Feeling that Zheng Ren suddenly stopped, Su Yun looked back at him and muttered, "Let's go."
"Yeah." Zheng Ren responded, but he turned around honestly and walked back to the emergency room.
"Is there a problem?" Su Yun caught a glimpse of Zhou Litao rescuing the patient skillfully, arranging personnel to send the patient to the CT room for examination, and told the patient to be sent directly to the neurology department if he had cerebral infarction.
Not counting this, Zhou Litao was holding his mobile phone and dialing the number of the resident general manager of the Department of Neurology.
It seemed like he wanted to remind the other side to prepare for emergency thrombolysis.
After the diagnosis of cerebral thrombosis is confirmed, thrombolytic treatment within the 3 to 6-hour treatment time window can reduce brain metabolism, control cerebral edema, protect brain cells, and save the ischemic penumbra, which is the best measure for smooth recovery after surgery.
The earlier the thrombolysis is performed, the better. For this kind of emergency rescue, every inch of time is worth every inch of money. Every minute of delay may leave sequelae for the patient.
After all, he is a 27-year-old young man. If there are any sequelae, it will affect the quality of life for most of his life. If activities are inconvenient, how can you make money, support your family, and make ends meet
Zheng Ren knew that the diagnosis he saw could be done slowly compared with acute cerebral infarction. He didn't say anything, just shook his head.
Accompanied by a doctor, the patient's family members and caregivers quickly pushed a flat cart past Zheng Ren. The rumble of the wheels of the flat car rolling over the marble floor made Zheng Ren feel like he was back in the First Hospital of Haicheng City.
"Boss, do you really want to go back to the emergency department and be the chief resident?" Su Yun said with a smile.
"I'm not sick." Zheng Ren said, "Don't you think this young man is too young?"
"No matter how young you are, I have seen myocardial infarction and cerebral infarction." Su Yun said disdainfully, "Let's go back and see Dr. Mehar."
"Okay." Zheng Ren saw that Zhou Litao was indeed calling the neurology department to explain the patient's onset of illness.
It has been less than an hour since the onset of symptoms. If surgery and thrombolysis were performed, it would probably be controlled within 3 hours.
The patient has a high probability of making a full recovery.
Just because he had to go to the neurology department to remind the doctor later, Zheng Ren made a mental note of Yang Lixin's name.
"We'll go to Feng County the day after tomorrow. When we come back, it's time for Fugui'er to leave." Su Yundao said, "Time flies so fast, and the results of the Nobel Prize will be announced in a few months."
"Are you worried?"
"Fortunately." Su Yun said with a smile: "I used to think it was impossible, but since Lao Luo cut it, I think it's impossible not to get it."
"Where does your inexplicable confidence come from?" Zheng Ren replied with a smile and what Su Yun often said.
"Actually, when I was a graduate student, I thought, clinicians are such a bunch of mediocre people. The Nobel Prize has been excluding clinical techniques for decades, and yet it can be tolerated! Is it really going to take a hundred years for the outbreak to break out? "
"Then what?"
"How can you say it's fair when even surgery like organ transplantation has been excluded from the Nobel Prize? It was even more outrageous in the past few years. Even LED lights won the Nobel Prize. Is this considered an amusement park?" Su Yun said disdainfully, " I guessed at that time that sooner or later a spell would become the trigger. Unexpectedly, I met you in Haicheng."
Zheng Ren walked slowly behind Su Yun, listening to his ramblings out of habit.
“I originally thought that nomination was the end point, and I guess everyone thought so. But since I saw a lot of dead bats in the Alps, I realized from then on that there was a high chance that we could win it. "
"It's meaningless to talk so much. Fugui'er is gone, and it will take a few days for Lao Gao to arrive. How many of them will you come up to support?" Zheng Ren said.
"That doesn't matter." Su Yun said with a smile: "It's just a few operations, it's TIPS, it can be done in the blink of an eye, no difficulty at all."
While chatting, the two went to see Dr. Mehar.
The doctor's surgery had been completed, and the removed coronary stent was taken away by Dr. Mehar's assistant.
Zheng Ren estimated that a pharmaceutical company or a laboratory wanted to research new thrombolytic drugs based on the characteristics of blood clots. After all, judging from the progress of Dr. Mehar's coronary thrombosis, he must have taken some new drug that has not yet been released.
The doctor was sleeping, with Rudolf Wagner sitting at the bedside watching over him. Seeing Zheng Ren and Su Yun come in, the professor grinned and pointed at the ECG monitor, indicating that everything was fine.
Zheng Ren took a look at Dr. Mehar's system panel. There was still red, but the color was much lighter than before the operation. And there were no other complications diagnosed, so it can be said that the surgery was done perfectly.
After all, it was a surgery performed with peak-level interventional surgery skills. This "conventional" surgery posed almost no challenge to Zheng Ren.
After a few glances, Zheng Ren signaled to the professor and then left the ward.
Returning to the doctor's office in the interventional department, Zheng Ren did not sit in a familiar position. Instead, he came to the computer, opened the system, and retrieved a head CT image named Yang Lixin.
There is no doubt about the diagnosis of cerebral infarction, and since it is a new cerebral infarction, the effect of interventional thrombolytic treatment should be good. The 912 neurology department has a good level of intervention, and Zheng Ren has no intention of taking a look.
"Boss, I always think there's something wrong with you, you're being sneaky." Su Yun asked from behind.
Lin Yuan looked at the screen and saw that it was a head CT film. She was a little confused.
"The patient is too young, so the possibility of cerebral infarction is unlikely." Zheng Ren said, "Why is this happening?"
"Tch!" Su Yun said disdainfully: "Although there is no atherosclerosis, it is caused by thrombus. Do you still need to ask? The possibility of embolism caused by abnormal objects is too small to be a major clinical consideration."
Zheng Ren was slightly distressed. He couldn't tell Su Yun that he had seen the triggering factors using the system panel.
"There is another type of cerebral infarction, which is a micro-infarction caused by the occlusion of the deep perforating branches of the cerebral arteries caused by arteriosclerosis in high blood pressure. However, this film does not look like it. Although there are not that many necrotic lesions, it is still considered to be a blood clot." Lin Yuan said later.
Hearing Lin Yuan's voice, Zheng Ren suddenly felt something in his heart. He held the mouse in his right hand, stared at the screen, and said lightly: "Lin Yuan, do you remember that Mr. Wang had a patient with vitamin B12 deficiency some time ago?"
"Remember." Lin Yuan said, but was stunned for a moment.
How did it get involved
"Su Yun asked you to go back and memorize the medical certificate. Did you memorize it?" Zheng Ren threw the pot on Su Yun.
"Boss Zheng, I bear it." Lin Yuan felt a little guilty when he said this. Memorizing what I said and memorizing what Boss Zheng understood may be two different things.
"Okay. As a test for you, you go to the neurology department to see the patient and briefly communicate with the patient's family." Zheng Ren said, "Finally, I want to listen to your judgment as to where the blood clot came from."
"..." Lin Yuan was a little confused.