Chapter 1722： High level of surgery and higher diagnostic level!
Director Luo followed Zheng Ren’s side and saw Mao’s words. He immediately asked: “Zheng boss, the patient in Massachusetts, how do you judge the thyroid problem?”
The topic changed a bit fast, Zheng Ren gave a slight glimpse, and then smiled: "Director Luo, have you noticed that the patient did not have mental symptoms before admission, but inexplicably appeared after admission?"
"There may be a doctor's consultation is wrong, or the patient's own narrative, temporary amnesia caused." Director Luo said.
"You are right." Zheng Ren said gently: "I also thought about it at the beginning, but I couldn't find any disease. I simulated the patient's admission from the beginning and found that we forgot a major thing. ”
Significant, even use this adjective. Director Luo snorted, what did he forget?
“The patient had a CT enhancement after admission.” Zheng Ren smiled. “So I put the focus of my doubt on the contrast agent containing iodine.”
"..." Director Luo remembered that the earliest show in front of him was the CT-enhanced film.
To do CT enhancement, a contrast agent is needed.
The enhanced contrast agent will certainly not be the tincture for the upper digestive tract, and it is an iodine preparation. Whether it is inorganic iodide, organic iodide or iodized oil, fatty acid iodinating agent, it contains a lot of iodine.
Director Luo has a high IQ, and those who can climb from the countryside to the director of the 912 department in that era have a skill. Whether it is IQ or anything else, it is the best choice.
Zheng Ren gave a head, and Director Luo immediately thought of the last.
Because the patient was initially diagnosed with vomiting, and the reason for this admission was due to electrical fires, no one was considered for thyroid crisis.
The high iodine load may cause the Wolff-Chaikoff effect in the thyroid gland, which results in a decrease in thyroid hormone secretion after administration of a large amount of iodine, as in the case of imaging examination, resulting in an emergency stop in the synthesis of thyroid hormone.
When the patient was previously hospitalized, after a similar symptom that was likely to be associated with undiagnosed hyperthyroidism, the patient received a high iodine load during intravenous contrast for abdominal CT examination, which may have resulted in a similar effect.
Therefore, the short-term inhibition of thyroid load on the patient's thyroid is likely to fail, and the patient has severe hyperthyroidism again, leading to this clinical manifestation and hospitalization.
Director Luo thought it was transparent, but for a time he wanted to enter the gods and stay in the same place.
"Lao Luo? What do you want?" Mao looked back and asked a little strangely.
“Hey...” Director Luo heard Mao’s call and thought about it. He smiled bitterly: “Director Mao, do you say that Zheng’s surgery is doing well?”
Mao did not expect Director Luo to ask this question. He didn't know what he meant, just nodded.
"Zheng boss's diagnosis level will only be better than surgery." Director Luo sighed.
Mao’s first thought is that impossible!
Surgeons, who perform surgery all the year round, need to spend at least 6-8 hours a day on the operating table.
Don't talk about learning. After you step down, you are tired and half dead. You also need to write surgery records, see patients, and go to hospital. Normal life will be affected, and when a girlfriend can pay, it is a problem.
As for the diagnosis...
It is not bad to understand common diseases. Those who have rare diseases, who have time and energy to ponder?
In the doctor's view, the diagnosis and treatment of rare diseases is like a dragon trick. When you meet, others will not be able to do it yourself.
But is it really useful?
It is a rare disease, because it is rare, one year and a half can not see a case, so it is called a rare disease.
The common diseases that are dealt with in a day are enough to make people exhaust their energy to learn.
As for the level of diagnosis...
Mao shook his head slightly.
Anyway, what Zheng Bo and Director Luo said just now, if you think about it carefully, you can understand it.
However, Mao is too lazy to think about what a **** thyroid crisis, this disease does not say diagnosis and treatment, just hear it, one head becomes two big.
As long as you are responsible for this stall, it is enough for someone to find out when they are looking for their own illness.
As for the thyroid crisis, there is not the endocrinology and gland surgery. I am in 912, and it is not a private hospital with a name like the International Hospital.
After a few more steps, Director Luo thought more and more surprised.
At first, I admire it, but after I want to understand it, I can see it again from the beginning. It is very simple to look at it, but it is quite difficult to find this factor in the patient's complicated medical information.
"Zheng boss, you have this level of diagnosis..." Director Luo sighed and said: "Great!"
"Director Luo, you don't praise him." Su Yun followed up, laughing and said: "It is a thyroid crisis, it is not a big problem. You see my equipment, is it ready?"
Director Luo was helpless and had nodded. "It's really good."
"There is a chance to come to the consultation. Next time I can accommodate me for an hour, I will show you a miracle." Su Yun said with a smile.
Director Luo is still a more traditional doctor. He can't accept Su Yun's gorgeous consultation mode.
What is the use of glamorous and bright? In the end, it is not the diagnosis of the disease that has to be found out of countless lines.
But he knows the position of Su Yun in the medical team. Zheng Bo does not speak, so don’t hesitate.
......
......
[They said to write one soon...]
Zheng Ren’s cell phone rang, and he glanced at it and connected the phone.
"Song brother, hello." Zheng Ren said warmly.
"Oh, just doing surgery, the hybrid operating room, the lead plate is too thick, the signal is not good."
"I have something to do with this...do you change your day?"
Su Yun saw Zheng Ren’s face with a firm and refusal look. Haha smiled and said: “Is it strict that Master Shi is coming?”
Zheng Ren nodded call me. "Su Yundao," Director Mao, I am afraid that you have no chance to treat you. ”
Mao held a blink of an eye and said: "No matter who you are today, you can't grab a ticket with me."
"You don't mind a few more people." Su Yun asked.
All these words are said, and Mao will certainly not mind.
People like social phobias like their own bosses don’t really have a lot.
"Song Ge, I, Su Yun." Su Yun grabbed the mobile phone and said: "The boss has just saved a station, and we rushed over. In your Tang and Song restaurant?"
"Oh, that meeting."
After that, Su Yun returned the phone to Zheng Ren.
Zheng Ren feels a bit strange.
Website:
The topic changed a bit fast, Zheng Ren gave a slight glimpse, and then smiled: "Director Luo, have you noticed that the patient did not have mental symptoms before admission, but inexplicably appeared after admission?"
"There may be a doctor's consultation is wrong, or the patient's own narrative, temporary amnesia caused." Director Luo said.
"You are right." Zheng Ren said gently: "I also thought about it at the beginning, but I couldn't find any disease. I simulated the patient's admission from the beginning and found that we forgot a major thing. ”
Significant, even use this adjective. Director Luo snorted, what did he forget?
“The patient had a CT enhancement after admission.” Zheng Ren smiled. “So I put the focus of my doubt on the contrast agent containing iodine.”
"..." Director Luo remembered that the earliest show in front of him was the CT-enhanced film.
To do CT enhancement, a contrast agent is needed.
The enhanced contrast agent will certainly not be the tincture for the upper digestive tract, and it is an iodine preparation. Whether it is inorganic iodide, organic iodide or iodized oil, fatty acid iodinating agent, it contains a lot of iodine.
Director Luo has a high IQ, and those who can climb from the countryside to the director of the 912 department in that era have a skill. Whether it is IQ or anything else, it is the best choice.
Zheng Ren gave a head, and Director Luo immediately thought of the last.
Because the patient was initially diagnosed with vomiting, and the reason for this admission was due to electrical fires, no one was considered for thyroid crisis.
The high iodine load may cause the Wolff-Chaikoff effect in the thyroid gland, which results in a decrease in thyroid hormone secretion after administration of a large amount of iodine, as in the case of imaging examination, resulting in an emergency stop in the synthesis of thyroid hormone.
When the patient was previously hospitalized, after a similar symptom that was likely to be associated with undiagnosed hyperthyroidism, the patient received a high iodine load during intravenous contrast for abdominal CT examination, which may have resulted in a similar effect.
Therefore, the short-term inhibition of thyroid load on the patient's thyroid is likely to fail, and the patient has severe hyperthyroidism again, leading to this clinical manifestation and hospitalization.
Director Luo thought it was transparent, but for a time he wanted to enter the gods and stay in the same place.
"Lao Luo? What do you want?" Mao looked back and asked a little strangely.
“Hey...” Director Luo heard Mao’s call and thought about it. He smiled bitterly: “Director Mao, do you say that Zheng’s surgery is doing well?”
Mao did not expect Director Luo to ask this question. He didn't know what he meant, just nodded.
"Zheng boss's diagnosis level will only be better than surgery." Director Luo sighed.
Mao’s first thought is that impossible!
Surgeons, who perform surgery all the year round, need to spend at least 6-8 hours a day on the operating table.
Don't talk about learning. After you step down, you are tired and half dead. You also need to write surgery records, see patients, and go to hospital. Normal life will be affected, and when a girlfriend can pay, it is a problem.
As for the diagnosis...
It is not bad to understand common diseases. Those who have rare diseases, who have time and energy to ponder?
In the doctor's view, the diagnosis and treatment of rare diseases is like a dragon trick. When you meet, others will not be able to do it yourself.
But is it really useful?
It is a rare disease, because it is rare, one year and a half can not see a case, so it is called a rare disease.
The common diseases that are dealt with in a day are enough to make people exhaust their energy to learn.
As for the level of diagnosis...
Mao shook his head slightly.
Anyway, what Zheng Bo and Director Luo said just now, if you think about it carefully, you can understand it.
However, Mao is too lazy to think about what a **** thyroid crisis, this disease does not say diagnosis and treatment, just hear it, one head becomes two big.
As long as you are responsible for this stall, it is enough for someone to find out when they are looking for their own illness.
As for the thyroid crisis, there is not the endocrinology and gland surgery. I am in 912, and it is not a private hospital with a name like the International Hospital.
After a few more steps, Director Luo thought more and more surprised.
At first, I admire it, but after I want to understand it, I can see it again from the beginning. It is very simple to look at it, but it is quite difficult to find this factor in the patient's complicated medical information.
"Zheng boss, you have this level of diagnosis..." Director Luo sighed and said: "Great!"
"Director Luo, you don't praise him." Su Yun followed up, laughing and said: "It is a thyroid crisis, it is not a big problem. You see my equipment, is it ready?"
Director Luo was helpless and had nodded. "It's really good."
"There is a chance to come to the consultation. Next time I can accommodate me for an hour, I will show you a miracle." Su Yun said with a smile.
Director Luo is still a more traditional doctor. He can't accept Su Yun's gorgeous consultation mode.
What is the use of glamorous and bright? In the end, it is not the diagnosis of the disease that has to be found out of countless lines.
But he knows the position of Su Yun in the medical team. Zheng Bo does not speak, so don’t hesitate.
......
......
[They said to write one soon...]
Zheng Ren’s cell phone rang, and he glanced at it and connected the phone.
"Song brother, hello." Zheng Ren said warmly.
"Oh, just doing surgery, the hybrid operating room, the lead plate is too thick, the signal is not good."
"I have something to do with this...do you change your day?"
Su Yun saw Zheng Ren’s face with a firm and refusal look. Haha smiled and said: “Is it strict that Master Shi is coming?”
Zheng Ren nodded call me. "Su Yundao," Director Mao, I am afraid that you have no chance to treat you. ”
Mao held a blink of an eye and said: "No matter who you are today, you can't grab a ticket with me."
"You don't mind a few more people." Su Yun asked.
All these words are said, and Mao will certainly not mind.
People like social phobias like their own bosses don’t really have a lot.
"Song Ge, I, Su Yun." Su Yun grabbed the mobile phone and said: "The boss has just saved a station, and we rushed over. In your Tang and Song restaurant?"
"Oh, that meeting."
After that, Su Yun returned the phone to Zheng Ren.
Zheng Ren feels a bit strange.
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