Chapter 1721 The Level of Surgery Is High, and the Level of Diagnosis Is Higher!

Director Luo followed Zheng Ren. Seeing that Mao Chi had nothing to say, he immediately asked, "Boss Zheng, that patient in Massachusetts, how did you judge that there is a problem with the thyroid gland?"

The topic changed a bit quickly, Zheng Ren was slightly startled, and then smiled: "Director Luo, have you noticed that the patient had no mental symptoms before admission, but inexplicably appeared after admission?"

"It may be that the doctor's inquiries are wrong, or the patient's own narration is unclear and temporary amnesia is caused." Director Luo said.

"You're right." Zheng Ren said gently: "I also thought about it at the beginning, but I couldn't find what the disease was. I simulated the situation after the patient was admitted to the hospital from the beginning, and found that we had forgotten one important thing. "

Significant, even using this adjective. Director Luo was stunned for a moment, did he forget something?

"The patient underwent a CT enhancement after admission." Zheng Ren smiled, "So I focused my suspicion on the iodine-containing contrast agent."

"..." Director Luo then remembered that the first CT-enhanced film was shown in front of him.

To do CT enhancement, you need to use a contrast agent.

For enhanced contrast agents, it is definitely not barium for upper gastrointestinal barium penetration, it is all iodine. Whether it is inorganic iodide, organic iodide, iodized oil or fatty acid iodizing agent, it contains a lot of iodine.

Director Luo has a very high IQ. In those days, anyone who could climb from the countryside to the director of the 912 department had a special skill. 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 was initially diagnosed with vomiting, and the reason for this admission was because of an electrical fire, no one thought about thyroid storm.

A high iodine load may lead to a Wolff-Chaikoff effect in the patient's thyroid, that is, a decrease in thyroid hormone secretion after the administration of large amounts of iodine, as is the case with imaging studies, resulting in an emergency stop of thyroid hormone synthesis.

The patient received a high iodine load during IV contrast for the abdominal CT examination at the time of the patient's previous hospitalization, after developing similar symptoms likely related to undiagnosed hyperthyroidism, which may have contributed to similar symptoms. Effect.

Therefore, the short-term inhibitory effect of iodine load on the patient's thyroid is likely to fail, and the patient reappears with severe hyperthyroidism, leading to this clinical manifestation and hospitalization.

Director Luo thought clearly, but for a while, he was fascinated and froze in place.

"Lao Luo? What are you thinking?" Mao Chi turned back and asked in surprise.

"Uh..." Director Luo heard Mao Chi calling him, thought about it again, and smiled bitterly: "Director Mao, do you think Boss Zheng's surgery was done well?"

Mao Chi didn't expect Director Luo to ask such a question. He didn't know what he meant, so he just nodded.

"Boss Zheng's diagnosis level is only better than surgery." Director Luo sighed.

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

Surgeons, who perform operations all year round, spend at least 6-8 hours a day on the operating table.

Not to mention study, I was exhausted to death after stepping down, and I had to write operation records, see patients, and handle admissions and discharges. Normal life will be affected, and when a girlfriend can have sex is a problem.

As for the 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 is like slaying a dragon. When you meet, others will not know it yourself, it is really awesome.

But is it really useful?

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

A common disease that we deal with every day is enough to exhaust a lifetime of energy to study.

And as for the diagnostic level...

Mao Chi shook his head slightly.

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

But Mao Chi didn't bother to think about what the hell is a thyroid crisis, not to mention diagnosis and treatment of this kind of disease, just hearing it, one head turned into two big ones.

As long as you take responsibility for yourself, it's enough that you don't feel guilty when someone seeks medical treatment for you.

As for thyroid storm, isn't there an endocrinology department and a gland surgery department? I am in 912, and I am not a private hospital with such a high name as the International Hospital.

After a few more steps, Director Luo was more surprised the more he thought about it.

At first it was admiration, but after I figured it out, I scratched it again and found that it looked very simple, but it was actually quite difficult to find this factor in the patient's complicated medical data.

"Boss Zheng, your diagnostic level..." Director Luo sighed and said, "Amazing!"

"Director Luo, don't praise him." Su Yun followed behind and said with a smile: "It's just a thyroid storm, and it's not a big problem. Look at my equipment, are you ready?"

Director Luo was helpless, so he nodded and said, "It's really good."

"If you have the opportunity to come to the consultation, next time you allow me an hour, I will show you a miracle." Su Yun said with a smile.

Director Luo was still a relatively traditional doctor, and he couldn't accept Su Yun's splendid consultation model.

Make it bright, what's the use? In the end, it is not necessary to find out the diagnosis of the disease from the countless lines.

But he knew Su Yun's position in the medical team, and Boss Zheng didn't speak, so he didn't talk about it.

...

...

[They said to write a song soon...]

Zheng Ren's cell phone rang, he glanced at it, and answered the call.

"Brother Song, hello." Zheng Ren greeted warmly.

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

"There's something wrong with me... how about another day?"

Seeing Zheng Ren's expression of firm refusal, Su Yun laughed and said, "Did Master Yan come with a thank you gift?"

Zheng Ren nodded.

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

Mao Chi glared and said, "No matter who you are today, you can't rush me to pay the bill."

"Do you mind having more people?" Su Yun asked with a smile.

Having said all this, Mao Chi certainly wouldn't mind.

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

"Brother Song, I, Su Yun." Su Yun grabbed the phone and said, "The boss has just rescued a station, so let's rush over. Are you in your Tang Song restaurant?"

"Okay, see you then."

After speaking, Su Yun returned the phone to Zheng Ren.

Zheng Ren felt a little strange.