Doctor of Healing

Chapter 583 He Was Right
"Boss Miao, go in and have a look yourself." Director Liang said angrily, not even going into the consulting room.

"Director Liang, what's the matter with you." Mr. Miao was a little puzzled, and saw the camera again, so he asked in a low voice in advance for fear of making a mistake.

"The program team found one...you can ask Director Fan for details."

Director Fan rubbed his hands, "Mr. Miao, where is Dr. Ji Xiang?"

"I'm writing medical records, you can find him." Mr. Miao asked.

"No, no, I came to see you for a consultation." Director Fan briefly introduced Lin Jiuze's identity and said, "He looks very gentle and doesn't talk much, but he seems to be very firm in medical matters."

"The firmness of the fart is just nonsense!" Director Liang scolded, "The film is there, typical intestinal obstruction, I have to do a 64-slice CT. I know the American Federation of Physicians, and they are willing to do various examinations."

"I'll go and have a look." Curious, Mr. Miao strode into the consultation room.

Director Fan threw Director Liang aside and went to the door to examine Lin Jiuze again.

He was gentle and calm, and there was no sense of oppression between his brows just now.Director Fan didn't know if he had imagined it, or if the dispute just now left a deep mark on him. Looking at Lin Jiuze now, he could feel the deep pride in his bones.

Scanning for the presence or absence of collateral circulation helps differentiate acute MVT from chronic MVT.Although our patient was screened for common thrombotic states, the cause of MVT remained unclear. "

Mr. Miao didn't struggle at all, and was directly defeated.

"take a look."

Director Fan was confused. Is this the end?Shouldn't it be Enter the Dragon?Why did Mr. Miao disarm and surrender in just a few words?

"It's nothing to worry about, follow the doctor's order." Lin Jiuze said firmly.

The team of cameramen who can follow Director Fan to record the stormy variety show is also well-known in the world, and the level is first-class, and Director Fan does not rub sand in his eyes.

Dr. Sun talked endlessly about 6 related diseases.

But a series of professional vocabulary and the habit of strengthening CT called CECT made Mr. Miao feel that he was in the scene of a thriller, and there was a mysterious force talking to him nearby.

Director Fan didn't say anything, and went back to the car by himself, saying he wanted to be quiet.

"In my opinion, it's a differential diagnosis. It's really meticulous." Dr. Sun said, "I started diagnosing intestinal obstruction. There are all kinds of diagnostic basis. Although many of them are in English and the words are not coherent, I can understand it."

"There seems to be some problem with the video data left behind by the film crew."

"Let's go on to identify, besides intestinal obstruction, I also did..."

When he came to the cameraman, the cameraman looked terrified and kept saying sorry.

During this passage, Director Fan always thought he was mocking the doctor, but he didn't expect to meet him in reality.

Director Fan was furious and began to curse.

The newcomer Lin Jiuze had a lot of weird things on him, and he really found it strange.

"Ok."

Lin Jiuze still seemed transparent when talking about professional issues, Mr. Miao was a little confused, it seemed that he didn't know who was talking to him after more than ten seconds.

"Not recorded again?" Director Fan asked with a straight face.

Director Fan saw that Lin Jiuze seemed to hesitate for a moment, looked around, and finally tore up the paper and threw it into a ball in the wastebasket.

"Old Sun, don't tell a joke, what is written on it?"

"It was recorded, but the effect is not good." The cameraman was about to cry, and he said with a mournful face, "Guer, it's all my fault, my fault. But I tried my best, and I don't know how to do it."

He picked up the waste paper and hid it like a thief.

"An accident happened again! What the hell happened again, let's go to the wedding in the future! What's the use of raising him, he can't do a fart well!!"

He didn't criticize the cameraman too much, because the content recorded by the cameraman basically matched his impression.

A few hours later, the results came out. Sure enough, as Lin Jiuze said, the patient did not have simple intestinal obstruction, but intestinal obstruction caused by embolism of the superior mesenteric artery.

The initial patient was diagnosed with MVT because of abdominal pain, anticoagulant therapy was initiated, and the patient subsequently presented with intestinal obstruction.

Mr. Miao contacted the CT room, made an appointment for emergency 64-slice CT, and then took the patient for examination.Lin Jiu didn't follow, and Director Liang refused to shoot. He greeted the crew and left to go back to rest, just like an old man.

Both in Chinese and English, Director Fan didn't understand anything after reading it for a few minutes.

"In most cases of MVT with ileus, there are two stages of presentation.

Mr. Miao took someone to the operation, and Director Fan fell into deep thought.

Compared with CECT, the sensitivity of diagnosing MVT is more than 90%. In addition, CECT can also evaluate intestinal ischemia and provide help for selecting patients who meet conservative treatment conditions.

"Director, take a look." Director Fan's assistant approached him and whispered.

Director Fan also knew that the situation was special, he sighed deeply after watching the video materials recorded later.

Standing at the door and watching, Director Fan soon saw Mr. Miao and Lin Jiuze arguing.

"But..." Mr. Miao wanted to explain.

This inspection is more difficult, I don't know if you can do it.

After unpacking the paper that Lin Jiuze had torn up and thrown into the trash can, Director Fan saw that it was written in very rough words.

"Director Fan, is this a quiz project in your variety show?" The doctor on the other side asked with a smile after answering the call.

Intestinal obstruction in our patient was the initial manifestation of superior mesenteric vein thrombosis, which was asymptomatic in the early acute phase, probably due to persistent mild intestinal ischemia, which eventually led to intestinal fibrosis, stenosis, and obstruction. "

He remembered a joke - when the doctor wrote the prescription by hand in the early years, the pharmacy department didn't understand it, and the patient took it back and asked, the doctor said why didn't you come back earlier, I forgot what I wrote.

But today I don't know what's wrong, there are always problems.

"The last one, superior mesenteric artery embolism, this diagnosis is like a fairy!" Dr. Sun praised, "There are not many intestinal obstructions caused by this kind of disease in clinical practice, but once encountered, almost [-]% of them will be diagnosed. Misdiagnosis."

"and after?"

"What's wrong?" Dao Fan asked uneasy.

He smoothed the paper as much as possible, took a photo and sent it to a doctor he knew well.

"In addition, the clinical manifestations of MVT are usually non-specific. Abdominal color Doppler ultrasound examination of mesenteric blood flow, peritoneal effusion volume, and intestinal wall thickness is helpful for diagnosis.

"Uh……"

Ten minutes later, Director Fan received a call.

"I saw that the paper was messed up by someone. Which director of the First Affiliated Hospital is upset? What was the final diagnosis?"

Doctor Sun asked.

Director Fan simply perfunctory, fell into deep thought.

He tried to recall the scene in his mind.

(End of this chapter)