When they returned to the department, Zheng Ren and Su Yun changed their clothes and walked around the ward.
Six beds … Compared to Sea City General Hospital, it was much shabbier.
Zheng Ren suddenly had an idea. If he returned to Sea City, the entire emergency building would be rebuilt and there would be at least a hundred beds. He would work hard every day to perform 20 TIPS surgeries a day. In a month, there would be 600 surgeries. It would be enough for a few months.
However, this was just an idea. Zheng Ren did not take it seriously. If he really returned to Sea City, how could there be such a large source of patients?
The deputy director in charge of the Secondary Hospital bragged that there were as many patients as he wanted. However, after a few times, the patients could not keep up.
The patients in the ward were all very stable after the surgery. Their symptoms had already improved.
Professor Rudolf Wagner was focused on sorting out the relevant documents. Zheng Ren went to look through the documents and felt that he was especially like the silly son of a landlord.
However, with the professor and Su Yun handling these matters, it was much more comfortable. If they were to point at him to do it, the sky would fall.
However, Zheng Ren's mind was filled with the scene of the emergency pediatrics causing trouble. He could not get rid of it.
Zheng Ren sympathized with the pediatric medical staff in the emergency department who had suffered an undeserved disaster.
Just as he was thinking, his phone vibrated. The ringtone was very soft.
He took it out and saw that it was Chief Qi from the ultrasound room.
"Boss Zheng, are you in the department?" Chief Qi picked up the phone and asked directly.
"Chief Qi, I'm here."
"The Department of Genitourinary Surgery, meeting room, hospital consultation. Come and take a look?" Chief Qi said.
"Okay, I'll go up now."
After saying that, the phone had already been hung up.
The department chief was authoritative.
Whether it was Concorde, 912, Peking University First, Second, Third Hospitals, or the Eastern and Western Tumors, there were countless big shots in the Imperial Capital.
Every department chief was able to reach the top. Their own technical level was naturally very high, and there were countless people behind them.
To be able to get the approval of any chief was considered to have reached the heavens in a single step. Just like how Zheng Ren had obtained Chief Kong's approval and could be directly transferred to the 912, he had the treatment of a group of professors and was given six beds.
Chief Qi treated him well. It was easier to show his face in the hospital consultation, Zheng Ren thought.
Hurry up and go. The whole hospital consultation did not know what disease it was. The Department of Genitourinary Surgery … I'm not very familiar with it.
During the surgical training for patients with liver hydatidosis, he chose an Intermediate Skill Book to upgrade the surgical skills of the Department of Genitourinary Surgery.
But this was not enough.
Zheng Ren did not think that he would be able to say anything during the urology department's consultation. It was probably Chief Qi's recommendation that allowed him to show his face in front of the department chiefs and leading professors.
Zheng Ren knew it was a great favor.
Without further ado, he took the elevator to the urology department. Su Yun did not follow. If he brought an assistant along at this time, how arrogant would he be? He was afraid that if he went in, he would be despised by the various department heads.
Zheng Ren knocked on the door of the surgical demonstration classroom in the Department of Genitourinary Surgery and entered.
More than a dozen people were sitting in the room. At the front was a projector with the patient's information.
Seeing Zheng Ren come in, Chief Qi and Chief Miao from the Department of Genitourinary Surgery waved at the same time.
Zheng Ren was stunned for a moment. Then, he bowed slightly to Chief Miao and sat down beside Chief Qi.
Was there such a difficult multiple-choice question the moment they entered?
What did that mean? Zheng Ren was in a daze.
"This is the medical record. Take a look first," Chief Qi said. "It's accurate. Say a few words. I'm not sure. Just stay here and watch. "
Zheng Ren understood the meaning of care and nodded.
The patient was a 23-year-old female patient. Because she did not have her period and was infertile, she came to the Imperial Capital to see a doctor. In the end, an adrenal tumor was found.
As soon as the article started, Zheng Ren was attracted by the special case.
Twenty-three years old and had not had her period before she knew how to treat diseases? How sloppy was that?
Upon closer inspection, Zheng Ren realized that this patient was a female patient from another city. After getting married, she had never been pregnant. When she came to the Imperial Capital to prepare to see a doctor, she realized that she had never had her period.
Abdominal color ultrasound showed that the right adrenal gland area had an isoechoic mass, about 6.5cm x 6.4cm in size.
Abdominal enhanced CT showed that the right adrenal gland area had a low-density mass, about 6.54cm in size. Enhanced CT showed that the lesion was rich in blood vessels, and the venous phase was quickly cleared. Adrenal tumor was suspected.
All kinds of test results were also relatively complete. Testosterone, androstenedione, dehydroepiandrosterone sulfate, blood cortisol, and adrenocorticotropic hormone were all high.
This should be a disease of the endocrinology department, but there was an adrenal tumor. Therefore, she was hospitalized in the Department of Genitourinary Surgery and prepared to be removed.
This kind of complicated disease was different from simple trauma.
Zheng Ren knew Chief Miao from the Department of Genitourinary Surgery. His surgical skills were quite good.
The kidney that had been invaded by worm cancer could be resected almost perfectly, and the hydatid cysts were removed completely. This level was already very high. Using the System's judgment method, it was at least at the level of a Grandmaster.
However, the patient's disease was not that simple.
One had to know that the place where the occupation occurred was the adrenal gland.
Zheng Ren had encountered a patient with liver cancer accompanied by adrenal metastasis. During the operation, the patient's blood pressure suddenly dropped.
After touching this kind of endocrine organ, there would be unexpected changes.
In particular, this female patient's condition was very complicated. It was not a simple removal of the adrenal tumor.
Zheng Ren looked at the medical record and gradually froze.
At this time, the doctor from the Department of Endocrinology was stating his opinion. The person was in his forties or fifties. His speech was very melodious.
Zheng Ren listened as he read the medical record. What he meant was mainly to consider the possibility of the occupation of the right adrenal gland being a tumor of cortical origin, except for adrenocortical carcinoma.
The patient's current cortisol level was elevated. During the perioperative period, the vital signs, electrolytes, and mental changes should be closely monitored, and glucocorticoid supplementation treatment should be given.
In line with the rules, there was nothing wrong with the treatment and judgment.
"Little Zheng, can you find the problem?" Chief Qi asked in a low voice.
Zheng Ren asked, "Is there a gynecological examination?"
"…" Chief Qi was stunned for a moment.
"I'm thinking that it's not a simple adrenal lesion. It's just a space-occupying change in the adrenal gland," Zheng Ren whispered. "I'll think about the specifics."
"It's not a simple space-occupying lesion of the adrenal gland. You're thinking about it too?"
"Huh? Who would think about it like that? " Zheng Ren's interest was suddenly piqued. He was just thinking about it on a whim. He thought that this disease might be similar to a rare disease, but it was just a thought. He did not dare to talk nonsense on such an occasion.
"Chief Cui in the kidney," Chief Qi said with a pout.
"What did Chief Cui think about it?"
"She's not very sure either. She just said that it might be a disease caused by a hydroxylase deficiency."
"21-hydroxylase deficiency?!"
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Full-hospital consultation
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