Pulling a cart? This seems a bit reliable.

Recalling Zhou Yi's previous diagnosis, the doctors and nurses looked at each other for a while. Could it be that this person named Zhou really had some troubles? Otherwise, how could he have judged that the patient had exerted too much force when he was young and injured his cervical vertebra? It's a job like pulling a cart.

, it is really easy to have cervical spine problems.

Director Hua frowned again. Cervical spondylosis causes radioactive chest pain. This is actually a very common case, but he didn't think of it. I think it's just a 'knowledge barrier'. After listening to the patient's oral description, there are many symptoms consistent with rheumatoid arthritis.

It is a symptom of mitral stenosis, and from the film, there is obvious thickening near the mitral valve, so the diagnosis was made directly. This is the problem with experts, who often have studied in a certain field for decades or even

Throughout his life, when he encounters a problem, he first starts from the field he is familiar with; if he were an expert in waist and neck surgery, he would not necessarily ignore this possibility.

However, Director Hua did not panic at all. Medical images cannot lie. Zhou Yi just looked at the patient's complexion and pulse and came to a conclusion. This is simply child's play. Even if he guessed that the patient had made great efforts when he was young,

Pulling a cart, what does that mean?

"Dr. Zhou, but I..." The patient stroked his neck with some confusion and said, "It's true that I used a lot of strength when I was young, but why do I have chest pain instead of a curvy neck?"

"This is a psychological reason. I guess someone in your family has had heart disease, right?"

Zhou Yi now became very kind and patient, which was completely different from the cowardly look he had before: "So what you are most afraid of is that there is a problem with your heart. As a result, your chest pain will be infinitely magnified by you. Even if there are other places,

You can’t feel the discomfort anymore. Don’t believe it, this kind of psychological suggestion to oneself often causes patients to make wrong judgments.”

After hearing these words, many doctors nodded slightly. What Zhou Yi said was quite reasonable. However, when he came up with this theory based solely on his own connections, he still felt a bit like a wandering doctor, which was not scientific and rigorous enough.

It's a joke to overturn Director Hua's diagnosis.

"Dr. Zhou, I have taken X-rays. The old expert also determined from the X-rays that I have a heart condition...mitral valve stenosis. Don't you need to see the X-rays?"

Looking at the patient's beaming look, it was obvious that he hoped that he had a problem with his cervical spine rather than a terrible heart disease. However, the more he looked forward to it, the more he feared that Zhou Yi's diagnosis would be wrong. After all, the white-haired old doctor was an expert just now.

No matter how you look at it, he is more reliable than this young man Zhou Yi.

"That's right, Doctor Xiao Zhou. The film is here, you can take a look at it as you like."

Director Hua nodded and asked his assistant to take out a set of heart color ultrasound images and send them to Zhou Yi: "I don't know how you explain it?"

Ever since Tian Lei was injured, although he had managed to regain his lost senses after being treated by Yan Laohuo, Zhou Yi's mental power was extremely unstable. He sometimes looked coldly on others, and sometimes he was nosy. For example, he didn't care about this situation.

Wealthy patients are particularly patient and affectionate. This extreme mental instability causes the Almighty Idle Person System to temporarily lose contact with them. It is no longer possible to use Western medicine skills to do imaging examinations for patients, such as taking B-ultrasounds.

, CT, MRI, angiography, etc.

However, the loss of these abilities does not mean that the passive traditional Chinese medicine methods such as "ninth-level Qi Mao Shou" and "acupuncture" will also be lost. Similarly, cooking skills, martial arts, chess skills, painting skills, etc. have reached advanced realms. Or they have entered Taoism.

Or the skills or sub-professions to enter Hunyuan, these are just an introduction given by the system, and then they are all cultivated through hard work. The kung fu is in the body, no matter what kind of changes, it cannot be taken away.

As for reading images, that is a basic skill for a medical graduate student, and Zhou Yi is naturally familiar with it. He took the images, looked at them, smiled slightly and said: "It is better to have no books than to rely on medical images. If you rely too much on medical images, then you have to

What does the doctor do? This color ultrasound report only gives a result. Judging from the results, the patient's mitral valve is not closed tightly, and there is a possibility of hypertrophy and enlargement. The shadow part indicates that there may be calcification, and it must be treated immediately.

Is it right to perform balloon dilatation and valve replacement surgery?”

"Yes, yes, this old expert said the same thing, but..." The patient looked embarrassed.

"But balloon expansion is just a temporary emergency method. Even if the operation is successful, it will only make you comfortable for three to five years. After that, you will have to undergo valve replacement, which will cost you at least twice; if you do it from the beginning,

If you choose to replace a valve, the surgical fees and the price of imported metal valves are still very expensive. Including hospitalization fees, it may cost less than 70,000 to 80,000 yuan. Even if you have medical insurance, it is still a huge expense, and replacement

After the valve is opened, you have to take anticoagulants for a long time. You often have to go to the hospital to check the coagulation level and adjust the dosage of medication at any time. It is annoying to death. If you live in a rural area, it is even more troublesome. You have to go to the hospital every few months.

The city will inspect it once, and the long-term cost will be staggering."

Every word Zhou Yi said struck a chord in the patient's heart, making him nod repeatedly: "That's right, that's right. I'm from a rural area, so I hesitated. But then Dr. Zhou came, and then...

"Then you doctors started arguing, but the patient was very kind and didn't have the nerve to continue talking.

"I also don't want to see someone suffering from the pain of surgery and wasting money." Zhou Yi pointed to the color ultrasound image and said: "The color ultrasound image only shows a result, but it cannot accurately determine the cause of the disease. In fact, many reasons can cause it.

Due to similar images, do we all think that all these patients need surgery?"

The object of this rhetorical question was the patient in front of him, who was also Director Hua, etc. Hua Wenfeng was sneering: "Is the result you got after taking half a minute to diagnose the patient's pulse the most correct? In your opinion, the patient's cervical vertebra is out of control."

Question, why does mitral valve hypertrophy appear on color ultrasound?"

Zhou Yi glanced at him with a smile, but did not answer directly. Instead, he waved to Nurse Xiao Huang: "Nurse Xiao Huang, come here."

"What are you doing?"

Xiao Huang looked at Zhou Yi very warily. She was also a beauty, a flower in the cardiovascular and cerebrovascular department, and she was born with vigilance towards young male colleagues. In the eyes of this little girl, Zhou Yi was quite special, and

Bad, cold and cool, she dared to give Teacher Hu and Director Hua eye drops at the same time on the first day of work, but the stereotype of 'men are not bad, women are not loved' does not work in the workplace. No matter how stupid she is, she knows Zhou Yi

Now that he is the target of public criticism, it is better to stay as far away from him as possible.

However, this man's cool smile, his ruffian style as he gently twitched his little finger at her, and his handsome face still made Xiao Huang's heart beat rapidly, and it was estimated that it would beat 140 times a minute.

Ten times, her face was slightly flushed, and her fair forehead was slightly sweaty. She walked towards Zhou Yi unexpectedly, and when she got in front of him, she was pleasantly surprised. She wanted to turn around, but she felt a soreness between her eyebrows, which made her unconsciously tender.

He groaned, making some male colleagues gulp secretly.

Zhou Yi stretched out a finger, pointed it between the eyebrows of Nurse Huang, and said: "My finger has not come into contact with Nurse Huang's skin, and it has no magical power. However, nine out of ten people were touched by it.

She will feel sore between her eyebrows. If I don't take my fingers away, or if Nurse Huang steps back a certain distance, the pain will become more and more sore. If she fingers like this for two hours every day, she will get a headache in less than half a month.

No medicine can cure it; in a few years, through medical imaging examination, we will still find a shadow in this location, do you believe it or not?"

Director Hua's face changed slightly: "Are you talking about the example of inner hints that eventually lead to physical disease?"

"good."

Zhou Yi put down the color ultrasound picture in his hand and said: "The patient once had a long-term life experience of pulling a cart. Over time, this experience will be considered normal by him. Even if the cervical spine is injured, because the disease has a long-term accumulation process, it is difficult to

We all know that cervical spine disease can cause insufficient blood supply to the brain, dizziness and headaches, and in severe cases, radiating pain, which can spread to any part of the upper body; because the patient’s family has a history of heart disease, when radiating pain occurs, his

The psychological suggestion is that it is a heart disease, and because the family environment is not good, I did not go to the hospital for examination at the first time. This suggestion is like my finger, which changes from the spiritual level to the physical level. Mitral valve

Poor closure and thickening are all gradually evolved under this suggestion; unfortunately, medical imaging can never replace a good doctor. If we see this result in the imaging picture, can we infer that he has a heart problem?

?no!"

"Is this really the case?"

Seeing that Director Hua did not refute for a while, everyone became a little suspicious. The so-called "hypochondriacal patients will be seriously ill" and long-term psychological implications lead to organic disease. This is a fact that has been concluded by the medical community; Nobel Prize winner in the middle of the last century

The winner of the Medicine Award, Dr. Mike, has proven this through a long period of extensive experiments, but after all, this is only at the theoretical level. When doctors make diagnoses on weekdays, they mostly rely on medical imaging, and few people go there.

Analyze whether the patient has long-term psychological implications and hypochondriasis.

But the young Dr. Zhou in front of him is just a newcomer on his first day at work. He only checked the patient's pulse for half a minute. How can he be sure that the patient is in this situation? So what if he is, since he still has organic disease in the end?

Lesion, then Director Hua’s diagnosis is not wrong? What on earth is this guy going to do?

Director Hua didn't speak for a long time, and was also confused. After thinking for a while, he asked Zhou Yi: "Dr. Xiao Zhou, even if your analysis is not wrong, can you overturn my conclusion? What the doctor sees is the result after all, no matter what

Whatever the reason, the result is all organic disease, do you have a better treatment plan besides surgery?"
Chapter completed!