The conference room of the administrative building was filled with authoritative experts in the hospital. Director Hu Xiyuan personally presided over a consultation on patient No. 3 in the South Hospital. In addition to Wu Jingrong, Zheng Youren and other authoritative neurosurgery (brain surgery) in the hospital, experts from other departments such as general surgery and vascular surgery also participated in the consultation.

As a student of Wu Jingrong, Zhang Sheng was lucky enough to come and study. He sat on the bench near the wall and also saw the medical records of patient No. 3. The patient Wang Fuchang was already 80 years old and was admitted to the hospital due to loss of consciousness, accompanied by nausea and vomiting, and incontinence.

The CT scan of the head showed that the patient had a right thalamus hemorrhage and broke the human ventricle, with a bleeding volume of about 40mI, a midbrain hydrotube obstructed, a ventricle enlarged, a leftward shift in the midline structure, and a swelling of the brain. Two hours after the onset of the disease, minimally invasive puncture and pulverization of intracranial hematoma was performed.

On the fifth day after the operation, the patient can recognize the person and can nod or shake his head to express his agreement or disagree. The Glasgow score is 15 points.

But just this morning, the patient lost consciousness again and vomited white fluid. A CT scan of the head showed no new hematoma was found.

While looking through the medical records in his hand, Zhang Sheng listened to the experts in the hospital expressing their opinions. He just followed Wu Jingrong and went to the ward to see the patient, and secretly took his pulse.

Zhang Sheng felt that he had pure and pretty eyes looking at him from time to time, but he did not look up. He Shanshan, who was also a student and nurse, also got the opportunity to enter the conference room.

"Is there a problem with the medication after the operation? The dosage of urokinase was not enough when injecting, which caused a thrombus. Otherwise, this symptom cannot be explained. Xiao Liu, you are responsible for the drainage yourself?" Zheng Youren looked at his disciple Liu Xuefan in confusion. He was not shirking responsibility. There are really not many possibilities for the current symptoms.

In each department of the 601 Hospital, doctors are actually divided into three levels. The front-line doctor treatment group is composed of a resident doctor with medical qualifications or a young attending doctor, with his internship or further study doctor.

Zhang Sheng belongs to the front-line doctor treatment group.

The second-line doctor is a deputy chief physician or a attending physician who has been practicing for a long time. He is the superior of the front-line doctor. His subordinates will lead one to two first-line treatment groups. When the patient is newly admitted to the hospital, he will take the first-line treatment group in charge of the patient to diagnose and treat the patient. Because the outpatient clinic is generally sent by the second-line doctor, he appears in the ward for the ward of his first-line doctor every 2-3 days.

Liu Xuefan is a second-tier doctor.

Third-line doctors are the director or chief physician of the department, and coordinate the overall situation. If there are multiple third-line doctors in the department, second-line doctors will be distributed to each third-line doctor for management.

Wu Jingrong, Zheng Youren and others are naturally third-tier doctors.

Mr. Wang Fuchang has a special identity. Even during the postoperative recovery period, the second-line doctor has been responsible for one-on-one service. Liu Xuefan, a disciple brought by Zheng Youren, is accompanied by Mr. Wang Fuchang every day.

However, no matter whether Zheng Youren's intention was intentional or not, Liu Xuefan's face turned pale. If, as Zheng Youren said, it was a medical accident that he caused. The victim was the father of the No. 1 leader of the military in the hospital. He could have been labeled and shot by a few decades earlier.

"No, I've been following what you said. After each saline suction and cleaning, 40,000 urokinase is injected, and the drainage is opened for four hours." Liu Xuefan didn't care whether he was his mentor or not, and he urgently argued.

At the conference table, the phone in front of Dean Hu Xiyuan suddenly rang. He answered and said a few words, immediately with a muted expression and said, "Commander Wang is here."

The faces of the experts in the conference room changed. The 601st was the Naval Hospital. To them, Commander Wang, the naval commander, was the leader of the sky. But no one could tell what the symptoms of Mr. Wang were. After discussing for a long time, there was no specific treatment plan to deal with it. Commander Wang came and asked everyone to report on the condition.

However, what should be come will always come. Under the leadership of the director Hu Xiyuan, a large number of people hurried out of the conference room and went down from the second floor, they met several soldiers in military uniforms in front of them. Obviously, Commander Wang's car entered the hospital gate and called.

Hu Xiyuan took the lead and took the hospital experts to salute, regardless of whether they are in military status or not, the first time he saw Commander Wang seemed to have become his soldiers.

Commander Wang was not very tall, but his aura was imposing. He was full of military uniforms and his epaulettes flashed the stars, just like a straight benchmark, and his eyes were as bright as torches under his thick sword eyebrows, which made people dare not look directly at him.

"Aren't my old man all right yesterday?" Commander Wang asked while signaling Hu Xiyuan to lead the way. His voice also showed a tough look.

Hu Xiyuan's forehead was slightly sweating, and he really didn't know how to answer, and said vaguely: "Our hospital organized a capable force to conduct a consultation. The old man's symptoms were very unusual..."

Nodded, Commander Wang stopped. At this time, they had already arrived at the door of the conference room, "Well, you have no conclusion yet. Well, you continue to discuss. If I am here, it will affect your diagnosis. I will go to the old man's ward to wait." After making an unquestionable gesture, and accompanied by the guards, Commander Wang walked towards the stairs.

Hu Xiyuan was stunned. Commander Wang was considerate and reasonable. With the patient's family, especially his identity, everyone dared not speak freely. It was true that the discussion could not be achieved, but the commander could not go to the ward alone?

Hu Xiyuan hurriedly whispered in Wu Jingrong's ear, asking him to continue to preside over the consultation, and he quickly chased Commander Wang and his others.

Everyone went back to the conference room, but no one spoke. The conference room was quiet and could hear everyone's breathing. The old man's symptoms were too strange, and the brain lesions were difficult to judge, which was helpless.

"Youren, do you think there is any other possibility except for the insufficient dosage of urokinase?" Wu Jingrong was now full of bags, and the initial gloom had long been thrown into Java. If the old man really had any danger, it would be the shame of the entire hospital. The first thing to bear is the entire neurosurgery department, and he, the director of the neurosurgery department, would be even more unforgivable.

Zheng Youren frowned and said, "Let's check it in detail. Some causes of the disease cannot be judged quickly." Obviously, he had no idea.

Wu Jingrong looked over and saw that all the experts in the hospital were helpless, and he couldn't help feeling a little cold. This incident was really bad.

"Director Wu, I have some opinions on Mr. Wang's condition." The one who broke the silence was Zhang Sheng who was sitting in the last row listening.

Wu Jingrong was upset and said casually: "You say it." He realized that the person who asked to speak was Zhang Sheng, the evil young man in the yamen, who was too late to say anything.

"I think the parasite may be the recurrence of Mr. Wang's condition..."

Before Zhang Sheng finished speaking, he had been interrupted by Zheng Youren. He looked contemptuous, "Doctor Zhang, before performing minimally invasive surgery, we conducted a detailed examination of the patient. Patients with cerebral hernia and cerebral hemorrhage are old, and the possibility of parasites causing patients is very small, but the removal of parasites is still the most basic judgment. I think you don't need to take us to a pathology class again in college."

He has always looked down on Zheng Youren, a playboy who relied on Wu Jingrong to get in. How could he have the power to speak in today's consultation? It's a joke.

In fact, what makes Zheng Youren the most heartwarming is that when Zhang Sheng first entered the hospital, Zheng Youren wanted to have a relationship with him. Who knew that Zhang Sheng didn't understand, and he was not humane. He made him unable to get out of Taiwan several times. From then on, Zhang Sheng became a thorn in his eyes. Moreover, Zhang Sheng's father was also involved in this major corruption case in the city. It was a matter of time before he was taken down. Then he didn't have to be polite to him in the future. He drove this black sheep out of the hospital earlier, so he would save himself from being upset when he looked at him.

"What Director Zheng said." Zhang Sheng was unmoved by his sarcasm to Zheng Youren. His calmness surprised Wu Jingrong. He had his former temper, so he would stand up and curse himself?

Zhang Sheng just said to himself: "Dear leaders and teachers, let's take a look at MRI 3 and MRI 6." He saw the doctor in front of the projector looking at him for no reason, so he simply walked over and turned on the projector himself. Soon, two heads of MRI imaging appeared on the big screen.

Wu Jingrong kept winking at him and said, "Xiao Zhang, come down." But Zhang Sheng seemed to have not heard it and continued, "Let's look at the frontal lobe of the patient's left brain, first look at the T1 and T2 of magnetic resonance three. Look carefully, do there be slight gray spots on the frontal lobe of the left brain in the T1 picture? The same part is shown in the small white spots."

The magnetic resonance graph divides T1 and T2 sequences to better observe lesions. In the T1 sequence, the cerebrospinal fluid is black, and the normal brain is grayish, and the degeneration is grayer than the normal brain, and the infarcts are grayer. In the T2 sequence, the cerebrospinal fluid is white, and the normal brain tissue is grayisher. In the T1 sequence, the degeneration is grayer than the normal brain.

If there are small gray dots and small white dots in the picture as Zhang Sheng said, it means that the part is indeed suspected of lesions.

Some of the experts and doctors present looked at the big screen, but at first they couldn't see anything, but as they looked at the area set by Zhang Shengquan, they seemed to be able to see that the color was somewhat different from that next to them.

However, if you look at something for a long time and Zhang Sheng’s psychological suggestion, visual illusions will arise. The doctors here will naturally understand these principles.

Zheng Youren sneered: "Doctor Xiao Zhang's eyes are stronger than computers. If the computer fails to judge, you will make a judgment."

Zheng Youren's disciple Liu Xuefan was even more disdainful. Since he was slapped by Zhang Sheng in the face, he hated this young man to the core. He only knew that Zhang Sheng was a relative of Director Wu Jingrong and dared not offend him easily.

OK, just jump around and see if you drag Lao Wu into the water.

He Shanshan looked at Zhang Sheng with even more worry. What's wrong with Brother Zhang? It's impossible not to get into trouble for a day.

Wu Jingrong was quite amused and crying. What exactly did this demon king in the world want to do? Fortunately, Commander Wang was not here, otherwise he would not know how to end.

But I still have to think of a way to get him down quickly.

"Xiao Zhang, can you come down?!" Zheng Youren seemed to have the same thought as Wu Jingrong, trying to drive Zhang Sheng off the stage.

Some doctors also called Zhang Sheng, and some of them did not give Wu Jingrong face, and they had already started to scold him.

The entire conference room was almost a critical meeting for Zhang Sheng.

"I, I can see the lesions." A weak, timid voice suddenly seemed very alternative and clear in the noise of the sound of coaxing Zhang Sheng to step down.

It was He Shanshan. Seeing that this bad guy who had helped her before but always liked to tease her was besieged, she didn't know what, so she mustered up the courage to speak for Zhang Sheng.

Everyone looked at her, her little face turned red, but she didn't wince.

Zhang Sheng was also slightly stunned, and looked at He Shanshan deeply. The peerless figure in Baiyi who had once turned against his senior brother and became enemies of the world for his sake.

Zhang Sheng was stunned for a while, came back to his senses, turned his head, ignored the commotion in the scene, and changed the picture with a slap, saying: "Let's look at the six magnetic resonance diagrams, which are the imaging that was examined for the patient the day before yesterday. Similarly, in the frontal lobe of the left brain, we can see these lesions, but the lesions have undergone subtle changes, that is, the lesions are wandering, so I judged that there are parasites in the patient's brain. However, because this parasite is too small, before we judged the exact lesions, the patient had symptoms of cerebral hemorrhage and brain hernia, and there were too many brain lesions, it was difficult to detect these parasites by using general live biopsy."

Zheng Youren sneered: "Doctor Xiao Zhang, I can't see the lesions you mentioned, and there is even more no way to talk about the lesions."

Zhang Sheng nodded and said, "Then you may see clearly." As he said that, he overlapped the two magnetic resonance patterns and hung them up. Under the strong light, the experts and doctors present exclaimed.

Zhang Sheng said that the lesions are wandering, but after the two pictures overlap, the images displayed on the large screen seem to have subtle lesions in the left frontal lobe of the patient, and in the TI sequence, small gray spots that can barely be seen by the naked eye.

Zhang Sheng also said: "These parasites are very small larvae and will not cause damage to the patient's brain, but minimally invasive surgery to clear the patient's brain hematoma may stimulate them to start swimming collectively to some extent, which caused the patient to experience brain hernia again."

Zheng Youren's face turned pale. Zhang Sheng meant that he had done his surgery wrong. He was about to speak, but Wu Jingrong had waved and said, "Okay, Xiao Zhang, you come down, come down."

Zhang Sheng nodded, sat in the back row honestly, and stopped talking.

Seeing Zheng Youren's embarrassment, Wu Jingrong felt more refreshed than eating ice cream in Daxia. Zhang Sheng's performance today was simply too unexpected. Regardless of whether his judgment was correct or not, a young doctor who had just finished his internship had boldly made his own remarks, which greatly wiped out Zheng Youren's face.

"Let's do this, prepare for the operating room, and I will do the directional biopsy for Mr. Wang. I will report to Commander Wang and the Dean first." Although Wu Jingrong did not believe Zhang Sheng's judgment in his heart, it seems that Mr. Wang's left frontal lobe does have lesions. It is not wrong to have a detailed examination. From the doctor's perspective, various examinations are definitely better than lack, because the doctor's fault tolerance rate is too low.

Zheng Youren's face turned pale. Now he even wondered if Wu Jingrong had discovered something long ago and deliberately arranged for this disciple to be unable to come to Taiwan.

Liu Xuefan scratched his head. He couldn't understand this scene, really. This little guy can still talk about the pathogen seriously. He was very polite and even asked the authorities in the hospital to follow his ideas. This world is so crazy.

The consultation ended like a farce. Zhang Sheng noticed the anger in Zheng Youren's eyes, but he just pretended that he didn't see it and mingled at the end of the crowd and left the conference room.

He Shanshan didn't expect that this would end. She risked being expelled in a moment of indignation and helped Zhang Sheng speak in front of the authoritative expert and doctor in front of the hospital. She was only a little scared now, but she didn't expect that Brother Zhang's judgment was actually quite good and seemed to be true. No one would pursue the episode where he spoke for him.

But Brother Zhang, is it that powerful?
Chapter completed!