medical road high rise

Chapter 20 The Canteen of the Second Hospital

Chapter 20 The Canteen of the Second Hospital

"Then let me ask you, what is the average CT value of the patient's arterial phase, venous phase, and delayed phase?" Director Dong directly tested.

Although Director Dong has a good relationship with Lu Ming, he cannot allow his doctors to talk nonsense. You must know that Lu Ming told Director Dong that Qin Feng has not systematically learned to see CT.

In addition, this CT shows the density of the round soft tissue on the upper wall of the gastric antrum, and it is specially for the angiologists to observe whether there are other hemocyte tumors around the gastric antrum.

It's as if the patient got a bunch of CT films, but the emergency doctor only read the first one, and the other films were for doctors in different departments. This is one of the reasons.

Director Dong's question just now was just a casual question, if you don't understand, I can teach you.

But if you pretend to understand when you don’t understand, this is irresponsible to yourself, the hospital, and the patients. If you can even perfunctory in your studies, you will have to go to the operating table.

For a while, Director Dong remained skeptical about Lu Ming's evaluation of Qin Feng.

Director Dong stared at Qin Feng, wanting to see how Qin Feng planned to smooth things over. It would be impossible to know the average CT value without systematically studying CT.

"The average CT value of the patient is 179HU in the arterial phase, 151HU in the venous phase, and 127HU in the delayed phase." Qin Feng blurted out.

"Look..." Director Dong was about to criticize Qin Feng's nonsense, but after listening carefully, Director Dong looked at the CT carefully and found that the average CT value Qin Feng said was correct.

"Have you studied CT?"

"No." Qin Feng voluntarily admitted.

"Then how do you know the CT value?" Director Dong asked curiously.

"I'm very interested in imaging, and I taught myself at home for a while before." Qin Feng said.

"Self-taught..."

Director Dong felt like he had been hit hard. He had studied imaging for so many years and was still working in the vascular department. He was either watching movies or on the way to watch movies every day.

It should be known that a doctor who can read CT values ​​and a doctor who can’t read CT values ​​are completely different. A doctor who can read CT values ​​can judge whether there is a lesion in this part through the density of CT values ​​in three phases.

Once the density is close to that of the abdominal aorta in the same period, there must be a lesion in this part, and then through CT three-dimensional reconstruction, the lesion and tumor can be found.

"I kind of believe what Lu Ming said. You may be a real genius." Director Dong sighed, and then continued to look at the film reader.

Qin Feng also looked at the film viewer, but the more he looked, the more strange Qin Feng's eyes became.

Several key points on the film, the system actually marked Qin Feng directly in his brain, and Qin Feng didn't need to judge.

This made Qin Feng realize that his system may not only be a training system, it may also have a diagnostic function along the way.

It just needs a medium, such as CT film or B-ultrasound film.

Thinking of this, Qin Feng became a little excited. If he can understand the film, the operation is already half successful, and the other half depends on the level of the operation.

After all, if you, a doctor, can't understand the film and miss it, even if the operation is successful, there will be hidden dangers.

"Director Dong, I think there is something wrong with the lower pole of the left kidney of this patient. The density there is completely different from that of the surrounding blood vessels, which is a bit close to the density of fat." Qin Feng pointed out a point that Director Dong had overlooked.

Because Director Dong must have seen the film once, but the diagnosis is still glomus tumor in the stomach, which proves that the left kidney was neglected.

This is also normal. Since it is confirmed that there is a problem with the antrum of the stomach, it is necessary to go to the antrum of the stomach for surgery.

"Closing to the density of fat?" Director Dong looked suspiciously at the place Qin Feng pointed at. At a rough glance, there was nothing wrong with the image, but the deeper Director Dong looked, the more frightened he became.

There was an obvious mass of mixed density on the patient's renal blood vessels, but a biopsy was needed to determine what it was. This operation must not be performed today.

Director Dong took out his mobile phone and called the director of the oncology department, and soon the oncology department dispatched an attending doctor.

"Director Dong, you said you found new tumor traces?" the oncologist asked.

"It shouldn't be a tumor, but I don't know if it's a hemangioma or a lipoma, and a biopsy is needed to judge it," Director Dong said.

"Can you tell me your judgment?" The oncologist looked at Director Dong.

Director Dong pointed to the film on the film reader, and reorganized what Qin Feng said just now, and what he said was more professional than Qin Feng.

The oncologist looked at what Director Dong said, and there was indeed a mass of mixed density containing fat and soft tissue components, which was very small. If you didn't carefully observe the density of the surrounding tissues, you would never find any abnormalities here.

"Director Dong, thank you this time. I'll send the patient back for a biopsy first. When the biopsy results come out, we'll discuss the operation time again." The oncologist's expression instantly became serious.

Director Dong nodded, and took Qin Feng away directly. Since there is no need for surgery, it must be back to the office.

"You kid, I really underestimated you. Just relying on your ability to watch movies, I will keep you here." Director Dong smiled, "Do you want to study imaging in a systematic way?"

"Think!" Qin Feng said directly.

"Today I will take you to the CT room and let you see how to do CT reconstruction." Director Dong said.

Hearing Director Dong's words, Qin Feng felt a little eager in his heart, asked Director Dong for a few minutes' leave, and ran out the door to buy a notebook and a water-based pen for taking notes.

You must know that there are very few opportunities for a director to give you personal guidance, and with the knowledge of imaging, it is difficult to learn if you do not take notes.

Imaging is not limited to watching films, but also to do various reconstructions. The most famous is CT three-dimensional reconstruction, which is to display the patient's film values ​​in a three-dimensional way, and the patient can be seen at a glance.

In major surgery seminars, CT [-]D reconstruction models are generally used.

Although CT reconstruction is not as good as CT three-dimensional reconstruction, it is also more clear to ordinary doctors than simple films. Now, with the reform of the medical industry, hospitals are becoming more professional, and the teaching methods of medical schools have begun to be on par with hospitals.

It is no longer like before, all subjects are taught to medical students, and medical students are directly bald. This is also related to the continuous innovation of medical predecessors, which makes the operation and diagnosis methods for medical students more simple and convenient.

"Have you had lunch? The CT room closes at about [-]:[-] p.m., and we'll be there around [-]:[-]." Director Dong asked.

"not yet."

"That's just right, let me experience the canteen of the Second Hospital. You will fall in love with the fried eggplant, stewed potato slices and steamed lotus root in the Second Hospital." Director Dong patted Qin Feng on the shoulder. The current Director Dong He has already regarded Qin Feng as his own, and has accepted Qin Feng in his heart.

(End of this chapter)