Back in 2002 as a doctor

Page 926

For example, the title of No.2004 surgeon in the 1 World Cardiothoracic Surgery Competition was added to the resume of Director Zhang.

The master swordsman... Although Zhou Congwen didn't mind, he was still quite helpless.

This word doesn't make any sense at all, and it doesn't sound like what an old clinician said.

A performer is a performer, and if he is not the chief swordsman, he is called an assistant. How come there is a term for the chief swordsman.

But this matter is still something that Zhang You can do, he is such a person himself.

At that time, using Zhang You's utilitarianism to promote the operation in the Second Hospital of Medical University, Zhou Congwen also had other ideas.

So he didn't care about it.

Although the master swordsman is a joke in the eyes of experts, it is simple, popular and easy to understand in the eyes of ordinary people.

Zhang You can say whatever he wants, it has nothing to do with him.I don't believe that when Zhang You went to the imperial capital to attend the annual meeting, he still had the face to say that he was number one in the world.

When he came to the ward, Zhou Congwen saw Dean Chen sitting beside the bed like a stone sculpture, with no gleam in his eyes.

Zhou Congwen greeted Dean Chen, but Dean Chen did not respond at all.He didn't continue to do anything, but started a physical examination.

Director Han noticed that after Zhou Congwen's normal cardiothoracic surgery checkup, he began to do a neurological checkup.

That's all there is to it, the key is that even Director Han has seen some clues.

Chen Hao's right limbs are weak, which is completely different from the left.

He approached Dean Chen and asked, "Chen Yuan, is Chen Hao left-handed?"

"No." Dean Chen replied, his voice hoarse and distraught.

Director Han sighed inwardly, it's the same no matter who happens to send a white-haired person to a black-haired person.

"Professor Zhou, you're not left-handed," Director Han said.

"Get ready for an MRI." Zhou Congwen said, "Look at the head."

"It's okay to go for NMR under the current situation." Director Han hesitated.

"Let's take a look. There is no better way now. Neurological diseases must be ruled out."

"What do you think..." Director Han asked in a drawn out voice.

"It may be a cerebral infarction."

"!!!"

Director Han was stunned.

Dean Chen's son, Chen Hao, suffered repeated cardiac arrests, and his condition is not good until now.

But Zhou Congwen actually said it was a cerebral infarction? !

If it weren't for the path dependence in his mind, Director Han would have scolded him directly.Even if the directors of other departments in the Second Hospital of Medical University made such absurd diagnosis, he was not used to it.

But the person who said this was Zhou Congwen, Director Han said helplessly, "Professor Zhou, it's a cardiac arrest."

"Director Han." Zhou Congwen sighed, "The brainstem is the nerve center."

"!!!" Director Han was dumbfounded, what Zhou Congwen said was indeed reasonable, and the weakness of Chen Hao's right limbs seemed to explain something.But Director Han felt something was wrong, cerebral infarction would lead to continuous cardiac arrest?

If the brain stem is damaged, the situation should be more serious than it is now.

But despite constant suspicions in his heart, Director Han immediately contacted NMR, and found someone to help send him for an examination.

Zhang You followed in the crowd, and when he saw Zhou Congwen, he was afraid like a mouse seeing a cat.

But Zhou Congwen kept frowning, as if he was thinking about something, and didn't take the initiative to talk to Zhang You.

Zhang You didn't take the initiative to talk to Zhou Congwen either, he tried his best to make himself a little transparent and not appear in Zhou Congwen's field of vision.

According to the relationship between the two, Zhang You should at least greet Zhou Congwen cordially, but he couldn't say why he was afraid of this young man.

It may be that Mr. Huang and Zhou Congwen stood shoulder to shoulder in Frankfurt to challenge the legacy left over from the FDA's 501K process. Zhang You can't say it well.

After the NMR was done, someone sent Chen Hao back, and Zhou Congwen sat in the NMR room waiting for the results.

Everyone in the Second Hospital of the Medical University, including Director Han, stood behind Zhou Congwen's chair, waiting silently.

At this time, no one questioned Zhou Congwen openly.

He has already proved his ability with countless cases, and the directors of the Second Hospital of Medical University know it well, no one wants to find trouble and put himself in an embarrassing situation.

Soon, the NMR image came out, and Zhou Congwen clenched his fist with his right hand and smashed it on his left hand.

"Brain stroke!" Zhou Congwen said affirmatively.

Chapter 1593 Trauma?

"Come to the neurology department." Zhou Congwen said.

"Professor Zhou, can you explain?" Director Han asked with confidence when he heard that Zhou Congwen was looking for neurology again.

Zhang You looked at Chen Hao's MRI suspiciously. He never expected that the cause of his pressing and electric shock many times before he was brought back was cerebral infarction.

This is a bit weird, generally speaking, cerebral infarction does not cause cardiac arrest.If the brain stem is involved, it is basically impossible to recover after stopping.

So Zhang You didn't think about that at all.

But in the face of the typical cerebral infarction image on the MRI, Zhang You had nothing to say.

Clinical common sense was shattered in front of Zhou Congwen.

"First, the patient has dizziness, nausea, vomiting and nystagmus, which means that the vestibular nucleus is damaged."

"Secondly, the soft palate and throat muscles on the lesion side of the MRI were paralyzed, manifested as dysphagia, dysarthria, drooping of the ipsilateral soft palate, and loss of gag reflex. This means that the nucleus ambiguus and glossopharyngeal and vagus nerve damage."

"third……"

Zhou Congwen turned on the class mode with his fingers, one, two, three, four, five, which stunned Director Han.

Director Han was born in a major, with a bit of quackery, family resources and his own emotional intelligence, that's why he thrived in the Second Hospital of Medical University.

But it is impossible and unrealistic to say how high Director Han's level is, and to be able to make a diagnosis and differential diagnosis across disciplines.

Not to mention Director Han, even Zhang You couldn't understand the diagnostic basis Zhou Congwen said while snapping his fingers.

The distance between cardiothoracic and neurosurgery is like a bird and a fish, unreachable.

"Eighth, the patient has crossed sensory disturbance, that is, ipsilateral facial pain and loss of temperature sensation, which means that the trigeminal nerve and spinal nucleus are damaged; Damage to the lateral thalamic tract."

"In summary, coupled with the MRI images, Chen Hao's diagnosis is brainstem infarction, and symptomatic treatment is enough."

After Zhou Congwen finished speaking, he breathed a sigh of relief, "I thought it was an ion channel disease on the way here. If that is the case, it will be more difficult to treat, and there is also a genetic predisposition."

"..."

"..."

Director Han and Zhang You looked at each other, neither knowing what to say.

After a few seconds, Zhou Congwen looked at Director Han with a smile, "Director Han, do you want to ask how the repeated cardiac arrests come about?"

"Yeah." Director Han nodded without hiding anything.

"It's called Wallenberg's syndrome, and it can cause repeated cardiac arrests. Chen Hao was lucky. He survived at home until the 120 ambulance arrived, and after a series of treatments, he was given a temporary pacemaker."

"What is Wallenberg syndrome?" Director Han continued to ask.

"Hehe." Zhou Congwen didn't answer, he smiled, "It's too troublesome to talk about, let the neurology department deal with it. Tell Dean Chen, symptomatic treatment is enough, and the temporary pacemaker can be taken out in a week."

"What about Chen Hao?"

"Generally speaking..." Zhou Congwen pointed to the image that continued to come out, which was an MRI of the neck.

"The dorsolateral infarction of the right medulla can be seen above, and the cause was found here-the stenosis of the right vertebral artery, suggesting vertebral artery dissection."

"Generally speaking, this kind of situation should be caused by trauma. Director Han, please ask about the medical history."

"Trauma? No, it's impossible." Director Han said doubtfully.

The word trauma hit Director Han's nerves, causing him to be in a trance for a moment.

"It's very fragile here, maybe it's a coincidence, anyway, just ask." Zhou Congwen said, "It doesn't matter if you can't ask, we don't need to know how the disease came, we just need to know how it disappeared."

Director Han felt relieved after hearing Zhou Congwen's affirmation.

He asked for leave first, and hurried to tell Dean Chen the "good news", while running, he contacted the director of the Department of Neurology for consultation.

Seeing that Zhang You was about to slip away, Zhou Congwen called to him, "Director Zhang, long time no see."

Zhang You was stunned for a moment, his back turned to Zhou Congwen with a sad face.

He really didn't want to see Zhou Congwen, an ascetic who didn't have any interests or hobbies, and spent all his time and energy on business.

Moreover, Zhou Congwen has worked in the academician workstation of the Second Hospital of Medical University for more than a year, and the "inheritance" left to Zhang You is all bad memories of being overwhelmed and breathless, except for a world number one.

The chief director of the department occupies the commanding heights of "righteousness", and he can even make Zhou Congwen suffocate. Zhang You knows exactly how strong Zhou Congwen is who can do this.

In addition, Zhang You had guessed what Zhou Congwen was going to do, so he tried his best to avoid the evil star, but Zhou Congwen saw him and called him to stop.

Turning around, the sorrow on Zhang You's face disappeared in an instant, and it was full of smiles, and the big teeth were bared.

"Professor Xiao Zhou, why don't we say it's you." Zhang You praised, "The Second Hospital of our Medical University is a bit better than the grassroots hospitals. If we really encounter difficult problems, we will panic if you are not here."

"Hehe, it's not that serious." Zhou Congwen waved his hand, "Director Zhang, how is the business going?"

"It's okay, it's okay." Zhang You said perfunctorily, haha.

"That's really good." Zhou Congwen said, "How many cases have the new technique been developed, Director Zhang."

"..." Zhang You said something vaguely.

"Director Zhang, look at you." Zhou Congwen put his arm around Zhang You's shoulders, as familiar and friendly as a pair of old friends.

While talking, the two walked out, and when they came to the elevator, Zhou Congwen said, "Boss Liu didn't make things difficult for you that day, did he?"

"Difficult?" Zhang You was taken aback.

"Yeah, the boss is tired. I'll go with the boss first." Zhou Congwen said, "Call Boss Liu and ask him to take care of you."

How long has this been going on?Zhang You looked at Zhou Congwen in puzzlement. He knew this young man well, and already had a premonition that his pass would be difficult.

What the hell, why do you want to bring this evil star back, wouldn't it be good to have Zhou Congwen in 912!

Zhang You slandered wildly in his heart.

"Boss Liu is very down-to-earth." Zhou Congwen said casually, and got on the elevator with Zhang You. "How does it feel to accept the award? Is Director Zhang interested in this year's World Competition?"

Zhang You's heart moved, but after thinking about it, he realized that Zhou Congwen was just talking casually.And he remembered that he was wearing a lead suit every day for surgery in order to become the number one in the world, and he was as tired as a dog, and he was bored.

"Hey, Professor Xiao Zhou, you are just flattering me." Zhang You tried to make a sincere expression and said, "The relationship between us can start from the Third Hospital of Jianghai City. At that time, I really worked hard. I want to call you over."

Chapter 1594

"I still remember Director Zhang driving to my hometown. Director Zhang doesn't dislike that kind of dirt road." Zhou Congwen said with a smile, "I remember it all in my heart."

Zhou Congwen said it politely, but Zhang Youxin's feeling in his heart was getting worse and worse, and there was a faint stance that the building was about to collapse.

"So, I came to the Second Hospital of Medical University to preside over the work of the Academician Workstation, so I have been thinking about pulling Director Zhang to participate in the World Competition." Zhou Congwen put his arms around Zhang You's shoulders very "jianghu", "Director Zhang, you are good to me , It’s all in my heart. We are not people who talk big, we have to get benefits.”

"..."

Zhang You was speechless. Based on his understanding of Zhou Congwen, Zhang You knew that Zhou Congwen should be dissatisfied with him.

Zhou Congwen has never been in such a quack before, like the kind of charlatan who came out with a leather bag to swindle money, full of loyalty, but in fact he didn't do anything.

Zhou Congwen's abnormal performance today made Zhang You a little numb. He knew that he had encountered a big problem.

The elevator door opened slowly, and the oncoming person was the photo of Zhang You holding a trophy in one hand, smiling brightly in the spring, and his big teeth seemed to be inlaid with diamonds.

Zhou Congwen walked out with his arms around Zhang You's shoulders, looked at the photo, and exerted a little force on his hands.

"Director Zhang, you must have been very happy that day. Look, a smile bloomed on your face." Zhou Congwen said lightly.

"It's okay, I'm very guilty." Zhang You's forehead was already sweating, "At that time, I saw you and Mr. Huang left, and I didn't know what to do. I almost had a heart attack due to nervousness. If you don't believe me, ask Shen Lang. "

Zhou Congwen listened to Zhang You talking about him, and smiled, "Director Zhang, we got the number one in the world together."

"Hmm!" Zhang You replied in a daze.

"Did you understand the boss's speech at the academy? The boss learned English after the age of 50. Did Marx say that foreign languages ​​are weapons of struggle, and the boss is that kind of person. When he hears about fighting, his whole person is different. up.

He was 50 or [-] years old when he learned English, and he never thought he could do it.The boss speaks fluent English, which is amazing. "