"Uh, I forgot..." Zheng Ren said, suddenly patting his head.
"What's wrong?" Zhu Liangchen asked.
"It's not sent to the laboratory, but to the pathology department for biopsy. With a 1000x oil microscope, you can see Gastric Sarcina with a diameter of 2-3 μm." Zheng Ren said with an embarrassed smile: "When I talk about bacteria, I just say it casually. I said you have to cultivate it and get used to it, I’m sorry.”
Zhu Liangchen stopped talking, just silently picked up a pen from Director Kong's desk, took out a chapter of A4 paper from the printer, and wrote down Zheng Ren's words.
Gastroscopy, biopsy, pathology, and 1000x oil microscope are required.
"When we get back, we will give the patient a set of fluoroquinolone antibiotics, a set of metronidazole and a set of proton pump inhibitors. By the way, the hemostatic drugs... Oral Yunnan Baiyao is also acceptable, as is intravenous or intramuscular injection." Zheng Rendao .
Zhu Liangchen recorded it meticulously.
Not a word is wrong. It was said that Boss Zheng also made mistakes sometimes, which made Zhu Liangchen feel much better. Although it was just a trivial slip of the tongue, it was still a mistake.
When Zheng Ren stopped talking, he pressed the pen tip back, raised his head and said, "Zheng..."
Before he could speak, Director Kong took action and snatched the pen back.
The doctor's pen, as long as you don't put it on yourself, it will be gone in the blink of an eye. No matter where you put it, it will disappear without a trace.
But that’s okay, just ask anyone for a pen when you want to use it. After using it, he put it in his pocket and there was a pen.
Zhu Liangchen was stunned for a moment, then smiled bitterly and said, "Boss, you are still so stingy."
"This is the fifth pen this month!" Director Kong said angrily: "So it's you!"
"Excuse me, I've only been here twice this month." Zhu Liangchen said.
Zheng Ren smiled. Fortunately, he didn't write medical records now. You don’t have to worry about the signature of the superior doctor.
"Boss Zheng, I'm sorry." Zhu Liangchen smiled. After Director Kong made a fuss, he felt less embarrassed than before, "How long do you estimate it will take for the patient to recover with this kind of treatment?"
"Take the medicine for 2 weeks, and then it is estimated that it will be relieved in 3-4 weeks." Zheng Ren said: "But Director Zhu, this surgical method is still immature, so you should be cautious."
Zhu Liangchen nodded frequently.
Since you have already kneeled down, kneel down more thoroughly. Being shy and shy makes you lose your energy, and you have to be a bachelor.
"Then I'll go back and arrange the examination." Zhu Liangchen said, "Boss Zheng, what happened in the past was my fault. I want to apologize to you. When the patient gets better and I feel less confused, I'll treat you to a drink."
"Easy to say, easy to say." Zheng Ren smiled.
"Go back quickly, wait until I see you off." Director Kong said while holding the pen.
Zhu Liangchen joked a few more words and then left.
After he left, Director Kong asked seriously, "Boss Zheng, I see something wrong with your expression when you speak. What's going on?"
Zheng Ren was stunned for a moment, then smiled.
"I guess Director Zhu performed the embolization too harshly during the operation. The patient's symptoms of delayed gastric emptying are also very severe. There is a certain probability that the effect of medical treatment will not be very good, and there may even be complications of gastric perforation." Zheng Ren was slightly worried. .
"Director, don't listen to him." Su Yun said: "For gastric banding, it would be good if there is only one gastric perforation in 100 cases. I say boss, don't always scare yourself."
"Didn't I see the intraoperative angiography film?" Zheng Ren sighed and said, "But according to the CT scan, the blood vessels in the gastric fundic artery area have been closed. If..."
At this point, he stopped talking and just shook his head.
Director Kong knew that the reason Zheng Ren didn't want to perform fundus and left gastric artery embolization immediately was because this type of surgery was really immature.
It’s not that the surgery can’t be done, but that it needs to be done just right.
The four words "just right" are easy to say but difficult to do. And because of individual differences among patients, it is easier said than done to get it just right.
"Boss Zheng, I always tell you to be cautious and cautious. I am afraid that you are young and energetic, but you are too cautious." Director Kong said with a smile.
"After all, it is a new surgery. Not many people have done it, and there are not many cases to refer to. I am currently considering the situation of patients after gastric banding and wondering how embolization should be done."
"Well, it is indeed a good thing to think more. Lin Jiaojiao has come to tease me a few times. I will tell her directly next time. Why are you anxious? If something goes wrong, no one can run away." Director Kong said.
"Director, should I go out first?" Zheng Ren said.
"Go ahead, you have to be more attentive to Dr. Mehar," Director Kong said.
Zheng Ren and Su Yun came out of Director Kong's office. Su Yun smiled and said, "Zhu Liangchen is kneeling here."
"Oh, I'm just asking about my condition, don't say it so harshly," Zheng Ren said.
"Tch, in half a year, even if you want to kneel down, you won't be able to find the door." Su Yun said: "Boss, believe it or not, Director Zhu will call you tomorrow to invite you to dinner."
"Well, if you hurry up, if you see gastric Sarcina under the microscope tomorrow, I'll probably call you." Zheng Ren said, "But the treatment is difficult. What I'm worried about is the insufficient blood supply to the stomach wall. For a long time, Peristalsis slows down and a perforation occurs.”
"Let's talk about it after we wear it. There's nothing you can do if you worry." Su Yun patted Zheng Ren and said.
This is true, and the embolic agent is in the blood vessels, so revascularization will take time. Even if it is a perforation, there is no way to prevent it in advance. The treatment given by Zheng Ren, including proton pump inhibitors, is the best treatment currently available.
As for the patient, I hope nothing happens.
Back in the office, Liu Zewei was reviewing medical records. Since the last patient's clerical error incident, he has carefully checked every medical record four or five times.
Zheng Ren felt that this was a waste of time, and Liu Zewei would not be able to write medical records after returning. But there is no way to talk about it. Idle time is idle. If you want to be a trainee, just do it.
Seeing Zheng Ren come in, Liu Zewei put down what he was doing and said with a smile: "Boss Zheng, your Swedish is really standard."
"Haha." Zheng Ren smiled dryly, as if he wanted to end the topic.
"Old Liu, it seems like you have never learned Swedish." Su Yun said with a smile: "The Swedish the boss speaks has the dialect of Dr. Mehar's hometown, which cannot be said to be standard."
Liu Zewei chuckled. In his heart, he had long respected Boss Zheng and the monster-like assistants around him as gods. No matter how outrageous things happened, he still considered them normal.
"Boss Zheng, I heard that Dr. Mehar will explain the operation process to you while performing the operation. Is it true?" Liu Zewei asked.
This kind of thing sounds very weird, and he still doesn't quite believe it.
"Yeah." Zheng Ren was also worried and a little worried when he mentioned this matter. How can any patient guide the surgeon during the operation? What should you do if you really encounter differences
No, this matter needs to be explained clearly to Dr. Mehar.
Look, yes.
But don't beep.