Su Yun, Chang Yue, and the others were busy preparing for the surgery. Zheng Ren had nothing to do at this time. He looked at the patient's radiographic films in front of the radiographic film viewer and studied them carefully.
After all, Rapunzel Syndrome was relatively rare. He had to take a good look at it. As for the surgery, he just had to wait for it to go on stage.
This was the privilege of a senior doctor. Many chief physicians would ask for the surgery list to be laid out before they called for them to go on stage.
Zheng Ren did not have such treatment, nor did he have such a grand style.
There were not many staff in the emergency ward and they could not handle it.
More than ten minutes later, the patient's case was completed. Chang Yue began to give medical advice. The gastric tube and urinary catheter were already in place, waiting for the preoperative instructions to go on stage.
"Chief Zheng, are you busy?"
The emergency ward was preparing for the surgery in an orderly manner when Chief Sun suddenly walked in with a smile.
"Oh, Chief Sun." Zheng Ren smiled and greeted him. "There's an intestinal obstruction. We're preparing for surgery."
Chief Sun's eyelids twitched. Recently, the number of general surgeries had dropped sharply, which had something to do with the emergency department cutting off a large number of patients.
However, he did not say anything. Instead, the smile on his face became wider. "Chief Zheng, isn't this the abdominal loose body you diagnosed the other day? Let me take a look at it after the surgery is done."
As he spoke, Chief Sun took out his phone and showed the picture to Zheng Ren.
It did indeed look like a big goose egg. After closing the abdomen, Chief Sun fortunately cut open the 'goose egg'. There was egg white and yolk inside. If not for the background of the operating room, one would definitely think that it was in a kitchen.
Zheng Ren glanced at these during the surgery, but Chief Sun showed him a clearer and more detailed section of the specimen made by the pathology department.
It was probably the pathology diagnosis, so Chief Sun came to inform him.
"Chief Zheng, your diagnostic skills are really high." Chief Sun patted Zheng Ren's shoulder intimately and praised him.
"Hehe." Zheng Ren laughed dryly. He only glanced at it before continuing to look at the radiographic film viewer.
Chief Sun felt very bored and a little angry in his heart.
He was rushing to flatter Zheng Ren, but he did not expect to be treated coldly.
He said that Zheng Ren's diagnostic skills were good, and he really thought so.
He could not think about this matter. The more he thought about it, the more aggrieved he felt.
However, he was very shrewd, or rather, timid. He did not directly flare up and followed Zheng Ren's gaze.
"It's a typical intestinal obstruction. What is Chief Zheng looking at?" Chief Sun glanced at it and said.
The patient's imaging examination was complete, and it was indeed the most typical kind of illness. From the look of the radiographic films, it was not worth thinking about at all.
"Oh, this is intestinal obstruction caused by Rapunzel Syndrome." "Because it's relatively rare in clinical practice, I'm going to study it carefully to avoid misdiagnosing the next time I encounter it."
"What … syndrome?" Chief Sun was stunned.
What the hell was Zheng Ren talking about?
A very rare disease? After Chief Sun asked subconsciously, he immediately regretted it. He quickly focused on looking at the radiographic films, trying to find the disease that Zheng Ren was talking about.
"It's Rapunzel syndrome." Zheng Ren had a good memory, but he had to take time out to work to earn money when he was in school. He had no time to read periodicals and magazines.
"It's also called Rapunzel Syndrome. The patient had a psychological and physical illness and was willing to eat his own hair. Because hair is not easy to digest, it forms stones in the gastrointestinal tract, causing intestinal obstruction. " Zheng Ren gave a simple explanation. He habitually rested his chin on his hand and carefully read the radiographic films, wanting to find clues from them.
Chief Sun was completely dumbfounded.
Rapunzel syndrome? He had never heard of it before. Eating hair? Chief Sun had been a doctor for many years. Why had he not seen it before?
However, he buried all his doubts in his heart and carefully read the radiographic films with Zheng Ren.
"Lil Fugui, come here for a moment," Zheng Ren shouted.
"Boss, what's the matter?" Professor Rudolf Wagner rushed over excitedly.
"Are there any typical signs of Rapunzel syndrome in radiographic studies?" Zheng Ren asked.
"Boss, you're too much of a joker." Professor Rudolf Wagner pointed at the scan and said, "Rapunzel's syndrome can only be identified by the density of the fecalith that causes the obstruction. However, this difference is not much different from the density of other fecalith, so the best way to identify it is through surgery."
Zheng Ren nodded.
The professor's words were similar to his own.
'That's it then, let's go straight to surgery.'
Chief Sun was stunned. Did Zheng Ren have a clear diagnosis or was it not clear? Why was he so confident when he was talking to him, but now he had to ask the professor?
"Chief Sun, I can't accompany you anymore." Zheng Ren smiled and said to Chief Sun, "I'm going to surgery."
"I'll go take a look as well," Chief Sun said. "I've never heard of Rapunzel syndrome."
Chief Sun was used to being a coward. He could not compete with Zheng Ren. He had lost the competitive spirit in his heart.
Although Zheng Ren was young, he was a good surgeon.
It would not be a waste of time to take a look. In any case, there were not many general surgeries at the moment, so he had some free time.
If he could find Rapunzel syndrome, he would go back and do a thorough investigation. That way, he would have something to brag about during the annual general surgery conference.
Zheng Ren did not stop Chief Sun. It was not a big deal for the chief of the general surgery department to take a look at the surgery.
On the other side, Chang Yue had completed the preoperative briefing. Zheng Ren took the medical record and went straight to the operating theater.
Chief Sun was a little emotional and said, "Chief Zheng …"
"Chief Sun, just call me Little Zheng. I'm not used to calling me Chief Zheng," Zheng Ren said with a smile.
"Sure. Little Zheng, I heard you've performed a few TIPS surgeries in the Secondary Hospital? "Chief Sun asked casually as he walked.
"Yes," Zheng Ren answered, "I've performed ten surgeries."
"…" Chief Sun was slightly surprised. He paused for a moment but quickly caught up with Zheng Ren.
Chief Sun did not know what Rapunzel syndrome was. After all, it was an extremely rare disease.
However, in the age of cirrhosis, portal hypertension, hematemesis, and ascites were one of the most common symptoms in general surgery and gastroenterology.
A few years ago, the general surgery department would have performed portal-azygos disconnection.
However, the lack of fibrinogen now made portal-azygos disconnection too risky. In addition, interventional surgery had become popular with TIPS surgeries. This was a common surgery in the general surgery department.
Chief Sun was very emotional. Zheng Ren's surgery was even the most difficult TIPS surgery.
"Little Zheng, I won't stand on ceremony with you. I have an old classmate with severe cirrhosis and massive ascites. He can't control it anymore, "Chief Sun said." Who did you learn TIPS surgery from? Help me contact him. I'll arrange a referral to Imperial Capital or Sorcery Capital. I'll ask your professor to perform this surgery. "
"Learn?" Zheng Ren was in the middle of pondering about Rapunzel Syndrome, so he was surprised to hear Chief Sun's nagging in his left ear.
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