Chapter 992: Xiao Chen, what do you mean (for Dameng Qingyan Xiaoguan 1)
After Qi Xiangzheng hung up the phone, he was indeed a little excited!
Xiangsy Entertainment is not a small company, with several first-tier celebrities under it. In addition to Tian Hui, who has current topics, popularity and traffic, its financial statements are very good.
Otherwise, we would not have made a bet agreement with an investment company.
Shooting this promotional video seems to be a contribution to money, but you have to look at it in the long run!
He didn't expect Chen Cang to have the relationship with the Health Commission. Thinking of this, Qi Xiangzheng suddenly felt that his stupid son was not that stupid.
At least you can get into trouble and be blessed in disguise!
This Chen Cang is his noble person!
You can entertain well in the future.
Thinking of this, Qi Xiangzheng quickly got busy and began to prepare and plan for this matter.
...
...
Chen Cang is familiar with Union He now, but after all, he has been here several times.
After directly reaching the general surgery department, Qin Yue saw Chen Cang and hurriedly walked over and took him to the door of the conference room.
"Get in, I won't go in." Qin Yue whispered.
Chen Cang was stunned: "Why?"
Qin Yue rolled her eyes, pinched Chen Cang's nails on her waist, and said angrily: "Are you angry with me on purpose? Cut it, go back to clean up you, hurry up and go in."
Chen Cang hurriedly begged for mercy.
There were already people in the room at this time, but not many, and everyone was chatting.
When they saw Chen Cang coming in, they all greeted him one by one.
"Doctor Chen is here!"
"Dr. Chen, it's early."
"Doctor Chen, come and sit here."
...
Everyone was very enthusiastic, which made Chen Cang feel a little embarrassed. Many of the discussions that came to participate were acquaintances, the people who attended the salon last time.
After Chen Cang sat down, Sun Guangyu handed Chen Cang a printed case record: "This is the basic situation of the old man."
Chen Cang nodded, and didn't say much, so he simply turned it over.
"The patient is an elderly male, 85 years old, has had intermittent nausea for two months, anorexia and abdominal pain, has had previous diabetes, has long-term insulin injection, and blood sugar control has been generally used in the past week..."
Chen Cang read the old man’s medical record in detail.
This should be a complex functional gastrointestinal lesion.
This is Chen Cang's first sense.
Because the patient's gastroenteroscopy was normal, no abnormal signals were found in the CT results, and the abdominal color ultrasound was normal for both liver, gallbladder, pancreas, spleen and kidney.
Chen Cang was stunned and even underwent endoscopic retrograde cholangiopancreatography (ercp) and magnetic resonance cholangiopancreatography (mrcp).
However, the results showed that no obvious abnormality was seen, which was a bit strange.
I have cholecystitis in the past, but I have not had surgery.
The patient has a long history of smoking and COPD and other respiratory diseases.
But……
What is the relationship between the respiratory tract and the gastrointestinal tract?
It is necessary to say that it is related. Traditional Chinese medicine believes that the lungs and large intestine are mutually external and internal, so we can only explain this.
However, Chen Cang still felt something was wrong.
Too many doubts were hidden inside, and more than a dozen expert directors came one after another, and everyone arrived.
Sun Guangyu stood up and said, "Now, let's take a look at the basic situation of the patient, and then we will watch the film, and then start the discussion."
After waiting for more than 20 minutes and a half hours, everyone basically had some understanding of the patient's situation.
At this moment, a knock on the door sounded.
A majestic middle-aged man walked in.
The man looked very domineering in a military uniform, and the bottom of the golden eaves were decorated with imitation embroidered golden branches and leaves and two golden star badges.
"Dear directors, the patient is my father. I want to listen to the situation of the old man, and I hope it won't disturb you."
Except for Sun Guangyu, everyone has missed a bit of caution. Children are all two stars. How much does the father have to do?
No wonder Sun Guangyu is so mysterious.
Everyone nodded: "It won't affect."
Sun Guangyu also quickly stood up: "Commander Qin, please sit down."
Qin Zhenhong nodded and sat down behind him.
He had just arrived from the unit, so he didn't have time to change his clothes.
Sun Guangyu said: "This is the result of a color ultrasound in the patient's abdominal area. If you look at it, I feel that I have not found any abnormal signals."
"This is the result of ct's image..."
Looking at the movies, everyone started to discuss them one by one.
From pathology to test form to disease test results.
Everyone was also very discussing, without organic lesions, which is the most important thing, and there are many gastroenterologists in the room.
The initial diagnosis of the patient is complex functional gastroenterology!
In fact, it is a series of gastrointestinal functional diseases that cannot be found in the current examination. Various functional gastrointestinal diseases coexist for a long time and have complex symptoms.
Not a simple disease.
Anorexia, abdominal pain, and nausea are difficult to diagnose in a targeted manner.
Everyone expressed their opinions, basically starting from gastrointestinal electrophysiology, and even discussed some new topics.
But Chen Cang stared at the CT videos on his abdomen taken on his phone and began to think.
At this moment, after watching several films one after another, Chen Lu suddenly stood up and said, "I want to see the patient and go palpate it myself."
When everyone heard Chen Cang's words, they were stunned for a moment.
Even Qin Zhenhong looked at the young man curiously, wondering, is he also an expert?
Sun Guangyu glanced at Chen Cang, nodded and agreed: "Let's go, go to the ward to take a look."
After all, this case alone is a bit unreliable. You have to see the patient before talking about it?
After coming in, Chen Cang watched the old man lying on the bed, his eyes closed and his ears were filled with Shangdang Bangzi's drama.
Seeing everyone coming, he stood up with a smile and turned on the radio.
Nodded and greeted everyone.
And after Chen Cang saw the old man, he suddenly felt very familiar. When he was a child, he often saw the old man when he was watching news.
Sun Guangyu said: "Leader, we need a palpation, you are lying down."
The old man cooperated very well, lay down and smiled and said, "I'm here in the hospital, you are the leaders, I have to obey your arrangements."
Seeing the old man so easy to talk, Chen Cang couldn't help but smile, rubbed his hands, warmed his hands, and began to palpate.
The abdomen is flat and soft, there is no tenderness, and the muscles are tense...
There is no abnormality in the percussion voiced world...
At this time, Chen Cang let go of the patient's abdomen and continued to pick up the film and read it carefully.
After watching each film, he suddenly said, "Go and take a picture of the pancreas MRE! Pancreatic magnetic resonance elastic imaging."
As soon as these words were said, Sun Guangyu suddenly frowned: "Xiao Chen, what do you mean?"
Chen Cang said directly: "I'm a little suspicious about the pancreas problem now."
Chapter completed!