This doctor is great
Chapter 68 Damn it, I want to pretend too!
Chapter 68 Damn it, I want to pretend too!
After a while,
Zhou Mo counted carefully.
Zhou Mo: "It takes 3 heartbeats for the contrast medium to go through one coronary artery..."
Senior brother Zhao Xin nodded: "To be precise, it should be a little more than 3 heartbeats... and for most patients, even those with severe cardiovascular stenosis, the time it takes for the contrast agent to be used from the beginning to the end when doing an angiography , generally no more than 2 heartbeats, and it will disappear soon..."
Zhou Mo smiled suddenly: "That is to say, it is certain that the blood flow is slow, right..."
Senior brother Zhao Xin: "That's right, the blood flow is too slow."
That is,
Definitely Syndrome X! !
Zhao Xin: "However, the patient's condition is not serious. I checked the records of our hospital after I just came back after the big rounds. The slowest patient jumped 6 times..."
These words were obviously intended for Li Mei, the patient on the 'bed'.
Because the coronary angiography is minimally invasive, the patient Li Mei did not need anesthesia and was awake. After hearing what Brother Zhao Xin said, she was obviously relieved.
Zhou Mo nodded.
Now that it is determined to be "X Syndrome",
This also explains why Li Mei has the symptoms of angina pectoris.
Because the blood cannot be effectively transported for a long time, the nutrients needed by the myocardium cannot be obtained in time, resulting in myocardial ischemia.
"Doctor, are you sure it's Syndrome X?" Li Mei asked nervously.
"It's basically confirmed... I will do a few tests later, but in fact, they are not as accurate as the imaging in front of me (gold standard?)... Of course, these few can not be done." Zhou Mo said.
(Actually, it is better to do a new contrast imaging. After using nitroglycerin, papaverine and other cardiovascular dilating drugs, the blood flow speed is accelerated, which can be finally proved. However, because the contrast medium has certain side effects, it cannot be repeated , you need to do it on the next date.)
"Thank you doctor..."
Li Mei burst into tears with excitement.
"Thank you, Dr. Zhou! Thank you, Dr. Zhou!"
In the past 4 years, I have been hit repeatedly and even diagnosed as 'mentally ill'!
And now,
I'm finally sure, I'm not mentally ill!
From then on, keep the clouds open to see the moonlight!
"Great……"
Li Mei was excited. At this moment, her mood was as if the sky was clear and clear.
Send Li Mei back to bed 28.
Li Mei: "Doctor Zhou, how can I treat my disease in the future?"
Zhou Mo: "Syndrome X, in fact, there is no special treatment, you just need to use drugs that dilate coronary arteries, increase coronary blood flow, and improve blood supply to the heart..."
Li Mei was confused: "No, I used nitroglycerin before, why didn't it work?"
Zhou Mo nodded: "This is normal. The effect of each medicine is not stable, and there are individual differences. You need to try the same one... I will prescribe several medicines for you, and you try them one by one, and then you can see what kind of medicine you have. See which one is more suitable, I will use that one in the future... nitroglycerin can be used..."
Li Mei nodded repeatedly: "Understood, thank you Doctor Zhou..."
Zhou Mo left the ward.
Li Mei quickly took out her phone and started calling relatives and friends to tell them the good news.
She is not mentally ill!
"Husband, I have good news for you..."
"Let me also tell you news, let's get divorced..."
"........."
……
noon,
When eating,
Around the table where Zhou Mo eats, there are more residents and attending doctors.
"Doctor Zhou, I heard that the patient with Syndrome X has been diagnosed?"
"Yes, confirmed."
"Doctor Zhou is amazing."
"Doctor Zhou, if there is any case in the future, can I ask you for an echocardiogram?"
"sure……"
A harmonious and lively.
Their name for Zhou Mo has begun to evolve from 'Little Zhou' to 'Doctor Zhou'.
The attitude also changed from indifference to enthusiasm.
In fact, Zhou Mo did not take the corresponding qualification examination and did not obtain the certificate (CDFI examination). Zhou Mo's B-ultrasound results cannot be used as the final judgment of the condition, but can only be used as a reference for doctors.
However, this is still very useful for cardiologists and can greatly reduce time costs.
"Ding dong..."
"Ding dong..."
At this moment, everyone's cell phones rang.
Kone large group,
"@all members,"
"Everyone, 10 medical students have entered our Department of Cardiology and completed the third week. The scoring and ranking session that we love to hear and see, begins..."
"The ratings and rankings are as follows:"
——No.1: Zhou Mo, with a comprehensive score of 100 points, evaluation: the thesis has been opened, and the depth is very high. At the same time, he is proficient in clinical practice and can do B-ultrasound...
——No.2: Wang Lilong...
——No.3: Chen Xiyin...
——No.4: Huang Yiming...
——No. 5: ...
……
——No.9: Zhangwu...
——No.10: Ye Rong...
Zhou Mo was stunned for a moment.
Huang Yiming actually ran fourth, the thesis started?
But I also feel sorry for Zhang Wu and Ye Rong for 1 minute.
In the first week, these two were still No. 3 and No. [-].
It's only the third week, and it's at the bottom!
This side shows that the learning ability of Xueba and Xueshen is still very strong, especially after the crazy introversion, now Xueba Xueshen has made up for the shortcomings in clinical experience, and with the blessing of thesis topics, they have gradually surpassed Zhang Wu and Ye Rong.
Huang Yiming smiled triumphantly.
He has improved, No.4!
It is only behind Wang Lilong and Chen Xiyin, the two SYS eight-year academic gods.
"By the way, in the early hours of this morning, the world preliminaries match between Saudi Arabia and the National Football Team is about to begin. Do you guys want to watch it?"
At this moment,
Dr. Ren Hua, a resident doctor who has always liked football, said suddenly.
"Don't look, I have to go to work tomorrow..."
"I'm on duty tonight, but I don't want to watch..."
"Don't look at it, you will definitely lose..."
"I don't watch it, but I bought football lottery. Saudi Arabia handed over a goal. The national football odds are 2.07...but I bought Saudi Arabia..."
"Yes, buying Saudi Arabia will definitely make money!"
quickly,
The focus of discussion of everyone in the duty room is on the national football team, and they are all discussing buying sports lottery.
Needless to say, it must be unified to buy Saudi Arabia to win.
Sell the national football team and earn a villa!
Buy national football, lose underwear!
Zhou Mo thought for a while, then said to Doctor Ren Hua:
"Brother, help me buy a copy, 50 yuan, one goal, buy the national football team and lose, then I will transfer the money to you..."
This opportunity to make money cannot be missed.
……
in the afternoon,
At 14:30, the patient Qin Xiong was discharged from the hospital, and Qin Xiong was discharged.
28 beds, initially vacant.
The aunt disinfected, mopped the floor, and then rearranged new quilts.
When Zhou Mo was bored,
The phone at the nurse's station rang.
Not long after that, Dr. Huang Li walked into the duty room, took a glance, and saw Zhou Mo.
"Zhou Mo, follow me to the emergency department for a consultation!"
Zhou Mo suddenly lifted his spirits!
"Okay, right now!"
The other medical students showed envious eyes one by one!
Damn it,
Zhou Mo is going to pretend again!
I want to go too!
.
(End of this chapter)
After a while,
Zhou Mo counted carefully.
Zhou Mo: "It takes 3 heartbeats for the contrast medium to go through one coronary artery..."
Senior brother Zhao Xin nodded: "To be precise, it should be a little more than 3 heartbeats... and for most patients, even those with severe cardiovascular stenosis, the time it takes for the contrast agent to be used from the beginning to the end when doing an angiography , generally no more than 2 heartbeats, and it will disappear soon..."
Zhou Mo smiled suddenly: "That is to say, it is certain that the blood flow is slow, right..."
Senior brother Zhao Xin: "That's right, the blood flow is too slow."
That is,
Definitely Syndrome X! !
Zhao Xin: "However, the patient's condition is not serious. I checked the records of our hospital after I just came back after the big rounds. The slowest patient jumped 6 times..."
These words were obviously intended for Li Mei, the patient on the 'bed'.
Because the coronary angiography is minimally invasive, the patient Li Mei did not need anesthesia and was awake. After hearing what Brother Zhao Xin said, she was obviously relieved.
Zhou Mo nodded.
Now that it is determined to be "X Syndrome",
This also explains why Li Mei has the symptoms of angina pectoris.
Because the blood cannot be effectively transported for a long time, the nutrients needed by the myocardium cannot be obtained in time, resulting in myocardial ischemia.
"Doctor, are you sure it's Syndrome X?" Li Mei asked nervously.
"It's basically confirmed... I will do a few tests later, but in fact, they are not as accurate as the imaging in front of me (gold standard?)... Of course, these few can not be done." Zhou Mo said.
(Actually, it is better to do a new contrast imaging. After using nitroglycerin, papaverine and other cardiovascular dilating drugs, the blood flow speed is accelerated, which can be finally proved. However, because the contrast medium has certain side effects, it cannot be repeated , you need to do it on the next date.)
"Thank you doctor..."
Li Mei burst into tears with excitement.
"Thank you, Dr. Zhou! Thank you, Dr. Zhou!"
In the past 4 years, I have been hit repeatedly and even diagnosed as 'mentally ill'!
And now,
I'm finally sure, I'm not mentally ill!
From then on, keep the clouds open to see the moonlight!
"Great……"
Li Mei was excited. At this moment, her mood was as if the sky was clear and clear.
Send Li Mei back to bed 28.
Li Mei: "Doctor Zhou, how can I treat my disease in the future?"
Zhou Mo: "Syndrome X, in fact, there is no special treatment, you just need to use drugs that dilate coronary arteries, increase coronary blood flow, and improve blood supply to the heart..."
Li Mei was confused: "No, I used nitroglycerin before, why didn't it work?"
Zhou Mo nodded: "This is normal. The effect of each medicine is not stable, and there are individual differences. You need to try the same one... I will prescribe several medicines for you, and you try them one by one, and then you can see what kind of medicine you have. See which one is more suitable, I will use that one in the future... nitroglycerin can be used..."
Li Mei nodded repeatedly: "Understood, thank you Doctor Zhou..."
Zhou Mo left the ward.
Li Mei quickly took out her phone and started calling relatives and friends to tell them the good news.
She is not mentally ill!
"Husband, I have good news for you..."
"Let me also tell you news, let's get divorced..."
"........."
……
noon,
When eating,
Around the table where Zhou Mo eats, there are more residents and attending doctors.
"Doctor Zhou, I heard that the patient with Syndrome X has been diagnosed?"
"Yes, confirmed."
"Doctor Zhou is amazing."
"Doctor Zhou, if there is any case in the future, can I ask you for an echocardiogram?"
"sure……"
A harmonious and lively.
Their name for Zhou Mo has begun to evolve from 'Little Zhou' to 'Doctor Zhou'.
The attitude also changed from indifference to enthusiasm.
In fact, Zhou Mo did not take the corresponding qualification examination and did not obtain the certificate (CDFI examination). Zhou Mo's B-ultrasound results cannot be used as the final judgment of the condition, but can only be used as a reference for doctors.
However, this is still very useful for cardiologists and can greatly reduce time costs.
"Ding dong..."
"Ding dong..."
At this moment, everyone's cell phones rang.
Kone large group,
"@all members,"
"Everyone, 10 medical students have entered our Department of Cardiology and completed the third week. The scoring and ranking session that we love to hear and see, begins..."
"The ratings and rankings are as follows:"
——No.1: Zhou Mo, with a comprehensive score of 100 points, evaluation: the thesis has been opened, and the depth is very high. At the same time, he is proficient in clinical practice and can do B-ultrasound...
——No.2: Wang Lilong...
——No.3: Chen Xiyin...
——No.4: Huang Yiming...
——No. 5: ...
……
——No.9: Zhangwu...
——No.10: Ye Rong...
Zhou Mo was stunned for a moment.
Huang Yiming actually ran fourth, the thesis started?
But I also feel sorry for Zhang Wu and Ye Rong for 1 minute.
In the first week, these two were still No. 3 and No. [-].
It's only the third week, and it's at the bottom!
This side shows that the learning ability of Xueba and Xueshen is still very strong, especially after the crazy introversion, now Xueba Xueshen has made up for the shortcomings in clinical experience, and with the blessing of thesis topics, they have gradually surpassed Zhang Wu and Ye Rong.
Huang Yiming smiled triumphantly.
He has improved, No.4!
It is only behind Wang Lilong and Chen Xiyin, the two SYS eight-year academic gods.
"By the way, in the early hours of this morning, the world preliminaries match between Saudi Arabia and the National Football Team is about to begin. Do you guys want to watch it?"
At this moment,
Dr. Ren Hua, a resident doctor who has always liked football, said suddenly.
"Don't look, I have to go to work tomorrow..."
"I'm on duty tonight, but I don't want to watch..."
"Don't look at it, you will definitely lose..."
"I don't watch it, but I bought football lottery. Saudi Arabia handed over a goal. The national football odds are 2.07...but I bought Saudi Arabia..."
"Yes, buying Saudi Arabia will definitely make money!"
quickly,
The focus of discussion of everyone in the duty room is on the national football team, and they are all discussing buying sports lottery.
Needless to say, it must be unified to buy Saudi Arabia to win.
Sell the national football team and earn a villa!
Buy national football, lose underwear!
Zhou Mo thought for a while, then said to Doctor Ren Hua:
"Brother, help me buy a copy, 50 yuan, one goal, buy the national football team and lose, then I will transfer the money to you..."
This opportunity to make money cannot be missed.
……
in the afternoon,
At 14:30, the patient Qin Xiong was discharged from the hospital, and Qin Xiong was discharged.
28 beds, initially vacant.
The aunt disinfected, mopped the floor, and then rearranged new quilts.
When Zhou Mo was bored,
The phone at the nurse's station rang.
Not long after that, Dr. Huang Li walked into the duty room, took a glance, and saw Zhou Mo.
"Zhou Mo, follow me to the emergency department for a consultation!"
Zhou Mo suddenly lifted his spirits!
"Okay, right now!"
The other medical students showed envious eyes one by one!
Damn it,
Zhou Mo is going to pretend again!
I want to go too!
.
(End of this chapter)
You'll Also Like
-
American comics: Kamen Rider who started from behind the scenes
Chapter 192 8 hours ago -
After ten years of seclusion, he forced the demon queen to marry him
Chapter 172 8 hours ago -
Report! There is a magician performing magic here
Chapter 185 8 hours ago -
Naruto: Start with the Nine-Tails and take the Seventh Hokage as his apprentice!
Chapter 185 8 hours ago -
Are you crazy? You wrote a three-line poem for the exam essay?
Chapter 86 8 hours ago -
At the beginning, he rescued Qin Shi Huang and discovered the identity of the prince.
Chapter 62 8 hours ago -
Football: Ronaldo leaves the team, and I become the top player of Real Madrid!
Chapter 90 8 hours ago -
People in the Primordial World: Starting with the Possession of Zhen Yuanzi
Chapter 129 8 hours ago -
Everyone's job change: I become the forbidden plundering god
Chapter 77 8 hours ago -
One Piece: Evolution from the Dagger
Chapter 141 8 hours ago