Chapter 816： Heavy taste

This patient should go to the blood department, not the circular department. "Zheng Ren compared dozens of case reports, and my heart guessed that it might be a rare disease, and he said to the director."

"Zheng boss, what do you suspect is the disease?" Director Yan was not surprised, but looked at the film, faintly asked.

His mind is also pondering the possibility of various diseases, and he is not too worried about Zheng Ren’s words.

"The information is incomplete and cannot be diagnosed for the time being." Zheng Ren said.

Director Yan was somewhat dissatisfied. He glanced at Zheng Ren and said: "Zheng boss, you are too cautious. Internal reading, free speech, not because of your words, everyone blindly believe that the patient is misdiagnosed. ""

Zheng Rendao: "The patient's ECG, can you find it?"

"I asked." Director Zhang took out his mobile phone and made a phone call. Less than 1 minute later,>

The doctor on the other side sent a photo of the ECG.

With the rapid development of instant messaging, the mode of in-hospital and out-of-hospital consultation has also undergone fundamental changes.

In the past, this type of information required emails for remote consultation. Even the first hospital of Haicheng City established a teleconsultation center for this purpose, and prepared to work with the large-scale top three hospitals of Emperor and Modu to improve medical standards.

Unfortunately, the construction of this remote consultation center is very slow. With the rapid advancement of mobile communication, the quality of the transmitted pictures has improved, and the consultation center has lost its original role and is directly scrapped. (Note 1)

The clarity of the film is enough, and no more advanced professional equipment is needed.

"Zheng boss, you take a look." Director Yan said with a mobile phone.

"Hey, Director, add a WeChat." Zheng Ren Ling moved, added the director of the > > Others are the WeChat of the beautiful lady on the street, and Zheng Ren is anxious to the various directors > People are really different.

If Su Yun is there, he will definitely give Zheng Ren a tasteful evaluation.

After adding WeChat, Director Yan passed the photo of ECG to Zheng Ren.

Download, zoom in, Zheng Ren a little look carefully.

The patient's electrocardiogram showed that the T wave was changed and the ST segment was depressed, which was indeed the ECG change of the standard myocardial infarction.

Zheng Ren noticed that at the same time of these changes, the patient's limb low voltage and chest lead lead to poor R wave, accompanied by arrhythmia.

This ... is more similar to the ECG changes of the primary light chain amyloidosis. Of course, Zheng Ren only guessed that this disease is rare. Moreover, according to dozens of case studies and reports, other inspections are required.

And the electrocardiogram in front of you,

The typical ECG change in myocardial infarction is only a "side reaction." The R wave change that doesn't seem to matter is the point!

Zheng Ren asked: "Hey, Director, I am sorry, the results of the patient-related examinations are all in trouble."

Thinking about the patient's condition, Zheng Ren's speech is not so polite. However, the director did not care. After asking about that, he returned all the results of the inspection.

Most of the 912 visits were made by the patients in the local area. The family members of the patients took all the inspection reports and films. If necessary, the 912 doctors will open a checklist on this side. But in most cases, the various checks of the origin are enough.

After a full five or six minutes, all the information on that side was transferred.

Zheng Ren examined one by one, the protein +++ in the urine, and the initial changes of nephrotic syndrome. Echocardiography is like reconstructing itself. The left ventricular ejection fraction is slightly reduced, the whole heart is thickened, and there is a standard "snowflake" echo in the myocardium.

"Is the liver checked?" Zheng Ren asked.

"Well, no." Director Yan saw Zheng Ren with a serious face. Although he was very surprised, he resisted and replied directly.

"I want to take a look at the patient." Zheng Rendao.

Director Yan nodded, Dr. Liang picked up the film and handed the doctor to the report. Director Zhang took out his mobile phone and called out.

The bell rang for a long time, and the face was picked up. The doctor who looks like the doctor is very busy at this time, and there is no time to connect to the phone.

"The patient is in you?" The call was connected, and the director was not polite, asked directly.

"Okay, then let's go right now."

"There are some problems with the film. I want to take a look at the patient."

When the director said, he hang up and leave. Zheng Ren immediately followed the director to go out of the reading room and go all the way to the clinic.

"Right, boss Zheng, what are you looking for?" Director Yu asked at this time.

"This is the case, Director Yan." Zheng Ren quickly walked a few steps and came to the side of the director, slightly behind the position, said: "Director Luo of the Department of Gastroenterology introduced me to a portal hypertension, patients with advanced cirrhosis I am thinking about surgery tomorrow, but the patient does not have a nuclear magnetic diffusion test and there is no way to judge the puncture point."

Zheng Ren said that all the ideas have been expressed very clearly.

"Oh, this thing. Do it after work, can you get it?" asked the director.

"There is time to get it." Zheng Ren quickly answered with a smile.

"Xiaoliangzi, you can do it for Zheng Boss." Director Xu immediately arranged.

Zheng Ren seems to be a very difficult thing, here is the director of the 褚, just a word of mouth good. Dr. Liang immediately responded.

Zheng Ren was a bit embarrassed. When he came to the emperor, Dr. Liang helped a lot. However, I don’t even have the WeChat or the phone number of the people. It seems that things like interpersonal relationships will be a bit of a snack.

People, social animals, always have to communicate with other people.

If you don't want to make a Nobel Prize, it doesn't matter. However, in the current situation, there must be someone who has a lot of people to help themselves.

Zheng Ren followed the director of the ,, silently thought. However, the director promised that this is a good thing. Zheng Ren immediately contacted Liu of the Department of Gastroenterology, allowing patients to fast water, appropriate fluid replacement, and nuclear magnetic dispersion at around 7:00.

Although the time for fasting water is a bit early, it is better than not.

Foreign patients come to the emperor to see a doctor, and very few people come (Note 2). A family, people eat horses to chew, the cost is not low every day.

Being able to leave the hospital one day will save a lot of money.

When I came to the medical office, the patients of Wuhuan lined up outside and there were security guards to maintain order.

Looking at the innumerable red and light red background boards, Zheng Ren took a deep breath.

The system is so powerful that there is only one person in the big pig's hoof, and it can't solve too many problems.

Entering the clinic, I came to the 3 clinics of the experts in the circular department. Zheng Ren saw a 30-year-old patient standing in the door with a look of fear.

And his system panel showed a faint red color, the diagnosis is very clear - primary light chain amyloidosis.

......

......

Note 1: The remote consultation center of our hospital is so scrapped.

Note 2: I managed a female patient last year. It is said that the ovarian cancer resection in Beijing was done by myself. Very strong, very optimistic person.

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