Chapter 440 You Don’t Even Know How to Watch a Movie!

Remember [new] in one second! "Auntie, I saw you had a chest CT scan at the central hospital. Have you brought the film?" Lu Chen said.

"Take it, take it."

Aunt Wang quickly knelt down and took a white bag from the drawer under the bedside table.

Lu Chen smiled, took the bag, and took out a brand new chest CT film.

After comparing the date, it turned out that the film was taken exactly a week ago.

Lu Chen carefully reviewed the chest CT and found that except for a slight infection in the patient's lungs, there were no other abnormalities.

"This case is really not that simple." Lu Chen thought to himself.

It seems like a simple bronchial asthma, but why is it not effective?

Because the hospital outside the hospital had given the patient comprehensive treatment for bronchial asthma, the first thing Lu Chen thought about was whether the cough and asthma were caused by other diseases.

"Doctor, do you, do you have anything else to do?"

Aunt Wang said.

Lu Chen shook his head, "Thank you, auntie, for your cooperation. I'm done asking."

He returned the chest CT film to Aunt Wang.

"Then my disease..."

Lu Chen paused and said, "It's not clear yet. Further examination is needed. My superior doctor will see you later."

Regarding this case, Lu Chen really didn't have any ideas for a while.

"Okay, thank you doctor."

Lu Chen nodded slightly and then left the ward.

…

When I first entered the Department of Respiratory Medicine, the first patient I met was a bit difficult.

Lu Chen also became interested.

In the first two months, he stayed in the operating room every day, which was too boring.

Back to the doctor's office.

Fan Yujing is already sitting in front of the computer. Judging from her appearance, she should be waiting for Lu Chen.

"How is the patient?"

As soon as Lu Chen sat down, Fan Yujing asked.

"Consider an acute bronchial asthma attack..."

Before Lu Chen finished speaking, Fan Yujing interrupted: "I didn't ask you to talk about the diagnosis or the condition!"

Lu Chen frowned deeply and glanced at Fan Yujing. This teacher has a really weird temper.

However, he continued: "The patient is a 43-year-old female who was admitted to the hospital with cough, sputum and wheezing for 5 days..."

Lu Chen briefly introduced the medical history.

"Where was bronchial asthma diagnosed and what treatment was used?" Fan Yujing asked.

"I stayed in the city center hospital for a month and was given hormone, anti-spasmodic, and anti-infective treatments, but the results were not very good."

After Lu Chen finished speaking, Fan Yujing said nothing. She took her stethoscope and left the doctor's office.

Lu Chen saw this and followed her.

…

Came to the ward again.

The patient is already in bed.

Walking into the ward, only half a meter away from the bed, you can vaguely hear the patient's breathing.

Fan Yujing came to the hospital bed and asked about the medical history again.

This time, she also asked about some occupational medical history, history of dust exposure, etc.

The patient answered one by one that she did not have any other occupational diseases or exposure history.

"Have you seen the doctor's order for the patient's treatment in the city's Traditional Chinese Medicine Hospital?" Fan Yujing suddenly asked.

"I've seen it." Lu Chen nodded.

"What do you think?"

Lu Chen frowned slightly, "Judging from the current diagnosis of bronchial asthma, the treatment at the central hospital is basically in place."

"Then why was the previous treatment not good?" Fan Yujing asked again, "What is the reason for this?"

Lu Chen shook his head and whispered: "I don't know yet, but from a preliminary look, the first possibility is that the dosage and course of treatment are not enough; the second reason is that the previous diagnosis of bronchial asthma was wrong!"

The diagnosis was wrong, and it was just his current guess.

Don't belittle each other if you are in the same profession. Lu Chen's voice was very low to avoid being heard by the patient's family members.

When Fan Yujing heard Lu Chen's words, she raised her eyebrows slightly and felt a little surprised.

Unexpectedly, this student had two brushes.

"Based on the patient's current examination results, besides bronchial asthma, what other diagnoses are you considering?" Fan Yujing said.

Lu Chen shook his head slightly, "It's not clear yet."

Respiratory medicine is not his major, so naturally he is not as comfortable as he is in cardiology.

Fan Yujing didn't say anything more. She turned to the patient and said, "Take out all the examinations done at the central hospital."

"Okay." After hearing this, the patient took out the chest CT film again and handed it to Fan Yujing.

Fan Yujing took it gently, held it in front of her, and looked at it carefully.

CT images are divided into 16 rows and 64 rows. The main difference is the resolution.

It can be easily understood that a 16-row CT scan involves 16 cross-sections of the lungs.

For 64-slice CT, there are 64 cross-cuts.

The larger the number of rows and the greater the number of cross-sections, the more clearly the chest CT can be seen.

After a long while, Fan Yujing slowly put down the chest CT film in her hand.

"Have you seen the CT film?"

Lu Chen nodded slightly: "I've seen it."

"Can you read?" Lu Chen was stunned by Fan Yujing's words.

"I haven't studied it systematically. I know a little bit about it." Lu Chen said.

"Haha, I think you don't know it at all!" Fan Yujing put the CT film on the table aside without politeness and said coldly: "After seeing this CT film, don't you still know the cause of the patient's disease? "

Fan Yujing's attitude is really bad.

But when Lu Chen heard Fan Yujing's words, he was stunned.

He had just looked at this patient's chest CT film carefully.

Except for signs of lung infection, he didn't find any other problems!

Fan Yujing could actually see the cause of the patient's illness from this chest CT film?

Lu Chen immediately took the CT film.

He carefully studied and compared every section.

Lung window, mediastinal window, lung texture, bronchial shadow, he didn't let go of any of them.

"You are a little self-aware, take a good look."

Fan Yujing snorted coldly, and then left the ward.

Lu Chen ignored her and continued to study the chest CT film.

...

There are a lot of contents about CT in the image, otherwise it would not be a separate department.

However, with the development of modern medicine, doctors have become more and more detailed in their division of labor.

Doctors in many departments are not good at reading images, such as X-rays, CT and MRI.

Most doctors rely on the reading results of the imaging department.

However, in clinical practice, it is often the attending physician who knows the patient's condition best.

Relying on the reading of the imaging department not only delays the best treatment results, but also may result in errors and misinterpretations.

…

“Huh…”

After a long while, Lu Chen still shook his head helplessly.

Except for the image of lung infection, he still couldn’t see anything abnormal.

Lu Chen knew that he was very lacking in the ability to read films.

“Auntie, please take the film back for me to have a look.” Lu Chen had to say to the patient, “I’ll give it back to you after I’ve finished reading it.”

“Okay, no problem.” The patient grinned, “Just don’t mess it up for me, I’ll need it in the future.”

“Well, don’t worry.”

As he said that, Lu Chen took the patient’s chest CT film back to the doctor’s office.

In the doctor’s office.

Fan Yujing was giving the patient medical advice. At the same time, she saw Lu Chen coming back and said, “Write the patient’s medical record.”

“Okay.”

Lu Chen put the patient’s chest CT film aside and began to write the patient’s first medical record.

The medical record was easy for Lu Chen to write and he finished it quickly.

However, he really didn't know how to fill in the diagnosis line of the medical record.

Lu Chen clicked on the doctor's order and frowned.

Fan Yujing's orders were very routine, with only a few simple blood tests.

There were no anti-infection and bronchial asthma drugs!

Seeing the doctor's order, Lu Chen glanced back at Fan Yujing, and then fell into deep thought.