The large imaging department is divided into X-ray, CT, MRI, and B-ultrasound. However, in general hospitals, the B-ultrasound room is listed separately. Although it is also an imaging department, it is outside the imaging department.
Maybe it's because there are no radioactive rays, or maybe it was the rule when b first went beyond the current country.
Just like spinal surgery in Europe is done by neurosurgery, but in China it is done by orthopedics.
Some hospitals have X-ray, CT, and MRI combined into one large imaging department, while some hospitals have them separate.
912 is separate here. Director Chu is the chief director of CT and MRI.
Zheng Ren had done 64-slice CT three-dimensional reconstruction before. He had communicated with Director Chu and had been here before. He went directly to the door of the director's office and knocked lightly.
It was quiet inside.
Um? At this point, isn’t Director Chu here
Zheng Ren knocked twice more tentatively, but still no one answered.
Unexpectedly, the pounce was in vain, and now Zheng Ren was on the verge of death. It was a big mistake not to contact Director Chu in advance.
While he was reviewing himself, he was wondering whether he should find Dr. Liang, a student of Director Chu, to solve this problem.
It's better to look for it first, Su Yun is also busy on the other side, and it's very important.
Zheng Ren has always been very stubborn. It's a bit unreasonable for him to leave so much work to Su Yun and still come to him for everything.
Although he is the boss, if he throws everything at Su Yun, that guy can beat him to death.
Doctor’s office… office… office…
Most doctors' offices in the CT room are called reading rooms, where CT and MRI doctors read and issue diagnostic reports.
Zheng Ren found the reading room and saw through the crack in the door that seven or eight doctors were gathered around the reading room, discussing something.
The person in the middle is Director Chu.
Finally found it, Zheng Ren quickly knocked on the door. Although no one would hear the knock on the door, and no one would pay attention to his knocking on the door, Zheng Ren still knocked on the door in a polite manner and then went in.
Director Chu watched the film and whispered something.
Zheng Ren walked to the back and took a look at the film first.
The coronary arteries were 256ct, and the three coronary arteries were very smooth. It didn’t look like coronary heart disease. But what were Director Chu and the others thinking about when they were looking at an almost normal picture
"Hello, Director Chu." Although Zheng Ren knew that it was not good to interrupt someone's train of thought, patients in the Department of Gastroenterology were waiting for examinations, so he was still shameless and took the time to come.
Director Chu was a little unhappy, but when he turned around and saw Zheng Ren, he suddenly smiled.
He separated from the crowd, grabbed Zheng Ren's arm, pulled him over, and asked: "Boss Zheng, come on, come on."
Uh... Zheng Ren was stunned for a moment.
"Come and take a look and see what's wrong with this patient." Director Chu said without politeness, pulling Zheng Ren to his side.
"I… "
"Hurry up and watch the movie. Let's talk after watching it." Director Chu was also a little domineering and directly interrupted Zheng Ren. "This is the first user of the new 64-slice CT three-dimensional reconstruction method, Boss Zheng Ren."
Director Chu saw that several doctors around him were very confused, so he introduced it.
The area around the reader became quiet. This very young doctor turned out to be the famous Boss Zheng.
This is really beyond the pale.
It is said that Boss Zheng is not very old, but who would have thought he was so young.
Zheng Ren was also very surprised. Coronary 256ct mainly looked at the coronary arteries. The film shows that the coronary arteries are very smooth and there is no problem. What are Director Chu and the others doing here
Wait... There seems to be something wrong with the images of myocardial reconstruction.
"Director Chu, the coronary arteries are fine, but there seems to be some problem with the myocardium." Zheng Ren habitually held his chin and said while looking at the film on the reader.
"Xiao Liang, please introduce Boss Zheng's condition."
Dr. Liang was standing on the side. He responded, holding a stack of paper in his hand, and began to read the key points.
The patient is a 32-year-old male who developed symptoms such as palpitation and shortness of breath after activity 6 months ago. No attention was paid to it at the time, but the condition progressed rapidly. More than a month later, the patient experienced syncope after activity, accompanied by edema of the limbs.
He went to the local hospital for examination, and the electrocardiogram revealed typical symptoms of myocardial infarction such as T-wave changes and ST-segment depression.
Serum troponin and brain natriuretic peptide were elevated, and several tests suggested heart disease.
After a comprehensive examination at the hospital, no coronary artery problems were found, which is strange. The local hospital did not give a clear diagnosis. It just made a diagnosis of suspected myocardial infarction and asked him to come to the higher-level hospital in the Imperial Capital for a diagnosis.
That's all the medical history, Dr. Liang finished it quickly.
Zheng Ren felt a little emotional, a place like 912 really deserves to be a superior hospital, no wonder its standards are so high!
The CT room is only responsible for issuing a report based on the images seen, but Director Chu and the others also need to compare the medical history and start discussions directly within the department after discovering any doubts.
This rigorous academic style is really amazing!
"Boss Zheng, this patient's medical history should indicate myocardial infarction. However, the blood supply to the heart is fine, and the possibility of a typical myocardial infarction is unlikely." Director Chu clicked on the film: "Here, I see changes in the myocardium, and I suspect it may be caused by a certain myocardial infarction." This is a disease that changes the structure of the myocardium. I have told the circulation clinic and asked the nurse to take him for an urgent echocardiogram."
Zheng Ren nodded, he thought so too.
And what kind of disease it is specifically... Only a 256 film of the heart and coronary arteries cannot give an answer.
The passive ability of reconstruction is not omnipotent. The system panel can provide direct diagnosis, but in many cases in the Imperial City, the patient's family members bring the film to see the doctor, and the patient does not follow, or it seems that he cannot see the patient at all.
A completely different diagnosis and treatment model from Haicheng.
Zheng Ren recalled what Dr. Liang said about his condition in his mind, and suddenly asked: "Dr. Liang, is there a test report on the patient's proteinuria?"
Some heart diseases are accompanied by proteinuria, and proteinuria alone does not indicate any problem. Dr. Liang did not pay special attention to it.
He began to look for printed information. This information was a case of circulatory medicine. There were no reports on urine routine and urine protein tests.
It is estimated that it was included in the local information brought by the patient himself, but the director of the circulation department did not issue an order for the examination.
"Boss Zheng, the medical records haven't been written yet, so we can't see them here." Dr. Liang quickly replied.
"Yeah." Zheng Ren started watching the movie again.
This time he did not focus on the coronary arteries, but began to carefully observe the structural changes in the heart.
The reconstruction capability converts a 64-slice CT three-dimensional reconstruction into echocardiography and mr of the heart. Zheng Ren noticed some changes in the patient's heart images.
In China, cardiac MRI, like breast MRI, is a rare examination and is of little clinical use. However, subendocardial ring-shaped enhancement lesions can be seen on the delayed cardiac MRI of this patient.
On the echocardiogram, there are some subtle changes, including thickening of the whole heart and irregular echoes in the myocardium.
Zheng Ren began to recall similar medical case reports.