However, Professor Wu did not want to talk to his patients if they found some specious words on the Internet to question him.
Even if Lin Yuan, who graduated from Harvard Medical School, questioned him, Professor Wu was unwilling to pay attention to her. At such a young age, did she think she was invincible just because she had a degree?
If she was not Director Lin's daughter, he would have kicked her out long ago.
However.
The person who spoke was Little Zheng!
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. Zheng Ren smiled gently and said, "All the evidence points to advanced lung cancer with a large amount of pleural effusion, and it's malignant pleural effusion."
Professor Wu was even more confused when he heard Zheng Ren's words.
Was this to protect his reputation or because of something else?
Little Zheng was different from the rumors.
"But if the interventional doctors saw the radiographic films, they would … The interventional doctors would have other ideas after seeing the radiographic films," Zheng Ren said with a smile. "This is a complication of radiofrequency ablation of the heart. It's usually hard to think of it."
Other than Su Yun, everyone was stunned.
How did advanced lung cancer get associated with radiofrequency ablation?
"Radiofrequency ablation of the heart. I'm sure Professor Wu knows about it, so I don't …"
"Boss Zheng, I've never done it before." Professor Wu quickly stopped Zheng Ren and said without any embarrassment, "Please tell me about it. To be honest, I don't want Old Li's diagnosis to be advanced lung cancer. But now that I look at the radiographic films, I still feel that the diagnosis is correct. "
"Oh, okay then." Zheng Ren searched for it. Su Yun handed him a piece of paper and a ballpoint pen from the table.
"Here's the thing. I'll draw a sketch of the surgical route." Zheng Ren immediately began to draw.
"It uses a catheter from the femoral vein to the inferior vena cava, then to the right atrium, then through the atrial septum to the left atrium."
Zheng Ren said as he drew.
"Radiofrequency ablation is to ablate the myocardial tissue that produces abnormal electrical waves around the atrium or pulmonary vein in the form of electrical discharge. This process will lead to muscle cell necrosis, collagen fiber proliferation, and tissue deformation."
"Pulmonary vein stenosis is a complication that has to be explained when performing radiofrequency ablation of the heart. Although the possibility of pulmonary vein problems is not high under normal circumstances, the patient has a clear medical history, and there is a history of radiofrequency ablation surgery. "
"This is a very clear past history, so the possibility is very high."
"Boss Zheng, just based on this?" Professor Wu still did not understand. It was illogical for Boss Zheng to make such a decision.
"This is the medical history. We should think in this direction." Zheng Ren then stood in front of the radiographic film viewer, pointed at the radiographic films and said, "There is inflammation and atelectasis in the left upper lobe of the lung. Well, at least that's what we can see from the enhanced CT scan. Professor Wu, you have to pay attention to one thing at the beginning. "
Lin Yuan stared at Zheng Ren with his eyes wide open.
She could only vaguely feel that there was a problem with the diagnosis. If she was like Boss Zheng, who was full of confidence, Lin Yuan would not be able to do it.
Lin Yuan was puzzled when he saw that Boss Zheng was in high spirits and had an aura that was even more imposing than a professor at Harvard Medical School. This junior doctor really had a way.
He wasn't much older than her, but he was able to stun a professor at the Imperial Capital Cancer Hospital.
"Here." Zheng Ren tapped the radiographic film viewer with his finger and said, "From the CT enhancement, there's a problem here. It can be simply considered as atelectasis. However, if we look closely, we can see the deposition of hemosiderin cells and the dilation of pulmonary capillaries. The infiltration of interstitial inflammatory cells is not obvious. "
"What does this mean?"
Zheng Ren asked a question.
Zhou Chunyong felt that his previous ability to read radiographic films had been completely abused by Boss Zheng.
Could the deposition of hemosiderin cells be seen on CT enhancement?!
Professor Wu was puzzled.
"Therefore, we can think of it as not atelectasis or pneumonia, but pulmonary congestion.
"From the pulmonary congestion, there are many steps to think that there is a problem with the left pulmonary vein. The logical reasoning between this is not difficult, so I won't go into it."
Zheng Ren spoke with confidence and composure. Professor Wu and Zhou Chunyong were a little confused.
"I know that if we just talk, we can discuss it all day." Zheng Ren smiled and said, "If the patient's family agrees, I suggest we do a pulmonary venography. I just need to perfect the examination and do a differential diagnosis. I think it shouldn't be a big problem. "
"…" Professor Wu seriously pondered Zheng Ren's suggestion.
Boss Zheng did not insist that it was a diagnosis of pulmonary vein occlusion. No, he was sure, but he did not say that surgery was necessary.
This was to save some face for himself.
There was nothing wrong with a check-up, right?
It was just a pulmonary venography. It could be considered a diagnosis and differential diagnosis.
If Boss Zheng's diagnosis was wrong, the patient would not suffer any more harm. It was just an image. What could be wrong?
However, if the diagnosis was correct … It was impossible. It had to be lung cancer.
Professor Wu looked at the radiographic films and was slightly hesitant. Should he insist?
"Boss Zheng, Old Wu, I'll go talk to Old Li," Zhou Chunyong said while Professor Wu was thinking.
He did not have much doubt about Boss Zheng.
Boss Zheng was only one step away from saying that there was a problem with the pulmonary vein. Was he going 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 for his young age.
Professor Wu could only go with the flow and said, "Boss Zheng, if Old Li agrees, can you do it?"
"No problem. It'll only take ten minutes," Zheng Ren said casually.
Soon, Zhou Chunyong returned and said to Professor Wu, "Old Li and his wife have agreed."
Professor Wu hesitated and began to contact the interventional radiology department.
The interventional radiology department in the cancer hospital only focused on liver cancer and rarely touched other positions, so it was difficult to deal with them.
Zhou Chunyong did not care. He immediately called the chief of the interventional radiology department to explain the situation.
Zhou Chunyong had a considerable status in the academic world in Imperial Capital. Finally, the interventional radiology department opened the operating theater and a doctor on duty arrived.
"Professor Jiang will be here soon," the doctor said.
"Okay, it's fine. It's just an imaging. You can do it too." Zhou Chunyong was not polite at all.
"Chief Zhou, I'm not good enough," the doctor on duty said politely. "Let's wait for Professor Jiang to arrive."
"Little Jiang will be here soon. Get ready," Zhou Chunyong said directly.
He glanced at the doctor on duty with disdain and contempt.
What an ignorant doctor. Even if he had to take the blame, would he let him?!
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