"Are you questioning my execution ability?" Su Yun asked disdainfully.
"Just do it. Get off the stage and ask about the result. Do you have fire syndrome?" Zheng Ren said casually, ignoring Su Yun's provocation.
"What do you suspect?" Su Yun was stunned for a moment.
"Thyroid storm." Zheng Ren replied.
"Okay, I'll ask after you get off the stage." Su Yun didn't say anything else this time, but responded seriously.
Director Luo pondered, was the patient at Massachusetts General Hospital suffering from thyroid crisis
The cause of thyroid storm may be related to increased levels of circulating thyroid hormones, and it often occurs in patients with untreated or inadequately treated hyperthyroidism.
Common triggers include infection, surgery, mental stimulation, etc. The clinical manifestations include high fever, profuse sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting, and diarrhea. Severe patients may have heart failure, shock, and coma.
The diagnosis mainly relies on comprehensive judgment of clinical manifestations. Those who are clinically highly suspected of this disease and those with signs of crisis should be treated as this disease, and the mortality rate is above 20%.
The clinical manifestations are very similar to the patient's symptoms, including nausea, vomiting, and abdominal pain. It's just that the chance of thyroid storm occurring is too low, and the patient also has a clear history of inhaling smoke from electrical fires, which I didn't expect for the time being.
When Professor Zhang saw the operation ended, he didn't hear anything about thyroid crisis. He recalled in his mind the process of the operation he had witnessed.
The surgery was done well, stable and fast, but Professor Zhang still couldn't understand some of the operations.
After all, he is not a cardiothoracic surgeon and can understand most of it, even if he is a doctor with solid basic knowledge.
As for understanding everything, there is no such thing. If this could be done, there would be no need for Zheng Ren to come to the rescue.
"Boss Zheng, what are the thick hemp rope cuffs and double-lumen balloon urinary catheter in the inferior vena cava used for?" Professor Zhang asked.
Su Yun was very disdainful and said: "Let me ask you, why did you give a large amount of low molecular weight heparin before the operation?"
"Because it prevents thrombosis." Professor Zhang replied.
"That's right. We haven't opened the heart yet. Who knows how many blood clots there are." Su Yun's tone was full of contempt. Everyone present felt ashamed for Professor Zhang. "The inferior vena cava was given a thick hemp rope cuff and a double-lumen balloon urinary catheter. Control, reduce bleeding and prevent stent mural thrombi from detaching when the stent is removed."
After speaking, he paused.
"Can't you think a little more? You have to ask such a simple question?" The disdain in Su Yun's tone was so exaggerated.
"..." Professor Zhang never thought that he would be humiliated like a grandson by a young doctor in public.
Under the sterile mask, he opened his mouth, wanting to refute.
But... rebuttal? say what? I am ignorant about the operation, so it would be good if I could write down the operation process.
He also retorted, fearing that if he opened his mouth, he would be sprayed directly to the airtight lead door of the operating room by this harsh doctor.
Forget it, my skills are not as good as others, what can I say
Lao He knew Professor Zhang. When he resigned, there was a real sensation in the hospital.
Private hospitals have reached out to 912, and the staff are not general-level residents, but professors.
I didn't expect that a person like Professor Zhang would be so humiliated by Su Yun today. It's really interesting to think about it.
Too arrogant! But Lao He likes it.
Just like in the Affiliated Hospital of Medical University, no matter how dissatisfied Director Tian is or how much he hurts him, doesn't that guy have to bite his back molars to hold it in
Boss Zheng's ability to perform surgery is equivalent to saving them from fire and water. Even if they fart, these people will have to carry it out. It doesn't matter if you speak harshly!
Can you be more arrogant
Lao He thought of this and smiled to himself. The shadow of Director Mao's incident still lingered in his heart and would not dissipate for a while.
I'd better be an honest person. I don't have the ability to be as arrogant as Brother Yun.
When he was a graduate student, he was known as the rising star of cardiothoracic surgery in the imperial capital. After graduating with his doctorate, he worked in a small class for 20 years, and he is still working in a small class now.
Lao He still has a clear understanding of himself and carries the USB flash drive with him, just for the good luck of a song that Boss Zheng doesn't know whether he likes or not.
Unfortunately, Boss Zheng is usually invulnerable and has no hobbies. Lao He glanced at Zheng Ren, feeling helpless.
Others like to drink, gamble, and lust. The so-called drinking, lust, and wealth are inevitable. Boss Zheng is a good guy. He rarely eats or drinks. My girlfriend brought her own, even the surgical instruments.
It's like a dog bites a hedgehog, and there's no way to bite it.
You still need to observe carefully. Only when Boss Zheng is comfortable can you feel more comfortable, Lao He thought to himself.
After sewing the skin, Zheng Ren turned around and stepped off the stage, tearing off the sterile gown.
"Boss Zheng, thank you for your hard work." Mao Chi said with a smile.
"It's okay, Director Mao. The surgery is not serious, but the instruments are not handy." Zheng Ren smiled.
The surgery is not big...
Well, I successfully completed the operation, whatever you want to say.
"Teacher Zhang, there are a few things you should pay attention to after this surgery." Zheng Ren then looked at Professor Zhang and said.
"Ah? Oh, you say it." Professor Zhang said quickly.
“No obvious thrombus was found on the removed stent. It is considered that active anticoagulation with heparin before surgery has a certain effect.
Your patient has a special stent incarceration position, and atrial septal wear was seen during the operation. To prevent myocardial edema, hormone therapy should be actively given after the operation.
During the operation, methylprednisolone 500 mg and ulinastatin 500,000 units were administered under extracorporeal circulation. After returning to the ward, methylprednisolone 40 mg was continued daily for 3 days, supplemented by appropriate diuretics. "
Professor Zhang's mind was still stuck between the joy of successful surgery and the conflict between how to communicate with the patient's family. Zheng Ren muttered, which made him confused.
He tried to remember, but his mind was so messed up that he couldn't remember anything.
"Zheng...Boss Zheng, please speak slowly." Professor Zhang said with shame.
"Can I make you a cup of coffee so we can sit down and chat? The coffee from the Medical Regulation Committee is said to be pretty good." Su Yun removed the sterile drape from the patient and said disdainfully.
“…”
"Find a pen and paper, write it down and send the patient to the ICU as soon as possible. If your ICU technical strength is not strong, go to 912 to find someone." Zheng Ren said gently.
Professor Zhang blushed, turned around and ran to the operation room, grabbing a piece of A4 paper and a pen. Zheng Ren explained his postoperative medical instructions again. After Professor Zhang wrote them down, he carefully put them in the pocket of his isolation suit.
"Boss Zheng, please change your clothes." Mao Chi said with a smile: "I'm sorry to bother you all today, don't leave for a while, I'm treating you."
"Director Mao, you're welcome." Zheng Ren smiled.
"Yes, you're not allowed to leave." Director Mao glared, pretending to be fierce, but actually expressing his determination to treat us.