Chapter 815 Strong Taste

"This patient should go to the hematology department, not the circulatory department." After comparing dozens of case reports, Zheng Ren guessed that it might be some kind of rare disease, so he told Director Chu.

"Boss Zheng, what disease do you suspect?" Director Chu was not surprised, but asked calmly while watching the film.

He was also thinking about the possibility of various diseases in his mind, and he didn't pay too much attention to Zheng Ren's words.

"The information is not complete, so we can't make a diagnosis yet," Zheng Ren said.

Director Chu was a little dissatisfied. He glanced at Zheng Ren and said, "Boss Zheng, you're being too cautious. Read the images internally and speak freely. You won't blindly believe a word of yours and cause the patient to be misdiagnosed." .”

Zheng Ren said, "Can you find the patient's ECG?"

"Let me ask." Director Chu took out his mobile phone and made a call. Less than a minute later, the WeChat notification sounded.

The doctor over there took a photo of the electrocardiogram and sent it over.

With the rapid development of instant messaging, the mode of in-hospital and out-of-hospital consultation has also undergone fundamental changes.

In the past, such information needed to be sent by email and conducted remote consultation. Even Haicheng No. 1 Hospital established a teleconsultation center for this purpose at that time, and was going to work with the large tertiary hospitals in the Imperial City and Modu to improve the medical level.

Unfortunately, the construction of this remote consultation center is very slow. With the rapid development of mobile communication, the quality of pictures transmitted by WeChat and QQ has improved. When the consultation center was built, it lost its original function and was scrapped directly. (Note 1)

Sending videos, the clarity of WeChat and QQ is enough, and there is no need for more advanced professional equipment.

"Boss Zheng, take a look." Director Chu said holding the phone.

"Director Chu, let's add a WeChat." Zheng Ren had an idea and added Director Chu's WeChat.

Others are asking for the WeChat accounts of pretty young ladies on the street, but Zheng Ren is anxious to ask for the WeChat accounts of all kinds of old directors.

Man, it's really different.

If Su Yun was here, he would definitely give Zheng Ren a really serious evaluation.

After adding WeChat, Director Chu sent the photo of ECG to Zheng Ren.

After downloading and zooming in, Zheng Ren looked at it bit by bit.

The patient's electrocardiogram showed changes in the T wave and depression of the ST segment, which were indeed ECG changes in standard myocardial infarction.

However, Zheng Ren noticed that along with these changes, the patient had low voltage in the limb leads and poor R wave progression in the chest leads, accompanied by arrhythmia.

This...is more and more similar to the electrocardiographic changes of primary light chain amyloidosis. Of course, Zheng Ren is just guessing, this kind of disease is very rare. And according to dozens of case studies and reports, other inspection evidence is needed.

And the electrocardiogram in front of me,

The typical ECG changes of myocardial infarction are just a "side effect". And the seemingly unimportant R-wave change is the key point!

Zheng Ren asked, "Director Chu, I'm sorry, I'm sorry, but I'm going to bother you about the results of the patient's examination."

While pondering over the patient's condition, Zheng Ren spoke less politely. But Director Chu didn't care, and after asking the other side, he returned all the inspection results.

Most of the patients who come to 912 for medical treatment are patients who have undergone local examinations. The family members of the patients bring all the examination reports and films. If necessary, the 912 doctor will issue a checklist here. But in most cases, various checks of origin will suffice.

It took a full five or six minutes before all the information on that side was transmitted.

Zheng Ren examined them one by one, and found that the protein in the urine was +++, which had changed in the early stages of nephrotic syndrome. The echocardiogram was like a self-reconstruction, with a slight decrease in the left ventricular ejection fraction, thickening of the whole myocardium, and standard "snowflake" echoes in the myocardium.

"Has the liver been checked?" Zheng Ren asked.

"Well, no." Seeing Zheng Ren's serious face, Director Chu held back his surprise even though he was surprised, and replied directly.

"I want to take a look at the patient." Zheng Ren said.

Director Chu nodded, Dr. Liang packed up the film and handed it to the doctor who gave the report. Director Chu took out his mobile phone and dialed.

The bell rang for a long time before the other side picked it up. It seems that the visiting doctor is very busy at this time, and there is no time to connect to the phone.

"The patient is with you?" Director Chu asked directly when the call was connected.

"Okay, then we'll go there right away."

"There are some problems with the film, I want to take a look at the patient."

After Director Chu finished speaking, he hung up the phone and left. Zheng Ren immediately followed Director Chu out of the reading room and went all the way to the clinic.

"By the way, Boss Zheng, what do you want from me?" Director Chu asked at this time.

"That's it, Director Chu." Zheng Ren quickly walked a few steps, came to Director Chu's side, and said, "Director Luo from the Department of Gastroenterology introduced me to a patient with portal hypertension and advanced liver cirrhosis. .I thought about having an operation tomorrow, but the patient didn’t have an MRI examination, so there was no way to judge the puncture point.”

When Zheng Ren said this, all his thoughts have been expressed clearly.

"Oh, this matter. Do you have time to do it after get off work?" Director Chu asked.

"In time, in time." Zheng Ren replied with a smile.

"Xiao Liangzi, you can do it for Boss Zheng." Director Chu immediately arranged.

Zheng Ren's seemingly difficult matter, with Director Chu, is just a matter of casual words.

"Okay." Dr. Liang responded immediately.

Zheng Ren felt a little ashamed. Dr. Liang had helped him a lot when he came to the imperial capital. But I don't even need other people's WeChat or phone calls. It seems that in the future, things like interpersonal communication will have to be refreshed.

Humans are social animals and always need to communicate with other people.

It doesn't matter if you don't want to work on the Nobel Prize project. But in the current situation, there must be someone, a lot of people to help me, to complete it.

Zheng Ren followed Director Chu, thinking silently. But Director Chu agreed, which is a good thing. Zheng Ren immediately contacted Mr. Liu of the Department of Gastroenterology, told the patient to fast for water, rehydrate appropriately, and do MRI dispersion at around 7 o'clock in the evening.

Although it's a bit early to fast water now, it's better than nothing.

When patients from other places come to see a doctor in the imperial capital, very few come (Note 2). As a family, people eat horse chews, and the daily expenses are not low.

Being able to leave the hospital one day earlier will save a lot of money.

When we came to the corridor of the outpatient clinic, a huge number of patients lined up outside, and there were security guards to maintain order.

Looking at the countless red and light red background panels, Zheng Ren heaved a sigh of relief.

No matter how powerful the big pig's hoof of the system is, there are only one person, and he can't solve too many problems.

Entering the consulting room and coming to the 3rd consulting room of the circulatory specialist, Zheng Ren saw a 30-year-old patient standing at the door with a frightened expression on his face.

And his system panel showed a faint red color, and the diagnosis was clear—primary light chain amyloidosis.

...

...

Note 1: The teleconsultation center of our hospital is scrapped in this way.

Note 2: I took care of a female patient last year. It is said that the ovarian cancer resection operation in Beijing was performed by myself. A very strong and optimistic person.