Chapter 1772 Thorough Investigation (Monthly Ticket 6500 Plus Update × 13)
Su Yun was speechless.
Is your boss an idiot?
Such mentally retarded words can be said when arguing with yourself. But on this occasion, why did you tell the director of the emergency department, Cheng? !
It doesn't matter if it's justified, just slap it over, and everyone has to listen honestly. The key is that there is nothing, just saying there is a problem, but not knowing where the problem is. In this case, it is necessary to talk about rich clinical experience. Isn't this just looking for blame.
"I have eaten more salt than you have eaten!" Sure enough, Director Cheng roared, "Tell me about your clinical experience?"
Zheng Ren bowed again and again, carefully apologized, and said, "Director Cheng, I really feel that there is a problem, not a nonsense. This morning, didn't Mr. Cui also say that there is a problem with consideration?"
"you……"
"Director Cheng, give me a few more hours. I'll read the medical records. Would you mind?" Zheng Ren said small words.
Su Yun couldn't bear to look at it.
After coming to 912 for such a long time, this is the first time I have given a small talk, so I am sorry.
Don't you always go all the way? Who dares to question Boss Zheng's diagnosis now at 912? Besides, it's not for their own sake, it's just a group of patients with stomach flu...
well!
Su Yun sighed heavily in his heart.
Director Cheng saw Zheng Ren's attitude of not fighting back or scolding, and he was full of anger and had nowhere to vent.
He sighed and said, "Xiao Zheng... Boss, it's eleven thirty-six now. I'll give you two hours, is that enough?"
"Three." Zheng Ren smiled and said with an inch.
"Two!" Director Cheng Wangfa coughed louder and louder. After more than ten seconds, he got a little better and said, "I'm in my office. I want an accurate diagnosis in two hours."
"Okay, okay." Zheng Ren sent Director Cheng out.
Seeing Director Cheng angrily walking back to his office, Su Yun said, "Boss, what about it?"
"Hurry up to get the film and let Zhou Litao comfort the patient." Zheng Ren said.
Su Yun sighed, but did not refute, but trotted all the way to get the film.
Zheng Ren is still at ease when he does things, he didn't even ask any more words. He turned back to Zhou Litao's duty room, sat at the table, and continued to read the medical records.
Two hours!
Although he could hold Director Cheng to do things, or even ask Linger to come over, Zheng Ren didn't want to do it.
This is 912, this is the emergency department.
If there is no diagnosis, but forcibly swept away the face of a chief director, it is completely domineering.
only……
The patient had a problem, but none of the tests provided any clues.
Damn it, why didn't Big Pig's hoof give a diagnosis, but the system panel was 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 are all red, the very red kind. Although it is not fatal for the time being, as the disease progresses, God knows what will happen!
Hurry up, Zheng Ren knew that he only had one hour and fifty-eight minutes.
Soon, Su Yun ran back first, holding a stack of films in his hand. The film bag was marked with a black marker, and the patient's name was marked, which was very eye-catching.
Zhou Litao and another doctor carried the film reader into the duty room.
Zheng Ren didn't move, 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 film reader.
Lung CT, emphysema, slightly thick lung markings, but this does not explain anything. No small nodules, no bronchiectasis.
The point is that there are no signs of pneumonia and no pleural effusion.
In other words, the patient did not have inflammation of the upper airway.
Zheng Ren glanced at the date, the inspection was done yesterday. The time should be fine. The patient was re-examined 36 hours after admission, and there was nothing wrong.
"Boss, C-reactive protein is not high, so I don't think about inflammation." Su Yun glanced at the film, knowing what Zheng Ren was thinking about, he said immediately.
Zheng Ren nodded, but was still looking at the film.
Reconstruction, still no new discoveries.
He picked up the patient's electrocardiogram and found nothing wrong. Sinus rhythm with no ST segment elevation. This degree of ST-segment elevation is meaningless.
"It's the norm, please remind me." Zheng Ren said.
"Okay." Su Yun knew that what Zheng Ren was talking about was a routine test done early this morning, and the results of this kind of test usually came out around 4:00 in the afternoon.
He immediately contacted the laboratory.
Soon, Su Yun whispered: "The laboratory said that the results will be released as soon as possible, but there is nothing wrong with the preliminary judgment."
Zheng Ren frowned even tighter.
This patient had symptoms such as headache, dizziness, heat intolerance, irritability, palpitations, and sweating. After being admitted to the hospital, during the ward round this morning, the symptoms were not relieved, and the body was tired, saying that he did not rest well last night.
Zheng Ren remembered that his system panel, like everyone else, was red, but there was no diagnosis!
MD! He cursed fiercely in his heart.
where is the problem?
Pick up the B-ultrasound list with the images of the B-ultrasound on it. But these images are totally fine and normal.
"I didn't do abdominal CT, right?" Zheng Ren asked.
"Well, I didn't do it." Zhou Litao said aside.
It's just a stomach flu. There are already a lot of inspections done. If more inspections are done, the patient will directly turn his face.
Do not allow too many examinations, in order to avoid the so-called excessive medical treatment.
Many patients also smugly said that the doctor told me to do so-and-so examination, but I did not. Look, am I okay?
"Mr. Zhou, do patient work and check abdominal CT." Zheng Ren squinted at the B-ultrasound list and said.
"..." Zhou Litao was speechless, it was almost his life.
No diagnosis, still need to be checked? Well, Boss Zheng has said it, so go check it out.
Zhou Litao glanced at Zheng Ren with some resentment, then turned around and went out to do patient work.
"Boss, what are you thinking about?" Su Yun asked.
"I didn't think about it for the time being." Zheng Ren said, "I just feel that there must be something big!"
"..." Su Yun felt that today was not a good day.
It is enough to sit quietly at home and wait for the task, but I have to come to the emergency department for consultation. The consultation is not counted, and the boss of the patient who has no problem actually "makes a big fuss".
Is he crazy?
Su Yun glanced at Zheng Ren, and saw that the expression on his face was extremely serious, there was no fake smile on his face, and there was no thought to make it clear that he was perfunctory.
What he said was true, Su Yun immediately judged.
However, the B-ultrasound showed that the liver, gallbladder and spleen were all right, and the kidneys and ureters were not done. If the patient has diarrhea symptoms, doing a B-ultrasound is already considered excessive medical treatment. A general examination? The medical insurance center will come to you soon.