This Doctor is Great

Chapter 65: Damn, I want to pretend too!

After a while,

Zhou Mo counted carefully.

Zhou Mo: "It takes 3 heartbeats for the contrast agent to pass through one coronary artery..."

Senior Brother Zhao Xin nodded: "Accurately speaking, it should be a little more than 3 heartbeats... And most patients, even those with severe cardiovascular stenosis, when doing angiography, the time it takes for the contrast agent to go from the beginning to the end, Usually no more than 2 heartbeats, and it disappears quickly..."

Zhou Mo smiled immediately: "That is to say, it is certain that the blood flow is slow, right..."

Brother Zhao Xin: "Yes, the blood flow is slow."

That is to say,

It's definitely X Syndrome!

Zhao Xin: "However, the patient's condition is not serious. I just came back after the big ward round and checked the records of our hospital. The slowest patient jumped 6 times..."

This sentence is obviously for Li Mei, the patient on the 'bed'.

Because this coronary angiography is minimally invasive, the patient Li Mei did not need anesthesia and was awake. After hearing what Senior Brother Zhao Xin said, she was obviously relieved.

Zhou Mo nodded.

Since it is determined to be "X syndrome",

This also explains why Li Mei has symptoms of angina.

Because the blood cannot be effectively transported for a long time, the nutrients needed by the myocardium cannot be obtained in time, resulting in myocardial ischemia.

"Doctor, are you sure it's Syndrome X?" Li Mei asked nervously.

"It's almost certain... I'll do a few tests later, but it's actually not as accurate as the angiography in front of me (gold standard?)... Of course, these can be omitted." Zhou Mo said.

(In fact, it is best to do a new contrast. After using nitroglycerin, papaverine and other drugs to expand the cardiovascular system, the blood flow speed is accelerated, which can be finally proved. However, because the contrast medium has certain side effects, it cannot be repeated. , you need to do it on the next date.)

"Thank you doctor..."

Li Mei was so excited that she cried.

"Thank you, Dr. Zhou! Thank you, Dr. Zhou!"

In the past 4 years, I have been repeatedly attacked and even diagnosed with 'mental illness'!

And now,

Finally, I am sure that I am not mentally ill!

From now on, keep the clouds open and see the moon!

"Very good…"

Li Mei was excited. At this time, her mood was as if the sun had cleared the clouds, and the weather was clear and clear.

Send Li Mei back to the 28th bed.

Li Mei: "Doctor Zhou, how can I treat my disease in the future?"

Zhou Mo: "In fact, there is no special treatment for Syndrome X, just use drugs that expand coronary arteries, increase coronary blood flow, and improve blood supply to the heart..."

Li Mei was confused: "No, I used nitroglycerin before, why didn't it work?"

Zhou Mo nodded: "It's normal, each medicine has an unstable effect, there are individual differences, and you need to try the same... I will prescribe several medicines for you, you try them one by one, and then see That one is more suitable, and that one will be used in the future... Nitroglycerin can be dispensed with..."

Li Mei nodded again and again: "I see, thank you Doctor Zhou..."

Zhou Mo left the ward.

Li Mei quickly took out her phone and started calling relatives and friends to tell them the good news.

She is not mentally ill!

"Husband, I have good news for you..."

"I'll tell you something too, let's get a divorce..."

"..."

…

noon,

while eating,

Around the table where Zhou Mo was eating, the number of inpatients and attending physicians began to increase.

"Doctor Zhou, I heard that the patient with Syndrome X has been diagnosed?"

"Yes, it's confirmed."

"Dr. Zhou is amazing."

"Dr. Zhou, if there are any cases in the future, can I ask you for an echocardiography?"

"sure…"

A lively harmony.

Their name for Zhou Mo has begun to evolve from 'Little Zhou' to 'Doctor Zhou'.

Attitude also changed from indifference to enthusiasm.

In fact, Zhou Mo did not take the corresponding qualification examination and did not obtain the certificate (CDFI examination). Zhou Mo's B-ultrasound results cannot be used as the final diagnosis of the disease, but can only be used as a doctor's reference.

However, this is still very useful for cardiologists and can greatly reduce the time cost.

"Ding dong..."

At this moment, everyone's cell phones rang.

The large group of Cone,

"@all members,"

"Everyone, 10 medical students have entered our Cardiology Department and have completed the third week's popular scoring and ranking link, starting..."

"The ratings and rankings are as follows:"

—First place: Zhou Mo, with a comprehensive score of 100 points, evaluation: The thesis has been opened, and the depth is very high. At the same time, he is clinically proficient, and he can also perform B-ultrasound...

- Second place: Wang Lilong…

—Third place: Chen Xiyin…

- Fourth place: Huang Yiming...

-the fifth place:…

…

—Ninth place: Zhang Wu…

- Tenth place: Ye Rong…

Zhou Mo was stunned for a moment.

Huang Yiming actually ran for the fourth place. Is the thesis open?

However, I feel sorry for Zhang Wu and Ye Rong for a minute.

In the first week, the two were still second and third.

It's only the third week, so it's at the bottom!

This side shows that the learning ability of Xueba and Xue Shen is still very strong, especially after the crazy involution, now Xue Xue Xue has made up for the deficiencies in clinical experience, as well as the blessing of thesis topics, gradually surpassing Zhang Wu and Ye Rong.

Huang Yiming smiled proudly.

He improved, fourth place!

Only behind Wang Lilong and Chen Xiyin, two SYS eight-year academic gods.

"By the way, UU Reading www.uukanshu.com Early this morning, the Saudi VS National Football Team in the World Preliminary Tournament is about to start. Did you watch it?"

At this moment,

Ren Hua, a resident doctor who has always liked football, said suddenly.

"No, I have to go to work tomorrow..."

"I'm on duty tonight, but I don't want to watch..."

"Don't look at it, you will definitely lose..."

"I don't watch it, but I bought football lottery. Saudi Arabia handed a goal, and the odds of the national football team are 2.07... But I bought Saudi Arabia..."

"Yes, buying Saudi Arabia will definitely make a profit!"

soon,

The focus of discussion in the duty room was all on the national football team, and they were all discussing buying sports lottery.

Needless to say, it must be a unified purchase of Saudi Arabia to win.

Sell the national football and earn a villa!

Buy the national football team, lose the bottoms!

Zhou Mo thought for a while, then said to Dr. Ren Hua:

"Senior brother, buy one for me, 50 yuan, let one goal, buy the national football team and lose, then I will transfer it to you..."

This opportunity to make money should not be missed.

…

afternoon,

14:30 After completing the discharge procedures for the patient Qin Xiong, Qin Xiong was discharged.