When a doctor opened a plug-in

After Chen Cang left, although Zhao Xing mumbled, he still watched the film carefully when he thought that Chen Cang was obviously anxious and nervous just now.

Is it true that I didn't find any abnormal signals?

But...Chen Cang, you are an emergency doctor, and your surgery is good. Doesn't it mean you are good at watching movies?

After all, there is a specialization in the art industry!

Zhao Xing couldn't help but complain.

However, he still carefully compared the film and watched it!

Sure enough, after changing several films one after another, he was stunned!

What's the situation with this slightly enlarged upper right edge?

Isn't it normal?

Zhao Xing really hadn't seen it before. Thinking of this, he quickly got up and began to read the information book.

After watching for a long time, I don't know what happened!

Suddenly, Zhao Xing became more anxious.

Does Chen Cang really understand images?

Have you seen something wrong?

Thinking of this, Zhao Xing was a little uneasy.

How about... an apology to Chen Cang?

wrong!

What an apology to Chen Cang, to apologize is to apologize to the patient...

When Zhao Xing thought of this, he was already a little self-blaming in his heart, and he should really handle it.

Thinking of this, he anxiously produced a film, plus a report card:

"The size of the heart shadow is normal, and there is a strange bulge on the upper right edge for investigation?

consider:……

It is recommended to perform cardiac CT to complete the diagnosis..."

After finishing writing, Zhao Xing hurriedly got up and ran towards the emergency department.

Although Chen Cang suspects that the little girl has congenital malposition of the large arteries and intracardiac malformations, he is still not quite sure.

The relevant diagnosis should be improved as soon as possible.

Zhao Xing could not find out that Chen Cang did not blame, after all, there was a gap in level, so he hoped to discuss with Director Shi Tao.

Even Chen Cang took the initiative to step down the other side, saying that it might be because the child's posture was not good, so he took the initiative to help set it up.

However, Zhao Xing didn't understand Chen Cang's meaning at all. Instead, he felt that Chen Cang questioned his skills and deliberately made things difficult for Chen Cang, which was a bit unreasonable.

It stands to reason that as a medical worker, you should work hard together, but Chen Cang has repeatedly reminded you that you are still playing like this, which is not justified.

The most important thing for you to be a doctor is to be responsible to the patient and not to fail the trust of the patient!

Maybe today if it weren't for Chen Cang, another doctor and left with the report given by Zhao Xing, maybe it's all right.

For example, Luozhou can't find out the situation. After all, you are not an imaging professional. If you compare your abilities, you will definitely trust the judgments and conclusions of professional doctors more!

Well, a few years later, the patient suddenly relapsed, and Zhao Xing may not be blamed. After all, the examination results have limitations.

If the patient is in an emergency, he may not only do a chest radiograph, but also improve the relevant examinations.

Speaking of which, some doctors don't take the small examinations of chest radiographs seriously. Empiricism prevails, or they don't read the radiographs at all.

However, as an examiner, you should still do your best to fulfill your responsibilities and obligations, and diagnose patients clearly, at least as a reminder.

This is at least a respect for the signature pen in your hand!

...

Zhao Xing had just left the house, and suddenly thought about it and turned back.

After all, now that I have sent this report, I have pushed my own responsibility away, but... I can’t make a clear diagnosis after going there. Chen Cang is not a professional, so I might as well ask those experts. Can you be diagnosed?

Although the delay is delayed, at least it can give the patient an explanation!

It also allows Chen Cang to understand the patient's situation.

Thinking of this, he picked up the phone and called an expert.

He whispered, Chen Cang, Chen Cang, I am not afraid of you, I am thinking about the patient!

This was a director of the imaging major he met when he was studying in the Shenyang Military Region General Hospital. He was very researched on chest radiographs.

He had a good relationship with Director Xu at the time. Thinking of this, he directly dialed Director Xu's WeChat.

"Director Xu, hello, hello, I’m Zhao Xing! Well, I’m sorry to bother you, there’s something I’d like to consult. It’s a chest radiograph of a little girl. I don’t think it’s a problem, but... There is something wrong, you can help me to see."

After hanging up the phone, Zhao Xing took the photo with his mobile phone and sent it to a brain.

After a few minutes, the other party took the initiative to call.

"Zhao Xing, this picture... ? It's not right! The strange shadow of the heart seems to be normal, but... I always feel a bit like the aorta dislocation, you look at the bulge on the upper right edge, it looks like an aorta This arch-shaped bulge is something that most people don’t have... It’s very possible! This is probably the chest radiograph with a misaligned heart artery!"

"This is a rare case. You'd better follow it and tell me if there is a result."

Hearing what Director Xu Nan said, Zhao Xing was immediately dumbfounded!

There really is a problem!

And it's a big problem!

Dislocation of aorta?

This... can be regarded as a terrible disease!

Thinking of this, Zhao Xing blushed ashamed and panicked!

Is this kind of film okay?

Thinking of this, Zhao Xing couldn't wait to slap himself!

If because of your own reasons, the patient missed the best period of surgery, this is your own fault.

Moreover, thinking of what Chen Cang said just now, Zhao Xing was terrified for a while and couldn't help but blame himself.

Damn, Zhao Xing, Zhao Xing, what are you doing with two to eighty thousand?

How many levels are there really?

If you really delay someone else's little girl, the sin will be serious.

He never expected that a seemingly ordinary film would have such a huge problem behind it!

Thinking of this, Zhao Xing was extremely ashamed, but he also blamed himself!

Hastily reprinted a copy of the report.

According to Xu Nan's speculation, he wrote it up, got up in a hurry, and ran towards the emergency room.

I kept praying, little girl, don't leave, I will blame myself for a lifetime.

The more anxious he became, the more worried Zhao Xing became, and he even began to sweat from behind.

I also swear constantly in my heart, after this time, I must be serious and serious again!

Today he really realized what is called:

Practicing medicine is like an abyss, every step should be like walking on thin ice!

It really is like this!

...

...

Chen Cang had already returned to the emergency department and said to Lu Jie: "The child's condition is still a bit problematic. She has such a long-term chest tightness. I feel that the bleeding and blockage of this large blood vessel are related!

This situation is fine when I was a child, and when I am older, various situations will appear as the heart function continues to improve."

"So I still suggest that we do an ultrasound of the heart for a clear diagnosis. What do you think?"

Lu Jie did not speak, but Yang Kaihua said: "Okay, okay, no problem, doctor, you are professional, listen to you, we can do everything!"

Lu Jie also nodded and said nothing.

What Chen Cang said to her just now, she had been worried about it for a long time, and recalled that there were many unusual situations in her life. Sometimes, she even woke up suddenly in the middle of the night, clutching her chest and panting for a long time!

At first, Lu Jie thought it was the child who had a nightmare. After all, her father did have it after he left, but...

Now that Chen Cang said so, he suddenly became enlightened.

Lu Jie looked at the little girl distressedly, only to see her pouting her mouth, looking at Chen Cang, and thinking to herself that you violated our agreement!

Chen Cang smiled awkwardly when he saw the little girl.

It didn't take long before Shi Tao arrived, and he was in the family building of the hospital.

Seeing Chen Cang with a group of patients, Shi Tao asked, "Director Chen, what's the matter?"

Lu Jie, Yang Kaihua and others heard Shi Tao calling Chen Cang the director. Although their faces were calm, they actually felt more trusting in their hearts.

After all, in the minds of patients, the term director still carries 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, then took the film and looked at it carefully. After a while, Shi Tao frowned.

"Weird bulge, have you done other checks?"

Chen Cang shook his head: "Wait for the color Doppler ultrasound room to come over and do a color Doppler ultrasound."

After that, Shi Tao took Chen Cang into the office: "Xiao Chen, do you have an ECG?"

Chen Cang nodded, and handed over the electrocardiogram. Shi Tao took a look and suddenly patted the table: "It's probably that..."

Chen Cang asked: "Heart aorta dislocation combined with intracardiac malformations?"

Shi Tao was taken aback for a moment: "How do you know?"

After all, Chen Cang is an emergency doctor, and he is also famous for surgery. This rare disease can be diagnosed by film alone. This is amazing!

Thinking of this, Shi Tao was naturally shocked.

Because of the misalignment of the heart's arteries and intracardiac malformations, this disease is very rare.

He even met him once or twice occasionally. At that time, he almost didn't take it seriously because of empiricism. Later, fortunately, he was seen by the old director, blamed it, and made a new diagnosis suggestion.

Later, the patient was diagnosed with such a severe heart deformity operation!

For this, Shi Tao remembered all his life and was very impressed.

But... how did Chen Cang know?

You know, this kind of film, you don't have enough experience and history, you can't think of it.

Looking at Chen Cang, Shi Tao was a little surprised.

At this moment, Zhao Xing hurriedly ran in, panting, his face flushed, and seeing Director Shi Tao also was there, he blushed suddenly, a little embarrassed.

Zhao Xing ignored the others, and said to Chen Cang, "Director Chen, the patient didn't leave, right?"

Chen Cang was taken aback: "What's wrong?"

Zhao Xing directly apologized and said: "This... Director Chen, I'm really sorry. For my reason, I was a little negligent just now. I looked at this film carefully and I found that it was really muddled, empirical, hey... A set of films was given, and the report form was reprinted."

"By the way, the patient did not leave! I consulted an expert. This little girl may have a serious heart malformation, accompanied by transposition of large blood vessels. She must be stopped and the relevant examinations should be completed. Don't delay it!"

At this point, Zhao Xing's voice was urgent.

Chen Cang breathed a sigh of relief when he heard what Zhao Xing said.

After Zhao Xing finished speaking, he looked at Shi Tao: "Director Shi, today is my problem, I will review it myself."

Shi Tao was taken aback: "What's the problem?"

Zhao Xing was immediately stunned. He thought Chen Cang had brought Shi Tao to sue, but Chen Cang...he didn't even mention a word.

Thinking of this, Zhao Xing felt even more embarrassed.

Looking back on it carefully, Director Chen has already given him enough face, but he...

Hey!

Thinking of this, Zhao Xing did not want to fool the matter, but looked at Chen Cang and said: "Director Chen, today’s affairs are my responsibility. After encountering this kind of case, I should not make empirical mistakes, let alone It should be fooled. This is my dereliction of duty, Director Shi. When I go back, I will seriously reflect on my shortcomings, hoping to be forgiven by Director Chen."

After speaking, Zhao Xing handed over the report: "Director Chen, after you left just now, I will contact Director Xu Nan of the Shenyang Military Region General Hospital. He suspects that the protruding heart shadow is an artery with a misaligned heart. , He suspects this is a congenital malformed heart!"

"So, Director Chen, I have to clarify the patient's situation as soon as possible. The girl is still young, and her life is delayed because of my problem!"

Having said that, Zhao Xing's face was full of self-blame.

In the final analysis, he understands that he is still a doctor.

The patient's health is more important than his own mistakes. After all, she was a seven or eight-year-old girl!

Shi Tao can also be regarded as clarifying the ins and outs. Zhao Xing made a mistake exactly the same as he did at the beginning, a seemingly simple and ordinary patient, and did not think about it.

Thinking of this, Shi Tao said with emotion: "Director Zhao, thank you Director Chen well!"

"If it weren't for him, you would really blame yourself for a lifetime!"

Shi Tao, Chen Cang, Chen Cang's calm face, sighed with emotion: "When I saw the film, Director Chen suspected that it was a dislocation of the aorta and a malformation of the heart!"

Hearing this, Zhao Xing's eyes widened.

Is it true?

Chen Cang... Isn't he a surgery?

How can the surgeon know so much about images?

This Chen Cang...no, it's Director Chen!

Director Chen is too awesome, right?

What will he do?!

At this time, Chen Cang shook his head and said, "It's okay. Actually, this heart shadow is quite special and ordinary people can't see it. Director Zhao doesn't need to blame himself."

Zhao Xing is not young anymore, in his forties, Chen Cang knows that sometimes he is easily excited, but he is still too young.

Shi Tao glanced at Zhao Xing.

"Director Zhao, I hope to give you a wake-up call about this matter. Empiricism is not good, but you should still pay attention to it in the future. Medicine is a road of carelessness and carelessness. It is not too much to walk on thin ice. Thank you Chen. Director."

Zhao Xing nodded.

Not long after, the doctor of color Doppler ultrasound came.

Chen Cang hurriedly brought the little girl in and did a color Doppler ultrasound.

While doing it, the color Doppler ultrasound doctor was more shocked!

"Director Chen, Director Shi! This... the aorta is located in the front left of the pulmonary artery, and the long axis of the left atrium has a huge circumference... located below the pulmonary artery!"

"Also...this is a deformity defect of the ventricular septum, it should not be divided into tricuspid valve covering, this is abnormal blood flow..."

After speaking, she said: "This may be a patient with a developmental SLL type of physiological aorta with ventricular septal malformation!"

"It may still be in development now!"

Everyone was silent as soon as this was said!

Sure enough!

...

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Two in one, written together... don't tell me.