When I get old, I will definitely find a place to travel around and sit in a chair in a daze all day long. I will definitely not pursue this feeling of "control".
"Sure." Zheng Ren said it directly as he was thinking about all kinds of messy things in his mind.
"It's really..." Dean Yan also felt a little emotional.
Director Mao's lower limbs were paralyzed after surgery. When he learned the news, he was panicked and helpless. You are only in your forties, how can you say that you are paralyzed
But who would have thought that the final diagnosis would be endometriosis!
Although this disease is not uncommon, it is the first time I have heard of it entering the spine and compressing the central nervous system.
Dean Yan sighed as he took off his spectacles and looked at Zheng Ren with a smile.
"If you hadn't said it, it might have caused a misdiagnosis." Dean Yan said.
"..." Zheng Ren didn't know how to answer the question.
The scene was a little awkward, and Su Yun sighed softly from behind.
"Xiao Zheng, can you tell me how you were diagnosed?" Dean Yan didn't seem to notice the awkwardness in the atmosphere, but naturally brought the topic to the dimension that Zheng Ren was good at.
When he mentioned the diagnosis, Zheng Ren immediately became energetic.
"That's right, Dean." Zheng Ren said: "I looked at the CT film and felt that the location of the continuous epidural puncture was the thoracic 12-lumbar 1 vertebra, which is a bit far from the hematoma. It is difficult for anesthesia side injuries to occur and cause the patient to become paralyzed. "
Dean Yan nodded and looked at Zheng Ren with interest.
"But there was indeed bleeding there. I watched the film for a long time before I noticed the image of the iron-containing hemoglobin that was not deposited."
"Can the hemoglobin image also be seen?"
"It can't be seen clearly, but the performance on the images is more or less different." Zheng Rendao: "MRI can see it more clearly, but it is also difficult and requires rich clinical experience."
"Based on this guess, you directly and definitely said it was endometriosis during the hospital-wide consultation?" Dean Yan asked.
"Yes." Zheng Ren was not afraid. Facing Dean Yan's gaze, he said calmly: "First of all, I trust the anesthesiologist. We have cooperated with him. His technical level is very high and he should not make such low-level mistakes. "
Before Dean Yan could refute, Zheng Ren continued: "Because of this, I started looking for the reason."
"Director Mao refused the surgery before the operation and did not get his period. Because the appendix is perforated, which causes the body to have a stress response and the menstrual period comes early, it is also possible. Although I did not ask, based on the CT images, I am 80% sure. at this point."
Dean Yan couldn't laugh or cry.
Sure enough, he was still a young man, so impulsive for the things he believed in and for the people around him. If it were me, I would never do this, and would choose another more "safe" method.
Even if you are completely sure, you still have to sneak in and ask about the medical history first.
"Facts have proved that I was right. So the surgery and postoperative pathology were all expected." Zheng Rendao.
"What if you make a mistake in your judgment?" Dean Yan asked.
"Dean." Zheng Ren chuckled and said, "I am just a little doctor, and I will make mistakes if I make mistakes. Isn't it that the directors of each department help to check it."
When Su Yun heard what Zheng Ren said, his eyes suddenly lit up.
The level is high, and it is indeed awesome, but it is definitely not the most awesome.
The most awesome people must not only be highly skilled, but also cruel and thick-skinned!
When did the boss evolve to this extent
Dean Yan was stunned by Zheng Ren's annoyance. Isn't this the inherent impression of Boss Zheng in his heart? Isn't he supposed to be a serious doctor
He must be serious when committing crimes, and he will not hesitate to get angry with others over academic disputes.
How could you act like a scoundrel and say something like "it's wrong"? What can you do to me
"In fact, endometriosis not only metastasizes to itself, there are reports that it can metastasize to others." Zheng Rendao: "Based on these case reports, I finally decided to give it a try."
"Uh..." Dean Yan was speechless.
"There was a gynecologist in Spain who was splashed with a drop of blood on his eye during surgery. After wiping it clean, he didn't pay attention because the patient didn't have any infectious diseases."
"and after?"
"After more than half a year, he found that his eyes would bleed every month and suffer severe pain." Zheng Rendao: "He recorded the time, but could not find any reason at the time. After consultation, he decided to have surgical removal. After the operation Pathology showed it was endometriosis.”
"..." Dean Yan was speechless.
He was horrified to hear this kind of medical gossip. Fortunately, he had never done obstetrics and gynecology when he graduated.
"Dean, this is a medical risk, let's count it as a work-related injury." Su Yun joked.
Dean Yan glanced at Su Yun and smiled without saying a word.
"After the operation, the doctor found his former female patient and checked her menstrual period, and finally confirmed that it was like this." Zheng Ren said with a smile: "Because of this incident, I am even more convinced that the hair problem is endometriosis. . Menstrual blood does not coagulate. Ordinary bleeding can coagulate. This is one of the differential diagnoses and the most important differential diagnosis."
Dean Yan was also quite emotional.
This kind of thing feels simple to put it bluntly.
But under the circumstances at that time, except for the person in front of me, who dared to stand up and shout - it's not Lao He's business!
"Dean, when are you going to be discharged from the hospital?" Zheng Ren explained what happened with Director Mao and brought the topic back to Dean Yan.
"Tomorrow and the day after tomorrow, I will be discharged if there is no problem after the examination." Dean Yan said with a smile: "Do you have any medical advice?"
"No, no." Zheng Ren just wanted to go on and remind Dean Yan that I saved your old man's life. With this hint, the next thing will be much easier to handle.
Zheng Ren is really not good at this kind of false concern, and he doesn't have the momentum to press Dean Yan on the bed to do an electrocardiogram.
"Director Yan, the isolation mission of the community hospital has been successfully completed." Zheng Ren wanted to take a roundabout way, but this was not surgery and he was really not good at it, so he chose a simple, direct, and crude method.
"Yeah, I know. The whole process went very smoothly, thank you for your hard work." Dean Yan said with a smile.
"Because the condition is unknown, and we don't know whether the epidemic will break out. Well...can the nursing team not be disbanded for the time being and continue to stay in the community hospital for a while?" Zheng Ren asked tentatively.
"Huh? I remember you said it was mass hysteria." Dean Yan frowned and looked at Zheng Ren as if he were a monster.
"Dean, the difficulties on my side..." Zheng Ren thought it was better to cheat and leave without giving.
If this matter cannot be handled, it will be difficult for community hospitals to handle the diagnosis and treatment of 100 patients.
"Director Kong didn't tell you?" Dean Yan asked strangely: "Last night, he came to my place to grind for a long time. Didn't he agree to leave half of the people for you?"
"..." Zheng Ren was stunned. Director Kong has already done it
This is a big deal.
"Dean, we attended Director Mao's consultation and surgery early in the morning, and we haven't had time to communicate with Director Kong yet." Zheng Ren said helplessly.
Dean Yan didn't know whether to laugh or cry, and scolded Zheng Ren with a smile.
In Dean Yan's ward, Zheng Ren was sitting on pins and needles.
When he finally left, Zheng Ren stuffed the red envelope under the bed and left. After going out, Su Yun laughed at this matter again and said that it should be done as it should.
Zheng Ren didn't care. After leaving the special needs ward, he took out his mobile phone and called Lao He.
"Lao He, Director Mao's surgery is finished, as you know. The pathology is endometriosis. It's nothing to do with you."
"Come out and sit."
"Okay, that's the Mei Mei Coffee right outside the hospital."
After hanging up the phone, Su Yun said with a smile: "Boss, are you really planning to drag Lao He into the medical team?"
"As long as we have a good relationship, we can't see him suffering unjust injustice. I don't have any idea whether he will join the medical team or not," Zheng Rendao.
"If Lao He were more social and just bowed to me, what would you do?" Su Yun was also helpless and asked with a smile.
"His level is not bad. He will be fine if he has surgery in the future." Zheng Ren said with a smile, "And I don't think Lao He has recovered yet. It will take three to five days to return to normal. I'll bow down. … Not too possible."
Su Yun remembered that Lao He's waist was as bowed as a shrimp's and his hair turned gray almost overnight, and he couldn't bear to make fun of him.
When he arrived at the coffee shop, Zheng Ren found a seat in the smoking area and told Lao He where he was.
Lao He's hands and feet are probably so weak that he won't arrive so soon.
Sure enough, after about 20 minutes, he arrived late.
And the expression on his face was still a little dull.
Most of his hair was gray, and he looked pitiful.
The impact of medical accidents on doctors was so huge that even experienced doctors like Lao He were caught off guard and lost all health after a series of critical hits.
This still proves endometriosis.
If it is judged that Lao He's operating error caused the patient... Director Mao to be paralyzed, I am afraid that Lao He will at least suffer a serious illness.
Being a doctor is really not easy.
In an industry where no mistakes can be made, it is difficult to do anything.
If Zheng Ren was given another chance to choose, even with the blessing of Big Pig Hoof, he probably would not choose the medical industry.
You can't make mistakes, the pressure is too much.
When I was taking the college entrance examination, I was still young and ignorant, and got on this pirate ship.
Lao He found Zheng Ren. He did not sit down, but bowed seriously.
"Lao He, I'm one of my own, don't be polite." Zheng Ren quickly pulled Lao He up and pressed him on the chair on the side. "When you do this, I always feel like saying goodbye to the body."
"Boss Zheng, I won't say any more words of thanks." Lao He's voice was a little hoarse. Although the matter had been resolved and Director Mao should have no sequelae, he still got angry and sealed his throat directly.
This is the explanation of traditional Chinese medicine. The explanation of western medicine is that excessive secretion of various hormones in the body causes spasm of the muscles near the vocal cords.
"Look, what do you want to drink?" Su Yun said with a smile.
"Water." Lao He sighed and said, "I'm so angry. Drink some water to put it down."