Boss Zheng, the iodine oil doesn't look like that on the CT image, right? "Lin Yuan asked.
"Not like what?" Zheng Ren asked casually.
"It looks like a stone. I feel that there's something wrong with what you said," Lin Yuan said. "Boss Zheng, don't be angry. I just don't understand."
Zheng Ren glanced sideways at Lin Yuan. This child's talent was not bad, but it was still a lot worse than Su Yun's.
Lin Yuan was startled and instinctively wanted to raise his hand.
"Have you operated a CT scan before?" Zheng Ren asked, staring at the radial styloid process of Lin Yuan's left hand.
Lin Yuan felt as if an invisible hemostatic forceps had knocked on the styloid process of the radius. Boss Zheng slapped him, and his heart trembled.
"I'm asking you a question." Zheng Ren no longer looked at him. He found Chief Luo's number and called him.
"Yes, Boss Zheng, you mean …"
"Chief Luo, there's a patient here who needs emergency gastroscopy."
"Yes, it's an emergency. Hemorrhagic shock. It should be a hepatitis B patient. I'll bring the medical record with me and we'll talk about it later. "
"Yes, it is suspected to be liver cancer rupture and bleeding, but there is no way to confirm it."
"No, no, I suspect that it flowed along the bile duct to the pancreas and gallbladder. If that's the case, there may be bleeding in the descending part of the duodenum."
"Yes, alright, let's talk when we meet."
With that, he hung up the phone.
"What did you say?" Zheng Ren asked.
"I mean, the duodenum … Uh, I've done a CT scan. What questions do you have, Boss Zheng?" Lin Yuan asked.
"Head CT scan. How did you figure out the window frame and window position?" Zheng Ren asked casually.
"The general window width is 100, and the window position is 37."
"What about your abdomen?"
"400 for the window frame and 40 for the window slot," Lin Yuan answered smoothly.
'Hmm, his basic skills are quite solid,' Zheng Ren thought. If it were a domestic clinician, very few of them would know the concept of CT window frame and window position.
However, it was also conceivable that this person was a PhD student from Harvard Medical School. There was nothing to compare him to the average undergraduate students in China. If he wasn't a top student, he wouldn't be able to go to the top medical schools in the world.
"Why are the window frames and window positions different?"
"Because of the visual contrast..." As she spoke, Lin Yuan was stunned for a moment. She immediately shook her head and said excitedly, "That's it, I understand!"
Zheng Ren ignored her and strode forward.
"Boss Zheng, please wait a moment!" Lin Yuan chased after him. Although she was tall and had long legs, she was a girl after all. It was normal that she could not keep up with Boss Zheng.
"It's because the iodine oil gathers together in the liver, so it looks especially bright. Following the blood flow back to the gallbladder, there is a little bit of silt-like high-density shadow, "Lin Yuan said excitedly as he bounced up and down.
"I guess so."
Lin Yuan kept asking questions, but Zheng Ren only nodded lightly without saying a word.
"Wow, how did you think so far ahead!" Lin Yuan asked in surprise.
"I came up with all kinds of complications," Zheng Ren said.
When he arrived at the endoscopy room, Chief Luo was changing his clothes.
"Director Luo, sorry to trouble you. Why did you come in person? "Zheng Ren said with a smile.
"Look at your skills, Boss Zheng," Chief Luo said with a smile. "The liver transplant surgery two days ago was quite beautiful."
"We still need Su Yun. The patient's condition is too bad. His heart has stopped. If he hadn't performed cardiac compressions, the surgery wouldn't have been completed, "Zheng Ren said with an honest smile.
Chief Luo looked at Zheng Ren with a smile. Boss Zheng was really humble.
The emergency liver transplant, which was in a bad condition, was actually performed so calmly. It was quite good.
"Is it your patient?" Chief Luo asked. "Didn't you say that you flew to London for intrauterine interventional surgery? You just came back and you didn't rest. There are still things to do in the ward, but it's really busy. "
"Oh, my patient is fine. He's Professor Zhao's patient."
Chief Luo was slightly stunned and felt that it was a little strange. However, he did not ask. He just smiled, changed his clothes, and followed Zheng Ren to the endoscopy room.
The two of them did not talk about the patient's condition. There was no point in talking about it at this time. They just chatted about the surgery two days ago.
Lin Yuan also changed her clothes and followed him in. She wanted to ask Boss Zheng a few times, but with Chief Luo around, it was not good for her to interrupt. She could only hold it in.
More than twenty minutes later, Zhao Yunlong brought the patient up.
If Su Yun was here, he would definitely be scolding him. However, Zheng Ren knew that this was because there were still all kinds of preoperative instructions to be done. It was not that Zhao Yunlong did not work hard.
If he really did not work hard, if there was a problem, he would look for a consultation and then treat it step by step.
In the end, the patient's condition became worse and worse. He would look for a consultation in the whole hospital or send him to the ICU.
According to the standard procedure, he did not need to use his brain to deal with things at all.
If he could think about the radiographic films carefully, this person was not bad. Although he was timid and unwilling to take responsibility, he found excuses when something happened and even found trouble with his own treatment group, Zheng Ren remembered these things in his heart.
He did not need to think about it on purpose. He would not forget it at all.
In Boss Zheng's small black book that held grudges, the matter regarding Zhao Yunlong had long been written full of things.
However..,
Today was different from the past.
The level was different, and the realm was different. Naturally, the things he thought about were also different.
In just a few months, Zhao Yunlong had already become a junior doctor in Sea City. He could not pose any threat to him. Moreover, he was very perceptive and avoided him. Zheng Ren was too lazy to bring up old scores.
Moreover, this was a case of misdiagnosis and mistreatment. He could not pretend that he did not see it and stand by the side to watch the joke coldly. In the end, he used the case to slap Zhao Yunlong in the face.
The price of a human life was too high. Zhao Yunlong was not worth it.
"Boss Zheng, I'm sorry I'm late." Zhao Yunlong sent the patient in and bowed repeatedly to apologize.
"It's fine. Go and change your clothes. I'll start doing it here." Zheng Ren pushed the patient in while Lin Yuan led the way in front.
Zhao Yunlong looked at Boss Zheng's figure and had mixed feelings in his heart.
Zheng Ren brought the patient to the emergency endoscopy room and carried him to the bed. The anesthesiologist gave him inhalation anesthesia.
Chief Luo did not say anything, nor did he care who did the endoscopy.
If it was an ordinary doctor, or even the chief of a department, Chief Luo would not allow him to personally do it in his endoscopy room.
However, Boss Zheng was different.
A few minutes later, when Zhao Yunlong changed his clothes and rushed in, the gastroscope had already passed through the pylorus and entered the descending part of the duodenum.
There was a longitudinal fold in the descending part, and the lower end was a circular bulge. It was the common opening of the common bile duct and the pancreatic duct.
On the screen, the position of the duodenum's big R head was constantly spewing out tube after tube of blood. The gastroscope was quite clear.
Zhao Yunlong rejoiced in his heart.
Fortunately, he did not refuse Boss Zheng's help for the sake of face. If he bled like this, the patient's hemorrhagic shock would definitely worsen tonight. If he was sent to the ICU, he would definitely die in the end.
..
..
Note: The case from a few days ago was a patient after radiofrequency ablation. In a small place, he had done more than a hundred cases of radiofrequency ablation and had seen such a patient with concurrent bleeding. In reality, the accident happened seven days after the surgery when the patient was about to be discharged.
After the consultation of the various departments, the diagnosis was also very clear — gallstones, acute pancreatitis. Later, our chief stood up to the public and did an endoscopy to confirm the diagnosis.
Sometimes, objective examination was unreliable ~ ~ ~
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