Seeing that Zheng Ren was still watching the film with his cheeks on his cheeks, Dr. Shen smiled bitterly.

Boss Zheng is really a technical dog, and his interpersonal communication skills are simply weak.

At this time, shouldn't you greet Director Luo politely and explain your intentions? Who came to watch the film.

Zheng Ren didn't speak, and Dr. Shen had no choice but to go up.

"Director Luo, isn't it ......" Dr. Shen waved his hand and said, "I came with Boss Zheng." ”

"......" Director Luo was stunned for a moment.

Boss Zheng: Who's from it?

Director Luo glanced at Zheng Ren, boss? Could it be that this little guy with a blue nose and swollen face is the boss of the business, it is estimated that he is a rich second generation.

Lao Kong is too disagreeable, what is the doctor with him leading a rich second generation who is not four or six to come here......? He was a little displeased and glanced at Dr. Shen.

Dr. Shen felt the emotion in Director Luo's eyes, and he knew that he would definitely not be able to solve this matter, so he tugged at Zheng Ren's sleeve with his hand and called him hard.

"Huh?" Zheng Ren finished reconstructing the film, and compared it with the relevant cases in countless magazines and periodicals seen in the system library, he already had a belly case.

"Boss Zheng, you speak. Dr. Shen whispered.

Belch...... Zheng Ren realized what was going on, and he scolded himself in his heart, there is really no forced number.

Ben came to the gastroenterology department to worship the pier, standing here stupidly stunned, this is the rhythm of wanting to show his face but exposing his ass.

"Director Luo, I'm sorry, I watched the film and was fascinated. Zheng Ren said, bowing, trying to show a smile.

With the progress of technology, unconsciously, Zheng Ren's temperament has also taken a leap.

Looking at medical-related matters with the eyes of a mature senior doctor, even to Director Luo of the Department of Gastroenterology of 912, Zheng Ren's attitude is not as restrained as a small doctor, but with a sense of confidence and humility.

"Oh?" Director Luo felt that this little guy was a little interesting.

came to beg himself to do something, although he bowed and spoke, but there was no humility and fear in his tone.

Either the ignorant are fearless, or there is something else.

"Oh, what do you see?" Director Luo didn't take the film off and gave it to the patient's family to let them leave. He looked at Zheng Ren and asked leisurely.

"There is a problem with frames seventeen to nineteen. Zheng Rendao.

Director Luo's brows furrowed slightly, this little doctor with a blue nose and swollen face was right, the problem was indeed those frames.

It is not obvious on the image, it is quite difficult to see, and the municipal hospital where the patient is located does not give a correct diagnosis.

Is he blind?

"You continue. Director Luo felt that things were getting more and more interesting, and he said softly.

"Director Luo's diagnosis is fine, I will add two words. Zheng Ren stared at the film and said, "Has the patient ever had Crohn's disease?"

The patient's family looked at each other and shook their heads.

One of them looked at Zheng Ren with some annoyance, and it seemed that if it wasn't for Director Luo's office, he would definitely have to point at Zheng Ren's nose and scold a few words.

Even the diagnosis was wrong, what kind of big-tailed wolf is pretending?!

Zheng Ren caught a glimpse of the patient's family's expressions and immediately knew what was going on.

"Oh, Crohn's disease, also known as Crohn's disease, in the old surgical books it was called Crohn's disease, get used to it. Was it treated with mesalazine orally for a period of time, and then stopped?" Zheng Ren didn't think there was anything, and said.

As soon as they heard mesalazine, the patient's family froze.

"How did you tell about oral mesalazine?" Director Luo suddenly felt that this little doctor with a blue nose and swollen face was very interesting, so he asked.

"There are traces left after the ulcer has healed. Zheng Ren looked at this difficult film, turned on the double-line mode, and replied while thinking: "After oral prednisone and mesalazine, Crohn's disease has been controlled, but there will be recurrence after stopping the drug." ”

Director Luo looked at Zheng Ren curiously, this young man's level of watching the film is really good. There are indeed traces of cords formed after the ulcer of Crohn's disease has healed, but it is particularly atypical, and it takes a high level of reading to notice this.

"Why oral prednisone?" said Director Luo.

"A CT scan of the pelvis can see a part of the femoral head, which already has symptoms of avascular necrosis. Cross-reference with other medical conditions, consider that the patient is the result of long-term oral hormone therapy when treating Crohn's disease. Generally, it is used in combination with mesalazine, both of which are prednisone. Zheng Ren talked eloquently, so not timid, reasonable.

Director Luo nodded and said, "Go on." ”

"The image given in this film is considered to be a non-polyptic colorectal tumor. Unlike polyp-like colorectal tumors, this type usually does not protrude into the lumen and is flattened or slightly raised. The vascular morphology is blurred, and uneven erythema and irregular nodules can be observed. ”

This sentence pointed to the problem, and Director Luo's perception of Zheng Ren immediately made another modification.

In general, except for doctors who are very professional in watching films, few people can judge the vague morphology of blood vessels, uneven erythema, and irregular nodules through a CT film.

In other words, abdominal CT usually only looks at solid organs, and most of the intestines are done through gastrointestinal endoscopy.

The local doctor gave the patient a non-contrast CT scan of the abdomen, presumably to see if there was any tumor. After a cursory glance, I didn't see a large tumor, so I skipped it.

It's just that I didn't expect such a simple film to be seen by Director Luo and Zheng Ren in 912.

Director Luo is also very curious, he can see it, and it is a matter of course. This is 912, which is one of the most powerful tertiary hospitals in the country, and it would be strange if you couldn't see it.

But this little guy with a blue nose and swollen face can also see it, and he still has a reasoned and well-founded analysis, not blind, this is what he says.

"What do you think should be done?" Director Luo asked, his fingers tapping the back of his hand a little faster.

"There are three solutions, one is to preserve more intestines, and regular colonoscopy should be done after surgery to check for new tumor growth in the colon. The second type is a rectostomy, but it will affect the patient's quality of life. I recommend the third option, total colectomy and ileorectal anastomosis, so that the rectum can be checked regularly after surgery. ”

From the perspective of a general surgeon, Zheng Ren gave the patient's family three options and gave the best solution for his own consideration.

There are a few sentences, Zheng Ren said relatively simple, and the patient's family could not understand it, but Director Luo knew what Zheng Ren was talking about - surgical removal of the diseased intestine and postoperative follow-up observation.

He pondered for a while and said, "The third option can be considered, but it is safer to do colonoscopy for pathology first." ”