Back in Corey, Zheng Ren and Su Yun changed their clothes and walked around the ward first.
6 beds... Compared with the first hospital in Haicheng City, it is much shabby.
Zheng Ren suddenly had an idea. If he returned to Haicheng, the entire emergency building would be renovated and there would have to be at least a hundred beds. Working hard every day, 20 tip surgeries a day, that’s 600 surgeries a month, and a few months is enough.
But this was just an idea, and Zheng Ren didn't take it seriously. If we really go back to Haicheng, how can we have such a large source of patients
The deputy director in charge of the Second Hospital boasted that patients could get as many as they wanted, but after doing it a few times, the patients couldn't keep up.
The postoperative patients in the ward are all stable and their symptoms have initially improved.
Professor Rudolf Wagner was concentrating on sorting out relevant documents. Zheng Ren went to look through the documents and felt like a silly son of a landlord.
However, it was much more comfortable to have the professor and Su Yun handle these routine tasks. If you were to do it yourself, the sky would fall.
But Zheng Ren's mind was full of images of the emergency department's pediatrician causing trouble, and he couldn't get rid of it.
I feel sorry for myself, and Zheng Ren sympathizes with the emergency pediatric medical staff for their unreasonable disaster.
Just as I was thinking about it, my phone vibrated with a small ringtone.
I took it out and saw that it was Director Qi from the B-ultrasound room.
"Boss Zheng, are you in Corey?" Director Qi answered the phone and asked directly.
"Director Qi, I'm here."
"Urology department, conference room, hospital-wide consultation, come and take a look?" Director Qi said.
"Okay, I'll go up now."
After saying that, the phone on the other end has been hung up.
The head of the department is authoritative.
Whether it’s Union Medical College, 912, Peking University’s First, Second, and Third Hospitals, or East-West Tumors, if you count them in detail, there are really countless great figures in the imperial capital.
For every department director to successfully reach the top, his own technical level is naturally very high, and he has countless help behind him.
Being recognized by any big director is a step to the top. Just like Zheng Ren was approved by Director Kong and transferred directly to 912, he was treated like a professor and given 6 beds.
Director Qi was kind to him, and he would be better off during the hospital-wide consultation, Zheng Ren thought.
Go quickly and have a consultation with the whole hospital. We don’t know what the disease is. Urology... I'm really not very skilled.
During the surgical training for patients with hepatic hydatid disease, I ordered an intermediate skills book to improve the surgical skills of the urology department.
But this is completely insufficient.
Zheng Ren didn't think he could say anything at the hospital-wide consultation of the Department of Urology. It was probably Director Qi's support that allowed him to show his face in front of the chief directors and the housekeeping professors.
This is a great favor, Zheng Ren knows.
Without wasting any time, Zheng Ren took the elevator directly to the urology department. Su Yun didn't follow. If he brought an assistant with him at this time, how big of an arrogance would he have? I'm afraid that if I go in, I will be disliked by the senior directors.
Department of Urology, showing the door to the classroom, Zheng Ren knocked lightly, then pushed the door open and went in.
More than a dozen people were sitting in the room. At the front was a projector with patient information on it.
Seeing Zheng Ren come in, Director Qi and Director Miao from the Department of Urology waved at the same time.
Zheng Ren was stunned for a moment, then bowed slightly to Director Miao, then came to sit next to Director Qi.
Were there such difficult multiple-choice questions when you first entered
What does it mean? Zheng Ren was in a daze.
"This is the medical record. You take a look at it first." Director Qi said, "If it's correct, say a few words. If not, just look at it here."
Zheng Ren heard the meaning of care and nodded.
The patient was a 23-year-old female. She came to Didu to see a doctor because she had no menstruation and was infertile. As a result, she was found to have an adrenal gland tumor.
Right from the beginning, Zheng Ren was attracted by the special case.
I'm 23 years old and haven't had my period before I know how to treat the disease? How sloppy is this
Looking carefully, Zheng Ren realized that this patient was a female patient from other places. She never got pregnant after getting married. When she came to the imperial capital to see a doctor, she found out that she had never had her period.
Abdominal color ultrasound examination showed: an isoechoic mass in the right adrenal gland area, approximately 6.5 cm in size.
Enhanced abdominal examination showed a mass of low-density shadow in the right adrenal area, about 6.54 cm in size. Enhanced scan showed abundant blood vessels in the lesion and rapid clearance in the venous phase, suggesting an adrenal tumor.
The various laboratory tests were relatively complete. Testosterone, androstenedione, dehydroepiandrosterone sulfate, blood cortisol, and adrenocorticotropic hormone were all on the high side.
This should be an endocrinology disease, but there was an adrenal tumor, so I came to the urology department to be hospitalized and prepared to remove it.
This relatively complex disease is different from a simple trauma.
Zheng Ren knew Director Miao of the Department of Urology, and his surgical techniques were quite good.
The kidneys eroded by worm cancer can be almost perfectly segmented and the hydatid vesicles can be peeled off cleanly. This level is already very high. Use a systematic judgment method, at least at the master level.
But the patient's disease is not that simple.
You need to know where the mass occupancy occurs, which is the adrenal gland.
Zheng Ren encountered a patient with liver cancer accompanied by adrenal metastasis. During the operation, the adrenal metastasis was embolized, and the patient's blood pressure suddenly dropped.
This endocrine organ will undergo unexpected changes after being touched.
In particular, this woman's condition is very complicated, and it is not just a matter of simply removing the adrenal tumor.
Zheng Ren looked at the medical records and gradually became stunned.
At this time, the endocrinologist was making his point. The man was in his forties or fifties, and his speech was very pleasant.
Zheng Ren read the medical records and listened. What he meant was mainly to consider the possibility that the right adrenal gland was occupied by a tumor of cortical origin, and adrenocortical cancer should be excluded.
The patient's current cortisol level is elevated. Vital signs, electrolytes, and mental changes should be closely monitored during the perioperative period, and glucocorticoid supplementation should be given.
It's quite satisfactory, and there's nothing wrong with the treatment or judgment.
"Boss Zheng, can you find the problem?" Director Qi asked in a low voice.
Zheng Ren asked: "Is there a gynecological examination?"
"..." Director Qi was startled.
"I don't think it's a simple adrenal disease, it's just complicated by changes in the adrenal gland's space." Zheng Ren whispered softly: "I'll think about it more specifically."
"It's not just a space-occupying lesion of the adrenal gland. Do you think so?"
"Huh? Who is still thinking about it?" Zheng Ren suddenly became interested. He just had a whim and thought that this disease might be similar to some rare disease, but it was just an idea. He didn't dare to talk nonsense on this occasion. Eight ways.
"Director Cui in the kidney." Director Qi pursed his lips and said.
"What did Director Cui think about it?"
"She wasn't very sure. She just said it might be a disease caused by a hydroxylase deficiency."
“21 Hydroxylase Deficiency?!”