The old expert Coco said, "The patient looks at Han Guang, and then at Director Hua, and always feels that the latter is more reliable."

"Expert?"

Han Guang sneered, with an under-beaten expression, tilted his head to look at the doctors and Director Hua around him, and actually dared to pout his lips in the face of the world's condemnation: "What's wrong with the expert?" When it's time to make mistakes, you can make them! ”

"Wow!"

The outpatient room suddenly exploded, some were so angry that they trembled, some widened their eyes to peek at how Director Hua would react, and some people secretly admired Han Guanglai, of course, what admired him was not his medical skills, but the courage to dare to die and persist in his mistakes.

In everyone's opinion, Director Hua, who made a judgment based on medical imaging pictures, was a hundred times more authoritative than Han Guang, a kid who just took a ride! What else is cervical vertebrae misaligned? If it were that simple, Director Hua wouldn't have noticed?

Director Hua didn't speak, just frowned slightly, and asked the patient instead, "What did you do when you were young?" ”

"When I was younger, I pulled a cart"

Pull the cart? That's kind of reliable.

Recalling Han Guang's previous diagnosis, the doctors and nurses looked at each other for a while, could it be that this surnamed Han really had a few moments, otherwise how could he judge that this patient had made a strong effort when he was young and injured his cervical spine? The work of pulling a cart is really prone to cervical spine problems.

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 description, 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 is directly made, which is the problem of experts, who often have studied in a certain field for decades or even a lifetime, and first start from the field they are familiar with when they encounter problems.

If he is an expert in lumbar and neck medicine, he may not ignore this possibility.

However, Director Hua did not panic in the slightest, medical imaging will not deceive people, Han Guang 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 the cart when he was young, what could it mean?

"Doctor Han, but I" The patient stroked his neck with some puzzlement and said, "It's true that I used to make a lot of effort 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?"

Han Guang 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. ”

Many doctors listened to these words, and they all nodded slightly, and he was reasonable.

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 just because of this!

"Doctor Han, I have filmed the film, and the old expert before also judged from the film that I have mitral valve stenosis in the heart, don't you even need to watch the film?"

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 Han Guang would make a mistake, after all, the old doctor with white hair just now was more reliable than his young man.

"Yes, Dr. Han, the film is here, you can watch it casually."

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

Han Guang coughed twice, feeling that he couldn't pretend to be a little too much, after all, he was not from a professional class, and he couldn't read medical color pictures, but the goal that should have been achieved had been achieved, and Xia Xiayao's gaze still stopped at him.

After a while, he moved his mouth to Xing 13 and said, "I'll go to the toilet and let the criminal doctor explain it to everyone."

The thirteenth person took the first two steps with a tacit understanding, and he was naturally no stranger to medical knowledge, so he took the image and looked at it, and said with a slight smile: "It's better to believe in books than to have no books, and rely too much on medical images, so what do you need doctors to do?" This color ultrasound report gives just a result, from the results, the patient 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 balloon augmentation and valve replacement surgery must be performed immediately, right? ”

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

"But balloon augmentation is just a temporary emergency method, even if the operation is successful, it is just 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 surgery and imported metal valves is still very expensive, a set down to count the hospitalization fee, no seventy or eighty thousand yuan I am afraid that it will not work, even if you have medical insurance, it is also a lot of expenses, and after the valve replacement, 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, If you live in the countryside, it's even more troublesome, and you have to go into the city every few months to check it out, which is a staggering cost in the long run. ”

Xing 13 said every sentence in the patient's heart, making him nod again and again: "Yes, yes, I am from the countryside, so I hesitated to come, but the criminal doctor you came, and then just" Then your doctor 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." Xing 13 pointed to the color ultrasound picture 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?" In your opinion, if the patient has a problem with the cervical spine, why does it show mitral valve hypertrophy on color ultrasound? ”

Xing 13 glanced at him with a smile, but didn't answer directly, but beckoned to Nurse Xiao Huang: "Nurse Xiao Huang, come here." ”

"What for?"

Xiao Huang looked at Xing Thirteen very vigilantly, she was also a beautiful woman and a flower in the neurological department, and her vigilance against young male colleagues was innate.

In the eyes of her little girl, Xing Thirteen is very special, bad, cold and cool, and she dared to give eye medicine to Teacher 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 he is the target of everyone now, 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 his little finger at her, and the handsome face, still made Xiao Huang's heart beat rapidly, and it was estimated that it would exceed one hundred and forty beats per minute.

The pink face was slightly red, and the white forehead was slightly sweaty, and she actually walked towards the thirteenth sentence by surprise, and when she arrived in front of her, she was suddenly surprised, and she wanted to turn around but felt a sour feeling at the center of her eyebrows, which made her moan unconsciously, and some male colleagues secretly swallowed saliva.

Xing Thirteen stretched out a finger, and put his empty finger between Nurse Huang's eyebrows, and said: "My finger has no contact with Nurse Huang's skin, and there is no magical magic, but ten people are fingered, and nine of them will feel sour in their eyebrows, if I don't take away my fingers, or Nurse Huang will withdraw from a certain distance after retreating, it will become more and more sore, if I point like this for two hours every day, it will not take half a month, she will have a headache, and she can't be cured by any medicine, and in a few years, with medical imaging examination, you will also find a shadow in this position." Believe it or not? ”

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

"Not bad."

Xing 13 put down the color ultrasound picture in his hand and said: "The patient has a long-term life experience of pulling a cart, and over time, this experience will be considered normal by him, even if he injures 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, radiation pain that spreads to any part of the upper body.

Because the patient has a family 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.

Poor mitral valve closure and thickening are all gradually evolved under this suggestion; Unfortunately, medical imaging can never replace a good doctor, and if we see this result in the imaging image, can we infer that he has a heart problem? no！ ”

"Is that really the case?"

Seeing that Director Hua didn't refute for a while, everyone was a little suspicious.

The long-term suggestion of the mental level of the so-called 'hypochondriasis must get seriously ill' leads to organic lesions, which is a fact that has been settled in the medical community.

In the middle of the last century, Dr. Mack, who won the Nobel Prize in Medicine, proved this after a long period of experiments and a large number of experiments, but after all, this is only at the theoretical level.

But the young doctor in front of him is just a newcomer on the first day of work, and he has only been checking the patient's pulse for half a minute, so he is sure that the patient belongs to this situation?