1773 Thorough investigation (monthly ticket 650013)
Su Yun was speechless.
Is your boss a fool?
Such mentally retarded words can be said when you are bickering with yourself. But in this situation, how could you tell Director Cheng of the Emergency Department?!
It doesn't matter if it is reasonable and well-founded. If you slapped it, everyone must listen honestly. The key is that there is nothing, just saying there is a problem, but you don't know where the problem is. In this case, you have to talk about rich clinical experience. Isn't this asking for criticism by yourself?
"I have eaten more salt than you have eaten!" Sure enough, Director Cheng roared, "Tell me about clinical experience?"
Zheng Ren bowed repeatedly, carefully apologized, and said, "Director Cheng, I really feel that there is something wrong, it's not a mess. Isn't Cui also saying that there is something wrong with it this morning?"
"you……"
"Director Cheng, let me give you a few more hours. I'll finish reading the medical record. Do you think it's okay?" Zheng Ren said a little.
Su Yun couldn't bear to see it.
It's the first time I've been here in 912 for so long, so I've been giving a small statement, so I'm not going to pay it.
Don’t you usually go all the way? Now, who dares to question Boss Zheng’s diagnosis in 912? Besides, it’s not for his own business, just a group of patients with gastrointestinal colds…
well!
Su Yun sighed heavily in his heart.
When Director Cheng saw Zheng Ren act like he would not fight back or scold him, he was full of anger and had nowhere to vent his anger.
He sighed and said, "Xiao Zheng...Boss, it's eleventh-thirty-six now. Is it enough to give you two hours?"
"Three." Zheng Ren smiled and said with a thrust.
"Two!" Director Cheng Wangfa's coughing sound became louder and louder. After more than ten seconds, it was a little better and said, "I'm in my office. I want an accurate diagnosis when I was two hours."
"Okay, okay." Zheng Ren sent Director Cheng out.
Seeing Director Cheng walking back to his office angrily, Su Yun said, "Boss, is it that?"
"Snap time to get the film and let Zhou Litao comfort the patients." Zheng Ren said.
Su Yun sighed, but did not refute, but ran all the way to get the film.
Zheng Ren was relieved to do this guy, and he didn't even give him any more words. He turned around and returned to Zhou Litao's duty room, sat at the table, and continued to look at the medical records.
Two hours!
Although he could force Director Cheng to do things, or even ask Ling Ge to come over, Zheng Ren didn't want to do this.
This is 912, and this is the emergency department.
If there is no diagnosis and forcefully sweeps the face of a chief director, it will be completely domineering.
only……
The patient had problems, but no clue was found in all tests.
Damn, why didn’t the big pig’s hooves be diagnosed, but the system panel is bright red?
Zheng Ren was a little nervous, his legs were a little stiff, and his body was a little cold.
The system panels of the 17 patients were all red, very red. Although they were not fatal for the time being, as the condition progressed, God knows what would happen!
Hurry up and Zheng Ren knew that he had only one hour and fifty-eight minutes.
Soon, Su Yun ran back first, carrying a stack of films in his hand. The film bags were marked with black markings and marked the patient's name, which was very eye-catching.
Zhou Litao and another doctor moved the video reading device into the duty room.
Zheng Ren did not move at all. He picked up a medical record he had read and said, "Xu Sheng."
Su Yun immediately found the patient's film and inserted it into the video reader.
Lung CT has emphysema and the lung texture is slightly thick, but this doesn’t mean anything. There are no small nodules and no bronchodilation.
The key is that there are no signs of pneumonia and no pleural effusion.
In other words, the patient does not have inflammation of the upper respiratory tract.
Zheng Ren took a look at the date and found that it was the test I did yesterday. The time should be fine. The patient was admitted to the hospital for a follow-up examination, but nothing happened.
"Boss, the C-reactive protein is not high, so it doesn't take into account inflammation." Su Yun took a look at the movie and knew what Zheng Ren was thinking about, so he said immediately.
Zheng Ren nodded, but was still watching the film.
Reconstruction, but there are still no new discoveries.
He picked up the patient's electrocardiogram and found no problem. The sinus rhythm was not elevated. This level of ST elevation is meaningless.
"It's normal, please urge me." Zheng Ren said.
"Okay." Su Yun knew that Zheng Ren was doing routine tests early this morning, and this kind of test usually results should be produced at around 4 pm.
He contacted the laboratory immediately.
Soon, Su Yun whispered: "The laboratory department said that the results should be issued as soon as possible, but there is no problem with the preliminary judgment."
Zheng Ren's eyebrows became even tighter.
This patient has symptoms such as headache, dizziness, fear of heat, irritability, palpitations, sweating, etc. After being admitted to the hospital, the symptoms did not relieve the symptoms and were tired. He said that he did not get well last night.
Zheng Ren remembers that his system panel is red like everyone else, but there is no diagnosis!
MD! He cursed fiercely in his heart.
What's the problem?
Pick up the B-ultrasound order, and there are images of B-ultrasound on it. But these images have no problems at all, which is normal.
"I didn't do abdominal CT, right?" Zheng Ren asked.
"Yeah, I didn't do it." Zhou Litao said aside.
It’s just that there are gastrointestinal colds, and there are already many tests. If more tests are done, the patient will turn aside.
Do not allow too much examination to avoid so-called over-medical treatment.
Many patients also said proudly that the doctor told me to do a certain exam, but I didn’t do it. Look, isn’t this okay?
"Mr. Zhou, do the patient's work and check the abdominal CT." Zheng Ren squinted his eyes and looked at the ultrasound order and said.
"..." Zhou Litao was speechless, it was almost a death.
There is no diagnosis, so I still need to do a test? Well, Boss Zheng has said it, so let's go and check it.
Zhou Litao glanced at Zheng Ren with some resentment, turned around and went out to do the patient's work.
"Boss, what are you thinking about?" Su Yun asked.
"I haven't considered it for the time being." Zheng Ren said, "I just feel that something must be a big deal!"
"..." Su Yun felt that today was not a good day.
It was enough to sit quietly at home and wait for the task, but I had to come to the emergency department for consultation. The consultation was not counting, and the patient boss who had no problems actually "made a big deal".
Is he crazy?
Su Yun glanced at Zheng Ren and saw that the expression on his face was extremely serious and there was no fake smile on his face. It was obvious that there was no perfunctory intention.
What he said was true, Su Yun made a judgment immediately.
Chapter completed!