1766 An epoch - making consultation
The small demonstration room in the community Hospital seemed to have changed a little compared to the last time he came for a consultation.
The equipment had been updated, and there were transparent touch panels and VR eye masks in front of the chairs.
“When did you get this?” Zheng Ren felt a little strange after seeing it and asked.
“Recently,” Su Yun did not mind. She chuckled and said,”aren’t you going to give it a try?”
“It’s more exciting to see the medical records with those iron – made medical records. ” Zheng Ren said.
“The progress of mankind is destroyed in the hands of people like you. I think you should go to the Middle Ages and be mistaken as a dark wizard. ” Su Yun said.
Zheng Ren sat down and said impatiently,”let’s begin!”
Su Yun stood on the podium and turned on the switch. A ray of light shone down. Like a shadowless lamp, his entire temperament changed from casual to extremely professional, completely seamless.
“Everyone, the consultation will begin.” Su Yun said,”please put on the VR glasses.”
“What’s the use of all these fancy tricks?” Chang Yue looked at her glasses in disdain.
“Doctor Chang, twenty years ago, when the electronic medical record system was first launched, someone said the same thing.” Su Yun said.
“You weren’t even ten years old then.”
“Experience can be passed on by word of mouth.” Su Yun smiled.”If you don’t want to be eliminated so quickly, it’s better to accept new things as soon as possible.”
Chang Yue pouted. Even though she was bickering with Su Yun, she still put on her VR headset.
Everything President Yu saw was new. This was definitely not a regular 912 consultation. He was a little emotional. How long had boss Zheng been here? From the looks of it, he already had his own territory.
The key was that the territory here was definitely not the kind in the ordinary sense, but brand new.
Using VR technology for consultation?
That was too extravagant.
He put on the VR headset and a medical case appeared in front of him. Su Yun was standing beside the patient’s record.
Although he knew it was virtual reality, Vice President Yu could not help but want to touch Su Yun to see if it was a real entity or a virtual shadow.
“Don’t do meaningless things. You’d better focus on the case, President Yu.” “It’s your patient,” Su Yun said.”If there’s no result from today’s consultation, you can prepare for a hospital – wide consultation.” You have to write the whole hospital’s consultation records, and there’s a lot of messy stuff. “
“Time is of the essence.” Zheng Ren said impatiently.
“I’ve already started, so I’ll be giving a simple statement. For the medical records, you can tap on the touchscreen in front of you. You’ll make new discoveries. In the future, this method will be used as a remote consultation method. “
“The patient was admitted to our hospital six days ago due to twisting pain in the right waist, and he was under observation in the emergency department. Other than the red blood cells in his urine, there are no other abnormalities. “
Su Yun started to introduce him. In the virtual reality, he was basically acting as himself. Zheng Ren did not know what kind of technology this was, but it looked quite advanced.
“Physical examination after admission: positive for percussion pain on the right waist, positive for Murphy’s sign …”
“Wait,” Zheng Ren interrupted Su Yun and asked,”Murphy’s syndrome positive?”
“Yes, the B – scan did not find any inflammation or stones in the gallbladder area. The tenderness is not obvious, and there is no rebound pain or muscle tension. I’ve just confirmed this. Director Yu’s physical examination is still very detailed. ” Su Yun said.
Zheng Ren didn’t say anything else.
“I noticed that too, but the patient’s rib horn has obvious tenderness. Typical cramps often started from the back and upper abdomen at the rib horn. Occasionally, they would start from the lower edge of the ribs and radiate to the same groin along the ureter. The patient did not have any nausea or vomiting, so no digestive symptoms are to be considered. “
Su Yun was right, and Zheng Ren thought so too.
Generally speaking, if there was a problem with the gallbladder, there should be gallstones, inflammation, and at least some imaging evidence such as the rough gallbladder wall.
However, other than the patient’s urine, which was as positive as usual, there were no other positive signs.
“The patient has no family history, no genetic history, no history of external injuries, and all her past histories are negative.” Su Yun said,”you can click on the touch screen in front of you for CT and B scans. It’s the same as what you see on the computer.”
“Have you done enuritization?” Zheng Ren asked as he looked at the CT scan.
“The positive rate of urinologist diagnosis for gallstones is only 66%, so we haven’t done it yet. If you think it’s necessary, I can inform President Yu to do the examination as soon as possible. ” Su Yun said.
Although they were in front of President Yu, Su Yun still said to inform President Yu as soon as possible. It seemed to be particularly exciting.
Zheng Ren shook his head slightly and began to tap on the touch screen in front of him to look at the video information.
The examination could be said to be very comprehensive. Even clinicians knew what kidney cramps meant.
A small stone could solve all the problems, but there were no stones.
Zheng Ren did a three – dimensional CT scan, but he still did not find any problems.
“Does the patient have a history of taking aminobulin, sodium phentomin, lefping, and phennonyrotle?” Chang Yue asked.
“No, I didn ‘t,” Su Yun said,”the patient said that she was healthy and had not taken any medicine or had any surgery.”
“The urine test and blood test shows no inflammation, and the CT scan shows no inflammatory lesion. Aside from inflammation, gallstones, tumors, external injuries, and urinary deformities, I think it’s kidney gout. ” Chang Yue said.
“What a genius suggestion.” “Kidney gout is more common in patients with a medical history of more than ten years,” Su Yun said disdainfully.”And if it’s a kidney with gout, there will be some crystallization in the kidney tubular one.”
“Doctor Chang, this is a consultation, not an exam where you can randomly guess the answers.” Su Yun said.
“Hemorrhaging can also occur in cardiovascular diseases, such as congested heart failure, kidney embolism, and kidney vein thrombosis.” Zheng Ren interrupted Su Yun’s long – winded speech and said,””Did you check his heart?”
“The possibility is not high. There are no changes in the kidney substance, so kidney embolism and kidney vein thrombosis can be basically ruled out. After all, it’s been six days since her medical history. If …”
“It’s mainly chronic heart failure.” Zheng Ren asked.
“That’s impossible. ” “The patient has to play badminton for three hours a day,” Su Yun said.
“Badminton? Three hours? Your body is in good shape. ” Zheng Ren said.
“Yes, he was a National Sports master when he was young. Even after he retired, he still insisted on playing badminton when he joined the workforce.” “One day before the onset, I didn’t find any problems when I was playing badminton,” Su Yun said.
Zheng Ren started to ponder.
“No food allergies or contact with heavy metals?” Chang Yue asked.
“From the current signs, there shouldn’t be any.” Su Yun said,”the patient has a regular life and is very healthy. None of my colleagues or family members are in the same situation. I’ve already asked them about this. “
President Yu looked at the image quietly and did not say a word.
He already knew about this, but he didn’t know why the symptoms of hemorrhaging and kidney cramps came about.