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 talked to Director Chu.

"Boss Zheng, what kind of illness do you suspect?" Director Chu was not surprised, but looked at the film and asked lightly.

He was also pondering the possibility of various diseases in his mind, and he didn't pay too much attention to Zheng Ren's words.

"The data is incomplete, and it cannot be diagnosed at the moment. Zheng Ren said.

Director Chu was a little dissatisfied, he glanced at Zheng Ren and said, "Boss Zheng, you are too cautious." Read the film internally, speak freely, and everyone will not blindly believe in your words, which will lead to misdiagnosis by patients. ”

Zheng Ren said: "Can the patient's ECG be found?"

"I'll ask. Director Chu took out his mobile phone and made a call. Less than 1 minute later, >

The doctor on the other side took a picture of the ECG and sent it over.

With the rapid development of instant messaging, the mode of in-hospital and out-of-hospital consultation has also undergone fundamental changes.

In the past, this kind of information needed to be sent by email and teleconsultation. Even the First Hospital of Haicheng City established a remote consultation center for this purpose at that time, preparing to work with large tertiary hospitals in the imperial capital and the magic capital to improve the medical level.

Unfortunately, the construction of this remote consultation center is very slow. With the rapid progress of mobile communication and the improvement of the quality of transmitted pictures, the consultation center has lost its original role and is directly scrapped while it is built. (Note 1)

The clarity of the film is sufficient, and there is no need for more advanced professional equipment at all.

"Boss Zheng, take a look. Director Chu said with his mobile phone.

"Director Chu, let's add a WeChat. Zheng Ren had an idea, and added Director Chu's >Everyone else is the WeChat of the beautiful young lady on the street, but Zheng Ren is in a hurry to ask for the > of all kinds of old directors, it is indeed different."

If Su Yun was here, he would definitely give Zheng Ren a really heavy evaluation.

After adding WeChat, Director Chu sent the photo of the ECG to Zheng Ren.

Download, zoom in, Zheng Ren looked at it carefully little by little.

The patient's ECG showed changes in the T wave and ST-segment depression, which is indeed an electrical change in standard myocardial infarction.

However, Zheng Ren noticed that these changes were accompanied by low voltage in the limbs and poor R-wave increase in the anterior chest leads, accompanied by arrhythmias.

This one...... Increasingly similar to the ECG changes of primary light chain amyloidosis. Of course, Zheng Ren is just guessing, this disease is rare. Moreover, according to dozens of case studies and reports, other inspections are needed to corroborate it.

And the electrocardiogram in front of the eyes,

The typical ECG changes of myocardial infarction are just a "side reaction". And the change of the R wave, which doesn't seem to be important, is the point!

Zheng Ren asked, "Director Chu, I'm sorry, the patient's related examination results will be troublesome." ”

was pondering the patient's condition, and Zheng Ren was not so polite when he spoke. But Director Chu didn't care, and after asking about the other side, he asked all the inspection results back.

The vast majority of patients who come to 912 for medical examinations are done locally, and the patient's family members bring all the examination reports and films, and if necessary, the 912 doctor will issue a bill for examination. But in most cases, various checks of origin are sufficient.

It took a full five or six minutes for all the data on that side to be transmitted.

Zheng Ren examined them one by one, and the protein in the urine was +++, and there was an initial change in nephrotic syndrome. The echocardiogram is reconstructed on its own, with a slight decrease in left ventricular ejection fraction and thickening of the heart muscle throughout the heart with a standard "snowflake" echo within the heart muscle.

"Is there a liver test?" asked Jung-in.

"Well, no. Director Chu saw Zheng Ren's serious face, although he was surprised, he couldn't help it and replied directly.

"I want to see the patient. Zheng Rendao.

Director Chu nodded, and Dr. Liang picked up the film and handed it to the doctor who issued the report. Director Chu took out his mobile phone and dialed out.

The bell rang for a long time before the other side picked up. It seems that the doctor on call is very busy at this time, and there is no time to connect to the phone.

"The patient is you?" the phone was connected, and Director Chu was not polite, and asked directly.

"Okay, then we'll go over right away. ”

"There was something wrong with the film, and I wanted to take a look at the patient. ”

After Director Chu finished speaking, he hung up the phone and left. Zheng Ren immediately followed Director Chu out of the reading room and went all the way to the outpatient clinic.

"By the way, Boss Zheng, what are you looking for me?" Director Chu asked at this time.

"That's right, Director Chu. Zheng Ren hurriedly walked a few steps, came to Director Chu's side, slightly behind the position, and said: "Director Luo from the Department of Gastroenterology introduced me to a patient with portal hypertension and advanced liver cirrhosis. I thought about having surgery tomorrow, but the patient didn't have an MRI diffusion examination and couldn't tell the puncture point. ”

When Zheng Ren said this, all his thoughts have been expressed very clearly.

"Oh, that's it. Is it too late to do it after work?" asked Director Chu.

"It's in time, it's in time. Zheng Ren hurriedly replied with a smile.

"Xiao Liangzi, you can do it for Boss Zheng. Director Chu immediately arranged.

Zheng Ren's seemingly difficult things, in Director Chu's place, are just casual words.

"Good. Dr. Leung immediately responded.

Zheng Ren was a little ashamed, when he came to the imperial capital before, Dr. Liang helped a lot. But I didn't even ask for people's WeChat and phone numbers, and it seems that things like interpersonal communication will be a snack in the future.

Human beings are social creatures, and they always have to communicate with other people.

If you don't want to do a Nobel Prize project, it doesn't matter. But in the current situation, there must be someone, a lot of people to help you, in order to complete it.

Zheng Ren followed Director Chu and thought silently. But Director Chu agreed, this is a good thing. Zheng Ren immediately contacted Mr. Liu from the Department of Gastroenterology, asking the patient to fast with water, give appropriate fluids, and do MRI diffusion at about 7 o'clock in the evening.

Although it's a bit early to fast, it's better than not doing it at all.

Patients from other places rarely come to the imperial capital for medical treatment (Note 2). A family, people eat horses and chew, and the daily cost is not low.

Being able to be discharged from the hospital a day earlier will save a lot of money.

When I came to the internal medicine clinic, the patients were lined up outside, and there were security guards to maintain order.

Looking at the countless red and light red background boards, Zheng Ren let out a sigh of relief.

No matter how powerful the big pig's trotters of the system are, there is only one person by himself, and he can't solve too many problems.

Entering the consultation room and coming to the Circulatory Specialist 3 consultation room, Zheng Ren saw a patient about 30 years old standing at the door with a panicked face.

And his system panel showed a faint red color, and the diagnosis was clear - primary light chain amyloidosis.

……

……

Note 1: This is how the remote consultation center of our hospital was scrapped.

Note 2: Last year, I managed a female patient, and it is said that she went to the ovarian cancer removal surgery in Beijing by herself. Very strong, very optimistic person.

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