"Mr. Miao, go in and see for yourself." Director Liang didn't even prepare to enter the consultation room, and said angrily.

"Director Liang, what's wrong with you?" Mr. Miao didn't understand, and when he saw the camera, he was afraid that something would make a mistake, so he whispered in advance.

"The program team found a ...... Specifically, you ask Director Fan. ”

Director Fan rubbed his hands, "Mr. Miao, where is Dr. Ji Xiang?" ”

"I'm writing a medical record, you're looking for him." Mr. Miao asked.

"No, no, I'm looking for you to come for a consultation." After briefly introducing Lin Jiuze's identity, Director Fan said, "He looks very gentle and doesn't talk much, but it seems that he is very firm when it comes to medical treatment." ”

"The firmness of the fart is nonsense!" Director Liang scolded, "The film is there, typical intestinal obstruction, I have to do 64 scans of CT." I know the American Union of Physicians, and they're willing to do all kinds of tests. ”

"I'll take a look." Mr. Miao was curious and strode into the consultation room.

Director Fan threw Director Liang aside and walked to the door to examine Lin Jiuze again.

He was gentle and flat, and the sense of oppression between his eyebrows was gone. Director Fan didn't know if it was his imagination, or if the dispute just now brought him a deep imprint, and when he looked at Lin Jiuze at this time, he could feel the pride in his bones.

Standing at the door and watching, Director Fan soon saw that Mr. Miao and Lin Jiuze were arguing.

"In most cases of MVT with intestinal obstruction, there will be two stages of presentation.

Initially, the patient was diagnosed with MVT due to abdominal pain, started anticoagulation, and subsequently presented with intestinal obstruction.

In this case, intestinal obstruction is the first manifestation of supramesenteric vein thrombosis, which is not evident in the early acute phase and may be due to persistent mild intestinal ischemia, which eventually leads to intestinal fibrosis, stricture, and obstruction. ”

"In addition, the clinical manifestations of MVT are usually nonspecific, and color Doppler ultrasonography of the abdomen is helpful in measuring mesenteric blood flow, the volume of fluid in the peritoneal cavity, and the thickness of the intestinal wall.

This test is more difficult, I don't know if you can do it.

It has a sensitivity of >90% compared to CECT in the diagnosis of MVT, and in addition, CECT can also assess intestinal ischemia and help select patients who are eligible for conservative treatment.

The presence or absence of collateral circulation on scan can help distinguish acute MVT from chronic MVT. Although the patient was screened for common thrombotic states, the cause of MVT was still unclear. ”

Lin Jiu still seemed to be a transparent person when talking about professional issues, Miao was always a little confused, and it seemed that he didn't know who was talking to him after more than ten seconds.

But a series of professional vocabulary and the habit of enhancing CT and calling CECT make Miao always feel that he is in a thriller scene, and there is a mysterious force nearby that is talking to him by his side.

"But ......," Miao always wanted to explain.

"It's nothing, just follow the doctor's orders." Lin Jiu said firmly.

"Okay."

Mr. Miao didn't struggle at all, and was directly defeated.

Director Fan looked confused, this is the end? Shouldn't it be a battle of the dragon? Why did Mr. Miao disarm and surrender directly in a few words.

Mr. Miao contacted the CT room, made an appointment for 64 scans of CT in the emergency department, and then took the patient for examination. Lin Jiu didn't follow, Director Liang refused to shoot, he said hello to the crew and left to go back to rest, just like the uncle.

Seeing that Lin Jiu seemed to hesitate, Director Fan looked around, and finally tore up the paper and threw it into a ball in the paper basket.

He picked up the waste paper like a thief and hid it.

A few hours later, the results came out, and sure enough, as Lin Jiu said, the patient was not a simple intestinal obstruction, but an intestinal obstruction caused by embolization of the superior mesenteric artery.

Mr. Miao took people to surgery, and Director Fan fell into deep thought.

The newcomer Lin Jiuze had a lot of weird places on him, and he really felt strange.

"Dao'er, take a look." Director Fan's assistant leaned over and whispered.

"What's wrong?" Fan Dao asked uneasily.

"There seems to be something wrong with the video data left behind by the film crew."

"Something happened again! Something is going to happen, let's go to the wedding in the future! What's the use of raising him, he can't do a good fart!! ”

Director Fan was furious and began to scold.

He approached the cameraman, who looked terrified and said sorry in a loud voice.

The team of cameramen who can follow Director Fan to record a popular variety show is also well-known in the rivers and lakes, the level is first-class, and Director Fan does not rub sand in his eyes.

But today I don't know what's wrong, there are always problems.

"Didn't record it again?" Fan Dao asked with a straight face.

"I recorded it, but it didn't work well." The cameraman was about to cry, he said with a sad face, "Dao'er, it's all my bad, my bad." But I tried my best, and I didn't know how. ”

"Take a look."

Director Fan also knew that the situation was special, and he sighed deeply after watching the video materials recorded in the later stage.

He didn't criticize the cameraman too much, because what the cameraman recorded basically matched his impression.

Director Fan didn't say anything, he returned to the car, saying that he wanted to be quiet.

After tearing up Lin Jiuze's paper and throwing it into the trash can, Fan Dao saw that there were very scribbled words written on it.

There are both Chinese and English, and Director Fan didn't understand it at all after watching it for a few minutes.

He remembered a joke - in the early years, when the doctor wrote the prescription by hand, the pharmacy department didn't understand it, and the patient took it back and asked, the doctor said why didn't you come back earlier, I forgot what I wrote.

This section of Zifan Dao always thought that he was mocking the doctor, but he didn't expect to encounter it in reality.

He flattened the paper as much as he could, took a picture and sent it to a doctor he knew.

Ten minutes later, Director Fan received a phone call.

"Director Fan, is this a guessing project in your variety show?" The doctor on the other side asked with a smile after answering the phone.

"Old Sun, don't tell jokes, what's written on this?"

"In my opinion, it's a differential diagnosis, and it's really meticulous." Dr. Sun said, "When I started diagnosing intestinal obstruction, I could understand it, even though many of them were in English and the words were incoherent. ”

"And then?"

"Then I identified it, and in addition to intestinal obstruction, I also did ......"

Dr. Sun gushed about 6 related diseases.

"The last one, superior mesenteric artery embolization, this diagnosis is like flying out of the sky!" Dr. Sun praised, "There are not many intestinal obstructions caused by this type of disease in clinical practice, but once they are encountered, they will be misdiagnosed almost 100%. ”

"Uh......"

"I see that the paper is being crumpled and messy, which director of the First Affiliated Hospital is unhappy? What was the final diagnosis? ”

Dr. Sun asked.

Director Fan briefly perfunctory and fell into deep thought.

He struggled to recall the scene in his mind.

(End of chapter)