He understood what Su Yun meant.
To determine if it was a free liver, the patient needed to switch positions. One CT scan would be done in the left decubitus position and the other in the right decubitus position.
With the change of body position, if it was a free liver, there would be symbolic changes on the imaging, so that the diagnosis could be made directly.
Now that he looked at the radiographic films, although he was almost 100% sure, it was not rigorous.
Zheng Ren could think of a few other diseases that could cause similar images. Although the possibility was low, they did exist.
He nodded and immediately sent a message to Dr. Liang.
"Boss, do you think this disease belongs to the liver and gallbladder, or the stomach and intestines?" Su Yun suddenly asked with a smile.
"Liver and gall, I guess. Let's go up and take a look. If there's no intestinal obstruction, we'll fix the liver after reduction. "
"Reduction. This is also a gastrointestinal work."
Su Yun's bickering was certified by ISO9002.
"Then let's do it together." Zheng Ren did not mind and said casually, "Laparoscopic surgery is fine. Let's switch shifts."
"Boss, how long do you think it will take for Lin Yuan to find external help to diagnose the green urine?" Su Yun changed the topic quickly.
"I don't know. If it's in China, it depends on luck. Abroad … it mainly depends on whether anyone has seen similar patients before. There is a certain degree of randomness. " Zheng Ren said, "However, based on the current situation, it's likely that the cancer hospital has never seen a similar case."
"The probability is too small. I've read the instructions for propofol before, but I've never noticed those words."
"I didn't pay attention to it either. I just read the doctor's advice in the morning and recalled the instructions for various drugs. I felt that there seemed to be something missing," Zheng Ren said. "This case might be of some significance to people who study pharmacology and physiology. For clinicians, it doesn't mean much. "
"Well, it doesn't have much clinical significance." Su Yun said, "I've seen many patients with liver failure plus propofol to calm them down, and ventilators to assist their breathing. None of them have green urine."
"Let's not talk about this. It's just a side effect of a drug. Why are you studying it so carefully?" Zheng Ren said.
"Boss, it's not like you." Su Yun laughed.
"That's true. It has nothing to do with clinical practice, so it's not worth spending too much energy on."
"If the ICU doesn't ask you to go, what do you think you'll do?" Su Yun asked.
"The patient's condition is fine, so let's observe and see. If they were brave enough, they would try to stop taking the medicine and pull out the tube. As long as he stopped taking the medicine, he would be fine. He'll be fine even if he doesn't look for me. That's for sure, "Zheng Ren casually guessed.
As they spoke, the two of them arrived at the Emergency Department of 912.
Walking through the main door, he could hear the sound of quarreling in the corridor.
It would be an exaggeration to call it a quarrel. His voice was more like a one-sided expression of his dissatisfaction.
"Why do we have to do three CT scans for one organ?!"
"Do you know how to treat a patient? 912! How dare you call yourself a doctor from the 912! "
"How shameless can you be? You can't extort money like this!"
When Zheng Ren heard that, he immediately knew what had happened.
The patient's family was unhappy.
Three CT scans were required for one location. Normally, three checklists were required.
Was the patient's family at fault?
He was right.
People who did not understand medical treatment would not understand the significance of doing three CT scans at the same location.
Forget about people who did not understand medicine, even ordinary doctors who did not understand free livers would not understand the meaning of doing this.
This was considered good. Many years ago, there was a hospital that encountered an old debt collector.
The patient was critically ill and died in the intensive care unit of a large Class Three Grade A hospital.
In the end, the patient's family began to claim compensation. They found the media and showed the daily medical receipts.
One of the receipts contained a large amount of normal saline. At that time, Zheng Ren was still young and in school. He was still ignorant.
He thought that he knew medical treatment, so when he saw the media reports, he was even more angry than the average onlooker.
However, after coming into contact with the clinic, he realized that a seriously ill patient had too many places that needed normal saline.
Dialysis, all kinds of flushing tubes, drips, and so on. Almost every pipe had to be flushed with sterile normal saline.
Then there was sputum aspiration. If there was no normal saline, the thick sputum would block the sputum aspiration tube.
When he was a medical student, he did not understand this, let alone an ordinary patient's family.
Seeing Su Yun raise his eyebrows, Zheng Ren patted his shoulder and smiled. "Are you angry?"
"What do they know!" Su Yun said angrily.
"Don't swear," Zheng Ren said. "Anger is not good for the liver. You still drink."
"Don't rely on drinking!" Su Yun was even angrier when he heard Zheng Ren say that.
"Hehe."
"Then what do you think we should do? The colon is between the liver and the diaphragm. Who knows when it will twist. Once it's necrotic, there will be a lot of intestines to cut. "
As he said that, Su Yun smiled. "Do you think this is a death wish?"
"Don't say that. They don't understand, right?" Zheng Ren said. "It's okay. Watch me."
"You?" Su Yun looked at Zheng Ren in surprise.
If Chang Yue said this, Su Yun would immediately believe it. However, his boss … His communication skills were not bad, but definitely not at the level of Chang Yue.
"There's no need to communicate." Zheng Ren smiled.
After the autologous fat transplantation and wrinkle filling surgery in the System's operating theater, Zheng Ren was in a good mood and much more active than usual.
Zheng Ren raised his head and strode in.
"Doctor, hurry up and give my old man a bill!"
Seeing this guy's expression, Su Yun instantly understood what his boss was going to do.
Seriously … A tenured professor at Massachusetts General Hospital. How shameless!
The patient's family still grabbed the emergency department doctor and questioned him. Zhou Litao explained at the side, the little freckles on his face about to bloom.
When they saw Boss Zheng walk in with his head held high and chest puffed out, saying that he would give his old man a bill, they were all stunned.
The patient's family was still complaining. Zheng Ren went forward and shouted, "What are you doing?! Can you afford to delay my old man's treatment?! "
Zheng Ren was dressed casually. In Zhou Litao's eyes, he was Boss Zheng. However, in the eyes of ordinary patients' families, he was just a patient's family member.
Although he looked kind, his words were not polite at all. His eyes glared fiercely.
The patient's family was stunned.
The emergency department's corridor instantly quieted down.
Taking advantage of this opportunity, Zhou Litao quickly explained to the patient's family why they had to do three CT scans.
Zheng Ren's expression was full of impatience as he said, "Doctor, are you done yet? Hurry up and give me a bill. It's quite a lot!"
The patient's family immediately felt a sense of urgency.
In front of a doctor, they could argue as much as they wanted because they knew that the other party would not talk back or fight back.
When they met a soft persimmon, who would not pinch it?
However, when they met the patient's family members like them, they immediately became anxious.
"We were here first!"
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