This Doctor is Great

Zhou Mo asked curiously: "What's the matter? Brother?"

Chen Bing cursed: "There is an idiot in the radiology department. I have a patient in my hand who thinks he has a cerebrovascular problem. I want to get an mr for him. Guess what the idiot who does MRI in the radiology department said?"

Everyone is curious.

All eyes looked over.

Zhou Mo: "How to say?"

Senior Brother Chen Bing: "That idiot told me that my patient has had an arterial stent and cannot have an MR, unless a titanium steel stent can be done, and nothing else..."

Zhou Mo: "..."

Doctors: "..."

They and their friends were all stunned.

Radiology, there are such idiots?

What age is this antique? Don't you want to update your knowledge?

The so-called mr is nuclear magnetic resonance examination.

It is further divided into MRA and MRI: MRA is a cerebrovascular examination item, and MRI is an examination item of the bone and nervous system.

It has a feature - super strong magnetic force!

Therefore, during the examination, the patient cannot carry metal objects on his body.

Some time ago, there was a news that a patient brought an oxygen bottle into the MRI room, and then he was trapped to death by the oxygen bottle.

If you don't have a sense of the picture, please watch the process of the boss being engaged by nuclear magnetic field in the movie "Terminator: Genesis".

(Big guy pictured above?)

but,

Like cardiology patients, most people may have arterial stents installed.

Arterial stents are mostly metal.

Are these patients unable to go to MR?

The answer is: you can go to mr!

According to the "2017 Domestic Expert Consensus" released in China, all stent products on the market are safe at MR (≤ 3.0 T). Pre-2007 peripheral arterial stents may have weak magnetism, but MRI is generally considered acceptable 6 weeks after surgery.

Cardiologists know this.

Many doctors in the radiology department know this.

but,

Some people in the radiology department slapped their heads, thinking that they are so good that they can surpass the guidelines.

That's why senior brother Chen Bing was so angry.

"You mean the one named Chen Zhihang, right?" At this moment, Teacher Huang Li came in from the outside.

"That's right, it's him!" Senior Brother Chen Bing turned his head.

"This guy is old-fashioned. He only joined the job half a year ago. I have complained many times, but I still go my own way. I'm tired of him." Teacher Huang Li said contemptuously.

"Yes, I'm so tired. Forget it, let's not talk about him, I'll hang up another one and just avoid him." Senior Brother Chen Bing said angrily, and while making an appointment, he scolded, "The patient has been delayed for 2 days. , and now I have to delay, the patient is probably going to scold me behind my back."

Senior brother Chen Bing has a very hot temper today!

Zhou Mo retreated quietly.

Moved to Huang Yiming's side: "How is the thesis of "Brave Heart" doing now?"

Huang Yiming: "Come on, I'll give you this afternoon."

Zhou Mo: "Okay, mine is almost done, finish writing the paper tonight and send it to Director Niu. We have to fight for time!"

Huang Yiming: "Huh? Brother Mo, are you writing so fast?"

Zhou Mo: "Is it fast? It feels very slow. There are only 53 cases."

talent?

Huang Yiming leaned back.

Brother Mo, don't pretend, we are still good friends!

It took me a lot of time to memorize the 23 cases.

Zhou Mo looked at the electronic clock on the wall, it was 11:40.

"Go, let's eat..."

"Let's go..."

King Zhou Molong led a group of medical students out of the Department of Cardiology.

...

Today may be Zhou Mo's lucky day. The 29 beds have been empty for more than a day, and no patient has come in yet.

Sure enough, I, Zhou Mo, am the Emperor of Europe!

At 19:43, Huang Yiming sent the discussion and conclusion of the thesis to Zhou Mo.

At 20:04, Zhou Mo finished the case summary, data analysis, and put the whole manuscript together.

Then start editing.

At 21:00, Zhou Mo quickly finished the manuscript and polished Huang Yiming's content.

Send it to Director Niu.

"Teacher, there is a freshly released paper, please help me correct it!"

"Ding dong~~~"

Director Niu replied in seconds.

"Another paper? So soon?"

"Basic exercises, basic exercises, the teacher hasn't slept yet?"

"I'm old, I can't sleep that much... By the way, last time your paper was reviewed and approved by the "Journal of Cardiovascular Diseases", I will call you tomorrow..."

"Huh? Really?"

Zhou Mo was pleasantly surprised.

Unexpectedly, the submission was actually successful.

"Journal of Cardiovascular Diseases" is the core journal of the Chinese Department, and it is considered a relatively good journal in China.

Director Niu: "By the way, pay attention. When they call you, they may ask you for a page fee. You don't have to pay it. I'll just pay it for you..."

Zhou Mo: "Huh?"

Director Niu: "I know you don't have any money, so I gave it to you, and you don't have to pay it back..."

Zhou Mo was grateful: "Thank you teacher!"

Director Niu: "Are you a little touched..."

Zhou Mo hehe: "I am very moved... Teacher, if possible, let me be more moved..."

Director Niu: "Get lost!"

...

The next day (Wednesday),

Sure enough, the journal "Journal of Cardiovascular Diseases" really called and told Zhou Mo that the paper would be published in the next week, which is the 10th issue of 2021.

This news can't be hidden soon.

Because Zhou Mo answered the phone in the duty room, the people next to him could hear him clearly.

"What? Zhou Mo, your paper is about to be published?"

The remaining 9 medical students were all fried.

"I'm going, so fast?"

""Journal of Cardiovascular Diseases", this journal is not bad, it seems that our department has a subscription."

"Awesome, I remember that I started writing the topic after the third week, right? I finished it so soon!"

"I started the topic earlier, and now I have only written a third of it..."

"Emmm~~~ This trash of mine is probably used to count... to make up numbers, right?"

Hug Jiji in distress! ·jpg

Even those resident doctors and attending physicians were surprised by Zhou Mo's efficiency.

2 weeks for a paper?

too fast!

Is this guy not only a clinical genius, but also a thesis genius?

Just when the duty room was shocked, gasping for air, and it was absolutely impossible for him to stay.

"Zhou Mo!"

A gangster at the nurse's station yelled:

"A patient came and put 29 beds... you pick it up..."

"OK."

Zhou Mo quickly came out to pick up the guests.

at this time,

The patient was lying on the flat car, and was pushed to the corridor next to the nurse's station by the emergency doctor and nurse.

The patient is a middle-aged man in his 40s, wearing a suit and leather shoes, wearing what looks like a Jaeger-LeCoultre watch, and his whole body looks like a famous brand.

comatose state.

The one who sent him here was the female secretary, a young woman in professional attire.

"Senior brother, what's the patient's condition?" Zhou Mo asked the emergency doctor.

The emergency doctor said: "Chest pain, chest tightness, then coma, and he hasn't woken up until now... His secretary followed the patient, saying that the patient suddenly felt chest pain and discomfort during the meeting, which worsened for half an hour, and finally fell into a coma. Hospital……"

Zhou Mo: "Brother, do you have an electrocardiogram? Show me..."

The emergency doctor handed Zhou Mo a bunch of tests.

Zhou Mo looked at the electrocardiogram,

3 copies in total,

They are the electrocardiograms taken on the 120 road, after entering the emergency department, and before being sent up.

The 3 ECGs are all very typical myocardial infarction ECGs.

There is also a troponin, the value has increased.

More evidence of myocardial infarction.

"Senior brother, what medicine did he take?" Zhou Mo asked the emergency brother.

"During the emergency room, I saw that his heart rate and blood oxygen were all fine, so I gave him nitroglycerin, and by the way, intramuscular injection of heparin..." said the brother in the emergency room.

"ok!"

"It's nothing, I'll go first."

"Thank you, brother."

Zhou Mo watched the emergency brother leave quickly, and then began to pass the patient's bed with other nurses.

"Give him an arterial blood gas analysis..."

The nurse drew blood immediately, inserted the needle into the radial artery, pulled it out, and put it into the instrument, and the result was immediately available.

"Normal pH, partial pressure of oxygen, partial pressure of carbon dioxide, oxygen saturation..."

"It's all normal..."

Zhou Mo's brows stretched, and he breathed a sigh of relief.

"Are you his secretary?" Zhou Mo asked the female secretary.

"Yes, doctor." The female secretary seemed shrewd and capable in both her tone and demeanor.

"Does he have any medical history? High blood pressure or something."

"No."

"Tell me about his situation in detail..."

"It was during a meeting that I suddenly felt a bit stuffy, painful, and nauseating here (pointing to the precordial area)..."

"Didn't you take your medicine on the way?"

"No."

"..."

At this moment,

"Hmm~~~~~"

The patient woke up.

Open your eyes and look around.

"Where is this?"

"Mr. Liu, this is a hospital." The female secretary hurried over and said.

"Hospital? Why am I in the hospital..."

"Mr. Liu, did you forget? During the meeting, you suddenly passed out and were sent to the hospital..."

The patient moved his limbs and then began to sit up.

Looks like there's nothing wrong with the body.

Zhou Mo visually inspected the patient's current state. It was not bad, and he was quite flexible with both hands and feet. At least his head should not have cerebral ischemia due to myocardial infarction.

"I'm fine, let's go back to the company..." Mr. Liu was about to get out of bed.

Zhou Mo hurriedly stopped him: "Wait a minute, don't get up first, you may have a myocardial infarction now, and you may need a careful examination."

Mr. Liu looked at Zhou Mo with dissatisfaction: "Who are you?"

Zhou Mo: "I am your bed doctor now."

Mr. Liu chuckled, feeling a little disdainful: "Doctor? I don't need it. I'm in good health."

Zhou Mo: "..."

This is the first time I have encountered such a patient.

But he still persuaded patiently: "When you were admitted to the hospital just now, we have already checked you, and we can confirm that it is a myocardial infarction. This disease is very dangerous. This time is lucky, and it may not be the next time."

"Oh, young man!" Mr. Liu looked at Zhou Mo with disdain, "You don't need to scare me with this trick, I have eaten more salt than you have eaten..."

In his voice, there was a kind of domineering and arrogance that lashed out at Fang Qiu.

It is estimated that he has been in a high position for too long, speaks domineeringly, and seems to disdain doctors.

puff~~

The nurse next to me snorted and almost said nothing: "Eat so much salt, aren't you afraid of hypernatremia?"

This was the first time Zhou Mo encountered this kind of patient.

It is obviously very dangerous, but I still feel that I am not sick, and I don't want to be treated.

The modern version of taboo disease?

.

This chapter is 3000 words.

24-hour subscription to 2700, well, although there is a bit of a psychological gap, I still decided to try my best to update three times a day, and everyone voted more.

(I found out that my limit is only three or four times, so miserable, crying.)