Back in 2002 as a doctor

Page 911

"I remember, but Director Feng was the final diagnosis, right? I've heard it said. Endocrinology was not convinced at first, but after the patient's diagnosis was made, everyone stopped talking."

"Look at today." The head nurse pouted, "Director Feng is as honest as a kitten, and he seemed a little scared when he mentioned Zhou Congwen. As for what? Usually, Director Feng only respects Mr. Huang, but he has absolutely no fear. .”

"Hahaha, that makes sense. Is there such an ugly cat as him?"

"Tch, Director Feng didn't say a single word after he came out, the first thing he said was that Zhou Congwen is too powerful."

"!!!"

Director Feng Jiaqing's stone-like temper and arrogance in the latrine are known to the whole hospital.

Except for Huang Lao, he never seemed to convince anyone, including Director Xu of the Department of Rheumatology and Immunology in the diagnosis of rare diseases.

Undecided when things happen, the truth-level words of rheumatism immunity do not exist in Feng Jiaqing's mind at all.

The doctor ordered the nurse to stare blankly, she couldn't believe that there was still someone who could convince Director Feng so much.

Is that little guy named Zhou Congwen really so powerful?

"Head nurse, you said Zhou Congwen..."

When the doctor told the nurse to say this, she didn't know how to describe Zhou Congwen, so she stopped short.

"It must be amazing. You remember that last year Mr. Huang chased and beat him with a broom, and many people saw him. It is said that Mr. Huang was preparing to rush up with the attitude of dying on the front line, but he refused to let Zhou Congwen go up. It should be Keep the fire alive."

"..." The doctor told the nurse to be speechless.

Although she didn't really believe it, as one director after another came out of the office and went to the ward, each director's expression was serious, and some even turned pale, she gradually believed it.

This is 912. It's not a piecemeal low-level hospital. Which director has no real skills?

But today he was defeated by Zhou Congwen in a tongue-in-cheek battle with all the Confucians.

This person seems to be more interesting than the legend.

……

in the office.

Zhou Congwen said with a smile, "If the directors have no objections, let me sum it up."

No one spoke, and everyone's eyes fell on Zhou Congwen, either solemnly or suspiciously.

Chapter 1566

"I think the patient is ordinary Takayasu arteritis, we will talk about this after the examination." Zhou Congwen said clearly.

"Professor Zhou." Feng Jiaqing interrupted Zhou Congwen, but he was taken aback for a moment, then raised his hand to signal that he had something to say.

Facing the "dominant" Feng Jiaqing's attitude at this time, all the other directors fell silent.

"Director Feng, tell me." Zhou Congwen said with a smile.

"What inspection?" Feng Jiaqing asked.

"Cardiac magnetic resonance and delayed gadolinium-enhanced imaging."

Cardiac...MRI...

Even the 912 has just developed this technology, and it seems that it is still in the groping stage.Even the machine has just come in, and even several directors don't know that 912 can do similar inspections.

Not only Feng Jiaqing, but several other directors of Circulatory Internal Medicine also looked at Zhou Congwen in surprise.

"Do the inspection first, and use the objective results to speak." Huang Lao broke the silence and did not let Zhou Congwen explain the principle.

"Okay, boss, now?" Zhou Congwen asked.

"Let's go."

Mr. Huang on the NMR side called early in the morning, and the NMR room also expressed great interest in cardiac MRI.

After all, this is a new technology, and everyone expressed interest and suspicion.

Bringing the patient to the NMR room, all the directors remained silent, looking at Zhou Congwen silently with great interest in their eyes.

Some directors even heard that they met a strange patient here, and Zhou Congwen was talking to the Confucian scholars, so that the group of stubborn and arrogant directors kept silent and rushed to watch the excitement.

The matter of Mr. Huang chasing and beating Zhou Congwen with a broom left a deep imprint on the hearts of the 912 doctors and nurses. Today, it is such a big event that it is impossible not to be interested.

After 30 minutes of inspection, Zhou Congwen took a look at the film and handed it to his boss.

Elder Huang didn't say anything, and led everyone back to the doctor's office of the Department of Circulatory Medicine.

"Why are there so many people!" The doctor told the nurse to see a dozen doctors going out, and at least 30 of them when they came back. She stood up in surprise, greeted the directors, and then ran to call the head nurse.

"What? So many people really came!" The head nurse couldn't believe it.

"Yeah, I think the directors and professors of digestion and neurology have all followed."

The head nurse was taking a nursing exam, so she put down what she was doing and rushed to the doctor's office.

In the doctor's office, the directors of relevant departments who had previously consulted each sat in their previous positions, while more people stood scattered around.

The head nurse wanted to find someone to move chairs for the directors to sit down and listen to, but there were so many people here that there were no extra chairs for everyone to sit down.

Even if a sufficient number of chairs were found, there was nowhere to put them.

Seeing Zhou Congwen standing up with the film, the head nurse vaguely guessed that he was going to give the most "authoritative" conclusion on the examination, and couldn't help feeling a little dazed.

The only one who can be said to be authoritative on 912 is Huang Lao.

But now, Zhou Congwen appeared on the stage of 912 with such a young face, which made the head nurse unacceptable from the bottom of her heart.

"The nuclear magnetic resonance examination showed that the patient's left ventricular ejection fraction was slightly reduced, which was about 54%, the overall motion of the ventricular wall was weakened, and multiple thrombi were found in the aneurysm."

Zhou Congwen inserted the film into the film reader and narrated it as if he was giving a lecture to the students.

Director Dou of the Department of Gastroenterology did not sit down, but stood aside with other directors who came to see the fun.He was familiar with the head nurse of the Circulatory Medicine Department, and whispered, "Xiao Lu, is Zhou Congwen right?"

"Director Dou, look at what you said, you don't even understand me." The head nurse whispered, "What kind of film is this? Why do I look so unfamiliar."

"I haven't seen cardiac magnetic resonance and delayed gadolinium-enhanced imaging before." Director Dou said.

"No one has done our circulation before. It took a long time to figure out the doctor's order just now."

Zhou Congwen stood in front of the video, ignored the whispers among the people in the office, and continued to preach.

"Delayed gadolinium-enhanced imaging showed delayed gadolinium-enhanced signals in the coronary artery wall and subendocardium, suggesting fibrosis caused by vascular inflammation."

"here."

As Zhou Congwen said, he clicked on the image on the film reader with his finger.

The thud thump thud silenced the noise in the office.

"Xiao Lu, look at Zhou Congwen, when will you poach him here." Director Dou joked.

"He is Huang Lao's closed disciple, how can we have this ability."

"I'll just talk about it casually." Director Dou looked at Zhou Congwen under the light of the film reader, and found it interesting. internal medicine?"

"Director Dou, why do you still come to our side to watch the excitement when you have time?"

"I was doing ward rounds over there. I heard that Mr. Huang's apprentice, Zhou Congwen, was speechless by what the directors said one by one, so I ran over to watch the excitement."

"Watching the fun?" The head nurse found it inconceivable.

"That's right." Director Dou didn't think much of it, he looked at Zhou Congwen enviously, "It would be great if I had such a student."

The head nurse didn't speak, and who would want to.

Director Dou then looked at Huang Lao and sighed again, "It would be great if I had such a teacher."

"..."

The head nurse was almost amused by Director Dou, she suppressed her smile and said, "Director Dou, you really have too many requests."

"Who doesn't want to." Director Dou said what the head nurse was thinking.

The two looked at Zhou Congwen, and saw that he did not have a trace of jerky or shy young people, but his face was full of confidence, and he was teaching the directors of 912.

"The mainstay of treatment is glucocorticoids.

The general initial medication is prednisone at a daily dose of 45-60 mg, while monitoring the dynamic changes of inflammatory indicators CRP and ESR, and the dose can be gradually reduced as the inflammatory indicators fall.

And if the condition worsens, the dose should be increased.There are currently ITAS 2010 scores that can help clinicians adjust medication. "

Having said this, Zhou Congwen was taken aback.

Director Dou was also taken aback, what the hell is the ITAS 2010 score.

"It's a slip of the tongue, it's the ITAS 2001 score." Zhou Congwen smiled, pretending not to care.

After a simple explanation, Zhou Congwen didn't give others time, so he continued immediately.

"In addition to glucocorticoids, immunosuppressants such as methotrexate, leflunomide, and mycophenolate mofetil have also been used to treat Takayasu.

It can be used as an alternative drug when glucocorticoids are not sensitive.Once the disease progresses and irreversible arterial narrowing or large aneurysm occurs, surgical intervention is required when necessary. "

Director Dou felt another wave in his heart, how good it would be if he were my student.

Chapter 1567

"That's it first." Zhou Congwen glanced at the directors present, and began to finish.

Many directors nodded.

There was Mr. Huang sitting there, and every word Zhou Congwen said was well-founded, like reciting from a written medical record, no one could pick out any faults.

From the beginning to the end, it can be said that there is no flaw, so that everyone thinks that Mr. Huang gave the opportunity in advance, and Zhou Congwen took out a kit to explain the lesson according to the script.

Of course, this is not possible.

So everyone thinks that Zhou Congwen is really awesome.

In addition to Director Dou, some people also felt that having a child should be like Sun Zhongmou.

During this consultation, Mr. Huang sat there without saying a word and acted as Zhou Congwen's background board.

Everyone knows what Huang Lao means.

How much I wished for such an opportunity when I was young, but I didn't.But think about it the other way around, so what if there is one?

Putting myself in Zhou Congwen's position, can I grasp it?

In the face of 912, a group of top experts, directors, and professors in the country, it is only a dream to fight against the Confucian scholars.

Putting the current self in Zhou Congwen's position, let alone when he was young, almost [-]% of the directors would feel guilty.

This is a diagnosis of rheumatic immunity, even the most professional Director Xu dare not say that it is a certainty, but Zhou Congwen dared.

And he's doing really well.

However, Zhou Congwen "grasped" this opportunity and left a deep impression on the minds of many 912 directors in one fell swoop.

"Professor Zhou, please leave a phone number." Director Zhang of the Department of Circulatory Internal Medicine asked Zhou Congwen for his contact information, "I will communicate with you about the patient's situation."

"Okay, I'll come and visit often, and then go back and report to the boss." Zhou Congwen replied politely.

Mr. Huang seemed to be asleep, and did not see the scene of Zhou Congwen communicating with other directors.

Zhou Congwen left contact information with other directors, "woke up" the boss, and the two left.

It was only at this moment that the noise in the office started to escalate, like a pot of boiling water, bubbling and bubbling.

Director Dou also felt a little excited.

It was clear just now that Mr. Huang seemed to be very relieved of Zhou Congwen, and he was thrown out to fight other directors.

And Zhou Congwen lived up to expectations, this pair of master and apprentice is simply too interesting, whether they are old or young, they are full of mystery.

After chatting with other directors for a long time, Director Dou left the Circulatory Medicine Department after answering a phone call.

Back in my office, there was a middle-aged man at the door who had been waiting for an unknown amount of time.

"Brother Dou, you're back." The middle-aged man greeted him familiarly.

"Yeah." Director Dou pushed the door open, "Xiaojin, how are you doing in the private hospital?"

"Very good." The middle-aged man smiled, "Brother Dou, I came to see you this time."

The man named Xiaojin didn't look outside at all, straight to the point.

The two are postgraduate classmates, one year behind, played basketball together when they were in school, and they have a very good relationship.