Su Yun, Chang Yue and others were busy preparing for the operation. Zheng Ren had nothing to do at this time. He looked at the patient's films in front of the reader and studied them carefully.
After all, Rapunzel Syndrome is relatively rare, so take a closer look. As for the surgery, it’s just a matter of waiting to go on stage.
This is the privilege of being a senior doctor. Many directors ask the other side to lay out the surgical sheets and then call themselves to come on stage.
Zheng Ren doesn't have this kind of treatment, nor does he have such a big influence.
There are not many people in the emergency ward and they are overwhelmed.
More than ten minutes later, the case office came in, and Chang Yue began to give medical orders. The gastric tube and urinary tube had been placed, and he was waiting for the preoperative instructions to be given before going on stage.
"Mr. Zheng, are you busy?"
The emergency ward was preparing for surgery in an orderly manner when Director Sun suddenly walked in with a smile.
"Oh, Director Sun." Zheng Ren smiled and greeted, "I have an intestinal obstruction and am preparing for surgery."
Director Sun's eyelids twitched. The number of operations in the general surgery department has dropped sharply recently, which is related to the fact that the emergency department has cut off most of the sources of disease.
But he didn't say anything. Instead, the smile on his face became a little thicker and he said: "Mr. Zheng, this is not the loose body in the abdominal cavity that you diagnosed that day. After the operation, let me show it to you."
With that said, Director Sun took out his mobile phone and showed the picture to Zheng Ren.
It really looked like a big goose egg. After closing the abdomen, Director Sun opened the "goose egg" confidently. There are all kinds of egg whites and egg yolks inside. If you didn't have a background in an operating room, you would definitely think it was in a kitchen.
Zheng Ren glanced at these during the operation, but what Director Sun showed was the pathology department's final diagnosis and more clear and detailed biopsy specimens.
"Mr. Zheng, your diagnostic skills are really high." Director Sun patted Zheng Ren's shoulder affectionately and praised him.
"Haha." Zheng Ren laughed dryly, only glanced at it, and then continued to look at the film on the reader.
Director Sun felt very bored and a little angry.
I was rushing to flatter him, but I didn't expect that my hot face would meet Zheng Ren's cold ass.
You say you have strong diagnostic skills, do you really think so
You can't think about this matter. The more you think about Director Sun, the more frustrated you become.
However, he was very deep in the city, or he was timid, so he didn't attack directly and followed Zheng Ren's gaze.
"Is this a typical intestinal obstruction? What is Mr. Zheng looking at?" Director Sun glanced at it and said.
The patient's imaging examination is complete, and it is indeed the most typical condition. Judging from the film, it is not worth pondering at all.
"Oh, this is intestinal obstruction caused by Rapunzel's syndrome." Zheng Ren said casually, "Because it is relatively rare in clinical practice, I am going to do some research to avoid misdiagnosis next time I encounter it."
"What... syndrome?" Director Sun was stunned.
Paralyzed, what did Zheng Ren say
A rare disease? After Director Sun asked subconsciously, he immediately regretted it and quickly concentrated on watching the movie, trying to find out the disease Zheng Ren mentioned.
"It's Rapunzel Syndrome." Zheng Ren also has a good memory, but he has to take time out to work to earn money when he is in school. He doesn't have time to go to the journal library, so he reads fewer journals and magazines.
"It is also called Rapunzel Syndrome. Patients have psychological and physical diseases and are willing to eat their own hair. Because hair is difficult to digest, stones form in the gastrointestinal tract, causing intestinal obstruction." Zheng Ren explained briefly, I habitually held my chin and read the film carefully, trying to find clues in the film.
Director Sun was completely confused.
I’ve never heard of Raponzel Syndrome, and you still eat hair? I have been practicing medicine for so many years, why have I never seen him before
However, he buried all his doubts in his heart and read the film carefully with Zheng Ren.
"Fuguier, come here." Zheng Ren shouted.
"Boss, what's the matter?" Professor Rudolf Wagner ran over excitedly.
"Does Raponzel syndrome have any typical imaging signs?" Zheng Ren asked.
"Boss, you love to joke so much." Professor Rudolf Wagner pointed at the film and said, "On imaging of Rapunzel syndrome, some differences can only be seen in the density of fecal stones that cause obstruction, but this This difference is not much different from the density of other fecal stones, so the best way to identify it is surgery."
Zheng Ren nodded.
What the professor said was similar to my own thoughts.
That's it, let's go straight to surgery.
Director Sun was stunned. Did Zheng Ren make a clear diagnosis or not? How can I feel confident when talking to myself, but yet have to ask the professor
"Director Sun, I won't accompany you anymore." Zheng Ren heard Su Yun greeting him for the operation, and smiled and said to Director Sun, "I'm going to do the operation."
"I'll go take a look, too." Director Sun said, "I've never heard of Rapunzel's syndrome."
Director Sun was used to being cowardly, and if he couldn't compete with Zheng Ren, he couldn't compete with him. He no longer had any desire to compete or be competitive in his heart.
Although Zheng Ren is young, his surgery is good.
Take a look, you won't waste any time. Anyway, there are not many general surgeries now, so I am free.
If you can see Rapunzel's Syndrome here, go back and check it out carefully. At the annual meeting of general surgery in the future, there will be something to brag about on the wine table.
Zheng Ren did not stop Director Sun. The director of the general surgery department of this hospital took a look at the operation. What's the big deal
On the other side, Chang Yue had already made preoperative instructions, and Zheng Ren took the case and went directly to the operating room.
Director Sun felt a little emotional and said: "Mr. Zheng..."
"Director Sun, you should call me Xiao Zheng. I'm not used to calling me Mr. Zheng." Zheng Ren said with a smile.
"That's fine. Xiao Zheng, I heard how many tip surgeries you went to the Second Hospital for?" Director Sun asked casually as he walked away.
"Yeah." Zheng Ren replied, "I've made 10 of them."
"..." Director Sun was a little surprised and paused for a moment, but then followed Zheng Ren.
Director Sun didn't know what Raponzel syndrome was. After all, this is a very rare disease.
However, in the long-term period of liver cirrhosis, portal hypertension, hematemesis, and ascites are among the most common diseases in general surgery and gastroenterology.
A few years earlier, general surgery would have required portal azygos vein devascularization.
However, the current lack of fibrinogen has resulted in too high postoperative risks for portazygous vein devascularization. In addition, with the rise of tip surgery in the interventional department, a routine surgery in general surgery has gradually faded out of the doctor's field of vision.
Director Sun was very emotional. Zheng Ren's surgery was able to perform even the most difficult tip surgeries.
"Xiao Zheng, I won't be polite to you anymore. I have an old classmate who has severe liver cirrhosis and a large amount of ascites that is uncontrollable." Director Sun said: "Who did you learn tips surgery from? Contact me. I will make a referral for him and go to the Imperial Capital or the Magic Capital to find your teacher to perform the surgery."
"Study?" Zheng Ren was thinking about Rapunzel's Syndrome, and asked Director Sun in surprise when he listened to his left ear and his right ear popped.