"Boss Zheng?"
"Boss Zheng!"
In the office, after a few greetings, the atmosphere changed.
Zheng Ren strode in wearing casual clothes and seemed to still have the sinister and cold energy from the autopsy department.
Director Sun Chao was startled for a moment, this Boss Zheng is so domineering! You didn’t even ask about your condition, and you didn’t even look at the patient, so you just said you would go on stage
"Director Lin, director." Zheng Ren greeted simply and said, "Is this the patient's film?"
Shao Yongxiang nodded quickly.
Boss Zheng has quickly become a legend. Facing the legendary Boss Zheng, no one among the many doctors in 912 can help but feel the pressure.
The ones who are truly stress-free are the directors who came with Director Mao Chi.
They didn't know who Boss Zheng was, so they had the same idea as Sun Chao.
I saw a young doctor striding in and directly denied doing CTPA.
Why is 912 so unruly
Judging by his age, this person is less than 30. He probably hasn't even graduated from graduate school. He is a doctor. Dare you deny what the senior directors said
Sun Chao narrowed his eyes and asked: "Boss Zheng, the CTPA diagnosis before surgery is clear. Is there anything wrong?"
Zheng Ren didn't even know who was talking to him. He held his arms and watched the film. Sure enough, it was the same image data as what he saw in the system operating room.
Zheng Ren failed this operation many times.
Because the section of pulmonary artery embolism was simply too long. After dissection, Zheng Ren saw that it was a full 12cm!
In the interventional department, thrombectomy is not necessary, and it can be taken out directly if the level is high. But pulmonary embolism is different.
The guidewire is introduced from the inferior vena cava, passes through the heart, right atrium, right ventricle, and reaches the pulmonary artery segment.
Because of the existence of the valve, it is equivalent to stepping through various gates, and it is impossible to completely remove the thrombus. It needs to be mashed and extracted little by little.
The operation takes a long time and there is a risk of re-embolization.
For a 12cm blood clot, even if Zheng Ren undergoes surgery, it will take at least 2 hours!
The experimental subject could not survive that long and died of cardiopulmonary failure.
So the only way out now is to do angiography, confirm it, and then do a thoracotomy and surgically remove the thrombus.
It's risky, but it's the only way to go.
Zheng Ren's cardiothoracic surgery skill tree is only at the master level... Well, "just" the master level. He failed a full 15 times before he found the possibility of success.
On the way, he had already called Lao He, Professor Rudolf Wagner, Liu Zewei, and Xie Yi, and they all gathered in the interventional hybrid operating room to prepare for emergency surgery!
But now, he wants to convince everyone.
After all, CTPA is necessary for preoperative diagnosis. But for Zheng Ren, this is not difficult.
Originally, the reading level was a geometric order of magnitude higher than that of others. With the addition of reverse reasoning, I could see more clearly.
Sun Chao spoke out the thoughts of others present, and the office was very quiet. Even Su Yun looked at the film and was a little confused, wondering why his boss didn't choose interventional surgery.
Is it because of my hobby that I have to open my chest, dissect my heart, and perform surgery
If so...
Impossible, how could that guy give up interventional surgery because of his hobby and use higher-risk surgical methods!
Su Yun stared at the film and fell into deep thought.
"Here!" Zheng Ren pointed his finger at the reader, and the translucent glass made a banging sound, like a war drum, impassioned.
"Although the artifacts are heavy and the internal structure of the heart is not very clear, combined with the echocardiographic images, we can guess that the patient's thrombus is relatively long."
"Guess?" Sun Chao sneered and said.
Lin Ge glanced at him, a little confused. Is this here to cause trouble? His two directors, Mao Chi and Zhang Lin, didn't say anything. Who did he think he was
"Who are you?" Ringer asked.
"This is Director Sun Chaosun of the Vascular Surgery Department of the Medical University Affiliated Hospital. I came to attend the annual meeting. When I heard there was an emergency, we came together to see him." Mao Chi broke into a cold sweat and explained quickly.
"The patient is a young female patient. It is said that she is in good health." Zheng Ren explained without getting angry.
Only this time, he spoke very quickly and seemed a little anxious.
"Su Yun, look for the ultrasound images," Zheng Ren said.
Su Yun quickly communicated with Mr. Shao.
"Sudden shock means that the condition is urgent and serious! In addition, there was a large amount of pleural effusion after discovery, which means that the patient's right pulmonary artery embolism is extremely high, and it cannot be solved by simple thrombolysis. cases.”
"In terms of imaging, we have given a vague judgment. No matter how specific it is, we have to find the answer from the ultrasound images." Zheng Ren talked eloquently. Although his voice was urgent, it was not chaotic, showing a sense of maturity and stability. .
"Boss Zheng, you mean you can tell the severity of pulmonary embolism from this CT scan?" Director Sun Chao finally found a flaw and launched an attack.
Isn’t this nonsense!
After working for so many years, I still don’t know how to diagnose pulmonary embolism? The gold standard for clinical diagnosis is pulmonary angiography, and the second gold standard is CTPA!
Can it be seen with a CT scan? There is still a large amount of effusion on the right side of the pleural cavity, and the film is full of white flowers.
This is simply irresponsible to patients!
Sun Chao was a little angry. How could 912 make a young doctor so arrogant
Uh... Although he can do echocardiographic reconstruction, although he can intervene to remove bullet embolism.
But this is too much!
Do we still need clinical diagnosis and treatment standards? Just one sentence negates the gold standard of diagnosis. Who does he think he is? A top student in imaging
This top student is definitely different from the top performer in school.
The top student in the school only has good academic performance and dominates the exam. The kind of academic master Sun Chao wants to be like is Newton.
Those who are said to be suppressed will be suppressed.
Is Bleinitz awesome? Newton says pressure means pressure, and all formulas must start with Newton.
912 Are you trying to cultivate a top student
Sun Chao was a little angry. Even if he was a top student, he couldn't joke with the life of a young student!
He looked at Zheng Ren angrily.
Zheng Ren didn't say anything. He saw Su Yun talking on the phone. He probably needs to upload more image data for the ultrasound, which is exactly what he needs.
"Boss Zheng?" Lin Ge asked in a low voice.
"The diagnosis is very certain. The echocardiogram will be uploaded shortly and I will explain it to everyone."
When Zheng Ren said this, Sun Chao became even more furious.
Do you consider yourself a medical student? Also explain! Talk about something!
"Are the patient's family members here? Can they sign?"
"Principal Zhang from the Medical University is probably arriving soon. The parents will definitely not be here. Principal Zhang will be fully responsible." Director Lin said.
"Okay." Zheng Ren said, "Prepare for the surgery. After Principal Zhang comes, I will explain it and sign the surgery."
"..." Everyone was stunned.
This... is too confident, too domineering!