594 That's too much, isn't it?
Director Wang, it's me, Lao Xia. ”
"Well, I have a patient who needs an MRCP in the emergency department, and I'm going to have to trouble you. ”
As she spoke, she covered her mobile phone and asked, "Mr. Zheng, do you mean to do MR 3D reconstruction?"
"Well, I did it by the way. If you do CT 3D reconstruction, you have to make the patient run around, which is troublesome. Zheng Rendao.
"Director Wang, I also have to do an MR 3D reconstruction. ”
"Oh, okay, I'm going to take the patient there, I'm in trouble." ”
After speaking, Director Xia hung up the phone and said to Zheng Ren: "Mr. Zheng, our hospital has not carried out MR 3D reconstruction. ”
"Oh, not usually. Zheng Ren said: "The fault of MR reconstruction is thicker, and the effect is not as good as CT 3D reconstruction. ”
"That ......"
"It's okay, just take a look, MR is enough. Save some money for patients and don't have to see too clearly. ”
"I mean, no one can do it. ”
"Director Xia, I can do it. Only then did Zheng Ren understand where the misunderstanding between himself and Director Xia was, and said with a smile: "After you finish contacting here, then you send a doctor to take the patient to do MRCP, and I will follow over to take a look and do a reconstruction, at most it will take more than 20 minutes." ”
Director Xia looked at the young and energetic Zheng Ren, and felt a lot of emotion in his heart.
However, this is not an ordinary youthful vigor, the vigor of others is full of confidence.
Clinical medication, ceftriaxone is a commonly used drug, Director Xia has used it for decades, and has never encountered a matter of sediment-like stones.
She guessed that if what Zheng Ren said was true, then she might have encountered it, but without relevant examinations, the patient was asymptomatic and recovered on his own after being discharged from the hospital.
But in any case, this is a hidden danger, or a hidden danger that an old director like himself who has been clinical for decades has not noticed.
She was curious, anxiously waiting for Zheng Ren to take the patient for an examination, and immediately went to the pharmacy to find a nurse.
The nurse in charge of taking the medicine didn't know what Director Xia, who had always been strict, was looking for her, and she was a little apprehensive when she looked at her anxious expression.
When I heard that Director Xia wanted a manual for ceftriaxone, I was immediately relieved.
She quickly found a box of ceftriaxone, opened the package, and took out the instructions inside.
After taking a look, the words were too small, so she went to the convenience of the nurse's station in front of her and took a magnifying glass and sent it to Director Xia together.
Director Xia picked up the instructions for ceftriaxone, spread it out, found the contraindications and side effects of the drug, and looked at it carefully with a magnifying glass.
The more I looked at Director Xia, the more frightened I became.
It is written that gallbladder ultrasound will be misdiagnosed as the shadow of gallstones, and these will disappear with the end of treatment or termination of the application of this product.
After using the medicine for more than ten years, there will be such a special drug reaction......
Director Xia was stunned.
She vaguely remembered that when she was a little doctor, when Roche Fen (ceftriaxone) produced by Shanghai Roche Pharmaceutical first entered the clinic, it won the favor of clinicians with its good effect.
At that time, I studied the manual myself, and it seemed to ...... Seem...... Trance...... There is an impression in memory, I have seen it myself.
Director Xia has become an experienced director since he was a doctor, and he has never encountered a single case, and he has not even heard of it. This 1 in 10,000 possibility has long been forgotten in the back of my head.
Now that he was reminded by Zheng Ren and saw the manual, Director Xia was shocked into a cold sweat.
This little doctor is really a dragon leaping into the dragon gate! Director Xia took a magnifying glass, looked at the line of words, and was stunned for a long time.
How did he remember such strange complications and side effects of drugs? And after hearing himself say that the patient's symptoms were immediately determined.
Awesome, really awesome!
Director Xia suddenly remembered a recent incident that has been widely circulated in the hospital - it is said that a German professor came to Haicheng to study surgery with this Mr. Zheng.
She had met Professor Rudolf Wagner, but Director Xia had the dignity of a great director, and he was not as curious as he was a few decades ago when he saw a blond foreigner.
In that case, it would be a shame.
Of course, Director Xia didn't believe that foreign professors came to study with Mr. Zheng.
Most of the gossip in the courtyard is just for fun. If it is really serious, the vast majority of them will not be able to withstand scrutiny.
But now, Director Xia believes it.
Mr. Zheng's level, this diagnosis...... Anyway, I'm completely convinced. Even if the foreigner came to learn surgery with Mr. Zheng, it wouldn't be a big deal.
Should!
Director Xia held a magnifying glass in his hand, staring at the small lines of words blankly, forgetting everything.
I don't know how long it took, the phone rang and interrupted Director Xia's thoughts.
Her hands were a little sore, she put down the magnifying glass in her hand, rubbed her eyes, and picked up the phone.
"Director Xia, MRCP and reconstruction are done, take a look at your computer. Zheng Ren said on the phone, "The patient's film is typical, just like that, I'll hang up, go back and talk about it." ”
Belch...... Before one emotion was over, Zheng Ren sent another surprise.
Double gallbladder malformations?
Is it true?
Director Xia immediately moved his sore, numb and painful wrist, turned on the computer, and found the patient's MRCP film.
Just as I was about to look, the phone rang again.
Director Xia was a little irritable.
She was so desperate to see the patient's film and see what the hell the double gallbladder malformation was.
But the phone rings...... For every doctor, it may be an emergency case, and he needs to participate in rescue and consultation by himself.
Due to years of habit, although Director Xia was unhappy, he still picked up the phone.
Director Wang of the MRI room called.
Director Xia frowned, what was he calling himself for? Wasn't the MRI just done?
"Wang, what's the matter? I'm busy. Director Xia was not polite at all.
They are all old directors for many years, and they are familiar with each other to a certain extent, so you don't need to be polite.
"Lao Xia, the one who came just now is Mr. Zheng from the emergency department?"
"You don't know?"
"MRIs are rarely prescribed in emergency departments, and of course I don't know them. In the emergency department, I only know Director Pan. ”
"What's the matter with your call? Hurry up and say, I'm busy here. ”
"It's okay, I'm just going to make sure with you. Director Wang of the MRI room said: "I said Lao Xia, that Mr. Zheng looks very old, and he is really familiar with MR reconstruction." ”
"A WHILE AGO, MY CLASSMATE VOMITED BLOOD IN THE EMERGENCY DEPARTMENT, AND IT WAS HE WHO DID THE EMERGENCY TIPS SURGERY. Director Xia said: "He is a powerful person. ”
The two sighed a few words about the back waves of the Yangtze River pushing the front waves, and Director Xia had something in his heart and hung up the phone in a hurry.
She clicked on the MRI on the computer and saw two gallbladders appear in the image!
Double gallbladder!
Double gallbladder malformation!
……
Note 1: Cholestasis caused by ceftriaxone sodium in 1 case, Drug Application and Testing in China.
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