"It's far away, it's far away. Wu Mian smiled, "That's a few years away, let's not mention it that far." ”

"Mr. Wu, what kind of patient, are you going to go to the second year of medical college in a while?" asked Guo Ruming.

"It is said that it is a patient with cholecystitis, and this diagnosis is fine, and there is a B-ultrasound report from the medical university. However, one of my junior doctors was more attentive and found a problem. The patient had a solid opacity on the duodenum, and I glanced at the CT image and couldn't see what it was. ”

"......" Guo Ruming was a little surprised, and even Mr. Wu couldn't tell what it was!

"Director Guo, don't think that I can understand any illness and explain it clearly. Seeing Guo Ruming's expression, Wu Mian knew what he was thinking, so he smiled and said, "The patients I have treated can remember that this is a clinical experience." If there is a case report, you can also try to analyze it and leave an impression. But not all patients can see it at a glance, but anyone who says so is a liar. ”

"Teacher Wu, you are too modest. ”

"Hehe, let's be honest. Wu Mian smiled, "If it is near the rectum, there are many possibilities, and it is easier to solve." For example, various rectal foreign bodies are similar images. However, the location of the foreign body in this patient is the duodenum, which is too high. ”

"Is there a difference?"

"Of course. Wu Mian said, "For example, living creatures such as loaches basically enter through the rectum. Then there are all kinds of instruments, and the most outrageous thing I've seen is that some patients have stuffed dumbbells down their rectum. ”

“......”

Guo Ruming was breathtaking.

Dumbbell...... How do you stuff that stuff in?

In just an instant, Guo Ruming's brain hole was opened, and it turned out that there were still areas that the film and television industry could not reach.

"I've seen it, and I have a deep understanding of the image of foreign objects. Wu Mian said, "The location of the patient's duodenum is not a tumor, but a foreign body. But what exactly, I'm not sure either, it's really strange. ”

Guo Ruming's heart moved, and he asked with a smile? "Teacher Wu? Can we go in and have a look?"

"No, I can't. Wu Mian didn't think about it, and refused directly? didn't pay attention to Guo Ruming's identity and status at all.

"Uh......"

"Patients have a right to privacy. "Wu Mian Dao?" Look at the excitement, is there less excitement in your circle? Don't look at this. ”

It's a bit ugly, though it's true.

Guo Ruming also knows that Mr. Wu should not have any malicious intent? He thought about it? He asked, "Mr. Wu, I'll wait outside and talk to my family about the head office." ”

"Director Guo? Are you a great director? Well-known in China, why are you so curious about such a trivial matter. Wu Mian asked puzzled.

"Teacher Wu, it's not that I'm curious about my condition, I'm curious about you. Guo Ruming said, "The understanding of doctors in the past was too one-sided? After getting to know you, I find the world of doctors particularly interesting. ”

"If you're outside? That doesn't matter. Wu Mian said: "Be careful, the doctors and nurses in the operating room have all run out to ask you for an autograph." ”

"Hahaha, not really? I'm not traffic. But if they need signed photos of traffic, I have a lot of them. Guo Ruming said.

"Maybe staying up late? Your body ......"

"Nothing? Do you often stay up all night while filming? It's really hard, but it's still enduring. ”

Wu Mian saw that Guo Ruming insisted on going to "watch the excitement", and he did not forcibly stop him, but responded.

After waiting for a while, Wei Dabao came to the information that he had sent the patient to the Second Hospital of the Medical University, Wu Mian ended the banquet, paid the bill and left, and rushed straight to the Second Hospital of the Medical University.

Wu Mian didn't drink and concentrated on driving, while Chu Zhixi held his mobile phone and kept looking at the video data transmitted by Wei Dabao.

"Brother, Dr. Wei is getting better and better. Chu Zhixi said while looking at it, "If it were a different person, patients with typical cholecystitis symptoms would most likely be misdiagnosed." ”

"It's a fast learner, it's good. Wu Mian gave his own evaluation.

"What do you think?" asked Chu Zhixi.

"Who knows, it could be chopsticks. ”

"Could it be? If you want to swallow the chopsticks, it seems to be ......," Chu Zhixi said, and began to substitute. I only thought about it for a few seconds, my pharynx was uncomfortable, and I started nausea and retching.

"Silly girl, what are you thinking about. Wu Mian said with a smile.

"I always felt impossible. ”

"Well, just go and see. Wu Mian put his right hand on Chu Zhixi's left leg and patted it lightly.

"Touching the co-pilot's thigh is to deduct points, drive well. Chu Zhixi smiled, "Brother, did you say you could take it out with an endoscope?"

"It's hard to say, it depends on the situation when the time comes. If I can't take it out, and neither can anyone else, I won't try it and just open my stomach. Wu Mian said.

"When I look at the video, it feels like it's at least 20cm. ”

"Maybe it's not that long, or it may be deposited in the intestine for a long time, and there are various stones on it. Wu Mian said, "Give it a try." ”

There is nothing to discuss about the condition, whether it is Wu Mian or Chu Zhixi, they can see at a glance that it is not a tumor, but an intestinal foreign body.

But what it is is will only be known by looking at it with a gastroscope.

All the way to the Second Hospital of the Medical University, Director Liang had already rushed over to make preoperative preparations for the patient. Blood collection and testing, various related examinations, busy and orderly.

Guo Ruming and his entourage were waiting at the door.

The director is interested, and of course others will not be disappointed. Fortunately, the people who came this time were all film crews, and there were no traffic stars, so it didn't cause a commotion.

After all, it is not an emergency department where you will die if you don't go to the stage, so it took about 2 hours to complete the preoperative examination before the patient was pushed to the laparoscopy room.

"Teacher Wu, come on. Director Liang was also polite and directly gave up the position of the surgeon.

"Okay. Wu Mian said, "If you can't take it out, you can only perform surgery, is the gastrointestinal side connected?"

"Director Zhao will be there soon. Director Liang said, "Mr. Wu, are you on stage?"

"If it's convenient, I'd better go up and take a look, and I'll give Director Zhao a hand. Wu Mian said.

What Mr. Wu said was really polite, Director Liang thought in his heart.

But it's the most serious thing to talk like this, after all, it's not filed with the medical office, and it's barely reasonable to go up and take a hand.

But if you directly operate on the knife, you will violate the rules and regulations, and at worst, it will be considered an illegal practice of medicine. If someone obstructs you, it is not impossible to revoke your doctor's license.

It's all jumping on the edge of the rules anyway.

At the beginning of the 20th century, the Second Hospital of the Medical University hired a group of Russian ophthalmology professors, but later had no choice but to return to China because they did not have a practicing certificate. There are all kinds of rules in it, and it is difficult to explain them.

Director Liang was not picky, and when he saw Wu Mian put the gastroscope tube in, he began to concentrate on helping the tube wall outside, looking at the screen without blinking.

Esophagus, no problem.

The stomach wall, with a slight ulcer surface, is not large and does not require special treatment.

Pylorus, no problem.

The gastroscope was inserted along the pylorus, and it came to the duodenal segment smoothly.

A dark green object appears in the field of view of the screen.