Chapter 677 Walking on Thin Ice

After Chen Cang left, Zhao Xing muttered, but... thinking that Chen Cang was obviously anxious and nervous just now, he still watched the film carefully.

Could it be that he really didn't find any abnormal signals?

But...Chen Cang, you are an emergency doctor, your surgery is good, does not mean that you are good at watching movies?

After all, there is a specialization in the art industry!

Zhao Xing couldn't help but complain.

However, he still looked at the film carefully!

Sure enough, after changing several films one after another, he was stunned!

What's with this... the upper right edge is slightly enlarged?

Doesn't look normal?

Zhao Xing had never seen it before. Thinking of this, he quickly got up and started to read the information book.

I didn't know what was going on after watching it for a long time!

Suddenly, Zhao Xing felt even more uneasy.

Does Chen Cang really understand video?

Already see what's wrong?

Thinking of this, Zhao Xing felt a little uneasy.

Why don't you... apologize to Chen Cang?

wrong!

Any apology to Chen Cang, an apology is also an apology to the patient...

When Zhao Xing thought of this, he actually felt a little remorse in his heart, and he really should have dealt with it properly.

Thinking of this, he anxiously produced a film, plus a report:

"The size of the heart shadow is normal, and there is a strange bulge on the upper right edge to be investigated?

consider:……

Cardiac CT is recommended to complete the diagnosis..."

After writing, Zhao Xing hurriedly got up and ran towards the emergency room.

Although Chen Cang now suspects that the little girl has congenital dislocation of the great arteries and is accompanied by intracardiac malformations, he is still not very sure.

It is still necessary to improve the relevant diagnosis as soon as possible.

Zhao Xing couldn't find out that Chen Cang didn't blame him. After all, there was a gap in the level, so he hoped to discuss with Director Shi Tao.

Even Chen Cang took the initiative to step down the other side, saying that maybe the child's position was not well placed, so he took the initiative to help set it up.

However, Zhao Xing didn't understand Chen Cang's meaning at all, and instead felt that Chen Cang questioned his skills and deliberately made things difficult for Chen Cang, which was somewhat unreasonable.

It stands to reason that as a medical worker, you should work hard together and work hard, but Chen Cang repeatedly reminded you that it is unreasonable that you are still playing like this.

As a doctor, the most important thing for you is to be responsible to the patients and not betray the trust of the patients!

Maybe if it wasn't for Chen Cang today, change to a doctor and leave with the report given by Zhao Xing, it might be fine.

For example, Luozhou can't find the situation. After all, you are not an imaging professional. Compared with your own ability, you will definitely believe more in the judgment and conclusions of other professional doctors!

Well, a few years later, the patient's disease suddenly relapsed, and Zhao Xing may not be blamed. After all, the test results are limited.

If there is an emergency patient, it may not only do a chest X-ray, but also improve the relevant examinations.

Speaking of which, some doctors don’t take chest X-rays seriously, empiricism prevails, or they don’t read the X-rays at all.

However, as an examiner, you should still do your best to fulfill your responsibilities and obligations, give patients a clear diagnosis, and at least remind them.

This is at least a respect for the pen in your hand!

...

Zhao Xing just went out, and suddenly thought about it and turned back.

After all, now that I have sent this report, I have pushed my own responsibility, but... I can't make a clear diagnosis when I go there, and Chen Cang is not a professional. It's better to ask those experts to see Can it be diagnosed.

Although the delay is a delay, at least it can give the patient an explanation!

It can also let Chen Cang understand what the patient's situation is.

Thinking of this, he picked up the phone and dialed an expert.

He muttered, Chen Cang, Chen Cang, I'm not afraid of you, I'm thinking about the patient!

This is the director of an imaging major that he met when he was studying at the General Hospital of the Shenyang Military Region. He has a lot of research on chest radiography.

He had a good relationship with Director Xu at the time. Thinking of this, he directly dialed Director Xu's WeChat.

"Director Xu, hello, hello, I'm Zhao Xing! Well, I'm sorry to bother you, there is something I want to ask, it's a little girl's chest X-ray, I don't think there's anything wrong with it, but... I always feel that Something is wrong, please help me to see."

After hanging up the phone, Zhao Xing took the photo with his mobile phone and sent it to Yi Ning.

After a few minutes, the other party took the initiative to call.

"Zhao Xing, this photo... eh? No! It's a strange heart shadow, it seems normal, but... I always feel a bit like a dislocation of the aorta. You look at the bulge on the upper right edge, doesn't it look like the aorta? This bow-shaped bulge is something that most people don't have... It's very likely! This is most likely the chest X-ray called the dislocation of the aorta of the heart!"

"This is a rare case, you'd better follow it up and let me know when there is a result."

Hearing what Director Xu Nan said, Zhao Xing was dumbfounded!

There is indeed a problem!

And it's a big problem!

Aortic dislocation?

This... can be regarded as a fatal disease!

Thinking of this, Zhao Xing suddenly blushed and looked terrified!

Such a film says it's okay?

Thinking of this, Zhao Xing can't wait to slap himself!

If the patient misses the best period of surgery for his own reasons, it is his own fault.

Moreover, thinking of Chen Cang's words just now, Zhao Xing was terrified for a while, and couldn't help but blame himself.

Damn it, Zhao Xing, Zhao Xing, what are you playing at 2,580,000?

How many levels are there really?

If it really delays the little girl, it will be a big sin.

He never imagined that a seemingly ordinary film would have such a huge problem behind it!

Thinking of this, Zhao Xing was extremely ashamed, but also blamed himself!

I quickly reprinted the report.

According to Xu Nan's speculation, he wrote it up, got up in a hurry, and ran towards the emergency room.

I kept praying in my heart, little girl, don't leave, I will blame myself for the rest of my life.

The more anxious he was, the more worried Zhao Xing became, and he even began to sweat coldly behind his back.

In my heart, I kept swearing that after this time, I must be serious and serious!

Today he really realized what is called:

Practicing medicine is like walking into an abyss, and every step should be like walking on thin ice!

It is so!

...

...

Chen Cang has returned to the emergency department and said to Lu Jie: "The child's condition is still a bit problematic. She has been suffering from chest tightness for such a long time. I feel that the bleeding of this large blood vessel is related to the blockage!

In this case, it was fine when I was a child, but when I got older, with the continuous improvement of heart function, various situations will occur. "

"So I still suggest that we do an ultrasound of the heart to see the diagnosis. What do you think?"

Lu Jie didn't speak, Yang Kaihua said: "Okay, no problem, doctor, you are a professional, listen to you, we can do whatever you want!"

Lu Jie also nodded and said nothing.

What Chen Cang said to her just now made her worried for a long time. Looking back on her life, there were really many strange situations. Sometimes, she would even wake up suddenly in the middle of the night, clutching her chest and panting for a long time!

At first Lu Jie thought it was the child's nightmare. After all, her father did have it after he left, but...

Now that I heard Chen Cang say this, I suddenly became enlightened.

Lu Jie looked at the little girl distressedly, only to see her pouting and looking at Chen Cang, thinking to herself, you have violated our agreement!

Seeing the little girl's appearance, Chen Cang also smiled awkwardly.

It didn't take long for Shi Tao to arrive, and he was in the family building of the hospital.

Seeing Chen Cang with a group of patients, Shi Tao asked, "Director Chen, what's going on?"

Lu Jie, Yang Kaihua and the others heard that Shi Tao called Chen Cang the director. Although their faces remained calm, they actually felt more trusting in their hearts.

After all, in the hearts of patients, the word director still carries a lot of weight.

Chen Cang said: "Director Shi, take a look at this film. The patient is this little girl with a long history of chest tightness..."

Shi Tao glanced at the little girl, and immediately took the film and looked at it carefully. After a while, Shi Tao frowned.

"Very strange bulge, have you done any other checks?"

Chen Cang shook his head: "Wait for the color ultrasound room to come over and have a color ultrasound."

After speaking, Shi Tao took Chen Cang into the office: "Xiao Chen, do you have an electrocardiogram?"

Chen Cang nodded and handed over the electrocardiogram. When Shi Tao saw it, he immediately patted the table: "It's very likely that..."

Chen Cang asked: "Dislocation of the aorta and intracardiac malformation?"

Shi Tao was stunned for a moment: "How do you know?"

After all, Chen Cang is a doctor in the emergency department, and he is famous for his surgeries. This rare disease can be diagnosed by film alone, which is amazing!

Thinking of this, Shi Tao was naturally shocked.

This disease is very rare because of dislocation of the large arteries of the heart with intracardiac malformations.

Even he had seen him once or twice occasionally. At that time, he almost didn’t take empiricism seriously. Fortunately, the old director saw him, blamed him, and gave a new diagnosis suggestion.

Later, the patient was diagnosed with such a serious heart malformation operation!

For this reason, Shi Tao remembered it for a lifetime and was very impressed.

But...how would Chen Cang know?

You know, this kind of film, you don't have enough experience and film history, you can't think of it at all.

Looking at Chen Cang, Shi Tao was a little surprised.

At this moment, Zhao Xing hurried in, panting, his face flushed, seeing Director Shi Tao also, his face immediately flushed, a little embarrassed.

Zhao Xing didn't care about anything else, and said to Chen Cang, "Director Chen, the patient hasn't left, right?"

Chen Cang was taken aback: "What's wrong?"

Zhao Xing apologized directly and said: "This... Director Chen, I'm really sorry, my reason, I was negligent just now, I watched this film carefully, and I found that it was really muddled, empiricism, hey... I again A set of films was given, and the report was reprinted."

"By the way, the patient hasn't left yet! I consulted the experts. This little girl may have a relatively serious heart malformation with transposition of large blood vessels. She must be stopped and the relevant examinations should be improved. Don't delay others!"

Speaking of this, Zhao Xing's voice was eager.

Hearing Zhao Xing's words, Chen Cang breathed a sigh of relief.

After Zhao Xing finished speaking, he looked at Shi Tao: "Director Shi, today is my problem, I will self-examine."

Shi Tao was taken aback: "What's the problem?"

Zhao Xing was immediately stunned. He thought that Chen Cang had brought Shi Tao to complain, but Chen Cang... didn't even mention it at all.

Thinking of this, Zhao Xing felt even more embarrassed.

Thinking back carefully, Director Chen has given him enough face, but he...

Why!

Thinking of this, Zhao Xing didn't want to confuse the matter, but looked at Chen Cang and said, "Director Chen, today's matter is my responsibility. After encountering such a case, I should not make empirical mistakes, let alone make mistakes. I should fool the past, this is my dereliction of duty, Director Shi, I will seriously reflect on my shortcomings when I go back, and I hope to be forgiven by Director Chen."

After speaking, Zhao Xing handed over the report: "Director Chen, after you left just now, I will contact Director Xu Nan at the General Hospital of the Shenyang Military Region. He suspects that this protruding heart shadow is a dislocated artery of the heart. , he suspects this is a congenitally deformed heart!"

"So, Director Chen, we have to figure out the patient's situation as soon as possible. The girl is still young and will be delayed for a lifetime because of my problem!"

Having said that, Zhao Xing's face was full of self-blame.

In the final analysis, he understands that he is still a doctor.

Compared with his own mistakes, the patient's health is more important, after all, she is a seven or eight-year-old girl!

Shi Tao can be considered to have figured out the ins and outs.

Thinking of this, Shi Tao sighed: "Director Zhao, thank you Director Chen!"

"If it wasn't for him, you would really blame yourself for the rest of your life!"

Shi Tao Chen Cang Chen Cang's calm face sighed with emotion: "Director Chen saw the film and suspected that the aorta of the heart was dislocated and the heart was deformed!"

Hearing this, Zhao Xing widened his eyes.

Is that true?

Chen Cang... Isn't he a surgeon?

Surgeons know so much about imaging?

This Chen Cang... No, it's Director Chen!

This Director Chen is too arrogant, right?

What else could he not do? !

At this time, Chen Cang shook his head and said, "It's okay, in fact, this heart shadow is quite special, and ordinary people can't see it. Director Zhao doesn't need to blame himself."

Zhao Xing is not too young. In his forties, Chen Cang knows that he is easily excited sometimes, but he is still too young.

And Shi Tao glanced at Zhao Xing.

"Director Zhao, I hope this matter will give you a wake-up call. You should still pay attention to it in the future. You should not be careless in the way of medicine. You should thank Director Chen more."

Zhao Xing nodded.

Not long after, Mr. Caichao came.

Chen Cang hurriedly brought the little girl in and did a color Doppler ultrasound.

While doing it, the color Doppler was more shocked!

"Director Chen, Director Shi! This... the aorta is located in the left front of the pulmonary artery, and the long-axis ligament of the left atrium shows a huge circumference... located below the pulmonary artery!"

"Also... this is a deformed defect of the ventricular septum, it should not be covered by the tricuspid valve, this is an abnormal blood flow..."

After speaking, she said: "This may be a patient with a progressive SLL-type physiologic aortic conversion with ventricular septal malformation!"

"It may still be in development now!"

As soon as these words came out, everyone was silent!

Sure enough!

...

ps: Thanks to the two friends "Lighter than Feather" and "Manman Independence Day" for their 10,000 reward, and thanks to all the friends who voted and subscribed to support.

Two in one, written together ha... don't mention it.