This is somewhat reliable.

Recalling Zhou Yi's previous diagnosis, the doctors and nurses looked at each other for a while, could it be that this surnamed Zhou really had a few moments, otherwise how could he have judged that this patient had made a lot of effort when he was young and injured his cervical spine?

Director Hua frowned again, cervical spondylosis caused by radiation chest pain, which is actually a very common case, but he didn't expect it. After listening to the patient's oral statement, there are many symptoms that are consistent with the symptoms of mitral valve stenosis in the thorax of the wind, and from the film, there is also a significant thickening near the mitral valve, so the diagnosis was made directly. This is the fault of experts, often in a certain field of research for decades or even a lifetime, when encountering problems, the first thing to start from the field they are familiar with; if he is an expert in lumbar and neck medicine, then he may not ignore this possibility.

However, Director Hua did not panic in the slightest, medical imaging will not deceive people, Zhou Yi just looked at the patient's complexion and diagnosed the pulse and came to the conclusion, this is simply child's play, even if he guessed that the patient had made great efforts and pulled a cart when he was young, what could it mean?

"Doctor Zhou, but I" The patient stroked his neck with some puzzlement and said, "It's true that I used to exert a lot of strength when I was young, but why do I have a chest pain instead of a sharp neck?"

"That's the psychological reason, I guess someone in your family has had a heart attack, right?"

Zhou Yi became very kind and patient at this time, which was simply different from the dog's cowardly appearance before: "So what you are most afraid of is that there is a heart problem, and as a result, the chest pain will be infinitely magnified by you, and even if there is discomfort in other places, you can't feel it." Don't believe it, this kind of psychological suggestion to the self often makes the patient misjudge. ”

When many doctors heard this, they all nodded slightly, and Zhou Yi was not unreasonable. However, he only relied on the pulse to say this set of theories, which is still a bit of a wandering doctor and not scientific and rigorous. It would be a joke to overturn Director Hua's diagnosis based on this alone......

"Dr. Zhou, I have taken a film, and the old expert before also judged from the film that I have mitral valve stenosis in my heart. You don't even have to watch the film, do you?"

Looking at the patient's happy face, it was obvious that he hoped that he had a problem with the cervical spine rather than a terrible heart attack, but the more he looked forward to it, the more he was afraid that Zhou Yi would misdiagnose it, after all, the old doctor with white hair just now was more reliable than Zhou Yi's young man.

"That's right, Dr. Zhou. The film is here, and you can watch it casually. ”

Director Hua nodded, asked the assistant to take out a set of cardiac ultrasound images, and sent them to Zhou Yi: "I don't know how you explain it?"

Since the Heavenly Thunder God was injured, although he has barely recovered the lost five senses after being treated by Yan Lao's skillful hands, Zhou Yi's mental power is extremely unstable, and he suddenly treats people coldly, and suddenly likes to meddle with some things. For example, for this patient who is not wealthy, he is particularly patient and affectionate, and this extreme mental instability makes the all-powerful idler system temporarily lose contact with him. It is no longer possible to casually mobilize the skills of Western medicine to do imaging examinations for patients, such as taking a B-ultrasound, CT, MRI, angiography or so on.

However, the loss of these abilities does not mean that passive Chinese medicine methods such as 'Ninth Qi Pulse Hand' and 'Acupuncture' will also be lost. or enter the Dao, or enter the skills or sub-professions of the mixed element, these are just an introduction given by the system, and then they are all cultivated through their own hard work. Kung Fu is in the body, no matter what kind of changes, it can't be deprived.

As for looking at the image map, it is the basic skill of a medical graduate student, and Zhou Yi is naturally no stranger. He took the image and looked at it, and said with a slight smile: "It is better to have no book than to have no book, and it is too dependent on medical imaging, so what do you need a doctor to do?" This color ultrasound report gives just a result, from the results point of view, the patient's mitral valve is not tightly closed, there is a possibility of hypertrophy and enlargement, and the shadow part shown indicates that it may be calcification, and it is necessary to immediately perform balloon augmentation and valve replacement surgery, right?"

"Yes, yes, that's what the old specialist said, but," the patient looked embarrassed.

"But the balloon augmentation is just a temporary emergency method, even if the operation is successful, it is only to make you comfortable for three or five years, and then you have to perform valve replacement, which will toss you at least twice; if you choose to change the valve at the beginning, the price of the operation fee and imported metal valve is still very expensive, a set down to count the hospitalization fee, no seventy or eighty thousand yuan is afraid that it will not work, even if you have medical insurance, it is also a lot of expenses, and after the valve is replaced, you have to take anticoagulants for a long time, often have to go to the hospital to check the blood coagulation, adjust the dosage at any time, annoyance can be annoying, if you live in the countryside, it will be even more troublesome, every few months you have to go to the city to checkThe cost is staggering in the long run. ”

Zhou Yi said every word in the patient's heart, making him nod again and again: "Yes, yes, I am from the countryside, so I hesitated to come, but Dr. Zhou, you came, and then you quarreled, but this patient was very kind, and he was embarrassed to continue."

"I also don't want to see someone suffer from surgery in vain and waste money. Zhou Yi pointed to the color ultrasound map and said: "The color ultrasound picture shows just a result, but it cannot accurately determine the cause of the disease, in fact, many reasons will cause similar image display, do we all think that these patients need surgery?"

The object of this rhetorical question was the patient in front of him, who was also Director Hua and others, Hua Wenfeng sneered: "Could it be that the result you obtained in half a minute to diagnose the patient's pulse is the most correct? Then, in your opinion, if the patient has a problem with the cervical spine, why does it show mitral valve hypertrophy on color ultrasound?"

Zhou Yi glanced at him with a smile, but did not answer directly, but beckoned to Nurse Xiaohuang: "Nurse Xiaohuang, come here." ”

"What for?"

Xiao Huang looked at Zhou Yi very vigilantly, she is also a beauty, a flower in the cardiovascular and cerebrovascular department, and her vigilance against young male colleagues is innate; in the eyes of her little girl, Zhou Yi is quite special, bad, cold and cool, and she dares to give eye medicine to Mr. Hu and Director Hua at the same time on the first day of work, but the formula of 'men are not bad, women are not loved' does not work in the workplace. No matter how stupid she is, she knows that Zhou Yi is now the target of everyone, and it is better to stay away from him as far away as possible.

However, this man's cool smile, the touch of ruffian style that gently hooked her little finger, and the handsome face, still made Xiao Huang's heart beat rapidly, it is estimated that it will exceed one hundred and forty times per minute, the powder face is slightly red, and the white forehead is slightly sweaty, she actually walked towards Zhou Yi in a ghostly manner, and when she arrived in front of her, she was suddenly surprised, and wanted to turn around but felt a sour feeling at the center of her eyebrows, which made her unconsciously moan, and some male colleagues secretly swallowed saliva.

Zhou Yi stretched out a finger and said between Nurse Xiaohuang's eyebrows: " If I don't take my finger away, or Nurse Huang withdraws a certain distance, it will become more and more sore, if I point like this for two hours every day, it won't take half a month, she will get a headache, and she can't be cured by any medicine;

Director Hua's face changed slightly: "You mean that the mental hint will eventually lead to the example of material lesions?"

"Not bad. ”

Zhou Yi put down the color ultrasound picture in his hand and said: "The patient has a long-term life experience of pulling a scooter, and over time, this experience will be thought to be normal by him, even if it hurts the cervical spine, it is difficult to be found because the condition has a long-term accumulation process." We all know that cervical spine disease can cause insufficient blood supply to the brain, dizziness and headache, and in severe cases, it will also produce radiation pain, which will spread to any part of the upper body; because the patient's family has a history of heart disease, when the radiation pain appears, his psychology will suggest that it is a heart disease, and because the family environment is not good, he did not go to the hospital for examination at the first time, this hint is like my finger, from the spiritual level to the material level of change. Poor mitral valve closure and thickening are all gradually evolved under this suggestion, but unfortunately medical imaging can never replace a good doctor, can we infer that he has a heart problem after seeing this result in the imaging picture?No!"

"Is that really the case?"

Seeing that Director Hua didn't refute for a while, everyone was a little suspicious. The so-called 'hypochondriasis must get serious illness' long-term hints at the mental level lead to organic lesions, which is a fact that has been concluded in the medical community; Dr. Mack, who won the Nobel Prize in Medicine in the middle of the last century, proved this point through a long period of time and a large number of experiments, but after all, this is only at the theoretical level, and doctors make diagnoses on weekdays, more based on medical images, and few people will analyze whether patients have long-term psychological hints and hypochondriasis.

But the young Dr. Zhou in front of him was just a newcomer on the first day of work, and he only checked the patient's pulse for half a minute, so he was sure that the patient belonged to this situation? Even if it was, since there was still an organic lesion in the end, then Director Hua's diagnosis was not wrong? What is this kid going to do?

Director Hua didn't speak for a long time, and he was also in doubt, and after thinking about it, he asked Zhou Yidao: "Doctor Xiao Zhou, even if your analysis is not wrong, can you overturn my conclusion?" What the doctor sees is the result after all, and now no matter what the cause is, the result is an organic lesion, do you have a better treatment plan besides surgery?"

PS: Thanks to the monthly pass support of the two book friends of 'samliu1968' and 'Xiaoben 0169' :......)