The middle-aged man was silent, and the emergency bedside ultrasound doctor hurried over with a cart, examined the old man, and confirmed the diagnosis of cholecystitis.
After issuing a hospitalization ticket, going through the formalities, and when Chang Yue entered the patient's information, Zheng Ren learned that the middle-aged man's name was Lin Yuanshan and he worked in the province.
Just after completing the procedures, before Chang Yue and Lin Yuanshan could give a brief introduction to the condition and pre-operative communication, the dean, deputy dean, director Sun of the second department of general surgery and some staff rushed over.
"Lin Ting, you came to the First Hospital of the City, why didn't you say hello?" Xiao Keming said enthusiastically from afar, stretched out his right hand, and walked more than ten steps before shaking Lin Yuanshan's hand.
"Isn't there a little guy from the Chu family here? He said that Dr. Zheng in the emergency ward is very good, so he came directly." Lin Yuanshan spoke in a somewhat indifferent tone, giving people a feeling of being distant and condescending.
But Dean Xiao and others didn't think it was anything. It seemed like this was the right thing to do.
"This is the old Director Pan from the emergency department, and this is Director Sun from the general surgery department. Let the experienced comrades check everything." Dean Xiao introduced them one by one.
Lin Yuanshan nodded, with a hint of irritation between his brows.
After a brief exchange of greetings, Director Sun from the Second Department of General Surgery rushed to the emergency room and began a detailed physical examination.
Zheng Ren also mastered the physical examination, but since he had the blessing of the system, he was just doing it for a show, and most of it was still a habit he had left over from before. In fact, it is completely okay if you do not need a physical examination. After all, the diagnosis and disease history given by the system are so detailed.
After seeing Director Sun's professional approach and detailed physical examination, Lin Yuanshan's displeasure lessened slightly.
"Acute cholecystitis, according to the B-ultrasound report, there is a large amount of gas near the gallbladder. It is probably caused by inflammation irritating the intestines. Surgery can be considered." Director Sun also gave a diagnosis of the condition.
"The elderly person is old, so check first to see if there are any complications." Dean Xiao instructed.
"The patient's ECG was in sinus rhythm and bradycardia. The breath sounds in both lungs were clear during auscultation of the respiratory system, and there were no symptoms of accumulating pneumonia. The relevant preoperative blood collection has been sent to the laboratory department, and the results will be returned within half an hour." Chang Yue 1510 reported the relevant situation.
Ward nurses have already started preoperative work such as indwelling urinary catheterization, gastric tube placement, and skin preparation.
"Is the surgery very traumatic?" Lin Yuanshan was a little worried.
After all, the old man is over seventy, has suffered from cerebral infarction, and his physical condition is not as good as before. Recovery must be slower.
Lin Yuanshan's worries are justified.
"After laparoscopic cholecystectomy, the patient recovered quickly." Director Sun reassured.
"Laparoscopy? Dr. Zheng said laparotomy is needed." Lin Yuanshan objected.
When the patient's family members face an experienced doctor who is about fifty years old and a young man who is less than thirty, it is naturally clear which side they prefer.
Dean Xiao was a little worried when he heard that Zheng Ren had made a diagnosis, and asked: "Zheng Ren, your laparoscopy is very good, why don't you do laparoscopy?"
"The patient has an acute attack of chronic cholecystitis. I'm worried that the adhesions in the abdominal cavity are serious." Zheng Ren answered frankly, not paying attention to the official authority exuding from Lin Yuanshan.
For tech geeks, those don't exist.
Lin Yuanshan frowned.
Wizards who predicted bad things would be burned at the stake. Whether they are Westerners in the Middle Ages or today, or Easterners today, they all have this mentality.
Especially if the person who said the condition may be more complicated is still a young person, it is even less convincing.
Lin Yuanshan decided to ignore Zheng Ren and directly asked Director Sun of the Second Department of General Surgery, "Director Sun, do you think laparoscopic surgery can be performed with less trauma?"
The Chu sisters had already gone to prepare for general anesthesia, but even if they were there, they probably wouldn't be able to reverse Lin Yuanshan's decision.
"There are difficulties." Director Sun also told the truth. After he finished speaking, he quickly blinked his eyes with an innocent look on his face and apologized to Old Director Pan with his eyes.
"If surgery is necessary, I would like to ask Director Sun to perform laparoscopy. If laparoscopy fails, we will switch to laparotomy." Lin Yuanshan made a quick decision.
"Is the emergency operating room fully equipped?" Dean Xiao asked.
He is also more inclined to find Director Sun to perform the surgery. After all, he is an old director with impeccable skills and greater confidence.
As for Zheng Ren... a special patient, let him step aside first.
"Both. I've had some laparoscopic cholecystectomies recently." Zheng Ren didn't care. "Director Sun will take a look at it later to see if there are any instruments that don't fit in his hand so that he can take them from the general surgery department."
"It should be no problem." Director Sun felt like he had stepped into a trap. He really didn't want to provoke the two men in the emergency department, so he accepted his coercion quite thoroughly.
But I didn't expect that a special needs patient would involve me again.
"When the blood test results show that there are no contraindications to surgery, we are ready to do it." President Xiao pretended to be relaxed and said with a smile: "Laparoscopic cholecystectomy is performed in the first hospital of the city about a thousand times a year. Last year, 108 were performed An old man who is 6 years old will be out of bed one day after the operation, so don’t worry, Mr. Li.”
Lin Yuanshan snorted, with a worried look on his face, and the atmosphere was a bit heavy.
While waiting for the pre-operative examination, Chang Yue began to write admission communication and pre-operative communication, and the crackling sound of the keyboard broke the silence of the office.
Zheng Renze went to the emergency room. He didn't like the atmosphere in the office, so he hid out.
"You are very insidious." Su Yun was still "floating" beside Zheng Ren like a shadow. No matter where he went, Su Yun would follow him.
"Insidious?" Zheng Ren was puzzled.
"You have judged that the patient has severe abdominal adhesions. If your judgment is not wrong, I guess the laparoscopic surgery will not be possible at all." Su Yundao: "Why didn't you stop it?"
"Will anyone listen to what I say?" Zheng Ren is just a straight man, but he is not stupid.
After many years of clinical work, I still have these most basic judgments. It is mainly for the patient's family to make their own choices. If Zheng Ren rushes forward, it will cause a lot of conflicts.
"Well, there is no Holy Mother's Heart, so I feel more at ease." Su Yun smiled, and the little nurse who was preparing the patient for surgery in the emergency room became a little stiff.
Zheng Ren felt that having this guy in the emergency room would be too much of a distraction.
"Let Lao Sun do it first. I'm very curious as to how you can judge that the patient has serious abdominal adhesions."
"On the B-ultrasound image, there is a gas-like band in the gallbladder area. Ordinary patients can understand it as gas interference. But the gas-like belt has no obvious signs of movement. I judge that the transverse colon moves upward and is fixed under the liver by wrapped mechanized matter."
When it came to the unexpected diagnosis, Zheng Ren turned on the invincible mode.
It's one thing to make blind judgments. With the final diagnosis of the system panel, it is relatively simple to go back.
Su Yun's eyebrows are very delicate, and they are also very delicate when he frowns. He is not solemn, but makes him more calm. He is full of charm and dazzles many coveting eyes.
He was trying to recall the images from the emergency B-ultrasound examination at the bedside.
Could it be that what Zheng Ren said was true? How come he even understands B-ultrasound so thoroughly and deeply