Zheng Ren understood what Su Yun meant.
To determine whether there is a free liver, the patient needs to change positions and do a CT in the left lateral decubitus position and a CT in the right decubitus position.
With the change of body position, if the liver is free, there will be landmark changes in imaging, so that direct diagnosis can be made.
Although I am almost 100% sure when I look at the movie now, I am not rigorous.
Zheng Ren can also think of several diseases with similar images. Although the possibility is relatively small, they do exist.
He nodded and immediately sent a message to Dr. Liang.
"Boss, do you think this disease belongs to the liver and gallbladder, or to the gastrointestinal tract?" Su Yun suddenly asked with a smile.
"Hepatobiliary. Go up and take a look. If there is no intestinal obstruction, reset the liver and fix it."
"Reset, this job is also gastrointestinal."
Su Yun argued that it was ISO9002 certified.
"Then let's go together." Zheng Ren didn't care and said casually: "Laparoscopic surgery is enough. Let's change the shift."
"Boss, you said Lin Yuan asked foreign aid to diagnose green urine. How long will it take to get the results?" Su Yun changed the topic quickly.
"I don't know. Domestically, it depends on luck. Overseas... it mainly depends on whether anyone has seen similar patients. There is a certain degree of randomness." Zheng Rendao, "But looking at the current situation, it should be that the cancer hospital has never seen similar cases. "
"This chance is too small. I have read the instructions for propofol before and never noticed those six words."
"I didn't pay attention to it. I just read the doctor's instructions in the morning and recalled the various drug instructions. I felt that there seemed to be something omitted there." Zheng Rendao, "This case may be of some significance to those who study medicine and physiology. It may be of clinical significance. From a doctor’s perspective, it doesn’t mean much.”
"Well, it has little clinical significance." Su Yun said: "I have seen many patients with liver failure + sedation with propofol and ventilator-assisted breathing, and there is no case of green urine."
"Don't talk about it. It's just a side effect of medicine. Why are you studying it so carefully?" Zheng Ren said.
"Boss, it's not like you." Su Yun smiled.
"Originally, it has nothing to do with clinical practice, so it's not worth spending too much energy on."
"What do you think will happen if the ICU doesn't ask you to go?" Su Yun asked.
"The patient's condition is fine, so just keep an eye on it. If you're brave enough, try stopping the medication and extubating the tube. As long as you stop the medication, everything will be fine. You can get better without looking for me, that's for sure." Zheng Ren casually said Guessing.
With that said, the two came to the 912 emergency department.
Walking in from the door, the sound of quarreling could be heard in the corridor.
To say it was a quarrel would be a bit exaggerated. The voice should be a unilateral expression of one's dissatisfaction.
"Why do we need to do three CT scans for one organ?"
"Do you know how to treat a doctor and call 912? You have the nerve to say that you are a 912 doctor!"
"It's still shameless. You can't extort money like this!"
Zheng Ren heard it and immediately knew what had happened.
This is because the patient's family has given up.
For one location, three CT examinations are required. Normally, three examination orders need to be issued.
Is the patient’s family at fault
That's right.
How can people who don’t understand medical science understand the significance of doing three CT scans at one location
Not to mention people who don't know much about medical treatment, ordinary doctors who don't know about free livers probably won't understand the significance of doing this.
This is pretty good. I remember many years ago, I met an old man in a hospital.
The patient was critically ill and died in the intensive care unit of a large tertiary hospital.
Finally, the patient’s family started to make a claim and went to the media to show the daily receipts of medical charges.
One of the receipts contained a charge for a large amount of saline solution. At that time, Zheng Ren was still young, in school, and in a period of ignorance.
I think I know a lot about medical care, so I am even more angry than the general public after seeing the media reports.
But after getting into clinical practice, I realized that there are many areas where a seriously ill patient needs saline.
Dialysis, various flushing tubes, drips, etc. Almost every pipeline must be flushed with sterile saline.
Then there is the sputum suction. If there is no saline solution, the viscous sputum will be sucked out and the suction tube will be blocked.
I didn’t understand this when I was a medical student, let alone an ordinary patient’s family member.
Seeing Su Yun's eyebrows raised, Zheng Ren patted his shoulder and said with a smile, "Are you angry?"
"They know nothing!" Su Yun said angrily.
"Don't say bad words." Zheng Ren said, "Being angry is bad for your liver, and you still drink."
"Don't rely on drinking for everything!" Su Yun became even more angry when Zheng Ren said this.
"hey-hey."
"Then what do you think we should do? The colon is between the liver and the diaphragm. Who knows when it will twist. Once it becomes necrotic, there will be a lot of intestines to cut."
After saying that, Su Yun smiled and said, "Tell me, is this seeking death?"
"Don't say that, they don't understand either." Zheng Ren said, "It's okay, it's up to me."
"You?" Su Yun looked at Zheng Ren in surprise.
If Chang Yue said this, Su Yun would immediately believe it. But as for my boss... his communication skills with patients are not bad, but they are definitely not up to the top level of Chang Yue.
"No communication is needed." Zheng Ren smiled.
After undergoing autologous fat transplantation and canthus wrinkle filling surgery in the system operating room, Zheng Ren was in a good mood and was much more active than usual.
Zheng Ren raised his chest and raised his head, and strode in.
"Doctor, hurry up and write an order for my old man!"
When Su Yun saw this guy's appearance, he instantly understood what his boss was going to do.
It's really... how shameless to return a tenured professor at Massachusetts General Hospital!
The patient's family members also grabbed the emergency department doctor and questioned him. Zhou Litao explained on the side, and the small freckles on his face were about to bloom from the anxiety.
I was stunned when I saw Boss Zheng walking in with his head held high and saying something about making an order for his old man.
The patient's family members were still complaining bitterly. Zheng Ren stepped forward and shouted: "What are you making! Can you afford to pay for delaying my old man's medical treatment?"
Zheng Ren was wearing casual clothes. To Zhou Litao, he was Boss Zheng. But in the eyes of ordinary patients and family members, he is just a patient family member.
Although he looked kind, his words were not polite at all, and his eyes were wide open, looking quite fierce.
The patient's family members were stunned.
The corridor of the emergency department fell silent for an instant.
Taking advantage of this opportunity, Zhou Litao quickly explained to the patient's family why three CT scans were needed.
Zheng Ren was an actor, with a face full of impatience, and said: "Doctor, if it's over, hurry up and give me an order, there's a lot of it!"
The patient's family members immediately felt a sense of urgency.
When facing doctors, they can be noisy and quarrelsome because they know that the other party will not talk back or fight back.
Who wouldn't pinch a soft persimmon
But when they met family members of patients like themselves, they immediately became anxious.
"We were here first!"