Back in 2002 as a doctor
Page 111
After an unknown amount of time, the landline in the intensive care unit rang, interrupting Li Qinghua's sadness.
He didn't realize what the ringing meant, so he stood up and prepared to ask Teacher Xu to sign, and then took Teacher Ma out of the critical illness.It was also good to finally meet with my family and leave quietly.
But before he could let go of Teacher Ma's hand, the sound of the intensive care doctor rushing in with his slippers fell on his ears.
"Brother Li! Critical value!"
Chapter 0190 Thyroid storm without thyroid
critical value? !
Li Qinghua was taken aback.
There are many patients in the intensive care unit, but the intensive care doctor told himself that this meant that the blood sample had just been sent to report a critical value, and it would not be a problem with other people.
"The laboratory department is afraid that there will be problems with the blood sample, so I will send another blood over."
"The critical value of a merit report?!" Li Qinghua shuddered, and there was an explanation for what he felt vaguely wrong in an instant.
"Yes!" The intensivist handed over the paper recording the critical value to Li Qinghua.
The patient's laboratory indicators suggested severe hyperthyroidism, in which TSH<0.01mIU/mL, FT4 was 5.2ng/dL, total T3<395ng/dL, total T4<30g/dL, and thyroglobulin 450ng/mL.
I go!
How did the test result become like this! !
Li Qinghua was dumbfounded when he saw the value.
Compared with the value of the admission examination when he was first hospitalized, it is simply a sky and a world.
"Is it thyroid storm?" Li Qinghua asked in a trembling voice.
"If it's not a laboratory error, I think it is. But... let's do another test, and the laboratory error cannot be ruled out." The intensive care doctor is not sure.
"Draw blood, immediately." Li Qinghua put himself in the position of the patient's family.
But what puzzled him was why the indicators were normal when he was admitted to the hospital, but why did he develop thyroid storm after staying in the hospital for a few days?
Besides, Mr. Ma doesn't even have a thyroid, so why is he in crisis?
He thought of Zhou Congwen, his clean eyes and his hunched back.
Finding a secluded place, Li Qinghua called Zhou Congwen.
"Congwen, the test results came out, and the reported critical value is under review. How did you find out?" Li Qinghua didn't doubt it, and asked directly.
"Crisis value alone is not enough. Do you know the Birch-Wotowski point scale?"
"..." Li Qinghua was slightly taken aback.
He is a thoracic surgeon, and he only memorized the Birch-Wotowski point scale during the postgraduate entrance examination, and he had already returned it to the university teacher. Li Qinghua has a good memory if he can remember a name.
"I know." Li Qinghua unconsciously expressed a lot of respect.
"Rate it on the Birch-Wotowski point scale and tell me what the value is."
"Congwen, I'll go right away, but I can't figure out what's going on with Teacher Ma. I gave her a check-up when she was admitted to the hospital, and the value of her armor is not bad. She was hospitalized for a few days, why..."
"CT scans and whole-body nuclear medicine bone scans revealed bone metastases, and the contrast medium for nuclear medicine examinations contained a large amount of iodine. I don't know the specific manufacturer or brand of the product, but I immediately thought of the thyroid gland after hearing the symptoms you mentioned. Crisis."
Zhou Congwen spoke very directly, but his tone was indifferent, as if he was stating a trivial matter, as it should be.
Li Qinghua suddenly understood, it turned out to be the relationship between the bone scan and the iodine element contained in the contrast agent used to enhance CT!
He ignored it, and so did the critically ill doctors. Only Zhou Congwen, who came to the hospital by chance, discovered the problem.
Sweating profusely, Li Qinghua's heart was pounding after he hung up the phone.
Teacher Ma deserves to die, but his level is too low...
There is no time to blame myself, the most important thing now is diagnosis, if it is indeed thyroid storm, it should be treated immediately!
If that's the case, Teacher Ma can't die!Li Qinghua immediately got busy.
The re-examination results were similar to the previous results, and it proved that the critical value was not a laboratory error.The result of the Birch-Wotowski point scale is 75 points, which also shows that Mr. Ma is indeed thyroid storm from another angle.
Although Teacher Ma has lost her thyroid, the thyroid storm caused by the intake of iodine contrast agent almost killed her.
"Brother Li, you're awesome!" The intensivist also had lingering fears, and after being relieved, he praised with a thumbs up.
Li Qinghua was a little ashamed, but he didn't explain too much to the intensive care doctor.
After consulting the doctor's order and discussing with the intensivist, the medication was finally changed—amiodarone and digoxin were stopped, and propylthiouracil, hydrocortisone, and metoprolol were used instead.
There should be no problem. Li Qinghua didn't let out a sigh of relief until he saw propylthiouracil entering the body from the blood vessel.
Who would have thought that Mr. Ma was not exhausted, but... Alas, Li Qinghua let out a sigh of relief.
He was even more interested in the young doctor from the Third Hospital.
Zhou Congwen?The eyes are so bright!The patient didn't even read it, and he knew what the problem was after looking through the test sheet.
Awesome!
Not only the surgery is excellent, but the diagnosis is even better!Li Qinghua gave Zhou Congwen a very high evaluation.
"Congwen, excuse me, you haven't slept yet." Li Qinghua left in a hurry, calling Zhou Congwen on the phone while walking.
"Didn't sleep, I'm waiting for the results downstairs, how about it?" Zhou Congwen said lightly.
Downstairs... Li Qinghua felt ashamed for a while.What kind of hospitality is this? They saved Teacher Ma's life, but they feed the mosquitoes downstairs.
Li Qinghua "reported" the results and the changed medicine, "Congwen, wait a moment, I'll go find you."
"At the gate of the inpatient department, come on." Zhou Congwen hung up the phone without saying anything.
Li Qinghua had always suspected that Zhou Congwen was looking for him to transfer jobs. Although he heard that Professor Chen Houkun was interested in Zhou Congwen, it was really unlikely that he would jump directly from Jianghai City to the provincial capital.
It is still possible to come to the largest hospital in Jianghai City, the People's Hospital.
Originally, he didn't want to pick up on this, but Zhou Congwen kept silent and helped him solve the big problem.If he wanted to come, he would have to help him no matter what, Li Qinghua thought to himself.
As he thought about it, he hurried out of the elevator with big strides, the night outside was dark.
Li Qinghua could vaguely hear the cries of mosquitoes on a midsummer night.
That's really rude, you have to thank me properly.He walked out of the inpatient department quickly, looked left and right, but saw no one.
Um?What about people?Li Qinghua was taken aback.
He took out his cell phone, but before he made a call, he heard a familiar voice say, "Qinghua, here."
Looking up, Li Qinghua saw a black car parked at the main entrance of the inpatient department, only 3 meters away from him.
Because he didn't expect Zhou Congwen to be in the car, Li Qinghua didn't pay attention to that car at all.
But at this time Zhou Congwen rolled down the car window and greeted himself with a smile.Seeing this scene, Li Qinghua was stunned.
In 2002, even a Santana...even a Jetta was a good car.
But Zhou Congwen's car is obviously more advanced than Santana's, and looks thicker.
Where did he get the car? !
Li Qinghua was full of suspicion, but immediately couldn't laugh or cry.
I was also worried that Zhou Congwen was feeding mosquitoes downstairs, but he was sitting safely in the car waiting for me.
Seeing his worthless energy, Li Qinghua shook his head helplessly.
After getting into the car, Li Qinghua noticed a driver sitting in the driver's seat, and he was even more surprised.
"Whose car?" Li Qinghua asked.
"mine."
Chapter 0191 Inexplicable night
"your……"
No matter how delicate Li Qinghua was, he was still stunned after hearing Zhou Congwen's words.He looked Zhou Congwen up and down, wanting to make sure it was just a joke.
Zhou Congwen smiled.
He has seen private cars everywhere after more than ten years, and the traffic jam can go from the People's Hospital to the Third City Hospital, and he always thinks this is normal.But in 2002, a small doctor bought his own car and hired a driver, which seemed a bit high-profile.
Liu Xiaobie is thoughtful, but isn't it bad to be too high-profile?
"You are really rich." Li Qinghua regained his composure after taking a few glances, and said with a smile.
"Fortunately."
"Congwen, Teacher Ma's test results came out, and now I think it's thyroid storm, thank you." He said thank you very seriously.
"That's good, let's go to the treatment session." Zhou Congwen asked flatly.
The words were very plain, but Li Qinghua was taken aback by this question, and instantly became dazed.It seemed that the person sitting next to him was not a gifted young doctor, but a member of the Academy of Engineering.
"The treatment has been changed." Li Qinghua was subconsciously docile, and explained the results of the treatment he had discussed with the intensivist.
"That's fine, if you have any questions, just call me anytime, anywhere, don't be polite." Zhou Congwen smiled, he didn't seem to notice Li Qinghua's embarrassment.
Li Qinghua endured and endured, seeing that Zhou Congwen had already started chasing customers, he asked, "Congwen, do you have anything to do with me today? I'm so familiar, so if you have something to say, don't be polite."
"It's okay, just have a meal and chat. I didn't know your teacher was sick." Zhou Congwen said flatly.
"..." All of Li Qinghua's guesses came to nothing.
Plus sitting in Zhou Congwen's car, there was a driver in front of him, the row was too big, Li Qinghua couldn't figure out Zhou Congwen's details, so he could only keep silent.
"Then I'll go back first."
Sure enough, Zhou Congwen, a straight man, chased the passenger away. Li Qinghua expressed his gratitude and got off the car.
Watching the black red flag drive away slowly,
Looking at Zhou Congwen's looming figure in the car,
Looking at that young but mature face,
Li Qinghua felt like he had a dream.
An inexplicable invitation, an inexplicable young doctor, an inexplicable diagnosis...
All the impressions about Zhou Congwen turned into an inexplicable and illusory feeling in the end.It seemed that the living person did not exist, or that he had had a dream.
It wasn't until the black red flag car disappeared into the night that Li Qinghua turned back full of thoughts.
……
……
Zhou Congwen left the People's Hospital in a red flag car.
Although the 2002 model is old and old-fashioned, this Hongqi seems to be an old model now, but it is a Hongqi after all, and it has a special feeling when sitting.
In his previous life, Zhou Congwen only took a red flag car once, from the airport to the Shuaifu, with traffic police clearing the way ahead. At that time, he had an inexplicable liking for this car.
Unexpectedly, by such a coincidence, Liu Xiaobie bought himself a car, which turned out to be Hongqi, a Hongqi from 2002.
Zhou Congwen himself was not very good at communicating, and he was unwilling to communicate, so he went home in silence all the way.When getting out of the car, he and the driver Shi Yongqiang thanked him politely, but there was still some coldness in his words.
Going home to sleep, I went to Li Qinghua today just to inquire about the physical examination, but I didn't expect to solve Teacher Ma's thyroid crisis easily.
Although it was not early, Zhou Congwen still ground ten eggs before lying down.
The days were like running water, Zhou Congwen was going to eat in the cafeteria at noon the next day, but was held back by Shen Lang.
"Congwen, let's go out to eat at noon." Shen Lang winked at Zhou Congwen.
Zhou Congwen's heart moved, as if he still owed Shen Lang a meal.Due to personality reasons, this meal has been delayed until now.
Seeing that Shen Lang seemed a little excited, Zhou Congwen smiled, "Okay, I invite you, what do you want to eat?"
"Don't, I just want to talk to you." Shen Lang smiled, "I invite you!"
"It does not matter."
The two changed clothes and walked out of the hospital.
When I came to the old shop in the northern market, I asked for a single room, and the two walked in.
"Shen Lang, it seems that you are a little special today, what's the matter?" Zhou Congwen asked with a smile after sitting down.
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