Su Yun felt the hostility. He walked to Zheng Ren's side and faced Professor Zhang.
His gaze was as sharp as a blade.
"It's like this, Professor Zhang." Zheng Ren inserted the radiographic films into the radiographic film viewer and began to speak. His voice was very gentle, as if he did not hear the sarcasm in Professor Zhang's words.
"There are a few main problems with the patient." Zheng Ren held a ballpoint pen and tapped it lightly on the radiographic film viewer.
"First, the hidden onset in the patient's medical history. I think it's caused by myocardial insufficiency and transient cerebral ischemia."
"…" Professor Zhang was taken aback.
"It's a classic case of moyamoya disease with infarction," Zheng Ren said, pointing at the messy blood vessels on the MRI scan.
"Secondly, due to the concealment of the patient's medical history, I suspect that the patient's Moyamoya Disease is very serious. Here, there is a tiny hemangioma. There were at least five to six similar hemangiomas here. Because the image wasn't clear enough, so … "
Professor Zhang took off his glasses, rubbed his eyes, and looked at the MRI scan carefully.
A bunch of messy blood vessels, and Boss Zheng said there was a microangioma? Was this a high level of skill, or was it just nonsense?
In any case, Professor Zhang was not sure if there was a hemangioma or not.
This was not surprising. After all, Professor Zhang was a professor of cardiothoracic surgery. It was normal for him to not understand neurosurgery scans.
"I've checked the surgical records. The coronary artery bypass surgery was performed under cardiac arrest and cardiopulmonary bypass," Zheng Ren said. "Heparinization of the whole body is very likely to lead to rupture and bleeding of the microangioma."
Professor Zhang's heart sank. Was he saying that he did not perform the surgery well? The spearhead was pointed directly at bypass surgery for cardiac arrest.
"Fortunately, he's fine. Looking at the patient's condition, there should be no intracranial hemorrhage. But during the process of deheparinization, there might be bleeding at any time. I can't guarantee when that will happen. "
"What are you trying to say?" Professor Zhang asked unhappily.
"You've seen the patient's condition. Under the maintenance of IABP, the burden on the heart is still great. I suggest an ECMO! " Zheng Ren said, "But the extracorporeal membrane lung will cause the heparin level to continue to rise, and the patient has a high risk of cerebral hemorrhage."
"…" Professor Zhang was stunned. Could it be that Boss Zheng was … was he going to perform neurosurgery?
It was not an ordinary surgery, but a rare disease like moyamoya disease.
Young people are really full of confidence. Professor Zhang was shocked by his own guess.
Diagnosis indeed had its own self-consistent logic, but in the field of neurosurgery … there was probably no one who would dare to perform surgery.
Now that the patient was like this, was it still worth it for the Neurosurgery Department to perform more surgeries?
"Su Yun, call Little Feng, Little Hu, and Lao He. Ask Yiren to come over as well," Zheng Ren suddenly said. "Then, get the legal department of Xinglin Garden to come immediately."
Although Su Yun did not understand what his boss wanted to do, since the boss said so, he just had to do it.
In an emergency rescue, one voice was enough. It was useless to say more.
"Boss Zheng, the patient's condition isn't good. I'm thinking that the neurosurgery department won't perform the surgery," Professor Zhang advised after thinking for a while.
"Look at his vitals now. In this situation, if there's even the slightest disturbance, he'll be gone." Professor Zhang tried his best to persuade him. "I know you want to save them, but in this situation, life or death is all up to fate."
"Professor Zhang, the patient can still be tried to save," Zheng Ren also tried his best to persuade Professor Zhang. "The neurosurgery department can solve the hidden dangers of moyamoya disease and cerebral hemorrhage. The extracorporeal membrane lung can allow the patient to survive this most dangerous period of time."
"You …" Professor Zhang had an expression as if he did not listen to the old man and was at a disadvantage. He looked at Zheng Ren and was silent for a few seconds. Finally, he sighed.
"Boss Zheng, you did a good job in the surgery. I can't deny that." Professor Zhang's tone was much colder. "But for a large-scale emergency rescue involving the cooperation of various departments, I think it's better to let the medical administration division give their opinion."
"Yes, Chief Lin should …" Zheng Ren said and asked Su Yun, "Have you called Chief Lin?"
"Yes." Su Yun was staring at the monitor and the IABP operation panel, adjusting some parameters from time to time.
The machine was not just placed there and could be turned on and operated. Countless parameters were arranged and combined, and there were countless ways to deal with them.
According to the patient's situation, deciding how to adjust the parameters on the spot required extremely deep clinical experience and theoretical foundation.
Su Yun was a virgin. He had more than ten years of medical experience and was talented. Zheng Ren was very at ease with him standing there.
He tried his best to convince everyone. He definitely could not stubbornly perform the surgery.
When the moon was full, it would be depleted, and when it was too hard, it would be broken. Under Su Yun's care, the patient's condition should still be maintained for a period of time.
It was time to explain to the patient's family, Zheng Ren thought. Professor Zhang said again, "The patient's family has already agreed to sign away the treatment. Boss Zheng, I think as medical workers, we still have to respect the patient's family's opinion while treating the patient and saving the patient."
"I'll do the family's work," Zheng Ren said firmly.
Professor Zhang frowned.
Was there really someone in this world who was worried that he did not have enough trouble?
Idiot!
Just now, Professor Zhang had explained the patient's condition to the patient's family. He observed their expressions and found that the patient's husband had no intention of saving the patient at all.
Although the patient's daughter had such thoughts, she did not have a source of income, or rather, she did not have enough income to support a major rescue.
If he wanted to change the patient's family's mind now, there was a high chance that there would be a medical accident.
Many patients' family members were like this. On the surface, they had a positive attitude of rescuing the patient, but in fact, they wished that the patient would die earlier.
A sick person was actually a burden. Whether it was financial or needed someone to accompany them. After a long time … What was the old saying again? There was no filial son in front of a sick bed.
That was basically what it meant.
Even a biological son would be like this, let alone a wife.
This was also human nature. It was not easy for anyone to live.
They knew that there was a bottomless pit in front of them. If they threw all their money into it, they might not be able to save the patient in the end.
How they would choose could be imagined.
Professor Zhang felt that Boss Zheng's clinical experience was not rich enough and he did not realize this.
He pulled Zheng Ren and advised sincerely, "Boss Zheng, the patient's family has decided to give up. If you tell them that there is still a chance of survival and that they can save him, they won't think about your good intentions. Once there are problems after the surgery, all the anger will … "
"Professor Zhang, thank you," Zheng Ren said very seriously. "I'll try my best to give it a try. Whether it works or not depends on the patient's family's opinion. As for how to treat it … I can't just watch the patient who can be treated die, right? "
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