After raising a cat, the goddess doctor became popular in the interstellar

Chapter 286 Ectopic Thyroid

Nie Yuan had already called the number of the next patient, but when the door of the consultation room opened, the same two people came in.

Grandma is no longer cautious and respectful as before, but walks windily, quite aggressively.

What's wrong?Tao Le was instinctively worried.

Grandma rushed to Nie Yuan with big strides, and slapped the checklist in front of him:
"Doctor Nie, Meixin and I are so convinced of you, how could you do this!"

Nie Yuan was a little dazed. He picked up the form he opened just now and read it carefully again, but he didn't find any problems.

"Is something wrong?" he asked suspiciously.

"For such an older child, why do you want her to undergo such a radioactive test? Is it crazy to make money?" Grandma's voice was raised three levels because of anger.

When she said that, Tao Le and Nie Yuan both understood.

It turned out that the family members had doubts about the radiation examination.

It’s just a matter of asking, why add the last sentence, it’s so disharmonious.

In the checklist just issued, static ECT imaging of the thyroid gland is a radionuclide scan, and the child needs to be injected with imaging agents, so there is indeed a little radiation.

Many patients have doubts about the radiation examination, and when they put it on their children, this doubt becomes anxiety.

Thinking about this grandma, it was only after she went out that she carefully read the payment slip and found that there was a radioactive imaging agent in it, so she couldn't accept it.

"Let me explain to you first. First of all, this ECT examination is necessary. If you don't do it, there is no way to diagnose it, and you can't carry out corresponding treatment." Nie Yuan said calmly:

"Moreover, this inspection costs less than 300 yuan, which is very cost-effective."

But in this matter, the grandmother was surprisingly stubborn.

"Other tests are fine, but you need to inject that radioactive thing into the child's body. If you are not sick, you may get sick, and a minor illness can become a serious illness. Don't bully us for not understanding!"

Nie Yuan couldn't help feeling a little headache.The family members who were obviously reasonable and able to communicate just now, why did they suddenly become like this.

However, this radionuclide scan is a key step in the diagnosis of this case.

There are actually several other conditions for the disease that he highly suspected, which must be confirmed by ECT before a specific treatment plan can be determined.

A small mistake is a huge mistake. Once the wrong treatment or cutting is wrong, it is irresponsible to the child.

The moment he frowned, Tao Le could see that Deputy Director Nie was holding back his big move again, preparing to use long medical terms to knock the elderly woman unconscious.

She has discovered in the past few days that Deputy Director Nie is of a high level, very capable, and full of warmth to patients, but when it comes to medical issues, he immediately becomes rigorous and meticulous.

She had no doubt that after a while he would definitely explain the illness he was considering, why he needed an ECT examination, and what symptoms each indicator in the result was meaningful for.

It's a pity that no matter how much he talked and how hard he hit, the old lady in front of him couldn't understand at all.

Not only do they not understand, but this is not what people care about.

If there is something to do, the disciple will do his best.Dealing with this kind of elderly lady, she has a wealth of experience in her past and present lives.

"Auntie." Tao Le said gently: "Actually, you may have misunderstood a little. The radiation in this examination is very little, and only the thyroid gland is irradiated, which has no effect on the child's health."

She wasn't lying at all.Static ECT imaging of the thyroid is generally performed with radioactive technetium. The radiation intensity is low-dose, and the range of β-rays in nuclide imaging is short, only 2mm. There is basically no radiation to tissues other than the thyroid gland.

In addition, the half-life is only about 6 hours, and no side effects have been found clinically.

The dosage for children is lower than that of ordinary people.

Sure enough, she immediately hit the core issue that grandma was most concerned about.

"You're telling the truth?" Grandma looked at Tao Le with half-belief.

"Of course it's true." Tao Le spoke slowly, with sincerity on his face: "As long as you drink plenty of water after the examination, the contrast agent will be completely metabolized in a few days."

"If that's the case, then there's nothing wrong with doing it?" Grandma seemed to be talking to herself.

"It depends on your choice. We doctors can only give suggestions." Tao Le said: "But if you don't do this test, you can't tell what kind of ectopic thyroid is your child, and our doctors dare not Treat whatever you want."

As a doctor, whether it is traditional Chinese medicine or Western medicine, you can only explain the situation to patients and their families, and give them the right to choose. The most taboo is forced sales.

If you do that, even if it is out of good intentions, the other party may not appreciate it, and it will easily be seen as having other intentions.

Now that Tao Le has explained the situation clearly, the rest is up to the family members themselves.

Fortunately, this grandma didn't come here deliberately to find fault. As soon as she got over her feelings, she immediately agreed to have a checkup.

They came and went quickly, and even said sorry to Nie Yuan before leaving.

As soon as the door was closed, Nie Yuan asked Tao Lefa: "You said just now that this child has an ectopic thyroid gland. Did you just guess randomly, or did you make your own deduction?"

Most people's thyroid gland grows 2-3cm below the Adam's apple, distributed on both sides of the trachea, but some people have congenital developmental deformities during the embryonic period, and the thyroid gland grows to other places, so it is called heterotopia. Bit thyroid.

Tao Le smiled: "Of course it's the latter."

Nie Yuan also smiled: "Tell me, what do you think."

"The hypothyroidism of the child was detected in a foreign hospital, coupled with the poor development of the body, it shows that the child's hypothyroidism has a high probability and is congenital."

Tao Le expressed his thoughts on solving the problem: "Congenital hypothyroidism, although there are multiple possibilities such as insufficient secretion of pituitary gland hormones, underdeveloped or underdeveloped thyroid gland, and insufficient iodine intake of the mother during pregnancy, none of them will cause the patient There is a lump under the chin."

"Maybe this lump is caused by other inflammations, and has nothing to do with hypothyroidism at all." Nie Yuan said with interest.

Of course, Tao Le considered this possibility: "If the mass is soft and painful, it may indeed be caused by inflammation."

"But in fact, the mass is hard, painless, and can move with swallowing movements, which excludes inflammations such as submental lymph node enlargement, periodontitis, and facial boils."

While Tao Le was talking, Nie Yuan gradually sat up straight, and his eyes became more and more focused.

He had heard about Xiao Tao's reputation before, and he also knew that she had a different background. She was Zhou Jishen's apprentice.

But so what, medicine has different paths, and Chinese and Western medicine run counter to each other on many issues.

So he didn't quite understand why this little Tao didn't just go to the Chinese medicine department honestly, but was always in the Western medicine field.

This is simply a waste of their enthusiasm and resources for bringing newcomers, and it doesn't make much sense.

Unexpectedly, after actual contact, Xiao Tao was completely different from what he had thought before.

Needless to say, her attitude is respectful and serious, even Corey's new interns are far behind her in this respect.

In addition, she was able to endure all kinds of deliberate pickiness from him, not only had no temper, but also could meticulously modify and execute according to his requirements.

Well, as to whether his changed impression of Xiao Tao has something to do with that nearly perfect cup of coffee, it must not be.

In any case, now he has begun to appreciate this little girl who has solid basic skills and knows how to draw inferences from one example.

(End of this chapter)