What can I do when I encounter such an existence that is not stingy, has a high academic status, and is super capable?

The doctors and nurses in the department are all eating in the room, and if there is a fight, will you still have this old face? After the shift is handed over every day, when others look at themselves, their eyes are not right.

He didn't want to retire early, Gu Wei smiled reluctantly, wanting to say something, but he didn't know where to start.

Chu Zhixi had been standing beside Wu Mian, and seeing the awkward atmosphere, she smiled and said, "Director Gu, hello, I haven't seen you for several years." ”

"Professor Chu. Gu Wei scratched his head, his wine was completely awake, and he was a little angry in his heart, but he didn't dare to say anything.

"What kind of patient, Daoist Lin looked away?" Chu Zhixi relieved the siege and brought the topic to the profession.

The person who knows Wu Mian best is none other than Chu Zhixi, in the face of professionalism and treatment, he can even put down eating and sleeping, let alone Gu Weimian. Besides, Gu Weimian just drank a few more glasses, which was similar to making some excessive jokes between classmates with Daoist Lin, and it was not in the way.

Professor Chu ...... Crown less ......"

"Just call Mr. Wu. Chu Zhixi said with a smile, "What's the patient's condition?"

"Progressive dysphagia for 6 months with weight loss. Gu Weimian hurriedly said, "Asking about the medical history is indeed the history of esophageal cancer, and I don't blame Lin Yin, whoever asks about the medical history has to judge it like this." ”

Gu Weimian tried to make up for it, but his face felt a little hot, hot and hot.

"And then?"

"The patient went to the first year of medical college, and I was admitted to the hospital to prepare for surgery. I did a preoperative examination, and my liver function was average, and I was fine with other examinations. Digestive endoscopy showed no stricture, no abnormalities in biopsy specimens, and esophageal manometry showed no abnormalities in sphincter function. ”

Three "nones" in a row proved that the previous diagnosis of esophageal cancer was wrong.

It is a typical esophageal cancer, why don't you see the tumor?

"Director Gu, I have time to pass over the medical records and let me take a look. Chu Zhixi said.

Gu Weimian nodded repeatedly.

"Brother, let's go back. Chu Zhixi twisted the sleeve of Wu Mian's T-shirt with his left thumb and index finger, and said with a slight shake.

Gu Weimian felt relieved, this young master was finally leaving. It's still Professor Chu, no wonder everyone thinks that Professor Chu is amiable, but he is much better than that little master.

"Yes, yes, Uncle Xiaoshi, the porridge is almost ready, let's eat. "Daoist Lin doesn't want Wu Mian to beat people, they are all classmates, and being caught in the middle is the most difficult thing to do.

Seeing Wu Mian turn around and leave with a cold face, Gu Weimian broke out in a cold sweat.

However, he was very unconvinced, that is, he was afraid of being young and strong, and Lao Tzu couldn't beat you to death when he was a few years younger. With this thought in his heart, he sat down on the chair that Wu Mian had just sat on.

This chair is dozens of pounds, Gu Weimian has long known it. When you were young...... It is estimated that he will have to be slapped to the wall by Mr. Wu.

The unconvinced energy came up, and Gu Weimian began to call the doctor on duty.

The preoperative examination was very perfect, and what I did wrong! It was clear that Lao Lin sent the wrong patient. Gu Weimian nagged in his heart, and thought back to the medical records again, for fear that something would be wrong.

Laboratory tests showed a hemoglobin of 11.9 g/dL, a white blood cell count of 11.03 g/L, and platelets of 367 g/L. The white blood cells are a little high, but many people do, and that doesn't mean there's an infection.

Later checked a C-reactive protein l, with returns as high as 25 mg/L. I took a look at the infectious disease department and treated it with antibiotics.

Renal function is normal, liver function tests show aspartate aminotransferase rising to 2.5 N, and alanine aminotransferase is normal. γ-glutamyl transferase rises to 2.6 N, and alkaline phosphatase is normal.

Tumor markers were normal except ferritin, with a ferritin level of 338 ng/mL, slightly higher than normal. But this thing can't be said at all, many people have found that ferritin is high, and they have done a full body examination, but nothing is found.

Generally speaking, there is no problem with laboratory tests, and I am afraid of misdiagnosis, and I have even done esophageal manometry, so what can I ask myself to do?!

After thinking about it, Gu Weimian felt that there was no flaw in what he had done.

At this time, the mobile phone in Gu Weimian's hand kept ringing, and one by one the test sheets were transmitted. Films, test sheets, medical records, you name it.

Gu Weimian cheered himself up, and he struggled to get up from his chair. No matter what I thought in my heart, my legs still shook a little.

Mr. Wu is smiling, but his words are sharper than one sentence, and he doesn't save any face for himself, so he doesn't look like a good person.

Gu Weimian nagged in his heart, rubbed his legs with both hands, managed his expression again, and moved to the private room opposite in small steps.

"Teacher Wu, Professor Chu, the medical records have been passed over. ”

Knocking on the door and walking into the private room, Gu Weimian whispered very politely.

"I'll see. Chu Zhixi wiped his mouth with a tissue, stood up and walked to Gu Weimian's side, and took his mobile phone.

"Look at the pictures of the esophagoscope. Wu Mian said.

"Hmm. Chu Zhixi began to look for the picture, and soon found the report of the esophagoscopy.

Typical endoscopy is accompanied by several pictures of typical locations that look intuitive.

"Brother, there really is. ”

"How?"

"It's a lot, and I can see 4 places in my field of vision. ”

"Look at the CT and check it. Wu Mian was drinking porridge very gently, and no one could connect him with the arrogant image just now.

Gu Weimian listened to the dew, what is the polyp that you didn't see? The esophageal endoscopy was done by a professor with strong technical ability, and he also glanced at the screenshot, and the esophageal wall was smooth, and there were no polyps at all.

There are no polyps, no ulcers, not to mention esophageal tumors that can cause progressive dysphagia. It's weird, what are they talking about?!

"Director Gu, is the patient still hospitalized with you?"

A few minutes later, Chu Zhixi asked.

"Hmm. ”

"Do an NXP2 check. ”

"What?" Gu Wei was stunned for a moment.

"What? Do you know what to say?" Wu Mian just finished drinking the porridge, put down the chopsticks, and held the jade-colored chopsticks with white jade-like fingers, as if they were one, very good-looking.

“......”

"Indecision, quantum mechanics. I've heard that. Wu Mian said coldly.

It's just that this cold tone is not very heavy, as if the bowl of porridge calmed Wu Mian's irritable mood.

"Uh......"

"Director Gu, you are not young, and you should have a lot of clinical experience. Wu Mian looked at the fat cat with the red wall and blue sky outside the window, and said leisurely, "What should I do if I encounter a disease that I can't understand?"

"Find a ...... superior"

"You're the director, where did you come from! Go to the superintendent? Wu Mian scolded, "If you encounter a disease you don't understand, look for rheumatism immunity!"