Back in 2002 as a doctor

"Let me just say this. The patient's mediastinum is definitely fine. If there is a tumor compressing the esophagus, both of us would have seen it. He is a psychopath!"

"Director Zhang." Zhou Congwen couldn't bear it anymore, and Zhang You was making noise like a fly, "You must be cautious when diagnosing mental illness."

"Careful? If he is not mentally ill, I will report to the mental hospital tomorrow and treat him for three months first."

As soon as the words fell, Zhang You stared straight at the screen and froze for a moment.

Chapter 1420 Same Situation

The shape of blood vessels is shown on the enhanced CT image.

It's not a normal physiological out-of-shape, Zhang You stared at the screen in amazement, his brain running at high speed.

A branch of the patient's right subclavian artery was strange and abnormally shaped.

After Zhang You saw this scene, it was as if a big egg had been stuffed in by an invisible hand. He was so choked that he couldn't speak, and even his breathing stopped suddenly.

As the picture went down one frame at a time, Zhang You suddenly saw that the enhanced CT chest scan showed that the right subclavian artery vagus originated from the last branch of the aortic arch running from left to right, compressing the back of the esophagus, rather than originating from the normal Dry head and arms.

This is……

"It really is here." Zhou Congwen smiled slightly, pointing his finger at the abnormal branch of the right subclavian artery.

"Director Zhang, did you see it?"

"Crack~"

Zhang You vaguely heard a slap in the face from nothingness.

He even vaguely heard Zhou Congwen start talking about the whole story of the disease a second later.

Sure enough, Zhang You still knew Zhou Congwen.A second later, Zhou Congwen began to ramble.

"Esophageal compression dysphagia was described by Bayford in 1761.

It is used to describe dysphagia caused by external force on the esophagus due to abnormal blood vessels in the aortic arch.

In most cases, the abnormal origin of the right subclavian artery from the last branch of the aortic arch causes posterior esophageal compression.The incidence rate is between 0.4% and 2%. "

"Actually, an oppressive arc can be vaguely seen on the gastroscope, but it is not obvious. It is not esophageal cancer, but dysphagia caused by abnormally proliferated blood vessels compressing the esophagus."

"Director Zhang, please be busy first. I'll go and talk to the patient and the patient's family." Zhou Congwen said after a few minutes waiting for the machine to produce the film, holding a warm film.

Zhang You silently looked at the deformed subclavian artery on the screen in a daze.

Just as Zhou Congwen was about to go out, he suddenly paused, "Director Zhang, are you really planning to go to a mental hospital? If you want me to say it, forget it, my own, don't take it seriously."

After only mocking Zhang You, Zhou Congwen went out to explain the condition to the patient's family.

Zhang You didn't dare to go out, and he swore that the patient was fine, and even said things like mental illness.

Now there is objective evidence in front of him... No matter what complaints Zhang You has, he can't say it.

He couldn't face the patient's family.

As long as people want face, Zhang You is still the chief director, and those words that he swore before turned into a slap in the face.

Zhang You felt a little resentful in his heart, Zhou Congwen was so troublesome!

But when he remembered that something happened to him, Zhou Congwen pressed the matter in the shortest time...

There are countless inexplicable thoughts mixed together in Zhang You's mind, it's like drying a bottle of old vinegar in one breath, making him feel sour and uncomfortable.

"Old Zhang, what about my father?" Zhang You's friend came in and asked because he hadn't gone out for a long time.

Zhang You was silent.

"Old Zhang? What are you doing?" Zhang You's friend slapped his arm.

Zhang You was in a daze for a long time before shaking his head with a wry smile.

"When will my dad start getting checked?" Zhang You's friend greeted, and the sound of the old man coughing came from outside the door, like adding fuel to the fire.

"Wait a minute." Zhang You also wanted to do it right away, but there was a thought in his mind - let Zhou Congwen take a look.

After all, Zhou Congwen had to contact 912, and there was nothing wrong with asking him to take a look first.

Zhang You's friend was very helpless. Seeing that Zhang You didn't speak and his face was cloudy, there was nothing he could do but wait here with him.

After 10 minutes, Zhou Congwen walked in.

"Director Zhang, this is..." Zhou Congwen asked.

"Professor Zhou, let me introduce you. This is Manager Xue from the Provincial Capital Investment." Zhang You changed his face instantly and introduced his friend to Zhou Congwen.

"Xiaoxue, this is Professor Zhou who is in charge of our academician workstation. Although he is young, he is highly skilled and has a higher seniority. If it is based on the lineage, I have to call Professor Zhou a little uncle."

Zhang You said jokingly.

His friend was taken aback, took a sip of what Zhang You said to him just now, and immediately extended his hand enthusiastically.

"Professor Zhou, I've always heard Director Zhang talking about you, so I saw you this time."

Zhou Congwen shook hands with Manager Xue, and said with a smile, "Where's the patient? Let me take a look, and don't rush for an examination."

"I've checked everything that needs to be checked, but I still have a cough, but it doesn't improve. I thought, it's not a tumor. But the cougher can't even sleep, and wakes up every ten minutes. The old man's spirit is about to collapse." Manager Xue explained.

Zhou Congwen glanced at Zhang You.

Zhang You knew what Zhou Congwen meant.

The two patients were so similar to a certain extent, the tumor was suspected, but it was not detected.

But although they are not tumors, they each have their own unbearable side.

Zhang You instantly remembered the matter of the mental hospital. He lowered his head in distress, looked at the ground, and remembered Zhou Congwen's faint sarcasm in his ears.

Zhou Congwen didn't say much, and began to ask about the medical history and watch the previous examination films.

The patient quit smoking 10 years ago, her lungs are clean, and she can't even see a little bit of pneumonia.

The results of the bronchoscopy also support the diagnosis of nothing wrong.

Generally speaking, the elderly in the Northeast have more or less geriatric diseases such as bronchitis, bronchitis, emphysema, and bronchiectasis.

But the patient in front of him did not have the slightest senile disease in his lungs.

The only problem is that the patient has gastroesophageal reflux disease and a benign adenoma of the colon.His current medications include rabeprazole, atorvastatin, and trazodone.

After Zhou Congwen asked about the medical history and watched the film, he went for a physical examination.

Like a pupil who made a mistake, Zhang You silently looked at the ground, regardless of meeting Zhou Congwen's gaze.

When Zhou Congwen went out, Zhang Youcai tiptoed to the door, looked around, and went out after seeing no patient with dysphagia or his family members.

"What's wrong with Director Zhang? It's like being a thief." The doctor in the CT room said with a smile.

"Who knows, he seems to be sick."

"Hey, I made an appointment for augmentation, but I don't talk when I come in. Who knows what he's doing. What time is it? If I don't do it, my wife will make me kneel on the washboard when I go home."

Zhang You didn't hear the CT doctor slandering him. He walked behind Zhou Congwen and stared blankly at Zhou Congwen doing the patient's physical examination.

Zhou Congwen didn't hear the breath sounds of his lungs, his stethoscope was hanging around his neck, and he didn't even think about moving it.

Seeing Zhou Congwen pressing the patient's stomach, Zhang You felt a little dazed.

Could it be the benign adenoma of the colon that caused the cough?

This idea is too weird, Zhang Youming knew it was impossible, but he still thought about it.

Chapter 1421 Lumbar Muscle Strain

"Professor Zhou." Manager Xue asked with some doubts, "My dad has a cough, not a stomachache."

"Oh, I know." Zhou Congwen said lightly, but his hands didn't stop, and continued to press on the patient's stomach.

Seeing that Zhou Congwen went his own way and ignored what he said, Manager Xue suddenly looked very unhappy.

How could Professor Zhou be so unreliable!

I said that the old man had a cough, but he kept pressing his stomach as if he didn't hear it.

Is there a relationship between stomach and cough?Is he a doctor!Manager Xue cursed in his heart.

But because of Zhang You's relationship, Manager Xue couldn't say anything more, even if he was unhappy, he had to give Zhang You some face.

But Zhou Congwen pressed it carefully, as if he was looking for something.Manager Xue became more and more unhappy, coughed lightly and turned to look at Zhang You.

Zhang You watched Zhou Congwen's movements intently as if he hadn't seen Manager Xue's expression.

"Old man, turn over and let me see your waist." Zhou Congwen said to the patient after pressing his stomach.

Manager Xue heard that Zhou Congwen was so persistent, all his patience disappeared in an instant.

"Professor Zhou." Manager Xue has begun not to hide the boredom in his tone, "My dad is coughing, why are you tossing the old man to turn over? After finally finding a place where the coughing can be lightened, can you make the old man comfortable for a while. "

"Medical examination." Zhou Congwen glanced at Manager Xue, and before he could look at Zhang You, Zhang You rushed forward and pushed Manager Xue away with his shoulders.

"Old Zhang..." Manager Xue was astonished to see Zhang You talking to the old man with a smile on his face, and adjusted the old man's position.

Zhou Congwen pressed the patient's waist with his left hand and beat with his right hand.

"It hurts!" The old man on the flat car suddenly yelled out.

Zhang You was taken aback, but Manager Xue shouted extremely unhappily, "What are you doing!"

"Shut up!" Zhang You scolded angrily, and then asked, "Professor Xiao Zhou, this is..."

"Maybe it's caused by lumbar muscle strain after lying down for a long time." Zhou Congwen replied casually.

"..." Manager Xue was taken aback, he could already hear the sound of crackling flames burning in his ears.

"Do a full abdominal CT and see what's going on." Zhou Congwen turned around and went to the operating room after knocking on the patient's waist, leaving Zhang You and Manager Xue in a mess.

The phrase about lumbar muscle strain was obviously a joke, and the full abdominal CT was what Zhou Congwen wanted to talk about. Zhang You couldn't even understand this.

With Zhou Congwen's guidance and the patient's positive signs, Zhang You cooperated very well and personally pushed the flat car into the examination room.

Manager Xue asked, "Old Zhang, is that young doctor reliable or not?"

When he spoke, he looked disdainful and angry, and even his attitude towards Zhang You was a bit harsh.

"What do you think?" Zhang You glanced at Manager Xue contemptuously.

This is a second-generation ancestor, all relying on the support of the old man's relatives and old friends.Otherwise, Zhang You wouldn't be so blank, Zhang You looked at him contemptuously, and didn't even bother to say anything to him.

Even if Zhou Congwen wants to go to heaven today, even if Zhou Congwen wants to go to heaven, Zhang You won't care if he admits it like this.

He also couldn't figure out why Zhou Congwen knocked on the waist of a coughing patient, and then needed a full abdominal CT.

However, the final diagnosis of the patient who had difficulty eating was vascular malformation. The example just now reminded Zhang You like Hong Zhong Dalu—don’t beep, beeping more now may cause embarrassment for a while.

It doesn't matter if you get slapped in the face once... Zhou Congwen must not be slapped a second time.

Zhang You is a very self-aware person, which is also his advantage.

Otherwise, Zhang You wouldn't have given up so quickly and handed over the right to direct the rescue to Zhou Congwen when the sternal saw caused the heart to rupture during bypass surgery at the No. [-] Hospital of Jianghai City.

It's just that Zhang You is not willing to kneel so quickly and directly.

Otherwise, there wouldn't be so many entanglements.

People, after all, more or less face, Zhang You is still the director of a large public hospital in the provincial capital.

After sending the patient in, Zhang You came out, and Manager Xue chased him and asked, "Old Zhang, what's going on? The Professor Zhou you mentioned is very famous, but what he does is so unreliable." .”

"It's up to you whether it's reliable or not?" Zhang You gave Manager Xue a look, and his tone was more impatient than Manager Xue.

"..." Manager Xue was taken aback.

Why did Zhang You talk to himself in such a tone?Obviously it's his own reasoning.

"Brother Zhang..." Manager Xue lost his momentum.

"Look at it honestly. If you're not a doctor, don't beep here." Zhang You reprimanded.

"Uh!" Manager Xue's expression turned ugly when he heard Zhang You's impolite words.

"Didn't you see that I didn't say a word?"

"Brother Zhang, that little doctor is arrogant and domineering. What background does he have?" Manager Xue asked in a low voice when he remembered Zhang You's respectful expression towards Zhou Congwen.

But he was still very upset, "Even if you have some background, don't blame my old man."