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457 Use a thoracoscope

After saying thank you a few times, Lu Tiancheng quickly fled the laboratory with the test results and ignored the questions behind him.

He was a little surprised, even more surprised. What he never expected was that Zhou Congwen from the Third Hospital was right again!

Amylase was found in the pleural fluid!

Lu Tiancheng was very excited. He couldn't curb the joy of successfully decrypting the secret. He walked towards the department while taking out his cell phone.

"Master!" Lu Tiancheng called Zhu Jun like he had discovered a new continent.

"What's wrong?"

"The patient's test was released, and amylase was found in the pleural fluid!"

"Hmm?" Zhu Jun nodded, his voice long and endless doubts.

"The amylase content in the pleural fluid is 5292IU/L! I went to the laboratory to watch it with my own eyes."

"Is there any test item in a nonsense?" Zhu Jun scolded coldly.

"..." Lu Tiancheng's excitement and excitement just now were poured into a basin of cold water. He felt a stir in his heart, and Zhu Jun's cold face appeared in front of him, and he immediately calmed down.

"Tell me, how do you prepare for treatment? How do you write it in the medical record? Nonsense!" Zhu Jun's voice became more and more severe, and in the end he had already started to scold him.

Lu Tiancheng was stunned, yes, the value of amylase 5292IU/L has come out, but what about the next step?

"Who asked you to do it?" Zhu Jun's voice was dull and cold, and it came from the receiver of his phone.

Lu Tiancheng felt like a knife, cutting it hurts a lot on his face.

In an instant, Lu Tiancheng went from being excited to being calm, and he was a little dazed and didn't know how to answer his master's question.

After a few seconds of silence, Zhu Jun asked coldly, "Did you ask Li Qinghua?"

"..." Lu Tiancheng hesitated for a moment and stood up straight immediately, as if Zhu Jun was right in front of him, and responded obediently, "Master, when we were chatting, Qinghua said we could give it a try..."

"He knows nothing! I teach you all your skills. Can Li Qinghua know how to make amylase for pleural fluid?!"

"Is it the doctor named Zhou Congwen next to Li Qinghua's side that suggesting this!"

“…”

"You guys, you're cheated and don't know what's going on. You don't have enough brains. How can you retire if you ask me to!" Zhu Jun cursed angrily.

“Master…”

"I'll ask you, even if you find out that the amylase in the pleural fluid is high, what's next? What are you going to do?" Zhu Jun asked.

Lu Tiancheng was speechless.

"Isn't it okay to just transfer the difficult patients to the provincial capital? I have to think about how to treat any disease myself and what I'm thinking about."

"Are you going to ask all the way? I'll tell you, if Zhou Congwen gives you a solution, would you dare to use it?"

"What should I do if the treatment is damaged? He slapped his butt. It has nothing to do with him. The patient is ours!"

Zhu Jun was colder than the other words, and a blizzard seemed to blew up in Lu Tiancheng's ears, which made him feel cold.

"I told the patient that I contacted the first year of the medical school to handle the automatic discharge, and asked his family to find a car to take him to the provincial capital."

"Okay, Master."

Lu Tiancheng responded with a last arrogance.

Holding the report list without a name in his hand, Lu Tiancheng stared at it for a while. It was obvious that the abnormality had been found, but why didn't the master continue to be punished?

After thinking about it, Lu Tiancheng was not willing to accept it.

Unconsciously, a huge centrifugal force appeared between the director and the doctor of the People's Hospital. The gap that no one noticed before became larger and larger as the centrifugal force was pulled open.

A gust of cold wind blew out from the nameless gust, blowing on Lu Tiancheng's heart.

If Li Qinghua had not left or Zhou Congwen, Director Zhu's handling plan would be correct.

But now it’s different, why do you still need to transfer patients to the provincial capital?!

Director Zhu usually says that his level is not lower than that of the provincial capital, but every time he refers to the matter, he never mentions this matter.

Lu Tiancheng felt a little dizzy. He did not return to the ward as soon as possible and execute Zhu Jun's doctor's instructions. Instead, he found a remote fire prevention passage and sat on the steps and smoked a cigarette.

After calming down, Lu Tiancheng called Zhou Congwen.

"Doctor Zhou." Lu Tiancheng said calmly.

"Doctor Lu, is there anything wrong?"

"The test results for black pleural fluid are back. The amylase in pleural fluid is indeed high, more than 5,000." Lu Tiancheng made his tone as plain as possible, "I don't think about what disease the patient is, do you know?"

"The patient has a left pleural effusion," Zhou Congwen asked.

Lu Tiancheng was stunned. He never said anything about it. How did he know?

After recalling it, Lu Tiancheng was sure that he didn't say anything about the left and right. This was because Lu Tiancheng made a mistake and turned the left and right back when writing the medical record, and was caught by Zhu Jun and scolded him.

Since then, Lu Tiancheng has formed a habit of not marking the left and right, he will not mark it when it is not marked. If he needs to write it, he will repeatedly check and confirm it.

"I didn't see the patient, nor did I check the body. I just said it casually, you should use it as a reference." Zhou Congwen spoke as a steady as an old dog. "There are not many diagnoses of black pleural fluid. I guess the patient in your hand should have a pseudocyst of the pancreas with pancreatic pleural fistula."

“…”

Lu Tiancheng was stunned.

What is this diagnosis?!

Pancreatic pleural fistula?

"Pancreatic pleural fistula is a rare side injury of chronic pancreatitis. Check it out first, but don't worry too much. Treatment is not difficult." Zhou Congwen seemed not to notice Lu Tiancheng's emotional changes, and he continued.

"Doctor Zhou...Doctor Zhou, how to treat it?" Lu Tiancheng asked stammered.

He asked, but what he thought in his mind was what the master said just now, would you dare to follow the treatment plan given to you by Zhou Congwen of the Third Hospital?

Yes, do you dare? Lu Tiancheng asked himself in his heart.

"Thoracoscopy." Zhou Congwen said naturally, "You can use a thoracoscopy to explore, find the fistula, and get two titanium clips. You can go to General Surgery or Hepatobiliary Surgery within three days after the operation for symptomatic treatment. There is nothing wrong with our thoracic department."

Lu Tiancheng stared at the wall in a daze, his hand holding the phone trembling a little.

Thoracoscopy, and it's a thoracoscopy!

This thing was useless in the past, so why did Zhou Congwen become an omnipotent weapon?

The master was right, and it was useless to ask. Lu Tiancheng thanked him in a restless manner and hung up the phone.

No longer hesitated, Lu Tiancheng returned to the ward to communicate with the patient and the patient's family.

Because Zhu Jun came forward to contact the First Hospital of Medical University, although the patient and the patient's family were a little surprised, they were still grateful and moved to the provincial capital that night.

Lu Tiancheng left a little thought. He kept the patient's phone number and called him three days later to ask about the specific situation.

When he learned that the First Hospital of Medical University had a thoracoscopic repair surgery a day ago, the patient was now ready to transfer to the Department of Gastroenterology to continue treatment.

Sure enough, Zhou Congwen said nothing wrong.
Chapter completed!
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