912, Department of Genitourinary Surgery. Chief Yu, who was on duty, was very troubled.
He sat in front of the computer, looking at a patient's medical record, carefully wondering what went wrong.
This was a patient with kidney colic. Red blood cells were found in the urine routine, but no organic lesions were found, whether it was ultrasonography or CT.
He tried to give the patient oral opioid analgesics, and the effect was acceptable.
However, they could not always use analgesics, right? The department organized two or three consultations, but in the end, they did not get the answer.
It was already the sixth day. Urinary tract infection was considered, so antibiotics were applied. Not only did the patient's condition not improve, but it also worsened.
Mr. Yu was very vexed.
He had no choice but to invite the whole hospital for a consultation tomorrow.
Which department should I hire? It was just kidney colic, and it did not seem to be related to other departments.
It was really distressing. Director Yu sat in the chair and frowned as he looked at the CT scan. There was really nothing he could do.
After sitting quietly for an hour, he went through all the test results and imaging data, but he still couldn't find anything.
Mr. Yu gave up struggling.
Looking at the time, it was already three o 'clock in the morning.
He took out his phone and hesitated for a long time before sending a WeChat message.
[Brother Yun, there's a patient that I really don't understand. Can you help me take a look after you get up?]
After sending the message, Mr. Yu shook his head and returned to the on-call room to sleep.
…
…
It was daybreak. Su Yun woke up and saw a message from Director Yu on his phone.
He knew that although he said that he was looking for him, he was actually asking his boss to see what was going on.
What could the Department of Genitourinary Surgery have? It was definitely not that the urinary catheter could not be inserted. Su Yun felt pain just thinking about their urethral probe. Just looking at it gave him the illusion that his urinary tract was being torn apart.
Forget it, I'll get up first.
As for the consultation and whatnot, he could sort it out after the boss watched the surgery in the morning.
As usual, the days were dull and hurried.
After breakfast, he went downstairs to the community hospital to check on the postoperative patients.
There were already more than 60 patients here, and it was foreseeable that there would be more and more patients in the future.
He had not decided whether to add an extra bed yet. It would depend on the in-service doctor's ability.
Old Liu wasn't bad, but his body was close to being overdrawn.
If he added any more, Zheng Ren was afraid that Liu Zewei would collapse. With the intensity of the work in front of him, even a young man might not be able to handle it, let alone an old man like Liu Zewei.
Ward rounds, shift changes, ward rounds, and surgeries were the same every day. Like a running machine, it roared without any hesitation.
Although it was refreshing at the beginning, it would get boring after a while. However, Zheng Ren did not think so. He was still very happy to be able to spend a plain and fulfilling day.
At the end of the morning's surgery, Zheng Ren watched as the professor tore off his sterile gown and walked out. The day's surgery was over.
After dinner, he went to the System Library to read books.
"What do you want for lunch?" Zheng Ren asked.
Su Yun had arrived ten minutes ago. His estimation of Professor Rudolf Wagner and Liu Zewei's surgical skills and time was extremely accurate.
"Are you going to eat first or consult first?" Su Yun crossed his legs and sat on the sofa behind him as he asked leisurely.
"Consultation? What patient? "Zheng Ren asked.
"A patient from the Department of Genitourinary Surgery. Kidney colic. There are no organic changes. I didn't find any problems after checking around." Su Yun already knew Zheng Ren's choice but still waited leisurely.
"Let's go and see the patient." Zheng Ren suddenly stood up.
Eat? There was no such option in the face of a difficult case.
Kidney colic? Most of this kind of pain was caused by kidney stones falling into the ureter.
It was said that the level of pain was very high, more painful than a fracture or even childbirth.
The pathogenesis was that the stones moved rapidly or suddenly in the renal pelvis and ureter, causing acute upper urinary tract obstruction. Due to the increased tension in the lumen, the pain receptors in these parts were pulled, causing severe pain.
Then, the ureter or renal calyceal edema and smooth muscle ischemia increased inflammatory transmitters, activating more pain receptors and further aggravating the pain.
It was just kidney colic. What was there to see?
Kidney colic without stones?
Zheng Ren stood up and stopped moving. His mind kept thinking about the simple medical history and what Su Yun had just said.
"What do you think?" Zheng Ren looked at the lead-lined glass. Inside, Xie Yiren was cleaning up medical waste. Just looking at her back, Zheng Ren felt that he would never get tired of looking at her for the rest of his life.
"It's precisely because I don't have any ideas that I came to ask you," Su Yun said. "The medical history is very simple. I went to see the patient and personally asked about all kinds of situations. I still don't have any ideas."
"Go take a look at the patient," Zheng Ren said.
"I'm ready. Let's go to the community hospital's demonstration room."
Zheng Ren thought about it and felt that it was a good idea.
He would first look at the case and various auxiliary examinations. If he really could not tell what the disease was, then he would use the System's ability.
"Kidney colic. Lil Fugui, are you interested in taking a look?" Zheng Ren invited Professor Rudolf Wagner.
However, the professor was obviously not interested in anything other than the Nobel Prize. He pretended not to understand.
Zheng Ren smiled and then said, "Let's go."
"I called Chang Yue and Chief Yu," Su Yun said. "Chang Yue's diagnostic skills are too poor. As the first gatekeeper and gatekeeper, she can't always be like this."
Zheng Ren did not care. He could not be bothered to guess what Su Yun was thinking.
On the other hand, the patient with kidney colic was a little interesting. He had never heard of kidney colic without stones.
Could it be that the stones were hidden?
Zheng Ren's heart was already flying. He really wanted to go and see the situation immediately.
"Yiren, I'll go for a consultation. At noon …"
"Sister Yue told me. You go first. I'll go later," Xie Yiren said as she packed her things. "You guys have a consultation. I'll see what to order. What do you want to eat for lunch? "
"Uh … Whatever," Zheng Ren said. "Then I'll wait for you for a while."
"Sure, let's go together." Xie Yiren sped up her packing.
The other nurse wanted her to leave directly but Xie Yiren refused. As an operating theater nurse, she felt that her work was not done and felt uncomfortable if she did not clean up the medical waste after the surgery.
Zheng Ren wanted to help but was pushed out by Xie Yiren. She thought that he was clumsy and in the way.
"Su Yun, tell me about the medical history first." After Zheng Ren walked out, he felt very bored, so he asked.
"Boss, you're going too far." Su Yun crossed his legs and looked at Zheng Ren with a smile.
"Huh?"
"I did the courseware for an hour just for this consultation. You want to listen to the medical history first? What if you can't concentrate? "
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