Chief Zhou, you're here, "a doctor in his forties said.
"Hello, Professor Wu." Zhou Chunyong reached out and shook his hand. He wanted to introduce Boss Zheng to him.
"Professor Wu, I think there's something wrong with the imaging. We need further examination." The girl did not notice that someone had come in at all. She looked at the radiographic films on the radiographic film viewer and said in a low voice.
Zhou Chunyong was stunned for a moment. He was in a hurry just now, so he did not hear what the person inside said clearly.
However, when he walked in, there was actually someone who had the same idea as Boss Zheng. It was a younger girl.
"This is …" Zhou Chunyong asked vaguely.
"A doctor from Harvard. Young people always have their own ideas." Professor Wu laughed.
However, from his words, one could hear the disdain he had for the girl's diagnosis. However, for some reason, Professor Wu did not directly scold her. Instead, he said a whole sentence.
Zhou Chunyong looked at the girl in confusion and immediately realized what he should do.
He immediately introduced, "Old Wu, this is Boss Zheng, Boss Zheng from the 912."
Professor Wu's expression immediately became very interesting.
There were rumors about Little Zheng from the 912. Everyone in the upper echelons of the medical world in the Imperial Capital knew about it.
He was no longer a rising star. Instead, he was the rising sun on the horizon with a blazing radiance.
Originally, he thought that Zhou Chunyong would bring his junior doctors over. He did not expect that he would bring Little Zheng, the great god, over.
Legend had it that Zhou Chunyong was very close to Boss Zheng. He did not expect this unreliable rumor to be true.
Professor Wu was very polite. He reached out and shook Zheng Ren's hand.
"Boss Zheng, I've heard a lot about you."
"Professor Wu, you're too polite. Can I see the patient's other examination reports?" Zheng Ren asked.
"No problem. What do you want to see?"
"All the test results and examination reports. How is the patient now?" Zheng Ren asked.
"His condition is not good. His cough is accompanied by hemoptysis. When he wakes up every morning, he can cough up dark red blood clots, "Professor Wu sighed and said. Professor Wu sighed and said, "Just now, a closed thoracic cavity drainage was performed, and 800ml of dark red blood was drawn out."
Zheng Ren nodded. He saw Professor Wu click on a workstation on a computer and walked over.
"Boss Zheng, please sit and watch." Professor Wu was very polite.
Just thinking about Little Zheng sweeping through the First Affiliated Hospital of Provincial Capital Medical University was scary. Professor Wu did not want to offend this Boss Zheng who was in the limelight.
What he didn't want the most was to become the legendary main character who got slapped in the face.
"Then I won't stand on ceremony." Zheng Ren sat down in front of the computer and began flipping through the patient's various test reports.
Su Yun squeezed in and watched as well.
"Old Wu, what do you think?" Zhou Chunyong asked Professor Wu softly when he saw Boss Zheng reading the test report attentively.
"Late-stage lung cancer, I think …"
"Professor Wu, I don't think it's lung cancer," the girl repeated after hearing what Professor Wu said.
"Uh …" Zhou Chunyong didn't ignore her like Professor Wu. Instead, he looked into the girl's eyes and said, "May I know your name?"
"My surname is Lin, Lin Yuan."
The girl was a little cold. Perhaps she did not know, or perhaps she did not care. She did not seem to respect Zhou Chunyong, the director of the Department of Interventional Medicine of Imperial Capital's Department of Hepatobiliary and Pancreatic Surgery.
"Doctor Lin, what's your diagnosis?" Zhou Chunyong asked directly.
"I …"
“CA125
89.4
U/ml，NSE
18.5
Mg/ml. The tumor markers have increased. Coupled with the bloody pleural effusion, I think the diagnosis is clear, "Professor Wu interrupted the girl impatiently.
"Professor Wu, the increase in tumor markers is mostly related to the tumor. However, other conditions can also cause the increase in such markers, "Lin Yuan said.
Zhou Chunyong's hope grew stronger and stronger.
Boss Zheng was already whispering something to Su Yun. A Harvard doctor had his own opinion on the matter.
Could it be that he had really misjudged him?
Zhou Chunyong recalled the image again and felt that there was nothing wrong with it.
Although his main business was liver cancer, Zhou Chunyong's ability to read scans was definitely not bad.
Not only was it not bad, but it was also very good.
After all, Zhou Chunyong was a doctor from the medical imaging department. He believed that there was no way he could be wrong about such obvious images.
"Chief Zhou, let's go take a look at the patient." He stood up suddenly, a faint glow on his face.
Zhou Chunyong was stunned. He had been thinking about Boss Zheng for a long time and guessed that he already had a definite diagnosis.
"Boss Zheng, what do you think it is?"
"Left pulmonary vein stenosis," Zheng Ren said with certainty.
Zhou Chunyong and Professor Wu were a little confused, but Lin Yuan's eyes lit up!
"Go take a look at the patient. His left heart is probably in a serious state. If the family agrees, I suggest we hurry up with pulmonary venography, balloon dilation, and stent implantation," Zheng Ren said as he walked to the door.
As he spoke, he walked to the door.
Zhou Chunyong quickly followed. He forgot to greet Professor Wu and hurriedly brought Boss Zheng to see the patient.
Su Yun smiled when he passed by Lin Yuan. "That's quite impressive."
Lin Yuan raised his head and swung his ponytail.
Su Yun followed. Lin Yuan looked at the two of them, thought for a moment, and followed them.
Professor Wu did not go. He frowned and stared at the film on the radiographic film viewer.
"Pulmonary vein stenosis?"
Professor Wu muttered softly as he looked at the film.
If it was explained by pulmonary vein stenosis … it would make sense. However, it was not a problem to explain it as lung cancer.
Differential diagnosis was the most difficult part of clinical practice, especially when the clinical symptoms of some diseases were exactly the same. It was not easy to give a definite diagnosis.
Before the patient had the 'malignant' pleural effusion, there were no symptoms of chest tightness and shortness of breath. The heart rate was normal, the electrocardiogram was normal, the BNP was normal, and the cardiac superejection fraction EF value was normal. The pulmonary artery CTA did not show any pulmonary artery filling defect.
Did Little Zheng see all these auxiliary examinations?
Professor Wu was puzzled, but he did not dare to directly determine that Little Zheng's statement was wrong.
The 'tragic' example of the Imperial Capital Medical University's First Affiliated Hospital was now a joke to everyone when they were eating and drinking. Every time they talked about it, they felt that the technical level of that side had unknowingly regressed so much.
Occasionally, doctors from the Imperial Capital Medical University's First Affiliated Hospital would explain how difficult it was to embolize bullets and so on.
But who would care!
It was just a harmless joke. Everyone would just have a good time.
Professor Wu did not want to be laughed at by everyone.
He tried his best to recall all kinds of examination reports. There was no abnormality in the echocardiogram, and there was no abnormality in the pulmonary artery CTA. The image … No matter how he looked at it, it was lung cancer.
Just as Professor Wu was puzzled, Zheng Ren strode back.
"Professor Wu, the diagnosis is more clear. I suggest we do a pulmonary venography," Zheng Ren said with certainty.
"Uh …" Professor Wu was a little helpless.
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