The middle-aged man fell silent. An emergency B-scan ultrasound doctor rushed over with a trolley to examine the old man and confirm the diagnosis of cholecystitis.
Zheng Ren only learned that the middle-aged man was Lin Yuanshan, who worked in the province, after Chang Yue entered the patient's information.
Before Chang Yue could brief Lin Yuanshan on the patient's condition and communicate with him, the hospital director, deputy director, department chief Sun from the second general surgery department, and a few other staff members rushed over.
"Department Chief Lin, why didn't you tell us you were coming to Sea City General Hospital?" Xiao Keming said enthusiastically from afar. He extended his right hand and walked more than ten steps before shaking Lin Yuanshan's hand.
"The young man from the Chu family is here, isn't he? He said that Doctor Zheng from the emergency ward is very skilled, so he came straight here." Lin Yuanshan's tone was a little indifferent, giving off a sense of superiority and arrogance.
However, Director Xiao and the others did not think much of it, as if this was how it should be.
"This is Old Chief Physician Pan from the emergency department, and this is Department chief Sun from the general surgery department. He's an experienced veteran," Director Xiao introduced them one by one.
Lin Yuanshan nodded, a hint of annoyance on his face.
After a brief greeting, Department chief Sun from the second general surgery department rushed to the resuscitation room and began a detailed physical examination.
Zheng Ren was familiar with the procedure, but with the help of the System, he was only going through the motions. Most of it was still a habit. In fact, it was entirely possible to skip the physical examination since the System's diagnosis was so detailed and detailed.
Lin Yuanshan's annoyance subsided slightly after seeing Department chief Sun's professional and detailed examination.
"Acute cholecystitis. Based on the B-scan ultrasound report, there is a large amount of gas near the gallbladder, probably caused by inflammation that stimulates the intestines. We can consider surgery," Department chief Sun said.
"The old man is old. Let's check for any complications," Director Xiao instructed.
"The patient's ECG shows sinus rhythm with bradycardia. Auscultation of the respiratory system shows clear breathing, no symptoms of hypostatic pneumonia. The preoperative blood collection has been sent to the laboratory and we'll be back in half an hour, "Chang Yue reported in detail.
The ward nurse had already started preoperative preparations such as catheterization and gastric tube insertion and skin preparation.
"Will the surgery be traumatic?" Lin Yuanshan was worried.
The old man was in his seventies and had a cerebral infarction, so his physical condition was not what it used to be. It was inevitable that he would take a long time to recover.
Lin Yuanshan's worries were reasonable.
"The patient recovers quickly after laparoscopic cholecystectomy," Department Chief Sun comforted.
"Laparoscopy? Doctor Zheng said we need to open the abdomen, "Lin Yuanshan objected.
When the patient's family was faced with an experienced doctor in his fifties and a young man who was not even thirty years old, it was obvious which side they were leaning towards.
Director Xiao was worried after hearing Zheng Ren's diagnosis. He asked, "Zheng Ren, you're very good at laparoscopy. Why didn't you do a laparoscopy?"
"The patient is suffering from an acute attack of chronic cholecystitis. I'm worried that the adhesion in the abdominal cavity is more serious," Zheng Ren answered calmly, ignoring Lin Yuanshan's authoritative aura.
For a technological geek, that didn't exist.
Lin Yuanshan frowned.
Wizards who prophesied bad things would be tied to the stake and burned to death. Whether it was the Westerners in the Middle Ages or the Asians now, or the Asians now, they all had the same mentality.
It was even more unconvincing to say that the patient's condition was complicated and that the patient was young.
Lin Yuanshan decided to ignore Zheng Ren and asked Department Chief Sun of the second general surgery department, "Department Chief Sun, do you think laparoscopic surgery can be done with less trauma?"
The Chu sisters had already gone to prepare for general anesthesia, but even if they were there, they would not be able to change Lin Yuanshan's mind.
"It's difficult." Chief Sun was also telling the truth. After he finished speaking, he quickly blinked his eyes innocently and apologized to Old Chief Physician Pan with his gaze.
"If surgery is necessary, I'll ask Department Chief Sun to perform laparoscopic surgery. If laparoscopic surgery doesn't work, we'll switch to open surgery, "Lin Yuanshan said decisively.
"Is the emergency operating theater fully equipped?" Director Xiao asked.
He was more inclined to ask Department Chief Sun to be the chief surgeon. After all, he was an experienced chief with impeccable skills and a higher chance of success.
As for Zheng Ren … He was a special patient, so he should stand aside.
"Yes, we've done some laparoscopic cholecystectomies recently." Zheng Ren did not mind. "Department Chief Sun will take a look later to see if there are any instruments that are not compatible with the patient's hand so that we can retrieve them from the general surgery department."
"There should be no problem." Department Chief Sun felt like he had stepped into a trap. He really did not want to provoke the father and son duo in the emergency department, so he was more than willing to admit defeat.
However, he did not expect to be dragged into this mess by a special patient.
"Let's wait for the blood test to report that there are no contraindications." Director Xiao pretended to be relaxed and said with a smile, "Sea City General Hospital performs about a thousand laparoscopic cholecystectomies every year. Last year, we operated on a 108-year-old man who could walk the day after the surgery. Don't worry, Director Li. "
Lin Yuanshan grunted with a worried expression. The atmosphere was heavy.
While waiting for the preoperative examination, Chang Yue started writing the admission communication and preoperative communication. The clicking of the keyboard broke the silence in the office.
Zheng Ren went to the resuscitation room. He did not like the atmosphere in the office, so he hid out.
"You're very sneaky." Su Yun continued to 'float' beside him like a shadow. No matter where he went, Su Yun would follow.
"Sneaky?" Zheng Ren was puzzled.
"You've already determined that the patient has severe abdominal adhesions. If you're right, I don't think the laparoscopic surgery will be possible," Su Yun said, "Why didn't you stop them?"
"Would anyone listen to me?" Zheng Ren was a straight man, but he was not stupid.
He had worked in the clinic for many years and had basic judgment. The patient's family made their own decisions. If Zheng Ren rushed forward, it would cause a lot of conflict.
"Yes, I'm relieved that you're not a saint." Su Yun smiled. The young nurse in the resuscitation room, who was preparing the patient for surgery, stiffened.
Zheng Ren felt that the guy was too much of a distraction in the resuscitation room.
"Let Old Sun do it first. I'm curious, how did you determine the severity of the patient's abdominal adhesions?"
"There's a gaseous band in the cholecyst region on the ultrasound image. Normal patients can interpret it as gas interference. However, the gaseous band shows no obvious signs of activity. I'm guessing that the transverse colon has moved up and is fixed under the liver by an organic substance. "
Zheng Ren was invincible when it came to diagnosing the patient's condition.
It was one thing to make a judgment in a daze. With the System's final diagnosis, it was much easier to retrace the events.
Su Yun's eyebrows were elegant, even when he frowned. There was no solemnity in his expression. Instead, it made him more mature and charming, blinding many covetous eyes.
He tried to recall the image of the emergency ultrasound at the bedside.
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