This doctor has a system

Chapter 177.

"This kind of civil dispute is useless if the police come." Hu Jiaran was looking for clothes, and he was going to take everyone to live in the mountains for 2 days to feel the influence of nature. .”

"Why are you doing this? Just lying down?" Dai Yonghui looked at him incredulously, "This is a multi-billion-scale achievement, what are you doing with them!"

"What's going on with you people?" He really couldn't understand.

Seeing him jumping up and down all the time, Hu Jiaran had no choice but to reveal some news.

"Hey! No wonder you look as stable as Mount Tai. It turns out." Dai Yonghui breathed a sigh of relief, "No, go to our company to do it, such a thing can't happen."

"Principal, Professor Li was found fainted in the office," the office director reported to Principal Zhou.

"What?" Principal Zhou stood up immediately, "What's going on? Tell me!"

"It is said to be an acute cerebral infarction." The office director carefully peeked at the leader's face, "It's quite serious, and I can't move half of my body."

"Paralyzed?" Principal Zhou was a little taken aback, did he suffer retribution?

"Where are the experimental records?" He hurriedly asked, this is much more important than Li Guoshan.

"Here it is." The office director hurriedly took it out, "That's it." He hesitated a bit.

"Say it!" Principal Zhou was very angry.

"Professor Chu has read it, and said it's useless, and the important steps and processes are not written on it." The office director whispered, "It's like waste paper."

"What are you talking about!!" Principal Zhou stared at him with blood-red eyes.

"I didn't say it, it was Professor Chu who said it." The office director was taken aback, "Should I bring him here now?"

Principal Zhou went to the hospital to see Li Guoshan in person. The other party has already woken up. He was very excited to see him coming, and he spoke to him inarticulately.

"Xiao Zhang, feed me a pig!"

What was he talking about, Principal Zhou gave him a disgusted look, "Li Guoshan, why did Professor Chu say that this experiment record is a piece of waste paper? You'd better give me an explanation!"

"Wo choked to death and was sidelined." Li Guoshan was agitated, and his blood pressure immediately went up.The ECG monitor next to the bed immediately sounded an alarm.

The nurse hurried over, "Why are there so many people here? Look how high the blood pressure is! Don't talk to the patient anymore."

Li Guoshan's wife was very dissatisfied, "What do you mean? Our old Li has worked hard for the school, and now it's like this. If you care, you don't know how to say a few words. How did you become a leader?"

"Let me tell you, if something happens to him, I can't spare you!"

shrew!Principal Zhou walked out of the ward with a gloomy expression.

"It seems that we have to prepare for the aftermath." Principal Zhou didn't mean much regret, and he had expected this situation.It's just a bit disappointing when it actually happens.

1 billion!Gone.

"Li Guoshan, from the Department of Bioengineering, without the authorization of the school leaders, made his own initiative and forcibly occupied the laboratory led by Professor Gao Feng, which our school has worked so hard to introduce, causing great losses to the latter!" Zhou Zhou The headmaster's tone was dignified and his eyes were determined.

"The school must not tolerate this situation! After he is discharged from the hospital, he must be dealt with seriously!"

Everyone in the audience looked at him with strange eyes, and Principal Zhou couldn't help it.

"Didn't you ask Li Guoshan to lead the people from the security department?" Vice President Wang said, everyone was there at the time, and you can still make a push.

"Nonsense!" Principal Zhou dissatisfied, "What I said originally was to let him protect the school's property from loss. Who knew he could do such a thing."

"I was also shocked when I found out. You said he looks like a pretty reliable person, but why is he so outrageous in his actions!"

"Of course, I also have certain leadership responsibilities." Principal Zhou made a painful gesture, "I will go to Professor Gao to apologize and ask for his forgiveness the next day."

"Vice President Wang, you should also communicate with Professor Gao quickly to clear up this misunderstanding. It's better to follow the contract, 10% is 10%, and extra schools don't want a share. Let him come back quickly and continue to work, and strive to get the results as soon as possible. do it."

Everyone was stunned by Principal Zhou's shamelessness.

Good things don't go out, and good things spread thousands of miles. This matter quickly fermented in the circle.

Several old leaders who were very concerned about the development of the school called Principal Zhou, who was devastated.Vice-principal Wang and Vice-principal Liu ran to the province several times and sued Principal Zhou severely.

"One general is incompetent and exhausts the three armies to death!"

"He did it on purpose!"

"I'm old, my brain doesn't work anymore!"

"Occupy the latrine and don't shit!"

Such a straightforward expression of dissatisfaction with the top leader is too rare. The leadership of the Department of Education attaches great importance to this matter, and soon an investigation team was established.

Gao Feng also received a call from Vice President Liu of Z University, "Professor Gao, look at you, you are at a disadvantage." Vice President Liu said with a smile, "If you don't come here with such good conditions, you have to go there , was put together by someone!"

"This...hehe." Gao Feng was a little embarrassed, "I was also moved by the conditions there at the time, and I didn't expect such a situation to happen."

"Didn't I say that the current school is also so fancy?"

"We are not like this!" Vice President Liu said quickly, "The platform is different, they are too petty."

"The impact of this incident is quite bad. I think some people are going to be unlucky."

The two chatted for a while, and Gao Feng said he wanted to think about it, so he hung up the phone.
-
The next day, Gao Feng was doing ward rounds, and Director Shen called, "Gao Feng, come to the Thoracic Surgery Department at 10 o'clock. There is a special patient who needs to be seen."

The patient was a 76-year-old lady, the mother of Vice President Liu, the director of the hospital.

"It's lung cancer." Vice President Liu was very depressed, "I had a chest CT scan the year before last, and I didn't see anything at that time!"

"Could it be a mistake?" He looked at everyone as if asking for help.

"President Liu, don't worry, all the experts will be here in a while." Director Wang from the Medical Education Department comforted, "Let's take a closer look, maybe the imaging department made a mistake."

Soon, more than a dozen directors from the respiratory department, oncology department, thoracic surgery department and imaging department all arrived.

The patient's doctor in charge introduced the condition carefully to everyone, "The patient is a 76-year-old female patient who has had a cough for more than a month, which has worsened for a week. There is no purulent sputum or bloody sputum."

Blood test results showed that the number of white blood cells and neutrophils increased, and C-reactive protein and procalcitonin also exceeded normal values.

The patient also had mild anemia, and the tumor marker CY21 CEA glycogen antigen 153 was elevated.

Everyone carefully looked at the chest CT on the computer, and then went to the ward to see the patient.

"The enhancement is so obvious that the blood vessels can be seen, isn't it lung cancer?" Someone said softly.

"Yeah, it's a lung cancer, what's the problem?"

"There's no need to discuss it here. This mass is close to the pleura. If you really want to be sure, you can do an ultrasound-guided biopsy." Gao Feng knew the speaker, and he was Director Li of the Imaging Department.

"Looking at the flowers in the fog: Hu Tieniu originally thought that she was just here for a few days of infusion, but her son's expression became more and more serious these days, and she also felt uneasy. Seeing flowers in the fog are not flowers, looking at the moon and moon in the water Feiyue, please use your professional knowledge to help Hu Tieniu get the correct diagnosis. You can get 10 skill points for completing the task, and 20 skill points will be deducted for failure."

In an instant, Gao Feng felt a lot of pressure. The sixth child in the system would deduct 10 skill points if he made a mistake.
"Director Shen, you can also say a few words." Director Wang began to call the names one by one.

"Along the distribution of lung markings, inflammatory lesions should be considered first, and the internal necrosis margins are clear, which is one of the important points for distinguishing from tumor lesions. The blurred edges of the solid part of the lesion gradually fade, reflecting the pathological process of inflammatory exudation. So Inflammatory lesions should be considered overall."

“Granulomatous inflammation and necrosis should be considered in view of the obvious enhancement of the parenchyma. The small internal bubbles are not located above the necrosis, so coagulation necrosis should be considered instead of liquefaction necrosis, so tuberculosis and cryptococcus should be considered.”

"The relationship between the lesion and the pleura and the fact that the lesion is relatively single, without calcification, and without acinar nodular shadows, do not make people consider tuberculosis first."

"If it is really an inflammatory lesion, it is located under the pleura, with coagulation necrosis inside, obvious parenchymal enhancement, halo signs at the edge, and lesions in other lung lobes. I think the diagnosis of pulmonary cryptococcosis should be given priority!"

Director Shen's speech made Gao Feng's eyes light up, and the others also whispered to each other.

"I agree with Director Shen's opinion!"

"Irregular solid lesion, which can be reached under the costal pleura, part of the bronchus is cut off, blood vessel bundles can be seen, bronchial air sign, focal necrosis can be seen near the pleural side of the mass, and small air bubbles can be seen inside. No obvious pleural thickening can be seen. Partial swelling can be seen in the mediastinum Large lymph nodes, scattered patchy infiltrates can be seen in the remaining lungs!

First consider the possibility of inflammatory changes in the lungs and the possibility of cryptococcal infection. I suggest checking whether the immune system is suppressed! "This time it was a director of the oncology department who spoke.

Two people said it was not a tumor one after another, and Vice President Liu's eyes lit up.

"The mass adjacent to the costal pleura is pulled and shifted inward, and the extrapleural fat space widens, indicating that the parietal pleura has been invaded, and malignancy should be considered. 90% of peripheral lung cancers that invade the chest wall and pleura are squamous cell carcinomas. After the mass is enhanced, it appears carcinoma Intensification, focal necrosis is seen near the pleura, and necrosis and cavities consistent with lung cancer mostly occur on the side away from the hilum, which is caused by insufficient blood supply."

"The possibility of squamous cell carcinoma of the lung is high!"

Hearing the speech of a director of the Department of Thoracic Surgery, Vice President Liu's eyes darkened again.

"The necrotic boundary in the center of the lesion is clear and smooth, the surrounding tissue is obviously enhanced, and the edge is blurred. The abscess may be large. The increase in blood neutrophils also supports it." This time, Director Pan from the respiratory department, the bald one, was speaking Specialized in infection.

"Gao Feng!" Director Wang shouted, "Say a few words, too."

"I also think it's a lung abscess. I suggest reexamination after anti-inflammatory treatment." Gao Feng pondered for a while and said.

"The patient has an acute onset, and laboratory tests support infection; the long axis of the lesion is perpendicular to the pleura, and is distributed along the lung markings."

"A large piece of necrosis inside, clear edges, and small bubbles can be seen; after enhancement, there is obvious ring enhancement around, and halo signs can be seen around."

"To sum up, I think lung abscess is the most likely, so a needle biopsy is not recommended."

"I disagree with you." A director of the oncology department said, "Why don't you consider squamous cell carcinoma?"

"The necrotic wall of squamous cell carcinoma is uneven, and mural nodules can be seen, but the inner wall of this lesion is smooth, and no mural nodules can be seen." Gao Feng explained.

"But the patient did not have symptoms of fever and coughing thick sputum." Some people continued to raise doubts.

Gao Feng didn't know how to answer this question. Imaging is like this, and it can only be used as a reference. Except for the more typical ones, everyone may have a different opinion.

"Generally speaking, there are more experts who consider inflammation." Director Wang reported softly to Vice President Liu, "Can't you take anti-infection treatment for a week and see?"

"Okay." Vice President Liu nodded. If it is really a tumor, according to the current imaging findings, there is not much difference between treatment one week earlier and one week later.

"Looking at the flowers in the fog: Although the imaging performance is a bit confusing, you still made the correct diagnosis with your solid imaging skills combined with the patient's symptoms. You have gained 10 skill points."

After receiving the prompt from the system, Gao Feng was very happy. It seems that this patient is lucky.

As soon as he returned to the ward, Li Youliang came to find him. The company had recently purchased 3 cars for the purpose of tax avoidance. He came to complete the signing procedures.

"Manager Zhao said that we should be more formal in the future." Li Youliang said to Gao Feng, "There can be no more signings."

"This old Zhao." Gao Feng smiled, "Did you still buy the Audi?"

"Correct."

Wang Liang is waiting at the Audi 4S shop, and Hu Jiaran asks him to drive a car to X Township.

"It's cheaper if we buy three cars at once?" He said to Hu Jiajia dissatisfied, "The delivery is still so slow, I won't come to you in the future."

"Don't, brother." Hu Jiajia said anxiously, "I'm not kidding you, it's already the biggest discount." She sold three Audi A6Ls at once, and she must be the top seller this month.

"Brother, let me give you a trolley case."

"Two!" Wang Liang left contentedly.
-
Zheng Xinglong is an old smoker. He had a severe cough recently. With the persuasion of his family, he finally decided to go to the hospital for examination.

"There are so many people!" He looked at the crowd in the hall and was a little tongue-tied, "How much money does this hospital make every day! What a black heart!"

After signing up for the respiratory department, there were more than 20 patients in front of him. Zheng Xinglong was very angry. With so many people queuing up, couldn't the hospital invite more people?He immediately took a few photos of queuing and sent them to Moments, and added a bgm: We are all living hard
It quickly got praise from many people, which gave Zheng Xinglong a sense of accomplishment.

After 10 minutes, the team was still standing still, and a patient did not come out after entering. "Is there a mistake? I haven't come out after seeing a doctor for so long? Is the hospital run by my own family? I really have no quality!" Zheng Xinglong was furious.

Finally, it was his turn. Director Zhao asked about the medical history carefully, and listened to him with a stethoscope, "You need to take a CT scan." Li Youliang's younger brother hurriedly issued the checklist.

"That's it?" Zheng Xinglong said dissatisfied, "Send me away in a few minutes?"

"I'm not in a hurry, just give me a good look!"

"Also, if you can't find the problem after spending money, just wait for me!"

After leaving the house, he posted another circle of friends, "The hospital is cheating money. The registration fee of 15.5 yuan was rushed out in 1 minute, and hundreds of checkups were prescribed." Then he added a bgm: good health most precious
　Today I am going to do bronchoscopy treatment, that's all for this chapter.Do it the day after tomorrow.

　　In the end, I had the cheek to ask for a monthly ticket...

　　
　
(End of this chapter)