This doctor is great

Chapter 66 Ultrasound B Teacher Chen: I just introduced you, I didn't let you go beyond!
a new day,
on Monday,

Routine ward rounds in the Department of Cardiology.

Zhou Mo started to get up at 7:00, brushed his teeth and washed his face, and then went to the school cafeteria to have breakfast. On the way, two school girls added WeChat, and walked 2 minutes to the cardiology department after breakfast.

Ward rounds, 28, 29 beds.

The 28-bed Qin Xiong (dilated cardiomyopathy) is going to be discharged from the hospital today. Director Niu has agreed. After the big rounds are over, Zhou Mo needs to go through the discharge procedures for him.

Bed 29, Li Mei, to be determined is "X Syndrome".

Zhou Mo came to the Cardiology Department, put on a white coat, a blue pen in his breast pocket, a 3m Rolls-Royce stethoscope, and a notebook, and walked into the ward.

I did a simple ward round for 29-bed Li Mei to see if there was any change.

No check.

Then go back to the consulting room, start watching the ppt, review it, and report it when the next department makes a round.

……

8:30,

Professor Qi, the administrative director of the department, arrived at the Department of Cardiology.

The big rounds began.

It's still a conference room.

Nearly a hundred doctors were sitting and standing.

"The case I reported is a 3-bed, male, 45 years old..."

"The case I reported is 12 beds, female, 38 years old..."

In recent years, patients in the Department of Cardiology have gradually become younger, and some 27 to [-] already have coronary heart disease.

quickly,

It's time for Zhou Mo to report.

"Hi everyone, my name is Zhou Mo..."

On the podium, Zhou Mo operated the computer and projected the ppt onto the big screen.

"The case I reported today is bed 29, female, Li *, 43 years old..."

"........."

Zhou Mo reported the case, including the physical examination (neck, cervical spine, lungs, heart, intestines, etc.), and reported it in detail.

"At present, the real cause has not been determined."

Introduced here,
Many doctors are still expressionless.

But soon Zhou Mo turned to the next page of the ppt.

B-ultrasound screenshot.

"The patient went to many hospitals and still couldn't find the cause, so I started looking for rare diseases...I ruled out the broken heart syndrome, and then thought of X syndrome..."

"Then, I used a bedside B-ultrasound on the patient, measured the patient's coronary artery, and found a problem."

"The patient's blood flow classification is only TIMI grade 2 flow, which can fill the entire coronary artery, but compared with normal blood vessels, the blood flow velocity is slower, and the blood flow velocity is..."

"and many more!"

At this moment,
Mr. Zhang (one of the three), a teacher who uses B-ultrasound in the cardiology department, interrupted suddenly.

"Can you do ultrasound? Measure blood flow?"

Full of doubts.

Because he knows the difficulty.

All the doctors lifted their spirits and focused their eyes on Zhou Mo.

Zhou Mo grinned.

"Thanks to Teacher Chen's patient teaching, I have mastered its application method..."

Teacher Chen?

Old Chen?

B-ultrasound teacher Chen looked blank: "I will teach you? But I have only taught you for three days..."

Zhou Mo said 'shyly': "It's very important to bring it in..."

Teacher Chen:"………………"

Are you kidding me? !

I just introduced you to it, and didn't let you go beyond it!
But Mr. Chen took a look at the screenshot of the B-ultrasound. The layman looked at it completely confused, but the insider looked at it with technical content.

There are a lot of data in those B-ultrasound screenshots, and the timing of the measurement and screenshots is correct.

Colors showing blood flow velocity are also clear.

Anyway,

To an insider, this screenshot is a high-quality color ultrasound report.

But after thinking about it, Teacher Chen thinks that the biggest possibility is that Zhou Mo has studied this in school.

That's the only explanation.

Professor Qi, the chief director: "Xiao Chen, how about the B-ultrasound report?"

Teacher Chen said truthfully: "The quality is very high."

"Really? Could it be that our department has another teacher who can do B-ultrasound? This is a good thing." Professor Qi looked at Zhou Mo with a smile on his face.

at this time,

Many doctors in the entire department looked at Zhou Mo differently.

There is another thought in my heart that I want to deal with Zhou Mo well.

In the Department of Cardiology, there are only 3 doctors who can do B-ultrasound.

Lack of resources.

Usually, patients need to be sent to the downstairs clinic for B-ultrasound examination. It is too troublesome and they have to wait in line for several days.If you can find a B-ultrasound doctor in your own department, it will be much simpler and more convenient.

……

After half a minute,

The atmosphere cooled down a bit.

Zhou Mo continued to report cases:

"Currently based on the classification of coronary blood flow, I judge that the patient's disease should be - Syndrome X."

"In order to make a further diagnosis, the patient has already made an appointment for a coronary CT angiography at 11:30 this morning. If the coronary CT angiography is confirmed, the diagnosis can be confirmed."

"Here, let's review Syndrome X with everyone."

"Syndrome X. In 1967, Likoff first reported a group of patients with angina pectoris and normal ECG coronary angiography. In 1973, Kemp first named this syndrome Syndrome X..."

This can also be regarded as a feature of the major ward rounds of the Department of Cardiology. For special cases, a historical review is required to strengthen the consolidation of this case by other doctors.

"Typical symptoms of this condition are..."

Zhou Mo spoke eloquently on the stage for about 6 minutes.

At last,
End debriefing.

Zhou Mo looked at Professor Qi.

Professor Qi said with a smile: "This case is not bad. Syndrome X is also worthy of our attention. Did we have similar patients in the past, and we didn't find the cause, and then thought it was a mental illness? Everyone go back and take a good look..."

Many cardiologists were in deep thought.

Looking back on the previous patients, I did encounter one or two similar patients more or less, because the cause could not be found, and then they were pushed to the psychiatry department.

Now that I think about it, it might be Syndrome X.

(It’s not that they don’t understand Syndrome X, but that there are thousands of heart diseases, and sometimes they miss it and don’t do the investigation.)
……

10:40,

The big rounds are over...

Zhou Mo, Huang Yiming, and Huang Xinyi walked out together.

"What? Your face is smelly?" Zhou Mo looked at Huang Yiming puzzled.

Huang Yiming looked up, crying: "Last night I stayed up at 1 o'clock and read a lot of information on Syndrome X. I was waiting for this morning's rounds to surprise everyone in one fell swoop, but...the director didn't even ask!"

Huang Xinyi: "Who isn't?"

at this time,

When the doctors passed by Zhou Mo, they greeted Zhou Mo one after another.

"Doctor Zhou, let's have a meal together when you are free..."

"Doctor Zhou, I'll add you on WeChat, add me..."

All of them are very enthusiastic.

this moment,
Zhou Mo's department status +1+1+1...

The other medical students were drooling with envy at this moment.

……

11:30,

Zhou Mo brought the patient Li Mei to the interventional diagnosis and treatment center of the Department of Cardiology.

"Here you come? This is the patient suspected of Syndrome X." Brother Zhao Xin greeted Zhou Mo when he saw him. (Student of Associate Professor Lu Tongshan)
"Yes, Li Mei in the 29th bed... Senior Brother Zhao, are you doing the examination?"

"Yes, I'll do it."

"sorry to bother you."

After 10 minutes, pre-coronary angiography preparations were completed.

Inject contrast agent...

The contrast agent travels along the blood vessels all the way to the coronary arteries...

After 5 seconds,

"Hmm... it's a bit slow..."

Brother Zhao Xin said with certainty.

Zhou Mo asked humbly: "Senior brother, what do you say?"

Senior Brother Zhao Xin pointed to the contrast screen: "You can count your heartbeats and see how long it takes for the contrast agent to go through the coronary arteries..."

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ps: Recommendation ticket, monthly ticket feeding port...

　Women's football champion, awesome! !

　　In the second half of yesterday, from nervousness to excitement, to the exhilarating shout of 94 points at the end.

　　Cool fly!
　　
　
(End of this chapter)