This patient should go to the hematology department, not the circulatory department. " Zheng Ren compared dozens of case reports and guessed that it might be some kind of rare disease, so he told Chief Chu.
"Boss Zheng, what disease do you suspect?" Chief Chu was not surprised. Instead, he looked at the radiographic films and asked lightly.
He was also thinking about the possibilities of various diseases in his mind, so he did not pay too much attention to Zheng Ren's words.
"The information is incomplete. I can't diagnose it for the time being," Zheng Ren said.
Chief Chu was a little dissatisfied. He glanced at Zheng Ren and said, "Boss Zheng, you're too cautious. Everyone will not blindly believe what you say and misdiagnose the patient because of your words. "
Zheng Ren said, "Can you find the patient's electrocardiogram?"
"Let me ask." Chief Chu took out his phone and made a call. Less than a minute later.
The doctor on the other side sent the electrocardiogram over.
With the rapid development of instant communication, the mode of in-hospital and out-of-hospital consultation had also changed fundamentally.
In the past, this kind of information needed to be sent by email for remote consultation. At that time, Sea City General Hospital had even built a remote consultation center for this. They were prepared to work together with the large Class Three Grade A Hospitals in the Imperial Capital and Sorcery Capital to improve their medical standards.
Unfortunately, the construction of this remote consultation center was very slow. With the rapid progress of mobile communication, the quality of the transmitted pictures improved. When the consultation center was built, it also lost its original purpose and was directly scrapped. (Note 1)
The clarity of the radiographic films was enough. There was no need for more advanced professional equipment at all.
"Boss Zheng, take a look," Chief Chu said as he held his phone.
"Chief Chu, let's add each other on WeChat." Zheng Ren had an idea. He added Chief Chu on WeChat. Other people were all pretty ladies on the street, but Zheng Ren was anxious to get all kinds of old chief's WeChat. He was indeed different.
If Su Yun was here, he would definitely give Zheng Ren a heavy taste.
After adding him on WeChat, Chief Chu sent the photo of the electrocardiogram to Zheng Ren.
He downloaded it and zoomed in. Zheng Ren looked at it carefully bit by bit.
The patient's electrocardiogram showed that there were changes in T waves and ST-segment depression. It was indeed a standard electrocardiogram change of myocardial infarction.
However, Zheng Ren noticed that at the same time as these changes, the patient's limb conduction low voltage and chest lead's R waves were not increasing well, accompanied by arrhythmia.
This … was becoming more and more similar to the electrocardiogram changes of primary light-chain amyloidosis. Of course, Zheng Ren was only guessing. This kind of disease was very rare. Moreover, according to dozens of case analyses and reports, there were still other tests to support it.
The electrocardiogram in front of him.
The typical electrocardiogram changes of myocardial infarction were just a 'side effect'. And the seemingly unimportant change in R waves was the key!
Zheng Ren asked, "Chief Chu, I'm sorry. Please take a look at the results of the patient's examination."
As he pondered over the patient's condition, Zheng Ren's tone was less courteous. However, Chief Chu did not care. After asking that side, he asked for all the examination results back.
Most of the patients who came to the 912 to see a doctor were examined locally. The patient's family members brought all the examination reports and radiographic films. If there was a need, the 912 doctors would write a list of examinations here.
Zheng Ren examined them one by one. Their urine protein levels were high, indicating the early stages of nephrotic syndrome. The echocardiogram seemed to be reconstructed by itself. The left ventricular ejection fraction was slightly reduced, and the whole heart muscle was thickened. There was a standard "snowflake-shaped" echo in the heart muscle.
"Is there a liver examination?" Zheng Ren asked.
"Yes, no." Chief Chu saw Zheng Ren's serious face. Although he was surprised, he held it in and answered directly.
"I want to take a look at the patient," Zheng Ren said.
Chief Chu nodded. Dr. Liang packed up the radiographic films and handed them to the doctor who gave the report. Chief Chu took out his phone and dialed.
The phone rang for a long time before the other side picked up. It seemed that the doctor who was visiting the patient was very busy at this time. He did not even have time to answer the phone.
"Is the patient at your place?" Chief Chu did not stand on ceremony and asked directly when the phone was connected.
"Okay, let's go over right away.
"There are some problems with the radiographic films. I want to take a look at the patient."
After Chief Chu finished speaking, he hung up the phone and left. Zheng Ren immediately followed Chief Chu out of the radiographic film reading room and went all the way to the outpatient clinic.
"By the way, Boss Zheng, why are you looking for me?" Chief Chu asked at this time.
"It's like this, Chief Chu." Zheng Ren quickly took a few steps forward and came to Chief Chu's side. He was slightly behind him and said, "Chief Luo of the Department of Digestive Medicine introduced me to a patient with portal hypertension and advanced cirrhosis. I want to do the surgery tomorrow, but the patient doesn't have an MRI scan, so there's no way to determine the puncture point. "
At this point, Zheng Ren had already expressed all his thoughts very clearly.
"Oh, that's the case. Do you have time to do it after work? "Chief Chu asked.
"There's still time, there's still time," Zheng Ren quickly replied with a smile.
"Little Liang, you do it for Boss Zheng," Chief Chu immediately arranged.
Zheng Ren thought that it was very difficult, but to Chief Chu, it was just a matter of a few words.
"Okay," Dr. Liang immediately replied.
Zheng Ren was a little ashamed. When he came to the Imperial Capital, Dr. Liang had helped him a lot. However, he did not even ask for his WeChat or phone number. It seemed that he had to pay more attention to things like interpersonal communication in the future.
Humans were social animals. They always had to communicate with others.
If he did not want to work on the Nobel Prize project, it would not matter. However, in the current situation, he needed someone. A lot of people to help him in order to complete it.
Zheng Ren followed Chief Chu and thought silently. However, Chief Chu agreed. This was a good thing. Zheng Ren immediately contacted Chief Liu from the Department of Digestive Medicine. He asked the patient to fast water and rehydrate appropriately. At around seven o 'clock in the evening, he would do an MRI diffusion.
Although it was a little early to fast water, it was better than not being able to do it.
When patients from other places came to the Imperial Capital to see a doctor, it was rare for them to come alone (Note 2). A family of people and horses spent a lot of money every day.
If they could be discharged a day earlier, they would save a lot of money.
When he came to the Department of Internal Medicine's consultation room, a large number of patients lined up outside. There were security guards maintaining order.
Looking at the countless red and light red background boards, Zheng Ren let out a long sigh.
No matter how powerful the System was, he was only one person and could not solve too many problems.
Entering the consultation room, he came to the Circulatory Department's specialist consultation room 3. Zheng Ren saw a patient about 30 years old standing at the door with a terrified expression.
A faint red color appeared on his System panel. The diagnosis was very clear — primary light-chain amyloidosis.
..
..
Note 1: Our hospital's remote consultation center was scrapped like this.
Note 2: Last year, I took care of a female patient. It was said that she had an ovarian cancer removal surgery in Beijing. She went alone. She was a very strong and optimistic person.
Website: M.
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