"It's me." Old Chief Physician Pan's voice was full of dignity.
"Yes, yes, what are you thinking about?"
"Let me ask."
After that, Old Chief Physician Pan covered the microphone with his hand and looked at Zheng Ren.
"Zheng Ren, there's a 72-year-old male patient in the ICU. He was admitted to our gastroenterology department for treatment 14 days ago due to hematochezia and was later transferred to the ICU ward.
The hematochezia was controlled six days after admission, but the patient's condition was relatively poor, so he had been receiving treatment in the ICU. At 14: 00 this afternoon, he had blood in his stool again. This time, the amount was quite large, and the medicine to stop the bleeding was ineffective. General surgery is not recommended, "Old Chief Physician Pan explained the patient's condition.
He knew that Old Chief Physician Pan was asking for his opinion.
The general surgery department did not perform surgical treatment because the patient was older and the bleeding point could not be determined.
The patient's intestines were filled with new and old blood. Even with a colonoscopy, it was impossible to see where the blood came from.
This kind of problem had appeared countless times in the past.
Once it appeared, it would depend on the patient's fate.
If they were lucky, they would be able to endure it. When the bleeding stopped and the patient's condition stabilized, further examination and treatment would be carried out.
If the patient was unlucky and continued bleeding, what awaited the patient was death from excessive bleeding in a short period of time.
If they were to perform an exploratory laparotomy, they could only rely on luck to find the location of the bleeding point.
In clinical medicine, people did not want to rely on luck, but there would always be a time when it depended on fate and luck.
Zheng Ren pondered for a moment and said, "It can be treated."
His answer was very simple. Saving a life was like fighting a fire. Zheng Ren was not long-winded at all.
Old Chief Physician Pan trusted him very much. He immediately picked up his phone and said, "I'll be there in 20 minutes."
After that, he hung up the phone.
"Let's go." Old Chief Physician Pan stood up swiftly. "How much?"
The boss said with a smile, "Chief Pan, you're giving me face by coming to my small restaurant to eat. If you charge me, let me …"
Since there was an emergency, Old Chief Physician Pan did not waste any more time. He threw down five hundred yuan and left.
The group of people were like well-trained soldiers. A minute ago, they were still talking and laughing, and the next minute, they were strictly following orders.
Boss Sun held the money in his hand and wanted to give it back to Old Chief Physician Pan.
However, as he approached, Old Chief Physician Pan gave him a sidelong glance. Boss Sun shuddered as if he was struck by lightning.
After getting into the car, they didn't say anything and drove all the way back to Sea City General Hospital.
As a doctor, he had to be vigilant about emergency surgeries at all times. Chu Yanran, Zheng Ren, and Xie Yiren did not drink at the welcoming dinner.
Although there might not be an emergency every time, it was always better to be prepared.
When they arrived at the hospital, those who needed to go to the operating theater and those who needed to return to the emergency ward returned to the emergency ward. Old Chief Physician Pan took them straight to the ICU.
"Zheng Ren, what do you plan to do?" Old Chief Physician Pan finally found the time to ask Zheng Ren on the way.
"Interventional radiography. If the location is typical, open the abdomen to find the bleeding point. If the location is not typical, perform embolization and then remove the necrotic intestine. "Zheng Ren already had a plan in mind.
"…" The experienced Old Chief Physician Pan was speechless.
Zheng Ren was talking about destructive surgery!
Although local superselection of the superior mesenteric artery followed by embolization could stop the bleeding, it would also lead to the necrosis of a segment of the patient's intestines.
This was a surgical taboo!
Su Yun's footsteps paused for a moment before he caught up. He took a few quick steps and whispered to Zheng Ren, "I think it's okay."
"Yes." Zheng Ren nodded.
"Zheng Ren, are you confident?" Old Chief Physician Pan asked.
"Yes, as long as the patient's condition allows," Zheng Ren said firmly.
"Okay." Old Chief Physician Pan did not say anything else. In silence, the three of them arrived at the ICU.
After changing his clothes and entering the ward, Chief Qian from the ICU stood at the bedside of a patient, his arms crossed as he looked at the monitor while he chatted with Chief Sun from the second general surgery department.
The ventilator and the monitor were screaming crazily, and a sense of urgency came rushing in.
How familiar … Zheng Ren stared at the familiar scene. His slightly comfortable life in Imperial Capital was gone forever.
"Little Su, you're back." When Chief Qian saw Su Yun, he greeted Su Yun instead of Old Chief Physician Pan.
Su Yun smiled.
Old Chief Physician Pan went to the patient's side and checked his vital signs. Blood pressure 70/50 mmHg, respiration 24/min, pulse 121/min, and blood oxygen saturation 89%.
Hemorrhagic shock was a definite diagnosis.
"Chief Physician Pan, you're here. Oh, Zheng Ren, you're back too, "Chief Sun from the second general surgery department greeted him.
"What does the general surgery department think?" Old Chief Physician Pan asked.
"We have no choice but to issue a notice of critical illness. Chief Physician Pan, you know this kind of surgery. We wouldn't dare to do it. "Chief Sun shook his head, his eyes fixed on Zheng Ren.
"Sigh." Chief Qian from the ICU sighed.
Old Chief Physician Pan had rushed over to fulfill his duty as a doctor, but it would not help the patient's condition at all.
The bright red System panel in the upper right corner of Zheng Ren's vision showed the diagnoses of hemorrhagic shock, ionic disorder, and lower gastrointestinal bleeding.
The patient's condition was clear. Zheng Ren took a deep breath and felt a little regretful.
He was from the general surgery department and naturally knew that the general surgery department would not dare to perform this kind of surgery. What should he do when the abdominal cavity was opened and the intestines were filled with blood? Should he cut open the intestines and find the bleeding point bit by bit?
He was afraid that the patient would die from excessive bleeding before he could find it.
Dying on the operating table and dying in the ICU were two different concepts.
After completing the second phase of The Great Beginning mission, the System had given him 3000 gastrointestinal dissection experience points.
However, Zheng Ren's gastrointestinal surgery experience was limited to minor surgeries such as appendicitis and hernias.
It was inevitable that he would have to spend some time in the System's operating theater for such a difficult surgery.
Zheng Ren thought about the surgical training time he had and said without hesitation, "Let's give it a try."
"Oh? What do you think, Little Zheng? "Chief Sun immediately followed up. It seemed that he had been waiting for Zheng Ren to speak.
"Let's see if we can find the bleeding point using interventional methods," Zheng Ren said.
Chief Qian frowned. He was unfamiliar with interventional methods, but since someone had suggested a solution, he would follow it.
Chief Sun chuckled and said, "I knew you could do it."
"I'll give it a try, but it's hard to say," Zheng Ren replied.
"Little Zheng, we don't know what to do. Can you communicate with the patient's family? "Chief Qian asked.
"Okay," Zheng Ren said. "How much blood is left? I need at least 10 U of frozen red blood cells and 1000 ml of plasma. Is there any clotting problem? "
"Boss, you can communicate with the family. I'll take care of this," Su Yun said calmly. "I've been drinking, so I won't be meeting the family."
Chief Qian and Chief Sun stared at Su Yun in shock.
Boss? Was that what he had just said to Zheng Ren?
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