"Boss!" After an unknown amount of time, Su Yun shouted, "Don't pretend to be a surgeon, you almost look like a charlatan."
"What?" Zheng Ren looked up.
"I contacted you and Lawyer Ge said that this is not possible. If you can't do it, try not to sit down. There are still hidden dangers." Su Yundao said, "If the patient's family does not admit it, they will definitely lose the lawsuit in the end, even if you have a successful operation. "
"Yes." Zheng Ren nodded and said, "Then let's find a lawyer from Xinglinyuan and ask if it's okay to live broadcast the surgery."
This path is what Zheng Ren thinks is the most feasible.
The surgery is free, and there will be a sum of money 3 months after the operation.
This amount of money may not seem like much to many people, but it may be the annual income of the little girl’s father and grandfather.
Just bring back an adult immediate relative, Zheng Ren thought to himself.
"I'll take a look later. It's rare to see such a sensible child." Chang Yue said, holding her eyes.
Zheng Ren smiled, Chang Yue took action, let's give it a try. I really have no confidence in this kind of difficult persuasion and communication.
"Then you go ahead and contact Su Yun. Ask Xiao Hu to contact the lawyer. I'll think about the surgery again," Zheng Ren said.
"You haven't counted the surgeries yet?" Su Yun was a little confused.
"If it's surgery, I'll use a mask for anesthesia. After the bronchoscope goes in, I'm going to use a one-way valve to seal it." Zheng Ren said, "Accurate sealing and finding the fistula are the most critical. It's so complicated inside, and it's very difficult to accurately find the fistula. Disaster."
"Boss, you hold the fifth edition of Surgery every day, why are you still not familiar with the anatomy of the lungs?" Su Yun asked disdainfully.
Zheng Ren knew that he was just talking casually, so he smiled and said, "The Charitis positioning system will help us find him. We will discuss what happens during the operation."
At this point, Zheng Ren suddenly said: "We must also prepare for end-tidal carbon dioxide detection and positioning through bronchoscopy."
Su Yun said nothing, his expression became much more solemn.
It seems that my deduction is the same as that of my boss. It is extremely difficult for this patient to go to the operating room, and it is equally difficult to undergo bronchoscopy interventional surgery.
EtCO2 can be used as a remedy for failed balloon exploration and is not affected by multi-leaf fistulas or communicating branches.
The main working principle is to detect the EtCO2 value of each segment of the bronchus by exploring the catheter. If the value is significantly lower than that of the main bronchus on the same side, it is a suspected leaking bronchus.
We have already used this little-used method, do we need to say more about the rest
Su Yun nodded and continued to contact various matters.
They said they should write a song soon...
Zheng Ren took out his mobile phone and took a look and saw that it was Zhang Weiyu.
"Hello, Manager Zhang."
"Oh? Okay, I'll ask later and see if I have time on the weekend."
"No, I have a live surgery here. I'm waiting for the patient's family to agree. Let's meet up another day."
Zheng Ren exchanged a few pleasantries and hung up the phone.
Zhang Weiyu wanted to ask Boss Zheng to throw knives at his hometown. Zheng Ren didn't object to this kind of thing. Although going out for surgery is busy and tiring, it is unavoidable before remote surgery is available.
TIPS surgery is still performed in the country through open maps. If you go out more often, the level of local doctors can be improved as soon as possible.
He picked up his phone and was about to leave a message for Su Yun and ask him if he had any plans for the weekend.
At this moment, the phone suddenly rang.
Zheng Ren picked up the phone smoothly.
"Hello."
"Oh? No food? How many days have it been?"
"Okay, what did her family say?"
"Then hire a caregiver and you can take the child down."
After Zheng Ren finished speaking, he hung up the phone.
The call was from Chang Yue. The problem of the little girl with a sallow complexion was more serious than she thought.
Chang Yue quickly found out the medical history, not only about the patient lying on the hospital bed, but also about the little girl.
She was said to have experienced difficulty eating solid foods and concomitant weight loss following an acute choking incident several weeks earlier.
An acute choking incident
Zheng Ren made several considerations and remained motionless, sitting firmly on the chair with his eyes slightly squinted.
Because it was not an emergency, it took a full hour before Chang Yue took the little girl's hand to the interventionalist's office.
"I contacted the adults at home after get off work, and Xiaojuan's father agreed to live broadcast the surgery." Chang Yue first talked about the important matter, "I said that I will rush here overnight and we will arrive at noon tomorrow."
Zheng Ren nodded, and then looked at the girl named Xiaojuan.
"Xiaojuan said that while eating 12 days ago, a piece of meat was embedded in the orthodontic palate expander that was inserted.
She subconsciously thought she might choke, but Xiaojuan quickly removed the incarcerated flesh. But for the next seven days, I would feel a sense of fear when eating. "
Chang Yue briefly introduced Xiaojuan's condition.
"On the seventh day after the choking incident, Xiaojuan stopped eating most solid food and could only drink a small amount of porridge." Chang Yue said, "Now she doesn't even dare to eat pickles for fear of causing problems."
“…”
Zheng Ren looked at the thin little girl in front of him and sighed.
No matter how strong she looks, she is only 11 years old after all. Facing the dying old man every day, she is the only one who takes care of him, which is really difficult for this child.
Although she seemed fine, the psychological shadow was too great for her to bear.
When a dental brace gets stuck in the teeth, it is just like an ordinary person getting something stuck in their teeth after eating. It is a small thing that is not worth mentioning. But just this little thing makes her think of death and make her fear death.
It is hard to imagine that a little girl of only 11 years old would be exposed to the coldest side of the world.
Chang Yue put his arms around the little girl's shoulders and leaned her against him, trying his best to warm this strong child.
"Mr. Zheng, what do you think we should do?" Chang Yue asked.
"Let's go to the emergency department to check first." Zheng Ren said.
"examine?"
"Looking at her appearance, she probably has malnutrition and ion disorder." Zheng Ren said, "Let's see if there is anything wrong first. If not... I will think about it."
"Okay." Chang Yue said.
"Doctor, thank you, I won't check anymore." In Chang Yue's arms, the little girl returned to her original appearance.
Timid, a little confused and afraid of the future.
At her age, she was not supposed to be exposed to the cruelest side of life. She was enjoying the warmth and sweetness, full of fantasy, reverence and expectations for the world. However, various reasons accumulated together, but the current situation emerged.
Zheng Ren's mood was slightly depressed, but a smile appeared on his face, "Are you worried about spending money?"
The little girl nodded, then shook her head.
The movements were complicated and contradictory, but Zheng Ren understood what she meant.
"Don't think so much. It doesn't cost anything to check you out. Moreover, your grandfather and father have agreed to do the live broadcast surgery, and a professional medical company will be fully responsible for the cost." Zheng Ren tried hard to make his own The smile is gentler.
"Mr. Zheng, I've told her all this. Go to the emergency room. Is there anything special you need to check?"
"No, check the electrocardiogram more."
…
…
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