"Boss Zheng, here we come." Director Xu said calmly.
"Director Xu, have you done the ultrasound? Let me take a look." Zheng Ren said a simple greeting and went straight to the topic.
Lao He immediately handed the ultrasound report sheet to Boss Zheng.
The patient's condition was not surprisingly similar to what he saw in the operating room of the system, and Zheng Ren felt even more certain.
"Do another echocardiogram." Zheng Ren said.
"Huh?" Director Xu didn't understand. One similar inspection is enough. What's the point of doing it twice
He didn't ask questions, but looked at Zheng Ren.
"Director Xu, that's it." Zheng Ren came to the reader with the ultrasound chart, pointed at the image on the reader and said, "There is a difference of nearly 20 minutes. From the CT, we can see that the heart is On the right side of the chest, the farthest point is about 6.7cm from the sternal manubrium."
Director Xu and a group of anesthesiologists gathered around him. Residents in the Department of Hepatobiliary Surgery were always squeezed out. Only Director Li, the hepatobiliary surgeon, stood beside Boss Zheng and watched along.
"From the echocardiogram, we can see that the heart has moved about 0.3cm to the left."
“…”
Everyone was speechless.
0.3cm, can you see it? For such a slight difference, the test error caused by one heart beat is probably enough.
"On the way back, I thought that the patient's heart was likely to be torsion due to the compression of a large amount of air in the left chest. As long as the lower chest closed drainage drains the air out and the left chest returns to negative pressure, the heart should be able to return to normal. position." Zheng Ren said.
"Boss Zheng, traumatic pneumothorax is very common, but cardiac torsion is rare." Director Xu said in a deep voice.
If this were a junior doctor, chief resident, or even the leading professor, Director Xu, he would have started scolding him long ago.
What bullshit opinions are there, just waiting for your heart to return to its original position without doing anything? Isn't this a joke? If you don't have to do anything, why do you need to do it? The professors of cardiothoracic surgery also had the same doubts as Director Xu, but they knew that Boss Zheng had a bad temper, so they stood back and did not question it.
The same statement, but with Boss Zheng, everything changed into a different concept.
Boss Zheng is not the kind of person who dares not do surgery just because the surgery is not done well. He does very well in cardiothoracic surgeries. There are too many surgeries such as secondary valve replacement and thoracotomy to remove a 12cm large blood clot. many.
Heart torsion only needs to be reset, and there are some risks in the process, but Director Xu doesn't think the risk is that big.
But Boss Zheng wants conservative treatment...
"That's right. Under normal circumstances, there is a very small possibility of cardiac torsion during sleeve resection of the pericardium during lung cancer surgery. However, relevant case reports have one thing in common - patients will have symptoms of respiratory and circulatory failure."
The operating room was quiet, everyone was listening to Boss Zheng's statement. Zheng Ren's voice was not loud, and it was difficult for people behind him to hear him.
After all, the patient has not yet received anesthesia, so if he hears words such as death and failure, there may be complications.
"When I came in, the patient glanced at me, indicating that he was conscious. The values on the ECG monitoring were relatively stable, and there were no complications of respiratory or circulatory failure, so I guess there is a high possibility that the heart will reset itself if left alone. .”
"This will cause minimal damage to the patient. You can try it. If it doesn't work, I can be responsible for the thoracotomy rescue." Zheng Ren said calmly.
As soon as Boss Zheng said that he could be responsible for thoracotomy and rescue, the atmosphere in the operating room suddenly relaxed a lot.
"Is the anesthesia okay?" Director Xu asked.
"Give anesthesia. We'll watch here. If there's any problem, go to the emergency room for emergency treatment." Zheng Ren said.
Su Yun sighed inwardly. He had not felt the change in his boss's mentality, but the change had been huge when he spoke and acted.
No, let’s watch from here! This is subconsciously putting myself and Director Xu on the same platform.
It is said that Nobel Prize winners have this qualification, but even Su Yun is not used to this way of speaking and doing things.
After winning the Nobel Prize, he repeatedly told himself that he must keep his tail between his legs and at least not float into the sky. But my boss has already... Tsk, I'm too lazy to talk to him.
Lao He came in pushing the ultrasound machine, and Zheng Ren was ready to do the ultrasound without hesitation.
"What's your name?"
"Zhu Hong." The patient whispered, "Doctor, I just have chest pain. My breathing and other things are much better. Is everything okay?"
"It's okay." Zheng Ren squeezed coupling agent onto his chest wall and then started doing an echocardiogram.
"It's a small problem, don't worry. It's a small operation. If it goes well, you can go home and recuperate on your own in 5 days." Zheng Ren continued.
"Uh... Then what are all of you talking about? I heard that it's okay for the doctors to talk and laugh in the operating room. If an old doctor comes in one moment, and another old doctor comes in the next, there will be a problem. Yes." The patient asked doubtfully.
"Let's discuss whether you can go home in five days. If not, you will have to stay in the ICU for ten days." Zheng Ren said with a smile, and then pointed at the echocardiogram screen, Director Xu, and Director Li, the liver and gallbladder doctor, and said, "Here , you can see that there is a greater difference from the CT image, and the reduction distance is nearly 1cm."
Understanding the ultrasound requires extremely deep professional knowledge. Neither Director Xu nor the arrogant Director Li could understand it. Only Zhao Yunlong and Su Yun stood behind Zheng Ren and watched silently.
Although they can see the difference, is Boss Zheng's choice too risky
According to Zhao Yunlong's idea, instead of being conservative with a dime, it would be better to undergo a radical sternum splitting operation.
"If you don't mind, will you start anesthesia?" Zheng Ren asked.
"Lao He, anesthesia." Director Xu directly arranged for Lao He to come on stage.
Although Lao He is not nominally in Boss Zheng's medical team, the fact that he is Boss Zheng's exclusive anesthesiologist is not only known by 912, but also by almost all the top directors of anesthesia in the country.
A while ago, the question of who is Lao He swept through the anesthesia profession like a violent wind. It seemed that it only took one night for Lao He to go from unknown to a hot anesthesia star.
Lao He glanced at Boss Zheng, but he did not directly answer Director Xu's words.
The boss of the family and Boss Zheng are standing here at the same time. It is actually difficult to choose who to listen to, but Lao He knows it well.
Even if you offend Director Xu, you cannot offend Boss Zheng.
"Do it, I'll watch from behind." Zheng Ren said with a smile.
"Okay." Lao He immediately took out the USB flash drive from his pocket, ran to the computer, and started playing Good Luck Comes.