In the days that followed, Zheng Ren was so busy that he wanted to fly.
Lanke arranges a batch of doctors to receive training every week. Regarding training in this area, Su Yun brought Lin Ge in by the way, so that the 912 Science and Education Department could take some advantage.
Although everyone knows the truth of the matter, it is really very high-level to say this kind of thing. Let alone 912, this kind of situation has never happened even in major tertiary hospitals across the country.
Groups of doctors from all over the world came to 912 for training. Those who didn't know were shocked, thinking that 912's technical level had reached interstellar level.
Zheng Ren also has many surgeries. After a period of fermentation, the number of live surgeries such as surgical resection after interventional embolization for Gaucher's disease and liver cancer has begun to increase.
I don’t even have time to read in the afternoon because I have to do a live surgery.
Zheng Ren didn't think anything about this. The surgeries were all routine surgeries. Before the surgery, it was just a matter of going to the system operating room to see if there were any rare cases.
This was just a precaution. Although some surgical training time was "wasted", Zheng Ren believed that this was what had to be done.
The days passed and the weather gradually became hotter.
As the weekend approaches, the group has been buzzing with excitement, and there are hundreds or even thousands of messages about going out for fun every day.
Zheng Ren didn't even bother to look, he just waited to notify himself.
As the leader of the medical team, Zheng Ren knew that he had absolutely no say in this issue.
After completing the TIPS surgery in the morning, Zheng Ren was a little relieved.
Lin Yuan's talent is quite good, and after dozens of surgeries, he has quickly taken shape.
After the last operation, Zheng Ren did not explain the details of the operation to Fu Guier and Lin Yuan, but stood up to change clothes.
More than ten minutes ago, Su Yun received a call from Fang Lin, saying that there was a patient with hemoptysis who needed consultation.
Because the operation was not over yet, Su Yun went there first.
"Boss Zheng, where are you going?" Lin Yuan handed the patient to Gu Xiaoran and asked hurriedly.
"Consultation." After Zheng Ren finished speaking, he went directly into the dressing room to change clothes.
Lin Yuan knew that he couldn't catch up with Boss Zheng's speed, so he glared at his back angrily.
You can't just break into the men's locker room, right
Zheng Ren changed his clothes and strode towards the Department of Respiratory Medicine.
Fang Lin took a look and was a little unsure, so he asked Su Yun for help. This model of not finding one’s own second-line teaching staff is actually very rare, and strictly speaking does not comply with the diagnosis and treatment procedures.
But it doesn't matter, it's just a call to the family and friends hotline. If Boss Zheng and Su Yun can't solve the problem, then follow the normal procedure. But if that happens, I'm afraid it will be a big problem. At least Fang Lin didn't believe there were cases that neither Boss Zheng nor Brother Yun could solve.
When he arrived at the Department of Respiratory Medicine, Zheng Ren made a call to Su Yun.
Su Yun then poked his head out of the doctor's office and waved.
"What patient?" Zheng Ren asked.
"Hemoptysis." Su Yun's expression was a little solemn. "It happened twice before, 5 years ago and 3 years ago. It was accompanied by pleural effusion. He was treated with inflammation in the local hospital and was discharged after improvement."
"This time it was 3 days ago because of sudden chest pain and tightness after exertion. I went to the local hospital for treatment. The local doctor gave a comprehensive examination and showed pneumonia. 9 hours ago, the patient suddenly suffered from massive hemoptysis. He coughed up about 350 bright red blood. Milliliters.”
"Referred?" Zheng Ren walked into the office and glanced at the person in front of the film reader, where Fang Lin was watching the film.
"Well, the patient didn't pay attention to it the previous two times. This time he had a large amount of hemoptysis, which frightened him. The local doctor used 120 to send him directly to the Department of Respiratory Medicine of our hospital for hospitalization."
Zheng Ren walked to the image reader and started reading the images.
A large area of shadow in the right lung, a typical manifestation of inflammation. If it is a simple cough, sputum production, and fever, it can be diagnosed as pneumonia, and it looks like lobar pneumonia, which is relatively rare now.
With the improvement of antibiotic levels and the improvement of medical level and health care awareness, the typical lobar pneumonia in textbooks rarely appears in clinical practice.
Moreover, it is extremely rare for lobar pneumonia to cause hemoptysis.
"Boss Zheng, here we come." Fang Lin moved to the side and got out of the way. He had watched the film many times, and he had questions and preliminary diagnoses.
It's just that neither Fang Lin nor the resident in the Department of Respiratory Medicine can give a more reasonable and definite diagnosis.
Zheng Ren was not polite. He put his arms on his shoulders and stood in front of the reader, watching the film carefully.
The inflammation looked severe, and increased density could be seen next to the bronchus of the right lower lung.
The first impression was pneumonia, but Zheng Ren immediately rejected this diagnosis.
This film was indeed very weird. Zheng Ren watched it for nearly five minutes, but in the end he didn't give any accurate answers.
"Boss Zheng, what do you think?" Fang Lin asked.
Zheng Ren didn't speak, just shook his head.
Su Yundao said, "With hemoptysis, possible diagnoses include bronchiectasis, tuberculosis, pulmonary embolism, and tumors. Pneumonia also has a small amount of hemoptysis, but hemoptysis of several hundred milliliters at a time is rare."
What he said was the same as what he didn't say. In fact, Su Yun didn't understand it immediately, but was brainstorming.
He said it casually and didn't care at all.
The basic theoretical support is as solid as his appearance.
"It may be bronchial stones, but there is something wrong with the shape and density of the stones." Zheng Ren shook his head, and then said cautiously, "Are there any other tests?"
"We're doing it," Fang Lin said. "I think it's more likely that it's bronchial stones. I suggest a thoracotomy. If we can't find the problem, we can only cut out the right lower lung."
Zheng Ren thought carefully and shook his head. He did not agree with Fang Lin's statement.
Cutting off the lung lobes should not be done unless absolutely necessary.
The operation was simple, and if Fang Lin did it, the anesthesia time and recovery time would be almost two hours.
But that is invasive treatment, simple and crude, and the patient will lose a lung lobe forever.
"Boss, the initial judgment is that it is a foreign body in the trachea." Su Yun said while looking at the film.
"Well, Fang Lin also considers long-term tracheal foreign bodies. However, the density and length of the foreign body are very strange, and there is thick juice and bleeding around it. Using a bronchoscope... Fang Lin, are you afraid that using a bronchoscope will cause More questions.”
"Yeah." Fang Lin nodded.
When bleeding occurs inside the lungs, only part of it can be coughed up. More will remain in the patient's lungs, like a drowning person sucking water into their lungs.
Use a bronchoscope to take a look. If there is massive bleeding at that time, the mirror is inside, causing increased pressure or poor outflow, which may cause more problems.
Therefore, Fang Lin planned to choose the treatment method of thoracotomy and lung lobe resection.