Su Yun was speechless.
Is your boss an idiot
You can say this kind of mentally retarded thing when you are arguing with yourself. But in this situation, why are you talking to Director Cheng of the Emergency Department? !
It doesn't matter if it's reasonable and well-founded, just slap him in the face and everyone will have to listen honestly. The key is that there is nothing, it just says there is a problem, but we don’t know where the problem is. In this case, you have to talk about your rich clinical experience. Isn't this just asking for blame
"I've eaten more salt than you've ever eaten!" Sure enough, Director Cheng roared, "Are you telling me about your clinical experience?"
Zheng Ren bowed repeatedly, carefully apologizing, and said: "Director Cheng, I really feel that there is something wrong, and I am not just fooling around. This morning, didn't Mr. Cui also say that there was something wrong with him?"
"you… "
"Director Cheng, please give me a few more hours and I'll finish reading the medical records. Do you agree?" Zheng Ren said in a small talk.
Su Yun couldn't bear to see it.
I've been coming to 912 for so long, and this is the first time I've told someone something small. I'm sorry.
Don't you usually travel all the way? Who dares to question Boss Zheng’s diagnosis in 912 now? Besides, it’s not for my own fault, it’s just a group of gastrointestinal cold patients…
well!
Su Yun sighed heavily in his heart.
When Director Cheng saw Zheng Ren pretending not to fight back or scold him, he felt furious and had nowhere to vent his anger.
He sighed and said: "Xiao Zheng... Boss, it's 11:36 now. I'll give you two hours, is that enough?"
"Three, maybe." Zheng Ren smiled and said aggressively.
"Two!" Director Cheng Wangfa coughed louder and louder. After more than ten seconds, he got better and said, "I'm in my office. I need an accurate diagnosis in two hours."
"Okay, okay." Zheng Ren sent Director Cheng out.
Seeing Director Cheng walking back to his office angrily, Su Yun said: "Boss, what about it?"
"Hurry up and get the film and let Zhou Litao comfort the patient." Zheng Ren said.
Su Yun sighed, but did not refute, but ran all the way to get the film.
This guy, Zheng Ren, was relieved, and he didn't even give any more instructions. He turned back to Zhou Litao's duty room, sat at the table, and continued to read the medical records.
Two hours!
Although he could force Director Cheng to do things, or even call Lin Ge over, Zheng Ren didn't want to do that.
This is 912, this is the emergency department.
If you fail to diagnose and forcibly disgrace a senior director, that would be completely domineering.
only…
There was something wrong with the patient, but all the lab tests provided no clues.
Damn it, why on earth didn’t Big Pig Hoof give a diagnosis, but the system panel was bright red
Zheng Ren was a little nervous, his legs were a little stiff, and his body was a little cold.
The system panels of 17 patients are all red, very red. Although it is not fatal for the time being, as the disease progresses, God knows what will happen!
Hurry up, Zheng Ren knows that he only has one hour and fifty-eight minutes.
Soon, Su Yun ran back first, carrying a stack of movies in his hand. The film bags are all marked with a black marker pen, and the patient's name is clearly marked.
Zhou Litao and another doctor carried the reading device into the duty room.
Zheng Ren remained motionless. He picked up a medical record he had read and said, "Xu Sheng."
Su Yun immediately found the patient's film and inserted it into the reader.
The lung CT showed emphysema and the lung texture was slightly thick, but this didn't mean anything. No nodules, no bronchiectasis.
The key is that there are no signs of pneumonia and no pleural effusion.
In other words, the patient does not have inflammation of the upper respiratory tract.
Zheng Ren glanced at the date. It was the examination done yesterday. The time should be fine. The patient was reviewed 36 hours after admission and still found nothing wrong.
"Boss, C-reactive protein is not high, so inflammation is not considered." Su Yun took a look at the film and knew what Zheng Ren was thinking about, so he said it immediately.
Zheng Ren nodded, but still looked at the film.
Reconstruction, still no new discoveries.
He picked up the patient's electrocardiogram and found nothing wrong. Sinus rhythm, no ST segment elevation. This level of ST segment elevation is meaningless.
"It's just routine, please remind me." Zheng Ren said.
"Okay." Su Yun knew that Zheng Ren was talking about a routine test done early this morning. The results of this kind of test usually come out around four o'clock in the afternoon.
He immediately contacted the laboratory.
Soon, Su Yun whispered: "The laboratory department said that the results will be available as soon as possible, but the preliminary judgment is that there is no problem."
Zheng Ren's eyebrows furrowed even more tightly.
This patient had symptoms such as headache, dizziness, heat intolerance, irritability, palpitations, and sweating. After being admitted to the hospital, during the ward rounds this morning, my symptoms were not relieved and my body was tired. I said I didn’t get a good rest last night.
Zheng Ren remembered that his system panel was red like everyone else's, but there was no diagnosis!
MD! He cursed fiercely in his mind.
where is the problem
Picking up the B-ultrasound sheet, there are B-ultrasound images on it. But these images are completely fine and normal.
"Abdominal CT was not done, right?" Zheng Ren asked.
"Well, I didn't do it." Zhou Litao said from the side.
It's just a gastrointestinal cold. There are already a lot of tests done. If more tests are done, I'm afraid the patient will immediately turn against him.
Do not allow too many examinations in order to avoid so-called excessive medical treatment.
Many patients also say proudly that the doctor asked me to do a certain examination, but I didn't do it. Look, isn’t it better for me
"Mr. Zhou, do patient work and check the abdominal CT scan." Zheng Ren squinted at the B-ultrasound sheet and said.
"..." Zhou Litao was speechless, this was almost killing him.
There is no diagnosis, still need to check? Okay, Boss Zheng has said it, so let’s go check it out.
Zhou Litao glanced at Zheng Ren with some resentment, then turned around and went out to do the patient's work.
"Boss, what are you thinking about?" Su Yun asked.
"I haven't considered it yet," Zheng Ren said, "I just feel that something big must be happening!"
"..." Su Yun felt that today was not a good day.
He could just sit quietly at home and wait for his mission, but he still had to come to the emergency department for consultation. The consultation was not just a consultation, but the patient's boss, who had no problem, actually made a fuss out of a molehill.
Is he crazy
Su Yun glanced at Zheng Ren and saw that the expression on his face was extremely serious. There was no fake smile on his face, which showed that there was no perfunctory intention at all.
What he said was true, Su Yun judged immediately.
However, the B-ultrasound showed that there was nothing wrong with the liver, gallbladder, and spleen, but the kidneys and ureters were not treated. The patient has diarrhea symptoms. A B-ultrasound is considered over-medical treatment. A full-body examination? The medical insurance center will come to your door soon.