Big Doctor Live Room
Chapter 1372 Hypothyroidism
Chapter 1372 Hypothyroidism
The operation was actually completed a few minutes after entering the operating room. To Chen Qun, a patient with punctured internal organs was a simple type, but because he was his own, everyone was nervous.Several attending physicians who acted as assistants saw Chen Qun's stormy operation, but it was like walking in a garden, imperceptibly revealing a leisurely taste, only to realize that the gap between them was too huge.
They are all top cardiovascular specialists in China. Even if they are not celiac specialists, they are much better than many hospitalized experts. However, the four of them are still too busy to cooperate with Chen Qun alone. That means The gap between them and the real Chen Qun is not a matter of a few streets, but the distance from Earth to Mars.
After Chen Qun finished the stab wound, he began to suture meticulously, as if he wanted to sew a flower on the patient's stomach. No matter the thread or time, it was a plastic repair of his choice. The purpose was to make this patient The female nurse hardly left any marks on her body.
Of course, the other doctors knew that this should be a surgical treatment that only internal staff can enjoy. If it were another patient, Chen Qun might have already completed four or five sutures of the same type.
But what warmed the hearts of these doctors and nurses was that Chen Qun kept the patient in the operating room for half an hour to observe after finishing the suture, even though the reason was this.
"An emergency rescue operation was carried out in more than ten minutes, and I was going to be scolded by the patient's family members pointing at the spine. So I kept the patient here for half an hour to make sure there were no accidents."
Gu Ning and other surgeons saw that Chen Qun performed a textbook-style rescue. After the operation, there was no trace of blood in the abdominal cavity, and he cleaned it up.It can even be speculated that during the postoperative recovery process, the patient will not leave any tissue sticking in the body.
This is a patent only possessed by a very small number of top surgeons. For Chen Qun, it can be said that it has reached a new level and can restore to the original state.
Half an hour passed in the blink of an eye. Chen Qun frowned and signaled the nurse not to rush to send the patient out first, but to ask a question to the doctor present.
"Why hasn't Head Nurse Zhang woke up yet? Why do I always feel that there is something wrong? Please give me another minute, and I will do another examination."
It was only half an hour after the operation, and it was normal for the patient not to wake up.But Chen Qun had doubts, no one questioned him, even Gu Ning remembered a set of data collected by his junior sister, and even joked to several colleagues present.
"This is the obsession of a doctor with obsessive-compulsive disorder. Except for a few difficult major operations, most of the operations he performed wake up in about 10 minutes. Now seeing the patient's condition does not meet his cognition , I immediately thought there was a problem, if it were us, we would definitely not be aware of these details."
Chen Qun refuted Gu Ning while conducting a routine physical examination.Of course he won't say the real reason, but it's more than enough to make up one right away.
"Nurse Zhang has not woken up. I have considered all the possible scenarios and looked at all the monitoring data to rule out all possible scenarios. But the problem is still not solved, so I need to go back to The core and starting point of diagnosis is to find what you have missed. Only when the diagnosis is correct can we prescribe the right medicine!"
Gu Ning looked at this perfectionist and obsessive-compulsive disorder patient, and let out a long breath.
"The key to a correct diagnosis is the medical history and physical examination. I have already reviewed the medical history, and the rest is the detection part. I must have missed various results that cannot be given by the data. The patient has been in a coma, most likely due to neurological problems. I Neural examination is required. OK, eye movement reflex and pupillary reflex are normal, indicating that there is no major problem with the brain mechanism. Next neurological reflex."
While muttering, Chen Qun picked up the surgical tweezers and tapped the patient's wrist twice. Then his eyes lit up and he looked directly at the doctors in front of him who were staring at him.
"Did you see it? The finger reflexes are a little slow, a bit slower than ordinary people."
Gu Ning put his palm on his chin, showing a thoughtful look.
"Isn't this the effect of the anesthetic, which caused the dullness?"
Chen Qun gave a direct rebuttal.
"If it is the influence of the anesthetic, then all nerve reflexes will be affected. The light-sensitive reflex of the pupil just now is normal, which means that the anesthetic has negligible influence on the nerves and brain. But when I tapped the wrist muscles, the patient developed profound symptoms. If it's not a neurological problem, it's a hormonal problem. I need to see the patient's thyroid hormone levels."
Gu Ning immediately checked the patient's examination data on the computer next to him and jumped up immediately.
"A series of blood tests were done in the laboratory, but the thyroid hormone level has not been shown here. I will call to ask about it."
Gu Ning's phone was connected in a blink of an eye, and a doctor's voice came from beside him.
"Director Gu, Xiaozhang's thyroid test is due to data confusion in the machine here. I sent it to the emergency center and the laboratory for examination 10 minutes ago. The results probably came out soon. I called Hurry up in the past!"
In the blink of an eye, two pieces of unfinished data appeared on the computer screen. Gu Ning glanced at it and said to Chen Qun.
"Xiao Chen, you can see that the thyroid-stimulating hormone and T4 are both low, which is a typical hypothyroidism."
Chen Qun put on a look of surprise and clapped his palms hard to express.
"I felt that something was wrong. It seems that my intuition is right. Pregnant women will have hypothyroidism during pregnancy, so Nurse Zhang has not woken up. We only need to supplement her with thyroid hormone and hormones. It can solve the problem!"
Gu Ning glared at him again, wanting to say something but feeling speechless.The other doctors were even more dumbfounded, and had the same idea as Gu Ning.
What is the gap, this is called the gap!A little insignificant problem, just the possibility of waking up late, will arouse Chen Qun's vigilance, and then he will follow the clues to find the answer, instead of solving it after the symptoms appear and become a major issue like other doctors.
This way of thinking about nip in the bud is really like Bian Que’s eldest brother in the legend. He is a good doctor but has no great achievements, so his reputation is not obvious.
In this situation, even if they were experienced doctors like them, they could bet that they wouldn't notice it even tonight, and they wouldn't find out that something was wrong until tomorrow morning, and then they would conduct a test at that time.During this period, more hidden dangers and problems will appear, which will eventually make them exhausted. Even if the problem is finally solved, it will cause greater harm to the patient.
Sure enough, he got the wrong name, but not the wrong nickname. This "brother Bian Que, genius doctor Yuan Que" once again taught a vivid lesson in front of them, the first-class cardiovascular doctors in China.Because it was an emergency, Chen Qun's [-]D real-time imaging model was not used to provide data, but Chen Qun was still alert.
In other words, Chen Qun does not need to rely on high-tech power to improve his medical skills. He is a high-tech, super human computer, which is why he has not failed once since he entered Xiangyun Hospital for more than two years.This is not a matter of his luck, but of his ability.
With Chen Qun's medical skills, it is impossible to make medical mistakes.
(End of this chapter)
The operation was actually completed a few minutes after entering the operating room. To Chen Qun, a patient with punctured internal organs was a simple type, but because he was his own, everyone was nervous.Several attending physicians who acted as assistants saw Chen Qun's stormy operation, but it was like walking in a garden, imperceptibly revealing a leisurely taste, only to realize that the gap between them was too huge.
They are all top cardiovascular specialists in China. Even if they are not celiac specialists, they are much better than many hospitalized experts. However, the four of them are still too busy to cooperate with Chen Qun alone. That means The gap between them and the real Chen Qun is not a matter of a few streets, but the distance from Earth to Mars.
After Chen Qun finished the stab wound, he began to suture meticulously, as if he wanted to sew a flower on the patient's stomach. No matter the thread or time, it was a plastic repair of his choice. The purpose was to make this patient The female nurse hardly left any marks on her body.
Of course, the other doctors knew that this should be a surgical treatment that only internal staff can enjoy. If it were another patient, Chen Qun might have already completed four or five sutures of the same type.
But what warmed the hearts of these doctors and nurses was that Chen Qun kept the patient in the operating room for half an hour to observe after finishing the suture, even though the reason was this.
"An emergency rescue operation was carried out in more than ten minutes, and I was going to be scolded by the patient's family members pointing at the spine. So I kept the patient here for half an hour to make sure there were no accidents."
Gu Ning and other surgeons saw that Chen Qun performed a textbook-style rescue. After the operation, there was no trace of blood in the abdominal cavity, and he cleaned it up.It can even be speculated that during the postoperative recovery process, the patient will not leave any tissue sticking in the body.
This is a patent only possessed by a very small number of top surgeons. For Chen Qun, it can be said that it has reached a new level and can restore to the original state.
Half an hour passed in the blink of an eye. Chen Qun frowned and signaled the nurse not to rush to send the patient out first, but to ask a question to the doctor present.
"Why hasn't Head Nurse Zhang woke up yet? Why do I always feel that there is something wrong? Please give me another minute, and I will do another examination."
It was only half an hour after the operation, and it was normal for the patient not to wake up.But Chen Qun had doubts, no one questioned him, even Gu Ning remembered a set of data collected by his junior sister, and even joked to several colleagues present.
"This is the obsession of a doctor with obsessive-compulsive disorder. Except for a few difficult major operations, most of the operations he performed wake up in about 10 minutes. Now seeing the patient's condition does not meet his cognition , I immediately thought there was a problem, if it were us, we would definitely not be aware of these details."
Chen Qun refuted Gu Ning while conducting a routine physical examination.Of course he won't say the real reason, but it's more than enough to make up one right away.
"Nurse Zhang has not woken up. I have considered all the possible scenarios and looked at all the monitoring data to rule out all possible scenarios. But the problem is still not solved, so I need to go back to The core and starting point of diagnosis is to find what you have missed. Only when the diagnosis is correct can we prescribe the right medicine!"
Gu Ning looked at this perfectionist and obsessive-compulsive disorder patient, and let out a long breath.
"The key to a correct diagnosis is the medical history and physical examination. I have already reviewed the medical history, and the rest is the detection part. I must have missed various results that cannot be given by the data. The patient has been in a coma, most likely due to neurological problems. I Neural examination is required. OK, eye movement reflex and pupillary reflex are normal, indicating that there is no major problem with the brain mechanism. Next neurological reflex."
While muttering, Chen Qun picked up the surgical tweezers and tapped the patient's wrist twice. Then his eyes lit up and he looked directly at the doctors in front of him who were staring at him.
"Did you see it? The finger reflexes are a little slow, a bit slower than ordinary people."
Gu Ning put his palm on his chin, showing a thoughtful look.
"Isn't this the effect of the anesthetic, which caused the dullness?"
Chen Qun gave a direct rebuttal.
"If it is the influence of the anesthetic, then all nerve reflexes will be affected. The light-sensitive reflex of the pupil just now is normal, which means that the anesthetic has negligible influence on the nerves and brain. But when I tapped the wrist muscles, the patient developed profound symptoms. If it's not a neurological problem, it's a hormonal problem. I need to see the patient's thyroid hormone levels."
Gu Ning immediately checked the patient's examination data on the computer next to him and jumped up immediately.
"A series of blood tests were done in the laboratory, but the thyroid hormone level has not been shown here. I will call to ask about it."
Gu Ning's phone was connected in a blink of an eye, and a doctor's voice came from beside him.
"Director Gu, Xiaozhang's thyroid test is due to data confusion in the machine here. I sent it to the emergency center and the laboratory for examination 10 minutes ago. The results probably came out soon. I called Hurry up in the past!"
In the blink of an eye, two pieces of unfinished data appeared on the computer screen. Gu Ning glanced at it and said to Chen Qun.
"Xiao Chen, you can see that the thyroid-stimulating hormone and T4 are both low, which is a typical hypothyroidism."
Chen Qun put on a look of surprise and clapped his palms hard to express.
"I felt that something was wrong. It seems that my intuition is right. Pregnant women will have hypothyroidism during pregnancy, so Nurse Zhang has not woken up. We only need to supplement her with thyroid hormone and hormones. It can solve the problem!"
Gu Ning glared at him again, wanting to say something but feeling speechless.The other doctors were even more dumbfounded, and had the same idea as Gu Ning.
What is the gap, this is called the gap!A little insignificant problem, just the possibility of waking up late, will arouse Chen Qun's vigilance, and then he will follow the clues to find the answer, instead of solving it after the symptoms appear and become a major issue like other doctors.
This way of thinking about nip in the bud is really like Bian Que’s eldest brother in the legend. He is a good doctor but has no great achievements, so his reputation is not obvious.
In this situation, even if they were experienced doctors like them, they could bet that they wouldn't notice it even tonight, and they wouldn't find out that something was wrong until tomorrow morning, and then they would conduct a test at that time.During this period, more hidden dangers and problems will appear, which will eventually make them exhausted. Even if the problem is finally solved, it will cause greater harm to the patient.
Sure enough, he got the wrong name, but not the wrong nickname. This "brother Bian Que, genius doctor Yuan Que" once again taught a vivid lesson in front of them, the first-class cardiovascular doctors in China.Because it was an emergency, Chen Qun's [-]D real-time imaging model was not used to provide data, but Chen Qun was still alert.
In other words, Chen Qun does not need to rely on high-tech power to improve his medical skills. He is a high-tech, super human computer, which is why he has not failed once since he entered Xiangyun Hospital for more than two years.This is not a matter of his luck, but of his ability.
With Chen Qun's medical skills, it is impossible to make medical mistakes.
(End of this chapter)
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