The surgery went smoothly. Zheng Ren and Yang Lei left the operating table after twenty minutes.
On the stage, Zheng Ren patiently explained the key steps to Yang Lei. Even though it was only a laparoscopic appendectomy, Zheng Ren's expertise had allowed him to apply the technique to other surgeries, and Yang Lei had benefited greatly from it.
Zheng Ren was bored out of his mind after leaving the operating table.
He had just returned from Imperial Capital and his life seemed to have lost its direction.
No, it was not because of that. It was because Xie Yiren did not perform the surgery.
Zheng Ren just did not realize it.
His general surgery skill points were being spent bit by bit, but he was still a long way from Grandmaster rank.
Zheng Ren wanted to train in the System's operating theater for combined pancreaticoduodenectomy. He estimated that one surgery could earn him more than a hundred skill points.
However, when he looked at his remaining experience points and surgery time, he dismissed the idea.
If he spent all of them, the possibility of advancing to Grandmaster rank was slim. He would be dumbfounded if he encountered a critical situation.
It was better to spend it bit by bit. The long-term main mission — The Best Surgeon — had been completed countless times. Although the reward was meager, it was still meat.
"What are you thinking about?" Su Yun's familiar voice came from behind.
"Spacing out."
"Thinking about Little Yiren? You're too timid. Have you seen Domineering CEO Falls in Love with Me? What I want is that domineering aura. "Su Yun urged.
"Chief Liu was very domineering in the United States. He lost a lot of money. How embarrassing," Zheng Ren retorted without hesitation.
"I'm talking about you. Just get the idea." Su Yun did not mind Zheng Ren's argument. It proved that he was guilty and he smiled.
"How's the patient?" Zheng Ren asked.
"His condition is stable. The tube was just removed. He can live now." When it came to the patient's condition, Su Yun was not so long-winded. Instead, he briefly introduced the patient's condition.
Zheng Ren knew that the surgery was 100% complete. As long as nothing happened in the ICU, it would be difficult for the patient to die even if he wanted to.
"By the way, the paper on small nodules of hepatocellular carcinoma has arrived. I just received a call asking if there are any more cases."
"There shouldn't be any at the moment," Zheng Ren said. "Can't I publish it as a case?"
"Yes, but it's hard to get recognition in a short time," Su Yun said. Su Yun said, "It doesn't matter to you anyway. You're just a salted fish. Just stay in Sea City and be the chief resident."
"Isn't that a lifetime? Didn't you also come back from the capital?"
"Boss, are you interested in a pet hospital? I'm not asking you to go. If there's a surgery that needs your help, you're just here to save the day. "
"…" Zheng Ren was unfamiliar with the terms "rescue station" and "go to the pet hospital".
"Most of them are Golden Retrievers or Alaskan Malamutes who ate socks, causing intestinal obstruction. With your level, one in twenty minutes is not an exaggeration. "Su Yun said:" Money, we can talk about it. "
"I …"
"Don't tell me you're not short of money. I asked yesterday. Xie Yiren's parents will be back in a month or two for the New Year," Su Yun said sneakily.
"…" Zheng Ren hesitated for a moment. "Alright. But I don't have a veterinary license. Is that okay? "
"No problem. Which veterinarian knows how to perform surgery? It was all a blind guess. Sterilization is fine, but if it's a real knife and a real gun, they won't be able to do it. "Su Yun said.
"Let's find an opportunity." Zheng Ren finally lowered his head in the face of reality.
The thought of Xie Yiren's parents coming back made Zheng Ren feel a little uneasy. Zheng Ren had no idea why he was uneasy or how to solve it.
As he pondered, his phone rang.
"Chief Zheng, I have an aunt with pain in her upper right abdomen. Come and take a look." It was Chu Yanran.
Her words were simple and did not even mention the place. She did not stand on ceremony either. They were on the same side, so there was no need to stand on ceremony. She was being too polite.
Since she did not mention the place, she must be in the emergency department.
Zheng Ren immediately strode to the emergency department. As usual, Su Yun lowered his head and followed behind him.
The emergency department was not very busy. It was winter, so there were almost no drunkards or fights. The roads were covered in ice and snow, so everyone was careful when driving, so the emergency department was slightly deserted.
However, this was good.
In the emergency department, Chu Yanran stood at the head of the emergency bed. Next to her was an emergency B-scan ultrasound vehicle. A doctor was performing an abdominal ultrasound on the patient.
The family members looked around anxiously. Zheng Ren ignored them and glanced at the System panel — acute gallbladder torsion, acute gangrenous cholecystitis.
Huh? This was a rare disease.
Gallbladder torsion was a rare condition. It had been more than a hundred years since Wendell first described it as a "floating gallbladder" in 1898. Zheng Ren searched through the literature in his memory and estimated that there were only about a hundred cases of gallbladder torsion.
Including those he did not know, there were at most three to five hundred cases reported.
There was no other way but to prepare for surgery.
As long as there was a twist in any organ, it meant that there would be necrosis. The System panel already showed a prompt: acute gangrenous cholecystitis.
When Chu Yanran saw Zheng Ren, she said, "Aunt Lin had abdominal pain after breakfast this morning. She did not seek treatment at the time. Three hours ago, the pain worsened and she took antiphlogistic tablets, but there was no improvement. An hour ago, the pain was severe and unbearable, so she came to our hospital for treatment. There was no fever, nausea or vomiting during the course of the disease. The blood routine and liver function tests have been sent for an emergency checkup. She should be back soon. "
"Cholecystitis requires surgery," Zheng Ren said.
"Are you Doctor Zheng?" a middle-aged man in his thirties asked.
He wore gold-rimmed glasses and had a bookish expression on his face.
"Yes, that's me," Zheng Ren answered.
"Hello, I'm Zhou Wenxiang." Although the middle-aged man was anxious, he did not lose his composure and shook hands with Zheng Ren.
"Doctor Zheng, do you think my mother needs surgery? Is it okay without surgery? "Zhou Wenxiang asked.
"I think it's gallbladder torsion, which is acute gangrenous cholecystitis caused by local necrosis. There are two ways to perform surgery, cholecystectomy and gallbladder reduction. I suggest direct cholecystectomy to avoid similar situations in the future. As for conservative treatment, it won't alleviate the symptoms, so I don't recommend it. "
Zheng Ren explained his diagnosis in detail.
Zhou Wenxiang hesitated for a moment and walked out perfunctorily.
Zheng Ren looked at Chu Yanran, who leaned over and whispered, "His father is my father's colleague and he's rushing back from Provincial Capital. Chief Zheng, gallbladder torsion is a rare disease. Can it be diagnosed? "
"Here." Zheng Ren pointed at the bedside ultrasound and said, "The imaging studies support the diagnosis of gallbladder torsion."
"When did you learn to look at ultrasonography? I don't remember you objecting to ultrasonography before. "Chu Yanran's sharp senses picked up on the anomaly.
"That's because there have been no problems with ultrasonography in the past. This is a rare case in the emergency department, so I said no."
Chu Yanran tilted her head and thought about it. Zheng Ren's words made sense, so she did not say anything else.
"Chief Xia, please take a look. My mother can't stand the pain and she doesn't want surgery." Zhou Wenxiang's voice came through.
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