310 Scumbag (2/4)

Chapter 310 Scumbag (24)

The doctor in charge of emergency B-ultrasound in the B-ultrasound room knew Zheng Ren. After all, the emergency department needed the most emergency B-ultrasound.

He smiled and said, "Boss Zheng can even do B-ultrasound by himself?"

"I understand a little bit." Zheng Ren took the probe, stroked the patient's stomach twice, found the position he needed to look at, and carefully looked at the image on the screen.

There was indeed a blockage at the distal end of the bile duct. Under the B-ultrasound, Zheng Ren changed two hands. The side view and the front view confirmed that the blockage was not a denser stone, but rotten and fermented food residue.

The blockage point was consistent with the characteristics of postoperative complications of side-to-side choledochoduodenostomy, and the differential diagnosis ruled out the possibility of end-to-side Roux-en-Y anastomosis of choledochoduodenum and choledochoduodenum fistula.

The dilation of the bile ducts was evident, which is why the patient presented with obstructive jaundice.

Air accumulation can be seen in the biliary tract, and cystic parcels can be seen in the liver, which is highly suspected to be liver abscess.

It should be cesspool syndrome. Depending on the patient's condition, emergency surgery is required.

Zheng Ren put the probe on the shelf of the B-ultrasound car, picked up the square toilet paper, and threw it on the patient. While thinking about the operation method, he said casually, "Wipe."

"President Zheng, are you sure?" The doctors in the B-ultrasound room admired Zheng Ren's skillful technique, at least he would never be able to reach Zheng Ren's level.

I can't do it, but the video is still understandable, and it saves me doing it myself.

While rubbing the gel on the patient's body, he even asked.

"Should be sure." Zheng Ren said, "Director Xia, if the patient's family agrees, we can go for surgical treatment. Tell the patient's family to find me in the emergency ward before the operation."

"En." Director Xia nodded with a heavy and serious expression.

This patient is very different from the patient who had TIPS surgery last night.

Director Xia didn't know or be familiar with it, so he couldn't say confidently like last night, emergency surgery, I will sign.

Communicate with the patient's family and explain the condition. But these things can also be handed over to Zheng Ren.

After Zheng Ren walked out of the gastroenterology department, he was still torn between laparoscopic surgery and laparotomy.

If laparoscopic surgery is performed, the trauma to the patient is small, and all patients who underwent laparoscopic cholecystectomy in the emergency room ran home on the first night after surgery, which is a clear proof.

However, the patient has various complications. If you want to solve all of them in one operation, laparotomy is the best choice.

but……

"Boss, you just threw the toilet paper on yourself and said wipe it, that feeling, you really look like a scumbag." Su Yun said with a smile.

At this time, only people like Su Yun can laugh.

Zheng Ren was taken aback for a moment, and then realized what Su Yun meant. Just now, I was distracted by my thoughts, but I didn't expect Su Yun to grab the pigtail.

Scumbag... Tsk tsk.

It's really impressive, and Zheng Ren is also happy.

"What are you thinking about?" Su Yun immediately asked seriously.

"Is it laparotomy or laparoscopy."

"It is necessary to open the abdomen. It is difficult to remove food residues with a laparoscope. It is too troublesome to use antibiotics after surgery. Moreover, the main reason is that I don't want to hold the mirror." Su Yun is confident.

Su Yun, who looks delicate and looks like a little girl, pursues the field of surgery and wants to be spacious and generous, so when he was a graduate student, he chose thoracic surgery.

With the evolution of minimally invasive surgery, thoracotomy in thoracic surgery has also decreased rapidly, and large incisions of 40 cm are rare.

Zheng Ren suspected that this was Su Yun's initial motivation to learn about heart transplantation.

"Then open the abdomen." Zheng Ren also made a decision. It was not because Su Yun didn't want to hold the mirror, but because the patient's condition was more complicated. During the operation, a B-ultrasound probe might be used to find the point of the liver abscess and puncture to extract the pus. In addition, a series of operations such as stem yellow have to be dealt with.

The two returned to the emergency ward, and Director Pan arranged for Yang Lei to be on the first shift today.

Chang Yue took the professor to wander around from ward to ward, chatting with the family members of the patients, and talking about why they violated the rules and went home last night.

After turning around the ward, Chang Yue found that she took Professor Rudolf Wagner to the ward, and the patient's medical compliance at least doubled.

In Haicheng, it is common to take interns on ward rounds. But no one has ever seen a foreign "intern" round the house.

The ward was in order, and Zheng Ren notified Yang Lei that he was going to have surgery.

Because of Yang Lei's request that day, Zheng Ren also wanted to let him have part of the surgery to improve his level as soon as possible.

Just a few months ago, what Zheng Ren was struggling with was Cen Meng and Director Liu not letting go of his surgery.

Didn't expect that now he can allow others to operate.

Thinking about it all, it was all so unreal.

Soon, Zheng Ren received a call from Director Xia, saying that the patient's family had agreed to the operation and was on his way to the emergency ward. She also made preoperative preparations on that side, and pushed the patient to the operating room after she was done.

Director Xia's behavior is quite vigorous and resolute, and Zheng Ren appreciates this kind of character.

Zheng Ren didn't leave Yang Lei or Chang Yue to do what he explained before the operation.

Because when the patient's family members said the patient's past history, there was ambiguity. Zheng Ren wanted to ascertain whether it was due to lack of professional knowledge or intentional.

The difference between the two is huge.

The patient's family members soon came to the emergency ward. They were two middle-aged people who should be the patient's son.

Zheng Ren had also seen the two of them in the ward before.

Looks pretty nice and positive.

Zheng Ren asked about the patient's previous situation. Judging from the body language of the patient's family members, it should be due to the lack of professional knowledge, coupled with the fact that it was a long time ago, when the patient underwent surgery, they should have been underage.

Once this is confirmed, everything is on track.

Explain the possible situations during the operation one by one, and explain the current situation of the patient to the family members of the patient. It is impossible to do without surgery, and there is a 30% possibility of not getting out of Taiwan after surgery.

After Zheng Ren finished speaking, the faces of the patient's family members were pale, and cold sweat flowed out.

Seeing that there was nothing wrong with this side, Su Yun went directly to the operating room with Yang Lei to do various preoperative preparations.

The family members still signed the letter agreeing to the operation, Zheng Ren handed the signature form to Chang Yue, and went to the operating room.

Professor Rudolf Wagner and Zheng Ren went to change clothes and entered the operating room. He didn't repeat himself, he wanted to persuade Zheng Ren to follow him to Heidelberg, Germany to establish a research group.

Zheng Ren also lazily wanted to teach the true thoughts in his heart, and all his attention was on the operation that was about to start.

Sinkhole syndrome, hopefully not too heavy.

During the process of changing clothes, Zheng Ren went to the operating room of the system again and practiced ten surgical operations for cesspool syndrome.

The operation went smoothly. After all, Zheng Ren is a master of general surgery, and he has experience in liver and gallbladder dissection. Local anatomy is very strong.

The basic skills are solid, and any operation can be started quickly.

Practicing ten sets is already very cautious.

Hearing the sound of flat cars, Zheng Ren just changed his clothes and walked into the operating room.

"Boss Zheng, I'm starting anesthesia, what do I need?" Chu Yanzhi asked.

"All anesthesia, I don't need anything else for now," Zheng Ren said.