This doctor has a system

Chapter 418 483. Even though you are so old, you are still so small-minded.
"Gao Feng, congratulations on your win." Director Fan Enfu said with a smile, "Are you busy recently?"

"I'm a little busy," Gao Feng replied.

"Are you helping Academician Bao with a project?" Director Fan asked, "I heard that he was tricked by a foreign devil."

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It is true that good things never go out, but bad things never go out.

"Actually, there's no big loss." Gao Feng said, "The main thing is that the old man feels cheated and is unhappy."

"Be careful when dealing with foreign devils." Director Fan said, "Some people are more thoughtful than us Chinese."

Gao Feng nodded in an educated manner, but he had never been troubled by this before. The experience of dealing with foreigners these past few times was quite pleasant.

Should he say it or not, the watch he was given as a gift is worth millions.

"Let's go see a patient." Director Fan said the purpose of this trip, "The daughter-in-law of a friend of mine is hospitalized in our gastroenterology department, and nothing can be found wrong with her."

Director Fan’s friend’s surname is Zhou. He is over 50 years old. Judging from his dress, he must be of extraordinary status. This is the case here in the capital. A brick falling from the 8th floor can knock out 8 rich people.

Director Fan's eyes widened again.

Director Fan ignored his dissatisfied attitude and directly pulled up a stool.

"Don't worry about where I feel uncomfortable. Just take a look first and then I'll tell you." The patient said.

When the patient came and sat down, the professor asked: What makes you uncomfortable?

"Don't worry about the symptoms, just take a look first." Director Fan said.

"How are you today?" asked Director Fan.

"What are the symptoms?" Director Bian asked.

Gao Feng just asked if he could watch a movie, and he immediately carved a plate and sent it to him. His attitude was ridiculously good.

"Where?" Director Fan adjusted his glasses.

"It's different. The mesangium near here is also slightly thickened." Gao Feng said.

"Director Fan, there seems to be uneven heightening in the right attachment area."

I have to say that apart from being expensive, there is nothing wrong with high-end private hospitals.

"Do you have a fever?" Gao Feng asked. He felt that the patient's skin was a little hot.

Afterwards, the pain worsened, and she came to the Gastroenterology Department of Union Hospital 13 days after delivery.

"Of course that's a good attitude." Director Fan said with a smile, "The maximum price for giving birth to a child in the community is 5000, and there must be at least one extra zero."

Director Bian of the imaging department came over cursing.

There are too many patients in Xiehe. Plain scan is okay. The doctor in charge can say a few words to improve it, but enhancement is enough. This takes a long time and queue cutting is not allowed unless there are special circumstances.

"I'll ask Lao Bian to take a look." He said after a long time.

However, the gastroenterologist ordered an ultrasound examination of the appendix area, but found no abnormalities.

After a physical examination of the patient, Gao Feng noticed that the incision on her abdomen had not yet grown, and the patient frowned when he was pressed.

"Is there any?" He looked at it with wide eyes and wondered, don't the two sides look the same?

"Have you had a contrast-enhanced CT scan of your abdomen?" Gao Feng asked.

"Will anyone live in such an expensive place?" Li Youliang exclaimed.

Putting the CD in, Gao Feng looked at it carefully.

Gao Feng soon saw the patient, with a look of pain on her face.

"It hurts right here." The patient pointed to the appendix area and said, "The pain has been getting worse and worse in the past few days."

"While I'm busy, the patients in the outpatient clinic are screaming and insisting that I come over now!"

The patient was 33 years old and developed metastatic right lower abdominal pain starting on the 8th postpartum day. He went to the hospital on the 10th postpartum day and found no special findings or treatment;

The current imaging department director feels the same way.

"Abdominal scan done in a private hospital?" Gao Feng asked curiously.

"The inflammation indicators are currently a bit high." The doctor in charge said, "We are going to use antibiotics."

"No, we have to wait until tomorrow afternoon." The doctor in charge quickly replied. The patient had a full abdominal scan at a private hospital, and the report said that no abnormalities were found.

"Quick, old Bian, see if there's anything wrong?"

"If it weren't for a harmonious society, I would have slapped her." The professor almost suffered internal injuries.

"Nothing has changed." The man named Zhou had a sad look on his face.

"Yes, she gave birth there." Director Fan said, "It is a high-end private hospital that serves pregnant women and children."

"You like to talk but don't talk." He stood up and was about to leave.

"37.9°C." said the nurse on the side. She was still holding ice cubes in her hand, and she seemed to be preparing to physically cool the patient.

“It’s full all year round,” said the patient’s father-in-law. “On good days, there may not be rooms available.”

Gao Feng almost laughed out loud. He remembered a professor who complained about a patient before.

"Oh, I don't have much ability, but I have a bad temper." Director Fan quickly stopped him, "Abdominal pain, pain in the appendix area of ​​the right lower abdomen 8 days after uterine delivery. This was the abdominal scan done at that time."

"Why not just do a plain scan and add enhancement?!" Director Bian said unhappily, "If the abdomen is not enhanced, it's like being a hooligan!"

"It was done in another hospital. The abdominal pain wasn't very serious at the time." Director Fan urged, "Take a look quickly and don't find fault."

"There doesn't seem to be any problem with this." After a long time, the director scratched his clever head and said, "Let's make some enhancements first."

"No problem at all??" Director Fan's tone was a bit disgusting.

"No, what do you mean by that?" Director Bian heard something was wrong, and his face suddenly dropped.

"I came all this way to show you a movie, but you are embarrassing me!"

"Didn't you notice that there seems to be uneven heightening in the right attachment area, and the adjacent mesangium is also slightly thickened?" Director Fan said, "Hurry and take another look!"

Director Bian wanted to curse loudly, but after hearing this, he quickly sat down again.

"There's no difference between the two sides." He hesitated, "How do you see the difference? Are you a titanium alloy dog-eye?!"

"What did you say about Director Gao!" Director Fan.

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He always felt that Director Fan was up to something.

"Director Gao?" Director Bian was stunned for a moment. Where did Director Gao come from? Apart from the two of them, there seemed to be three people next to him. One was the doctor in charge, none of them was wearing a white coat, and the other was also very young.

Could it be that this is Director Gao?

"Hello, Director Bian, I am Gao Feng." Gao Feng introduced himself, "A student of Academician Bao."

"A student of Academician Bao?" Director Bian suddenly remembered, "Oh! I know you. You won the national award some time ago."

He said why this name felt so familiar, it turned out to be this person. "Old Bao is just unlucky. He picked up a student like you for free when he was about to retire." Director Bian's tone suddenly became complicated. "There used to be a student who followed him who was also very good, but he died in a car accident."

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"Old Bian, you must have been kicked in the head." Director Fan said speechlessly, is there anyone who talks like this?
"You should be talking about Chang Huifeng, he is my fifth senior brother." Gao Feng said.

"Yes, that child is still the top scorer in the college entrance examination in Jiangsu Province." Director Bian said, "He is a couple with a student I teach. It's a pity."

This kid was killed in a car accident at a young age. His student was devastated at the time. He dropped out of school before finishing his Ph.D. and is now missing.

Speaking of these, Director Bian expressed regret in his tone. There were very few top scorers in the college entrance examination who studied medicine. It was not easy to find such an outstanding one, but the result was still like this.

"Let's talk about movies." Director Fan brought the topic back.

"I don't see anything unusual." Director Bian looked at Gao Feng and said.

"If you look carefully, you can still find the problem. I think the density values ​​on both sides are different." Gao Feng said.

Director Bian didn't know what to say. This was a CD carved by an external hospital. The CT value couldn't be displayed on the computer. He didn't know how the other party could see it.

Could it be that they are really titanium alloy dog ​​eyes?

"We can't wait until the enhanced CT results come out," he said tactfully.

"Actually, I think we can do a color ultrasound first." Gao Feng said, "This area is closely related to the right ovary. There may be a problem with the blood vessels."

The physical condition of mothers who have just given birth is different from that of ordinary people. The blood viscosity in their bodies is higher and embolic diseases are more likely to occur.

Gao Feng now felt that there must be an embolism in this place.

"It's most likely a blood vessel."

"But the color Doppler ultrasound results are fine." The doctor in charge was finally able to interject, "We even did the color Doppler ultrasound of the liver, gallbladder, pancreas, spleen, uterine appendages, and urinary tract at the same time."

"No big deal."

When he said this, Gao Feng hesitated.

"Maybe the doctor who did it at the time didn't notice it." Li Youliang said casually, "Let's do it again. Let's find an expert to do it."

Director Bian shook his head helplessly. Today's young people are really talking too much. The experts who open their mouths and keep their mouths shut are taught by them. Do you think everyone is as good-tempered as him? Arrive as soon as you call?
The color Doppler ultrasound room is busier than the imaging department. The patients are like children waiting for food. If you dare to leave them dry for a long time, your spine will be broken.

"Lao Guan, we are going to do color ultrasound now, please prepare." Director Fan made the call.

"What? You don't go to work?"

"That's great." Director Fan's face was full of surprise, "Then come over now and come directly to our bedside."

"It saves patients from running away anymore."

Director Bian

"Lao Fan, I really underestimate you." Director Bian was silent for a while and said, "Your hands and eyes are all over the sky."

Director Guan of the color ultrasound room has a very bad temper, and I have never heard of anyone who has a good relationship with him. Not only did he not get along with his colleagues in the department, he also spoke outright and was always complained by sensitive patients.

The year before last, I had a fight with a patient who called himself "God" on the spot in the outpatient clinic, and it was finally judged to be a mutual assault.

The patient went to the hospital to complain to him, and he called all his family members with one phone call, and the family went directly to the patient's unit to make a complaint.

In the end, both sides chose to take a step back, and the farce ended.

Anyway, it’s just a sentence: I can’t get used to whoever does it.

"Why did you come so slowly?" Director Fan looked dissatisfied, "We have been waiting for you for more than half an hour."

"Traffic jam." Director Guan operated the instrument without raising his head.

"You're an electric scooter rider. Can a traffic jam stop you?" Director Fan said reluctantly, "You're just lazy."

"There are many people, so I ride a little slower." Director Guan, who was rumored to have a bad temper, spoke as kindly as a little daughter-in-law. Director Bian beside him was so shocked that his jaw almost dropped.

Gao Feng also feels that Director Guan is quite easy to get along with, and it is better to meet him if he is famous.

"It means I rode faster when I broke my calf." Director Fan said.

"Don't always say that." Director Guan was angry, "I'm telling you, I've been putting up with you for so many years."

"I'll call your wife now." Director Fan said.

Director Guan was like a male duck whose neck was strangled, and suddenly became silent.

"If you have anything to say, please tell me. Can you please stop saying bad things about me in front of my wife?" Director Guan complained, "Aren't you destroying the relationship between other people's couples?"

"Lao Guan's wife is my junior sister." Director Fan said proudly to everyone.

He was the founder of Shanshan University, but he was very unlucky. Halfway through his Ph.D. program, his teacher resigned and went abroad, leaving two Ph.D. students and three graduate students unattended.

At that time, the graduation requirements were quite strict. Director Fan’s junior sister didn’t know anything. She couldn’t even write a graduation essay, let alone publish anything in SCI.

He was both a father and a mother, running around begging his grandparents to sue his grandmother, and finally managed to get a few people to graduate by taking advantage of other teachers' projects.

In the heart of Director Guan's wife, her senior brother Director Fan is definitely a special being.

If Director Fan hadn't said that Director Guan was a good character, she wouldn't have been in contact with Director Guan, let alone marry him.

"Anyway, it's my wife who controls me." Director Guan said resignedly.

I have to say that although Director Guan has a bad temper, his ability is really impeccable, which is why he has never been marginalized in the department.

The chief director of the color Doppler ultrasound room recognized his ability very much.

"There is a problem with this place." Director Guan said, "It is a tubular structure with thickened walls and weak echo inside."

He applied a large amount of coupling agent to the patient's body.

"The upper end reaches the hepatic flexure of the colon and is connected to the inferior vena cava vein. The lower end is closely related to the right ovary. The blood flow signal in some segments is not obvious."

"Consider right ovarian vein thrombophlebitis based on clinical considerations." Director Guan said.

"Ovarian vein thrombosis." Gao Feng said at the same time.

What they are talking about is actually a disease. Ovarian vein thrombosis is a rare and serious postpartum complication. The disease is very hidden and dangerous and usually occurs 2-15 days after delivery. Because its clinical signs and symptoms are nonspecific, detection and diagnosis are difficult.

Due to the low incidence rate, many sonographers have rarely seen a single case in decades of medical practice. They generally have insufficient knowledge of the disease and are prone to missed diagnosis and misdiagnosis.

This is easy to understand. You have never seen it before, so why would you think about it?

"Whose student are you?" Director Guan was very curious about Gao Feng. He had just learned that the other party had considered this disease before he came.

"I studied under Academician Bao." Gao Feng showed him a kind smile, which is the most basic respect for a high-level doctor.

"Academician Bao?" Director Guan was stunned for a moment, "I heard that he was hospitalized because of a foreign devil."

"You are so old, but you are still so young."

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Sure enough, meeting him is not as good as being famous.

(End of this chapter)