Nie Yuan had already called the number of the next patient, but as soon as the door of the clinic opened, it was still the two people who came in.

Grandma is no longer cautious just now, but walks in the wind, quite a bit aggressive.

What's going on? Tao Le was instinctively a little worried.

I saw my grandmother rush to Nie Yuan in stride, and slapped the checklist in front of him:

"Doctor Nie, Mei Xin and I are so convinced of you, how can you do this!"

Nie Yuan was a little confused, he picked up the list he had just opened, looked at it carefully, and found no problems.

"Something?" He asked, confused.

"Such an old child, what kind of radioactivity test is she going to do? Are you crazy about making money? Grandma's voice rose three orders out of anger.

As soon as she said this, Tao Le and Nie Yuan both understood.

It turned out that the family had doubts about the examination for radiation.

It's just that there is a question to ask, why do you have to add the last sentence, how discordant.

In the examination list just opened, the thyroid static ECT scintigraphy is a radionuclide scan, which requires the injection of imaging agent to the child, and there is indeed a little radiation.

Many patients have doubts about tests with radiation, and when it comes to children, this doubt turns into anxiety.

Thinking about this grandmother, it was only after she went out that she carefully read the payment slip and found that there was a radioactive imaging agent in it, and she couldn't accept it in her heart.

"I'll explain it to you first. First of all, this ECT test is necessary, if it is not done, then there is no way to confirm the diagnosis, and there is no corresponding treatment. Nie Yuan said calmly:

"Moreover, this inspection is less than 300 yuan, which is very cost-effective."

But in this matter, the grandmother was unexpectedly stubborn.

"Other tests are fine, but if you want to put that radioactive thing into the child's body, you can get sick if you don't get sick, and a small illness can become a major illness, don't bully us for not understanding!"

Nie Yuan couldn't help but have a little headache. Just now, the family members who were obviously reasonable and could communicate with each other suddenly became like this.

However, this radionuclide scan is a crucial step in confirming the diagnosis of this case.

There are actually several other conditions for the condition that he highly suspects, and it must be confirmed by ECT before a specific treatment can be determined.

Once the wrong treatment is wrong, it is irresponsible to the child.

As he frowned, Tao Le could see that Deputy Director Nie was holding back his big moves, ready to use long medical jargon to stun the elderly woman in front of him.

She has discovered in the past few days that Deputy Director Nie has a very high level, strong ability, and is full of warmth for patients, but when it comes to medical issues, he immediately becomes rigorous and meticulous.

She had no doubt that after a while, he would definitely describe the symptoms he was considering, why he had an ECT test, and what symptoms each indicator in the results was meaningful for.

It's a pity that no matter how much he talks and smashes hard, the lady in front of him can't understand it at all.

Not only do I not understand it, but this is not what people care about.

Disciples do their duty. Dealing with this kind of elderly lady, she has a wealth of experience in her past and present lives.

"Auntie." Tao Le said gently: "Actually, you may be a little misunderstood. This test has very little radiation and only the thyroid gland and has no effect on the child's health. ”

She wasn't lying at all. Static thyroid ECT contrast is generally performed with radioactive technetium, the radiation intensity is low, and the β radiation range in the nuclide imaging is short, only 2mm, and there is basically no radiation to tissues other than the thyroid gland.

In addition, the half-life is only about 6 hours, and no side effects have been found in clinical practice.

The dosage for children is even lower than that of ordinary people.

Sure enough, she hit the core issue that the grandmother was most concerned about.

"You're telling the truth?" Grandma looked at Tao Le, her face full of disbelief.

"Of course it's true." Tao Le's voice was smooth, and his face was full of sincerity: "As long as you drink more water after the examination, you can metabolize the contrast agent cleanly in a few days." ”

"If that's the case, then it's nothing?" Grandma seemed to be talking to herself.

"It's up to you. We doctors can only make suggestions. Tao Le said: "But if we don't do this examination, we can't see what kind of form the child's ectopic thyroid is, and our doctors don't dare to do treatment casually." ”

Doctors, whether they are Chinese medicine or Western medicine, can only explain the situation to patients and their families, and leave the choice in their hands, and the most taboo is to forcibly sell it.

If you do that, even if it is out of good intentions, the other party may not appreciate it, but it is easy to be seen as having other intentions.

Now that Tao Le has explained the situation clearly, the rest depends on the family themselves.

Fortunately, this grandmother did not come to find fault with her, and as soon as the knot was gone, she immediately agreed to do the examination.

They came and went quickly, and before leaving, they deliberately said sorry to Nie Yuan.

As soon as the door closed, Nie Yuan asked Tao Lefa, "You just said that this child is an ectopic thyroid gland. Is it a random guess, or is it an inference made by yourself? ”

The thyroid gland of most people grows 2-3cm below the Adam's apple and is distributed on both sides of the trachea, but some people have congenital developmental malformations in the embryonic stage, and the thyroid gland grows to other places, which is called an ectopic thyroid gland.

Tao Le smiled: "Of course it's the latter." ”

Nie Yuan also smiled: "Tell me, what do you think." ”

"The hypothyroidism detected in the child's hospital, coupled with the stunted development of the body, indicates that the child's hypothyroidism has a great probability and is congenital."

Tao Le said his own solution: "Congenital hypothyroidism, although there are multiple possibilities such as insufficient pituitary hormone secretion, underdeveloped or underdeveloped thyroid gland, and insufficient iodine intake during pregnancy of the mother, will not cause the patient to have a mass under the chin. ”

"Maybe this lump is caused by other inflammation and has nothing to do with hypothyroidism at all." Nie Yuan said with interest.

Of course, Tao Le considered this possibility: "If the lump is soft and painful, it may indeed be affected by inflammation." ”

"But in fact, the mass was hard, painless, and moved with the act of swallowing, which ruled out inflammation such as submental lymphadenopathy, periodontitis, and facial boils."

As Tao Le spoke, Nie Yuan's body gradually sat up straight, and his eyes became more and more focused.

Xiao Tao's reputation, he had heard of it before, and he also knew that she came from a different background, and she was Zhou Jishen's apprentice.

But so what, the medical path is different, and Chinese and Western medicine are contrary to each other on many issues.

So he didn't quite understand that this little Tao didn't honestly go to the Chinese medicine department, and what he was doing in the Western medicine area.

This is simply a waste of their enthusiasm and resources to bring new people, and there is no point.

Unexpectedly, after actual contact, Xiao Tao was completely different from what he thought before.

Needless to say, the attitude is respectful and serious, and even Corey's new intern is far inferior to her in this regard.

In addition, she can endure all kinds of deliberate pickiness from him, not only is she temperless, but she can meticulously modify and implement it according to his requirements.

Well, as for his change of impression of Xiao Tao, whether it has anything to do with that near-perfect cup of coffee, it must definitely be nothing.

In any case, now he is beginning to appreciate this little girl who has solid basic skills and knows how to draw inferences.

(End of chapter)