"Huh?" Zheng Ren was stunned for a moment.
"Uh..." Quan Xiaocao lowered his head and whispered, "Boss Zheng, every time I practiced down there, I thought I did pretty well."
Zheng Ren nodded, this time he had a more intuitive judgment about Quan Xiaocao.
"But I get scared every time I go on stage." Xiaocao said timidly.
"and after?"
"I asked Brother Yun once, and he said just give yourself a psychological suggestion and think that you are Boss Zheng." Quan Xiaocao said.
Zheng Ren didn't know whether to laugh or cry. This kind of psychological suggestion must be built on a solid foundation. Quan Xiaocao has solid basic skills and is always attentive. It seems that he is really good at psychological suggestion.
"I tried..."
"Haha." Zheng Ren looked at Quan Xiaocao, smiled happily, and said, "It's not like he even imitated it after turning around and stepping off the stage."
"Uh... I learned this subconsciously." Quan Xiaocao's voice sounded like a mosquito.
"Not bad, not bad." Zheng Ren said, "It's okay to think this way for future surgeries with certainty. Let me ask you something."
"Ah? What?" Quan Xiaocao started to panic again.
"What were you thinking about when you looked at the spleen?" Zheng Ren asked.
"The obstruction of the intrasplenic artery branches causes ischemia and hypoxia in the spleen's local tissue, leading to necrosis. There is no doubt in the diagnosis of splenic infarction."
"Continue." Zheng Ren said immediately after seeing Quan Xiaocao pause.
The child had to be whipped to leave, and Zheng now had a certain understanding of her. Unknowingly, I didn’t expect that I would influence so many people.
"Well… "
"Xiaocao, please step in now and let me hear your judgment at that time." Zheng Ren said with a smile.
Lao He looked amused and asked in a low voice in Quan Xiaocao's ear, "Boss Zheng, can the music be louder?"
Quan Xiaocao knew that Lao He was joking. She finished the suturing, and then closed her eyes again without using the final disinfectant or covering the incision materials.
Zheng Ren found it interesting to see Quan Xiaocao's concentration. Suddenly, he thought of Su Yun's appearance when he was smoking.
Should I also study psychology
But this thought was only fleeting. There have been a lot of things lately, so it would be better to wait until Xiao Shitou's condition improves.
"About half of the patients with splenic infarction are asymptomatic." When Quan Xiaocao opened his eyes again, his voice became calmer, and the previous panic was gone.
"A small number of small-scale splenic infarctions may have symptoms such as low fever and leukocytosis without pain; larger-scale acute splenic infarctions may cause sudden left upper quadrant pain, or whole-abdominal pain that radiates to the left shoulder and back, which is aggravated when bending over or taking deep breaths, accompanied by Nausea, vomiting, difficulty breathing, high fever and other symptoms can last for a week."
"Judging from the patient's performance when he was admitted, the symptoms were not severe. Direct vision showed that the scope of splenic infarction was not large, which further confirms this view."
"So I think the patient's spleen can be preserved and there is no need for splenectomy." Quan Xiaocao said with certainty.
"What should I do if the embolism worsens after surgery?" Zheng Ren asked.
"Interventional angiography, catheter placement for thrombolysis." Quan Xiaocao said without thinking, "The damaged area is not large, so during the operation..."
It turned out that she even understood this. Zheng Ren was slightly in a trance when he listened to Quan Xiaocao describing the extremely rare treatment process.
The little guy has grown up so fast.
While thinking about it, Zheng Ren pressed sterile gauze on the incision, disinfected the surrounding area, and then covered the incision.
"Xiaocao, not bad!" Zheng Ren praised.
When Quan Xiaocao heard Boss Zheng praising him, a light flashed in his eyes.
"Okay, let's send the patient back." Zheng Ren said, "Splenic infarction shouldn't be a big problem. If something unexpected happens, ask me to deal with it immediately."
"Yeah." Quan Xiaocao nodded vigorously.
Zheng Ren glanced at Xiaocao and felt that Su Yun was not just messing around. Xiaocao belongs to the kind of doctor who has an extremely solid theoretical foundation and is not weak in practical skills, but his shortcoming is in psychological construction.
To put it bluntly, it’s stage fright.
Let her assume it's herself, which is really effective.
"Lao He, how is Brother Feng's side?" Zheng Ren turned around and stepped off the stage, tore off the sterile clothes and threw them into the bright red sterile waste bin, and asked casually.
"Laboratory tests such as complete blood count and cardiac enzymes, and imaging tests including head CT and transthoracic echocardiography were all normal." Lao He said simply.
"What are you doing for a head CT scan?"
"Brother Yun said he has nausea symptoms, so he doesn't rule out head complications." Lao He said.
Zheng Ren nodded and walked out of the operating room.
"The blood pressure is 81/52 mmHg, and the heart rate is 41 beats/min. Brother Yun has been given targeted treatment, including norepinephrine intravenously and atropine."
"When I left, I looked at the ECG monitor and found that the atrioventricular block had changed from third degree to second degree."
"Has your heart rate changed?" Zheng Ren asked.
"It's not significantly elevated."
Zheng Ren pondered, atrioventricular block in adults is most common in patients with myocardial infarction. Unlike children, atrioventricular block often occurs for various reasons. Feng Jianguo's electrocardiogram showed no myocardial infarction, but the QRS waveform was narrowed. Zheng Ren never understood what it meant.
He changed his clothes in silence. Lao He looked at Boss Zheng's worried look and followed him carefully.
There is problematic, inexplicable atrioventricular block. Zheng Ren clearly remembered that Feng Jianguo's previous system panel was very healthy, and the symptoms of atrioventricular block this time were not typical. The dizziness could be said to be caused by insufficient blood supply.
So disgusting? Quan Xiaocao said that Feng Jianguo’s self-diagnosis was caused by acute gastrointestinal dysfunction. Doctors' self-diagnosis, especially the diagnosis of their own diseases by gastrointestinal surgeons, must be well-founded.
Zheng Ren didn't really believe in this kind of thing.
What diseases are dominated by gastrointestinal dysfunction and sudden atrioventricular block
Zheng Ren thought of two remote diagnoses, but then became speechless. The system panel had determined that there was no gastrointestinal problem, so I thought I was wrong.
Encountering this situation again, Zheng Ren was helpless. Big Pig Hoof makes it unclear and unclear, and you have to guess the rest by yourself.
He changed his clothes and slowly walked out of the dressing room of the operating room. Lao He was silent, wearing a white coat, slippers and shoe covers and followed behind Boss Zheng.
Boss Zheng was deep in thought, and Lao He was confused. Feng Jianguo had typical atrioventricular conduction block. Is there any need to think about it? What is Boss Zheng thinking about
But he still didn't say anything and just followed him.
"Lao He."
"Eh."
"Help me ask the gastrointestinal manager whether I should be hospitalized or rest at home."