Chapter 1773

Su Yun was speechless.

Is your boss a fool?

This kind of retarded words can be said when you quarrel with yourself. But on this occasion, do you want to talk to director Cheng of the emergency department?!

It doesn't matter if it's reasonable and justified. Slap it and everyone has to listen honestly. The key is nothing. I just say there is a problem, but I don't know where the problem is. In this case, we should also say that we have rich clinical experience. Isn't this our own scolding.

"I have eaten more salt than you have eaten!" Sure enough, director Cheng roared, "tell me about your clinical experience?"

Zheng Ren bowed again and again, carefully compensating the wrong, and said, "director Cheng, I really feel that there is a problem, not mischief. Didn't Cui also say that there is a problem this morning?"

"You..."

"Director Cheng, allow me a few more hours. I'll finish reading the medical record. What do you say?" Zheng Ren talks a little.

Su Yun can't bear to see it.

It's the first time I've been to 912 for so long. I'm sorry.

Don't you usually go all the way? Now 912 who dares to question boss Zheng's diagnosis? Besides, it's not for their own business, or a group of patients with gastrointestinal colds

Alas!

Su Yun sighed heavily.

Seeing Zheng Ren's posture of not fighting back and scolding back, director Cheng has nowhere to vent his anger.

He sighed and said, "Xiao Zheng... Boss, it's 11:36. Will you have two hours?"

"Three." Zheng Ren smiled and said with an inch.

"Two!" Director Cheng wangfa coughed louder and louder. After more than ten seconds, he got better and said, "I'm in my office. I wanted an accurate diagnosis in two hours."

"OK, OK." Zheng Ren sent director Cheng out.

Seeing director Cheng angrily walking back to his office, Su Yun said, "boss, as for?"

"Seize the time to get the film and let Zhou Litao appease the patient." Zheng Rendao.

Su Yun sighed, but did not refute, but trotted all the way to get the film.

Zheng Ren was relieved to handle the goods. He didn't even ask for more words. Turn around and return to Zhou Litao's duty room, sit at the table and continue to look at the medical records.

Two hours!

Although he can beat director Cheng to do things, or even call Lin Ge over, Zheng Ren doesn't want to do so.

This is 912. This is the emergency department.

If there is no diagnosis and forcibly sweep the face of a senior director, it is completely domineering.

Just

The patient had problems, but all the tests did not provide any clues.

Damn it, why didn't the pig hoof be diagnosed, but the system panel was bright red?

Zheng Ren is a little nervous. His legs are a little stiff and his body is a little cold.

The system panels of 17 patients were red, very red. Although not fatal for the time being, God knows what will happen as the disease progresses!

Hurry up, Zheng Ren knows that he has only one hour and fifty-eight minutes.

Soon, Su Yun ran back with a stack of films in his hand. The film bags are marked with black marking pen to mark the patient's name, which is very eye-catching.

Zhou Litao and another doctor carried the film reader into the duty room.

Zheng Ren did not move. He picked up a medical record he had seen and said, "Xu Sheng."

Su Yun immediately found the patient's film and inserted it into the film reader.

Lung CT, emphysema, lung texture is slightly thick, but it doesn't mean anything. No nodules, no bronchiectasis.

The key is that there are no signs of pneumonia and no pleural effusion.

In other words, the patient had no inflammation of the upper respiratory tract.

Zheng Ren took a look at the date. It was the inspection done yesterday. The time should be good. The patient was hospitalized for 36 hours and rechecked, but nothing happened.

"Boss, C-reactive protein is not high and inflammation is not considered." Su Yun took a look at the film and knew what Zheng Ren was thinking. He immediately said.

Zheng Ren nodded, but he was still watching the film.

Reconstruction, there is still no new discovery.

He picked up the patient's ECG and found nothing wrong. Sinus rhythm, ST segment not elevated. This degree of ST segment elevation is meaningless.

"It's routine. Hurry up." Zheng Rendao.

"OK." Su Yun knows that Zheng Ren is talking about the routine stool test done early this morning. This kind of test usually results around 4 p.m.

He contacted the laboratory immediately.

Soon, Su Yun whispered, "the laboratory said that the results should be given as soon as possible, but there is no problem in the preliminary judgment."

Zheng Ren's eyebrows frowned tighter.

The patient has headache, dizziness, fear of heat, irritability, palpitation, sweating and other symptoms. After admission, the ward round this morning showed no relief of symptoms and fatigue. It was said that he didn't rest well last night.

Zheng Ren remembers that his system panel, like others, is red, but there is no diagnosis!

MD！ He scolded fiercely in his heart.

What's the problem?

Pick up the B-ultrasound list with the B-ultrasound image on it. But these images are completely normal.

"Abdominal CT wasn't done, was it?" Zheng Ren asked.

"Well, I didn't do it." Zhou Litao said on one side.

It's just a gastrointestinal cold. There have been a lot of existing examinations. If more examinations are done, I'm afraid the patient will turn his face directly.

Don't make too many examinations in order to avoid the so-called excessive medical treatment.

Many patients are also complacent that the doctor asked me to do so and so, but I didn't. You see, I'm better now?

"President Zhou, do patient work and check abdominal CT." Zheng Ren squinted at the B-ultrasound list and said.

"...." Zhou Litao was speechless, which was killing him.

There's no diagnosis. Do you have to check? Well, boss Zheng has said, so go and check it.

Zhou Litao looked at Zheng Ren with some "deep resentment" and turned around to do the patient's work.

"Boss, what are you thinking about?" Su Yun asked.

"Not considered for the time being." Zheng Ren said, "I just feel that there must be something big!"

"..." Su Yun felt that today was not a good day.

It's OK to sit quietly at home waiting for the task, but I have to come to the emergency department for consultation. Consultation is not enough. The boss of the patient who has no problem "makes a mountain out of a molehill".

Is he crazy?

Su Yun glanced at Zheng Ren and saw that the expression on his face was very serious. There was no fake smile on his face. It was clear that there was no perfunctory mind.

What he said was true. Su Yun judged it at the first time.

But B-ultrasound showed that there was no problem with the liver, gallbladder and spleen, and there was no treatment for both kidneys and ureters. The patient has diarrhea symptoms. Doing a B-ultrasound has been regarded as excessive medical treatment. Systemic examination? The health care center will come to you soon.