Su Yun felt the hostility. He walked to Zheng Ren and faced Professor Zhang directly.
His eyes were like knives.
"That's right, Professor Zhang." Zheng Ren inserted all the films into the reader and began to speak. The voice was gentle, as if he didn't hear the sarcasm in Professor Zhang's words.
"The patient's main problems are several." Zheng Ren took a ball pen and tapped it gently on the reader, making a banging sound.
"First, the insidious onset in the patient's medical history, I think, is caused by myocardial blood supply insufficiency, secondary to transient cerebral ischemia."
"..." Professor Zhang was startled.
"It's very typical of moyamoya disease, with infarction." Zheng Ren pointed at the messy blood vessels on the MRI film.
"Second, because of the hidden medical history, I thought the patient had severe moyamoya disease. There are tiny hemangioma here. There are also similar tiny hemangioma here, at least 5-6. Because the image is not clear enough, so..."
Professor Zhang took off his glasses, rubbed his eyes, and looked at the MRI film carefully.
There are a bunch of messy blood vessels, and Boss Zheng said there are tiny hemangiomas? Is this a high technical level or just nonsense
Anyway, after looking at it for a long time, Professor Zhang was not sure whether there was a hemangioma.
This is not surprising. After all, Professor Zhang is a professor of cardiothoracic surgery, so it is normal that he cannot understand neurosurgery films.
"I looked at the surgical records. The coronary artery bypass surgery was performed under cardiac arrest and extracorporeal circulation." Zheng Rendao: "The heparinization of the whole body is very likely to cause the micro-aneurysm to rupture and bleed."
Professor Zhang's heart sank. Does this mean that his surgery was not done well? The target is directly directed at bypass surgery for cardiac arrest.
"Fortunately, everything is fine. Judging from the patient's current condition, there should be no intracranial bleeding. However, bleeding may occur at any time during the heparinization process. I cannot guarantee when it will occur."
"What are you going to say?" Professor Zhang asked displeasedly.
"You have also seen the patient's condition. Even if IABP is maintained, the heart load is still heavy. I recommend using extracorporeal membrane lung!" Zheng Rendao, "However, extracorporeal membrane lung will cause the heparin level to continue to rise, and the patient will have a lot of problems." Risk of brain hemorrhage.”
"..." Professor Zhang was stunned. Boss Zheng wouldn't... wouldn't do neurosurgery.
It's not just any surgery, it's a rare disease like moyamoya disease.
The young man was so confident that Professor Zhang was frightened by his guess.
Diagnosis does have its own self-consistent logic, but neurosurgery... I'm afraid no one would dare to perform surgery.
What are the patients like now? Is it still worthwhile for neurosurgery to perform another surgery
"Su Yun, call Xiao Feng, Xiao Hu, and Lao He, and ask Yi Ren to come over as well." Zheng Ren suddenly said: "And ask the legal department of Xinglin Garden to come right away."
Although Su Yun didn't understand what his boss was going to do, since his boss said it, he could just do it.
In emergency rescue, one voice is enough. It is useless to speak too much.
"Boss Zheng, the patient's condition is not good. I don't think the neurosurgery will do the surgery." Professor Zhang pondered for a while and persuaded.
"Look at what the vital indicators are now. If there is a slight disturbance in this situation, a person with ventricular fibrillation will be dead." Professor Zhang advised earnestly: "I know you want to save people, but when you encounter this kind of situation, The situation, whether you live or die, it all depends on your fate.”
"Professor Zhang, the patient can actually try to save him." Zheng Ren also advised Professor Zhang earnestly, "Neurosurgery can solve the hidden dangers of moyamoya disease and cerebral hemorrhage, and extracorporeal membrane lung can allow patients to save the last period of time." Let the dangerous time pass."
"You..." Professor Zhang looked like he didn't listen to the old man's words and was at a disadvantage. He looked at Zheng Ren, was silent for a few seconds, and finally sighed.
"Boss Zheng, your surgery is indeed good, this cannot be denied." Professor Zhang's tone became much colder, "But for large-scale emergency rescues that involve the cooperation of various departments, I think it is better to let the medical office get opinions. "
"Well, Director Lin should..." Zheng Ren said and asked Su Yun, "Has Director Lin's phone been called?"
"Hit it." Su Yun stared at the monitor and the iabp operating panel, adjusting certain parameters from time to time.
The machine doesn't just sit there and can be turned on and run. There are countless permutations and combinations of parameters, and there are countless ways to deal with them.
Temporarily deciding how to adjust parameters based on the patient's condition requires profound clinical experience and theoretical foundation.
Su Yun is a boy with more than ten years of medical skills and extraordinary talent. Zheng Ren is relieved when he stands there.
Try your best to convince everyone, and you definitely can’t just do the surgery on your own.
When the moon is full, it will be waning, and when it is strong, it will break. Zheng Ren understands these principles. The patient's condition should be maintained for a while under Su Yun's care.
It's time to explain to the patient's family, Zheng Ren thought, and Professor Zhang said again: "The patient's family has agreed to sign to give up further treatment. Boss Zheng, I think as medical workers, we still need to treat patients and save lives while treating them." Respect the opinions of the patient’s family.”
"I will do the family's work." Zheng Ren said firmly.
Professor Zhang’s eyebrows wrinkled.
Are there really people in this world who worry that they don’t have enough troubles
Idiot!
Just now, Professor Zhang explained the condition to the patient's family and observed the patient's behavior and found that the patient's husband had no idea of rescuing the patient.
Although the patient's daughter had this idea, she had no financial resources, or in other words, no financial resources sufficient to support a major rescue operation.
If I try to change the mind of the patient's family now, I am afraid that there is a high probability that a medical accident will occur.
Many family members of patients are like this. On the surface, they have a positive attitude towards rescuing, but in their hearts they wish the patient would die soon.
Sick people are actually a drag. Whether it's financial or you need someone to accompany you. It's been a long time... What's the old saying? There is no dutiful son before a long-term illness.
That's basically what it means.
This will happen to a biological son, let alone a step-wife.
This is human nature and life is not easy for anyone.
Knowing that there is a bottomless pit ahead of you, you throw money into it without losing everything, but you may not be able to save it in the end.
It’s easy to imagine how to choose.
Professor Zhang felt that Boss Zheng’s clinical experience was not rich enough and he did not realize this.
He grabbed Zheng Ren and persuaded him with sincerity: "Boss Zheng, the patient's family has decided to give up. If you tell them that there is still a chance of survival and can be saved, they will not miss your kindness. Once there are any symptoms after the operation, Questions, all anger will..."
"Professor Zhang, thank you." Zheng Ren said seriously: "I will try my best. Whether it works or not depends on the opinions of the patient's family. How to treat it... You can't just watch a patient who can be treated die."