Back in 2002 as a doctor

Xiao Kai couldn't figure it out.

He has worked in cardiothoracic surgery for decades, and he has seen many patients with esophageal cancer, but he has never heard of any lichen-like... Barabara lesions.

"Lichen planus is an idiopathic systemic inflammatory disease primarily involving the skin, nails, hair and mucous membranes.

Esophageal lichen planus is rare, especially in this setting without oral involvement. "

"Professor Zhou, wait a minute, I didn't see you doing oral mirror examination." Xiao Kai was a little unconvinced.

He still has a bit of the "book business spirit" of a clinician, he can point his nose and scold himself, as long as he doesn't scold his mother, he can bear everything else.

But Xiao Kai absolutely cannot accept others saying that he is not good enough, even if it is Zhou Congwen, he has to protest in a low voice.

"The esophageal mucosa is similar to the oral cavity, and is composed of stratified non-keratinized squamous epithelium. Most esophageal lichen planus is combined with oral lichen planus. If it occurs in the oral cavity, most patients have pain, roughness, and clinical symptoms such as discomfort."

"The patient has no relevant symptoms, so I have a basis for thinking that the oral cavity is fine." Zhou Congwen replied with a smile.

"..." Xiao Kai was speechless.

"Esophageal lichen planus is most common in middle-aged women, mainly manifested as progressive dysphagia, painful swallowing or food incarceration, often occurring in the upper and middle esophagus.

During gastroscopy, lacy white papules, erosions, desquamations, pseudomembranes, and esophageal strictures can be seen on the esophageal mucosa. "

"That……"

Chapter 0938

"how?"

"I understand oral drug treatment, but you just said that it is a relatively mild tumor...you are saving face for me." Xiao Kai asked.

"How could that be?" Zhou Congwen said, "Diagnosis of this disease itself is difficult, and it does not exist without saving face. Moreover, the relatively low degree of malignancy I said is true, and it is not a lie to the patient's family. It's just that esophageal cancer was mentioned at the time. It’s a little imprecise, but it’s not wrong to get to the bottom of it.”

"Huh?" Xiao Kai was stunned.

"Esophageal lichen planus is a risk factor for squamous cell carcinoma of the esophagus, and the World Health Organization has included it in the category of potentially malignant lesions. It is just an inducement, so don't be nervous, but this disease is more difficult to treat."

"Only take medicine, no surgery?"

"The primary purpose of treating esophageal lichen planus is to relieve the symptoms of dysphagia. The tricky thing is that many patients are accompanied by esophageal strictures, which require a combination of systemic treatment and mechanical expansion. This matter is left to Director Deng..."

Zhou Congwen paused as he spoke.

Deng Ming and his boss went to the front line. When they saw the patient just now, they forgot that Deng Ming was not at 912.

Seeing Zhou Congwen in a daze, Xiao Kai was a little worried.

As for what to worry about, Xiao Kai didn't know, but he knew that Zhou Congwen would not blame himself for the strange diagnosis of esophageal lichen planus.

Zhou Congwen sighed, "Go and get a gastroscope first."

With that said, Zhou Congwen picked up the phone and thought about it, then put it down.

"Professor Zhou, you don't need to call Han Chu." Xiao Kai said with a smile, "I'll do it."

"You?" Zhou Congwen looked at Xiao Kai curiously.

"You're too busy, and you don't have time to go to each department." Xiao Kai said, "I've visited each department, so I'm...very familiar."

"Oh?" Zhou Congwen suddenly became interested.

What Xiao Kai said surprised him.

It must not be easy for someone to become the vice president in charge of clinical practice in the largest hospital in the city.

Zhou Congwen never thought that the vice president in charge of the clinic was not smart enough.

Perhaps the vice presidents in other positions have people who rely on various connections, but the vice president in charge of the clinic supports the entire hospital, and it is a thankless position, reserved for the clinical directors who come from shopping. .

As for Xiao Kai...

His skills are excellent, his mind is also bright, and he has no flaws in his worldly skills, which is really good.

"Dean Xiao, amazing!" Zhou Congwen praised seriously.

"Instinct." Xiao Kai said with a smile, "You often call 912. I stare at our group's surgery. I don't have anything to do after it's done. I leave the medical records to Peng Yiming, and I hang around in the hospital. The main reason is to have relevant resources. It can be used. It’s too utilitarian, and I’m too embarrassed to say it.”

"What a normal thing, nothing utilitarian." Zhou Congwen smiled, "I can only say that Dean Xiao has strong interpersonal communication skills."

"I can't say it, I can't say it." Xiao Kai waved his hand, "Our hospital came out to study, and many of them are in the Second Hospital of Medical University. I ask the relevant people in the relevant departments and find the relevant teachers. It is actually very simple."

"Especially now that I come out to study under the title of a deputy dean, everyone looks at me like a monster."

Hearing what Xiao Kai said, Zhou Congwen laughed, hiding his sorrow slightly.

Although I know that this incident will come and go quickly, but the boss is [-] after all, so how can Zhou Congwen not be worried.

Take the time to do the inspection, and then call Deng Ming, "by the way" to ask about the situation of the boss.

Zhou Congwen didn't dare to ask these few days.

Alas, there are many entanglements after being reborn, and Zhou Congwen is also very convinced.

Xiao Kai picked up his mobile phone and started contacting, but there were many pre-examinations before the gastroscopy, and he was busy all morning, and he did it after work in the afternoon.

Zhou Congwen explained to Xiao Kai while doing gastroscopy.

The patient's esophageal mucosa was accompanied by an inflammatory infiltrate covering the squamous mucosa and submucosa with scattered apoptotic keratocytes.

It is very clear under the gastroscope that the patient is not esophageal cancer at all, which is very intuitive compared with the results of imaging and can be identified at a glance.

"Professor Zhou, it's really like this." Xiao Kai said with emotion after seeing the image under the gastroscope.

I almost got my shoes wet, and it was dangerous just thinking about it.

If the patient is forced to undergo surgery, it is not impossible to do it, but it is high esophageal cancer, and the previous operation requires three incisions and neck anastomosis.

There are a lot of troubles after the operation, and the risk of life is risked. The key is that the condition of the patient may not be much better after the operation.

It belongs to the patient who took a huge risk to suffer in vain, and the family members of the patient will definitely have opinions on him afterwards.

In fact, being able to work in Zhou Congwen's medical team is a very lucky thing in retrospect.Xiao Kai recalled his decision and carefulness at that time, and felt that his eyelids were too shallow.

But yes, before coming here, who would have thought that Zhou Congwen, a young doctor, would be so capable.

Although I know that he is very talented, but it is difficult to do anything outstanding within half a year.

It is not uncommon or unbelievable that so many talented people will sink directly after changing a hospital.

Although Zhou Congwen is very talented, he is a young man after all.Young means strong drive, but not stable in doing things.

But Zhou Congwen was an exception.

Xiao Kai was lamenting that Zhou Congwen had already taken a partial tissue biopsy, then took off his gloves and went out to make a phone call.

The phone rang for a long time before Deng Ming picked it up.

"Director Deng, are you busy?" Zhou Congwen asked.

"It's okay, practice putting on and taking off the protective clothing, what's the matter?"

"How is the boss?"

"If you want to go to the front line, you won't listen to persuasion." Deng Ming was obviously unhappy, and he said in a low voice.

"Oh." Zhou Congwen sighed, "How about I persuade you?"

"You?" Deng Ming's contemptuous voice overflowed from the phone, "Forget it, don't talk nonsense. The boss is chasing you with a broom, but it scared me.

There may not be a problem on the front line, I think the protective measures are still in place.But how old is the boss, and he still wants to be angry with the boss, don't tell me you don't have any compulsion in your heart! "

"..." Zhou Congwen was sweating profusely.

"You do the surgery well. The boss was nagging last night. He might not be able to be a judge in this World Cardiothoracic Surgery Competition. Can it be fair...it will definitely not be fair. You can ask for blessings."

"Hehe." Zhou Congwen smiled, "Director Deng, you must pay attention..."

"You don't need to remind me!" Deng Ming said angrily.

"I have a patient with esophageal lichen planus. I have just had a gastroscopy, and it is basically confirmed."

"Oh? Esophageal lichen planus is rare."

"Yes, the No. 912 Hospital of the Medical University does not have relevant treatment drugs, so I asked him to go to [-]. Director Deng, you are not here, who can I call?"

"I only know what to call you when I come to the door?"

Chapter 0939 I am really biased this time

"Zhou Congwen discovered a patient with esophageal lichen planus?" Elder Huang sat on the ground leaning against the wall and seemed to have fallen asleep, but he could clearly hear every word Deng Ming and Zhou Congwen said.

"Boss." Deng Ming looked at his boss, anxious and worried, hesitant to speak.

"This disease is rare, so let's take medicine. If I can go back, I will go to see the patient in person to see the effect of the treatment. Over the years, I have only seen 13 similar cases, and this is the 14th."

"..." Deng Ming wanted to say something, but he still didn't say it.

"What do you want to say?" Huang Lao asked.

"Boss, I told you not to hit me with a broom. I'm not as thick-skinned as Zhou Congwen. If you hit me after me, I'm afraid..." Deng Ming half-jokingly half-seriously said.

"No, that kid is actually quite amazing. Panggezhuang's mask is very useful this time. Did you think of it before that?" Mr. Huang leaned against the wall, his voice full of fatigue and vicissitudes.

But there is still a little joy and relief hidden in the exhaustion and vicissitudes.

Deng Ming knew that his boss must be gritting his teeth and insisting.

After a week, the hospital in Tangzhuang has been remodeled, and the boss has not been idle during this time. He has dedicated various discussions, researches, and years of rich clinical experience without reservation.

The level of the participants was very high, and what was involved was the diagnosis and treatment of the Department of Respiratory Medicine. Even Deng Ming couldn't get in his mouth.

Originally, the boss didn't need to come, but no one could beat this old kid.

After all, he was already in his eighties, and Deng Ming didn't know whether the boss's body could handle it.He has been beating the drums to persuade his boss, but the boss doesn't seem to hear.

"Boss, why don't we take a break? I'm too tired from meetings and case studies these days."

"There is no doctor who doesn't see patients. You think he is a genius doctor in the world." Huang Lao said.

"You have seen it." Deng Ming corrected, "Clinical treatment is the work of small doctors. Doctors of your level don't need to go to the front line. To put it bluntly, you go to the front line now, and the front line staff are in a hurry. take care of you."

"You think I'm making trouble? Deng Ming, why did you and Zhou Congxue get on bad terms? You said I'm old." Huang Lao said contemptuously.

Is there?Deng Ming thought of Zhou Congwen.

While "chatting" with his boss, he called to arrange Zhou Congwen's patients.

"That kid is very powerful. In fact, it would be great if I met him a few years earlier." Huang Lao sighed, "His statement is correct, as long as he takes good protection, this disease is not a big deal. Although there are not enough supplies now, but Zhou Congwen, the most important mask, was prepared for no reason."

"Boss, what are you talking about, if you met him a few years earlier, can you let him go up?"

"Of course, you think I don't know I'm old? I've been tossing around for the past few days, and my bones are about to be broken. Unfortunately, this is a disease of the respiratory department. Although I don't need to worry about it, I still don't feel relieved if I don't go to see it."

"Boss, there are others."

"I'm not at ease, I'm always going to have a look." Huang Lao Youyou said, "As the saying goes, a soldier is raised for a thousand days and used for a short time. Now it's time to use the soldier. What do I look like hiding behind?"

"Your age does not permit."

"It sounds like your surgery is better than mine." Mr. Huang smiled slightly, "It will take two years for Zhou Congwen to be qualified to say that."

"Can……"

"There's nothing wrong with it. If you talk too much, it's just a car wheel. Don't talk about the previous things with my old lady. You just say that I eat and drink well, and just take a stroll every day."

"Boss, do you think my wife believes it? There are many ways to get news. I work with you in front, and my wife doesn't talk to me." Deng Ming lowered his eyes, not sure if what he said was true or not.

Huang Lao raised his head and glanced at Deng Ming, noncommittal.

After Deng Ming made arrangements for Zhou Congwen's patients, and told him to take good care of them, he habitually paid enough attention to favors, then he put away the phone and folded his hands in front of him, as if holding a thermos.

"Zhou Congwen is a good kid. It is said that he is the most suitable for this time, but unfortunately I am not willing." Huang Lao said, "My father and I said from the bottom of our hearts, I am indeed partial this time."

"Boss, don't, I don't know how envious Zhou Congwen is to be able to go to the front with you." Deng Ming said hastily.

"I know the danger. It looks weird no matter how you look at it. You have never experienced the old society, and you have never been a barefoot doctor. You don't know how hard, difficult, and fierce it was back then." Huang Lao said, "I know this, so I can't let it Zhou Congwen."

"He is still young, and he will fight for a few more years."

"Did you tell Dean Pei?" Elder Huang suddenly changed the subject.

"As I said, if our father and I can't go back, he will leave Zhou Congwen a place to lead a group of professors, bring a staff, and come as many as he wants."

When Deng Ming said this, his heart ached for no reason, and his nose was a little sore.