"Boss Zheng?"
"Boss Zheng!"
In the office, after a few greetings, the atmosphere changed.
Zheng Ren was dressed in casual clothes. He seemed to still have the gloomy and cold aura of the autopsy office as he strode in.
Chief Sun Chao was stunned for a moment. This Boss Zheng was really overbearing! He did not even ask about the patient's condition, nor did he look at the patient.
"Chief Lin, Chief." Zheng Ren simply greeted them and said, "Is this the patient's radiographic films?"
Shao Yongxiang quickly nodded.
Boss Zheng had quickly become a legend. In the face of the legendary Boss Zheng, none of the doctors in the 912 could not feel the pressure.
The ones who were really under no pressure were the chief physicians who came with Chief Mao Chi.
They did not know who Boss Zheng was, so they had the same thoughts as Sun Chao.
A young doctor strode in and directly denied doing CTPA.
Why was the 912 so unruly?
Looking at his age, this person was not even 30 years old. He probably had not even graduated from graduate school. At most, he was a doctor. How dare he deny the chief physicians' words?
Sun Chao narrowed his eyes and asked, "Boss Zheng, is there anything wrong with the preoperative CTPA diagnosis?"
Zheng Ren did not know who was talking to him. He crossed his arms and looked at the radiographic films. Sure enough, it was the same as the radiographic data he saw in the operating theater.
Zheng Ren had failed this surgery many times.
This was because the pulmonary artery embolism was simply too long. After dissection, Zheng Ren saw that it was a full 12cm!
The Department of Interventional Medicine took out the thrombus in other positions. Those with high standards could be taken out directly. However, pulmonary artery embolism was different.
From the inferior vena cava into the guide wire, through the heart, right atrium, right ventricle, and to the pulmonary artery.
Because of the existence of the valve, it was equivalent to crossing all kinds of doors. It was impossible to completely remove the thrombus. It needed to be crushed and pulled out bit by bit.
The surgery took a long time, and there was the risk of another embolism.
A 12cm thrombus. Even if Zheng Ren performed the surgery, it would take at least two hours!
The experimental subject would not be able to hold on for that long before dying from heart and lung failure.
Therefore, the only way out now was to do an angiogram, confirm it, and then open the chest for surgery to remove the thrombus.
The risk was great, but this was the only feasible way.
Zheng Ren's cardiothoracic surgery skill tree was only at the Legend level … Yes, it was only at the Legend level. He had failed 15 times before he found the possibility of success.
On the way, he had already called Lao He, Professor Rudolf Wagner, Liu Zewei, and Xie Yiren to meet up in the hybrid operating room and prepare for the emergency surgery!
But now, he had to convince everyone.
After all, CTPA was necessary for the preoperative diagnosis. However, it was not a difficult task for Zheng Ren.
His ability to read films was already several orders of magnitude higher than the others. Coupled with the reverse deduction, he could see it even more clearly.
Sun Chao said what everyone else was thinking. The office was very quiet. Even Su Yun looked at the radiographic films and was a little puzzled. He did not know why his boss did not choose interventional surgery.
Was it because of his hobby that he wanted to open up the chest, dissect the heart, and carry out surgery?
If that was the case …
Impossible! How could that guy give up interventional surgery for his hobby and use a riskier surgical method?!
Su Yun stared at the film and fell into deep thought.
"Here!" Zheng Ren's finger pointed at the radiographic film viewer. The translucent glass made a banging sound, like a war drum, impassioned.
"Although the artifacts are very heavy and the internal structure of the heart is not very clear, combined with the echocardiogram, we can guess that the patient's thrombosis is relatively long."
"Guess?" Sun Chao sneered and said.
Ling Ge glanced at him, a little puzzled. Was he here to cause trouble? Mao Chi and Zhang Lin, the two chief physicians, did not say anything. Who did he think he was?
"You are?" Ling Ge asked.
"This is Chief Sun Chao from the vascular surgery department of the First Affiliated Hospital of Provincial Capital Medical University. He came to attend the annual meeting. When he heard that there was an emergency, he came to take a look," Mao Chi quickly explained.
"The patient is a young female patient. It is said that her body is fine." Zheng Ren was not angry, but explained.
However, this time, he spoke very quickly and seemed a little anxious.
"Su Yun, look for the echocardiogram image," Zheng Ren said.
Su Yun quickly communicated with Chief Shao.
"Sudden shock means that the condition is urgent and serious! In addition, there was a large amount of pleural effusion after the discovery, which means that the patient's right pulmonary artery embolism is extremely high. It will not be the kind of case that can be solved by simple thrombolysis.
"The imaging has already given a vague judgment. To be more specific, we have to find the answer from the echocardiogram image, "Zheng Ren spoke with assurance. Although his voice was anxious, it was not chaotic. There was a sense of maturity and steadiness.
"Chief Zheng, are you saying that from this CT scan, you can see the severity of the pulmonary artery embolism?" Chief Sun Chao finally found a flaw and directly attacked.
Was this not f * cking nonsense!
He had been working for so many years. How could he not know how to judge pulmonary artery embolism? The gold standard of clinical diagnosis was pulmonary arteriography, and the second gold standard was CTPA!
He could tell with just one CT scan? It was still a white radiographic film with a large amount of fluid in the right chest cavity.
This was simply irresponsible to the patient!
Sun Chao was a little angry. How could the 912 let a young doctor be so arrogant?
Uh … Although he could do echocardiogram reconstruction, although he could intervene to remove the bullet and embolize it.
But doing this was too much!
Was there still a need for clinical diagnosis and treatment standards? With just one sentence, he denied the gold standard of diagnosis. Who did he think he was? A top student in imaging?
This top student was definitely different from the top students in the school.
The top students in the school only had good academic results and dominated in exams. The top student in Sun Chao's heart was the kind of top student like Newton.
He would suppress whoever he wanted to suppress.
Wasn't Breinitz awesome? If Newton said to suppress, he would suppress. All the formulas had to start with Newton.
Was the 912 trying to cultivate a top student?
Sun Chao was a little angry. Even if he was a top student, he could not joke around with the life of a young student!
He looked at Zheng Ren angrily.
Zheng Ren did not say anything. He saw that Su Yun was on the phone. He probably wanted to upload more image data through the echocardiogram, which was exactly what he needed.
"Chief Zheng?" Lin Ge asked in a low voice.
"The diagnosis is very certain. The echocardiogram will be uploaded in a while. I'll explain it to everyone."
When Zheng Ren said this, Sun Chao was even more furious.
Did he take himself as a student of the Medical University? Explain! What the hell!
"Is the patient's family here? Can they sign it? "
"Principal Zhang from the Medical University is probably arriving soon. The parents are definitely not here. Principal Zhang is in full charge," Chief Lin said.
"Okay," Zheng Ren said. "Prepare for the surgery. After Principal Zhang arrives, I'll finish explaining and you can sign it."
"…" Everyone was stunned.
This … was too confident and too f * cking domineering!
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