Back in 2002 as a doctor

"This buddy is really good. You can faint with thousands of dollars. This time it's even more outrageous. He didn't even win the lottery, so he fainted from anger. Tell me, why is he so angry." Shen Lang babbled.

"It's not necessarily angry." Zhou Congwen said.

"Hey, let me ask about the specific situation."

He could tell that Shen Lang didn't believe Zhou Congwen's words, he stubbornly believed that it was the patient's emotional problem.

What Boss Chunxiao said just now was very clear, but Shen Lang didn't refute, but took out his mobile phone, waved his hand, and walked out of the office quickly.

It is very convenient for Shen Lang to do some things.Crows and dogs have their own uses, and it depends on where they are used. Zhou Congwen can see this clearly from Shen Lang.

"Doctor Shen has such a temper." Xiao Kai said with a smile.

"That's it, you have to have hobbies." Zhou Congwen said lightly.

"Hmm." Xiao Kai smiled, "Professor Zhou, did you buy your winning lottery ticket from this boss's store? The relationship is pretty good."

Zhou Congwen remembered last summer when Chunxiao's boss helped him push Wang Zhiquan overtly and secretly, a smile appeared on the corner of his mouth.

Boss Chunxiao is a wonderful person, and he doesn't know what can be demolished after the Olympic demolition of his courtyard in Longwangtang.

Although I roughly know that the demolition of Longwangtang has created a group of rich people, but I have no impression of the specific conditions.

Boss Chunxiao is really lucky, and his every move is rich and powerful.

Moreover, Zhou Congwen liked Boss Chunxiao's thinking and way of doing things very much. He smiled and twiddled his phone, thoughtful.

"Professor Zhou, what kind of illness do you think that person is?" Seeing Zhou Congwen pondering, Xiao Kai immediately began to laugh.

He knew that Zhou Congwen didn't necessarily have a thought at this time, but keeping Professor Zhou silent made him feel awkward sitting on the sidelines.

Chapter 1383

Zhou Congwen casually stated a few of his own opinions, but the description of Boss Chunxiao, an amateur, was far from enough.

Soon after Shen Lang came back, he frowned, as if thinking about something.

"Shen Lang, what's going on." Zhou Congwen asked.

"Strange, Brother Qiang from the emergency department said that he knew this patient and had done all the checks, and nothing happened." Shen Lang said.

Zhou Congwen didn't speak, waiting for Shen Lang to continue.

"Heart rate is 62 beats, blood pressure is 110/60, everything is fine." Shen Lang continued, "Neural examination is fine, fingertip blood sugar is 7.8, and venous blood sugar is not a big deal. A set of checks for myocardial infarction is okay, not for the time being." Consider a heart attack."

"What about the carotid sinus massage test?" Zhou Congwen asked.

Shen Lang was startled, "What is that?"

Zhou Congwen put on Pan Xiaoping's head, and before he knew it, he slipped the tongue again.

The carotid sinus massage test, also known as the carotid sinus compression test, is an examination that was formally defined in 2020 after many summaries.

It is a test that induces an EEG response by compressing the carotid sinus.

Press or massage with your thumb at the level of the thyroid cricoid cartilage and the front edge of the sternocleidomastoid muscle for 1 min. Generally, in positive cases, after 15 to 25 seconds of pressure, delta waves appear in the ipsilateral lead, and sometimes spread to the contralateral side.

Listening to Boss Chunxiao's description, Zhou Congwen immediately thought of this kind of experiment.

"Congwen, what do you mean?"

Zhou Congwen briefly explained, "Electroencephalogram, isn't the third hospital still unable to do it?"

"The level of the operators of the machine imported last year is very poor. I guess they don't understand the machine, so they probably can't do it." Shen Lang said, "Should we let the patient go to the People's Hospital for a try?"

"It's fine." Zhou Congwen said, "Go and talk to Wang Qiang. As for whether the patient will go or not...I'll talk to Boss Chunxiao."

"Okay." Shen Lang responded, "The third court considers it to be cardiogenic syncope, but, hahaha."

Having said that, Shen Lang laughed.

His smile was sudden, but both Xiao Kai and Zhou Congwen knew what it meant.

Syncope is a neurological disease and should be admitted to the hospital for diagnosis and treatment.

But with repeated syncope and no positive test results to support it, the final diagnosis of cardiogenic syncope has to go to the circulatory department.

This is a subconscious reaction of clinical mutual dumping.

As for whether to receive neurology or cardiology, it depends on which department's doctors are stronger.

These are all small clinical tricks and common friction, so when Shen Lang thinks that they are arguing with each other, and no one can understand what the disease is, he finds it funny.

"Is there a problem with the electrocardiogram and echocardiography?" Zhou Congwen asked.

"Echocardiography showed decreased left ventricular diastolic function, dynamic electrocardiogram report: sinus rhythm, occasional premature atrial beats with short bursts of atrial tachycardia, no abnormal ST-T changes were seen throughout the whole process." Shen Lang said, "It is estimated that the neurology department has nothing to do, they also I don’t know why the patient fainted, so I said that.”

Zhou Congwen nodded, frowning.

"Congwen, what are you thinking?" Shen Lang was about to go out with his mobile phone, but when he saw Zhou Congwen frowning in thought, he asked confidently.

"Clinical medicine is like this." Zhou Congwen sighed, "Take this patient as an example. Syncope can be divided into three types: neuroreflexive syncope, orthostatic hypotensive syncope, and cardiogenic syncope. It shows that more than 3% of syncope patients still have unknown etiology despite systematic examination."

"Unnamed syncope, unknown fever, or fever waiting for investigation, it's all the same." Xiao Kai laughed, "There are many things that can't be solved, so I can only suggest going to a higher-level hospital."

Going to a higher-level hospital for medical treatment is a big trick used by doctors when they admit that they are afraid.He said unabashedly to the patient's family - I don't know, I don't understand, this is the head office.Please keep moving and go to the higher-level hospital.

Zhou Congwen was noncommittal, waved his hand, and asked Shen Lang to contact Dr. Wang Qiangwang, and himself to contact Boss Chunxiao.

……

……

Boss Chunxiao believed in that little doctor Zhou.

Although he doesn't have much contact with him, Dr. Zhou is like a fairy in Boss Chunxiao's heart.

I have seen how many people in sports betting shops are addicted to buying lottery tickets, and they all say that they will not buy them if they pay back their money, but there are indeed many people who pay back their money, but the more they pay back their money, the more they will lose in the end.

Few people can do what they swore they would never go.

But Dr. Xiao Zhou was different. The biggest prize in the Chunxiao Sports Lottery was him. After winning the lottery, he disappeared immediately. It seemed that the only purpose of Dr. Zhou to buy lottery tickets was to win a prize.

And he doesn't seem interested in buying lottery tickets.

He is really a strange person, so Boss Chunxiao is very curious about Zhou Congwen.

After he learned about Zhou Congwen's behavior, especially after Wang Zhiquan's father Wang Chengfa was sentenced this year, Boss Chunxiao's understanding of Dr. Zhou went up to a new level.

This time, Boss Chunxiao is deliberately contacting Zhou Congwen, and wants to gradually increase the contact with Zhou Congwen.

In the future, Doctor Xiao Zhou will definitely go to the Imperial Capital. If his children can go to the Imperial Capital to obtain a registered residence, there will be many opportunities to find Doctor Xiao Zhou in the future.

But... Dr. Zhou gave him a "task" to go to the People's Hospital to check the EEG.

Boss Chunxiao felt as if he had eaten a fly.

After thinking about it, he still persuaded the patient to go for a detailed examination.The method of persuasion is also simple and crude - don't come to me to buy lottery tickets unless you find out.

Chunxiao Sports Lottery is well-known in Jianghai City, and patients can only pinch their noses to recognize it.

Boss Chunxiao is very confident in what Dr. Zhou asked him to do.Some time ago, the doctors of the Third Hospital were fine no matter what they checked. Doctor Xiao Zhou took a look at the patient and knew it was the compound licorice tablet.

Afterwards, the "old Chinese doctor" ran away and stopped those "ancestral" prescriptions, and the person recovered, and there was no more weakness or hypokalemia.

Boss Chunxiao is very convinced of Zhou Congwen, and it will be the same this time.

Sitting outside the computer room of the People's Hospital, Boss Chunxiao thought about Zhou Congwen leisurely.

"Han Zhikui's family!" The little doctor in the EEG room shouted out.

"Here." The patient's family rushed forward.

"It's all right." The little doctor waved the report and muttered, "Who did you hear that said, it's the carotid sinus, I think it looks like the carotid sinus."

Boss Chunxiao was taken aback.

Could it be that Dr. Zhou has misread this time?

But it was inevitable, Boss Chunxiao immediately made excuses for Zhou Congwen in his heart.

He stood up and separated the crowd, and saw a long sentence written on the report card, which the boss Chunxiao couldn't understand, but the final diagnosis was very clear—there was no clear abnormality in the EEG.

It's okay, it's really okay.

Doctor Xiao Zhou really lost his sight this time.

Chapter 1384 Extraordinarily jealous

"Boss Chunxiao, you see it's really all right, so I'll tell you." The patient didn't dare to offend Boss Chunxiao. Although the EEG cost a lot of money, Chunxiao Sports Lottery is a cornucopia. He didn't want to offend the God of Wealth.

Boss Chunxiao frowned and looked at the patient, feeling a little embarrassed.

People insist on coming for the inspection, and this persistence stems from their trust in Zhou Congwen.But this time, Doctor Xiao Zhou was wrong. The examination he was going to do was all right.

"It can't be all right." Boss Chun Xiao said suspiciously, then grabbed the inspection report and checked it carefully.

In the past, Zhou Congwen would not lose the chain like this. Boss Chunxiao thought there must be something wrong.

"It's impossible to be fine." The little doctor in the EEG room said unhappily, "My teacher went to the Imperial Capital for further training, and he is the best EEG in Jianghai City."

"Hey." Boss Chunxiao smiled, "I'm not saying there's something wrong with what your teacher did. I consulted an expert from the Provincial Hospital on this matter, and he said to do an EEG."

"Expert?" A voice came, "The provincial capital is reliable? Nonsense."

Boss Chunxiao walked through the crowd and saw a 50-year-old doctor in white clothes just passing by, and commented contemptuously.

"Who are you?" Boss Chunxiao asked very unhappy.

There was already some anger in his tone.

Usually in the sports betting shop, he chatted and farted with those rough men every day. Boss Chun Xiao was not very polite when he spoke, with a bit of quack air.

In addition, he insisted on coming for an examination, but the patient was fine. He felt that his face was dull, so he directly rejected the words of the old doctor in his 50s.

"Director Zhu, you are not busy." The little doctor in the EEG greeted.

"Well, bring a friend to see a doctor." Zhu Jun glanced at Boss Chunxiao contemptuously.

Since academician Chu brought Lu Tiancheng back to perform ESD surgery on the leader of the group company last time, Zhu Jun seems to be ten years old, his waist is bent, and his temples are full of white hair and frost.

"The provincial capital, you know the provincial capital, what kind of disease they will see." Zhu Jun said disdainfully.

This was originally what Zhu Jun was most willing to say at department gatherings. If a few years ago, there must have been countless people around him who would say it——Master, you are amazing!

It's a pity that both Li Qinghua and Lu Tiancheng have gone away now, and the deputy director Ma below him doesn't pay any attention to him at all.Although it can't be said that everything is right, frequent tit-for-tat confrontations are inevitable.

Coupled with the fact that the chief of the palace was urged to modify the compensation for the resignation of the trainees, Zhu Jun was scolded by the dean, and he almost had a heart attack in a hurry.

The days are getting more and more difficult, and Zhu Jun's temper is getting worse and worse.If you have a bad temper, you will complain more.

So much so that he took someone for an examination, and when he passed by the EEG room, he would complain when he heard someone say the words "provincial capital expert".

"What do you know?" Boss Chunxiao was not to be outdone, "The person I am looking for is from the academician workstation in the provincial capital. Academician, do you know what an academician is?"

"!!!" Zhu Jun's eyes turned red all of a sudden, and he looked at Boss Chunxiao like a rabbit.

How many academician workstations are there in the provincial capital?

With the departure of Academician Chu, there was only one left, the one presided over by Zhou Congwen.

It can't be said that the enemy is extremely jealous when they meet, but now Zhu Jun is already a plucked pheasant, and he can't be fierce at all.

But now that Zhou Congwen is not here, Zhu Jun is still somewhat courageous.

No one was there, if he didn't dare to slander, then Zhu Jun might as well go to the prison to find Wang Chengfa to play cards.

"Academician Workstation, you're bluffing, but you actually believe it." The disdainful tone in Zhu Jun's mouth became a bit more.

"If you don't believe him, you still believe him?" Boss Chunxiao asked back.

"You hold the report card in your hand and see for yourself what the result is. A boiled duck is tough." Zhu Jun said angrily.

Boss Chunxiao glanced at the EEG in front of him, and then he was dumbfounded.

I was naturally at a disadvantage when I encountered this.

Seeing Zhu Jun leave triumphantly, Boss Chunxiao was very upset.

He asked the patient and the family members of the patient to wait for him first, and then ran to the fire escape with the report card to call Zhou Congwen.

"Doctor Xiao Zhou, I did the examination according to what you said, and I'm fine." Boss Chun Xiao sighed, "Just now I was humiliated by a bullshit director named Zhu Jun."

Zhou Congwen on the other side of the phone was stunned for a moment, "Why did you meet Zhu Jun?"