This Doctor is Great

a new day,

on Monday,

Routine rounds in the Cardiology Department.

Zhou Mo got up at 7:00, brushed his teeth and washed his face, and then went to the school canteen for breakfast. On the way, two schoolgirls added WeChat and walked 10 minutes to the Cardiology Department after breakfast.

Room rounds, beds 28 and 29.

The 28-bed Qin Xiong (dilated cardiomyopathy) is going to be discharged today. Director Niu has already agreed. After the big rounds are over, Zhou Mo needs to go through the discharge procedures for him.

29 beds, Li Mei, to be determined to be "X syndrome".

Zhou Mo came to the Cardiology Department, put on a white coat, a blue pen in his chest pocket, a 3m Rolls-Royce stethoscope, a notebook, and walked into the ward.

29-bed Li Mei did a simple ward round to see if there was any change.

Check none.

Then I went back to the consultation room, started to read the ppt, reviewed it, and reported it when the next department rounds.

……

8:30,

Professor Qi, the director of the administrative department of the department, arrived at the Cardiology Department.

The big rounds begin.

It is still the conference room.

Nearly a hundred doctors sat and stood.

"The case I reported is 3 beds, male, 45 years old..."

"The case I reported is 12 beds, female, 38 years old..."

In recent years, the patients in the cardiology department have gradually become younger, and some twenty-seven or eighty-eight patients already have coronary heart disease.

soon,

It was Zhou Mo's report.

"Hello everyone, my name is Zhou Mo..."

On the podium, Zhou Mo was operating the computer, projecting the ppt on the big screen.

"The case I reported today is 29 beds, female, Li*, 43 years old..."

"..."

Zhou Mo reported the case, including physical examination (neck, cervical spine, lungs, heart, intestines, etc.), etc., and reported them in detail.

"At present, the real reason has not yet been determined."

introduced here,

Many doctors remained expressionless.

But Zhou Mo soon turned to the next page of the ppt.

Screenshot of B-ultrasound.

"About the patient went to many hospitals and still couldn't find the cause, so I started to look for rare diseases... I ruled out broken heart syndrome, and then thought of X syndrome..."

"Then, I used a bedside ultrasound to measure the patient's coronary arteries and found a problem."

"The patient's blood flow classification, only TIMIgrade2flow, can fill the entire coronary artery, but the blood flow rate is slower than normal blood vessels, and the blood flow rate is..."

"and many more!"

At this moment,

A cardiologist who can use B-ultrasound teacher Zhang (one of the three) suddenly interrupted.

"Do you know what to do with an ultrasound? Measure blood flow?"

Full of suspicion.

Because he knew how difficult it was.

All the doctors were refreshed one after another, and their eyes all focused on Zhou Mo.

Zhou Mo grinned.

"Thanks to Mr. Chen's patient teaching, I have mastered its application method..."

Teacher Chen?

Old Chen?

B-ultrasound teacher Chen looked blank: "I teach you? But I only taught you for three days..."

Zhou Mo said 'shyly': "It's very important to bring a primer..."

Teacher Chen:"………………"

Are you kidding me? !

I just took you through the door, I didn't let you go beyond!

But Mr. Chen took a look at the screenshot of the B-ultrasound, and the layman was completely dumbfounded, but the expert looked at the technical content.

There is a lot of data on those B-ultrasound screenshots, and the timing of measurement and screenshots is correct.

The color showing the blood flow velocity is also very clear.

Anyway,

For an insider, this screenshot is a high-quality color ultrasound report.

But after thinking about it, Mr. Chen thinks that the biggest possibility is that Zhou Mo has studied this in the school.

There is only this explanation.

Director Qi: "Xiao Chen, how is the B-ultrasound report?"

Teacher Chen said truthfully: "The quality is very high."

"Really? Could it be that our department has another teacher who can know B-ultrasound? This is a good thing." Professor Qi looked at Zhou Mo with a smile on his face.

at this time,

Many doctors in the entire department looked at Zhou Mo differently.

There was another thought in his heart that he should have a good deal with Zhou Mo.

In Cardiology, there are only 3 doctors who can know B-ultrasound.

Lack of resources.

Usually, patients need to be sent to the downstairs outpatient clinic for B-ultrasound examinations. If you can find a B-ultrasound doctor in your own department, it will be simpler and more convenient.

……

After half a minute,

The atmosphere cooled down a bit.

Zhou Mo continued to report the case:

"At present, based on this coronary blood flow classification, I judge that the patient's disease should be - Syndrome X."

"In order to further confirm the diagnosis, a coronary CT angiography has been reserved for the patient at 11:30 this morning. If the coronary CT angiography is confirmed, the diagnosis can be made."

"Here, let's review Syndrome X with everyone."

"Syndrome X, in 1967, Likoff first reported a group of angina pectoris with normal ECG coronary angiography. In 1973, Kemp first named the disease SyndromeX..."

This is also a feature of the ward rounds of the Department of Cardiology. For special cases, it is necessary to review the history and strengthen the consolidation of this case by other doctors.

"The typical symptoms of this condition are..."

Zhou Mo spoke eloquently on the stage for about 6 minutes.

At last,

End the report.

Zhou Mo looked at Professor Qi.

Professor Qi said with a smile: "This case is good, and Syndrome X deserves our attention. Have there been similar patients in the past, we haven't found the cause, and then think it's a mental illness? Everyone go back and take a good look..."

Many cardiologists pondered.

Looking back on the previous patients, I did encounter one or two similar patients more or less, because the cause could not be found, and then they were referred to the psychiatry department.

Now that I think about it, it's really possible that it's Syndrome X.

(It's not that they don't understand this X syndrome, it's just that there are thousands of heart diseases, and sometimes they will be missed and not checked.)

……

10:40,

The big rounds are over...

Zhou Mo walked out with Huang Yiming and Huang Xinyi.

"What? Your face is stinky?" Zhou Mo looked at Huang Yiming in wonder~www.readwn.com~ Huang Yiming looked up and wept, "I stayed up at 1 o'clock last night, ate a lot of information on Syndrome X, and just waited for this morning. The big rounds can amaze everyone in one fell swoop, but the result...the director didn't even ask!"

Huang Xinyi: "Who isn't?"

at this time,

When doctors passed by Zhou Mo, they all greeted Zhou Mo.

"Doctor Zhou, have a meal together when you have time..."

"Dr. Zhou, I'll add you on WeChat, add me one..."

All of them are very enthusiastic.

this moment,

Zhou Mo's department status +1+1+1...

The other medical students are drooling with envy at this moment.

……

11:30,

Zhou Mo brought patient Li Mei to the interventional diagnosis and treatment center of the Cardiology Department.

"Here? This is the patient suspected of Syndrome X." Senior Brother Zhao Xin greeted Zhou Mo when he saw Zhou Mo. (Student of Associate Professor Lu Tongshan)

"Yes, 29-bed Li Mei... Senior Brother Zhao, are you the one doing the inspection?"

"Yes, I'll do it."

"sorry to bother you."

After 10 minutes, the preparation for pre-coronary angiography was completed.

Putting in the contrast agent...

The contrast agent travels along the blood vessels all the way to the coronary arteries...

5 seconds later,

"Well... it's a bit slow..."

Senior Brother Zhao Xin said with certainty.

Zhou Mo asked humbly, "Senior brother, what do you say?"

Senior Brother Zhao Xin pointed at the angiography screen: "You can count your heartbeats and see how long it takes for the contrast medium to pass through the coronary arteries..."

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