Chapter 1722

Director Luo followed Zheng Ren and saw that Mao had nothing to say. He immediately asked, "boss Zheng, the patient in Massachusetts, how do you judge that there is a thyroid problem?"

The topic changed a little quickly. Zheng Ren was stunned, then smiled and said, "director Luo, have you noticed that the patient had no mental symptoms before admission, but inexplicably after admission?"

"It may be caused by the doctor's wrong consultation, or the patient's unclear narration and temporary amnesia." Director Luo said.

"You're right." Zheng Ren said gently, "I thought so at the beginning, but I really couldn't find what the disease was. I simulated the situation of patients after admission from the beginning and found that we had forgotten an important thing."

Great, even use this adjective. Director Luo was stunned. Did he forget anything?

"The patient had a CT enhancement after admission." Zheng Ren smiled, "so I put the focus of my doubt on the contrast medium containing iodine."

"..." director Luo remembered that the CT enhanced film was first displayed in front of him.

To do CT enhancement, you need to use contrast medium.

The contrast agent for enhancement will certainly not be the barium agent for barium penetration of the upper gastrointestinal tract, but all iodine preparations. Whether it is inorganic iodide, organic iodide, iodized oil or fatty acid iodide, it contains a lot of iodine.

Director Luo has a high IQ. At that time, people who could climb from the countryside to the director of 912 department had their own skills. Whether it's IQ or anything else, it's the best choice.

Zheng Ren raised his head, and director Luo immediately thought of the end.

Because the patient's initial diagnosis was vomiting, and the reason for this admission was electrical fire, no one considered thyroid crisis.

High iodine load may lead to Wolff chaikoff effect in patients' thyroid, that is, after giving a large amount of iodine, it will lead to the reduction of thyroid hormone secretion, just like the situation encountered in imaging examination, resulting in the emergency stop of thyroid hormone synthesis.

When the patient was hospitalized before, after having similar symptoms that are likely to be related to undiagnosed hyperthyroidism, the patient received high iodine load during intravenous contrast medium for abdominal CT examination, which may lead to similar effects.

Therefore, the short-term inhibitory effect of iodine load on the patient's thyroid is likely to fail, and the patient has severe hyperthyroidism again, resulting in the clinical manifestations and hospitalization.

Director Luo thought thoroughly, but for a moment he thought deeply and was stunned.

"Lao Luo? What do you think?" Mao looked back and asked in some surprise.

"Er..." director Luo heard Mao call himself, thought again and said with a bitter smile: "Director Mao, do you think boss Zheng did a good operation?"

Mao Zhi didn't expect director Luo to ask. He didn't know what he meant, but just nodded.

"Boss Zheng's diagnostic level will only be better than surgery." Director Luo sighed.

Mao's first thought was - that's impossible!

Surgeons, who operate all year round, spend at least 6-8 hours on the operating table every day.

Not to mention learning, I was half dead tired after stepping down. I had to write operation records, see patients and go in and out of the hospital. Normal life will be affected. When a girlfriend can make friends is a problem.

As for diagnosis

It's good to understand common diseases. Who has the time and energy to think about those rare diseases?

In the eyes of doctors, the diagnosis and treatment of rare diseases are like the unique skill of killing dragons. When you encounter it, others won't do it themselves. It's really awesome.

But is it really useful?

It is said to be a rare disease, because it is rare and can not be seen in a year and a half, so it is called a rare disease.

The common diseases that people deal with all day are enough to exhaust people's energy to study all their life.

As for the diagnostic level

Mao Chi shook his head slightly.

Anyway, if you think about it carefully, you can understand what boss Zheng and director Luo said just now.

However, Mao was too lazy to think about the damn thyroid crisis. Without diagnosis and treatment, just hearing it, one head turned into two big ones.

As long as you take charge of your own stall, it's enough that you don't feel guilty when someone looks for you to see a doctor.

As for thyroid crisis, there are Endocrinology and glandular surgery. He is in 912, not a private hospital with the name of international hospital.

After taking a few more steps, director Luo was more and more surprised.

At first, it was admiration, but after I wanted to understand it, I stroked it again from the beginning and found that it looked very simple, but it was very difficult to find this factor in the patient's complicated condition data.

"Boss Zheng, your diagnosis level..." director Luo sighed and said, "great!"

"Director Luo, don't praise him." Su Yun followed up and said with a smile, "it's a thyroid crisis. It's not a big problem. Do you think my equipment is well prepared?"

Director Luo had no choice but to nod and say, "it's really good."

"If you have a chance to come for consultation, let me see a miracle next time for an hour." Su Yun said with a smile.

Director Luo is still a traditional doctor. He can't accept Su Yun's gorgeous consultation mode.

It's bright. What's the use? Finally, it is not necessary to find out the diagnosis of the disease from countless lines.

But he knows Su Yun's position in the medical group. Boss Zheng doesn't speak, so don't talk with him.

……

……

[they said write a song quickly...]

Zheng Ren's cell phone rang. He glanced and connected the phone.

"Hello, brother song." Zheng Ren greeted gently.

"Oh, I just had an operation. In the hybrid operating room, the lead plate is too thick and the signal is not good."

"I have something to do... Why not another day?"

Seeing Zheng Ren's firm refusal, Su Yun smiled and said, "is master Yan coming with Xie Li?"

Zheng Ren nodded.

"Call me." Su Yun said, "Director Mao, I'm afraid you don't have a chance to treat today."

Mao stared and said, "no matter who you are today, you can't rush to pay with me."

"You don't mind a few more people." Su Yun asked with a smile.

Of course, Mao would not mind if he said all these words.

There are not many people with social phobia like their own boss.

"Brother song, I, Su Yun." Su Yun grabbed the mobile phone and said, "the boss has just saved a station. We'll go there now. Are you in the restaurant of the Tang and Song Dynasties?"

"OK, I'll see you later."

With that, Su Yun returned his mobile phone to Zheng Ren.

Zheng Ren feels a little strange.