When the patient arrived, a System notification popped up in the upper right corner of Zheng Ren's vision — chronic delayed cholecystitis.
Zheng Ren's heart sank, knowing that this was probably a complication of acute food poisoning.
If antibiotics could be administered for about a week, the incidence of complications would be minimized. However, there was a national trend of doctors abusing antibiotics. They were all bastards.
There were bastards among the doctors, for example, giving three groups of antibiotics to an underage patient after an acute appendectomy, including quinolones, which were metabolized by the kidneys.
However, most doctors were good people. Saving lives was their ultimate goal.
However, all of this was ruthlessly stifled.
Veterinarians in charge of the medical industry had issued regulations to restrict the clinical use of antibiotics. Only patients with fever, positive bacterial culture, abnormal blood tests, and other physical signs and data could be used.
However, few people knew that the animal husbandry was the one that used antibiotics the most. Large amounts of antibiotics were left in the meat and milk they drank every day. However, the animal husbandry was also aggrieved. If they did not use antibiotics, how could they meet the increasing material needs of the people?
Everyone ate vegetable leaves? Zheng Ren, who had always been interested in eating skewers, did not agree.
There were too many twists and turns. Zheng Ren did not want to solve it, nor could he solve it.
It was good enough that he could handle the emergency department in Sea City General Hospital.
"Emergency bedside ultrasound. I think it's cholecystitis." Zheng Ren quickly gave the diagnosis.
"Chief Zheng, why is it suddenly cholecystitis?" The patient's son was distressed.
"I've told you before. Acute toxic liver injury will cause exudation, and there is a certain probability that the exudation will remain near the gallbladder fossa. Elderly people's bodily functions decline, and after a week of stimulation, secondary cholecystitis will appear, "Zheng Ren said.
That being said, the probability of cholecystitis appearing was not 100%, not even higher than 10%.
At this time, it was a matter of luck. Obviously, the patient in front of him was not very lucky.
However, he definitely could not tell the patient or his family that he was unlucky. It was true that Zheng Ren was a straight man, but that was only limited to girls. His communication with patients was smooth and full of emotional intelligence.
The patient was admitted to the emergency ward, and the old man was' honored 'to be' the first patient in the emergency ward.
The ultrasound showed that the gallbladder was 95x47mm in size with obvious increased tension. The cystic wall was rough and 3mm thick. There were no obvious abnormal echoes on the cystic wall, and the sound transmission was poor with small dotted echoes.
Looking at this emergency B-scan ultrasound report, he could already confirm that it was chronic delayed cholecystitis. Following that, the emergency admission tests were carried out. Blood tests, coagulation tests, hepatitis B, AIDS, syphilis, liver and kidney functions, and so on.
ECG report: sinus rhythm, normal ECG.
Zheng Ren asked the nurse to place a gastric tube on the patient and perform gastrointestinal decompression. Then, he called the patient's son to the office for doctor-patient communication.
The patient's family member was a little depressed. At that time, he was the one who insisted on leaving the hospital for observation. The main reason was that the hospital was too noisy, and the old man could not rest well.
He did not expect to get cholecystitis as Zheng Ren had said.
Zheng Ren had a good relationship with the patient's family members when he was under observation in the emergency observation room. They sat down and Zheng Ren comforted the patient's family members.
Then, they began to analyze the condition of the patient's family members through the B-scan ultrasound.
This patient's cholecystitis was not an acute simple cholecystitis. As mentioned before, it was due to acute food poisoning that caused transient abnormalities in liver function and exudative changes. The exudate remains in the gallbladder fossa and invades the gallbladder, leading to acute cholecystitis.
If it was a young man, the possibility of cholecystitis was not high. After all, they were young, healthy, and had a high immune system. This bit of inflammation could be absorbed in minutes.
It was different for the elderly. Their slow absorption of inflammation led to cholecystitis. If conservative treatment with antibiotics was used, the effect would not be ideal.
After analyzing the matter with the family members, they expressed that they would follow Zheng Ren's arrangements.
This was a sign that they had a certain level of trust in the doctor after some contact.
If there had not been a successful emergency treatment for nitrite poisoning, the patient's family would not have said that they would follow Zheng Ren's arrangements.
"Then, let's do a cholecystectomy." Zheng Ren finally decided on surgery.
The old man had not eaten or drunk anything since morning and had fasted for long enough. Coupled with the intense pain, he decided to prepare for surgery.
Half an hour later, the emergency test results came back. The patient had no contraindications for surgery. After communicating with the family members and signing the surgical agreement, Zheng Ren brought the patient to the operating theater on the third floor of the emergency building.
When the emergency building was designed, the first floor was for the emergency department, observation room, B-scan ultrasound, CT scan, laboratory, and other auxiliary departments. The second floor was for the ward with fifty-two beds. The third floor was for the surgical operating theater, which was a few thousand square meters in size with a flat flow design. It was one of the best in the country.
The reason Old Chief Physician Pan was so anxious to develop emergency surgery was because the operating theater alone had attracted the covetous eyes of the surgical departments in the inpatient department. Such a good operating theater could not be left unused. If the emergency department did not use it, naturally, other people would.
At the innermost part of the operating theater on the third floor was an interventional radiology suite that specialized in interventional surgery.
The design of the interventional radiology suite was based on the latest technology, a hybrid operating theater.
The so-called hybrid operating theater allowed for both interventional surgery and surgery.
This was very advanced. Ordinary Class Three Grade A hospitals did not have hybrid operating theaters.
However, the hybrid operating theater in Sea City General Hospital was left unused. It would be a waste if they did not make use of it.
The temperature in the laminar flow operating theater was constant and it was fully disinfected. Breathing in the air here gave the illusion that the body was purified.
After asking the other doctors to move the patient, Zheng Ren changed into his surgical gown.
It was time to put all his skill points and experience points to good use! Zheng Ren was sure that the System was not plotting against him. Instead, it had predicted that he would perform a cholecystectomy. What else was he waiting for if he did not go to the System's operating theater for intensive LC (Laparoscopic Cholecystectomy) surgery?
In the smoking room in the changing room, Zheng Ren lit a cheap Ziyun and took a deep puff. His whole body felt relaxed and he entered the System.
After entering, Zheng Ren did not add any skill points. After all, no matter how much he added, he would not reach the Master level and would not experience a qualitative change.
He opened the System Shop and selected cholecystectomy. After exchanging all 75000 experience points for 20.83 hours of surgery time, he entered the System's operating theater and began intensive training.
Because the patients here were anesthetized, it saved a lot of time.
In the outside world, a cholecystectomy would take at least two hours, including the time before and after. In the System's operating theater, Zheng Ren did not need to consider the patient's condition, postoperative recovery, or wait for anesthesia.
Zheng Ren took almost an hour to complete the first laparoscopic cholecystectomy. After all, when he was in the first general surgery department, he was not qualified to be the chief surgeon for cholecystectomy, even if it was a first-class surgery.
After familiarizing himself with it, the surgery went much smoother.
Time was getting shorter and shorter. Just like the intensive training for appendectomy, in a sense, surgery was just a matter of familiarity.
In the end, Zheng Ren only needed about ten minutes to complete a laparoscopic cholecystectomy.
The System's training time was less than 21 hours. Zheng Ren made full use of the time and completed less than 80 surgeries.
However, it was enough. Zheng Ren felt very good about himself.
After the intensive training, he turned to look at his skill tree. His general surgery skill points had increased from 1692 to 1930. The increase was obvious, but Zheng Ren did not know if it was related to the difficulty of the surgery.
Zheng Ren returned to the Modern World. The smoke he had just exhaled had not completely dissipated. He put out the Ziyun that he had only taken a puff and carefully put it back into the cigarette box. Then, he changed into his surgical gown and entered the operating theater.
Xie Yiren was already ready and standing in front of the operating table. She smiled at Zheng Ren when he entered. Her eyes were curved and her smile was full.
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