Clinically, diffusion-weighted magnetic resonance imaging of the liver was rarely done. Or rather, it was not rarely done, but almost never.
Chief Luo should have read the article in the New England Journal and knew that the location of the puncture could be determined through diffusion-weighted magnetic resonance imaging.
However, he was still not sure, so he had to hear Zheng Ren say it himself to believe it.
"Thank you for your help, Chief Luo," Zheng Ren said. "After the examination today, if there are no surgical contraindications, we can perform the surgery tomorrow."
Because diffusion-weighted magnetic resonance imaging was not a routine examination, patients usually did not bring the relevant radiographic films to the 912 for treatment. Therefore, they needed to do a radiographic film before deciding on the surgery.
Previously, the patients accepted by the Interventional Department were all seen in the outpatient department. They were not admitted to the hospital first. The patients were allowed to do diffusion-weighted magnetic resonance imaging in the outpatient department. Whoever finished it first would be admitted to the hospital first. This way, the hospitalization period could be shortened as much as possible.
Chief Luo raised his head and glanced at Zheng Ren. He asked, "You're very familiar with Old Chu, right?"
"I met him the first time I came to the Imperial Capital. Chief Chu took good care of me," Zheng Ren said.
"Then go find Old Chu and take the patient to do the diffusion-weighted magnetic resonance imaging today. Remember to tell me about the surgery tomorrow. I'll go take a look at Boss Zheng's skills," Chief Luo said.
"Okay." Zheng Ren nodded.
He did not stand on ceremony, nor did he have any inappropriate reaction because Chief Luo asked him to take the patient for a check-up.
Chief Luo had already said this. If Zheng Ren was still not satisfied, it would be too much.
"Go find Chief Liu to take you to see the patient," Chief Luo said.
Zheng Ren and Chief Luo exchanged phone numbers and WeChat messages before leaving the chief's office.
Chief Liu? The chief resident of the gastroenterology department's surname was Liu.
As Zheng Ren thought about it, he came to the doctor's office and knocked on the door.
"May I ask if Chief Liu is here?" Zheng Ren asked with a kind expression.
"That's me. What's the matter?" a short and fat female doctor in her thirties looked up at Zheng Ren and asked.
"Hello, I'm Zheng Ren from the Interventional Department. Chief Luo asked me to look for you to see a patient with advanced cirrhosis and portal hypertension who was admitted yesterday," Zheng Ren said.
"Oh, you're Boss Zheng," Chief Liu said enthusiastically. "Please come in, please come in."
Zheng Ren walked in with a smile on his face and appeared extremely gentle.
"The patient is a 60-year-old woman with a history of liver cirrhosis for more than 30 years. Her liver is atrophied badly, but her liver function is still fine. Here are the various indicators. Please take a look, Boss Zheng. "Chief Liu found the medical record and handed it to Zheng Ren.
According to the test results, that was indeed the case. The patient's liver function was worse than normal, but it would not affect the surgery.
"How much ascites?"
"This is the abdominal CT scan. Please take a look," the chubby Chief Liu said.
Zheng Ren inserted the radiographic films into the radiographic film viewer and rested his chin on his hand.
With the passive skill [Reconstruction], he could locate the puncture point with a simple abdominal CT scan.
But if it wasn't systematic, it had a strong personal style.
In other words, other people could not follow Zheng Ren's method to determine the puncture point of the TIPS surgery. It was not repeatable.
It couldn't be repeated, which meant it couldn't be popularized.
On the radiographic films, the patient's liver had shrunk by about 1/4 of its volume. The spleen was large, and the image of gastric varicose veins could be seen.
The amount of ascites was not considered large for this level of cirrhosis, and the patient controlled it well.
"A month ago, the patient came to the local hospital for treatment due to vomiting blood and was given emergency treatment. After the patient's condition stabilized, the patient's family came to our hospital for treatment. "Director Liu began to introduce the patient's medical history.
Zheng Ren just listened and carefully analyzed the patient's condition.
In fact, Zheng Ren did not have to do it himself for advanced cirrhosis and portal hypertension. He could leave this kind of thing to others and only be responsible for the surgery.
However, the situation had just been opened. Zheng Ren did not want to leave an arrogant impression on Chief Luo.
Most importantly, Zheng Ren was not at ease.
After being a doctor for a long time, Zheng Ren was the kind of person who could not hold two taels of sesame oil in his stomach. As long as the patient had a problem that could not be solved, he could not sleep well at night.
For example, for those difficult and complicated diseases, the patient's performance was one kind of disease, but in fact, it was another kind of disease. If he wanted to perform the surgery, it was better to analyze it himself first and then compare it to the System's template.
After listening to Chief Liu's report, she brought Zheng Ren to the ward to see the patient.
As soon as they entered the ward, Zheng Ren heard an old woman say, "Son, our family doesn't have much money. It's expensive to see a doctor in the Imperial Capital, right?"
It was a white-haired old woman on the phone. She looked at least ten years older than her actual age.
"Why don't we go back? I'll take some Chinese medicine and I'll get better soon."
The old woman said with a trembling voice.
Just as she finished speaking, a roaring voice came from the phone beside her ear.
Zheng Ren did not hear what was said clearly.
However, the old woman was obviously timid. She was not the kind of person who would be tough. She just listened to her son's words silently. Her head was slightly lowered, and her white hair was messy. The sunlight shone through, and the black and white were distinct, like withered weeds.
Doctors usually did not care about such family matters unless they encountered extremely special circumstances.
Zheng Ren maintained a gentle smile and stood by the bedside with Chief Liu. He waited for the old woman to hang up the phone before he began to consult.
At first, Zheng Ren did not ask directly. Instead, he chatted with the old woman for a while. For example, where her hometown was and how many people there were in her family.
The old woman's mood quickly calmed down. As if she had found someone to talk to, she nagged at Zheng Ren for a long time.
Chief Liu was a little anxious. There was still a lot of work that had not been done. If he delayed here for half an hour, all the work would be delayed.
Zheng Ren sensed Chief Liu's mood and said with a smile, "Chief Liu, you go ahead and do your work first. I'll talk to Auntie for a while."
"Okay, okay." Chief Liu nodded repeatedly. "Then I'm sorry, Chief Zheng. I have too much work on my side."
"You go ahead and do your work. After I finish asking, I'll look for you if there's anything I need to do."
Chief Liu apologized and quickly left.
Zheng Ren had nothing to do, so he continued to communicate with the patient.
When he was in Sea City, this kind of work was all done by Chang Yue. However, in the beginning, Zheng Ren still did it himself when he first came into contact with the 912 Department of Gastroenterology.
Soon, Zheng Ren understood the patient's situation.
Her lover passed away early, and she raised a child by herself. The child's studies were not good. He wandered in society very early and caused a lot of trouble.
When she first found out that she had hepatitis B, she did not go to the hospital for treatment. She only ate with her child to avoid infecting her son.
More than ten years later, she began to show signs of cirrhosis. Because of the restrictions of her family's conditions, she did not give treatment. She only took oral drugs intermittently to control the activity of the hepatitis B virus.
She did not know the development of the disease. When she had ascites, she thought that it was because she was fat that her stomach was big.
It was not until a month ago that she suddenly vomited blood one day. Only then was she hospitalized and did a set of tests.
The diagnosis was advanced cirrhosis, portal hypertension, and a large amount of ascites.
After a period of treatment, the ascites was much better. Her son began to look for doctors and medicine everywhere. Finally, he found the 912 hospital.
He waited in line for nearly a month before he finally moved in.
The old lady saw that Zheng Ren looked familiar. She held his hand and nagged, "Child, my son is not married yet. I can't earn much money. I have some savings, but the hospital is too expensive … "
"Auntie, it's okay. When we go back, we can reimburse a portion of it. The specifics will depend on the local medical insurance policy," Zheng Ren comforted her.
"I'm fine. Doctor, please tell my son later that I'm fine. Let me go back." When it came to money, the old lady began to wipe her tears again.
"Uh …" Zheng Ren had no choice. This was a societal systematic project. What could he do?
Perhaps he could save the old lady some of the costs through the live broadcast of the surgery?
He would give it a try, but many people could not accept the live broadcast of the surgery.
Lu Xun had said that when he saw short sleeves, he would immediately think of white arms, immediately think of naked bodies, immediately think of # #, immediately think of hybridization, immediately think of illegitimate children. The imagination of the Chinese people could only leap forward at this level.
This was the old man's theory about cheongsam. Even though it had been a hundred years since the Republic of China, it still did not seem outdated.
Everyone would still think so when it came to the live broadcast of the surgery.
"Mom, I'm here." Zheng Ren was pondering when a rough voice came. Zheng Ren turned around and the golden light almost blinded him.
。 m.
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