Chapter 815: A Rigorous Scholarship
The large Imaging Department was divided into X-ray, CT, nuclear MRI, and ultrasound. However, the Ultrasound Department of a general hospital was listed separately. Although it was also an Imaging Department, it was outside of the Imaging Department.
Perhaps it was because there was no radiation, or perhaps it was that way since the ultrasound was first introduced in China.
It was just like how spinal surgery in Europe was performed by the Department of Neurosurgery, but in China, it was done by the Department of Orthopedics.
Some hospitals combined X-ray, CT, and nuclear MRI into a large Imaging Department, while some hospitals were separated.
The 912 separated. Chief Chu was the chief of CT and nuclear MRI.
Zheng Ren had previously done 64 CT three-dimensional reconstructions and had communicated with Chief Chu. He had also come here before, so he went straight to the door of the chief’s office and gently knocked on the door.
It was quiet inside.
‘Oh? Chief Chu isn’t around at this time?’
Zheng Ren tried knocking on the door twice, but no one answered.
He did not expect to miss them. This time, Zheng Ren was in trouble. He had not contacted Chief Chu beforehand. This was a big mistake.
While he was self-reviewing, he was considering whether he should look for Dr. Liang, Chief Chu’s student, to solve this problem.
It was better to look for him first. Su Yun was also busy, and it was very important.
Zheng Ren had always been a little forced. He had thrown so much work to Su Yun, but he still looked for him no matter what. It was a little unreasonable.
Although he had the name of boss, if he threw everything to Su Yun, that guy would kill him.
Doctor’s office… Office… Office..
The doctor’s office in the CT room was mostly called the radiographic film viewer. It was the place where CT and nuclear magnetic resonance imaging doctors read radiographic films and came up with a diagnosis.
Zheng Ren found the radiographic film viewer. Through the crack in the door, he saw seven or eight doctors gathered in front of the radiographic film viewer, discussing something.
The person in the middle was Chief Chu.
He finally found him. Zheng Ren hurriedly knocked on the door. Although no one would hear the knocking and no one would pay attention to his actions, Zheng Ren still knocked on the door obediently before entering.
Chief Chu looked at the radiographic films and whispered something.
Zheng Ren walked to the back and took a glance at the radiographic films first.
It was coronary artery 256-CT. The three coronary arteries were very smooth and did not look like coronary heart disease. However, what were Chief Chu and the others thinking about when they looked at the radiographic films that were almost normal?
“h.e.l.lo, Chief Chu.” Although Zheng Ren knew that it was not good to interrupt the other party’s train of thought, the patient from the Department of Digestive Medicine was waiting for a check-up. He thickened his skin and came quickly.
Chief Chu was a little unhappy, but when he turned around and saw Zheng Ren, he immediately smiled.
He grabbed Zheng Ren’s arm from amidst the crowd and pulled him over. He asked, “Boss Zheng, come, come, come.”
‘Uh…’ Zheng Ren was stunned for a moment.
“Come and take a look. Let’s see what’s wrong with this patient,” Chief Chu said, rudely dragging Zheng Ren to his side.
“I…”
“Hurry up and look at the film. We’ll talk after you’re done,” Chief Chu was a little overbearing and directly interrupted Zheng Ren. “This is the first user of the new 3D reconstruction method for 64-slice CT, Zheng Ren.”
Chief Chu saw that the doctors around him were very puzzled, so he introduced them.
The surroundings of the radiographic film viewer quieted down. This very young junior doctor was actually the famous Boss Zheng.
One really could not judge a book by its cover.
Everyone said that Boss Zheng was not old, but who would have thought that he was so young.
Zheng Ren was also very curious. The 256-CT scan of the coronary artery mainly looked at the coronary artery. The radiographic films showed that the coronary artery was very smooth and there were no problems with the image. What was Chief Chu and the others doing here?
Wait a minute… There seemed to be something wrong with the myocardial reconstruction image.
“Chief Chu, the coronary artery is fine, but there seems to be a problem with the heart muscle,” Zheng Ren said as he looked at the radiographic films on the viewer.
“Xiao Liang, tell Boss Zheng about the condition.”
Dr. Liang stood to the side and responded. He held a stack of papers in his hand and began to read the key points.
The patient was a 32-year-old male patient. Six months ago, he showed signs of panic and shortness of breath after exercising. No attention was paid at the time, but the disease progressed rapidly. The patient developed an active syncope more than a month later, accompanied by swelling of the limbs.
He went to the local hospital for an examination. Electrocardiogram showed changes in T-waves, ST segment depression, and other typical symptoms of myocardial infarction.
Elevated serum troponin and brain natriuretic peptide–several tests indicated heart disease at the same time.
It was strange that he did not find anything wrong with the coronary artery after a thorough check-up in the hospital. The local hospital did not give a definite diagnosis. They only gave him a diagnosis of suspected myocardial infarction and asked him to come to a higher-level hospital in the Imperial Capital to confirm the diagnosis.
That was all the medical history. Dr. Liang quickly finished reading it.
Zheng Ren was a little emotional. A place like the 912 was indeed worthy of being a higher-level hospital. No wonder their standards were so high!
The CT Department was only responsible for reporting according to the images they saw. However, Chief Chu and the others still had to check the medical history. Once they found something suspicious, they would immediately start discussing it in the department.
This rigorous style of treatment was really awesome!
“Boss Zheng, this patient’s medical history has to be a heart attack.
“But there is no problem with the blood supply to the heart. The possibility of a typical heart attack is not high.” Chief Chu tapped on the radiographic films. “Here, I see that there are changes in the heart muscle. I suspect that it might be some kind of disease that changes the heart muscle structure. I have already told the circulating Outpatient Department to get the nurse to bring it to the Emergency Department for an echocardiogram.”
Zheng Ren nodded. He had thought the same himself.
As for what exactly the disease was…. There was only one radiographic film of the coronary artery, so it was impossible to give an answer.
His pa.s.sive ability of [reconstruction] was not omnipotent. The System panel could directly diagnose the disease. However, in many cases in the Imperial Capital, the family members of the patient would bring the radiographic films when bringing the patient. The patient would not follow, and he would not be able to see the patient at all.
The diagnosis and treatment model was completely different from that of Sea City.
Zheng Ren recalled what Dr. Liang had said about the patient’s condition in his mind. Suddenly, he asked, “Dr. Liang, is there a test report on the patient’s proteinuria?”
Some heart diseases were accompanied by proteinuria, and pure proteinuria did not mean anything, so Dr. Liang did not pay special attention to it.
He began to look for the printed information. This information was the case history of the Department of Circulatory Medicine. There was no report of routine urine tests or urinary protein tests.
The chief of the Department of Circulatory Medicine probably did not give the patient a check-up because it was in the local information that the patient brought with him.
“Boss Zheng, the medical record has not been written yet. We can’t see it on this side,” Dr. Liang quickly replied.
“Okay.” Zheng Ren began to look at the scans again.
This time, he did not focus on the coronary artery. Instead, he began to carefully observe the changes in the structure of the heart.
The [reconstruction] ability transformed a 64-slice CT three-dimensional reconstruction into an echocardiogram of the heart. Zheng Ren noticed some changes in the patient’s heart image.
In China, cardiac MRIs were the same as breast MRIs. It was a rare examination and was not very useful clinically. However, in this patient, a circular enhancement lesion could be seen on the delayed imaging of the heart.
On the other hand, there were slight changes in echocardiography. The heart was thickened and there was an irregular echo in the myocardium.
Zheng Ren began to recall similar medical reports.