The Surgeon's Studio
2021 The drama queen has taken over
Zheng Ren understood what Su Yun meant.
To confirm whether the liver was detached, the patient needed to change his position. He would have to perform a CT scan on the left and right sides respectively.
As the position of the liver changed, if the liver was separated, there would be a symbolic change in the imaging, and this could be diagnosed directly.
Although he was almost 100% sure when he looked at the film now, he was not strict about it.
Zheng Ren could also think of a few other diseases that would have similar X-ray images. Although the possibility was small, it did exist.
He nodded and immediately sent a message to professor Liang.
"Boss, do you think this disease is related to the liver and gallbladder or the stomach?" Su Yun suddenly asked with a smile.
"Liver and gallbladder, I guess. If there's no intestinal obstruction, we'll perform reduction and fixation on the liver. "
"Reduction? this is also for the stomach and intestines."
Su Yun's rebuttal was an ISO9002 certification.
"Then let's attack together." Zheng Ren didn't mind and said casually,""Laparoscopy is fine, but you can take turns."
"Boss, how long do you think it will take for Lin Yuan to get external help to diagnose the green urine?" Su Yun changed the topic very quickly.
"I don't know. It depends on luck in China. Overseas ... It mainly depends on whether anyone has seen similar patients before. There is a certain degree of randomness to this. " Zheng Ren said,"but looking at the current situation, it's probably because the cancer hospital has never seen such a case before."
"The probability is too low. I've read the instruction manual of morphine before, but I never noticed those six words."
"I didn't notice it either. I just read the doctor's orders this morning and thought back to the instructions for various drugs. I felt that there seemed to be something missing in that place." Zheng Ren said,"this case might be of some significance if it were given to people who do Pharmacology and Physiology research. It's not very meaningful to a clinician. "
"Yes, it doesn't have much clinical significance." "I've seen a lot of patients with liver failure who were tranquilized by morphine and had breathing assisted by a ventilator, but none of them had green urine,"Su Yun said.
"Let's not talk about that. It's just a side effect of a drug. Why are you so in-depth in your research?" Zheng Ren said.
"Boss, it's not like you." Su Yun laughed.
"That's true. It has nothing to do with clinical work, so it's not worth spending too much energy on it. "
"What do you think will happen if the ICU doesn't look for you?" Su Yun asked.
"There's no problem with the patient's condition, so let's observe him. If he was bold, he would try to stop the medication and decatheter his tube. As long as he stopped taking the medicine, he would be fine. It would've recovered even without me, that's for sure. " Zheng Ren made a guess.
As they spoke, the two of them arrived at the 912 emergency department.
As they walked in through the main door, they could hear the sound of quarrels in the corridor.
It would be an exaggeration to say that they were quarreling. Their voices were probably expressing their dissatisfaction.
"Why do we have to do three CT scans on one organ?"
"Do you know how to treat patients? You have the face to call yourself the doctor of 912!"
"How shameless, you can't extort money like this!"
When Zheng Ren heard this, he immediately knew what had happened.
The patient's family could not accept this.
Three CT scans had to be done on one spot, and normally, three examination sheets had to be given.
Was there anything wrong with the patient's family members 'doubts?
That's right.
People who did not understand the medical field would not understand the significance of doing three CT scans on the same spot.
Forget about people who did not understand medicine, even normal doctors who did not know much about detached livers would not understand the meaning of this.
This was still considered good. He remembered that many years ago, there was a hospital that met an old cheater.
The patient was in critical condition and died in the ICU of a large tertiary Grade A hospital.
In the end, the patient's family members began to ask for compensation. They found the media and showed the receipt of their daily medical charges.
One of the receipts had the fee for a large amount of saline. At that time, Zheng Ren was still young and in school. He was still in his ignorant period.
He thought that he knew medicine, so he was even angrier than the general public when he saw the media reports.
However, only after he came into contact with clinical medicine did he realize that a seriously ill patient had too many areas where he needed saline.
Dialysis, all sorts of flushing, drip, etc. Almost every tube had to be washed with sterile saline.
There was also phlegm-sucking, and without saline, the thick phlegm would block the tube.
If he did not understand these things when he was a medical student, he would not be able to understand them as a normal patient's family member.
Seeing Su Yun raise her eyebrows, Zheng Ren patted his shoulder and smiled.""Are you angry?"
"What the hell do they know!" Su Yun said angrily.
"Don't say such vulgarities," "It's not good for the liver to be angry, yet you still drink,"Zheng Ren said.
"Don't just rely on drinking!" Su Yun was even angrier when she heard Zheng Ren's words.
"Hehe."
"Then what do you think we should do? The colon was between the liver and the diaphragm. Who knew when it would reverse? Once it's dead, there will be a lot of intestines to cut out. "
"Don't you think he's courting death?"Su Yun laughed.
"Don't say that. They don't understand either. " Zheng Ren said,"it's fine. Watch me."
"You?" Su Yun looked at Zheng Ren in surprise.
If Chang Yue had said that, Su Yun would have believed her. However, his boss ... His ability to communicate with his patients was not bad, but it was definitely not as good as Chang Yue 's.
"There's no need to communicate. " Zheng Ren smiled.
Zheng Ren was in a good mood after performing an autologous fat transplant and filling in the wrinkles at the corners of his eyes in the system's operating theater. He was much more active than usual.
Zheng Ren puffed out his chest and raised his head, then strode in.
"Doctor, quickly give my old man a list!"
Su Yun saw his expression and instantly understood what her boss wanted to do.
Really ... Tenured professor at Massachusetts General Hospital, how shameless!
The patient's family grabbed the doctor from the emergency department and questioned him. Zhou Litao explained at the side, and the freckles on his face were almost blooming.
They were all stunned when they saw boss Zheng walk in with his head held high and chest out, saying that he was going to give his old man a bill.
The patient's family was still complaining when Zheng Ren went forward and shouted,""What's the fuss! Can you afford to delay my old man's treatment?"
Zheng Ren was dressed in casual clothes. In Zhou Litao's eyes, he was boss Zheng. However, in the eyes of ordinary patients 'family members, he was just a patient's family member.
Although he looked kind, his words were not polite at all. His eyes were wide open, and he looked quite fierce.
The patient's family was stunned for a moment.
The corridor of the emergency department instantly became quiet.
Taking advantage of this opportunity, Zhou Litao quickly explained to the patient's family why they needed to do three CT scans.
Zheng Ren was a drama queen. He said impatiently,""Doctor, are you done? quickly give me a list, there's quite a lot!"
The patient's family immediately felt a sense of urgency.
In front of the doctor, they could argue and make a scene because they knew the other party would not talk back or fight back.
Who wouldn't pinch a soft persimmon?
However, when they encountered a family member of a patient like them, they immediately became anxious.
"We came here first!"
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