Director Wang, it's me, Sherlie. "
"Yes, I have a patient who needs an emergency MRCP. I'll have to trouble you."
As she spoke, she covered her phone and asked, "Chief Zheng, are you saying that you want to do a 3D MR reconstruction?"
"Yes, I did it on the way. If we do a CT scan with 3D-image reconstruction, the patient will have to run around. It's troublesome, "Zheng Ren said.
"Director Wang, we still need to do a 3D MR reconstruction."
"It didn't start? Oh, alright, I'll bring the patient over now. Sorry for the trouble. "
After saying that, Chief Xia hung up the phone and said to Zheng Ren, "Chief Zheng, our hospital has not carried out three-dimensional MR reconstruction."
"Oh, I usually don't carry it out," Zheng Ren said. "The MR reconstruction is a little thicker, so the effect is not as good as CT three-dimensional reconstruction."
"Then …"
"It's okay. I just want to take a look. MR is enough. It's to save the patient some money, and there's no need to see it too clearly. "
"I mean no one can do it."
"Chief Xia, I can do it." Only then did Zheng Ren understand the misunderstanding between him and Chief Xia. He smiled and said, "After you're done contacting them, send a doctor to take the patient to do an MRCP. I'll go take a look and do a reconstruction. It'll take at most twenty minutes."
Department Chief Xia looked at the youthful, high-spirited Zheng Ren and felt emotional.
However, this wasn't the typical hot-bloodedness of youth. His hot-bloodedness was filled with confidence.
Ceftriaxone was a commonly used drug in clinical practice. Chief Xia had used it for decades and had never encountered a case of silt-like stones.
She guessed that if what Zheng Ren said was true, then she might have encountered it before but did not do the relevant examination. The patient had no symptoms and recovered after being discharged from the hospital.
But no matter what, this was a hidden danger, and it was a hidden danger that he, an old chief physician with decades of clinical experience, did not notice.
Curious, she anxiously waited for Zheng Ren to bring the patient for examination and immediately went to the pharmacy to find a nurse.
The nurse in charge of collecting the medicine did not know why the strict Chief Xia was looking for her. She looked a little nervous when she saw the anxious look on her face.
When he heard that Chief Xia wanted the instructions for ceftriaxone, he was relieved.
She quickly found a box of ceftriaxone, opened the package, and took out the instructions inside.
She took a look at it. The words were too small, so she went to the convenience store at the nurse's station in front to get a magnifying glass and gave it to Chief Xia.
Chief Xia picked up the instruction manual of ceftriaxone and spread it open to find the contraindications and side effects of the drug. She took a magnifying glass and looked at it carefully.
The more Chief Xia watched, the more frightened she became.
It was written — Gallbladder ultrasound can be misdiagnosed as the shadow of gallbladder stones. These will disappear after the end of treatment or the cessation of use of this product.
The medicine that he had been using for more than ten years actually had such a special reaction …
Chief Xia was stunned.
She vaguely remembered that when she was still a junior doctor, the ceftriaxone produced by Shanghai Luo Shi Pharmaceutical Company had just entered clinical practice and won the favor of clinicians because of its good effect.
At that time, he had also studied the manual. It seemed … seemed … vaguely … there was an impression in his memory that he had read it before.
Chief Xia had been a doctor since she was young and had become an experienced chief physician. She had never encountered such a case. She had never even heard of it. This one in ten thousand possibility had long been thrown to the back of his head.
Now that she was reminded by Zheng Ren and read the manual, Chief Xia broke out in a cold sweat.
This young doctor had really leaped over the dragon gate and transformed into a dragon! Chief Xia held the magnifying glass and stared blankly at the line of words for a long time.
How did he remember such strange complications and side effects of the drug? Moreover, after hearing the patient's symptoms, he was immediately sure.
Amazing, truly amazing!
Chief Xia suddenly remembered something that had been spreading in the hospital recently. It was said that a German professor had traveled thousands of miles to Sea City to learn surgery from Chief Zheng.
She had met Professor Rudolf Wagner before, but Chief Xia had the dignity of a chief. She could not be as curious as she was a few decades ago when she saw a blonde and blue-eyed foreigner.
If that was the case, it would be embarrassing.
Of course, Chief Xia did not believe that the foreign professor was here to learn from Chief Zheng.
Most of the gossips in the courtyard were just for fun. If they were to really argue, most of them would not stand up to scrutiny.
Now, however, Chief Xia believed it.
Chief Zheng's skill, this diagnosis … In any case, she was completely convinced. Even if the foreigner was here to learn surgery from Chief Zheng, it was not a big deal.
It should be!
Chief Xia held the magnifying glass in her hand and stared blankly at the small line of words, completely forgetting everything.
After an unknown amount of time, the ringing of the phone interrupted Chief Xia's thoughts.
Her hands were a little sore. She put down the magnifying glass in her hand, rubbed her eyes, and picked up the phone.
"Chief Xia, the MRCP and reconstruction are done. Take a look at the computer over there," Zheng Ren said over the phone. "The patient's radiographic films are very typical. That's all. I'm hanging up. We'll talk when I get back."
Uh … Before she could finish sighing, Zheng Ren sent another surprise.
Double gallbladder malformation?
Could it be true?
Chief Xia immediately moved her sore and swollen wrist, turned on the computer, and found the patient's MRCP radiographic films.
Just as she was about to look at it, the phone rang again.
Chief Xia was a little annoyed.
She was so eager to see the patient's radiographic films and see what the hell the double gallbladder malformation was.
However, the ringing of the phone … For every doctor, it might be an emergency case that required them to participate in the rescue and consultation.
Years of habit, although Chief Xia was unhappy, she still picked up the phone.
It was Chief Wang from the MRI room.
Chief Xia frowned. Why was he calling her? Hadn't the MRI just been done?
"Old Wang, what's the matter? I'm busy here. "Chief Xia's tone was not polite at all.
They were all old chief physicians for many years. They were familiar with each other to a certain extent, so there was no need to be polite.
"Old Xia, the person who just came is Chief Zheng from the emergency department?"
"You don't know him?"
"The emergency department rarely does MRI. Of course I don't know him. In the emergency department, I only know Chief Physician Pan. "
"Why are you calling? Hurry up and tell me. I'm busy here. "
"It's nothing. I just wanted to confirm with you." Chief Wang from the MRI room said, "Old Xia, that Chief Zheng looks young but he's really familiar with MR reconstruction."
"A while ago, my classmate vomited blood in the emergency department. He was the one who performed the emergency TIPS surgery," Chief Xia said. "He's a powerful person."
The two of them sighed. The new generation surpassed the old. Chief Xia had something on her mind and hurriedly hung up the phone.
She clicked on the MRI on the computer and was surprised to see two gallbladders appearing in the image!
Double gallbladders!
Double gallbladder malformation!
..
Note 1: 1 case of cholestasis caused by ceftriaxone sodium. 'China Drug Application and Testing'.
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