"Director Wang, it is me, old summer."
"Well, I have a patient who needs an emergency department to do MRCP. I have to trouble you."
Said, she took the phone and asked: "Zheng, you mean to do MR 3D reconstruction?"
"Well, just do it right. If you do CT three-dimensional reconstruction, you have to let the patient run a little, trouble." Zheng Rendao.
"Director Wang, still have to do a three-dimensional reconstruction of MR."
"I didn't do it? Oh, that line, I took the patient in the past, it was troublesome."
After that, Director Xia hangs up and tells Zheng Ren: "Zheng Zong, our hospital did not carry out MR 3D reconstruction."
"Oh, generally not carried out." Zheng Rendao: "The faults of MR reconstruction should be thicker and the effect is not as good as CT three-dimensional reconstruction."
"That..."
"Nothing, just take a look, MR is enough. Save money for patients, don't look too clear."
"I mean no one can do it."
"Director Xia, I can do it." Zheng Ren realized that there was a misunderstanding between himself and Director Xia. He smiled and said: "You have contacted this side, then you send a doctor to take the patient to do MRCP, I Take a look at the past and make a reconstruction, at most 20 minutes."
Director Xia looked at Zheng Ren, who was young and energetic, and he was very emotional.
However, this is not a general young and prosperous, and people are full of enthusiasm.
For clinical use, ceftriaxone is a commonly used drug. Director Xia has used it for decades and has never encountered mud-like stones.
She suspected that if Zheng Ren said it was true, he might have encountered it, but did not do the relevant examination, the patient was asymptomatic and healed after leaving the hospital.
However, in any case, this is a hidden danger, or it is a hidden danger that the old director of the clinic has not noticed.
She was curious, anxiously waiting for Zheng Ren to take the patient to do the examination, and immediately went to the pharmacy to find a nurse.
The nurse in charge of taking the medicine did not know what the strict director Xia had asked her to do, to see her anxious look, and some embarrassment.
When I heard that Director Xia wanted ceftriaxone's instructions, he suddenly breathed a sigh of relief.
She quickly found a box of ceftriaxone, opened the package, and took out the instructions inside.
I glanced at it and the word was too small. She went to the convenience station in front of the nurse station and took a magnifying glass and sent it to Director Xia.
Director Xia took the instructions of ceftriaxone and found the contraindications and side effects of the drug after the spread. He looked carefully with a magnifying glass.
The more you look at the summer director, the more frightened you are.
It is written above - gallbladder ultrasound will be misdiagnosed as the shadow of gallstones, which will disappear with the end of the treatment or termination of the application.
After taking the medicine for more than ten years, there will be such a special drug reaction...
Director Xia is ashamed.
She vaguely remembered that when she was a small doctor, Roche Fen (Ceftriaxone) produced by Shanghai Roche Pharmaceuticals had just entered the clinic and was favored by clinicians with good results.
I also studied the manual at the time, as if... it seems... oh... there is an impression in memory, I have seen it.
Director Xia has become an experienced old director since he was a young doctor. He has never encountered a case, and even he has never heard of it. This possibility of one in ten thousand has long forgotten to go behind the head.
Today, Zheng Ren reminded me that when he saw the instructions, Director Xia was shocked by a cold sweat.
This little doctor, really leaps and dragons change dragon! Director Xia took a magnifying glass and looked at the line of words.
How do he remember such a weird complication and drug side effects? And when you hear the symptoms of your patients, you can be sure.
It’s amazing, it’s amazing!
Director Xia suddenly remembered that there was a very widespread thing in the hospital recently. It is said that a German professor was not far away and went to Haicheng and the Zheng to study surgery.
She has seen Professor Rudolf Wagner, but Director Xia has the dignity of a great director. It is not as curious as to see a blond foreigner decades ago.
In that case, it is much more shameful.
Of course, Director Xia does not believe that foreign professors are coming to study with Zheng.
Most of the rumors in the courtyard are just listening to music. If it is true, most of them can't stand the scrutiny.
But now, Director Xia believes.
This level of Zheng Zong, this diagnosis... Anyway, I am completely convinced. Even if the foreigner came to Zheng Zhengxue for surgery, it would be no big deal.
Should!
Director Xia holding a magnifying glass in his hand, staring at the small print, and forgot everything.
I don't know how long it took, the phone ringing interrupted Director Xia's thoughts.
Her hand was a bit sour, she put down her magnifying glass, rubbed her eyes and picked up the phone.
"Director Xia, MRCP and reconstruction are done, look at your computer." Zheng Ren said on the phone, "The patient's film is very typical, just like this, I hung up, go back and say."
Uh... A feeling is not over yet, and Zheng Ren sent another surprise.
Double gallbladder deformity?
Is it true?
Director Xia immediately took a look at the sore wrist, opened the computer and found the patient's MRCP film.
Just want to see The phone rings again.
Director Xia is a little annoyed.
She is so desperate to look at the patient's film and see what a ghost of the gallbladder deformity is.
But the phone ringing... For every doctor, it may be an emergency, you need to go to the rescue, consultation.
Many years of habits, although Director Xia was unhappy, he still picked up the phone.
Director of Nuclear Magnetic Room Wang called.
Director Xia frowned. What did he call himself? Is nuclear magnetic just finished?
"Pharaoh, what is it? I am busy." Director Xia is not at all polite.
They are all old directors for many years, and they are familiar with each other to a certain extent, and they are not polite.
"Old summer, the one who just came, is Zheng Zong of the emergency department?"
"you do not know?"
"Emergency seldom opens nuclear magnetic, of course I don't know. The emergency department only knows the director of the old Pan."
"What are you calling? Hurry and say, I am busy."
"Nothing, just confirm it with you." Director of the nuclear magnetic room said: "I said that old summer, the Zheng always looked at the age, MR reconstruction can be really familiar."
"A while ago, my classmates had an emergency vomiting in the emergency department. He was an emergency TIPS operation." Director Xia said: "It is a powerful person."
The two men lamented a few words about the waves in the Yangtze River. The director Xia had something in his heart and hurriedly hang up the phone.
She clicked on the computer to open the nuclear magnetic, and I saw two gallbladders appear in the image!
Double gallbladder!
Double gallbladder deformity!
......
Note 1: 1 case of cholestatic deposition caused by ceftriaxone sodium, "Chinese Drug Application and Testing".