Back in 2002 as a doctor

With a strong smile, Boss Chunxiao shook his hands slightly in front of Zhu Jun, as if Zhu Jun reached out and the two were shaking hands.

No physical performance has reached perfection.

"Director Zhu, it's really thanks to you." Boss Chunxiao continued, "The experts in the provincial capital I contacted also said thank you. This kind of situation is the most likely to be misdiagnosed, and the patients themselves don't care. not come out."

"..." Zhu Jun was speechless, what he said yesterday was reprimanded by Boss Chun Xiao, which made him extremely depressed.

Two-five-eye doctor...

So how can it be that I don't understand?Zhu Jun had countless excuses in his heart.

How many patients with esophageal cancer I have seen in my life are basically progressive dysphagia.

In the past, gastroscopy was not popularized, and the awareness of physical examination was indifferent, so few patients with early esophageal cancer came to the hospital for examination and treatment.

If you choke and panic when you eat, at least you are in the middle stage of esophageal cancer.

But having said that, there are no esophageal cancer patients who have fainted no matter what!Esophageal cancer and syncope, there is no connection between the two.

But no matter how many things he wanted to say in his heart, they were all blocked by the smug smile on Boss Chunxiao's face.

At this time, there are many mistakes, Zhu Jun knows how proud he was yesterday, and how he will suffer today.

As far as football is concerned, playing poorly is the original sin, and it is useless to work hard or not.If you can't get decent results in competitive sports, you should be scolded to death.

For doctors, seeing a doctor is the most important thing.No matter how I justify myself, I said so much yesterday, and I seem to be very sure that it will not be esophageal cancer.

It is the original sin to see a bad disease!

Poor level, this is the original sin! !

Misdiagnosis, this is the original sin! ! !

Zhu Jun looked viciously at Boss Chunxiao who was bent over and stretched out his hands in front of him.

He looks humble, but in fact he is condescending, every word... It can't be said that he has a gun with a stick, but a knife and gun dangling brightly in front of his eyes.

"Director Zhu, I have to thank you for taking a gastroscope." Boss Chunxiao didn't seem to see Zhu Jun's expression, and he continued, "I heard from experts in the provincial capital that there are several ways to treat this disease. One, we can see if we can simply peel off... peel off..."

As Boss Chunxiao spoke, he began to ponder, as if he had forgotten what the following words were about.

"Peel off the mucous membrane!" Zhu Jun felt uncomfortable and refilled his glass.

"Yes, peel off the mucous membrane." Boss Chunxiao said with a smile, "How can you do this operation? I wish you, Director."

Gan!

Zhu Jun cursed in his heart.

The man in front of him looked kind, but in fact he had a bad stomach.It's not that he forgot how to say the words, but he led himself to speak, and then slapped himself in the face with his own words.

How can there be such bad people in the world!

Not only did Zhu Jun feel tightness in his chest, but also gold stars began to appear in front of his eyes.

What's the matter!

He didn't even dare to look at Boss Chunxiao's face, for fear that he would faint from anger.

If I fainted, it wasn't a fainting to be investigated, the root cause of the disease was right in front of my eyes.

But Zhu Jun didn't want to see it. Boss Chun Xiao's hands were dangling in front of his eyes, doing an intangible performance, as if he knew him very well and was shaking hands enthusiastically.

How annoying.

"Director Zhu, it is said that this is the least damaging method, do you think so?" Boss Chunxiao asked again.

Zhu Jun didn't answer, and lowered his head coldly.

"If it doesn't work, there seems to be a method of thoracoscopy. It is said that it can be done by making four or five incisions of about 2cm."

"The trauma seems to be less than the previous operation. Thoracoscopy, can you do it?"

Boss Chunxiao's question was like a knife, stabbing directly at Zhu Jun's heart.A poke didn't count, but Boss Chunxiao thought the wound wasn't big enough, so he twisted it a few more times.

Zhu Jun's heart was bloody.

Gan^2!

Zhu Jun cursed again silently.

Boss Chunxiao felt even more proud when he saw that Zhu Jun was like a defeated rooster.

"Director Zhu, if you can do it, we will stay."

"I heard that the oldest and most harmful method is to make a big cut in the chest, open the rib cage, and then have a knife in the stomach. The big cut is as tall as a person, and the recovery is very slow."

"Do you know this?"

Gan^3! !

Chapter 1389 Zhu Jun Should Not Understand

Countless Gans floated in Zhu Jun's heart.

He really wanted to scold the person in front of him, but Zhu Jun knew in his heart that if he said a word, the other party would have ten sentences waiting.

In terms of playing hooligans, a professional doctor like myself is not as good as an idler in society.And Zhu Jun knew that he was guilty of the original sin!

Original sin——If you can’t do minimally invasive surgery yourself, it’s the original sin!

During this period, Zhu Jun was also observing the academician workstation in the provincial capital. Zhou Congwen was not ordinary capable, he worked hard like a donkey in the production team.

Thousands of operations in a year are like playing, Zhu Jun has been paying attention to the situation of the academician workstation in Jianghai City, and he is dumbfounded.

And according to Zhu Jun's information, Zhou Congwen's operation has not yet failed.

I want to jump out and question, but I have to have the ability to question.

"Director Zhu, please say something." Boss Chun Xiao's hands were dangling in front of Zhu Jun's eyes like Alzheimer's disease.

Without physical performances, Boss Chunxiao has reached perfection.

Moreover, he was so thick-skinned that he didn't care about Zhu Jun's feelings at all, nor did he care about embarrassment, so he kept asking questions.

As long as Boss Chunxiao is not embarrassed, all the embarrassment will fall on Zhu Jun's side.

"It's not necessarily esophageal cancer." Zhu Jun suddenly raised his head, "Esophageal cancer... I'll find it for you."

As he said that, Zhu Jun moved out the fourth edition of Surgery, found the location of esophageal cancer and spread it out for Boss Chunxiao and the family members of the patient behind him.

"Look, this is a textbook. The symptom of esophageal cancer written in the book is progressive dysphagia." Zhu Jun was slightly agitated while holding the textbook.

His heart was full of rippling after being teased by Boss Chunxiao, and it was not stable for a moment.

"Let me take a look." A family member of the patient approached confidently, "It's really written like that in the book."

Boss Chunxiao withdrew his hand and said contemptuously, "If a doctor needs to read a book to see a doctor, can you believe it?"

"..."

"..."

The family members of the patients behind thought that Boss Chunxiao was right, and nodded their heads one after another.

Indeed, when you go to the outpatient clinic, no matter how old the doctor is, he will explain to the patient according to the script while holding a textbook comparison. What will the patient and the patient's family think when they see this scene?

Surely you can't believe it.

No matter how good Zhu Jun's appearance is, it is not convincing.

"I've seen things. The report from the endoscopy room clearly stated that there was a foreign body, and surgical removal is recommended. Director Zhu, I won't write so much in the book." Boss Chun Xiao said with a deadpan face.

Taking a breath against the current, Zhu Jun felt his eyes go dark, and he almost passed out from being suffocated.

But he recovered immediately, and said viciously, "Having fainted, you just say that fainting has something to do with esophageal cancer!"

The patient's family members nodded, and what Director Zhu said seemed to make sense.

"That's not a symptom of esophageal cancer at all. Even if there is, it's just a coincidence. It's covered up. Do you know that it's covered up!" Zhu Jun's emotions have begun to lose control, waving his hands and roaring indiscriminately.

Boss Chunxiao smiled slightly, took out his mobile phone and called Zhou Congwen.

"Professor Zhou, I'm sorry to bother you again." Boss Chunxiao turned on the speaker, "You didn't mention the relationship between syncope and esophageal cancer just now, can you interrupt me and ask about the situation?"

"No trouble, let me just talk about it. Is it the family members of the patient who want to know? No, Zhu Jun doesn't understand." Zhou Congwen was exquisite and guessed the situation in an instant.

Zhu Jun heard Zhou Congwen call himself, and he didn't even mention Director Zhu, and called him by his first name, which made him extremely angry.

You kid, you don't know any rules.

"During swallowing, the mechanical stimulation of the glossopharynx, larynx, and esophagus can be transmitted to the medulla oblongata through the carotid sinus nerve, the interneuron excitation activates the parasympathetic nerve, and inhibits the sympathetic nerve to cause a reflex heart rate and blood pressure drop.

When the esophagus is combined with functional or organic lesions such as spasm, stenosis, diverticulum, and abradycardia, the above reactions are strengthened. "

"Esophageal cancer-induced swallowing syncope cases are rarely reported and basically ignored."

"The patient had syncope as the first symptom, but had no progressive dysphagia, which led to a misdiagnosis when he was admitted to the hospital. However, some reports described that the patient had black stools and other gastrointestinal symptoms before he had a gastroscope look, and it was too late to find out."

"Boss Chunxiao, the patient you mentioned is very lucky. If you want to say that you are enthusiastic, you helped seek medical advice as soon as possible."

As Zhou Congwen talked, he began to praise Boss Chunxiao.

"Ah, the patient's family and I are here with Director Zhu, and I'm driving outside." Boss Chunxiao said hastily.

"This kind of situation is rare. I guess Zhu Jun has never seen it. He had it before, and he missed it. He didn't know that syncope is a symptom of esophageal cancer." Zhou Congwen didn't care if he didn't let it go, and explained normally.

Zhu Jun listened to Zhou Congwen's "slandering" voice coming from his mobile phone, and his heart was burning with anger, wanting to destroy everything.

"Does the patient choose to have a major uncovering operation? No way." Zhou Congwen finally asked.

"Still discussing, Professor Zhou, what kind of spells can you do?"

"Is anyone in his family working in the group company?" Zhou Congwen asked.

"Yes, he is an employee of the company." Boss Chun Xiao replied immediately.

"Not long ago, Academician Chu performed a mucosal peeling operation on a leader of the group company. The postoperative effect was good. If you don't understand, you can ask. But let me tell you in advance that I haven't seen gastroscopy and related examinations. I don't know if I can do it. "

"If it doesn't work, can we do laparoscopic surgery? How old is the surgery of uncovering the lid? Is there anyone still doing it now?"

Zhou Congwen didn't act cautiously because Boss Chunxiao's mobile phone was turned on, and he commented on the surgery and surgical procedures casually.

Zhu Jun was so angry that his eyes were full of gold stars.

He really wanted to yell at you, you little bastard who doesn't know how to respect the old and love the young, the operation of uncovering the cover is the crystallization of the wisdom of the predecessors!

But after thinking about it, the surgical procedure must have something to do with Zhou Congwen's teacher, Mr. Huang...

Zhou Congwen's status in the academic circle is outrageously high. If it is strictly a matter of seniority, I seem to have to call Zhou Congwen a little uncle.

What a surprise!

People are really qualified to say this.

Zhu Jun was so angry that he couldn't get it out, his eyes were full of gold stars, and he swayed for a while.He immediately supported his body with his hands so as not to faint.

"In short, let the patient and the patient's family make the decision. If the gastroscopy is in the early stage... no matter sooner or later, if you find it, you must hurry up and treat it. Don't delay." Zhou Congwen warned.

"Okay, I see." Boss Chun Xiao hung up the phone with a smile and looked at Zhu Jun.

"Director Zhu, do you still remember what you said earlier?"

Chapter 1390

Zhou Congwen hung up the phone and looked at the boss beside him with a smile.

"Someone in Jianghai City questioned your diagnosis?" Huang Lao asked casually, looking down at the pattern drawn on the straw paper.

"Director Zhu Junzhu, the one who asked you to do the operation last year." Zhou Congwen smiled slightly, "I didn't see the patient this time, so I made a few comments, and Zhu Jun took advantage of it."

"Director Zhu is shooting himself in the foot." Xiao Kai said, "But I guess he must be full of confidence when he denies it. I don't think it's esophageal cancer for patients who can eat Daliba."

"It's Zhu Jun's fuss." Zhou Congwen said, "Syncope caused by esophageal cancer is actually not that rare, but most of the time it is misdiagnosed. After all, syncope is a symptom of the nervous system, and few people go for gastroscopy.

By the time it was discovered, esophageal cancer had already reached an advanced stage. "

"What are you going to do?" Elder Huang suddenly asked a question that didn't make much sense.

Xiao Kai smiled, what should we do?Can you still come to beat Zhu Jun?That's impossible.

But the next second he saw Zhou Congwen straighten his waist suddenly, and his whole body entered a special state.

"Boss, I didn't hear what Zhu Jun said, but some of them are probably attacks on me personally." Zhou Congwen said cautiously, "This is the case for the time being. I will fight for the patient and come to my side for surgery."