Back in 2002 as a doctor
Page 831
"How do you know it's a disaster?"
"Isn't this the same as a bright mirror? My old man has a cough, but not a stomachache. He caught his stomach and pressed it. If he can press the stomach, he will press it, and I will..."
Zhang You glanced at Manager Xue, and said contemptuously, "What about you?"
"..."
Manager Xue could feel Zhang You's displeasure, and he didn't say anything else, but sighed deeply, feeling extremely aggrieved.
Zhang You's words seemed to him to be preposterous.
But I have to bow my head under the eaves. Now, can I just tear my face and go in and push the old man out?
Manager Xue doesn't have the decisive power.
"You saw it just now, your old man has positive signs in his stomach." Zhang You said solemnly.
"Didn't he say it was a lumbar muscle strain?"
"Hey." Zhang You glanced at the stupid manager Xue, "If the lumbar muscles are strained, why do you do a CT scan of the whole abdomen? CT scans are rarely done in the abdomen unless malignant tumors are suspected."
"!!!" Manager Xue was astonished.
"Director Zhang!" Zhou Congwen shouted from the operating room.
"coming."
Zhang You's face seemed to be stirred up countless waves by Zhou Congwen's words, a smile appeared, and he ran to the operation room.
Manager Xue looked at Zhang You blankly. This was absolutely different from the Director Zhang he knew.
Zhang You usually talks politely to him, but no matter how stupid Manager Xue is, he knows it's just a relationship of mutual use.
But Zhang You kept scolding himself today, which has already explained something.
He walked to the operating room suspiciously, but before he entered, he heard Zhou Congwen's voice.
"There is a problem with the right kidney. I suspect it is a malignant tumor."
A thunderbolt hit Manager Xue on the head.
Chapter 1422 Great Basic Skills - Zhou Congwen
"Looking at the size, it's okay." Zhou Congwen stared at the screen and said, "Besides, kidney cancer is a kind of lazy cancer, which develops very slowly. There is no lymph node enlargement for the time being. I suggest hurrying up for surgery."
Manager Xue was stupefied. He never expected that the end result of his old man's severe cough was...it was caused by kidney cancer.
Not to mention that he is a layman, an ordinary person, even an old gun like Zhang You is a little confused.
Zhou Congwen's thoughts and facts caught Zhang You by surprise.
Zhang You carefully looked at the images on the screen, and asked suspiciously, "Professor Zhou, there is indeed a problem. I have seen severe coughs caused by kidney cancer stimulating the diaphragm. But there was no stimulation of the diaphragm in the previous images. Now it seems nor."
What he said was more subtle, the kidneys are far away from the lungs, Zhang You can't think of any other reasons for the patient's severe cough symptoms besides stimulating the diaphragm to cause coughing.
"Oh, kidney cancer secretes prostaglandins, mainly prostaglandin E2. Through the EP3 receptor pathway, it enhances the cough reflex and causes coughing. Although this is not common, it is also one of the more typical symptoms of kidney cancer." Zhou Congwen said lightly .
Before his eyes left the screen, Zhang You glanced at Zhou Congwen suspiciously.
What prostaglandin E2, what EP3 receptor pathway, Zhang You is completely unknown.As for the clinical manifestation of kidney cancer is cough, he has no idea at all.
Are these clinically relevant?Yes, but definitely not much.
As the eighteen kinds of weapons in the arsenal, they may not be able to be used once in a lifetime, and more often they are used for scientific research.
But Zhang You was very despised before that, scientific research, you copy me, a clinician who is so sick, will study those things.What's more, it's not something you can study if you want to study it. There are thousands of mountains and rivers in the middle, and the difficulty is not ordinary.
But Zhou Congwen's words shattered Zhang You's previous cognition.
If this patient hadn't met Zhou Congwen in the CT room by chance, it would have been a while longer.
Indeed, a lazy cancer of kidney cancer.
Thinking of the word lazy cancer, Zhang You instantly thought of what Mr. Huang was talking about on the operating table.
Although kidney cancer progresses slowly, it cannot be delayed for too long.
This is going to be a big problem.
Zhang You couldn't even refute it. After all, Zhou Congwen was looking at the image on the screen, and occasionally dragged the mouse to see a certain cross-section.
With just a quick glance, Zhang You knew that Zhou Congwen was confirming his own judgment.
He was very careful and was not negligent because of the rudeness of the patient's family.
"I haven't seen any signs of metastasis for the time being, and I haven't seen any enlarged lymph nodes."
A few minutes later, Zhou Congwen smiled slightly.
"It is enough to cut off one kidney, and it will not affect normal life."
After speaking, he glanced sideways at Manager Xue.
"Manager Xue?" Seeing that the middle-aged man was still in a daze, Zhou Congwen called out again.
"Xiao Xue!" Zhang You bumped Manager Xue with his shoulder, "Did you hear what Professor Xiao Zhou said?"
"What did you hear?" Manager Xue asked in a daze.
"I haven't seen the transfer for the time being. I'll contact the urology department for you and hurry up for surgery." After Zhang You finished speaking, he looked back at Zhou Congwen and asked, "Professor Zhou, is there anything you should pay attention to during the surgery?"
The successive blows have improved Zhang You's attitude countless times.
That is to say, Zhang You has a relatively thick skin and is very used to kneeling. Although he knelt and stood up again, kneeling again was not as tangled as it was at first.
He didn't care about his misdiagnosis at all, took the initiative to lower his posture, and asked Zhou Congwen like an intern student.
"It's nothing special. The lymph nodes look fine. They still need to be cleaned during the operation. Don't try to save trouble."
After Zhou Congwen finished speaking, he smiled slightly, "I'll leave if it's okay."
"Professor Xiao Zhou, you are busy first. I'll finish it. Let Xiaoxue treat me when there's nothing to do here. You must come then." Zhang You first made an appointment for a meal.
Manager Xue was so dazed that he didn't know what Zhang You was doing.
My old man is fine, but he just has a cough, why did he have kidney cancer?He couldn't figure it out at all.
……
……
Leaving the CT room, Xiao Kai followed behind Zhou Congwen and praised with a smile, "Professor Zhou, you are really awesome."
Xiao Kai's compliment was very straightforward, the kind that didn't leave anything blank at all.
"well enough."
"Hehe, you can say that it's okay. I learned about prostaglandins when I was in school, and I have already eaten up my clinical work these years." Xiao Kai said.
"No." Zhou Congwen said, "This is included in the differential diagnosis of cough. Go back and look through your textbook."
"..." Xiao Kai sighed inwardly.
In terms of basic skills, Xiao Kai was once proud of it.
Union Medical College has extremely high requirements for basic skills, otherwise it would not be the number one medical school in the country.
And Xiao Kai was very caring when he was young, and his basic skills were extremely solid, but in front of Zhou Congwen, a non-human who is calm, indifferent, and has been honing his basic skills like an ascetic monk for years, Xiao Kai's efforts in the past are completely worthless. .
He deeply knew how difficult it was to take things for granted in Zhou Congwen's eyes.
"Why should I not know?" Zhou Congwen glanced at Xiao Kai and smiled slightly, "We are doctors in cardiothoracic surgery, performing heart bypass surgery. Before doing this, we must study arteriosclerosis."
"..." Xiao Kai couldn't even say something flattering at this time.
What Zhou Congwen took for granted was really too far away for him.
"PGI2 and TxA2 are the main prostaglandins of the cardiovascular system, produced by vascular endothelial cells and platelets, respectively. Their effects on blood vessels and platelets are opposite..."
Zhou Congwen babbled about prostaglandins as he walked, but Xiao Kai couldn't get in.
And Xiao Kai didn't listen to a word, and occasionally looked up at Zhou Congwen's back, he vaguely felt that Zhou Congwen should bow his hands behind his back and pull his shoes.
That is Zhou Congwen's real body, just like Huang Lao, as if he came out of the same mold.
After Zhou Congwen finished talking, Xiao Kai smiled, not hiding his embarrassment that he didn't listen, and then said, "Professor Zhou, there seems to be some movement on Manager Wang's side recently."
"What trend?" Zhou Congwen asked.
"She asked me three times if there was any new progress on valve replacement surgery." Xiao Kai is not as good as Zhou Congwen in basic skills, but he still has his own expertise in interpersonal communication and seeing through people's hearts at a glance.
"I think Olida is more interested in the application of this technology."
"Oh, it should." Zhou Congwen said, "Olida has been under the pressure of Johnson & Johnson, Medtronic, and Ranko in the international arena for too long. This is a big piece of meat. As long as Olida is not blind, she will be sensitive to this. interest."
……
Wang Xueteng felt that his ears were hot and his heart beat faster.
Chapter 1423 Double Down
The chairman of the Olida Group headquarters came here. If it had been a year and a half ago, Wang Xueteng would have fainted from excitement.
Promotion and salary increase, life enters the fast lane, everything seems so perfect.
But now she has gradually gotten used to this rhythm, and the top managers of the company that she never saw before will come here every now and then.
And she communicated frequently with the upper management on the phone. Before she knew it, Wang Xueteng had become a dazzling celebrity in the company, a shining new star.
The translator told Wang Xueteng what the chairman said, but she was a little confused.
Urging Zhou Congwen?Did the chairman let himself put pressure on Zhou Congwen?
Isn't this nonsense!
Wang Xueteng didn't speak, and his posture was very standard, no less than that of a flight attendant.This is Wang Xueteng's muscle memory developed through years of self-discipline and self-improvement.It is difficult for a poor family to produce a noble son, so Wang Xueteng can only squeeze himself hard to be perfect.
But today she felt that her standing posture was particularly awkward, as if her muscle memory had gone wrong.
Thinking of Zhou Congwen's face full of smiles, amiable but full of frost in his bones, filled with signs not to approach strangers, Wang Xueteng felt afraid.
He urged Zhou Congwen to do something, but he really couldn't do it.
"This is the task given to you by the company." The translator finally concluded, "There are 50 patient samples for interventional surgery for valvular disease, at all costs."
"Yes." Wang Xueteng lowered his head and gave an affirmative answer.
"Mr. Lawrence is very dissatisfied with the research and development speed of the surgery." Another person explained, "At least 50 surgical samples are required to pass the FDA's approval."
"I'll do my best." Wang Xueteng said sadly.
"It's not about doing your best, it's about doing it!"
Wang Xueteng remembered a rumor.
It is said that Olida's top executives first went to the imperial capital to find Huang Lao and cooperate with Huang Lao.
But for some reason, Mr. Huang rejected the cooperation proposal of Olida's senior management. Even if they opened a multinational company, they would have to suffer for a long time, and even worry about the conditions of their own bankruptcy.
The thin and dry old man said no to the offer that no one would refuse. The think tanks of the Olida Group have studied it for a long time, but they still don't know why Huang Lao refused such a favorable offer.
Now that he flew directly to look for him, Wang Xueteng had a clear understanding of himself in his heart - he would definitely not be able to do it.
Zhou Congwen?Anyone who thinks that he is young and inexperienced will definitely suffer a big loss, Wang Xueteng has his own perception.
Then just fool around.
Until the chairman and his party were sent away, Wang Xueteng thought for a whole day, and none of the plans were feasible.
She felt that she already knew Zhou Congwen very well, and any means were meaningless to Zhou Congwen.
If it were someone else, he would still be able to fight with his appearance of more than nine points, but if it was Zhou Congwen, his ascetic expression would give Wang Xueteng a headache.
In the end she chose to tell the truth.
After carefully dressing up, Wang Xueteng put on very delicate light makeup, dressed in an OL outfit that is rare in provincial capitals, and came to the office of the academician workstation early to wait for Zhou Congwen.
At [-]:[-], Zhou Congwen arrived at the hospital as accurately as a clock.
"Morning, Manager Wang." Zhou Congwen greeted him warmly.
Wang Xueteng had known for a long time what kind of character Zhou Congwen was, and his enthusiasm only seemed to be very enthusiastic.
"Good morning, Professor Zhou." Wang Xueteng greeted calmly.
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