This Doctor is Great

Zhou Mo asked curiously, "What's wrong? Senior brother?"

Chen Bing scolded: "There is an idiot in the radiology department. There is a patient in my hand who feels that there should be some problems with the cerebral blood vessels. I want to do an mr for him. In the end, guess what the idiot in the radiology department said?"

People are curious.

All eyes looked over.

Zhou Mo: "How do you say it?"

Senior Brother Chen Bing: "That idiot told me that my patient had an arterial stent and couldn't do mr, unless a titanium steel stent could be done, and nothing else..."

Zhou Mo: "..."

Doctors: "..."

They and their friends were stunned.

Radiology, and this kind of idiot?

What age is this antique? Do you want to update your knowledge?

The so-called mr is nuclear magnetic resonance examination.

It is divided into MRA and MRI: MRA is a cerebrovascular examination item, and MRI is a skeletal and nervous system examination item.

It has one feature - super strong magnetism!

Therefore, during the examination, the patient should not carry metal objects on his body.

Some time ago, there was news that a patient brought an oxygen bottle into the MRI room, and then the person was pinched to death by the oxygen bottle.

If you don't have a sense of the picture, please see the process of the boss being engaged by nuclear magnetism in the movie "Terminator: Genesis".

(The big guy is pictured above?)

but,

Like cardiology patients, most of them may have arterial stents.

Arterial stents are mostly metal.

Aren't these patients not eligible for MR?

The answer is: you can go to mr!

According to the "2017 Domestic Expert Consensus" released in China, all stent products on the market are safe in MR (≤3.0T). Peripheral arterial stents prior to 2007 may be weakly magnetic, but MRI is generally considered acceptable 6 weeks after surgery.

Cardiologists know this.

Many radiologists also know about this.

but,

There are people in the radiology department who beat their heads and feel that they are awesome and can surpass the guidelines.

That's why Senior Brother Chen Bing was so angry.

"You're talking about the one named Chen Zhihang, right?" At this moment, Mr. Huang Li walked in from outside.

"That's right, it's him!" Senior Brother Chen Bing turned his head.

"This person is old-fashioned, he only joined the company half a year ago. I have complained many times, but I still go my own way, and I'm tired of him." Teacher Huang Li said contemptuously.

"Yes, I'm exhausted. Forget it, let's not talk about him, I'll hang up another one and avoid him." Brother Chen Bing said angrily, while making an appointment, he scolded, "The patient has been delayed for 2 days. , I have to delay now, and the patient is probably going to scold me behind my back."

Today's Senior Brother Chen Bing has a particularly hot temper!

Zhou Mo quietly retreated.

Moved to Huang Yiming's side: "How is the writing of the "Courage" paper now?"

Huang Yiming: "Come on, I'll give it to you in the afternoon."

Zhou Mo: "Okay, mine is almost done. I will write the paper tonight and send it to Director Niu. We have to fight for time!"

Huang Yiming: "Ah? Brother Mo, are you writing so fast?"

Zhou Mo: "Is it fast? It feels very slow. There are only 53 cases."

talent?

Huang Yiming leaned back.

Brother Mo, don't pretend, we are still good friends!

It took me a lot of time to remember 23 cases.

Zhou Mo looked at the electronic clock on the wall, it was 11:40.

"Go, let's eat..."

"Walk around..."

King Zhou Molong took a group of medical students and started out of the Cardiology Department.

...

Today may be Zhou Mo's lucky day. The 29 beds have been vacant for more than a day, yet no patient has come in yet.

Sure enough, I, Zhou Mo, is the Emperor of Europe!

At 19:43, Huang Yiming sent the discussion and conclusion of the paper to Zhou Mo.

At 20:04, Zhou Mo wrote the case summary, data analysis, and put the whole manuscript together.

Then start editing.

At 21:00, Zhou Mo quickly repaired the manuscript and polished Huang Yiming's content.

Send it to Director Niu.

"Teacher, a new paper has been released, help to correct it!"

"Ding dong~~~"

Director Niu responded in seconds.

"Another paper? So fast?"

"Basic, basic, teacher hasn't slept yet?"

"I'm old, I can't sleep that much... By the way, your paper last time was reviewed and approved in the Journal of Cardiovascular Diseases, and there will be a call to you tomorrow..."

"Huh? Really?"

Zhou Mo was surprised.

Unexpectedly, the submission was really successful.

"Journal of Cardiovascular Diseases" is the core journal of the Chinese Department and is regarded as a relatively good journal in China.

Director Niu: "By the way, pay attention, when they call you, they may ask you for the page fee, you don't have to pay it, I will pay it for you..."

Zhou Mo: "Huh?"

Director Niu: "I know you don't have any money, so I gave it to you, you don't need to pay it back..."

Zhou Mo was grateful: "Thank you teacher!"

Director Niu: "Are you a little moved..."

Zhou Mo hehe: "I'm very moved... Teacher, if possible, let me be a little more moved..."

Director Niu: "Go away!"

...

The next day (Wednesday),

Sure enough, the "Journal of Cardiovascular Diseases" called and told Zhou Mo that the paper would be published next week, which is the 10th issue in 2021.

This news can't be hidden soon.

Because Zhou Mo answered the phone in the duty room, the people next to him could hear it clearly.

"What? Zhou Mo, is your paper going to be published?"

The remaining 9 medical students are fried.

"I'm going, so fast?"

"Journal of Cardiovascular Diseases, this journal is pretty good. It seems that our department has a subscription."

"It's awesome, I remember that the question was started after the third week, right? It's finished so quickly!"

"I started the question earlier, and I only wrote a third of it now..."

"emmm~~~ I'm a waste, probably used to count the words... to make up the number?"

Hug yourself sadly! ·jpg

Even those resident doctors and attending physicians were surprised by Zhou Mo's efficiency.

A paper in 2 weeks?

too fast!

Is this guy not only a clinical genius, but also a thesis genius?

Just when the duty room was in shock, gasping for air, and this child must not stay.

"Zhou Mo!"

The one-bar boss at the nurse station shouted:

"A patient came over and put 29 beds... You pick it up..."

"OK."

Zhou Mo quickly came out to pick up the guests.

at this time,

The patient was lying on a flat cart and was pushed by emergency doctors and nurses to the corridor next to the nurse station.

This patient is a middle-aged man in his 40s. He wears a suit and leather shoes and wears what looks like a Jaeger-LeCoultre watch. His whole body looks like a famous brand.

Comatose state.

The one who sent him was a female secretary, a young woman in professional ol' attire.

"This senior, what's the patient's condition?" Zhou Mo asked the emergency doctor.

The emergency doctor said: "chest pain and chest tightness, then coma, and still haven't woken up... The secretary who followed the patient said that the patient suddenly felt chest pain and discomfort during the meeting, and it worsened for half an hour, and finally fell into a coma and was sent to the hospital. Hospital……"

Zhou Mo: "Senior brother, do you have an electrocardiogram? Show me..."

The emergency doctor handed Zhou Mo a bunch of tests.

Zhou Mo looked at the electrocardiogram,

3 servings in total,

The electrocardiograms were taken on the 120th road, before entering the emergency room, and before being sent to the hospital.

3 electrocardiograms, all of which are very typical myocardial infarction electrocardiograms.

Another was troponin, which was elevated.

More evidence of myocardial infarction.

"Senior brother, what medicine did he take?" Zhou Mo asked the emergency senior brother.

"When I was in the emergency room, I saw that his heart rate and blood oxygen were fine, so I gave him nitroglycerin..." said the emergency senior brother.

"Ok!"

"It's okay, I'll go first."

"Thank you, brother."

Zhou Mo watched the emergency seniors leave quickly, and then began to pass the bed to the patient with the other nurses.

"Do him an arterial blood gas analysis..."

The nurse immediately draws blood, inserts the needle into the radial artery, draws it out, and sends it into the instrument, and the result is immediately available.

"The pH is normal, the partial pressure of oxygen, the partial pressure of carbon dioxide, the oxygen saturation..."

"It's all normal..."

Zhou Mo's brows stretched, and he breathed a sigh of relief.

"Are you his secretary?" Zhou Mo asked the female secretary.

"Yes, doctor." The female secretary seemed shrewd and capable in both tone and demeanor.

"Does he have any medical history? Hypertension or something."

"No."

"Tell me about his situation in detail..."

"It was during the meeting that I suddenly felt a little stuffy, painful, and nauseating here (pointing to the front area of ​​my heart)..."

"Didn't you take medicine on the way?"

"No."

"..."

At this moment,

"Hmm~~~~"

The patient wakes up.

Open your eyes and look left and right.

"Where is this?"

"Mr. Liu, this is the hospital." The female secretary quickly walked over.

"Hospital? Why am I in the hospital..."

"Mr. Liu, you forgot? You suddenly passed out during the meeting, and then took you to the hospital..."

The patient moved his limbs and then began to sit up.

The body seems to be fine.

Zhou Mo visually inspected the patient's condition, and it was not bad. It was quite flexible to use both hands and feet. At least the brain should not have cerebral ischemia due to myocardial infarction.

"I have nothing to do, let's go, go back to the company..." President Liu was about to get out of bed.

Zhou Mo hurriedly stopped him: "Wait, don't get up first, you may have a myocardial infarction now, and you may need to check it carefully."

President Liu looked at Zhou Mo dissatisfiedly: "Who are you?"

Zhou Mo: "I'm your doctor in charge now~www.readwn.com~ Mr. Liu chuckled, feeling a little disdain: "Doctor? I don't need it, I'm fine. "

Zhou Mo: "…………"

This is the first time I have encountered such a patient.

But he still patiently persuaded: "When you were admitted to the hospital just now, we have already checked you, and we can confirm that it is a myocardial infarction. This disease is very dangerous. This time is lucky, the next time may not be."

"Oh, young man!" President Liu looked at Zhou Mo disdainfully, "You don't need to scare me with this trick, I've eaten more salt than you have rice..."

In his voice, there was a kind of domineering and arrogance that scolded Fang Qiu.

It is estimated that he has been in a high position for too long, speaks domineeringly, and seems to be very disdainful of doctors.

puff~~

The nurse next to him laughed and almost didn't say a word: "Eating so much salt, aren't you afraid of hypernatremia?"

.