will be very happy.
The symptoms the patient complained of were typical symptoms of esophageal cancer, progressive dysphagia, and eating regurgitation.
The imaging data included a barium translucency film of the upper gastrointestinal tract, showing esophageal stenosis and restricted expansion.
Without further ado, Xiao Kai was very active and wanted to go back to the Second Hospital of Medical University immediately.
After running back and forth and having a big drink, Xiao Kai was exhausted, but he still insisted on driving back.
"Wait for me a moment." Back at the Second Hospital of Medical University, Xiao Kai asked the patient and the patient's family to wait for him.
He went to change into a white suit and specially put on a tie, looking formal.
"Dean Xiao, you..."
"The rules of the medical team." Xiao Kai said with a smile, "You must dress neatly in the hospital, and you must give patients an intuitive and good impression and increase their trust."
Xiao Kai thought of the pediatrician, every detail that Zhou Congwen said had a special meaning, and he didn't feel rebellious at all now.
After asking Shen Lang and knowing that Zhou Congwen was in his own office, Xiao Kai dressed up and took the patient to see him.
Pushing the door open, Xiao Kai saw Wang Xueteng sitting on the chair opposite Zhou Congwen, and the two were chatting about something.
A little embarrassing...
"Professor Zhou, I'm sorry, you were chatting."
"It's okay, come in, let's see the patient first." Zhou Congwen smiled, "Manager Wang, wait a moment."
Wang Xueteng stood up, smiled and stood out of the way.
Zhou Congwen beckoned Xiao Kai to bring the patient in. He didn't say anything to Xiao Kai first, but asked the patient directly.
Asking medical history and watching movies, Xiao Kai felt that Zhou Congwen gave him enough face.
At least Zhou Congwen came to a conclusion without watching the film twice, giving people a very informal feeling.
This time Zhou Congwen looked at the image data of the barium translucency of the upper gastrointestinal tract for at least 5 minutes.
"Professor Zhou is very serious." Xiao Kai and the patient's family said, "Although the operation is not a problem, he has to carefully check the patient's information before each operation."
"I can tell."
The family members of the patient lowered their voices, for fear of disturbing Zhou Congwen.
Under normal circumstances, he would feel that Zhou Congwen was too young to be able to do things well.But Xiao Kai said yesterday that the person in front of him had surgery on the Queen of England, and his level is sufficient.
High level, and so serious, coupled with a neat and clean looking, capable, a sense of trust arises spontaneously.
"It's okay, don't worry." Xiao Kai smiled. "The bed has been arranged. After Professor Zhou has finished reading it and confirms it, we can arrange for the elderly to be hospitalized."
"Dean Xiao." Zhou Congwen whispered.
"I'm here." Xiao Kai took half a step forward, with his hands hanging by his legs.
"Have you seen both the patient and the film?" Zhou Congwen asked.
"I've seen it, it's very clear that it's esophageal cancer, isn't it for you to check it again?"
"Oh." Zhou Congwen said lightly.
Xiao Kai's heart moved, he felt something was wrong.
Chapter 0937 Two Good News
"Professor Zhou?" Xiao Kai felt that something was wrong.
Zhou Congwen's meaning was a little vague, which made Xiao Kai feel a little uneasy.
Based on his knowledge of Zhou Congwen, Zhou Congwen would never wear shoes for himself because of the patient.
Patient first, this is the principle of doing things left by the Huang Lao lineage.
Let alone himself, even if Zhang You, or even Wang Chengfa from the Third Hospital of Jianghai City sent Zhou Congwen patients, he would do his best.
I didn't do anything wrong, could it be that Zhou Congwen invited me, but I didn't agree at the first time, this little Professor Zhou had a grudge against him, and then he was going to throw face?
Can't either.
"That's right." Zhou Congwen smiled slightly, "There are two pieces of news, both of which are good news. Which one are you going to hear first?"
"..." Xiao Kai was taken aback.
good news? !or two? !
What kind of medicine does Zhou Congwen sell in his gourd.
The family member of the patient was a little confused. He looked at Zhou Congwen suspiciously, then at Xiao Kai who was silent, and said cautiously, "Then I want to listen to the best one first?"
"Patients can be treated with medication alone without surgery." Zhou Congwen said with certainty.
"!!!" Xiao Kai's eyes were full of gold stars.
As an old doctor, he should not understand the similar way of speaking.
This is the rhythm of the patient who is already terminally ill and enters the terminal stage of cancer and cannot be operated.
This is not good news, it is simply a reminder for Lord Yan.
Xiao Kai watched the film intently, only one upper gastrointestinal barium was penetrated, and he couldn't tell if there was any transfer, and Zhou Congwen certainly couldn't see it either.
Although the tumor is not obvious, it also means that it is still in the early stage, right?
What exactly does Professor Zhou want to do?
Xiao Kai could "understand" Zhou Congwen's hints, but the patient's family members could not understand, and his mouth could not be closed happily.
This is Bai Ding who doesn't understand "clinical language" at all, Xiao Kai dare not be as optimistic as him.
"Professor Zhou, what's the other good news?" The patient's family couldn't help asking.
"The malignancy of esophageal cancer is not high, and your elderly's disease is the lowest among the low malignancy. But it is still a disease, and it needs to be treated as soon as possible." Zhou Congwen said.
"Hmm."
The patient's family members nodded repeatedly.
"I'll take it for a gastroscopy in a while." Zhou Congwen continued, "Take a look and make a final diagnosis, but we don't have any medicine for treatment."
"..." The patient's family was stunned for a moment, and he looked at Zhou Congwen cautiously.
Could it be that he asked himself to go to the pharmacy recommended by him to buy medicine?
This kind of money-making trick is well known to everyone, and the family members of the patient immediately became unhappy when they thought that Zhou Congwen was going to make money from him.
It's not that he is short of money, but that Professor Zhou, who was praised by Dean Xiao, doesn't regard himself as one of his own, and wants to make money from himself.
This is a bit too much.
As soon as the patient's family thought about it, Zhou Congwen continued, "Only the top hospitals in China have similar drugs, such as Xiehe, Beiyi, 912 and Xiangya, Huaxi, and hospitals in Shanghai."
The patient's family members knew that they had misunderstood Zhou Congwen's meaning, and they were a little puzzled.
"Do a gastroscopy first to make sure, then go to 912, and I will contact Director Deng." Zhou Congwen said.
"Okay, thank you, Professor Zhou!"
If you want to go to the country's top large hospital 912 for treatment, then there is nothing to worry about.Coupled with the two good news from Zhou Congwen, the family members of the patient are already smiling.
"That's it for the time being." Zhou Congwen said, "You go out and wait a while, and I will discuss the condition with Dean Xiao. Even if you are on your own, you should be more cautious, don't mind."
"It should be, it should be."
Xiao Kai knew that Zhou Congwen was talking tricks, and he must have diagnosed something wrong, but Zhou Congwen saved face and didn't say it in front of the patient's family.
As soon as the patient's family members went out, Xiao Kai immediately closed the door and asked in a low voice, "Professor Zhou? It's impossible for me to make a wrong diagnosis, right?"
"Dean Xiao, I don't blame you for this matter." Zhou Congwen smiled slightly, "It's just that I encountered a rather strange case."
"..." Xiao Kai focused on watching the movie again.
The imaging findings of upper gastrointestinal barium X-ray are very typical esophageal strictures.
Could it be some other disease?But Professor Zhou Congwen didn't have a physical examination just now, so how did he know.
"Dean Xiao, have you noticed that the patient has psoriasis?"
"I noticed." Xiao Kai said honestly, "It seems that psoriasis has nothing to do with esophageal cancer."
"It has nothing to do with esophageal cancer." Zhou Congwen said, "But the patient complained of some problems."
"Ok?"
"It's true that the progressive dysphagia has only lasted 3 months, but the intermittent discomfort has been going on for 7-8 years."
"Treatment with oral proton pump inhibitors, acid reflux and belching, I also asked about this."
"The upper gastrointestinal endoscopy showed severe esophageal stenosis along the entire esophagus, with a diameter of about 10mm." Zhou Congwen said, "But don't you think the film is not typical enough?"
"It's a little bit. I also felt it when I watched the film early this morning, but the patient's complaint and medical history..."
"Hehe, psoriasis is very likely to be combined with a rare esophageal symptom called lichenoid mucositis with reflux esophagitis."
Zhou Congwen did not guess the riddle with Xiao Kai, but directly announced the answer.
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