Chapter 1944

However, if patients find some specious professional words on the Internet to question themselves, Professor Wu is certainly unwilling to pay attention to them.

Even Lin Yuan, who graduated from Harvard Medical School, questioned her, Professor Wu was unwilling to pay attention to her. You feel invincible when you are young and have a degree?

If she had not been Dean Lin's daughter, she would have kicked her out.

However,

It's boss Zheng!

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

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

Professor Wu was even more puzzled when he heard Zheng Ren say so.

Is this to take care of your face, or because of something?

Boss Xiao Zheng is different from the rumor.

"But if the interventional doctor sees the film, he will... After the interventional doctor sees the film, he will have other ideas." Zheng Ren smiled and said, "this is a complication of cardiac radiofrequency ablation, which is generally difficult to think of."

Everyone except Su Yun was stunned.

Advanced lung cancer, how to get together with radiofrequency ablation.

"Radiofrequency ablation, heart surgery, it is estimated that Professor Wu also knows, I don't..."

"Boss Zheng, I haven't done it." Professor Wu quickly stopped Zheng Ren's words and said without embarrassment: "you'd better tell me. Seriously, I don't want Lao Li's diagnosis to be advanced lung cancer. But now I watch the film and feel that the diagnosis is correct."

"Oh, all right." Zheng Ren looked for it. Su Yun handed over a piece of paper and picked up a tube of ballpoint pen from the table to Zheng Ren.

"Well, 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, to the right atrium, and then through the atrial septum to the left atrium."

Zheng Ren said while drawing.

"Radiofrequency ablation is to ablate the myocardial tissue that produces abnormal waves around the atrium or pulmonary vein in the form of discharge, which will lead to myocyte necrosis, collagen fiber proliferation and tissue deformation."

"Pulmonary vein stenosis is a complication that must be explained when performing radiofrequency ablation of the heart. Although it is unlikely that pulmonary vein problems occur in general, the patient has a clear history and has a history of radiofrequency ablation."

"This is a very clear past history, so it is very possible."

"Boss Zheng, with this alone?" Professor Wu still didn't understand. Boss Zheng made a judgment, which is illogical.

"This is a 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 left upper lobe of the lung. Well, at least we see this from the CT enhancement. At the beginning, Professor Wu, you should pay attention to one thing."

Lin Yuan looked at Zheng Ren and his eyes were straight.

She can only vaguely feel that there is a problem in the diagnosis. If she speaks one, two or three confidently like boss Zheng, Lin Yuan can't do it.

Seeing that boss Zheng is in high spirits and has more aura than the professors of Harvard Medical School, Lin Yuan wondered that the little doctor really has a set of skills.

Not much older than himself, he was stunned by the professor of the Imperial Cancer Hospital.

"Here." Zheng Ren tapped the film reader with his finger and said, "from the perspective of CT enhancement, there is a problem here. It can be simply considered as atelectasis. But if we look carefully, we can see the deposition of hemosiderin cells, the expansion of pulmonary capillaries, and the infiltration of interstitial inflammatory cells is not obvious."

"What do these mean?"

Zheng Ren asked a question.

Zhou Chunyong felt that his previously accumulated film reading function was abused by boss Zheng.

Deposition of hemosiderin containing cells, can this image be seen on CT enhancement?!

Professor Wu listened in a fog.

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

"From pulmonary congestion, it takes many steps to think that there is a problem with the left pulmonary vein. The logical reasoning between them is not difficult. I won't say it."

Professor Wu and Zhou Chunyong were confused when Zheng Ren talked with confidence.

"I know we can talk all day just by talking." Zheng Ren said with a smile, "if the patient's family agrees, I suggest doing a pulmonary venography. Just improve the examination and make differential diagnosis. I think the problem should not be big."

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

Boss Zheng didn't bite to death. It was a diagnosis of pulmonary vein occlusion. No, they were sure, but they didn't say that surgery was necessary.

This is to leave some face for yourself.

Check it out. That's always right.

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

If boss Zheng makes a wrong diagnosis, the patient will not suffer more harm. Make a shadow, what can there be.

But once the diagnosis is right... Impossible, it must be lung cancer.

Professor Wu looked at the film and hesitated a little. Should he insist.

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

He doesn't have so much doubt about boss Zheng.

Boss Zheng is one, two, three, four, five to mention that there is something wrong with the pulmonary vein. Do you still have to question boss Zheng here?

Bullshit!

Zhou Chunyong's trust in Zheng Ren is based on countless operations and teaching operations. For him, boss Zheng is his own teacher except for his younger age.

Professor Wu had to push the boat along the river and said, "boss Zheng, if Lao Li agrees, can you do it?"

"No problem, it's more than ten minutes." Zheng Ren said casually.

Soon, Zhou Chunyong came back and said to Professor Wu, "Lao Li and his wife agreed."

Professor Wu hesitated and began to contact the intervention department.

The interventional Department of the cancer hospital only focuses on liver cancer. It is rarely touched in other places, which is a little difficult.

Zhou Chunyong didn't care. He called the director of the interventional Department of the cancer hospital directly to explain the situation.

Zhou Chunyong still has a considerable position in the Jianghu. Finally, the interventional Department opened the operating room and a doctor on duty came.

"Professor Jiang will arrive soon." The doctor on duty said again and again.

"Well, it's all right. It's just an angiography. You can do it." Zhou Chunyong is not polite at all.

"Director Zhou, my level is almost." The doctor on duty hurriedly said, "I'd better wait until Professor Jiang comes."

"Xiao Jiang will arrive soon. Let's prepare first." Zhou Chunyong said directly.

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

What an innumerable doctor. Even if you carry the pot, you can carry it?!