Chapter 676: : As thin as ice

After Chen Cang left, although Zhao Xing muttered, but ... thinking of Chen Cang's apparent anxiety and nervousness, he looked at the film carefully.
Is it really that he did not find any abnormal signals?
But ... Cang Cang, you are an emergency doctor, and your surgery is good, does not mean that you are terrible at watching movies?
After all, the surgery industry has a specialization!
Zhao Xing couldn't help it.
However, he still looked at the film carefully!
Sure enough, after he changed several films one after another, he suddenly stopped!
This ... what happened when the upper right margin was slightly enlarged?
Doesn't it look normal?
Zhao Xing hadn't seen him before. Thinking of this, he quickly got up and started to read the information book.
After watching for a long time, I don't know what happened!
Suddenly, Zhao Xing became even more disturbed.
Does Chen Cang really understand images?
You already see what's wrong?
Thinking of this, Zhao Xing was a little upset.
Or ... apologize to Chen Cang?
wrong!
What apology to Chen Cang, to apologize also to the patient ...
Zhao Xing thought of this, in fact, he already had some self-blame, he really should take care of it.
Thinking of this, he hurried out a film, plus a report:
"Heart shadow is normal in size, and there is a strange protrusion on the upper right edge to be checked?
consider:……
It is recommended to complete a cardiac CT diagnosis ... "
After writing, Zhao Xing hurriedly got up and ran towards the emergency department.
Although Chen Cang suspects that the little girl has congenital aortic dislocation and intracardiac malformation, she is still not sure.
The diagnosis should be improved as soon as possible.
Zhao Xing couldn't find that Chen Cang didn't blame. After all, there was a gap in the level, so he hoped to discuss it with Director Shi Tao.
Even Chen Cang took the initiative to step down to the other side, saying that the child's posture may not be good, and offered to help him.
However, Zhao Xing did not understand Chen Cang's meaning at all, but also felt that Chen Cang questioned his technology and deliberately made it difficult for Chen Cang, which was somewhat unreasonable.
It stands to reason that as a medical worker, you should work with your heart and go out together, but Chen Cang has repeatedly reminded you that you are still playing like this for some time, and you ca n’t understand it.
The most important thing for you to be a doctor is to be responsible to the patient, and you cannot live up to the trust of the patient!
Maybe today, if it is not Chen Cang, change to a doctor and leave with the report given by Zhao Xing, maybe it's fine.
For example, Luozhou cannot find the situation. After all, you are not a professional in imaging. Compared with your own ability, you will definitely trust the judgment and conclusions of other professional doctors!
Well, a few years later, the patient suddenly relapsed, and Zhao Xing may not be blamed. After all, the test results are limited.
If the patient is urgent, it may not be just a chest radiograph, and the relevant examination will be improved.
Speaking of which, some doctors don't take these small examinations of chest radiographs seriously, empiricism prevails, otherwise they would not read the film at all.
However, as an examiner, you should still do your best to fulfill your responsibilities and obligations, make a clear diagnosis to the patient, and at least remind you.
This is at least 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 sent this report myself, I was pushing my responsibility, but ... I ca n’t make a clear diagnosis, and Chen Cang is not professional. I ’d better ask the experts to see Can it be confirmed.
Although it ’s a delay, but at least I can give the patient an account!
It also allows Chen Cang to understand what happened to the patient.
Thinking of this, he picked up the phone and called an expert.
With a murmur in his mouth, Chen Cang, Chen Cang, I'm not afraid of you, I'm thinking for the patient!
This was a director of imaging who he knew while studying in the General Hospital of the Shenyang Military Area Command at the time. They had a good research on chest radiographs.
He had a good relationship with Director Xu at the time. Thinking of this, he directly dialed Director Xu's WeChat.
"Director Xu, hello, my name is Zhao Xing! Well, I'm sorry to bother you. I want to consult about something. It's a little girl's chest radiograph. I didn't feel any problem when I saw it. Something is wrong, you can help me show it. "
Hanging up, Zhao Xing took the photo with his mobile phone and sent it to a brain.
After a few minutes, the other party called.
"Zhao Xing, this photo ... 咿? No! It ’s a strange heart shadow, it seems normal, but ... I always feel a bit like the aorta is dislocated. You look at the bulge in the upper right edge, it doesn't look like the aorta This bow-shaped bulge isn't what most people have ... Probably! This is most likely the chest radiograph called the dislocation of the aorta! "
"This is a rare case. You'd better follow up with me and talk to me when the results come."
After hearing this from Director Xu Nan, Zhao Xing was dumbfounded!
Sure enough, there is a problem!
And it's a big problem!
Dislocation of the aorta?
This is a terrible disease!
Thinking of this, Zhao Xing suddenly blushed with shame and panic!
Does such a movie say it's okay?
Thinking of this, Zhao Xing can't wait to give himself a slap!
If the patient missed the best surgery period because of his own reasons, this is his fault.
Moreover, thinking of Chen Cang's words, Zhao Xing was terrified for a while and couldn't help blame himself.
Fucking, Zhao Xing, Zhao Xing, what are you playing for?
How many levels are really there?
If it really delays the little girl, the crime will be great.
He never expected that a seemingly ordinary film would have such a huge problem behind it!
Thinking of this, Zhao Xing was so ashamed, but he also blamed himself!
Hurry up and print a copy of the report.
According to Xu Nan's speculation, he wrote it up, hurriedly got up, and ran towards the emergency department.
I kept praying, little girl, don't you leave, I will blame myself for a lifetime.
The more worried, Zhao Xing became more worried, and even began to show cold sweat behind him.
My heart is constantly vowing, after this time, we must be serious and serious!
Today he really realized what it means:
Practice medicine like abyss, every step should be like walking on thin ice!
It really is!
...
...
Chen Cang has returned to the emergency department and said to Landing Jie: "The condition of the child is still a bit problematic. Her chronic chest tightness, I feel that the bleeding and obstruction of this large blood vessel are related!
This kind of situation is okay as a child, and older, and with the continuous improvement of heart function, various situations will also occur. "
"So I still recommend that we do an ultrasound of the heart and give a clear diagnosis. What do you think?"
Lu Jie didn't speak, Yang Kaihua spoke: "Okay, no problem, doctor you are professional, listen to you, what we should do!"
Lu Jie nodded, and didn't speak.
What Chen Cang told her just now, she was worried that she had broken. She remembered that there were many strange situations in her life. Sometimes, she even woke up suddenly in the middle of the night, holding her chest and breathing for a long time!
At first Lu Jie thought that the child had a nightmare. After all, her father did have it after leaving, but ...
Now I heard Chen Cang say so, suddenly suddenly cheerful.
Lu Jie gave the little girl a distressed look, and saw her muttering her mouth and looking at Chen Cang, thinking to herself that you violated our agreement!
Chen Cang smiled awkwardly when she saw the little girl.
Not long after, Shi Tao arrived 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 others heard that Shi Tao called Chen Cang as the director. Although his face was impassive, in fact, he had a little more trust in his heart.
After all, in the patient's mind, the word director is very important.
Chen Cang said, "Director Shi, take a look at this movie. The patient is this little girl and has a long history of chest tightness ..."
Shi Tao glanced at the little girl, and immediately took the film, looked carefully, and after a moment, Shi Tao frowned suddenly.
"Strange bump. Did you do any other checks?"
Chen Cang shook his head: "Wait for the color ultrasound room to come and be a color ultrasound."
After speaking, Shi Tao pulled Chen Cang into the office: "Little Chen, is there an electrocardiogram?"
Chen Cang nodded and handed the electrocardiogram over. Shi Tao glanced at the table and said, "It's very likely that ..."
Chen Cang asked: "Dislocation of aorta with intracardiac malformation?"
Shi Tao suddenly said: "How do you know?"
After all, Chen Cang is an emergency department doctor and he is famous for his surgery. This rare disease can be diagnosed by film alone, which is great!
Thinking of this, Shi Tao was naturally shocked.
This disease is very rare because of misalignment of the aorta of the heart with intracardiac malformations.
Even he occasionally saw it once or twice. At that time, he almost didn't take it seriously because of empiricism. Later, he was fortunate to be seen by the old director, blame it, and re-diagnosed.
Later, the patient was confirmed, it is this severe heart deformity surgery!
For this reason, Shi Tao remembered for a lifetime and was very impressed.
But ... how could Chen Cang know?
You know, in this kind of film, you don't have enough experience and history about the film, you simply can't think of it.
Looking at Chen Cang, Shi Tao was a little surprised.
At this time, Zhao Xing hurried in, panting, his face flushed, and when he saw Director Shi Tao was also there, he flushed suddenly, a little embarrassed.
Zhao Xing couldn't care less, and said to Chen Cang, "Director Chen, did the patient leave?"
Chen Cang Yiyi: "What's wrong?"
Zhao Xing directly apologized and said, "This ... Director Chen, I'm really sorry, I was a bit negligent just now. I took a closer look at this video, and I found that it was really muddled, empiricism, hey ... A set of films was given and the report sheet was reprinted. "
"By the way, the patient did not leave! I consulted an expert. This little girl may have a relatively serious heart malformation and a large blood vessel transposition. You must stop her and complete the relevant examinations. Don't delay others!"
Having said that, Zhao Xing's voice was anxious.
Hearing Zhao Xing's words, Chen Cang felt relieved.
After Zhao Xing finished speaking, he looked at Shi Tao: "Director Shi, my problem is today, and I will review it myself."
Shi Tao stunned: "What's the problem?"
Zhao Xing suddenly made a mistake, thinking that Chen Cang had brought Shi Tao to sue him, but he did not expect Chen Cang ...
Thinking of this, Zhao Xing felt even more embarrassed.
If you think about it carefully, Director Chen has given her face, but he ...
Hey!
Thinking of this, Zhao Xing did not want to mess things up, but looked at Chen Cang and said, "Director Chen, what is my responsibility today, after encountering such cases, I should not make empirical mistakes, let alone It should be fooled. This is my fault. Director Shi, I will seriously reflect on my shortcomings when I go back, hoping to be forgiven by Director Chen. "
After speaking, Zhao Xing handed the report over: "Director Chen, just after you left, I contacted Director Xu Nan from the General Hospital of the Shenyang Military Region. He suspected that this protruding heart shadow was a misplaced artery. , He suspected it was a congenital malformed heart! "
"So, Director Chen, we need to find out the patient's condition as soon as possible. The girl is still young and was delayed for a lifetime because of my problem!"
Having said that, Zhao Xing's face was full of blame.
After all, he understood that he was still a doctor.
Compared with his own mistake, the health of the patient is more important. After all, that is a little girl who is seven or eight years old!
Shi Tao can be considered to understand the context, Zhao Xing made a mistake that was exactly the same as his original, seemingly simple and ordinary patient, without thinking.
Thinking of this, Shi Tao said with emotion: "Director Zhao, thank you very much, Director Chen!"
"If it weren't for him, you would really blame yourself for a lifetime!"
Shi Tao Chen Cang Chen Cang's calm face, with a sigh of emotion: "Chairman Chen sees the film and suspects that the aorta is misaligned and the heart is deformed!"
Hearing this, Zhao Xing's eyes widened.
Is it really so?
Chen Cang ... Isn't he surgery?
The surgeon knew so much about images?
This Chen Cang ... No, Director Chen!
This director Chen is too awesome, 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 special. Most people can't see it. Director Zhao doesn't blame himself."
Zhao Xing is not too young. In his forties, Chen Cang knows that he sometimes gets excited easily, but he is still too young.
Shi Tao glanced at Zhao Xing.
"Director Zhao, I hope to give you a wake-up call. Empiricism cannot be done. In the future, you should pay attention to it. The medical path cannot be careless or sloppy. If you walk on thin ice, it is not excessive. Director. "
Zhao Xing nodded.
It didn't take long for the doctor to come.
Chen Cang quickly brought the little girl in and did a color ultrasound.
As he did it, the doctor Choi Chao was even more shocked!
"Director Chen, Director Shi! This ... the aorta is located in the front left of the pulmonary artery, and there is a huge perimeter on the long axis of the left atrium ... it is located below the pulmonary artery!"
"And ... this is a malformed defect of the ventricular septum ~ EbookFREE.me ~ It should be covered with an undivided tricuspid valve, which is an abnormal blood flow ..."
After speaking, she said, "This may be a patient with a developing SLL-type physiological aorta that has been converted to a ventricular septal deformity!"
"It may be developing now!"
As soon as this word came out, everyone was silent!
Sure enough!
...
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Two in one, written together Ha ... don't introduce.
(End of this chapter)
High-speed text hand playing as a doctor opened a list of external chapters