Director Luo followed Zheng Ren and saw that Mao Chi had nothing to say, he immediately asked: "Boss Zheng, the patient in Massachusetts, how did you judge that there was a problem with the thyroid gland?"

The topic changed a little quickly, Zheng Ren was slightly stunned, and then smiled and said, "Director Luo, have you noticed that the patient had no mental symptoms before he was admitted to the hospital, but he appeared inexplicably after he was admitted to the hospital?"

"It may be caused by the doctor's consultation, or the patient's own unclear statement and temporary amnesia." Director Luo said.

"You are right." Zheng Ren said gently: "I thought so at the beginning, but I really couldn't find out what the disease was. I simulated the patient's situation after being admitted to the hospital from scratch and found that we had forgotten a major thing."

It’s important, so I actually used this adjective. Director Luo was stunned for a moment. What did he forget?

"The patient did a CT enhancement after being admitted to the hospital," Zheng Ren smiled, "so I focused my suspicion on the contrast agent containing iodine."

"..." Director Luo then remembered that the first thing that was shown in front of him was the CT enhanced film.

To do ct enhancement, contrast agent is required.

For enhanced contrast agents, they will definitely not be barium used for barium permeability in the upper digestive tract. They are all iodine preparations. Whether it is inorganic iodide, organic iodide or oil iodide, fatty acid iodide agents are the same, and they contain a lot of iodine.

Director Luo had a high IQ. In that era, those who could climb from rural areas to department directors of 912 had a skill. Whether it was IQ or anything else, they were the best choice.

Zheng Ren raised his head, and Director Luo immediately thought of the end.

Because the patient's initial diagnosis was vomiting, and the reason for this admission was due to an electrical fire, no one considered the thyroid crisis.

High iodine load may lead to a wolff-chaikoff effect in the patient's thyroid gland, that is, the secretion of thyroid hormones is reduced after large amounts of iodine is given, just like the situation encountered in imaging examinations, which leads to an emergency stop of thyroid hormone synthesis.

When the patient was hospitalized before, after similar symptoms that were likely associated with undiagnosed hyperthyroidism, in order to perform an abdominal CT examination, the patient received high iodine load during intravenous contrast agent, which may have led to a similar effect.

Therefore, the short-term inhibitory effect of iodine load on the patient's thyroid gland is likely to fail, and the patient has severe hyperthyroidism again, resulting in this clinical manifestation and hospitalization.

Director Luo thought clearly, but for a moment he was immersed intently and stood there in a daze.

"Lao Luo? What are you thinking?" Mao Chi turned around and asked in surprise.

"Uh..." Director Luo heard Mao Chi call him, and thought for a while and smiled bitterly: "Director Mao, do you think Boss Zheng's surgery is good?"

Mao Chi didn't expect Director Luo to ask this question. He didn't know what he meant, so he just nodded.

"Boss Zheng's diagnosis level will only be better than surgery." Director Luo sighed.

Mao Ji’s first thought was that it was impossible!

Surgeons perform surgery all year round and spend at least 6-8 hours on the operating table every day.

Not to mention studying, I was so tired after stepping down, I had to write surgical records, see patients, and go to the hospital. Normal life will be affected, and when will my girlfriend get married is a problem.

As for diagnosis...

It’s good to understand common diseases. Who has the time and energy to think about those rare diseases?

In the doctor's opinion, the diagnosis and treatment of rare diseases are like a unique skill to kill dragons. When encountering them, if others don't know how to do it, they will know it themselves. It's really awesome.

But is it really useful?

It is said to be a rare disease, but because it is rare, it cannot be seen in a year or two, so it is called a rare disease.

The common diseases that deal with each other all day are enough to exhaust your life's energy to study.

As for the diagnostic level...

Mao Chi shook his head slightly.

Anyway, if I think about it carefully, I will understand what Boss Zheng and Director Luo were saying just now.

But Mao Ji was too lazy to think about what a thyroid crisis was. Not to mention diagnosis and treatment of this disease, just hearing it, one head would turn into two big ones.

As long as you take responsibility for your own business, it is enough that someone doesn’t feel guilty when he sees him.

As for the thyroid crisis, aren’t there any endocrinology and gland surgery departments? I’m in 912, not a private hospital with a high-profile name like an international hospital.

After walking a few more steps, Director Luo became more and more surprised the more he thought about it.

At first I admired it, but after I figured it out, I found that it looked very simple, but it was actually quite difficult to find this factor in the patient's complicated medical information.

"Boss Zheng, your diagnosis level..." Director Luo sighed and said, "Awesome!"

"Director Luo, don't praise him." Su Yun followed him up and said with a smile: "It's just a thyroid crisis, not a big problem. Look at my equipment, are you well prepared?"

Director Luo had no choice but to nod and said, "It's really good."

"I have the opportunity to come for consultation. I'll show you a miracle next time." Su Yun said with a smile.

Director Luo is still a relatively traditional doctor, and he is somewhat unacceptable to Su Yun's gorgeous consultation model.

What's the use of making it bright and beautiful? In the end, you have to find the diagnosis of the disease from countless lines.

But he knew Su Yun's status in the medical team, so Boss Zheng didn't speak, so he didn't bother with him.

...

...

【They said to write a poem soon…】

Zheng Ren's cell phone rang, he took a look and answered the phone.

"Hello, Brother Song." Zheng Ren greeted gently.

"Oh, I had the surgery just now, and the hybrid operating room was too thick and the signal was not good."

"I have something to do with it...why would it be another day?"

Seeing Zheng Ren's expression of refusal, Su Yun laughed and said, "Is Master Yan coming with a thank-you gift?"

Zheng Ren nodded.

"Tell me the phone." Su Yun said, "Director Mao, I'm afraid you won't have the chance to treat you today."

Mao Chi glared and said, "No matter who you are today, you can't rush to pay with me."

"Don't you mind a few more people," Su Yun asked with a smile.

All of this was said, and of course Mao Chi wouldn't mind.

There are really not many people with social phobia like their own boss.

"Brother Song, I, Su Yun." Su Yun snatched his phone and said, "The boss just saved a station, so we'll rush over here. Are you in your Tang Song Restaurant?"

"Okay, meet again."

After saying that, Su Yun returned the phone to Zheng Ren.

Zheng Ren felt a little strange.
Chapter completed!