The Surgeon's Studio

"Boss Zheng, are you confident?" Zhao Yunlong asked in a low voice.

"Let's try it. I think it shouldn't be a problem. "

With the song 'good luck comes', old he began to administer medicine and perform intubation.

Everything was going smoothly without any unexpected complications. Seeing that the patient's vital signs were stable, director Xu was relieved. As long as he could get through the anesthesia, it had nothing to do with him. As for the rest, it was up to the magnanimous people to worry about.

And in the case that he was just explaining, director Xu felt that it was best if he did not need to perform surgery. Since it did not concern him, he was too lazy to think about it.

"Boss Zheng, what have you been busy with recently?" Department Director Xu smiled. The patient was already under anesthesia, so his voice was a little louder.

"This isn't a collective poisoning of the students of No. 2 middle school at noon. I'm going to participate in the sampling and find the cause of the illness." Zheng Ren said.

"Second middle school ... I heard that the food in the student canteen is not bad."

"Yes, I went to take a look. They're all fine." Zheng Ren said,"we suspect that there's something wrong with the fresh fruit juice, which caused the students to have acute copper poisoning."

"..." Director Xu was stunned and looked at boss Zheng speechlessly. Acute copper poisoning was also a rare sight. Boss Zheng was really busy these days. He didn't know how long he could follow this patient.

"By the way, boss Zheng, didn't you say that you have a live surgery broadcast in the afternoon?" Director Xu asked.

"I didn't do anything, I was busy with food poisoning." Zheng Ren sighed. He hoped that the CDC would do the test soon and solve the problem. It was a good thing that the live surgery broadcast started earlier. He was mainly thinking about the rewards given by the system.

"Copper poisoning is quite rare. The patient today is also rare." Director Xu chuckled and said,"boss Zheng, when I saw the X-ray, I felt that a thoracotomy was needed. However, the risk of opening up the chest is quite high. That's why I'm disturbing your work. "

"You're welcome, director Xu. I've already finished my work on my end when you asked Fang Lin to make the call. Take the oranges from the fresh fruit juice Machine to the Center for Disease Control and Prevention for testing. The results will probably be out in two hours, so there's no delay. "

Zheng Ren said with a smile.

"Would there be a lot of copper in an orange? How did he get in? Does it look better to keep it fresh or to look good?" Director Xu was a little confused.

"I don't understand either. I've never heard of copper being of any help to Cheng."

"Normally, orange sellers wax the surface of the orange to make it look more lustrous, but they don't sell it in large quantities." Su Yun said,"but the copper element doesn't help with appearance. I don't understand it either."

Director Xu wanted to say something, but his mouth moved slightly. In the end, he didn't make a sound.

Zheng Ren understood and smiled."I don't think there's anything wrong with the medical history that doctor Chang asked about. The medical history shows that the students who suffered from food poisoning shared a common experience of drinking freshly squeezed orange juice. "

"Let's wait and see. I'm not sure about the details. " Su Yun held her phone in her hand as she looked at the television screen of Department Director li of the Hepatobiliary and Pancreatic Surgery who was performing a laparoscope. No one knew what she was thinking.

The surgery went smoothly and ended in less than an hour.

Before waking up from general anesthesia, Zheng Ren gave the patient an ultrasound and found that the heart had moved a few centimeters to the left again. The patient's vital signs were stable and there were no abnormalities.

If it were not for the fact that a CT scan had been performed before the operation and the basic clinical skills of the 912 medical staff were not strong enough to directly see the heart's torsion, the patient would have been ignored.

Many doctors would even treat it as a congenital right heart.

"Boss Zheng, where should we send the next patient?" Director Xu asked.

"You can go to the icu or the general ward. The most dangerous time is when you perform intubation. After this period, the patient will slowly recover." Zheng Ren said.

Department Director li of Hepatobiliary and Pancreatic Surgery thought for a while and still sent the patient to the icu. What a joke. For a patient with cardiac torsion, what if the vygus nerve was accidentally stimulated during the reduction and the patient's heart stopped?

If he were to return to the general ward, would he need to arrange special care for him?

Zheng Ren didn't care about these things. When he saw that the patient had woken up, he smiled and said,"if there's nothing else, we'll take our leave first."

"Alright, let's keep in touch if there's anything."

"Boss, Are you sure?" Su Yun asked as they arrived at the changing room.

"Almost. If a heart herniated, there would have been symptoms a long time ago. It wouldn't have acted up when the heart was slowly resetting." Zheng Ren said with certainty.

"Who gave you the confidence?" Su Yun asked in confusion.

"I'm speaking in a mumble, so you told me not to talk to you in the tone of a patient. What I said definitely won't work. What do you want?" Zheng Ren said.

Su Yun spread out her hands and looked at the sky.

[They said ...]

Zheng Ren picked up the phone.

"Nothing? That can't be. "

"Alright, director Lin, I understand."

After a brief exchange, Zheng Ren hung up the phone. His eyebrows were knitted together as he pondered seriously.

Su Yun already knew what had happened from the phone call. He was also very confused. By right, Chang Yue's medical history should not have any problems. Could it be that she had missed out on something?

It was really strange. Su Yun was also seriously thinking about it, which was rare.

However, he really couldn't think of anything. Zheng Ren went through the matter again. Just now, Division Chief Lin said that there were only some minor problems with the various samples collected in the cafeteria and had already ordered for them to be rectified. However, small problems referred to things like mold and bacteria, which had nothing to do with copper.

What's going on ... Should I go and see the students from second high? Zheng Ren had such an idea.

Before Zheng Ren could make a decision, his phone rang again.

This time, it was fan Tianshui.

"President Zheng, someone is trying to move the machine." Fan Tianshui's voice was low, and he sounded a little anxious.

"Eh? Move the machines?" "What's wrong?" Zheng Ren asked doubtfully. He had no idea at first, but after hearing fan Tianshui's words, he suddenly remembered that there could be a problem with the machine.

"Wait, I'll be there immediately." Zheng Ren asked,"are they from the school?"

"Apparently, they said that they would call the police if they didn't move."

"I'll contact chief Lin. You ... Try to delay. Right, don't hang up yet. Don't hurt anyone, old fan!" Zheng Ren hung up the phone in a hurry after he finished speaking.

Zheng Ren sighed as he thought about how torturous it was every day.

"There must be a ghost to move the machine at this time!" Su Yun said with certainty.

"I think so too. It's possible that there's a problem with the juicer." Zheng Ren quickly changed his clothes and organized his thoughts."What's the PH value of orange juice?"

"It's usually 3 to 4. The lower the PH value, the more acidic it is. When it's freshly pressed, it might be concentrated, causing the ph value to drop further." Su Yun said.

"It's possible! I remember there were two cases of copper poisoning. The copper parts of the coke machine were exposed and were soaked in Coke with a ph of about 2. " Zheng Ren said,"hurry up. Call a taxi and we'll rush over immediately."

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[Note: source of the literature on conservative treatment for cardiac torsion: N Engl J Med 2014; 370:e30