"Director Wang, it's me, Lao Xia."
"Well, I have a patient who needs emergency mrcp. I need to trouble you."
As she said this, she held her phone and asked, "Mr. Zheng, are you talking about doing MR three-dimensional reconstruction?"
"Well, I did it on the way. If we do three-dimensional CT reconstruction, the patient will have to move around, which is troublesome." Zheng Ren said.
"Director Wang, we need to do a MR three-dimensional reconstruction."
"It's not started? Oh, that's okay. I'll take the patient there right away. It's troublesome."
After saying that, Director Xia hung up the phone and said to Zheng Ren: "Mr. Zheng, our hospital does not carry out MR three-dimensional reconstruction."
"Oh, it is generally not carried out." Zheng Ren said: "The faults reconstructed by MR are thicker, and the effect is not as good as the three-dimensional CT reconstruction."
"That… "
"It's okay, just one look at the MR is enough. It saves the patient some money and he doesn't have to see too clearly."
"I mean no one can do it."
"Director Xia, I can do it." Only then did Zheng Ren understand the misunderstanding between himself and Director Xia, and said with a smile: "After you have contacted me, you can send a doctor to take the patient for mrcp. Go over there and take a look and reconstruct it, which will only take about twenty minutes at most."
Director Xia looked at the young and energetic Zheng Ren with deep emotion in his heart.
But this is not an ordinary young man's arrogance, his arrogance is full of confidence.
Ceftriaxone is a commonly used drug in clinical use. Director Xia has been using it for decades and has never encountered silt-like stones.
She guessed that if what Zheng Ren said was true, she might have encountered it before, but no relevant examinations were done. The patient had no symptoms and recovered on his own after being discharged from the hospital.
But no matter what, this is a hidden danger, and it is a hidden danger that a veteran clinical director like me, who has been in clinical practice for decades, has not noticed.
She was curious, anxiously waiting for Zheng Ren to take the patient for examination, and immediately went to the different pharmacy to find a nurse.
The nurse in charge of taking the medicine didn't know what the always strict Director Xia wanted from her, and looked a little uneasy looking at her anxious look.
When I heard that Director Xia wanted instructions for ceftriaxone, I was relieved.
She quickly found a box of ceftriaxone, opened the package, and took out the instructions inside.
After taking a look, she saw that the writing was too small, so she went to the convenience area of the nurse station in front to get a magnifying glass and gave it to Director Xia.
Director Xia picked up the instructions for ceftriaxone, unfolded it and found the contraindications and side effects of the drug, and looked at it carefully with a magnifying glass.
The more he looked at Director Xia, the more frightened he became.
It clearly states that gallbladder ultrasound may be misdiagnosed as the shadow of gallbladder stones, and these will disappear with the end of this product's treatment or termination of its use.
I have been using medicine for more than ten years, but I have this special drug reaction...
Director Xia was stunned.
She vaguely remembered that when she was a young doctor, Rocefen (ceftriaxone) produced by Shanghai Roche Pharmaceuticals first entered clinical practice and won the favor of clinicians because of its good effects.
At that time, I also studied the manual, and it seemed... as if... in a daze... I had an impression in my memory that I had read it.
Director Xia has been a doctor since he was a child and has become an experienced senior director. He has never encountered a single case, or even heard of it. This one in 10,000 possibility has long been forgotten in the back of my mind.
Now being reminded by Zheng Ren, Director Xia was shocked into a cold sweat when he saw the instructions.
This little doctor really leaps over the dragon gate and transforms into a dragon! Director Xia held a magnifying glass and looked at the line of words, stunned for a long time.
How did he remember such weird complications and drug side effects? And after hearing myself talk about the patient's symptoms, I can be sure immediately.
Awesome, really awesome!
Director Xia suddenly remembered something that had been widely circulated in the hospital recently. It was said that a German professor traveled thousands of miles to Haicheng to study surgery with Mr. Zheng.
She had met Professor Rudolf Wagner, but Director Xia had the dignity of a senior director, so he would not be as curious as he was decades ago when he saw a foreigner with blond hair and blue eyes.
How embarrassing that would be.
Of course, Director Xia did not believe that the foreign professors came to study with Mr. Zheng.
Most of the rumors in the courtyard are just for fun. If we take it seriously, most of them will not stand up to scrutiny.
But now, Director Xia believes it.
Mr. Zheng's level and diagnosis... Anyway, I was completely convinced. Even if the foreigner came to learn surgery from Mr. Zheng, it wouldn't be a big deal.
should!
Director Xia held a magnifying glass in his hand and stared blankly at the small words, completely forgetting everything.
After an unknown amount of time, Director Xia's thoughts were interrupted by the ringing of the phone.
Her hands were a little sore, so she put down the magnifying glass, rubbed her eyes, and picked up the phone.
"Director Xia, the mrcp and reconstruction are done. Take a look at your computer." Zheng Ren said on the phone, "The patient's film is very typical. That's it. I'll hang up and talk about it when I get back."
Uh... Before the emotion was over, Zheng Ren sent another surprise.
Double gallbladder malformation
Is it true
Director Xia immediately moved his sore and numb wrist, turned on the computer, and found the patient's mrcp film.
Just as I was about to look, the phone rang again.
Director Xia was a little irritable.
She was so eager to see the patient's film to see what the double gallbladder malformation was.
But the phone rings... For every doctor, it may be an emergency, requiring him to participate in rescue and consultation.
Due to years of habit, Director Xia picked up the phone even though he was unhappy.
This is a call from Director Wang of the NMR laboratory.
Director Xia frowned, why was he calling him? Didn't the MRI just get done
"Old Wang, what's the matter? I'm busy right now." Director Xia said without being polite at all.
They are all veteran directors for many years, and they are familiar with each other to a certain extent, so there is no need to be polite.
"Lao Xia, the one who came just now is Mr. Zheng from the emergency department?"
"you do not know?"
"In the emergency department, MRI is rarely performed. Of course I don't know him. In the emergency department, I only know Mr. Pan."
"What are you calling about? Tell me quickly, I'm busy here."
"It's okay, I just want to confirm with you." Director Wang of the MRI room said, "I'm talking about Lao Xia, that Mr. Zheng looks young, and he's really good at doing MR reconstructions."
"A while ago, my classmate suffered from massive vomiting of blood in the emergency room. He performed the emergency tip surgery." Director Xia said, "He is a powerful person."
The two lamented that the waves behind the Yangtze River push the waves ahead. Director Xia had something on his mind and hung up the phone in a hurry.
She clicked on the MRI on the computer and saw two gallbladders appearing in the image!
Double gall bladder!
Double gallbladder malformation!
…
Note 1: A case of cholestasis caused by ceftriaxone sodium, "Chinese Drug Application and Testing".