"What tests did the patient have?" Zheng Ren asked.
"Head and chest CT, abdominal ultrasound, and both lower limbs X-ray," Yuan Li answered subconsciously. As soon as the words left his mouth, he regretted it.
Was he the chief resident of Sea City General Hospital?
No!
If he was not, how could he answer his question? However, Yuan Li saw Zheng Ren's solemn expression and did not cause any trouble. Countless previous cases told Yuan Li that it was best not to question Chief Zheng's diagnosis.
Moreover, if this patient was really in trouble, he would be sent to another hospital according to his judgment. If something happened halfway, the patient's family would pester, complain, or even threaten and scold him.
As he spoke, the doctor in the ultrasound room pushed the bedside ultrasound machine in, yawning.
After a night of tossing and turning, this was the only time they could have a good sleep. If they met a doctor who had difficulty sleeping, they would not be able to sleep well.
People in their thirties or forties would be very damaging to their bodies if they did not sleep for a night.
When she came in and saw Zheng Ren, she rubbed her eyes and said in surprise, "Chief Zheng? Didn't you go to Imperial Capital? "
"I came back to see the chief." As Zheng Ren spoke, he pulled the bedside ultrasound machine over and turned it on. He applied a coupler to the patient's abdomen and began to do an ultrasound examination.
"Chief Zheng, you even know this?"
"A little."
Chief Wang cursed in his heart. A little? What the f * ck! He knew a little about P-J syndrome, and he also knew a little about bedside ultrasonography!
Was there anything that an old man did not know?
"Chief Zheng, I've looked at the stomach. There is no fluid accumulation in the abdominal cavity and no subcapsular hematoma in the substantial organs. Delayed bleeding is not considered," the doctor in the ultrasound room whispered.
The patient's family had already come in, so they had to be more cautious when communicating.
"Consider abdominal aorta and thoracic aorta dissection aneurysm," Zheng Ren said. Then, the ultrasound probe pressed on the patient's abdomen and began to carefully examine it.
'Chief Zheng is as awesome as ever,' the doctor in the ultrasound room sighed. The resolution of the bedside ultrasound was extremely low, so it was enough to get a rough idea. As for anything else, it was really impossible to see.
The patient's family was dumbfounded. Seeing so many doctors in the resuscitation room, the air was filled with a tense atmosphere. Didn't Doctor Yuan say it was fine? What was going on?
Very quickly, Zheng Ren put the probe back and called out to Yuan Li, "Explain the patient's condition to the patient's family and diagnose a thoracic and abdominal aortic dissection. Contact the ICU and send him there immediately to control his blood pressure. Give him analgesic treatment and wait for the surgery. "
After that, he turned around and asked Chief Wang, "After I leave, is there anyone else who will do the stent surgery?"
Director Wang shook his head in confusion.
It was a pity that he had returned in a hurry. Feng Xuhui did not carry the ridiculously large suitcase with him.
When Feng Xuhui was around, he didn't think much of it. But when he needed to use it but didn't have the necessary medical supplies, he realized how important Feng Xuhui was.
Zheng Ren did not have a good idea. He picked up his phone and looked at the time. After hesitating for a moment, he still made the call.
"Hello, Director Wang."
"Yes, I'm Zheng Ren. Do you have an aortic stent? "
"Could you please help me? I have an emergency here."
"It's not Imperial Capital, it's Sea City General Hospital. Yes, yes, I came back to see the old chief. Didn't I happen to meet a patient? Then I'll have to trouble you. I'm in a hurry, so please hurry. "
With that, he hung up the phone.
"Chief Zheng, who are you calling?" Director Wang was a little puzzled.
"Chief Wang Qiang of the Secondary Hospital's Department of Interventional Medicine," Zheng Ren said.
'F * ck …' Director Wang cursed in his heart. Ordering the chief of other hospitals was like ordering his own junior doctor.
Chief Zheng really made people speechless. Moreover, it was five o 'clock in the morning. To ask someone to deliver a stent directly … How much face did he have?
However, Chief Zheng said that he wanted a stent. It was so simple and direct. He didn't even say a little polite.
F * ck!
People really couldn't compare. If they did, they would be infuriated.
Yuan Li was in a difficult position. All the previous explanations were gone. He had to explain to the family again. Explain what? Was there a problem with his diagnosis? He cursed in his heart and then felt a little confused.
How did Chief Zheng know there was a mezzanine?
To be honest, he did not hate Zheng Ren. Although this kind of thing was a slap in the face, it was also a life saving. It was easy to make a choice between life and face.
If he wanted to hate someone, he could only hate his bad luck. It was just a fracture. How could there be a mezzanine?
As for the disease of dissection, it wasn't common to see it. It was rare, but the entire emergency department would encounter three to five of them a year. Every doctor in the emergency department was facing a mezzanine as if they were facing a great enemy, but they could not predict it in advance.
It could not be that every patient who came to see a doctor had to do a blood vessel CTA. If that was the case, a big hat of over-treatment would be put on them. Who could bear it?
However, it was difficult to make a clear diagnosis, so every doctor in the emergency department was cautious, as if they were walking on thin ice.
In the past, there was a patient in the thoracic department with a simple rib fracture. After being admitted to the hospital, he was like a good person, walking around after the drip. Suddenly, he died the next day. The matter was very serious.
The patient's family refused to take the body away no matter what and asked the hospital to give an explanation.
In fact, anyone could not bear this kind of thing. A good person died just like that without any buffer. How could they accept it?
However, the doctors had no choice. They could not do a full set of examinations for all patients when they were admitted.
This kind of thing was f * cking up to fate.
His fate seemed to be good. One of his feet had already stepped out of the cliff and was pulled back by Chief Zheng. Yuan Li thought to himself as he explained to the patient's family.
During the surgery, he went to take a look. If it was really the past … F * ck, the other party did not even care about him. Yuan Li sighed.
This was not the Chief Zheng of last year. In half a year, he had become a dragon and soared to the sky. Coming back to 'simply' save his and the patient's lives was probably not something Chief Zheng would remember in a day or two.
People were really different.
Zheng Ren did not know Yuan Li's inner struggle. He walked back with Chief Wang. The patient had already been sent to the operating table. If they did not hurry back, the patient would be very afraid lying on the operating table.
"Chief Zheng, is the diagnosis accurate?" Chief Wang asked. Until now, he still did not dare to believe Zheng Ren's diagnosis, but he could not question it.
"Huh?" Zheng Ren was stunned.
Chief Wang glanced at Zheng Ren, not knowing why he was stunned.
"Diagnosis?"
"Yes."
"Didn't you do a B-scan? The blood flow in the mezzanine is quite obvious. Didn't you notice? "
"…" Chief Wang finally understood why Chief Zheng was confused.
"Oh, oh, you're a doctor in the general surgery department. The diagnosis is clear. It's a mezzanine. The stent will be sent for surgery, and the orthopedics department will treat osteofascial compartment syndrome, "Zheng Ren said calmly.
Chief Wang's heart was filled with tears.
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