"What examinations does the patient have?" Zheng Ren asked.
"CT of the head and chest, B-ultrasound of the abdomen, and X-rays of both lower limbs." Yuan Li replied subconsciously, but regretted it as soon as he said it.
Is he the chief resident of Haicheng City No. 1 Hospital
no!
If not, why should I answer his question? However, Yuan Li saw Zheng Ren's serious expression and did not cause any trouble. Numerous previous cases told Yuan Li that it was best not to question Boss Zheng's diagnosis.
Moreover, if something really happens to this patient, he will be sent to another hospital according to his own judgment. If something happens halfway, he will still be the one who is pestered, complained, or even threatened, beaten and scolded by the patient's family members.
Just as he was talking, the doctor in the B-ultrasound room pushed the bedside B-ultrasound and came in with a sigh of relief.
After a long night of work, it was only at this point that it was possible to have a good sleep. If you encounter a doctor who has difficulty falling asleep, you may not be able to sleep well all night.
For people in their thirties and forties, staying up all night will cause great harm to the body.
After she came in, she saw Zheng Ren, rubbed her eyes, and said in surprise: "Mr. Zheng? Didn't you go to the imperial capital?"
"Come back and see the director." Zheng Ren said as he pulled the bedside B-ultrasound machine over, turned on the machine, applied coupling agent to the patient's abdomen, and began to perform the B-ultrasound examination.
"Boss Zheng, can you even do this?"
"Understand a little bit."
"..." Mr. Wang murmured in his heart, "I know a little bit, but I don't know a thing!" I know a little about pj syndrome, and I also know a little about bedside B-ultrasound!
Is there anything else you don't understand
"Mr. Zheng, I've checked my stomach. There is no accumulation of fluid in the abdominal cavity, and there is no subcapsular hematoma in the solid organs. Delayed bleeding is not considered." The doctor in the B-ultrasound room whispered.
The patient's family members have already come in, so we should be more cautious when communicating.
"Consider combined abdominal aorta and thoracic aorta dissection aneurysm." Zheng Ren said, and then the B-ultrasound probe was pressed on the patient's belly and he began to look carefully.
Mr. Zheng is still as awesome as ever, the doctor in the B-ultrasound room sighed. Bedside B-ultrasound has extremely low resolution, and it’s enough to get a rough picture. As for how much more there is, I really can’t tell.
The patient's family members looked confused. Seeing so many doctors in the emergency room, there was a tense atmosphere in the air. Didn't Dr. Yuan say it's okay? What's going on here
Soon, Zheng Ren put the probe back and greeted Yuan Lidao: "Explain the condition to the patient's family and diagnose thoracic and abdominal aortic dissection. Contact the ICU and send him immediately to control blood pressure, analgesia, and wait for surgery."
After saying that, he turned back and asked Mr. Wang: "After I leave, will anyone still do the stents?"
Mr. Wang shook his head in confusion.
Zheng Ren guessed this, but it was a pity that Feng Xuhui was in such a hurry that he didn't follow him with the large and exaggerated trolley suitcase.
I didn't feel anything when he was around, but once I needed to use it and there were no consumables, I felt how important Feng Xuhui was.
Zheng Ren didn't have any other options. He picked up his phone, glanced at the time, hesitated for a moment, and then called.
"Hello, Director Wang."
"Well, I'm Zheng Ren. Do you have an aortic stent?"
"Please help me get him there. I have an emergency here."
"It's not the Imperial City, it's the First City Hospital. Hmm, I'll come back to see the old director. I just happened to meet a patient. I'm sorry to trouble you. I'm worried, so please hurry up."
After saying that, Zheng Ren hung up the phone.
"Boss Zheng, who to call?" Mr. Wang was a little confused.
"Director Wang Qiangwang of the Interventional Department of the Second Hospital." Zheng Ren said.
Nima... Mr. Wang cursed in his heart. Calling the directors of other hospitals is the same as calling your own little doctor.
Mr. Zheng is really speechless. Besides, it's five o'clock in the morning, and someone comes directly to deliver the stent... How embarrassing is this
But when Boss Zheng said he wanted a bracket, he was so simple and direct, without even a polite word.
What a deal!
People really can't be compared with each other. If they were compared, they would be pissed to death.
Yuan Li was stunned. All the previous explanations had been reset and he had to explain to his family again. Explain what? Diagnosing a problem yourself? He cursed bitterly in his heart, and then became a little confused.
How did Mr. Zheng know there was a mezzanine
To be honest, he didn't hate Zheng Ren. Although this kind of thing was a slap in the face, it was also life-saving. It is easy to make a judgment on how to choose between life and face.
If you want to hate it, you can only hate yourself for being unlucky. It's just a broken bone. How come there is a dissection
When it comes to the disease of dissection, it is rare to say that it is common. It's rare. The entire emergency department encounters 3 to 5 cases a year. Every emergency department doctor is aware of dissection, but they cannot predict it in advance.
It is impossible for every patient to come to see a doctor and have a vascular CTA done. In that case, who can bear the label of excessive medical treatment
But it is difficult to make a clear diagnosis, so every emergency department doctor is cautious and walks on thin ice.
Once upon a time, there was a patient in the chest department who had a simple rib fracture. After being admitted to the hospital, he acted like a good person and started walking around after receiving an intravenous drip. Suddenly, he died the next day, and the matter became extremely big.
The patient's family refused to take the body away no matter what, and demanded an explanation from the hospital.
In fact, no one can bear this kind of thing. A good person dies like this without any buffer. How can you accept it
But there is nothing doctors can do. They cannot just give all patients a full set of examinations when they are admitted to the hospital.
This kind of thing really depends on fate.
His life seemed to be good. He had already stepped out of the cliff with one foot, but was pulled back by Mr. Zheng. Yuan Li thought to himself while explaining to the patient's family.
During the operation, take a look for yourself. If it’s true, this past holiday... md, I’m not even there in people’s eyes, okay? Yuan Li sighed.
This is not Mr. Zheng from last year. He has become a dragon and soared into the sky in just half a year. If he came back to "simplely" save his own life and that of the patient, Mr. Zheng probably wouldn't remember it in a day or two.
Man, it's really different.
Zheng Ren didn't know Yuan Li's inner struggle, so he and Mr. Wang walked back. The patient for the operation has already been sent there. If we don't rush back as soon as possible, the patient will be very scared lying on the operating table.
"Boss Zheng, is the diagnosis accurate?" Mr. Wang asked. To this day, he still doesn't dare to believe Zheng Ren's diagnosis, but he can't question it.
"Huh?" Zheng Ren was stunned for a moment.
Mr. Wang glanced at Zheng Ren and didn't know why he was stunned.
"diagnosis?"
"yes."
"Didn't you do a B-ultrasound? The blood flow in the dissection is quite obvious, didn't you notice?"
"..." Mr. Wang finally understood why Boss Zheng was confused.
"Oh, you are a general surgery doctor. The diagnosis is clear, it is dissection. Just send the stent for surgery and send it to the orthopedics department to treat compartment syndrome." Zheng Ren said lightly.
Mr. Wang burst into tears in his heart.