Chief Luo followed beside Zheng Ren. Seeing that Mao Chi had nothing to say, he immediately asked, "Boss Zheng, how did you determine that the patient in Massachusetts had a thyroid problem?"
The topic changed a little too quickly. Zheng Ren was slightly stunned. Then, he smiled and said, "Chief Luo, did you notice that the patient did not have any mental symptoms before he was admitted to the hospital, but they appeared inexplicably after he was admitted to the hospital?"
"It might be because the doctor's diagnosis was wrong, or the patient's own description was unclear, or it was caused by temporary amnesia," Chief Luo said.
"You're right," Zheng Ren said gently. "I thought so at the beginning, but I really couldn't find what illness it was. I simulated the situation after the patient was admitted to the hospital from the beginning and realized that we forgot an important thing."
Important? He actually used this adjective. Chief Luo was stunned. Had he forgotten something?
"After the patient was admitted to the hospital, he did an enhanced CT scan," Zheng Ren said with a smile. "So, I focused my suspicion on the iodine-containing contrast agent."
Chief Luo then remembered that the first thing he saw in front of him was an enhanced CT scan.
To do an enhanced CT scan, contrast agents were needed.
As for the enhanced contrast agents, they would definitely not be the barium agents used in the upper digestive tract. They were all iodine preparations. Whether it was inorganic iodide, organic iodide, iodized oil, or fatty acid iodizing agents, they were all the same. They contained a large amount of iodine.
Chief Luo's IQ was very high. In that era, people who could climb from the countryside to the director of the 912 department had a skill. Whether it was IQ or anything else, they were the best choice.
Zheng Ren mentioned it, and Chief Luo immediately thought of the last thing.
Because the patient's initial diagnosis was vomiting, and the reason for this hospitalization was because of an electrical fire, no one considered a thyroid crisis.
High iodine load might cause the patient's thyroid to have a Wolff-Chaikoff effect. That was, after giving a large amount of iodine, the thyroid hormone secretion would decrease, just like the situation encountered in imaging examinations, causing the synthesis of thyroid hormone to stop urgently.
When the patient was previously hospitalized, similar symptoms that were likely related to undiagnosed hyperthyroidism appeared. In order to perform an abdominal CT examination, the patient received a high iodine load during the intravenous injection of the contrast agent. This might have caused a similar effect.
Therefore, the short-term inhibition of the iodine load on the patient's thyroid might have failed. The patient would have severe hyperthyroidism again, leading to this clinical manifestation and hospitalization.
Chief Luo thought it through, but for a moment, he was lost in thought and was stunned.
"Old Luo? What are you thinking about? "Mao Chi turned around and asked in surprise.
"Uh …" When Chief Luo heard Mao Chi calling him, he thought for a moment and smiled bitterly. "Chief Mao, do you think Boss Zheng performed the surgery well?"
Mao Chi didn't expect Chief Luo to ask this. He didn't know what he meant, so he just nodded.
"Boss Zheng's diagnosis will only be better than surgery," Chief Luo sighed.
Mao Chi's first thought was that it was impossible!
Surgeons performed surgeries all year round and spent at least six to eight hours a day on the operating table.
Forget about studying, he would be exhausted after he got off the stage. He still had to write the surgical records, check on the patients, and handle the admission procedures. His normal life would be affected, and it would be a problem when he could get a girlfriend.
As for the diagnosis …
It was good enough to understand common diseases. Who had the time and energy to ponder those rare diseases?
In the eyes of doctors, the diagnosis and treatment of rare diseases were like the ultimate skill of slaying dragons. When he encountered it, he was the only one who knew how to do it. It was indeed amazing.
But was it really useful?
It was said to be a rare disease because it was so rare that not even one case could be seen in a year and a half, so it was called a rare disease.
And the common diseases that people dealt with all day were enough to exhaust their entire lives to learn.
As for the level of diagnosis …
Mao Chi shook his head slightly.
In any case, if he thought about it carefully, he would be able to understand what Boss Zheng and Chief Luo were talking about just now.
However, Mao Chi was too lazy to think about it. What the hell was a thyroid crisis? Forget about the diagnosis and treatment of this disease, just hearing about it made his head spin.
As long as he was responsible for his own business and did not feel guilty when someone came to him for treatment, it would be enough.
As for the thyroid crisis, wasn't there still the endocrinology department and the glandular surgery department? He was in the 912, not a private hospital with a high-end name like the International Hospital.
After taking a few more steps, the more Chief Luo thought about it, the more surprised he became.
At first, he admired him, but after he thought about it from the beginning, he realized that it looked very simple, but it was actually quite difficult to find this factor in the complicated information of the patient's condition.
"Boss Zheng, your diagnosis level …" Chief Luo sighed and said, "Amazing!"
"Chief Luo, don't praise him," Su Yun caught up from behind and said with a smile. Su Yun caught up from behind and said with a smile, "It's just a thyroid crisis. It's not a big problem. Look at my equipment. Is it well prepared? "
Chief Luo had no choice but to nod and say, "It's really not bad."
"If there's a chance, come for a consultation. Next time, give me an hour. I'll show you a miracle," Su Yun said with a smile.
Chief Luo was still a more traditional doctor. He could not accept Su Yun's gorgeous consultation mode.
What was the use of making it look bright and beautiful? In the end, he still had to find the diagnosis of the disease from the countless lines.
However, he knew Su Yun's position in the medical team. If Boss Zheng did not say anything, he would not say anything.
..
..
[They said to write a poem quickly …] Zheng Ren's phone rang.
Zheng Ren's phone rang. He glanced at it and answered the call.
"Brother Song, hello," Zheng Ren greeted gently.
"Oh, I was performing surgery just now. The lead plate is too thick, so the signal is not good.
I have something to do here … Why don't we do it another day? "
Su Yun saw Zheng Ren's firm expression of rejection and laughed. "Did Master Yan come with a thank-you gift?"
Zheng Ren nodded.
"Give me the phone," Su Yun said. "Chief Mao, I'm afraid you won't have the chance to treat us today."
Mao Chi glared and said, "No matter who it is today, no one can fight with me to pay the bill."
"You don't mind if there are a few more people, right?" Su Yun asked with a smile.
Of course, Mao Chi would not mind since he had already said this.
There weren't many people like his boss who had social phobia.
"Brother Song, it's me, Su Yun." Su Yun snatched the phone and said, "The boss just saved a stage. We'll rush over now. Is it at your Tang Song Restaurant? "
"Sure, see you later."
After saying that, Su Yun returned the phone to Zheng Ren.
Zheng Ren felt a little strange.
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