Back in 2002 as a doctor

Page 929

Faced with everything he has obtained, Director Tan is already very content.

Today, an old man from a friend's family was sick, and Director Tan accompanied him to do various examinations.

Abdomen-enhanced CT showed a 3cm high-density shadow in the lumen of the distal ileum, with a low-density area in the center, dilatation of the proximal bowel with collapse of the distal bowel, and no signs of pneumobiliary or gallbladder wall thickening.

Ultrasonography of the liver region did not reveal any fistulas or gallstones.

After the CT was done, the doctor in the CT room scratched his head. It seemed that something was wrong, but he couldn't tell the truth.

Director Tan called Director Zhang Shanchang of the CT room and asked him to come for consultation immediately.

Sitting in the CT room, Director Tan was waiting for Zhang Shanchang when he suddenly received a call.

After hanging up, Director Tan's expression was uncertain. (Note)

Zhou Congwen actually ran back for a consultation!Now I am having dinner with Director Han of the Second Hospital.

In fact, during the time Zhou Congwen went to 912, his cooperation with the First Hospital of Medical University was pretty good.

Although Director Tan enthusiastically invited Zhou Congwen to come to the First Hospital of Medical University to throw a knife, he was rejected, but this was also expected.

Both Zhou Congwen and Director Tan know the most basic rules of the rivers and lakes. Although flying a knife can perform some operations and solve some problems when you come back, you will become a knife in that case.

Zhou Congwen knew all these evil thoughts, but he didn't close the door completely. As long as the patient was invited by Director Tan, Zhou Congwen would let him come to the imperial capital. It is not uncommon for wards to arrange wards, even single rooms.

With enough face, Director Tan didn't have any more slander. His invitation to Zhou Congwen to throw knives was more of a symbolic meaning.

Instead of throwing knives, it is always possible to help train a group of doctors.

Batch after batch of trainees were sent to 912. Director Tan himself felt that the relationship with Zhou Congwen was much closer.

But this time when Zhou Congwen came back for consultation, Director Tan had some other opinions in his heart.

After finishing the work at hand, he went to find Professor Zhou Congwen Zhou, Director Tan had already made up his mind.

Soon, director Zhang Shanchang rushed over, put on his glasses, looked at the image carefully for a while, then smiled and said, "Dean Tan, I didn't blow it up, I'm probably the only one who suffers from this disease in the whole province I can understand."

"Oh?" Director Tan said absently, "Director Shanchang, what do you say?"

"Look!" Director Zhang Shanchang tapped his finger on the screen of the film reader, "Here, the ring-shaped high density surrounds the low density center."

"Ordinary doctors can only see that there is a problem, but they don't know where the problem is."

The director of the CT room spoke with complacency in his tone.

He is really proud of it.

"Director Shanchang, I still have something to do here, hurry up." Seeing that Director Zhang Shanchang kept playing tricks, Director Tan urged him impatiently.

"This kind of image structure is called 'roujiamo' in China. It was taught to me by the teacher at the Imperial Hospital when I was studying in the Imperial City more than ten years ago. I have never seen a similar image in the years since I came back."

Although director Zhang Shanchang was a little disappointed seeing Dean Tan's bewilderment, he still introduced it proudly.

Learning is an effective way to improve the technical level.

However, some rare diseases can be seen in the emperor, but they cannot be seen for more than ten or decades after returning home.

Holding the dragon-slaying sword empty in his hand, the dragon-slaying technique is useless.

This is a pity.

Director Tan is not engaged in clinical practice, he does not understand this kind of pleasure, Director Zhang Shanchang thought to himself.

"Roujiamo?"

"It was the name given by my teacher. Internationally, this kind of image is called the Devil's Eye." Director Zhang Shanchang said.

What the hell is this!

Another Roujiamo, another Devil's Eye.

Director Tan was disdainful in his heart, but suddenly a thought popped up from the bottom of his heart.

He knew Zhou Congwen's preference. According to Director Hao of the Department of Cardiothoracic Surgery, it is said that when Professor Zhou Congwen Zhou chatted with Mr. Huang in 912, they talked about various rare diseases.

This is already close to the level of a bookworm. Mr. Huang has been thrown into medical treatment all his life, and even his usual entertainment is talking about rare diseases. It is hard for Director Tan to imagine how boring the life of such a person is.

But Zhou Congwen likes it!

Director Tan quickly smoothed out the thoughts in his heart, and he asked, "Director Shanchang, is this kind of image very rare?"

"Well, it's quite rare." Director Zhang Shanchang said proudly, "Having this kind of image means that the patient's diagnosis is the legendary gallstone intestinal obstruction."

"To put it simply, stones can fall from the gallbladder to the duodenum. The duodenum is the beginning of the small intestine. Stones fall into the small intestine and go down the small intestine. If there is narrowness in a certain section of the small intestine, the stone will Failure to pass will result in small bowel obstruction."

"It's rare." Director Zhang Shanchang said complacently, "President Tan, you just asked me to consult with the gastrointestinal surgeon. They didn't know what happened. The most likely thing was a laparotomy, and finally solved the problem in a daze. "

Director Tan could hear the pride in Zhang Shanchang's words. He meant that gastrointestinal surgery could solve the problem, but he didn't know why.

but……

If it is rare, Zhou Congwen should be interested!

"Really rare?" Director Tan asked again.

"Yes!" Director Zhang Shanchang said, "Generally speaking, stones that can enter the duodenum from the common bile duct are not large. Think about it, how thin the common bile duct is and how thick the intestine is, stones can pass through the common bile duct, but in the end Isn't that uncommon enough to get stuck in the gut!"

It seems to be the case.

Director Tan finally showed a smile on his face, and Zhang Shanchang was very pleased.

"Director Shanchang, are you sure?"

"Sure, sure and sure!"

"Well, Director Shanchang, please communicate with the stomach and intestines." Director Tan said, and took the film from the viewer.

Finally, he took a look at the location Director Zhang Shanchang mentioned.

Indeed, it was like a piece of Roujiamo, it could also be said to be the devil's eye.The nickname is still very vivid, no wonder Director Zhang Shanchang is so proud.

"Dean Tan, you are..."

"I'll go to Professor Zhou Congwen Zhou to take a look." Director Tan said, "This side is preparing for surgery, I'll go back as soon as I go."

……

……

Note: For the time being, let’s call it Director Tan, and I won’t change it accordingly, for fear that I won’t be able to remember it.

Chapter 1599 Devil's Eye ([-])

Director Zhang Shanchang watched in a daze as Director Tan's back hurriedly disappeared from sight, his face changed again and again, all his unhappiness was written on his face, and he did not hide it at all.

"Director, is the Zhou Congwen mentioned by Dean Tan the one in charge of the academician workstation of the Second Academy of Medical University?" the little doctor in the CT room asked quietly.

"Yeah." Director Zhang Shanchang nodded, and said unhappily, "How much does Zhou Congwen know?"

Hearing director Zhang Shanchang swear directly, the little doctor in the CT room didn't dare to say a word.The director usually spoke kindly, but now he lost his composure, and the others vaguely guessed why.

Zhou Congwen, that is a legendary existence.

It was said that the young man was a junior doctor in a third-rate hospital in Jianghai City. He was favored by Mr. Huang by accident, and he was directly transferred to the Second Hospital of the Medical University to be in charge of the academician workstation.

And this young man lived up to expectations, winning two consecutive world firsts, and the academician workstation set up by Huang Lao in the Second Hospital of Medical University was also well organized by him.

In less than two years, he went from a small city-level hospital to the Second Hospital of Medical University in the provincial capital, and then transferred to the top 912 in China. This step is really big and fast enough, which is jaw-dropping.

But director Zhang Shanchang scolded Zhou Congwen directly, this kind of thing is definitely not something that a small doctor can get involved in.

But the director is not happy, so he can't keep silent.Otherwise, it would be so embarrassing face to face, and the director would be unhappy.

"Director, please tell me about the devil's eye." The little doctor in the CT room said in a studious tone after a quick brainstorm.

Director Zhang Shanchang is not the same as usual, he is not in the mood now, looking at the direction where Director Tan is leaving, his face is full of displeasure.

He said contemptuously, "The imaging feature of devil's eye is quite rare in clinical practice. Do you know who my teacher is?"

The little doctor in the CT room laughed.

My director studied in the Radiology Department of the Imperial Hospital more than ten years ago. The Radiology Department there is the best in the country, and Mr. Li Guozhen, a national treasure, sits there.

Director Zhang Shanchang has always regarded himself as Li Guozhen's student since he came back.

This matter has been said a thousand or eight hundred times, who would not know.

Although everyone knows that Mr. Li will definitely not remember the name of his own director, but who will expose it and make fun of himself.

"Director, I know."

"At that time, Teacher Li told me that the name of Roujiamo was also given by Teacher Li." Director Zhang Shanchang became more energetic and said proudly, "After seeing Roujiamo, there were only two people in Imperial Hospital. Diagnosis, Teacher Li went to the operating room to follow the operation."

"Oh?" The eyes of the little doctor in the CT room lit up.

"Did I just say that it is rare for gallbladder stones to be discharged into the duodenum along the sphincter." Director Zhang Shanchang said, "Even in the Imperial Hospital, there are not many, and Teacher Li went to the duodenum on purpose. In the operating room, seeing the local anatomical structure with my own eyes, and seeing the surgeon remove the stone is the end of the job.”

"Ms. Li's rigorous attitude is something I want to learn all my life. She is a role model for my generation."

"!!!" The little doctor in the CT room was stunned.

Such a professional attitude is amazing.

For imaging studies, you can look at the film every day.But if you want to make further progress, you must understand the local anatomy. Being able to go to the operating room to see the operation with your own eyes is of great help to the diagnosis of imaging.

Teacher Li is really amazing!

Just this attitude of assiduous study is enough to learn by myself. Although the director's words are disgusting, there is nothing wrong with them.

"Zhou Congwen, how old is he, how can he know what Roujiamo means? Besides, a doctor in cardiothoracic surgery, how the hell does he know the legendary gallstone intestinal obstruction."

"Hey." The little doctor in the CT room laughed along with him.

He also knew that Director Zhang Shanchang was right. He watched movies every day for seven years, and he had never seen a single image of gallstone intestinal obstruction.

Although Zhou Congwen is good, but it is cardiothoracic surgery, mainly surgery, really should not have seen the image of Roujiamo with gallstone ileus or devil's eye.

"Principal Tan..." Director Zhang Shanchang suddenly spoke up and pointed the finger at Director Tan, but he was still smart and shut his mouth immediately.

Director Tan's attitude towards Zhou Congwen in the Second Hospital of Medical University is obvious to all in the hospital.

In the past, there was an incompatibility between the First Academy and the Second Academy, but Zhou Congwen, who presided over the academician workstation, had a different attitude.

Dean Lin's illness was also diagnosed by Zhou Congwen.

However, director Zhang Shanchang didn't believe that Zhou Congwen could have a definite diagnosis at all. He had heard of it, so he asked Mr. Huang, the old staff officer.

Taking off his pants and farting, what an unnecessary move, Director Zhang Shanchang cursed in his heart.

……

……

Director Tan took the film and went straight to the hotel to find Zhou Congwen.

"Dong dong dong." Director Tan knocked on the door very politely, but he didn't care that the group of people sitting inside were all from the Second Hospital of Medical University.

Director Tan, who has become the deputy dean, naturally has the confidence to give Director Han a smile.

A young man wearing a mask opened the door, seeing Director Tan, his eyes on the mask narrowed.

"President Tan, hello." Yuan Qingyao asked politely, and moved out of the way neither humble nor overbearing.

"Professor Zhou!" Director Tan ran to Zhou Congwen with a look of enthusiasm.

Director Han was dumbfounded.

Director Han, who has experienced social friction for a long time, thinks that his skin is thick enough, but compared with Director Tan of the First Hospital of Medical University, he is nothing at all.

Looking at Director Tan's expression, it seems that he and Zhou Congwen grew up wearing crotch pants.

"President Tan..." Zhou Congwen stood up and responded enthusiastically to Director Tan, but his eyes were fixed on the film in Director Tan's hand.

"Professor Zhou, I just found out you're back, and I still want to disturb you." Director Tan was very aware of Zhou Congwen's temper, and he didn't talk too much, let alone greeted everyone in the Second Hospital of Medical University, and cut directly to the topic.

"What patient?" Zhou Congwen asked.

Director Tan briefly described the patient's course of illness, and then handed the film to Zhou Congwen, "Professor Zhou, please help me take a look."

Zhou Congwen took out the film and pointed it at the light, scanned it for less than 10 seconds, and said, "Dean Tan, it's intestinal obstruction, probably blocked by a foreign object. It's rare, let the stomach and intestines prepare for surgery."

"What kind of foreign body?" Director Tan tried his best to guide Zhou Congwen to the gallbladder stone.

For such a rare diagnosis, Zhou Congwen had to say it himself.

"Foreign object, if you don't open it, who will know." Zhou Congwen smiled, "However, I have a few guesses, probably it's a stuffy lion's head."