Chapter 412 Intracranial Steel Needle and Luck+8
"Sister Ma, check it out carefully, it's not a problem if you always have a headache." The person who accompanied the patient to the examination seemed to be her best friend or friend, and persuaded her.
The patient is about forty years old, a little haggard, and looks older.
Holding an inspection list in his hand, it seems that he is going to pay and check.
Zheng Ren quickly called out, "Hey, wait a minute."
The patient and the accompanying friend didn't realize that they were called, and walked towards the cashier while chatting.
Zheng Ren took two quick steps, stood in front of the patient, and said, "Sister, I'm the chief resident of the emergency department. Are you looking for a headache?"
The patient was startled, and said, "Yes."
"What kind of inspection are you going to do?" Zheng Ren tried his best to keep his tone and expression gentle.
Maybe it's because of the luck value, or maybe it's the increase in the charm value, which seems to give people a believable feeling.
The patient handed Zheng Ren the list in his hand in confusion.
Zheng Ren saw that the checklist was a plain MRI scan of the head, and it really was what he was most worried about.
Fortunately, I met it!
At this time, Zheng Ren realized the toughness of lucky +8.
"I don't think it's suitable for you to do this test." Zheng Ren said, "I just heard the conversation between the two of you, and it seems that you are not well off financially?"
"Yeah, more than 500 for an MRI, so expensive." The patient frowned.
"Go, find the old director to show you." Zheng Ren smiled and pulled the patient to the office of the old director Pan, and knocked on the door to enter.
Director Pan saw that Zheng Ren slapped himself a few times, and knew that something was wrong, so the two of them started to "act" without any prior discussion.
Physical examination, there are different methods of examination.
Generally, the physical examination in the emergency department is very simple. After all, there are more than ten or twenty patients piled up outside, and it takes half an hour for a physical examination for one patient, which is not practical.
If it is not a critical illness, after a simple physical examination, let the patient go for an examination.
In this way, patients can be effectively diverted, so that patients do not pile up in the corridor of the emergency department.
Human impatience is contagious. Especially those who are sick are very anxious.
Director Pan made a more detailed physical examination on the patient. He was very old, almost seventy years old. With silver hair and a serious and solemn expression, he seemed to be better at seeing a doctor than Zheng Ren.
This is why Zheng Ren brought the patient to Director Pan.
Director Lao Pan checked the body while Zheng Ren introduced the situation.
"Director, this patient suffers from headaches all the year round, and this time it's more severe, so he came to our hospital for a visit. However, due to family and financial reasons, I consider that the cost of MRI is relatively high, so I suggest a plain CT scan of the head."
Director Pan knew that Zheng Ren had brought patients to his place, and the joke was based on this sentence.
He pretended not to hear, continued to check for 5 minutes, and then said slowly: "It's nothing serious, just do a head CT, and make sure, 120 yuan is enough."
The patient was very grateful. Although he overturned the emergency doctor's examination, after all, Director Pan looked like an academic authority, and Zheng Ren looked quite trustworthy, so the two of them cheerfully took the CT examination prescribed by Zheng Ren. Just went to check.
Before leaving, Zheng Ren also left them his cell phone number and asked them to call him directly after the examination.
After the patient left, Zheng Ren heaved a sigh of relief.
Director Pan asked puzzledly, "Zheng Ren, what are you fussing about?"
"Director, for patients with long-term headaches, I suggest starting with CT of the head." Zheng Ren said seriously: "If there is metal in the skull, if there is an MRI, something serious may happen."
As soon as Zheng Ren reminded him, Director Pan immediately came to his senses.
Metal in the skull? How could there be?
Ordinary people may not understand, but Director Pan has practiced medicine all his life, from the battlefield in the southern border to the frontier of the northern border, what has he not seen?
He nodded and said, "Zheng Ren, you are right in reminding me. I'll think about it, and every doctor will notify me personally."
Talking to Director Pan is smooth, and he will not feel that the authority of the director has been shaken because of his own opinions.
The things Zheng Ren said, although rare, may not be encountered in a few years. But as long as you encounter one, if you don't handle it properly, it will directly lead to a catastrophe.
After bidding farewell to Director Pan again, Zheng Ren took out his mobile phone and notified Chang Yue and Su Yun that there was a dinner tonight and they were going to have a big drink.
Zheng Ren couldn't do this kind of non-medical means and methods.
But Director Pan and Zheng Ren cooperated tacitly, just like the female patient just now, each with their own strengths.
When Zheng Ren returned to the emergency ward, nothing unexpected happened, he was sprayed with blood by Su Yun.
Everyone was chatting, and within an hour, Zheng Ren received a call. The two had finished the head CT examination and were waiting for the film.
Zheng Ren told the patient the specific location of the emergency ward, and asked her to borrow the film and show it to herself without waiting for a report after she got the film.
Ten minutes later, the patient found Zheng Ren with the film.
After inserting the film into the film reader, Zheng Ren saw three steel needles in the patient's skull!
The image shows it clearly, like the devil's fangs, full of malice, it makes people shudder.
"I'll go..." It was the first time Su Yun saw this kind of film, and just now he was still laughing at Zheng Ren for making a fuss, but now he was immediately stunned after seeing the film.
Professor Rudolf Wagner glanced at it, and then continued to write about the diagnosis and differential diagnosis of TIPS surgery. This kind of foreign body has no attraction for him.
Chang Yue and the others were also dumbfounded.
If this is an MRI...
Magnetic fields affect metals, and metals affect metals.
When doing MRI, it is not allowed to bring all metal objects that will be attracted by the magnet.
There was a time when a patient's wheelchair was sucked onto the machine in the No. 1 Hospital of the city, and it took a lot of effort to get it off.
Some patients, especially patients with early heart stents, internal fixation of fractures and other built-in operations, cannot undergo MRI examinations.
The current nickel-titanium alloy seems to have no effect.
For the female patient in front of her, if an MRI is performed, several steel needles inserted into the skull at some unknown time will be attracted and swing due to the action of the magnetic field.
Patient's brain tissue...
I dare not think about it anymore, anyway, all the doctors present are covered in cold sweat.
"Mr. Zheng, how did you get in here?" Chang Yue asked with cold sweat on his hands.
"I guess it was inserted when I was a child." Zheng Ren said coldly.
The human skull has a development process. The human skull is thinner and softer when a few months old, like kraft paper, and needles can easily penetrate.
A few decades ago, girls were not welcomed in the countryside. Although Zheng Ren had never seen such things as inserting steel needles with his own eyes, he had heard of them occasionally.
Although the patient couldn't read the film, the needles were clearly in front of his eyes, which was very obvious.
"When did your headache start?" Zheng Ren asked.
"I've had it since I was a child." The patient was a little confused, panicked, and at a loss.