There were no emergency patients yesterday, so the ward was stable. There was nothing to complain about the shift change.
After the shift change and ward rounds, Old Chief Physician Pan returned to his office.
Zheng Ren called in two people he knew to ask about the patient's medical history and check the test report.
The patient was a healthy 69-year-old male. A week ago, he had accidentally bumped into a hard object and gone to the township hospital for a check-up. A B-scan ultrasound revealed multiple space-occupying lesions in the liver, which were suspected to be malignant tumors. The largest was about 6x7.
The patient's medical history was simple. The space-occupying lesions had metastasized into the liver and could not be surgically removed.
Intervention was the best option at this time.
However, the specifics, such as whether the surgery could be done and the postoperative outcome, could only be determined after a 64-slice CT scan.
After instructing Chang Yue to admit the patient into the hospital, Zheng Ren and Su Yun went to see the other postoperative patients.
When they arrived at the gastroenterology department, Chief Xia's enthusiasm for Zheng Ren had increased by two levels. Department Chief Xia was not this enthusiastic even to the department directors of other departments in the hospital.
She personally led Zheng Ren to see the postoperative patient.
The patient's hematemesis had improved significantly after the TIPS surgery and hepatic encephalopathy symptoms were not severe. Zheng Ren felt that the second stent could be removed in a day or two of observation.
The patient's family thanked Zheng Ren profusely. Zheng Ren only smiled. Being able to 'rescue' the patient from the brink of death was the greatest satisfaction he had.
The gratitude of the patient's family was not important to Zheng Ren.
The patient with sink syndrome was in better condition. Although she was still feverish, her body temperature was under control.
It had dropped from 395 degrees Celsius to 385 degrees Celsius. The change was huge.
Zheng Ren was confident in his surgery. The patient with sink syndrome needed to be treated for sepsis. As long as she could get through this, she would be alive.
After seeing the postoperative patient, Chief Xia walked Zheng Ren to the ward entrance.
From the looks of it, Chief Xia had already recognized Zheng Ren's skills. Subconsciously, she believed that Zheng Ren was qualified to be on equal footing with her.
After leaving the gastroenterology department, Zheng Ren and Su Yun headed for the ICU.
There was no trace of hangover on Su Yun's face, which was completely different from the eleven boxes of Big Green Stick the other day.
Zheng Ren was also curious. The alcohol content of the scotch whiskey last night had exceeded the alcohol content of eleven boxes of Big Green Stick, but Su Yun was completely fine.
"Did you succeed last night?" Su Yun suddenly asked as they walked.
Succeeded … Zheng Ren did not know how to answer this question.
If it was a hug, then he should have succeeded. However, Su Yun probably didn't mean that.
"Judging from your appearance this morning, it should be pretty good. Don't be anxious. A brave woman is afraid of a pestering man. Take it one step at a time. "
Zheng Ren suddenly felt that Su Yun was right. At least yesterday's story had helped him rein in his horse before it was too late.
Otherwise, with his temper, he didn't know how things would develop.
He walked all the way to the ICU, changed his clothes, and entered the ICU. Chief Qian and the others were discussing the patient's condition with serious expressions on their faces.
"Little Zheng, you're here." Department Chief Qian waved at Zheng Ren and Su Yun.
Zheng Ren knew there was a problem and immediately walked over.
"The patient in Bed 5 is quite agitated. According to the patient's condition, the tracheal intubation can be removed today and the ventilator can be stopped. However, after the effects of the sedative wore off, she became agitated and her vital signs became unstable. "
Chief Qian gave a simple explanation.
Bed 5 was the one Zheng Ren had treated the day before. It was the patient who had been injured from a fall.
Had something else happened?
Zheng Ren was puzzled. The patient's condition should be improving every day. In a few days, she would be able to go to the orthopedics department for internal fixation of the fracture.
The System had given Zheng Ren a mission, but he had no intention of completing it.
A slow-motion surgery was a slow-motion surgery. It must not be performed in the emergency department. Otherwise, the patient would suffer greater trauma, making the recovery of the body unpredictable.
What was going on?
Zheng Ren glanced at the patient. The System panel on the upper right corner of his vision was still a faint red background.
This was normal. She still had many fractures that had not been treated.
The System's diagnosis did not seem to be anything special …
Zheng Ren stood quietly behind the ICU doctors, listening intently to their analysis of the patient's condition.
"Boss, I have a feeling that the patient's intense pain from adenomyosis causes her to become agitated when the concentration of the sedative drops," Su Yun said softly.
Zheng Ren had considered this possibility as well. However, he couldn't be 100% sure without a quantitative standard.
He nodded and rested his chin on his right hand, frowning in deep thought.
"Little Su, what do you think?" Chief Qian asked in a friendly tone.
"Chief Qian, I think the patient needs to undergo interventional embolization to treat adenomyosis. If it doesn't work, a hysterectomy will be necessary. " Su Yun did not wait for the others to question him and continued, "The reason the patient jumped off the building was due to the intense pain caused by adenomyosis. She couldn't bear it and chose to commit suicide.
We can't guess how high the peak of the pain is. However, one thing is for sure. It must be very high. I'm guessing it's around four degrees of pain. "
The pain scale from one to twelve was made up by the netizens. In medical terms, pain was graded from 0 to 4 degrees. Four degrees meant severe pain, accompanied by changes in blood pressure and pulse.
The ICU doctors seemed to have gotten used to Su Yun's accuracy and subconsciously took his words into consideration.
Although Su Yun's words were wild and imaginative, the more they thought about it, the more reasonable they found it.
Chief Qian pondered.
"The pain from the fracture can be tolerated as long as the patient lies still. Therefore, I don't think the patient's agitation is due to the pain from the fracture.
I suggest we explain the patient's condition to the family. If it doesn't work, we'll have to remove the hysterectomy. " Su Yun was firm. "If we delay this any longer, the patient will have to undergo a tracheotomy soon since she has been intubated for 48 hours.
If we do that, she'll face complications such as lung infection, which will make it harder for her to recover. "
"We can try." Although he was not sure if the patient was agitated due to the pain from adenomyosis, he agreed with Su Yun.
Now that the patient was no longer suffering from hemorrhagic shock, there was no harm in giving it a try.
After all, interventional surgery was a minimally invasive treatment.
If the patient did not have such a severe injury, she would be able to walk within 24 hours after the surgery.
Of course, with the help of Imperial Capital's hemostatic board and other high-value medical supplies, she would be able to walk within four to six hours.
Chief Qian was baffled. Adenomyosis was not a rare disease, but most women chose to remove their hysterectomies to solve the problem once and for all.
For women who had not given birth, the disease was rare and Chief Qian had no experience with it.
After a long moment of contemplation, Chief Qian made a decision. "I'll talk to the family and give it a try."
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