Back in 2002 as a doctor

Page 165

But if it was said that Zhou Congwen's family had a background, she would not believe anything.

Physicians whispered in whispers, talking about Zhou Congwen, talking about his girlfriend, someone recognized Liu Xiaobie's famous brand, and began to speculate whether Zhou Congwen fell in love with a rich woman.

It's just that this rich woman is so young and beautiful that some male doctors almost drool.

But this guess is reasonable. According to Gao Jia, Zhou Congwen is a rural child with no background.All this can only be achieved by clinging to an extremely powerful old man, there is no other possibility.

"Good luck." An ordinary-looking resident doctor said enviously.

"Why are you envious? Zhou Congwen looks so energetic and tall!"

"Embroidered pillows are fancy but not useful." The ordinary-looking resident doctor said dissatisfied.

While chatting, Zhou Congwen came back.

"Gao Jia, I discussed it with the patient's family and went through the discharge procedures."

"Huh?" Gao Jia was taken aback.

"I suspect it's Bow Hunter Syndrome, our hospital..."

"You've played too much in the dark, you're still a bow hunter." The ordinary-looking resident doctor said contemptuously.

Chapter 0283

Zhou Congwen glanced at the ordinary-looking resident doctor, but ignored him.

"Congwen, Director Xu has a good relationship with the teacher who was studying in the past, and he is an authority in the Department of Neurology in the province." Gao Jia whispered.

Gao Jia didn't care what Zhou Congwen said just now, bow hunter, what the hell is that.Syndrome, Zhou Congwen has brain problems, so he is confused when playing games.

Bow Hunter Syndrome was dismissed by Gao Jia as useless information.

With the rise of online games recently, I always hear some strange words.Once Gao Jia heard a young man on the bus clamoring for him to transfer a few million yuan. At that time, she didn't understand at all, and cast a respectful look at the young man.

But later I found out that it was money in the game.

Zhou Congwen shook his head, "Atlanto-occipital fusion and skull base depression can be vaguely seen on head CT, and CTA is needed to see clearly."

"We can't do ultrasound + CTA neck rotation test or anything else. I'll contact Imperial Capital and go to 912."

"What are you pretending to do? A cerebral infarction is so complicated. Are you tired?" the ordinary-looking resident doctor said disdainfully while sitting on a chair.

Zhou Congwen ignored him, as if he didn't hear him.

"Rotational nystagmus is obvious, and other documents are needed to confirm it. Let's go through the discharge procedures and the patient's family members can sign at any time."

"Congwen, what syndrome are you talking about?" Gao Jia was helpless.

She felt that Zhou Congwen had changed.

The simple Zhou Congwen in the past has become a condescending, responsible and attending doctor who speaks his words. Is this life?

I heard that after becoming an official, people will change, but I didn't expect it to be so obvious in Zhou Congwen.In the blink of an eye, the simple Zhou Congwen became what he is now, boasting, which makes people feel a little annoying.

"Bow Hunter Syndrome." The ordinary-looking resident doctor said, "Do you have Mage Syndrome? Do you have Barbarian Syndrome? You have played too many games and made it up."

"Bow Hunter... Congwen, do you really want to be discharged from the hospital? Once you go out, it's hard to explain something." Gao Jia is a little tired, the name of the disease is not serious, it must be something in the game.

But she and Zhou Congwen have been classmates for many years, so she kindly advised her.

"Ms. Qian, okay, okay, I'm going to ask the director of the ultrasound room for an experiment. By the way, the diagnosis is called bow hunter syndrome." The thin and tall director Xu walked in with a mobile phone.

The signal in the office was a bit weak. He stepped in with his front foot and began to shake his back foot up and down to find the signal.

Zhou Congwen was suddenly happy.

Is this the mobile phone that needs to be picked up?

Director Xu left the office, and the signal was fully charged again. He continued, "There are few tests we can do here. I will bother you after it is confirmed. If so, I will send the patient to the provincial capital."

"Okay, okay, Teacher Qian."

The ordinary-looking resident held a ballpoint pen in his hand, and unconsciously lit on the medical record paper, making a clicking sound.

What did Director Xu say just now?Bow Hunter Syndrome?

Why is this disease name not serious when Zhou Congwen said it, but it is so unpredictable and full of academic style when it is said by Director Xu?Did I hear wrong.

The ordinary-looking resident looked at the medical record in a daze, racking his brains but couldn't remember that he had learned Bow Hunter Syndrome.

Damn it,

da da da~~~

What is the inscrutable and inscrutable diagnosis,

da da da~~~

"Gao Jia, go get the patient's family to come." Director Xu hung up the phone and walked into the doctor's office, and said to Gao Jia.

"Okay." Gao Jia responded immediately without any hesitation.

After she finished speaking, she was stunned for a moment, "Director, what is the disease?"

"Bow Hunter Syndrome, I haven't heard of it." Director Xu sat at his desk with a smile, leaned on the chair and glanced at the doctor under him, "I said something was wrong, it must not be an ordinary cerebral infarction. So young and frequent..."

As Director Xu was talking, he felt that the atmosphere in the office was not right. He glanced at Gao Jia suspiciously, and then at the other doctors.

"Huh? Zhou Congwen, why are you here?" Director Xu didn't see Zhou Congwen until then.

"Director Xu, I'm here to see Lin Caifeng. My girlfriend knows her mother." Zhou Congwen said politely.

"Hahaha, sit down, this patient is very interesting." Director Xu patted the chair beside him.

The ordinary-looking resident doctor pointed at the medical record with a pen in his hand, feeling envious.

Director Xu belongs to the old school and is extremely particular about all kinds of old rules.

There is a saying about who sits next to Corey when he has a dinner, and there is also a saying about the order in which everyone toasts, which is very strict.

And now he let Zhou Congwen sit beside him instead of standing...

It is really enviable to have a rich father-in-law. The key is that Zhou Congwen's girlfriend is so good-looking, and she doesn't lose money. It would be great if she could be herself.

The speed of the ordinary-looking resident doctor's clapping hands unknowingly increased.

"Director Xu, you contacted the Affiliated Hospital of Medical University and diagnosed Bow Hunter Syndrome?" Gao Jia asked blankly.

"Yes? Why did you say yes?" Director Xu looked at Gao Jia suspiciously.

"From...Zhou...Zhou Congwen just had a physical examination and said that it might be Bow Hunter Syndrome and he will be discharged from the hospital to go to the imperial capital."

Director Xu's eyes were round and round, and he looked Zhou Congwen up and down.

"Director Xu." Zhou Congwen smiled lightly.

"Xiao Zhou, how did you diagnose it?" Director Xu asked.

"The head is tilted to the left, and the patient's right limbs experience discomfort, decreased sensation, and weakness in the upper and lower limbs. And nystagmus, dizziness, more typical manifestations of bow hunter syndrome. But we can't say that arbitrarily, some tests need to be done .”

"Tremor, that's right, that's what Teacher Qian said." Director Xu slapped his thigh after listening, and laughed, "I said you must know what to order. It's so powerful, I don't even know."

Da Da Da~

The ordinary-looking resident doctor quickly tapped the ballpoint pen on the medical record paper, leaving deep dents.

"I also asked the teachers in the imperial capital, and they gave me the diagnosis." Zhou Congwen asked the boss to take the blame.

"What about that side?" Director Xu asked enthusiastically.

"There are relatively few tests we can do. We have to go to the imperial capital to make a diagnosis. If the diagnosis is clear, we can perform surgery."

"Doesn't work with medicine? What kind of surgery?"

"There are several treatment modalities. Conservative management is mainly anticoagulation and limitation of head and neck rotation."

"It can also be treated with simple release. There is bony or ligamentous narrowing somewhere in the vertebral artery leading to bow hunter syndrome, which can be achieved with simple release."

"Then there is fixation and fusion. For bow hunter syndrome caused by atlantoaxial instability or other vertebral instability, after the diagnosis is confirmed, fixation and fusion of the atlas will be performed."

Director Xu was dumbfounded.

The office was quiet, only the sound of rattling echoed.

Chapter 0284 I will send you patients

"Xiao Zhou." Director Xu seemed to want to say something, but held back when the words came to his lips.

The diagnosis of Bow Hunter Syndrome is very rare, and Director Xu has never heard of it in his many years of clinical experience.

He saw that the patient's condition was not right, and he was admitted to the hospital with repeated cerebral infarctions at a young age, so this time he asked his teacher when he was in advanced studies for consultation.

Unexpectedly, the newly mentioned responsible doctor in the Department of Thoracic Surgery gave the answer before himself. Director Xu looked at Zhou Congwen with great interest.

"Xiao Zhou, what is the gold standard for diagnosing this disease?" Director Xu changed his mind and asked.

"DSA." Zhou Congwen replied, "When the head is in a neutral position and when it is turned sideways, angiography is performed separately. If changes in blood flow velocity can be seen, the diagnosis can basically be made."

"What's the relationship between neck blood flow and cerebral infarction?" The ordinary-looking resident held a ballpoint pen in his hand, talking to himself in the background music.

"Learn about the foaming test." Zhou Congwen smiled.

Foam test... what is that!

The ordinary-looking resident doctor's mind was empty, and he didn't know why there was such an experimental method with such a weird name.

What the hell is that.

"Isn't the foaming test used to check whether there is a patent foramen ovale?" Director Xu asked.

"Yes, it is rarely used in clinical practice. However, patients with Bow Hunter syndrome have a positive foaming test, and microthrombosis can be seen in the flow path from the right atrium to the right ventricle."

"Xiao Zhou, you have comprehensive knowledge as a surgeon." Director Xu praised.

"I just heard from the teacher in the imperial capital, and my memory is not bad." Zhou Congwen smiled and explained the problem.

The imperial capital seems to make sense.

Director Xu looked Zhou Congwen up and down, "Talk to the patient's family first, ask Director Kong for carotid artery ultrasound, and check if there is any change in blood flow while changing the body position. If it is positive... go to the provincial capital, at home The burden will not be that great.”

"it is good."

Zhou Congwen also didn't want the patient to travel thousands of miles to the imperial capital. It would be best if the provincial capital was sure.

In 2002, there was no airport in Jianghai City, and there was a bus to the imperial capital, but it took 14 hours.

Buying tickets is a difficult problem, and when you arrive in the imperial capital, you have to face a series of troublesome things, such as accommodation, meals, and medical treatment.

Even if I have my own phone call, I am afraid that the patient and the patient's family will have to toss half to death.

The provincial capital is more convenient. Since Director Xu can contact the doctor who diagnosed Bow Hunter Syndrome, the treatment should not be a major problem.

Zhou Congwen stood up and bowed slightly, "Director Xu, thank you."

"What are you talking about, my patient!" Director Xu patted Zhou Congwen's arm with a smile, "I'll take the patient for an examination later, don't go, go to my office and wait. By the way, you're not busy there, are you?" .”

"The director is not at home, I guess he will be back in the afternoon." Zhou Congwen said, "If there is no emergency, you will be fine. Our department, you know."

"Go and wait for me."

Director Xu said without any refusal.

……

……

An hour later, Director Xu returned to the office very satisfied.

"Xiao Zhou, sit down and talk." Director Xu said with a smile, "Positive, it's really Bow Hunter Syndrome. I've seen a few similar patients over the years. I didn't understand it before, and there are some problems with the treatment. Now I want to return it." I’m really ashamed, if only I could be more vigilant, patients can suffer less.”

"Because of the high risk of orthopedic surgery, many patients choose conservative treatment." Zhou Congwen explained sincerely, "Anticoagulation and blood circulation should be no different from your treatment method, and it is not considered a treatment error."

Director Xu was stunned, and the slight awkwardness in his heart disappeared.

He knew that Zhou Congwen was deliberately following his own words, but the words were very flat, but very pleasant.Not flattering, better than flattering.

No wonder he was appointed as the attending doctor at such a young age, and his words are pleasant, but it's a pity that the doctor under him is not as smart as Zhou Congwen.

"Xiao Zhou, I heard that Wang Chengfa went to the outpatient clinic?" Director Xu asked.

"Well, the new director Li is taking care of the old comrades. You know that the operations in our department are very serious, and the old comrades' bodies may not be able to bear them." Zhou Congwen said what Wang Chengfa said to himself that day, which was also appropriate to the situation.

"The door is closed, let's talk a few words." Director Xu looked into Zhou Congwen's eyes, "My master at the People's Hospital was sent to Bei'an Farm by Wang Chengfa to feed the rabbits, although he later explained that it was a kind of protection, but you know that too."