The imaging department was divided into X-ray, CT, nuclear MRI, and ultrasound. However, the ultrasound room in a normal hospital was listed separately. Although it was also an imaging department, it was outside of the imaging department.
Perhaps it was because there was no radiation, or perhaps it was because this was the rule when ultrasound first appeared in the country.
It was just like how spine surgery in Europe was done by neurosurgeons, while in China, it was done by orthopedics.
X-ray, CT, and nuclear MRI were combined into a large imaging department in some hospitals, while some hospitals were separated.
The 912 was separated. Chief Chu was the chief of CT and nuclear MRI.
Zheng Ren had previously done a 64-slice CT scan with 3D-image reconstruction and had communicated with Chief Chu. He had also come here before, so he went straight to the door of the chief's office and gently knocked on it.
It was quiet inside.
Huh? Was Chief Chu not here at this time?
He knocked on the door a few more times, but there was still no answer.
He did not expect to find nothing. This time, Zheng Ren was in a difficult position. It was a big mistake not to contact Chief Chu in advance.
As he reflected on himself, he wondered if he should look for Chief Chu's student, Dr. Liang, to solve this problem.
It was better to look for him first. Su Yun was also busy, and it was very important.
Zheng Ren had always had a rough idea in his heart. It was a little unreasonable for him to throw so much work to Su Yun and look for him no matter what.
Although he was the boss, if he threw everything to Su Yun, that guy would kill him.
Doctor's office … office … office …
Most of the doctors' offices in the CT room were called the radiographic film reading room. It was where the CT and nuclear MRI doctors read the radiographic films and came up with a diagnostic report.
Zheng Ren found the radiographic film reading room. Through the crack in the door, he saw seven or eight doctors surrounding the radiographic film reader, discussing something.
The person in the middle was Chief Chu.
He finally found it. Zheng Ren quickly knocked on the door. Although no one would hear the knocking on the door, and no one would pay attention to his actions, Zheng Ren still knocked on the door obediently before entering.
Chief Chu looked at the radiographic films and whispered something.
Zheng Ren walked to the back and took a look at the radiographic films.
It was a 256CT scan of the coronary artery. The three coronary arteries were very smooth. It did not look like coronary artery disease. However, Chief Chu and the others were looking at an almost normal radiographic film. What were they thinking about?
"Hello, Chief Chu." Although Zheng Ren knew it was not a good idea to interrupt the patient's train of thought, the gastroenterology patient was waiting for an examination, so he had to be thick-skinned and hurry up.
Chief Chu was a little unhappy, but when he turned around and saw that it was Zheng Ren, he immediately smiled.
Through the crowd, he grabbed Zheng Ren's arm and pulled him over. "Boss Zheng, come here."
Uh … Zheng Ren was stunned.
"Come and take a look. Let's see what's wrong with this patient," Chief Chu said as he pulled Zheng Ren to his side.
"I …"
"Hurry up and watch the movie. We'll talk after you're done." Chief Chu was a little overbearing as he interrupted Zheng Ren. "This is the first user of the new 64-slice CT scan with 3D-image reconstruction method, Boss Zheng."
Chief Chu saw that the doctors around him were confused, so he introduced them.
The area around the radiographic film viewer quietened down. This very young doctor was actually the famous Boss Zheng.
You really can't judge a book by its cover.
Everyone said that Boss Zheng was young, but who would have thought that he was so young?
Zheng Ren was also puzzled. The 256CT scan of the coronary artery mainly looked at the coronary artery. The radiographic films showed that the coronary artery was very smooth. There was no problem with the image. What were Chief Chu and the others doing here?
Wait … There seemed to be something wrong with the image of the myocardial reconstruction.
"Chief Chu, the coronary artery is fine, but there seems to be a problem with the myocardium," Zheng Ren said as he looked at the radiographic films on the radiographic film viewer.
"Little Liang, introduce the condition to Boss Zheng."
Dr. Liang stood at the side. He responded, held a stack of papers in his hand, and began to read the key points.
The patient was a 32-year-old male patient. Six months ago, he had symptoms such as flustered and shortness of breath after activities. At that time, he did not pay attention to it, but the condition progressed very quickly. The patient had a post-activity syncope more than a month later, accompanied by swelling of his limbs.
He went to the local hospital for a check-up. The electrocardiogram found T-wave changes, ST-segment depression, and other typical symptoms of myocardial infarction.
Serum troponin and brain natriuretic peptide were elevated. Several tests suggested heart disease at the same time.
After a comprehensive check-up in the hospital, there was no problem with the coronary artery. This was more strange. The local hospital did not give a clear diagnosis. They only gave a diagnosis of suspected myocardial infarction and asked him to come to a higher-level hospital in the Imperial Capital for a diagnosis.
That was all the medical history. Dr. Liang quickly finished reading it.
Zheng Ren was a little emotional. A place like the Imperial Capital was really worthy of being a higher-level hospital. No wonder their standards were so high!
The CT room was only responsible for producing a report according to the images seen. However, Chief Chu and the others still had to compare the medical history. After discovering suspicious points, they directly began to discuss them in the department.
This kind of rigorous academic style was really amazing!
"Boss Zheng, this patient's medical history should be a myocardial infarction. However, there is no problem with the blood supply to the heart. The possibility of a typical myocardial infarction is not high. " Chief Chu pointed at the radiographic films. "Here, I see that there are changes in the myocardium. I suspect that it might be some kind of disease that changes the myocardium structure. I've already told the circulation clinic and asked the nurse to take him to an emergency ultrasound."
Zheng Ren nodded. He had thought so himself.
As for what kind of disease it was … Only one radiographic film with 256 coronary arteries could not give an answer.
The passive ability of [Reconstruction] was not omnipotent. The System's panel could directly give a diagnosis. However, in many cases in the Imperial Capital, the patient's family members brought the radiographic films to see the doctor. The patient did not follow, or like in front of him, he could not see the patient at all.
It was a completely different treatment model from Sea City.
Zheng Ren recalled what Dr. Liang had said about the patient's condition and suddenly asked, "Dr. Liang, is there a test report on the patient's proteinuria?"
Some heart diseases would be accompanied by proteinuria. Moreover, simple proteinuria did not mean anything, so Dr. Liang did not pay special attention to it.
He began to look for printed information. This information was a case of the Department of Circulatory Medicine. There was no urine routine or urine protein test report.
It was probably in the local information that the patient had brought with him, so the Department of Circulatory Medicine did not give him a list of tests.
"Boss Zheng, the medical record hasn't been written yet. We can't see it from here," Dr. Liang replied quickly.
"Okay." Zheng Ren began to look at the radiographic films again.
This time, he did not focus on the coronary arteries. Instead, he began to carefully observe the changes in the structure of the heart.
The [Reconstruction] ability converted a 64-slice CT scan with 3D-image reconstruction into an echocardiogram and MRI of the heart. Zheng Ren noticed some changes in the patient's heart image.
Domestic cardiac MRI was the same as breast MRI. They were very rare examinations and were not very useful in clinical practice. However, this patient's delayed cardiac MRI could see a ring of strengthened lesions under the endocardium.
On the other hand, there were some subtle changes in the echocardiogram. The whole heart was thickened and there was an irregular echo in the myocardium.
Zheng Ren began to recall similar medical reports.
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