"Are you questioning my ability to execute?" Su Yun asked disdainfully.
"It's good that you did it. Get off the stage and ask if he has a sea of fire syndrome," Zheng Ren said casually, ignoring Su Yun's provocation.
"What do you suspect?" Su Yun was stunned.
"Thyroid crisis," Zheng Ren replied.
"Okay, I'll ask when I get off the stage." This time, Su Yun did not say anything else. Instead, he agreed very seriously.
Chief Luo pondered. Did the patient at Massachusetts General Hospital have a thyroid crisis?
The cause of thyroid crisis might be related to the increased level of circulating thyroid hormone. It mostly occurred in patients with severe hyperthyroidism that had not been treated or had not been adequately treated.
The common triggers were infection, surgery, mental stimulation, etc. The clinical manifestations were high fever, sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting, and diarrhea. In serious cases, patients could have heart failure, shock, and coma.
The diagnosis was mainly based on the comprehensive judgment of the clinical manifestations. Those who were highly suspected of this disease and had premonitions of a crisis should be treated according to this disease. The fatality rate was more than 20%.
The clinical manifestations were very similar to the patient's symptoms. There were nausea, vomiting, and abdominal pain. However, the probability of a thyroid crisis was too low. The patient also had a very obvious history of inhaling smoke from an electrical fire. He did not think of this for the time being.
Professor Zhang saw that the surgery was over and did not hear anything about a thyroid crisis. He recalled the process of the surgery in his mind.
The surgery was done well. It was steady and fast, but there were some procedures that Professor Zhang still could not understand.
After all, he was not a cardiothoracic surgeon. If he could understand more than half of it, he would be considered a doctor with a relatively solid basic knowledge.
As for understanding everything, that kind of thing did not exist at all. If he could do that, there would be no need for Zheng Ren to save the stage.
"Boss Zheng, what's the use of the thick hemp rope and double-lumen balloon catheter in the inferior vena cava?" Professor Zhang asked.
Su Yun was very disdainful and said, "Let me ask you, why did you give a large amount of low-molecular-weight heparin before the surgery?"
"Because it prevents blood clots from forming," Professor Zhang replied.
"That's right. We haven't opened the heart yet. Who knows how many blood clots there are?" Su Yun's tone was full of contempt. Everyone present felt ashamed for Professor Zhang. "The inferior vena cava is controlled by a thick hemp rope and a double-lumen balloon catheter to reduce bleeding and prevent the stent from falling when the stent is removed."
After saying that, he paused.
"Can't you think one step further? Do you even have to ask such a simple question? "The disdain in Su Yun's tone was exaggerated.
"…" Professor Zhang never thought that he would be insulted by a junior doctor in public like a grandson.
Under the sterile mask, he opened his mouth and wanted to refute.
But … rebuttal? Say what? He knew nothing about the surgery. It was good enough that he could remember the process of the surgery.
He was afraid that once he opened his mouth, he would be scolded to the airtight lead door of the operating room by this sharp and unkind doctor.
Forget it. His skills were inferior, so there was nothing to say.
Lao He knew Professor Zhang. Back then, when he resigned, there was a commotion in the academy for a while.
The private hospital had extended its hand to the 912. The ones who left were not doctors at the chief resident level, but professors who led the group.
He didn't expect that Professor Zhang would be scolded by Su Yun today. It was indeed interesting to think about it.
Too arrogant! But Lao He liked it.
It was just like in the First Affiliated Hospital of Provincial Capital Medical University. No matter how dissatisfied Chief Tian was and how much he scolded him, didn't that guy have to grit his teeth and bear it?
Boss Zheng's surgery was equivalent to saving them from fire and water. Even if he farted, these people had to take it. It was not a problem to say something unpleasant!
Could he be a little more arrogant?
Thinking of this, Lao He smiled self-deprecatingly. The incident with Chief Mao had left a shadow in his heart that would not dissipate for a while.
He should be an honest person. He did not have the ability to be as arrogant as Brother Yun.
When he was a postgraduate student, he was known as the rising star of the Imperial Capital's cardiothoracic surgery department. After he graduated, he had worked for twenty years and was still working a small shift.
Lao He still had a clear understanding of himself. He carried the USB flash drive with him just for a piece of good luck that Boss Zheng did not know if he liked or not.
Unfortunately, Boss Zheng was usually invulnerable and did not have any hobbies. Lao He glanced at Zheng Ren and felt helpless.
Other people liked to drink, gamble, and be lustful. The so-called wine, women, wealth, and temper were always unavoidable. Boss Zheng, on the other hand, rarely ate and did not drink. He brought his girlfriend with him. He even brought the surgical equipment with him.
It was like a dog biting a hedgehog and not knowing where to start.
He still had to observe carefully. If Boss Zheng was comfortable, he would be even more comfortable, Lao He thought to himself.
After suturing the skin, Zheng Ren turned around and left the stage, tearing off the sterile clothes.
"Boss Zheng, it's been hard on you," Mao Chi said with a smile.
"It's okay, Chief Mao. The surgery is not big. It's just that the equipment is not convenient." Zheng Ren smiled.
The surgery was not big …
Alright, he had successfully completed the surgery. He could say whatever he wanted.
"Teacher Zhang, there are a few points to pay attention to after the surgery," Zheng Ren then looked at Professor Zhang and said.
"Ah? Oh, oh, go ahead, go ahead, "Professor Zhang quickly said.
"There are no obvious thrombosis on the stent that was removed. It is considered that there is a certain effect of actively giving heparin anticoagulation before the surgery.
Your patient's stent is embedded in a special position. During the surgery, atrial septum is worn. In order to prevent myocardial edema, you should actively give hormone treatment after the surgery.
During the surgery, cardiopulmonary bypass was given 500 mg
Ulinastatin 500,000 units. After returning to the ward, continue to give Jiaolong 40 a day
Mg for three days, supplemented with appropriate diuretics. "
Professor Zhang's mind was still stuck in the conflict between the joy of the success of the surgery and how to communicate with the patient's family. Zheng Ren's words stunned him.
He tried his best to recall, but his mind was in a mess. He could not remember anything.
"Boss … Boss Zheng, please speak slowly," Professor Zhang said in shame.
"Do you need me to make you a cup of coffee? Sit down and let's have a slow chat. I heard that the coffee from the Medical Investigation Commission is not bad, "Su Yun said disdainfully as he removed the sterile sheet from the patient's body.
"…"
"Find a pen and paper. Write it down and send the patient to the ICU as soon as possible. If the technical strength of your ICU is not strong, go to the 912 to find someone, "Zheng Ren said gently.
Professor Zhang's face was red. He turned around and ran to the operating room. He took out a piece of A4 paper and a pen. Zheng Ren repeated his postoperative medical advice. After Professor Zhang wrote it down, he carefully placed it in the pocket of his isolation suit.
"Boss Zheng, change your clothes." Mao Chi smiled and said, "Sorry for troubling everyone today. Don't leave later. It's my treat."
"Chief Mao, you're welcome," Zheng Ren said with a smile.
"It's my duty. You're not allowed to leave." Chief Mao glared at them and pretended to be fierce. In reality, he was expressing his determination to treat them.
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