Chapter 1784: with translation of chapter title

1722 Shou Bing level high, diagnostic level even higher!

Director Luo followed beside Zheng Ren, seeing Mao Chi had nothing to say, he immediately asked: "Zheng Lao Ban, the patient from Massachusetts, how did you determine the thyroid had a problem?"

The topic shifted rather quickly, Zheng Ren blinked slightly, then smiled and said: "Director Luo, have you noticed that the patient had no psychiatric symptoms before admission, but then inexplicably developed them after admission?"

"It's possible the doctor's interview was wrong, or the patient themselves was unclear in their description, causing temporary amnesia." Director Luo said.

"You're right." Zheng Ren said gently: "At first I also considered that, but I really couldn't find what illness it was; I simulated the patient's situation after admission from scratch, and discovered we had forgotten an important matter."

"Important," he actually used that word. Director Luo froze for a moment, wondering what he had forgotten.

"The patient underwent a contrast-enhanced CT after admission." Zheng Ren laughed, "so I focused my suspicion on the iodine-containing contrast agent."

Endocrinology Department

Tang Song Restaurant

The contrast agent used for the enhancement certainly wouldn't be the barium agent used for upper gastrointestinal barium studies; it's an iodine-based preparation. Whether it's inorganic iodide, organic iodide, iodized oil, or fatty acid iodine compound, they all contain a large amount of iodine.

Director Luo had a high IQ; in that era, anyone who could climb from the countryside to become a department head of 912 had a special skill. Whether it was IQ or something else, they were top-notch.

Medical Team

Because the patient's initial diagnosis was vomiting, and the reason for this admission was an electrical fire, nobody considered thyroid storm.

A high iodine load could cause the patient's thyroid to exhibit the Wolff-Chaikoff effect—that is, administering a large amount of iodine leads to reduced thyroid hormone secretion, similar to what is encountered in imaging examinations, resulting in an abrupt halt in thyroid hormone synthesis.

During the patient's previous hospitalization, after showing symptoms likely related to undiagnosed hyperthyroidism, in order to undergo an abdominal CT scan, the patient received a high iodine load during intravenous contrast injection, which could have produced a similar effect.

Therefore, the short-term suppressive effect of the iodine load on the patient's thyroid likely failed, the patient again exhibited severe hyperthyroidism, leading to this clinical presentation and hospitalization.

Director Luo understood thoroughly, but for a moment he became lost in thought, standing still.

"Lao Luo? What are you thinking about?" Mao Chi turned back, asking somewhat surprisedly.

"Uh..." Director Luo, hearing Mao Chi call him, thought again and then gave a wry smile: "Director Mao, do you think Zheng Lao Ban's Shou Bing was done well?"

Mao Chi didn't expect Director Luo to ask like that, not knowing what he meant, just nodded.

Zheng Lao Ban's Diagnostic Level will only be better than Shou Bing. Director Luo sighed.

Mao Chi's first thought was——that's impossible!

Surgeons, who perform Shou Bing year-round, need to spend at least 6-8 hours a day on the Operating Table.

Not to mention studying, after getting off the table they're exhausted half to death, still have to write Shou Bing records, see patients, handle admissions and discharges. Normal life will be Impact, when can they get a girlfriend—that's a problem.

As for diagnosis...

Being able to figure out common diseases is already good; as for those rare diseases, who has the time and energy to study them?

In doctors' eyes, the diagnosis and treatment of rare diseases are like the dragon-slaying skill; when encountered, if others can't do it but you can, it's truly awesome.

But is it really useful?

They're called rare diseases because they're rare, and you might not see a case in a year and a half.

And the common diseases one deals with all day are enough to consume a lifetime's energy to study.

As for Diagnostic Level...

Mao Chi shook his head slightly.

Anyway, what Zheng Lao Ban and Director Luo just said, if I think about it carefully, I can actually understand.

But Mao Chi couldn't be bothered to think about it; what a damned thyroid storm—this disease, even without mentioning diagnosis and treatment, just hearing about it makes my head feel twice as big.

As long as I handle my responsibilities well, when someone comes to me for treatment, not feeling guilty is enough.

As for thyroid storm, aren't there Endocrinology Department and Thyroid Surgery? I'm at 912, not some high-end private hospital called International Hospital.

After walking a few more steps, Director Luo grew more and more surprised.

At first it was admiration, but after I figured it out, going over it again from the start I found it looks simple, but actually finding this factor in patients' complex medical data is quite difficult.

"Zheng Lao Ban, your Diagnostic Level..." Director Luo sighed, saying, "Impressive!"

"Director Luo, don't praise him." Su Yun came up from behind, laughing, saying: "It's just a thyroid storm, not a big deal. Look at my equipment—is it ready?"

Director Luo had no choice but to nod, saying: "Really not bad."

"If there's an Opportunity to consult, next time let me have an hour, I'll show you a miracle." Su Yun said with a smile.

Director Luo is still a relatively traditional doctor; he finds it hard to accept Su Yun's flamboyant consultation model.

Making it all flashy, what's the use? In the end, you still have to find the disease's diagnosis from countless lines.

But he knows Su Yun's position in the Medical Team; since Zheng Lao Ban doesn't speak, he'd better not chime in.

……

……

【They say quickly write a poem……】

Zheng Ren's phone rang, he glanced at it, and answered the call.

"Brother Song, hello." Zheng Ren greeted warmly.

"Oh, I was just doing Shou Bing in the Hybrid Operating Room; the lead plating is too thick, the signal is bad."

"I have something on my end…… how about another day?"

Su Yun saw Zheng Ren's firm refusal expression, laughed haha, and said: "Is it Master Yan bringing a gift?"

Zheng Ren nodded.

"Give me the phone." Su Yun said, "Director Mao, today you probably won't have the chance to treat."

Mao Chi glared and said: "Today, no matter who, nobody can compete with me to pay the bill."

"You don't mind a few more people, do you?" Su Yun asked with a smile.

Having said that, Mao Chi certainly wouldn't mind.

People like our Boss who have social anxiety really aren't many.

"Brother Song, I, Su Yun." Su Yun snatched the phone, saying: "Boss just saved a table over there, we're heading over now. Is it at your Tang Song Restaurant?"

「Sure, see you later. 」

After saying that, Su Yun returned the phone to Zheng Ren.

Zheng Ren felt a bit Strange.