"Here, Mr. Zheng." The resident general of the second department of general surgery took Zheng Ren to the ward and introduced him all the way. "The patient was in severe pain. When asked about his medical history, his family members had different opinions on the scars on his abdomen. Some said it was appendicitis, and some said it was appendicitis. They said it was intestinal obstruction."
Zheng Ren nodded, he would definitely be careful when encountering this situation.
Clinically, we are more afraid of such patients and their families. Some deliberately conceal the medical history, and some do not remember it clearly at all, but generally speaking, no matter what the situation is, it will cause trouble in the diagnosis and treatment of the disease.
Entering the ward, the patient had a gastric tube inserted and gastrointestinal decompression had been performed.
His body was hunched over, like a prawn on the bed, groaning in pain.
Zheng Ren subconsciously glanced at the system panel on the upper right side of his field of vision. The diagnosis on it was intestinal perforation and intestinal obstruction.
Piercing? Zheng Ren was stunned for a moment.
It is said that the patient will have severe peritonitis after intestinal perforation, which is consistent with his symptoms. It's just that the condition of intestinal obstruction has evolved into intestinal perforation. The intestines are afraid of necrosis, and the intestines need to be amputated.
Zheng Ren became nervous instantly, and his rating for the patient had been raised from B level to S level.
Without delay!
"Hand the surgical drape and prepare for the operation." Zheng Ren said immediately, then came to the patient's side, asked him to lie as flat as possible, and began to examine the patient.
The resident in the second department of general surgery was startled for a moment. He didn't understand why Zheng Ren's attitude changed instantly.
The aura of a veteran director rose up in Zheng Ren, an aura of self-confidence accumulated through years of clinical practice, successful surgeries, and rescue operations.
He was startled for a moment, then ran to submit the surgery order.
"Mr. Zheng, the technique..."
"Exploratory laparotomy!" Zheng Ren said while doing a physical examination.
The professor stood next to Zheng Ren, frowning and watching his physical examination.
The family members were surprised to see a tall foreigner in Haicheng City No. 1 Hospital. They all fell silent and looked at Zheng Ren.
A simple physical examination revealed that the patient already had signs of a slab-shaped abdomen. This proves that the diagnosis given by the system is correct, intestinal perforation, this diagnosis is not correct.
It’s just that the condition of intestinal necrosis is not yet known.
"Family members, if you know the patient's condition, come with me." Zheng Ren said.
Several family members looked at each other, and finally two men in their forties or fifties stood up and followed Zheng Ren out.
After only a few seconds of hesitation, Zheng Ren quickly walked far away.
The two of them ran all the way to the office.
When they entered the office, they saw Zheng Ren sitting in front of the computer and the professor standing behind him. Both of them were stunned.
"You guys sit down." Zheng Ren said, "Let's briefly talk about the patient's condition first, sign for the operation, and wait for Mr. Meng to tell you."
"Oh." Both patients' family members felt a tense atmosphere and nodded in a daze.
"The patient's current condition is urgent. He is temporarily diagnosed as intestinal perforation and intestinal obstruction." Zheng Rendao: "This disease is likely to cause the patient's death. Mr. Meng will ask you to sign a critical condition soon. I see that there is a surgical incision in the patient's abdomen. , what operations have you had before?”
Zheng Ren stared at the two family members, observing their micro-expressions.
The two family members had stiff and embarrassed expressions on their faces. But they both remained silent at the same time, neither of them spoke.
Zheng Ren sighed inwardly, it was really a headache to meet such family members.
"This is extremely important for the operation. I hope you will tell the truth." Zheng Ren's tone became a little more serious.
"..." The two patients' family members looked at each other again, and Zheng Ren's serious tone made them feel something was wrong.
"Uh... that was an exploratory laparotomy performed in our county three years ago for the same disease." A family member of the patient said hesitantly.
"Where's the postoperative diagnosis?" Zheng Ren pressed forward step by step.
The laparotomy is just the beginning. The most important thing is the next sentence, which is the result of the laparotomy.
Zheng Ren's tone was serious, even harsh, like a knife.
He didn't want to give the patient's family time to think, he just wanted to know the truth of what happened at that time.
However, Zheng Ren was still disappointed.
His accumulated experience in communication and communication with patients' families has been brought to the extreme, and the attitude of the family members was obviously shaken, but in the end they became silent again.
Zheng Ren really had no choice.
Surgery? The weird emotions in the patient's family are like a landmine lying on the road. If you step on it, you may be shattered to pieces.
But without surgery
The patient is certain to die.
Intestinal perforation, digestive juices leaking out in the abdominal cavity... Zheng Ren shook his head, unwilling to think about these things.
"Doctor..." a family member whispered: "We don't know the reason."
Zheng Ren was sure that the patient's family was lying because his eyes flickered and he avoided his gaze.
Even so, the family looked at him as an honest man, and he didn't seem like the kind of person who would deliberately cause trouble.
Zheng Ren hesitated for a moment, then immediately made up his mind and said, "The patient is extremely ill and in poor condition, and the operation risks are high. Can you sign?"
"Yes, yes." The two stood up in unison and bowed repeatedly, "Doctor, please, please save my dad, please."
Zheng Ren felt that he had not woken up yet, so he must be.
The expressions and behaviors of the family members represent two different intentions, which...
"Mr. Zheng, the operation order has been submitted. The anesthetist is looking at the patient. Here..." Mr. Meng hurried back and talked to Zheng Ren.
"Follow the instructions for exploratory laparotomy." After Zheng Ren and Mr. Meng explained, they turned to look at the two patients' families and said: "The specific operation method must be decided during the operation. If we encounter any situation at that time, I will step down and You say."
"Okay, okay." the two said.
Zheng Ren thought for a while, picked up the phone and called Su Yun.
"General surgery, a laparotomy."
"Well, let's talk about the surgery in detail. I'll push the patient up first."
"Yes, surgery room."
After Zheng Ren finished speaking, he hung up the phone and walked quickly to the ward.
Because it was still early and it was not the normal working hours, only the doctor on duty and the hospital resident were always there.
Zheng Renhe, the resident general manager of the second department of general surgery, explained his judgment and went directly to Director Sun.
Zheng Ren kept this matter in mind.
The situation of the patient's family was very complicated, and Zheng Ren couldn't tell their intentions.
Surgery can be performed, but normal risk-avoiding actions are still required.
How to avoid it
Naturally, he dragged Director Sun to the stage.
The patient came to see him. If something happened, Director Sun would be able to fight it. As for me, I am just a doctor on the stage for consultation, and my responsibilities are countless times lighter.
No matter how much Director Sun didn't want to undergo this operation, Zheng Ren still firmly pulled him up.
Just kidding, it’s already great to be able to help with the surgery. Don’t you, a great director, have such a little responsibility