After the operation, Zheng Ren took off his live broadcast glasses.
He was pleased with the outcome of the surgery.
The foreign body was removed, the liver abscess was thoroughly cleaned, and the operation was a success.
After the operation, it was proven that the foreign object was indeed a toothpick. This is an accumulation of experience.
Although the case was rare, there was no clear diagnosis at first. Da Zhu Ho Zi only diagnosed liver abscess and foreign body in the liver. But if you encounter it in the future, you will have experience.
Zheng Ren turned around and walked off the stage, talking and laughing with Director Luo.
"Director Luo, my pre-operative judgment was correct, it was indeed a toothpick." Zheng Ren said with a smile.
"It may be that the patient accidentally ate the toothpick, which passed through the cardia and pylorus and entered the duodenum." Director Luo analyzed: "Because the duodenum is relatively narrow, the toothpick penetrated the intestinal wall and stuck in the liver."
"It's possible, that's what I thought too. Lao Liu... One of my training doctors said that he had seen a similar case at the Affiliated Hospital of Dibei Provincial Medical University. It's just that the patient seemed to be unlucky. The toothpick connected the duodenum and liver. , resulting in a very serious condition." Zheng Rendao.
"Just take it out through surgery." Director Luo smiled.
"I can be discharged from the hospital within a week. Do you have any suggestions after the surgery?" Zheng Ren asked.
"Normal treatment is enough, and the antibiotics don't need to be too high. You can be discharged from the hospital soon." Director Luo knew that Zheng Ren was being polite to him, so he did not pretend to be a superior doctor, but said a few words casually.
The two went to change clothes, and Zheng Ren received a call from Su Yun.
It's getting late, so I'm ready to go out for a bite to eat in the evening. Zheng Ren was with Director Luo and invited him to have dinner with him.
Director Luo happily accepted the invitation.
Director Luo is still very willing to have more contact with Boss Zheng.
I originally wanted to eat a big plate of chicken, but halfway through my meal last time I went to see Zhang Xiaohui's doctor, which was a bit dissatisfying.
But with Director Luo here, it would be a bit unserious to eat a large plate of chicken.
Everyone in the group began to discuss the question of what should be eaten.
This kind of thing has nothing to do with Zheng Ren. He doesn't even look at it, just waiting for the final outcome. All you have to do is go along. As for what you eat, it doesn't matter at all.
Director Luo was not in a hurry. He took advantage of this time to consult with Zheng Ren on some details of ESD surgery.
The relationship between lens magnification and surgical techniques is what Director Luo is most concerned about.
Zheng Ren knew everything about this and talked about it endlessly.
Zheng Ren has never considered retaining his own technical barriers.
A person's ability is very limited. Zheng Ren has always insisted on his original intention, to treat illnesses and save people. If Director Luo wants to learn, just tell him. It's no big deal.
They said write quickly...
Zheng Ren took out his cell phone and was surprised to see that it was Su Yun's call. Why are you calling yourself
"What's wrong?" Zheng Ren answered the phone and asked with some anxiety.
His first thought was that there were new changes in the patient's condition after surgery.
Just thinking over and over again while answering the phone, it is unlikely that there will be any problems after the operation. The system gave the completion rate of the operation as 100%, which was an evaluation that could not possibly go wrong.
"Uh... scared me."
"Okay, do you want to go to the community hospital?"
"I'll be there right away."
After saying that, Zheng Ren hung up the phone.
"Director Luo, I'm sorry." Zheng Ren said apologetically, "I just received a consultation application from Massachusetts General Hospital. A patient who has been diagnosed with cyclic vomiting syndrome is requesting consultation guidance."
Director Luo was startled for a moment, seeing a request for consultation from Massachusetts General Hospital to guide treatment.
He had mixed feelings in his heart.
It would be a lie to say that I am not jealous. Director Luo's academic status is quite high, but not high enough for Massachusetts General Hospital to submit a consultation application.
Let alone consultation, if you seek consultation at Massachusetts General Hospital, others may not pay attention to you. It's not that he may not, but he will definitely not pay attention to himself.
"I'll treat you to dinner another day. I'm really busy today." Zheng Ren said apologetically.
In his opinion, it is better to read the medical records of patients with cyclic vomiting syndrome than to eat a meal.
"Is it cyclic vomiting syndrome? Can I take a look together?" Director Luo asked.
"If you are interested, let's take a look together." Zheng Ren didn't care, "Are you also interested in cyclic vomiting syndrome?"
"I have seen several patients, all of whom are children." Director Luo said with a smile: "The cause and pathogenesis of this disease are still unclear. The overlap of clinical symptoms of cyclic vomiting syndrome and the characteristics of migraine in children supports that this disease is a migraine. A variant form of headache.
Therefore, some scholars have proposed that migraine-related mechanisms and neuronal hypersensitivity may be the causes of cyclic vomiting syndrome. "
"Yes, but the specific pathogenesis is not clear yet." Zheng Rendao: "It is said that this patient's situation is quite special. He may have inhaled toxic gas today, which caused changes in his condition."
Toxic gas
Director Luo also became interested.
If it is poisonous gas, the condition will be more complicated and difficult.
He is not interested in solving cases at Massachusetts General Hospital, but is only interested in how Boss Zheng analyzes and makes judgments.
Director Luo is also looking forward to where this young man can go in the future.
They are all clinical people, so there is nothing to be polite about.
Director Luo asked for leave from his family and said he would go back a little later to leave some food for himself, so he and Zheng Ren came to the demonstration classroom of the community hospital.
This demonstration classroom can accommodate more than 20 people. The equipment is very new, and there are some things that Director Luo cannot understand.
Su Yun, Xie Yiren, Chang Yue and Lao He were already seated inside. Professor Rudolf Wagner and Liu Zewei were not there. They were not interested in gastroenterology cases, so they all went to eat by themselves and went back to rest.
Especially Liu Zewei is in a state of exhaustion almost every day.
With the use of community hospitals, operations suddenly accelerated, and he could only cope with it with all his strength.
As long as it has nothing to do with interventional surgery, he doesn't want to pay attention to it. If you have this time, why not go back and lie down on the bed and have a good sleep.
The recent work intensity has been simply too great, and Liu Zewei already feels that he is on the verge of collapse.
"Director Luo, why are you here?" Su Yun asked with a smile when he saw Director Luo coming in, put down the laptop in his hand.
"Come and take a look, you can talk about your business and don't worry about me."
"Then I won't be polite to you. I'll hurry up and export the data." Su Yun has a deep understanding of this equipment. After all, this is his... boss and his own stage.
"What patient?" Zheng Ren leaned over to see, but was pushed away by Su Yun.
"I'll tell you on the big screen later to give you a surprise." Su Yun said mysteriously.
Zheng Ren was a little helpless. He had used any equipment before and was pleasantly surprised.
The little lady sat in the back with a smile. Among the large plates of chicken and consultation cases, she chose Zheng Ren.