After Chen Cang left, Zhao Xing murmured, but... Thinking that Chen canggang was obviously worried and nervous, he watched the film carefully.
Is it true that you didn''t find any abnormal signals?
But... Chen Cang, you are an emergency department doctor. Your good operation doesn''t mean you are good at watching movies?
After all, the technology industry has a specialty!
Zhao Xing could not help but make complaints about it.
However, he looked at the film carefully!
Sure enough, he was stunned after changing several films one after another!
What is the case with this... Slight enlargement of the upper right edge?
Doesn''t it seem normal?
Zhao Xing really hasn''t seen it. Thinking of it, he quickly got up and began to read the reference book.
I don''t know what happened after watching it for a long time!
Suddenly, Zhao Xing felt more uneasy.
Does Chen Cang really understand images?
Have you seen anything wrong?
Thinking of this, Zhao Xing was a little uneasy.
Why don''t you... Apologize to Chen Cang?
incorrect!
To apologize to Chen Cang is to apologize to the patient
Zhao Xing thought of this. In fact, he already blamed himself. He really should deal with it.
Thinking of this, he rushed out a film and a report:
"The size of the heart shadow is normal, and there is an abnormal bulge on the upper right edge to be checked?
Consider:
It is recommended to complete the diagnosis by cardiac CT... "
After writing, Zhao Xing hurriedly got up and ran to the emergency room.
Although Chen Cang now suspects that the little girl has congenital transposition of the great arteries with intracardiac malformations, he is still not very sure.
Now we should improve the relevant diagnosis as soon as possible.
Zhao Xing can''t find that Chen Cang doesn''t blame him. After all, there is a gap in his level, so he hopes to find director Shi Tao to discuss it together.
Even Chen Cang took the initiative to step down the other party, saying that the child''s posture may not be well placed, and took the initiative to help set it well.
However, Zhao Xing did not understand Chen Cang''s meaning at all. Instead, he felt that Chen Cang questioned his technology and deliberately made Chen Cang difficult, which is somewhat unreasonable.
It''s reasonable to say that as a medical worker, you should work together, but Chen Cang has repeatedly reminded you that it''s unreasonable for you to play 258 like this.
The most important thing for you to be a doctor is to be responsible to the patient and not to live up to the patient''s trust!
Maybe if it weren''t Chen Cang, another doctor and left with the report given by Zhao Xing, it might be all right.
For example, Luozhou can''t find the situation. After all, you are not an imaging major. Compared with your own ability, you will certainly trust the judgment and conclusions of other professional doctors!
Well, a few years later, the patient suddenly relapsed, and may not blame Zhao Xing. After all, the examination results are limited.
If the patient is in an emergency, he may not only do a chest film, but also improve the relevant examination.
Speaking of it, some doctors don''t take small examinations such as chest films seriously. Empiricism is prevalent, or they don''t read them carefully at all.
However, as an examination doctor, we should try our best to complete our responsibilities and obligations, diagnose patients clearly, and at least remind them.
This is at least respect for your signature pen!
……
Zhao Xinggang just went out, suddenly thought about it and turned back.
After all, now that I sent this report, I pushed my responsibility, but... I can''t make a clear diagnosis. Chen Cang is not professional. It''s better to ask those experts to see if I can make a diagnosis.
Although their delay is a delay, but at least can give the patient an explanation!
It can also let Chen cangming know how the patient is.
Thinking of this, he picked up the phone and dialed an expert.
I muttered, Chen Cang, Chen Cang, I''m not afraid of you. I''m thinking about patients!
This was the director of an imaging major he knew when he was studying at the General Academy of Shenyang Military Region. He had a lot of research on chest films.
He had a good relationship with director Xu at that time. Thinking of this, he directly dialed director Xu''s wechat.
"Director Xu, Hello, this is Zhao Xing! Well, I''m sorry to bother you. There''s something I want to ask. It''s a little girl''s chest film. I feel no problem after watching it, but... I always feel something wrong. Please help me."
After hanging up, Zhao Xing took photos with his mobile phone and sent them to yifannao.
After a few minutes, the other party took the initiative to call.
"Zhao Xing, this photo... Eech? No! What a strange heart shadow. It seems normal, but... I always feel a bit like the dislocation of the great arteries. Looking at the bulge on the upper right edge, does it look like the great arteries? This arcuate bulge is not available to most people... It''s possible! It''s probably the chest film called the dislocation of the great arteries of the heart!"
"This is a rare case. You''d better follow it and tell me the results."
Hearing what director Xu Nan said, Zhao Xing was stunned!
Sure enough, there is a problem!
And it''s a big problem!
Transposition of the great arteries?
This... Is a fatal disease!
Thinking of this, Zhao Xing blushed, ashamed and frightened!
Such a film says it''s okay?
Thinking of this, Zhao Xing wanted to slap himself!
If the patient misses the best operation period for his own reasons, it is his own fault.
Moreover, thinking of Chen canggang''s words, Zhao Xing was terrified for a time and couldn''t help blaming himself.
Shit, Zhao Xing, Zhao Xing, what are you playing with? 25.8 million?
How much is it really?
It would be a great sin to delay the little girl of others.
He never thought that behind a seemingly ordinary film, there was such a huge problem!
Thinking of this, Zhao Xing was extremely ashamed, but he also blamed himself!
Hurriedly reprinted the report.
According to Xu Nan''s speculation, he wrote it, got up in a hurry and ran to the emergency room.
Keep praying in my heart, little girl, don''t leave. I''ll blame myself all my life if I leave.
The more anxious he was, the more worried Zhao Xing became. He even began to sweat behind his back.
My heart is constantly swearing that after this time, I must be serious and serious again!
Today he really realized what is called:
Practicing medicine is like facing an abyss. Every step should be like walking on thin ice!
It''s really like this!
……
……
Chen Cang has returned to the emergency department and said to Lu Jie, "there is still something wrong with the child''s condition. Her long-term chest tightness is related to the bleeding and obstruction of this large blood vessel!
This situation is good when I was a child and older. With the continuous improvement of heart function, there will be various situations. "
"So I still suggest that we do a cardiac ultrasound to make a clear diagnosis. What do you think?"
Lu Jie didn''t speak. Yang Kaihua said, "OK, OK, no problem, doctor, you are professional. We can do whatever we should do!"
Lu Jie also nodded and didn''t speak.
What Chen Cang said to her just now, she had been worried for a long time. Looking back on her life, she really had many different situations. Sometimes, she even woke up in the middle of the night and covered her chest for a long time!
At first, Lu Jie thought it was the child''s nightmare. After all, she did have it after her father left, but
Now hearing Chen Cang say so, it suddenly became clear.
Lu Jie took a distressed look at the little girl. She tooted her mouth and looked at Chen Cang. She thought to herself that you violated our agreement!
Chen Cang smiled awkwardly when he saw the little girl.
Before long, Shi Tao came. He was in the family building of the hospital.
Seeing Chen Cang with a group of patients, Shi Tao asked, "director Chen, what''s going on?"
Lu Jie, Yang Kaihua and others heard that Shi Tao called Chen Cang director. Although their faces were silent, they actually had more trust in their hearts.
After all, in the hearts of patients, the word director still has a lot of weight.
Chen Cang said, "director Shi, take a look at this film. The patient is this little girl with a long history of chest tightness..."
Shi Tao glanced at the little girl, immediately took the film and looked at it carefully. After a moment, Shi Tao immediately frowned.
"It''s a strange bulge. Have you done any other checks?"
Chen Cang shook his head: "wait for the color Doppler ultrasound room to come and do a color Doppler ultrasound."
With that, Shi Tao pulled Chen Cang into the office: "Xiao Chen, do you have an ECG?"
Chen Cang nodded and handed over the ECG. As soon as Shi Tao saw it, he immediately patted the table: "it''s probably that..."
Chen Cang asked, "dislocation of the great cardiac artery with intracardiac malformation?"
Shi Tao was stunned: "how do you know?"
After all, Chen Cang is a doctor in the emergency department. He is also famous for surgery. This rare disease can be diagnosed by film alone, which is powerful!
Thinking of this, Shi Tao was naturally shocked.
This disease is very rare because of the dislocation of the great cardiac artery and intracardiac malformation.
Even he occasionally met once or twice. At that time, he almost didn''t take it seriously because of empiricism. Later, fortunately, the old director saw him, blamed him and made a new diagnosis.
Later, the patient was diagnosed as such a serious heart malformation operation!
To this end, Shi Tao wrote all his life and was very impressed.
But... How could Chen Cang know?
You know, you don''t have enough experience and appointment history for this kind of film. You can''t think of it at all.
Looking at Chen Cang, Shi Tao was surprised.
At this time, Zhao Xing hurried in, panting and blushing. Seeing director Shi Tao also there, he immediately blushed and felt a little embarrassed.
Zhao Xing ignored the others and said to Chen Cang, "director Chen, the patient hasn''t left?"
Chen Cang was stunned: "what''s the matter?"
Zhao Xing made a direct apology and said, "well... Director Chen, I''m really sorry. For my reason, I was a little careless just now. I looked at the film carefully and found that it was really confused. Empiricism. Hey... I gave a set of films and typed the report again."
"By the way, the patient hasn''t left! I asked an expert. This little girl may have a serious heart malformation with transposition of large blood vessels. We must stop her and improve the relevant examination. Don''t delay her!"
Speaking of this, Zhao Xing''s voice was eager.
Hearing Zhao Xing''s words, Chen Cang was relieved.
After Zhao Xing finished, he looked at Shi Tao: "director Shi, today is my problem. I will review myself."
Shi Tao was stunned: "what''s the problem?"
Zhao Xing was stunned. He thought that Chen Cang came to Shi Tao to complain. Unexpectedly, Chen Cang... Didn''t mention a word.
Thinking of this, Zhao Xing felt even more embarrassed.
Looking back carefully, director Chen has given himself enough face, but he
Hey!
Thinking of this, Zhao Xing didn''t want to fool things over, but looked at Chen Cang and said, "director Chen, today''s thing is my responsibility. After encountering this case, I shouldn''t make empirical mistakes, let alone fool the past. This is my dereliction of duty. Director Shi, I will seriously reflect on my shortcomings when I go back. I hope I can be forgiven by director Chen."
After that, Zhao Xing handed over the report: "director Chen, after you left just now, I''ll contact director Xu Nan of the General Hospital of Shenyang Military Region. He suspects that the protruding heart shadow is the artery of heart dislocation. He suspects that it is a congenital deformed heart!"
"So, director Chen, we have to find out the patient''s situation as soon as possible. The girl is still young and has been delayed for a lifetime because of my problem!"
Speaking of this, Zhao Xing''s face was full of remorse.
In the final analysis, he understood that he was still a doctor.
Compared with their own mistakes, the patient''s health is more important. After all, it''s a seven or eight year old girl!
Shi Tao as like as two peas in sequence of events, Zhao Xing made a mistake in his own first year. He seemed to be simple and ordinary.
Thinking of this, Shi Tao sighed: "director Zhao, you''d better thank director Chen!"
"If it weren''t for him, you would really blame yourself all your life!"
Shi Tao Chen Cang''s calm face sighed: "when director Chen saw the film, he suspected that it was the dislocation of the great arteries of the heart combined with cardiac malformation!"
Hearing this, Zhao Xing stared.
Is that so?
Chen Cang... Isn''t he a surgeon?
Surgeons know so much about images?
This is Chen Cang... No, it''s director Chen!
Director Chen is too awesome, isn''t he?
What else can''t he?!
At this time, Chen Cang shook his head and said, "it''s all right. In fact, this heart shadow is quite special. Most people can''t see it. Director Zhao doesn''t have to blame himself."
Zhao Xing is not young. He is in his forties. Chen Cang knows that he is sometimes easy to get excited. He is still too young.
Shi Tao took a look at Zhao Xing.
"Director Zhao, I hope to give you an alarm about this. Empiricism can''t work. We should pay attention to it in the future. Medicine can''t be careless or careless. It''s not too much to walk on thin ice. You''d better thank director Chen more."
Zhao Xing nodded.
Before long, the color Doppler ultrasound doctor came.
Chen Cang hurriedly brought the little girl in and made a color Doppler ultrasound for her.
While doing it, the more shocked the color Doppler ultrasound doctor is!
"Director Chen, director Shi! This... The aorta is located in the left front of the pulmonary artery, and a huge circumference can be seen on the tough surface of the long axis of the left atrium... Located below the pulmonary artery!"
"Also... This is a deformity of the ventricular septum. It should not be covered by the tricuspid valve. This is an abnormality of blood flow..."
After that, she said, "this may be a patient with developmental SLL physiological large artery converted to ventricular septal malformation!"
"It may still be in the development stage!"
As soon as this remark came out, everyone was silent!
right enough!
……
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Two in one, written together... Don''t introduce.