Okay! "Zheng Ren replied.
This was a very interesting case. Zheng Ren did not think too much about it and immediately agreed.
"You can take the scans away. This patient should be a matter for the surgery department." Chief Luo took the radiographic films down, put them in the bag, and handed them to Zheng Ren. "Boss Zheng, thank you for your hard work."
"Chief Luo, you're welcome." Zheng Ren smiled and said, "I'll contact the patient and hurry up to decide on the surgery."
Chief Luo stood up and patted Zheng Ren's shoulder. He said, "Don't forget to call me during the surgery."
"Sure!" Zheng Ren agreed without hesitation.
"Go ahead and get busy." Chief Luo sent Zheng Ren and Su Yun out and gave them a few more reminders.
After leaving the gastroenterology department, Su Yun asked, "Boss, what do you think it is?"
"I'm not sure, but I've seen some cases of toothpicks penetrating the duodenum and sticking into the liver." "It could be a toothpick, or it could be … No, judging from its density, it shouldn't be something made of iron."
"I've seen cases in New England where people ate five pounds of nails. If he swallowed so many nails, maybe one of them would pierce his liver. "Su Yun laughed as he spouted nonsense.
In fact, he also knew that it was impossible for it to be an iron nail. It could not be seen on a plain CT scan, but after reconstruction, it could be seen that the density of the abscess in the patient's liver area was slightly smaller.
"Bring the patient in and ask if he can do a live broadcast." Zheng Ren picked up his phone, clicked on Chief Luo's WeChat, and began to call the patient.
Su Yun felt a little helpless when he saw how eager Zheng Ren was.
This morning, Lin Ge had just told him about the dispute between the patients with liver cancer. Why didn't he learn his lesson?
Usually, doctors would be a little timid at this time. They had to carefully select the patients they accepted for fear that there would be any mistakes.
However, looking at his boss's confident look, Su Yun really admired Zheng Ren's confidence.
'I hope that nothing will happen to this guy for the rest of his life,' Su Yun muttered in his heart. This guy did a good job in the surgery, and his luck was indeed good. A patient with a dispute had actually been resolved without his knowledge.
In any case, Su Yun had been in medical school for ten years and had never heard of such a thing.
After contacting the patient, he rushed back to the interventional radiology department.
"Chang Yue, take in a patient with a liver abscess that's suspected to be a foreign object," Zheng Ren instructed as soon as he entered the room.
"Abscess? A foreign object? " Chang Yue said, "Patients with external injuries should be sent to the liver and gallbladder. Why are you taking them here?"
"It's not an external injury. It just appeared out of nowhere," Zheng Ren said.
"Are you alright? Do you have a fever? Why are you talking nonsense? " Chang Yue looked at him with disdain and said, "There's no external injury. Tell me, how did the foreign object get in?"
"Doctor Chang, the First Affiliated Hospital of Provincial Capital Medical University performed an emergency surgery two years ago. It was similar to what Boss Zheng said." Liu Zewei said, "The patient was admitted to the hospital with signs of acute peritonitis. The enhanced CT scan of the liver showed that there was a foreign body. The people from the Department of Hepatobiliary and Pancreatic Surgery were stunned and began to consult the whole hospital."
"Old Liu, come and take a look at the radiographic films." Zheng Ren was happy to see that Liu Zewei had encountered it before. He directly inserted the radiographic films into the radiographic film viewer.
Liu Zewei touched his bald head and walked over. After looking at the radiographic films, he smiled and said, "Boss Zheng, that's about it. The previous patient was older, and the toothpick was connected to the duodenum and liver. His intestines were ruptured, and his liver was ruptured. He had to undergo emergency surgery. "
"There's really a toothpick that pierced the liver?" Su Yun was also a little surprised.
"If Old Liu has seen it before, then there's no doubt about it," Zheng Ren said with a smile. "There was a similar record in the British Medical Journal in 2012. I said that it looked very familiar, but when I looked at it at that time, the case report did not say where it came from."
Liu Zewei was stunned.
Boss Zheng was at his fingertips. He could casually say a case and find a similar report in the vast medical record database?
His memory was too good, wasn't it?
"Since the case report in 2012 until now, there have been a total of 17 cases reported in journals with an impact factor of more than 10," Zheng Ren said. "I didn't expect to really encounter it."
As Zheng Ren spoke, he began to knock on the radiographic film viewer with a little excitement.
The sound of thumping was like his heartbeat.
"Boss, be careful. Don't be too proud," Su Yun reminded him. "It's better to be safe than sorry."
"I know. The surgery is not difficult at all. The patient is only 41 years old. There won't be any problems with his body," Zheng Ren had obviously considered this point and immediately said.
"Should I contact Xiao Hu?"
"Okay, the prophet will inform her. Then, when the patient comes, communicate with the patient. If he agrees to the live broadcast of the surgery, find Xinglin Garden's legal department to sign the contract," Zheng Ren said. "Is the surgery tomorrow the earliest?"
"…" Su Yun was speechless. He looked at Zheng Ren as if he was looking at an idiot and said, "Liver abscess. If you're in a hurry, you can treat it as an emergency."
"Uh …" Zheng Ren hesitated for a moment, then smiled and said, "That's right. This is an emergency. Chief Luo saw it in the outpatient department. I subconsciously thought that it was a patient with a slow diagnosis. "
Hearing Zheng Ren's explanation, Su Yun was also speechless.
However, he was also curious. It was just that he subconsciously held a cautious attitude towards unfamiliar cases and patients he had not seen before.
Soon, a middle-aged man walked into the corridor of the interventional department timidly. He found the doctor's office, knocked on the door, and asked, "Is Doctor Zheng here?"
"I am." Zheng Ren saw that he was a healthy person, so he asked, "You are …"
"I'm Li Liang's younger brother. We looked for Chief Luo in the morning," the man said in a low voice.
"Where's your brother?" Zheng Ren asked.
"At the inn. I can't get up. I have a fever at this time every day. When I came out, my temperature was 41 degrees Celsius. "
"Call the ambulance," Zheng Ren said. "The patient's condition is very urgent. He needs emergency surgery."
"Doctor, is it really a foreign body?" the man asked.
"Well, now I'm thinking about using a wooden or bamboo product like a toothpick to stab the liver," Zheng Ren said.
"Uh … that's impossible."
"Nothing is impossible," Zheng Ren said. "Hurry up and get your brother hospitalized. Is he alone in the hotel?"
The man nodded.
"Aren't you afraid that something will happen?" Zheng Ren asked. "Where's your sister-in-law?"
"We've been divorced for a few years. My brother is all alone now. Um … Doctor, how much does the surgery cost? " The man was a little embarrassed and said, "We prepared 20,000 yuan. We spent more than 1,000 yuan waiting to see the doctor."
"You don't have to worry about money for the time being. It's more important to get the patient here first," Zheng Ren said. "He's already confused from the fever. There's no one to take care of him in the hotel."
"Chang Yue, let him stay in the hospital for half a day and tell him about the expenses."
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