In the following days, Zheng Ren was extremely busy.
Lanke arranged for a group of doctors to receive training every week. Regarding this training, Su Yun also pulled Lin Ge in so that the 912 Science and Education Department could bask in some glory.
Although the truth of the matter was clear to everyone, this kind of thing was really very lofty. Not to mention the 912, such a situation had never happened even in the major tertiary Grade A hospitals in the country.
Batch after batch of doctors from all over the world came to the 912 to receive training. Those who did not know were shocked and thought that the 912's technical level had reached the interstellar level.
Zheng Ren also had a lot of surgeries. After a period of fermentation, the number of live broadcasts of Gaucher disease and hepatocellular carcinoma surgery after interventional embolization began to rise.
He did not have time to read in the afternoon because he had to broadcast the surgery.
Zheng Ren did not think much of it. The surgeries were all routine surgeries. He just needed to go to the System's operating theater before the surgery to understand if there were any rare cases.
This was just a precaution. Although it would 'waste' some surgical training time, Zheng Ren felt that it was necessary.
As the days passed, the weather gradually became warmer.
As the weekend approached, the group chat was already bustling with activity. Every day, there would be hundreds to thousands of messages discussing how to go out and have fun.
Zheng Ren did not even bother to look at it. He only needed to wait for the notification.
As the leader of the medical team, he knew that he had no say in this matter.
After the morning's TIPS surgery, Zheng Ren felt a little relieved.
Lin Yuan's talent was quite good. After polishing dozens of surgeries, he had quickly formed his skills.
After finishing the last surgery, Zheng Ren did not explain the details of the surgery to Lil Fugui and Lin Yuan. He stood up and went to change his clothes.
More than ten minutes ago, Su Yun received a call from Fang Lin, saying that there was a patient with hemoptysis that required consultation.
Because the surgery was not over, Su Yun went first.
"Boss Zheng, where are you going?" Lin Yuan asked hurriedly as he handed the patient to Gu Xiaoran.
"Consultation." After saying that, he went straight into the changing room to change his clothes.
Lin Yuan knew that he would not be able to catch up with Boss Zheng's speed. He glared angrily at Boss Zheng's back.
He couldn't just barge into the men's locker room, right?
He changed his clothes and strode toward the respiratory medicine department.
Fang Lin went to take a look. He was not sure, so he asked Su Yun for help. It was actually very rare for a doctor to not look for a second-string professor to lead the group. Strictly speaking, it did not conform to the medical procedure.
However, it did not matter. It was just a call to the hotline of relatives and friends. If Boss Zheng and Su Yun could not solve it, they would go through the normal procedures. But if that was the case, it would be a huge problem. Fang Lin did not believe that there was a case that Boss Zheng and Brother Yun could not solve.
He gave Su Yun a call when he arrived at the respiratory medicine department.
Su Yun then poked his head out of the doctor's office and waved.
"What patient?" Zheng Ren asked.
"Vomiting blood." Su Yun's expression was a little solemn. "It has appeared twice in the past, five years ago and three years ago, accompanied by pleural effusion. He was treated for inflammation at the local hospital and discharged after his condition improved. "
"This time, it was three days ago. It was because I suddenly had chest pain and tightness after exhaustion. She went to the local hospital for treatment. The local doctor gave her a thorough examination and suggested pneumonia. Nine hours ago, this patient suddenly had massive hemoptysis. He coughed up about 350 milliliters of bright red blood. "
"A referral?" Zheng Ren walked into the office and glanced at the person in front of the radiographic film viewer. Fang Lin was looking at the radiographic films.
"Yes, the patient didn't take it seriously the previous two times. This time, the amount of hemoptysis was large and it scared him. The local doctor sent him directly to our hospital's respiratory medicine department for hospitalization. "
Zheng Ren walked in front of the radiographic film viewer and began to read the radiographic films.
There was a large shadow in the right lung, a typical manifestation of inflammation. If it was a simple cough, sputum, and fever, it could be diagnosed as pneumonia. It looked like the relatively rare lobar pneumonia.
With the improvement of the level of antibiotics, medical standards, and health care awareness, the typical lobar pneumonia in textbooks rarely appeared in clinical practice.
Moreover, lobar pneumonia caused hemoptysis, which was particularly rare.
"Boss Zheng, you're here." Fang Lin moved to the side and made way for him. He had looked at the radiographic films many times. There were questions and a preliminary diagnosis.
However, neither Fang Lin nor the chief resident of the respiratory medicine department could give a reasonable diagnosis.
Zheng Ren did not stand on ceremony. He stood in front of the radiographic film viewer and looked at the radiographic films seriously.
The inflammation looked very serious, and there was an increased density of shadows beside the right lower lung bronchus.
His first impression was that it was pneumonia, but Zheng Ren immediately rejected this diagnosis.
This radiographic film was indeed very strange. Zheng Ren looked at it for nearly five minutes and in the end, he did not give any accurate answer.
"Boss Zheng, what do you think?" Fang Lin asked.
Zheng Ren did not say anything and just shook his head.
Su Yun said, "Hemoptysis. The possible diagnoses are bronchiectasis, tuberculosis, pulmonary embolism, and tumor. Pneumonia also has a small amount of hemoptysis, but it's rare to see a few hundred milliliters of hemoptysis at a time. "
These words were as good as not saying anything. In fact, Su Yun did not understand it at first but was brainstorming.
He said it very casually and did not pay attention at all.
The basic theory was as solid as his appearance.
"It might be bronchial stones, but there's a problem with the shape and density of the stones." Zheng Ren shook his head and then said cautiously, "Are there any other tests?"
"I'm doing it," Fang Lin said. "I think the possibility of bronchial stones is higher. I suggest an exploratory thoracotomy. If we really can't find the problem, we can only cut the right lower lung."
Zheng Ren thought about it carefully and shook his head again. He did not agree with Fang Lin's statement.
Cutting the lobe of the lung could not be done unless it was absolutely necessary.
The surgery was simple. Not to mention himself, if Fang Lin did it, even the anesthesia time and the time to wake up would be about two hours.
However, that was a traumatic treatment. It was simple and crude. The patient would lose a lobe of the lung forever.
"Boss, the preliminary judgment should be that it's a foreign body in the trachea," Su Yun said as he looked at the radiographic film.
"Yes, it's a foreign body in the trachea that has been around for a long time. Fang Lin also thought so. However, the density and length of the foreign body are very strange. There is also thick juice and bleeding around it. Using a tracheoscope … Fang Lin, you're afraid that using a tracheoscope will cause more problems, right? "
"Yes." Fang Lin nodded.
The internal bleeding of the lungs could only be spat out a part of it. More would stay in the patient's lungs, just like a drowning person sucking water into their lungs.
If there was a lot of bleeding at that time, the mirror would be inside, causing the pressure to increase or the flow to be blocked, and more problems might occur.
Therefore, Fang Lin was prepared to choose the treatment method of thoracotomy.
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