"Okay!" Zheng Ren responded.
This was a very interesting case, so Zheng Ren agreed directly without thinking too much.
"Take the film. This patient should be a surgical patient." Director Luo took off the film, put it in the film bag, and handed it to Zheng Ren: "Boss Zheng, thank you for your hard work."
"Director Luo, you're welcome." Zheng Ren smiled and said, "I'll contact the patient and make arrangements for the surgery as soon as possible."
After everything was said, Director Luo stood up and patted Zheng Ren on the shoulder, saying, "Don't forget to call me during the operation."
"Okay!" Zheng Ren agreed simply.
"Go on, get busy." Director Luo sent Zheng Ren and Su Yun out and gave a few more instructions.
After leaving the Department of Gastroenterology, Su Yun asked: "Boss, what do you think it is?"
"I'm not sure, but I've seen some cases where toothpicks penetrated the duodenum and stuck in the liver." Zheng Rendao, "It might be a toothpick, or it might be... No, judging from the density, it shouldn't be iron. thing."
"I have seen case reports in New England about people who ate five kilograms of nails. If they swallowed so many nails, maybe one of them would be stuck in the liver." Su Yun said nonsense with a smile.
In fact, he also knew that it couldn't be iron nails at all, and it couldn't be seen on a plain CT scan. However, after reconstruction, he could see that the density of the abscess in the patient's liver was still slightly smaller.
"Bring the patient in and ask if we can live broadcast." Zheng Ren picked up his phone, clicked on Director Luo's WeChat, and started to call the patient.
Su Yun felt helpless when he saw Zheng Ren being so impatient.
In the early hours of this morning, Ringer had just told him about the dispute between liver cancer patients. Why didn't he accept the lesson at all
Most doctors will be a little timid at this time and must carefully select patients for fear of making any mistakes.
But looking at his boss's confident look, Su Yun really admired Zheng Ren's confidence.
I hope nothing happens to this guy for the rest of his life, Su Yun was nagging in his mind, this guy did a good job with the surgery, and he is indeed lucky. A patient who had a dispute was resolved without knowing it.
Anyway, it had been ten years since Su Yun started studying in medical school, and he had never heard of such a thing.
After contacting the patient, Zheng Ren rushed back to the interventional department.
"Chang Yue, we will collect a patient with a liver abscess soon, suspected to be a foreign body." Zheng Ren explained to Chang Yue when he entered the room.
"Abscess? Foreign body?" Chang Yue said: "Patients with trauma should be sent to the liver and gallbladder. What's going on if you keep them here?"
"It's not a trauma, it just appeared out of nowhere." Zheng Ren said.
"Are you okay? You have a fever? Why are you talking nonsense?" Chang Yue glanced at Zheng Ren with disdain and said, "There is no external injury. Tell me how the foreign body in the liver got in?"
"Dr. Chang, the Affiliated Hospital of Medical University performed an emergency operation two years ago. The situation was similar to what Boss Zheng said." Yanag Zewei said: "The patient was admitted to the hospital with signs of acute peritonitis. After checking the liver with enhanced CT, he saw a foreign body. People with liver and gallbladder disease should directly I was confused and started seeking consultation from the whole hospital.”
"Old Liu, let's take a look at the film." Seeing that Liu Zewei had met him before, Zheng Ren felt happy and directly inserted the film into the reader.
Liu Zewei walked over, stroking his bald head. After watching the film, he smiled and said, "Boss Zheng, it's almost like this. The patient in the past was older. The toothpick was connected between the duodenum and the liver. The intestines were broken, and the liver was broken. , emergency surgery.”
"Is there really a toothpick stuck in the liver?" Su Yun was also a little surprised.
"If Lao Liu had seen it, then this matter would have gone away." Zheng Ren said with a smile: "There was a similar record in the "British Medical Journal" in 2012. I said it looked familiar, but at the time I saw When I arrived, the case report didn’t say where I went.”
Liu Zewei was startled.
Boss Zheng can pick it up at his fingertips. Just mention a case and find similar reports from the vast medical record database
This memory is probably too good.
"Counting from the case report in 2012 to now, a total of 17 cases have been reported in journals with impact factors above 10." Zheng Rendao: "I didn't expect to actually encounter it."
Zheng Ren said, and began to tap the film reader a little excitedly.
The thumping sound was like his heartbeat.
"Boss, be careful and don't get too complacent." Su Yun reminded at the side, "Be careful to sail the ship that lasts ten thousand years."
"I know, the operation is not difficult at all. The patient is only 41 years old and there will be no physical problems." Zheng Ren had obviously considered this and said immediately.
"Should I contact Xiao Hu?"
"Okay, let her know in advance, and then wait for the patient to come and communicate with the patient. If you agree to live broadcast the surgery, go to Xinglinyuan's legal department to sign the contract." Zheng Ren said: "Can the surgery be performed tomorrow at the earliest?"
"..." Su Yun was speechless, looking at Zheng Ren as if he were an idiot, and said: "Liver abscess, if you are anxious, you can treat it as an emergency."
"Uh..." Zheng Ren hesitated for a moment, then smiled: "Yes, this is an emergency. Director Luo saw it in the outpatient department, and I subconsciously thought it was a chronic patient."
Su Yun was also speechless after hearing Zheng Ren's explanation.
But he was equally curious, but he was subconsciously cautious about unfamiliar cases and patients he hadn't seen yet.
Soon, a middle-aged man timidly walked into the corridor of the interventional department, found the doctor's office, knocked on the door and asked, "Is Dr. Zheng here?"
"I am." Seeing that he was a healthy man, Zheng Ren asked, "Are you..."
"I am Li Liang's younger brother. We went to see Director Luo for medical treatment this morning." The man whispered.
"Where's your brother?" Zheng Ren asked.
"I couldn't get up in the hotel. I had a fever at this time every day. When I came out, my fever reached 41 degrees."
"Call the 120 emergency department?" Zheng Ren said, "The patient's condition is very urgent and requires emergency surgery."
"Doctor, is it really a foreign object?" the man asked.
"Well, now I'm thinking of using wooden or bamboo products like toothpicks to pierce the liver." Zheng Ren said.
"Uh...that's impossible."
"Nothing is impossible." Zheng Ren said: "Hurry up and get your brother to the hospital. Is he alone in the hotel?"
The man nodded.
"I'm not afraid of anything happening." Zheng Ren said, "Where is your sister-in-law?"
"We have been divorced for a few years, and my brother is alone. Doctor, how much does the operation cost?" The man asked a little embarrassed: "We prepared 20,000 yuan, and during this period of time we waited for the doctor, we spent 1,000 yuan." many."
"We don't need to think about money for the time being. It's important to get the patient here first." Zheng Ren said, "I'm all burned out. I'm in the hotel and there's no one to take care of me."
"Chang Yue, give him half a hospital stay first and explain the cost."