Chapter 2013: with translation of chapter title

"Director Zhou, you've come." a doctor in his forties said.

"Professor Wu, greetings." Zhou Chun Yong reached out and shook his hand, wanting to introduce him to Zheng Lao Ban.

"Teacher Wu, I think the imaging findings are problematic and need further examination." The girl completely didn't notice someone entering; she looked at the images on the viewer and said softly.

Zhou Chun Yong startled for a moment; just now he was in a hurry rushing over, he didn't hear clearly what the person inside said.

But upon entering and looking, there actually was someone who shared Zheng Lao Ban's idea, and it was an even younger girl.

"Who is this…" Zhou Chun Yong asked vaguely.

"A Doctor who returned from Harvard, young people always have their own ideas." Professor Wu let out a laugh.

But from his words one could hear his disdain for giving a diagnosis to this girl. However, for some reason, Professor Wu did not directly rebuke her, but instead said a vague remark.

Zhou Chun Yong looked doubtfully at the girl, then immediately realized what he should do.

He immediately introduced: "Old Wu, this is Zheng Lao Ban, the Zheng Lao Ban of 912."

Professor Wu's expression immediately became very interesting.

Rumors about the little Zheng Lao Ban of 912 have long been common knowledge among the upper echelons of Di Du's medical community.

He is no longer a rising new star, but a scorching sun rising above the horizon.

Originally I thought Zhou Chun Yong had brought his junior doctors over, but unexpectedly he brought the little Zheng Lao Ban, this great deity, here.

Legend had it that Zhou Chun Yong relied heavily on Zheng Lao Ban; unexpectedly, this unreliable rumor turned out to be true.

Professor Wu was very cautious and polite, extending his hand to shake Zheng Ren's.

"Zheng Lao Ban, I've long heard of you."

"Professor Wu, you're being polite; may I look at the patient's other test reports?" Zheng Ren asked.

"No problem, what would you like to see?"

"All the lab slips and examination reports, how is the patient now?" Zheng Ren asked.

"Condition is poor, cough with hemoptysis. Every morning upon waking, he can cough up dark red blood clots." Professor Wu sighed and said, "Just now we placed a closed chest tube drainage, which drained 800 ml of dark red bloody fluid."

Zheng Ren nodded, looked as Professor Wu opened a workstation on a computer, then walked over.

"Zheng Lao Ban, please sit and look." Professor Wu was very polite.

Just thinking about how the little Zheng Lao Ban swept through the Medical University Affiliated Hospital is terrifying; Professor Wu certainly doesn't want to offend this up-and-coming Zheng Lao Ban.

Moreover, what he least wants is to become the protagonist in the legend who gets slapped in the face.

"Then I won't be polite." Zheng Ren sat directly at the computer and began flipping through the patient's various lab slips.

Su Yun squeezed in alongside and also watched.

"Old Wu, what are you thinking?" Seeing Zheng Lao Ban intently and seriously examining the lab report, Zhou Chun Yong quietly asked Professor Wu about the situation.

"Late-stage lung cancer, the person probably…"

"Teacher Wu, I don't think it's lung cancer." The girl, hearing Professor Wu say that, repeated it again.

"Um…" Zhou Chun Yong did not ignore her like Professor Wu did, but instead earnestly looked into the girl's eyes and said, "May I ask your esteemed surname?"

"No need for formalities, my surname is Lin, Lin Yuan."

The girl seemed a bit cold, perhaps unaware, or perhaps simply indifferent; she did not seem to show much respect to Zhou Chun Yong, the Head of the Hepatobiliary Intervention Department in Di Du.

"Doctor Lin, what disease do you think it is?" Zhou Chun Yong also didn't stand on ceremony, directly asking.

"I think we need to conduct more detailed examinations…"

"CA12589.4U/ml, NSE18.5mg/ml, tumor markers have risen, plus bloody pleural effusion; I think the diagnosis is already quite clear." Professor Wu, slightly impatient, interrupted the girl's words.

"Teacher Wu, while elevated tumor markers are usually related to tumors in most cases, other conditions can also cause such marker increases." Lin Yuan said.

Zhou Chun Yong's hope in his heart burned ever more fiercely.

Zheng Lao Ban sat over there, already whispering something to Su Yun; on this side, a Harvard Doctor also had his own opinion.

Could it really be that I misread it?

Zhou Chun Yong again reviewed the imaging data, feeling there would be no mistake.

Although the current main focus is liver cancer, Zhou Chun Yong's ability to read images is absolutely not lacking.

Not only is it not lacking, it is quite high.

After all, he is a doctor trained in imaging; for such an obvious image, Zhou Chun Yong confidently believes he won't misread it.

"Director Zhou, go look at the patient." Zheng Ren suddenly stood up, his face faintly glowing with a subtle light.

Zhou Chun Yong startled for a moment; he had been pondering Zheng Lao Ban for a long time, he could guess that Zheng Lao Ban already had a definite diagnosis in mind.

"Zheng Lao Ban, what do you think it is?"

"Left pulmonary vein stenosis." Zheng Ren said definitively.

Zhou Chun Yong and Professor Wu were somewhat doubtful, but Lin Yuan's eyes lit up!

"Go see the patient; I estimate he now has severe left heart failure. If the family consents, I suggest we promptly perform pulmonary vein angiography with balloon dilation and stent placement."

Zheng Ren spoke while walking toward the door.

Zhou Chun Yong hurriedly followed, having forgotten to greet Professor Wu, hastily bringing Zheng Lao Ban to see the patient.

As Su Yun passed Lin Yuan, she gave a slight smile, "Pretty impressive."

Lin Yuan lifted her head, flicking her ponytail.

Su Yun followed after them; Lin Yuan watched the two figures, thought for a moment, and also went out.

Professor Wu, however, did not go; he furrowed his brow, staring at the image on the viewer.

"Pulmonary vein stenosis?"

While looking at the images, Professor Wu muttered softly.

If we explain it with pulmonary vein stenosis… it actually makes sense. But explaining it with lung cancer also poses no problem.

Differential diagnosis is one of the hardest parts of clinical work, especially when some diseases have virtually identical symptoms; wanting to give a definite diagnosis is not an easy task.

Before having malignant pleural effusion, the patient had no symptoms of chest tightness or shortness of breath; heart rate was normal, ECG normal, BNP normal, echocardiogram ejection fraction EF normal, pulmonary artery CTA showed no pulmonary artery filling defect.

Did Young Zheng Lao Ban see all these auxiliary examinations?

Professor Wu felt doubtful, but he didn't dare to directly conclude that Young Zheng Lao Ban's statement was wrong.

The 'painful' example from Capital Medical University Affiliated Hospital is now a joke over meals and drinks; every time it's brought up, people feel that the technical level there has unknowingly regressed so much.

Although occasionally there are doctors from Capital Medical University Affiliated Hospital present, they would explain, 'How high is the difficulty of bullet embolism, blah blah blah.'

But who cares!

Just make a harmless joke, and everyone will have a good laugh.

Professor Wu certainly doesn't want to be laughed at by everyone.

He struggled to recall the various test reports; the echocardiogram showed no abnormality, the pulmonary artery CTA showed no abnormality, the images…… however you look at it, it looks like lung cancer.

Just as Professor Wu was doubtful, Zheng Ren strode back.

"Professor Wu, the diagnosis is now fairly clear; I recommend pulmonary venography." Zheng Ren said confidently.

"Uh..." Professor Wu felt somewhat helpless.