The operation went smoothly. Zheng Ren and Yang Lei performed it, and he got off the stage in 20 minutes.
On the stage, Zheng Ren took the trouble to explain the key steps to Yang Lei. Although it was just a laparoscopic appendectomy, Yang Lei benefited a lot from Zheng Ren's skill and his ability to apply it to other surgeries.
After stepping down, Zheng Ren was bored.
Having just returned from the imperial capital, it seems that life has lost its direction.
No, it's not because of this, but because Xie Yi didn't go on stage for surgery.
It's just that Zheng Ren didn't realize this.
The skills of general surgery are being sharpened little by little, and there is still a long way to go before the master level.
Zheng Ren was interested in practicing combined pancreaticoduodenectomy in the operating room of the system. It was estimated that one operation could increase his skill points by more than 100 points.
But once he saw his remaining experience points and the operation time, Zheng Ren gave up the idea.
If you spend it all, the possibility of being promoted to Grandmaster is very slim. If you encounter a critical situation, you will be dumbfounded.
It’s better to grind a little bit. The surgeon who is the best in the long-term main quest has already completed countless rounds. Although the rewards are meager, no matter how small the snake is, it is still meat.
"What are you thinking about?" Su Yun's familiar voice came from behind.
"daze."
"Are you thinking about the little beauty? You are too cowardly. Have you ever seen a domineering president fall in love with me? What you want is that domineering air." Su Yun encouraged.
"Mr. Liu is very domineering in the United States. He lost a lot of money. It's so embarrassing." Zheng Ren retorted without hesitation.
"I'm talking about you, just understand the spirit." Su Yun didn't care about Zheng Ren's argument, which proved his guilty conscience, and smiled slightly.
"How is the patient?" Zheng Ren asked.
"The condition is stable. The tube has just been extubated. Now it seems that he is alive." When talking about the patient's condition, Su Yun was not so nagging, but briefly introduced the patient's condition.
Zheng Ren knew that the operation was 100% complete. As long as nothing happened in the ICU and the operation was handled properly, it would be very difficult for the patient to die.
"By the way, the paper on small nodule liver cancer has been mailed. I just answered the phone and asked if there are more cases."
"There shouldn't be any for the time being." Zheng Ren said: "Isn't it okay to publish it on a case-by-case basis?"
"It's possible, but it's hard to get recognition in a short period of time." Su Yundao said, "It doesn't matter to you anyway. You are just a salted fish. It's better to stay in Haicheng and be hospitalized."
"It's not a lifetime here. Aren't you also back from the imperial capital?"
"Boss, are you interested in a pet hospital? I won't let you go. If there is an operation that requires you, it's just a rescue."
"..." Rescue Taiwan and go to the pet hospital, these two words seemed unfamiliar to Zheng Ren.
"Basically, golden retrievers, Alaskans, and the like eat socks, and foreign bodies in the intestines cause intestinal obstruction. At your level, one machine takes twenty minutes, which is no exaggeration." Su Yun said: "Money, easy to talk about."
"I… "
"Don't say you're not short of money. I asked yesterday that Xie Yiren's parents will come back for the New Year in a month or two." Su Yun said thiefly.
"..." Zheng Ren hesitated, "Okay. But I don't have a veterinary certificate, is that okay?"
"No problem, how can any veterinarian know how to perform surgery? They are all blind. A sterilization is fine, but they can't do a real abdominal or thoracotomy," Su Yundao said.
"Look for an opportunity." Zheng Ren finally lowered his head in front of reality.
Zheng Ren felt a little uneasy when he thought that Xie Yiren's parents were coming back. Zheng Ren didn't know exactly why he was worried or how to solve it.
Just as I was thinking about it, my phone rang.
"Mr. Zheng, I have an aunt who has pain in her upper right abdomen. Please come and take a look." It was Chu Yanran.
It's very simple, it doesn't even say anything. And you're not polite either. If you're one of your own, what's there to be polite about? See more outside.
Since I didn't say anything, I was in the emergency room.
Zheng Ren immediately strode to the emergency department. Su Yun followed behind him with his head slightly lowered as usual.
The emergency department is not very busy. It is the cold winter season, and almost no people drink and fight. There is still ice and snow on the road, and everyone is driving carefully, so the emergency department is a little cold.
But this is good.
In the emergency department, Chu Yanran stood at the head of the emergency rescue bed. Next to her was the emergency B-overpass, where a doctor was performing an abdominal ultrasound on the patient.
The family members looked anxiously aside, but Zheng Ren ignored them and glanced at the system panel that showed acute gallbladder torsion and acute gangrenous cholecystitis.
Huh? This is a rare disease.
Gallbladder torsion is a rare condition. It has been more than a hundred years since Wendell first described it as a "floating gallbladder" in 1898. Zheng Ren searched the literature in his memory and estimated that there are only more than a hundred cases. Report.
Including what I don't know, there are probably 300 to 500 reported cases.
Get ready for surgery, there is nothing you can do.
As long as any organ is torsion, it means that necrosis will follow. The system panel has given a prompt, acute gangrenous cholecystitis.
When Chu Yanran saw Zheng Ren coming, she said, "Aunt Lin had abdominal pain after eating this morning, but she was not diagnosed and treated at that time. 3 hours ago, the pain worsened, and she took oral anti-inflammatory and choleretic tablets, but it did not improve. 1 hour ago, the pain was severe. It was unbearable, so he came to our hospital for treatment. During the course of the disease, there was no chills, fever, nausea or vomiting. The emergency blood routine and liver function tests have been sent for examination, and he is expected to be back soon."
"Cholecystitis requires surgical treatment." Zheng Ren said.
"Are you Dr. Zheng?" asked a middle-aged man in his thirties.
He wore gold-rimmed glasses and had a bookish, anxious expression on his face.
"Yes, I am." Zheng Ren responded.
"Hello, my name is Zhou Wenxiang." Although the middle-aged man was very anxious, he did not hesitate and stretched out his hand to shake Zheng Ren's hand.
"Dr. Zheng, do you think my mother needs surgery? Is it okay without surgery?" Zhou Wenxiang asked.
"I think it is acute gangrenous cholecystitis caused by gallbladder torsion and local necrosis. There are two surgical methods, gallbladder removal and gallbladder reduction. I recommend direct resection to avoid similar situations in the future. As for conservative treatment, there is no way Relieving symptoms is not recommended.”
Zheng Ren explained his diagnosis clearly.
Zhou Wenxiang hesitated for a moment and walked out perfunctorily.
Zheng Ren looked at Chu Yanran, and Chu Yanran came over and whispered: "His father is my father's colleague and he is rushing back to the provincial capital. Mr. Zheng, gallbladder torsion is a rare disease. Can it be diagnosed?"
"Here." Zheng Ren pointed to the bedside B-ultrasound and said, "The imaging supports the diagnosis of gallbladder torsion."
"When will you have a B-ultrasound? I remember that you have never expressed any opinions on a B-ultrasound before." Chu Yanran keenly noticed the abnormality.
"That's because there were no problems with B-ultrasound in the past. Isn't this a rare emergency case? That's what I said."
Chu Yanran turned her head and thought for a while. What Zheng Ren said seemed to make sense, so she didn't continue to say anything.
"Director Xia, please help me, my mother can't bear the pain and she doesn't want to have surgery yet." Zhou Wenxiang's voice came in.
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