Chapter 214: argue
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Super Doctor
- 叶天南
- 1795 characters
- 2021-03-03 02:47:24
I heard the prompt of what the silicon reflection was out of standard suddenly. Xu Ze was stunned, X-ray perspective, when did you have this function?
However, at this time, he was too lazy to be amazed. After all, many functions of the system are being explored, where he can fully feel it. Since the system prompts this what silicon reflection exceeds the standard, then you have to figure out what it is. .
After all, the CT and MRI examinations of the attached one did not show any abnormalities in the lungs, but his own X-ray fluoroscopy showed it. It seems that it is necessary to confirm whether it is the real cause of the patient's cough.
Excessive silicon reflection is likely to be a sign of silicosis. Silicosis is a lung disease caused by inhalation of a large amount of industrial dust. It is more common in workers in mines. The performance is coughing and shortness of breath, etc., but this is not yet sure.
"Describe the detailed analysis report..." Xu Ze continued to order.
"Di... X-ray fluoroscopy of the lungs, the patient's lung interstitial generally contains a small amount of silica, resulting in slight lung interstitial lesions..." The automatic response system responded quickly.
"Silicon dioxide, silicosis?" Xu Ze couldn't help raising his eyebrows, it was actually a cough caused by silicosis!
However, the CT and MRI of the attached lung showed no abnormalities, so their diagnosis should not consider silicosis. But since Li Moling said that the diagnosis has been made, what disease will they misdiagnose?
Thinking of this, Xu Ze had a headache. He had already been diagnosed with a disease, but he had to figure out what was wrongly diagnosed by others. This was really a bit difficult.
But the embarrassment is difficult. Since you have bet with Li Moling, you still have to think about it. Otherwise, if you lose your face, it will not look good, let alone lose to such a frivolous guy, it is really a little unwilling.
Looking at Xu Ze's frowning look, Li Moling's heart became more and more proud. You can draw a conclusion about mycoplasma pneumonia at this kid. It is impossible to think of the central nervous system.
This was a consultation with several of our doctors and directors before we diagnosed the disease. I look at how powerful you are.
Li Moling thought so proudly, but Xu Ze turned around and looked at himself, with a hint of hesitation in his eyes.
When he was more proud of Li Moling, he heard Xu Ze frowning uncertainly and said: "You should diagnose him as a central nervous cough!"
"Ga..." Hearing Xu Ze's words, Li Moling's expression instantly froze, staring at Xu Ze stunnedly for a while, and his face was ugly: "Have you seen the patient's medical record?"
Looking at Li Moling's ugly expression and suspicion in his eyes, Xu Ze smiled dismissively, and then said: "Dr. Li, this patient, you are considering a central nervous cough. It was because no other findings were found in the examination. Abnormal, and frequent dry cough, so the diagnosis is made!"
Hearing Xu Ze's reasons, Li Moling hummed: "You have seen this medical record...The consultation records on these medical records are written very clearly, no wonder you can guess right!"
"Dr. Li... as you say, bet on this bet or not..." Xu Ze shook his head gently and smiled lightly: "But there is a problem with your diagnosis... He is not a central nervous cough …"
Upon hearing Xu Ze's words, Li Moling was happy again, and said with a sneer: "Do you think he is an infection with mycoplasma?"
"No... Mycoplasma infection I think you have already ruled out... This patient should be a silicosis..." Xu Zelan smiled and said: "You are wrong, simple central nervous cough rarely occurs, and he, but silicosis The possibility is great..."
Xu Ze's words were not finished yet, but Li Moling sneered aloud, pointing at Xu Ze and laughing out loud: "Silicone? Is there something wrong with your brain... chest radiographs, lung CT have no problem, you still say It’s silicosis..."
The students in the Xu Ze group were originally excited to see that Xu Ze had actually checked out what was wrong, but at this time Xu Ze said that he had made a mistake in the Department of Respiratory Medicine, and he was surprised. I thought Xu Ze was suddenly fainted, otherwise how could he say such things.
Xingda Fuyi is one of the top hospitals in the country, and the conclusion reached by so many chief doctors in the Department of Respiratory Medicine together, how can it be wrong, even if it is wrong, no matter how powerful Xu Ze is, it can’t be better than this Many directors and doctors are great?
Thinking of this, everyone looked at Xu Ze anxiously, and hoped that Xu Ze would not be entangled in this issue anymore. After all, he had already checked out what kind of central nervous cough, so it would not be a loss...
It’s just that Xu Ze didn’t want to stop like this. The first one was that he was really not used to seeing Li Mo Ling, and the second one was that since they had been misdiagnosed, they would continue to treat like this, using some central antitussive drugs, maybe It will have a certain effect for the time being, but it will not be of any benefit to the patient in the future, and the patient's illness may become more and more serious as time passes. By then, even if it is found to be silicosis again, the effect of medication , Won't be too good.
Facing Li Moling's humiliation, Xu Ze chuckled lightly, but he was too lazy to ignore him, and then continued to ask some patients to make sure that his silicosis diagnosis had more basis.
At this time, the patient was listening to the words of the two. Seeing Xu Ze seemed to be very confident. Although he felt that this little doctor was not reliable, he was also a little worried. After all, he had been cured for a long time, and the effect was not very good. Therefore, when Xu Ze asked for an consultation, he was extremely cooperative. .
Soon, Xu Ze asked what he wanted. There was a large lime mine near the patient's house. Although he didn't work in the lime mine, there was still a lot of dust around the house.
Now that he has a history of exposure to industrial dust, Xu Ze is more and more sure now, and now he smiles at Li Moling: "I heard no, the patient has a history of exposure to industrial dust, so it is likely to be silicosis, I suggest that you still ask Director Qian to see you again, otherwise, if you continue to use the medicine like this, I am afraid that the effect will not be very good!"
Seeing Xu Ze as a lesson, Li Moling was angry. This patient was clearly diagnosed with a central nervous cough, but this kid was stunned to be here. Hu stirs it up, and teaches him how to look like who he is.
Then he smiled and said: "Okay... you are a trainee, but I was taught... Is it that our so many directors and doctors are worse than a trainee?"
Li Moling is waiting to continue to teach Xu Ze, but the patient who is more worried next to him is saying: "Dr. Li, since this little doctor thinks this way, you should talk to Director Qian and see if you want to rule out... So that this little doctor can understand..."
The patient who listened to such vaguely worried words, Li Moling only felt that blood was rushing to his face, and he was really stunned by the kid Xu Ze today. Even the patient was coaxed by him, and now he sneered coldly and said: "Well... since you insist, then I will ask Director Qian to come and see! I tell you Xu Ze... If Director Qian says you have no basis, then One of your trainees disturbs the medical order of our hospital and destroys the reputation of our hospital. I want to see if you can afford this responsibility!"
"Okay... Please ask Director Qian to take a look... This is also responsible for the patient..." Xu Ze lightly laughed, it doesn't matter; he couldn't wait for Director Qian to take a look, only after he came and convinced him It is possible to confirm the diagnosis for this patient, and only in this way can the flames of this Limo Ridge be suppressed.
Li Moling ran to the director's office and talked about this matter with added fuel, saying that Xu Ze ruined the hospital's reputation. When Director Qian came over, he didn't look good. This Xu Ze is so troublesome...
However, since the patient asked, he naturally had to carefully examine the patient to eliminate the patient's doubts;
After coming in, although his face was not good-looking, he still asked why Xu Ze would suspect this diagnosis. After all, this Xu Ze was very familiar with Zhang Reid, the chief medical officer of his head supervisor, and Zhang Reed also told Xu Ze can see the patient at will, so he still gave Xu Ze a little face, otherwise if other people, I am afraid that he has already been brought to the office for a while.
In the face of Qian Zhixun, Xu Ze did not have any fear at all, and said what he had just checked~EbookFREE.me~ Of course he could not say that he had found the patient's lung interstitial, There is already a small amount of silica, that is, silica dust.
He just reminded: "The patient has a long history of exposure to industrial dust, and for an irritating dry cough, I think it is still necessary to consider this reason... The slight changes in the early stage of silicosis, it seems that sometimes the X-ray and CT are not obvious. Find…"
Qian Zhixun heard Xu Ze's words, but the expression on his face became a little more serious. Something Xu Ze said, but also aroused a trace of his worry. At that time, he was diagnosed with a central nervous cough at the time of consultation. It was because he did not find any abnormalities in various examinations, so he could only make this diagnosis.
But if Xu Ze said, then the possibility of silicosis is not without...
At the moment, Xu Ze's face eased a little, and then he asked the patient again in detail, mainly for silicosis.
On the side of Li Moling, Director Qian did not directly teach the trainee by his own words, and asked the trainee so politely, and even seemed to seriously consider the trainee’s opinions, and had some intentions. The appearance of movement, this time Li Moling is more and more depressed. (!)