"Sister Ma, please check carefully. It's okay to have headaches all the time." The person who accompanied the patient for the examination seemed to be her best friend or friend, advising from the side.
The patient is probably in his forties, somewhat haggard, and looks older.
He was holding an inspection sheet in his hand, and it looked like he was going to pay for the inspection.
Zheng Ren quickly called out, "Hey, wait a minute."
The patient and the accompanying friend did not realize that they were being called, and walked towards the cashier while chatting.
Zheng Ren took two quick steps, stood in front of the patient, and said, "Sister, I am the chief resident of the emergency department. Do you think you have a headache?"
The patient was stunned for a moment and said, "Yes."
"What kind of test are you going to do?" Zheng Ren tried his best to keep his tone and expression gentle.
Maybe it's because of the luck value, maybe it's because the charm value has increased, but it seems to give people a feeling of trustworthiness.
The patient handed the list to Zheng Ren in confusion.
Zheng Ren took a look and saw that the examination sheet was a plain MRI scan of the head. As expected, it was what he was most worried about.
Fortunately I met him!
At this time, Zheng Ren realized the power of Lucky +8.
"I don't think you are suitable for this examination." Zheng Ren said: "I just listened to the conversation between the two of you. It seems that you are not well off financially?"
"Yes, an MRI costs more than 500, so expensive." The patient frowned and said.
"Let's go and ask the old director to show you." Zheng Ren smiled and pulled the patient to the old director Pan's office, knocked on the door and went in.
When Director Pan saw Zheng Ren smacking his eyes several times, he knew something was wrong, so the two of them started "performing" without any prior discussion.
There are different methods of physical examination.
Generally, the physical examination in the emergency department is very simple. After all, there are more than ten or twenty patients piled up outside, and it is not practical to take half an hour to examine one patient.
If it is not an emergency or serious illness, after a simple physical examination, the patient will be sent for examination.
In this way, patients can be effectively diverted so that they do not pile up in the corridor of the emergency department.
People's impatience is contagious. Especially those who are sick are very anxious.
Director Lao Pan performed a more detailed physical examination on the patient. He was very old, almost 70 years old. He has silver hair and a serious and solemn expression. He looks like he is better at treating doctors than Zheng Ren.
This is why Zheng Ren brought the patient to Director Lao Pan.
Director Lao Pan was doing a physical examination while Zheng Ren was introducing the situation.
"Director, this patient has been suffering from headaches all year round, and this time it's more serious, so he came to our hospital to have a look. However, due to family and financial reasons, I consider that the cost of MRI is relatively high, so I recommend a plain CT scan of the head."
Old Director Pan knew that Zheng Ren brought patients to his place, so the joke lies in this sentence.
He pretended not to hear and continued to check for 5 minutes, then slowly said: "It's nothing serious, just do a head CT for final confirmation, 120 yuan is enough."
The patient was very grateful. Although he overturned the emergency physician's examination, after all, Director Pan looked like an academic authority and Zheng Ren looked trustworthy, so the two of them happily took the CT examination prescribed by Zheng Ren. Just went for a checkup.
Before leaving, Zheng Ren also gave them his mobile phone number and asked them to call him directly after finishing the examination.
After the patient left, Zheng Ren let out a sigh of relief.
Director Pan asked in confusion: "Zheng Ren, what are you doing?"
"Director, for patients with long-term headaches, I suggest starting with a head CT scan." Zheng Ren said seriously: "In case there is metal in the skull, if you do an MRI, something serious may happen."
As soon as Zheng Ren reminded him, Director Pan immediately woke up.
Is there metal inside the skull? How could it be
Ordinary people may not understand, but Director Pan has been practicing medicine all his life, from the battlefields of southern Xinjiang to the northern frontiers, what has he never seen before
He nodded and said: "Zheng Ren, you are right to remind me. I will think about the rules and inform each doctor personally."
Talking to Director Pan is smooth, and he will not feel that the director's authority has been shaken by his own opinions.
Although what Zheng Ren said is rare, you may not encounter it once in several years. But as long as it is encountered and handled improperly, it will directly lead to catastrophe.
After saying goodbye to Director Pan again, Zheng Ren took out his cell phone and informed Chang Yue and Su Yun that they had a dinner party in the evening and were going to have a big drink.
Zheng Ren cannot do this kind of non-medical means and methods.
But Director Pan and Zheng Ren worked well together, just like the female patient just now, each with their own strengths.
Zheng Ren returned to the emergency ward, and as expected, Su Yun sprayed him with blood all over his body.
Everyone was chatting, and within an hour, Zheng Ren received a call. The two people had completed their head CT examinations and were waiting for the film.
Zheng Ren told the patient the specific location of the emergency ward and asked her to borrow the film first and show it to herself without waiting for a report.
More than ten minutes later, the patient came to Zheng Ren with the film.
After inserting the film into the reader, Zheng Ren saw three steel needles in the patient's skull!
The image shows it very clearly, like the fangs of the devil, full of malice, making people shudder.
"I'll go..." It was the first time for Su Yun to see this kind of film. Just now he was laughing at Zheng Ren for making a fuss. Now he was completely confused after seeing the film.
Professor Rudolf Wagner took a glance and continued to write down tips on surgical diagnosis and differential diagnosis. This kind of foreign body in the body has no attraction to him at all.
Chang Yue and others were also dumbfounded.
If this is an MRI...
Magnetic fields affect metals, and metals affect metals.
When having an MRI, you are not allowed to bring in any metal objects that will be attracted by magnets.
Once in the First Hospital of the City, a patient's wheelchair was sucked onto the machine, and it took a lot of effort to get it off.
Some patients, especially those who have undergone early internal surgeries such as heart stents and fracture fixation, are unable to undergo MRI examinations.
Current nickel-titanium alloys seem to have no effect.
If the female patient in front of me undergoes an MRI, several steel needles inserted into the skull at unknown times will be attracted and swing due to the action of the magnetic field.
The patient’s brain tissue…
I didn’t dare to think about it anymore. Anyway, all the doctors present were covered in cold sweat.
"Mr. Zheng, how did you get in?" Chang Yue asked with cold sweat on her hands.
"I guess it was inserted when I was a child." Zheng Ren said coldly.
The human skull goes through a development process. When a person is a few months old, the skull is thinner and softer, like kraft paper, and can be easily penetrated by needles.
Decades ago, girls were not popular in rural areas. Although Zheng Ren had never seen such things with his own eyes before, he had heard about them occasionally.
Although the patient could not understand the film, the needles were clearly visible in front of his eyes.
"When did your headache start?" Zheng Ren asked.
"I've had it since childhood." The patient was confused, panicked and at a loss.