Chapter 1943 Not Even Qualified to Take the Blame

But usually, if patients find some specious professional words on the Internet to question themselves, Professor Wu will definitely not want to talk to them.

Even Lin Yuan, who graduated from Harvard Medical School, questioned her, but Professor Wu was unwilling to answer her. At a young age, with a degree, you feel that you are invincible?

If she wasn't Dean Lin's daughter, he would have kicked her out a long time ago.

However,

It was Boss Xiao Zheng who spoke!

Professor Wu asked cautiously: "Boss Zheng, can you tell me the reason for your judgment?"

"Professor Wu, from your point of view, there is no problem with the diagnosis of this disease." Zheng Ren said with a gentle smile, "All the evidence points to either advanced left lung cancer with a large amount of pleural effusion, or malignant pleural effusion. .”

Professor Wu was even more puzzled when he heard what Zheng Ren said.

Is this to save face, or is it because of something?

Boss Xiao Zheng is different from the rumors.

"But if the doctors in the interventional department see the film, they will... the doctors in the circulatory interventional department will have other ideas after seeing the film." Zheng Ren said with a smile: "This is a complication of radiofrequency ablation of the heart. It's generally hard to imagine."

Everyone except Su Yun was stunned.

In the advanced stage of lung cancer, how did it get together with radiofrequency ablation?

"Radiofrequency ablation, heart surgery, Professor Wu probably knows about it, so I won't..."

"Boss Zheng, I haven't done it." Professor Wu quickly stopped Zheng Ren's words, and said without embarrassment at all: "You should tell me about it. To be honest, I don't want Lao Li's diagnosis either. It is advanced lung cancer. But now I see the film, and I still feel that the diagnosis is correct.”

"Oh, that's fine." Zheng Ren searched, and Su Yun handed over a piece of paper, and picked up a ballpoint pen from the table and handed it to Zheng Ren.

"That's right, I'll draw a sketch of the surgical route." Zheng Ren immediately started to draw.

"It is catheterized from the femoral vein to the inferior vena cava to the right atrium, across the interatrial septum, to the left atrium."

Zheng Ren said while drawing a picture.

"Radiofrequency ablation is to ablate the myocardial tissue that generates abnormal electric waves around the atrium or pulmonary vein through electric discharge, and this process will lead to muscle cell necrosis, collagen fiber hyperplasia, and tissue deformation."

"Pulmonary vein stenosis is a complication that must be explained during radiofrequency ablation of the heart. Although the possibility of pulmonary vein problems is generally low, the patient's medical history is clear and he has a history of radiofrequency ablation."

"It's one of very clear antecedents, so it's very likely."

"Boss Zheng, just based on this?" Professor Wu still didn't understand, so Boss Zheng made a judgment, which is illogical.

"This is the medical history, so we should think about it." Zheng Ren then stood in front of the film reader, pointed to the film and said, "There is inflammation and atelectasis in the upper left lung lobe. Well, at least we can see it from the enhanced CT. That's it. Professor Wu, you have to pay attention to one thing."

Lin Yuan looked at Zheng Ren with straight eyes.

She could only vaguely feel that there was something wrong with the diagnosis. If Boss Zheng said one, two, three with full confidence, Lin Yuan would not be able to do it.

Seeing that Boss Zheng was in high spirits, he was more aura than professors in Harvard Medical School, Lin Yuan was puzzled, this little doctor really has a way.

Not much older than himself, he was able to take the professor from the Imperial Cancer Hospital in a daze.

"Here." Zheng Ren tapped his finger on the film reader, and said, "From the CT-enhanced point of view, there is something wrong here. It can be simply regarded as atelectasis. But if we look carefully, we can see the deposition of hemosiderin cells , and pulmonary telangiectasia, interstitial inflammatory cell infiltration is not obvious."

"What do these mean?"

Zheng Ren asked a question.

Zhou Chunyong felt that the film reading skills he had accumulated before had been abused by Boss Zheng.

The deposition of hemosiderin cells, can this image be seen on enhanced CT? !

Professor Wu was confused.

"So it can be considered that it is not atelectasis and pneumonia, but lung congestion."

"From pulmonary congestion, it takes a lot of steps to figure out that there is a problem with the left pulmonary vein. The logical reasoning between them is not difficult, so I won't talk about it."

Zheng Ren talked eloquently, and Professor Wu and Zhou Chunyong were a little confused.

"I know we can discuss it all day long." Zheng Ren smiled and said, "If the patient's family members agree, I suggest a pulmonary venography examination. It's just to perfect the examination and make a differential diagnosis. I don't think the problem should be serious. "

"..." Professor Wu carefully considered Zheng Ren's suggestion.

Boss Zheng didn't bite him to death, he just diagnosed it with pulmonary venous occlusion. No, they confirmed it, but they didn't say that surgery is necessary.

This is to save some face for myself.

Do a check, it's always right.

It's just pulmonary venography, which can be regarded as diagnosis and differential diagnosis.

If Boss Zheng made a wrong diagnosis, the patient would not suffer further harm. Make a shadow, what can you do.

But once the diagnosis is correct...impossible, it must be lung cancer.

Professor Wu looked at the film and was a little hesitant, whether he should persevere.

"Boss Zheng, Lao Wu, I'll go and talk to Lao Li." Zhou Chunyong said directly when Professor Wu was thinking.

He didn't have that much doubt about Boss Zheng.

Boss Zheng almost picked up his ears and said that there was a problem with the pulmonary veins. Do you still want to question Boss Zheng here?

nonsense!

Zhou Chunyong's trust in Zheng Ren was based on countless surgeries and teaching surgeries. To him, Boss Zheng was his teacher except he was younger.

Professor Wu had no choice but to follow suit and said, "Boss Zheng, if Lao Li agrees, can you do it?"

"No problem, it will take ten minutes." Zheng Ren said casually.

Soon, Zhou Chunyong came back and said to Professor Wu: "Old Li and his lover agreed."

Professor Wu hesitated, and began to contact the interventional department.

The Interventional Department of the Cancer Hospital only focuses on liver cancer and lung cancer, and rarely touches other positions, which is a bit embarrassing.

Zhou Chunyong didn't care, he directly called the director of the interventional department of the tumor hospital to explain the situation.

Even in the academic world of the imperial capital, Zhou Chunyong still has a considerable status in the world. Finally, the interventional department opened the operating room, and a doctor on duty came.

"Professor Jiang will be here soon." The doctor on duty said repeatedly.

"Well, it's okay, just do a radiography, you can do it too." Zhou Chunyong was not polite at all.

"Director Zhou, I'm not good enough." The doctor on duty quickly said politely, "Let's wait for Professor Jiang to come."

"Xiao Jiang will be here soon, let's prepare first." Zhou Chunyong said directly.

He glanced at the doctor on duty, full of disdain and contempt.

What a careless doctor, even if he is responsible, can you still blame him? !