The Surgeon’s Studio

Chapter 106: 0104 Delayed bleeding one month after surgery

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As the days passed, the emergency department became busier and busier.

In one week, Zheng Ren performed sixteen surgeries for appendicitis and seven surgeries for acute cholecystitis. He also rescued a patient with a stab wound and performed a splenectomy.

The days in the emergency department are just like this, busy and fulfilling.

With the hard work and chance of the old Director Pan, Corey is now gradually becoming more manpower-rich.

Director Liu recovered and was discharged from the hospital, and the First Department of General Surgery was reshuffled.

Cen Meng resigned and went to the Second Affiliated Hospital of the Medical University in the provincial capital. Yang Lei, the friend who informed Zheng Rentong at that time, took the initiative to apply, fled the general surgery department, and came to the emergency ward.

There was only one more doctor, but the nurse side was much more lively.

It is said that the nursing department has been in a state of turmoil recently.

At least dozens of people have applied to be transferred to the emergency ward.

Zheng Ren knew that this was all Su Yun's fault. That guy was like a walking sildenafil citrate... Wrong, it should be the kind for women.

All in all, the emergency ward got back on track very quickly.

As a hard-working hospital manager, Zheng Ren finds it more difficult the more patients he has.

Thanks to the support provided by the surgery, there were almost no postoperative complications. Otherwise, I wouldn't even be able to sleep well.

The weather is getting colder, and there are thick clouds every day, but there is no snow, which makes people feel a little depressed.

Zheng Ren didn't care. The big pig trotter of the system had been extremely quiet recently, and no new tasks had been issued. Zheng Ren only gained 50 skill points and 5,000 experience points by completing 5 rounds of main quests.

General surgery skill points increased from 3161 points to 3185 points, and the inventory skill points were 1789 points. There are also 88620 experience points and three silver treasure chests.

Zheng Ren felt that as long as he continued like this, in another month, he could improve his general surgery skills to a master level by relying on ordinary surgeries and reading books.

Chang Yue and Yang Lei took care of all the affairs in the ward in an orderly manner.

Zheng Ren only needs to do surgery and read books every day. This kind of life is quite comfortable. It's just that Su Yun is like his own shadow, following around every day, attracting countless hostile looks.

Gradually, Zheng Ren adapted to it. Anyway, he was not a crook, so he didn't care what others thought.

On this day, I was reading a book and had reached the last hundred pages of a thick book called "Hepatobiliary and Pancreatic Surgery". The emergency ward received a call saying that the urology department needed consultation.

Urology? Zheng Ren didn't want to go when he heard the name of this department.

It's not because urology involves the lower third-tier problems, but because I only rotated in urology for a month when I was an intern many years ago, and I don't understand the situation at all.

There are two skill books, but the level of an expert is probably not higher than that of the director of the Department of Urology. The experience value is definitely not enough to train him to specialize in urological surgery, so Zheng Ren feels that there is no need to go or not.

But since there is a consultation, or it is an emergency consultation, we must arrive within 5 minutes.

Having no choice but to close the book, Zheng Ren hurried to the urology department.

"Who do you think this patient is?" Su Yun still followed Zheng Ren and said with a smile.

"I'm not a god." Zheng Ren's answer to Su Yun became more and more simple and crude. Even Zheng Ren himself was not aware of the change process.

"IQ is just a flaw." Su Yun sighed, "You are not from the Department of Urology. How can I still ask you for consultation and allow you to perform surgery? Isn't it because of your interventional level?"

Of course Zheng Ren had already guessed this, but he just couldn't stand Su Yun's handsome appearance. When you go with him, your return rate is almost 80%, and you become the ugly best friend who helps to set off the beautiful woman.

It just so happened that Su Yun was still like a piece of brown candy, unable to be chased away.

There was silence all the way to the urology department.

A deputy director named Shen stood anxiously in the corridor, looking at the time on his phone and then at the door.

When Zheng Ren and Su Yun appeared, he felt a little calmer.

"Mr. Zheng, there is a patient I want you to take a look at." Deputy Director Shen said urgently.

"What patient?"

"A young male patient was diagnosed with left renal cancer. He underwent nephrectomy at Imperial Hospital 29 days ago, and the upper pole segment of the left kidney was removed. Hematuria occurred this morning and he was admitted to the ward from the emergency department. Hematuria occurred for 5 hours. Hemostatic drugs are ineffective, so consider bleeding from the left nephrectomy segment." Deputy Director Shen told the medical history very professionally.

The medical history is clear and there is no doubt about it.

Because the patient was young, preservation of the left kidney was considered.

But the kidney is relatively fragile, and various methods such as ligation and suturing cannot guarantee that there will be no postoperative bleeding.

Especially if it is placed on other organs, it will be healed within 29 days. But as for the kidneys... no, there was sudden heavy bleeding, probably because one of the blood vessels had opened again.

"The patient's family called the surgeon, who said there are two solutions. If the bleeding can be stopped through interventional surgery, the bleeding can be stopped simply. If there is no interventional support, the only solution is to remove the left kidney." Deputy Director Shen After saying that, he took a deep breath.

Zheng Ren recalled that in interventional surgery, it was not difficult to stop this kind of bleeding.

"Mr. Zheng, can you do it? You also know the situation in our hospital. I heard that you had two emergency hemostasis surgeries a few days ago, so I tried to ask." Deputy Director Shen saw Zheng Ren pondering. After a second, he couldn't wait to ask.

This is why a dog’s belly cannot hold two ounces of sesame oil.

But when it comes to a patient's kidney problems, it's not surprising that he was anxious.

"Go and take a look at the patient." Zheng Ren did not just take care of everything, but proposed to take a look at the patient.

When we arrived at the intensive care unit, a prompt was given on the system panel. The diagnosis was simple: hemorrhagic shock. The cause was indeed bleeding from the left nephrectomy segment. It seemed that intervention to stop the bleeding would be enough.

"Is the fasting and drinking time enough?" Zheng Ren asked.

"Enough!" Deputy Director Shen perked up.

"Ask the family members to follow me and make pre-operative instructions. On your side, push the patient to the emergency interventional operating room. Ask the blood bank to prepare another 10u red blood cells and ask for some plasma."

A group of family members stood aside with suppressed impatience and anxiety. After hearing what Zheng Ren said, hope suddenly arose.

"Immediate family members, those who can sign, come with me." Zheng Ren also simply said.

A young woman in her twenties, who should be the patient's lover, and two old men under sixty years old followed Zheng Ren and trotted all the way to the emergency ward.

Zheng Ren briefly communicated with the patient's family, because before the operation in Imperial Capital, all postoperative complications were clearly explained, especially postoperative bleeding, which was explained countless times.

Therefore, the family members are half doctors. They have some understanding of the evolution of the disease and there is no need to elaborate.

They chose to remove the kidney segment at that time and were already prepared for postoperative bleeding.

I just didn't expect that the bleeding would come so late.

After the explanation, Zheng Ren handed the matter over to Chang Yue and asked her to give a pre-operative explanation, especially the possibility of ectopic embolism and necrosis leading to nephrectomy.

During the pre-operative explanation, Zheng Ren and Su Yun came to the operating room to change clothes and prepare for the operation.

After changing his clothes, Zheng Ren was going to pack up the surgical supplies.

Su Yun's voice came: "The consumables have been prepared. Mr. Zheng, you can just go straight to the surgery."

Huh