Sister Ma, you check carefully, it's not a problem to always have a headache. The person who accompanied the patient to the examination seemed to be her best friend or friend, who was beside her to persuade her.

The patient is in his forties, a little emaciated, and looks older.

Holding an inspection list in his hand, it seems that he is going to pay the money and check.

Zheng Ren hurriedly shouted, "Hey, wait a minute." ”

The patient and his friend didn't realize it was the two of them, and walked to the cash register while chatting.

Zheng Ren took two quick steps, stopped in front of the patient, and said, "Sister, I am the general inpatient of the emergency department, do you have a headache?"

The patient was stunned and said, "Yes." ”

"What are you going to do here?" Zheng Ren tried to make his tone and expression as gentle as possible.

Maybe it's because of the luck value, or maybe it's because the charm value has increased, and it looks like it's believable.

The patient was puzzled and handed the list in his hand to Zheng Ren.

Zheng Ren saw that the examination list was an MRI scan of the head, which was what he was most worried about.

Luckily, I met it!

At this time, Zheng Ren realized the toughness of Lucky +8.

"I don't think it's appropriate for you to do this test. Zheng Ren said: "I just listened to the conversation between the two of you, and it seems that you are not financially well-off?"

"Yes, an NMR is more than 500, so expensive. The patient said with a frown.

"Let's go, find the old director to show you. Zheng Ren smiled and pulled the patient to Director Pan's office and knocked on the door to enter.

Director Pan saw Zheng Renchong snap his eyes a few times, and knew that something was wrong, so the two began to "perform" without prior discussion.

There are different ways to check the body.

Generally, the physical examination in the emergency department is very simple, after all, there are more than a dozen or twenty patients piled up outside, and it is not practical for a patient to take half an hour to examine.

If it is not critically ill, after a simple physical examination, go to the patient for examination.

In this way, patients can be effectively triaged so that they are not piled up in the hallways of the emergency department.

People's impatience is contagious. Especially people who are sick are very anxious.

Director Pan gave the patient a more detailed physical examination, he was very old, almost seventy years old. With silver hair and a serious and solemn expression, he looks like he is better at seeing a doctor than Zheng Ren.

This is also the reason why Zheng Ren brought the patient to Director Pan.

Director Pan was examining the body, and Zheng Ren was introducing the situation.

"Director, this patient has a headache all year round, and this time it is more serious, so come to our hospital to have a look. However, due to family and financial reasons, I considered that the cost of MRI was relatively high, so I recommended a non-contrast head CT scan. ”

Director Pan knew that Zheng Ren brought patients to him, and he played meat in this sentence.

He pretended not to hear it, continued to check for 5 minutes, and then said slowly: "It's not a big deal, do a head CT, and finalize it, 120 yuan is fine." ”

The patient was very grateful, although he overturned the examination of the emergency physician, but after all, Director Pan looked like an academic authority, and Zheng Ren looked quite trustworthy, so the two of them happily took the CT examination sheet prescribed by Zheng Ren to do the examination.

Before leaving, Zheng Ren also left them his mobile phone number and asked them to call him directly after the examination.

When the patient was gone, Zheng Ren breathed a sigh of relief.

Director Pan asked puzzledly: "Zheng Ren, what are you tossing?"

"Director, for patients with long-term headaches, I recommend starting with head CT. Zheng Ren said very seriously: "In case there is metal in the skull, if you do an MRI, something big may happen." ”

Zheng Renyi reminded that Director Pan immediately woke up.

Is there metal in the skull?

Ordinary people may not understand, but Director Pan has practiced medicine all his life, from the battlefield in southern Xinjiang to the frontier in the north, what has he never seen?

He nodded and said, "Zheng Ren, you are right to remind you. I figured it out, and each doctor informed me personally. ”

Talking to Director Pan is smooth, and he will not feel that the authority of the director has been shaken because he has put forward his opinions.

Although what Zheng Ren said, although rare, may not encounter a single case in a few years. But as long as it is encountered, if one is not handled properly, it will directly cause a catastrophe.

Saying goodbye to Director Pan again, Zheng Ren took out his mobile phone and informed Chang Yue and Su Yun that they had dinner at night and were going to drink a lot of wine.

This kind of non-medical means and methods, Zheng Ren can't do.

But Director Pan and Zheng Ren have a tacit understanding, just like the female patient just now, each with their own strengths.

Zheng Ren returned to the emergency ward, and sure enough, there was no accident, and he was sprayed with dog blood by Su Yun.

Everyone chatted, and in less than an hour, Zheng Ren received a phone call, and the two of them had finished the head CT examination and were waiting for the film.

Zheng Ren told the patient the specific location of the emergency ward, and asked her to get the film, without waiting for the report, she said that she needed it, and borrowed it first and showed it to herself.

More than ten minutes later, the patient found Zheng Ren with the film.

Inserting the film on the reader, Zheng Ren saw that there were three steel needles in the patient's skull!

The image is very clear, like the fangs of the devil, with full malice, which makes people shudder.

"I'll go ......" Su Yun saw this kind of film for the first time, and he was still laughing at Zheng Ren for making a fuss just now, but he was directly stunned after seeing the film at this moment.

Professor Rudolf Wagner glanced at it and continued to write about the surgical diagnosis and differential diagnosis of TIPS. This kind of foreign body in the body is not attractive to him in the slightest.

Chang Yue and the others were also dumbfounded.

If this is an MRI......

Magnetic fields have an effect on metals, and metals also affect metals.

During MRI, it is not allowed to bring in all metal objects that will be attracted by magnets.

Once, a patient's wheelchair was sucked into the machine, and it took a lot of effort to take it off.

Some patients, especially those with built-in surgeries such as early cardiac stents and fracture internal fixation, are unable to undergo MRI examinations.

The current nitinol doesn't seem to have much of an impact.

The woman in front of her, if she does an MRI, several steel needles inserted in the skull will be adsorbed and swing with the action of the magnetic field.

Patient's brain tissue......

I didn't dare to think about it, anyway, all the doctors present were in a cold sweat.

"Mr. Zheng, how did you get in?" Chang Yue asked, his palms were full of cold sweat.

"I guess I inserted it when I was a child. Zheng Ren said coldly.

The human skull has a developmental process, and the skull is thinner, softer, like vellum paper, and the needle can easily penetrate it during the first few months of life.

Decades ago, girls were very unpopular in the countryside, and although Zheng Ren had not seen such a thing as a steel needle before, he had occasionally heard about it.

Although the patient couldn't read the film, the needles were clearly placed in front of him, which was particularly obvious.

"When did your headache start?" asked Zheng Ren.

"Since childhood. "The patient was a little confused, panicked, and at a loss.

Sogou reading website: