Sleepless Doctor
Chapter 704: It's just a normal esophageal cancer
Soon, Gu Weimian's phone rang again.
"Director Gu."
"Teacher Wu, your instructions." Gu Weimian is still polite and humble, as if a lower-level doctor is facing a bad-tempered old director.
"Watching the film, I have some small questions." Wu Mian said.
Gu Weimian's heart lifted. He tried to recall the image data of the patient's upper gastrointestinal barium, which is a typical esophageal space-occupying lesion, which is different from the last patient.
From the perspective of Gu Weimian, there is no need for patients to undergo gastroscopy and pathological biopsy. In that case, it will only increase the risk of planting transfer.
The imaging materials are already obvious, is it necessary to take a look in the mirror?
"Director Gu?" Wu Mian said when he was silent on the phone.
"Ah, ah? Teacher Wu, what are you going to see?"
"Looking at the upper gastrointestinal barium penetration is considered to be a space-occupying lesion, but the lung CT on the preoperative reexamination shows that the density is a bit wrong." Wu Mian said, "It is safer to take a glance with a gastroscope."
"..." Gu Weimian thinks this is a typical example of having nothing to do.
Ms. Wu Mian Wu personally confirmed that the imaging data of the digestive barium transilluminator was OK, and he had to take a look with a gastroscope. Isn't this taking off your pants and farting?
There are such people in the clinic. After watching the film, they feel uncomfortable without saying anything. Even if it is the same as his diagnosis, he will give some opinions, otherwise he can't show his level.
MD! Gu Weimian cursed inwardly.
Although he was unhappy, he still said politely, "Mr. Wu, do you have time tomorrow? Would you like to come and see? I can do gastroscopy, but it's definitely not as good as yours."
In a casual and polite sentence, Gu Weimian wondered whether or not to have a gastroscope for the patient tomorrow.
Forget it, Wu Mian has spoken, just as a face to him! Gu Weimian thought to himself.
"Well, what time is tomorrow? I'll take a look."
"..." After hearing Wu Mian's words, Gu Weimian was taken aback, "Ms. Wu, what are you talking about?"
"I said I'll take a look."
"……"
Gu Weimian was speechless.
The operation didn't come, and he had to take a look at the gastroscope. In an instant, he began to wonder if the caller was Wu Mian himself.
What is so good about a gastroscope? Even if it is difficult to heaven, the tumor is too large, and the gastroscope can not go through the narrow gap at all, it will not be more difficult than surgery.
Wu Mian come to see what? Do you want to embarrass yourself? Didn’t that matter about Laoyashan ever pass?
Question marks rose one after another on Gu Weimian's head, and in a flash, he felt that his brain was hot.
"Director Gu, are you already asleep?" Wu Mian asked gently, "If there is no problem with your side, we will contact you again tomorrow morning and you will not be disturbed."
"No no, Mr. Wu, are you sure to come to see the gastroscope? Come to see this examination?" Gu Weimian still couldn't believe it, and confirmed again.
"Yes, let me see. If there is any difficulty, I will stretch out my hand."
After a few more polite conversations, he hung up the phone, and Gu Weimian sat in the living room dazedly. He really didn't understand the beauty of a gastroscope. Does Wu Mian come here to slap himself or have other purposes?
I would definitely not just look at a gastroscope, Gu Weimian was sure of this.
He picked up the phone again and looked at the video data and other inspection results. Only the upper gastrointestinal barium penetration is positive, and the diagnosis is a space-occupying lesion of the lower esophagus.
A tumor as big as , blind people can see it, there can be nothing wrong. There are more and more question marks on Gu Weimian's head, and his brain gets hotter and hotter.
stared at the phone for at least half an hour, but Gu Weimian still didn't understand.
He simply picked up the phone and called Li Zhong first. Although I knew that Li Zhong had gone to Jianxie Hospital, there was nothing wrong with consulting a question.
"Boss Li!" Gu Weimian said.
"Old Gu, what's the matter on the call so late?" Li Zhong asked suspiciously.
"There is a movie, you can give me a palm." Gu Weimian didn't say anything about Wu Mian, he only said about the condition, "The diagnosis is esophageal cancer, a more important patient, please take a look for me, I am worried about the misdiagnosis. "
"Send it over." Li Zhong was also happy.
A few minutes later, Li Zhong's call came back.
"Old Gu, you are too careful. You have to ask me for such a typical film?" Li Zhong's hearty voice entered Gu Weimian's ear, "Diagnosed esophageal cancer, no metastasis, hurry up and perform surgery. Don’t delay your condition."
"Are you sure?" Gu Weimian asked more and more on his head.
"I'm going, old Gu!" Li Zhong said in surprise, "Are you Alzheimer's? It happened that Mr. Wu was studying the diagnosis and treatment of Alzheimer's. Several patients have basically recovered and been discharged from the hospital. Come and see? "
"Don't talk, I am obsessive-compulsive disorder. The patient is more important, I am afraid of misdiagnosis." Gu Weimian said.
"Such obvious big tumors can still be misdiagnosed! Where have you been so many years of clinical experience. Besides, you are too careful, not like you are." Li Zhong said contemptuously.
The two have a good personal relationship, otherwise Gu Weimian would not call Li Zhong in the middle of the night. After being broken a few sentences, Gu Weimian's heart became more at ease.
That's it, a very typical lower esophageal space-occupying lesion, not only for himself, but also for Li Zhong.
Hangs up, Gu Weimian wants to go to sleep.
But when Wu Mian went to Laoyu Mountain in the summer, Wu Mian Dama Jindao pulled over the chair~www.wuxiaspot.com~ The appearance of sitting on it and scolding his grandson again appeared in front of me.
Gu Weimian has a guilty conscience, but it's not a rare disease anymore.
He hesitated for a long time, and called his classmates and friends in the Imperial Capital.
are all people in cardiothoracic surgery. This kind of film has been seen a lot. The diagnosis of the three people is consistent with the views of Gu Weimian and Li Zhong-the lower esophagus space-occupying lesions, and no metastasis has been found for the time being.
As for treatment, some people say that it is not necessary to do a preoperative needle biopsy for direct surgery; some people recommend a needle biopsy to avoid accidents.
This is caused by different academic concepts, and Gu Weimian also knows it.
After tossing in the middle of the night, Gu Weimian was still puzzled. He wanted to break his head and didn't know why Wu Mian wanted to see a gastroscopy. It was totally unreasonable.
It's fine if you make a mistake in your judgment, Li Zhong and others have the same idea. How could such a simple film be misread? !
impossible!
Even though he thought so in his heart, every time he thought of Wu Mian, Gu Weimian would tremble in his heart.
In this way, until dawn, Gu Weimian went to the hospital with panda-like dark circles under his eyes. Contact the endoscopy room, follow the emergency procedure, book a time, and tell Wu Mian.
When the patient advanced into the endoscopy room, Wu Mian also arrived.
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