Chapter 509 The Boss Peed

Hearing what Director Xia said, the patient's family members also showed doubts on their faces.

It's not like talking nonsense and perfunctory yourself. But...he glanced at Zheng Ren again, he was indeed a young doctor.

This is strange.

Director Xia's reputation is known to many ordinary citizens in Haicheng, and he is one of the top gastroenterologists in Haicheng.

How could she respect this little doctor so much?

"Mr. Zheng, the amylase of the patient with acute severe pancreatitis has basically returned to normal." While watching the film, Director Xia told Zheng Ren about the patient two days ago.

"Well, it's your specialty, and it's cured well." Zheng Ren said casually, his mind was full of relevant diagnosis and differential diagnosis information.

"Thanks to you." Director Xia didn't mind Zheng Ren's perfunctory, and said with a smile, "How does Mr. Zheng diagnose this patient?"

"It looks like a large abscess in the abdominal cavity, but I don't think it is. Now it is more inclined to colonic diverticulum."

"Diverticulum?" Director Xia was taken aback.

"Hmm." Zheng Ren picked up the laboratory test that the patient had done in the emergency department, and said, "Director Xia, you don't see any abnormalities in the patient's blood routine. If it's a large abscess in the abdominal cavity, there must be something related to it anyway." Changes in blood tests."

Director Xia pondered.

"Of course, this is just a doubt. The patient is an elderly person, and his body may not be able to respond. But if the diagnosis of colonic diverticulum is made, everything can be explained logically." Zheng Ren pointed to the film, and began to think about himself in professional imaging terms He said what he wanted for three minutes.

Su Yun's eyebrows were furrowed tightly, his head was slightly lowered, and through the black hair on his forehead, he looked at the side face of Zheng Ren who was talking eloquently.

That originally dull face was full of confidence, a little ostentatious, but not too much.

Who gave him the confidence?

Su Yun was a little confused.

This kind of differential diagnosis requires technology, but more importantly, experience.

Technically, Su Yun didn't think...he himself didn't think that Zheng Ren was much better than himself. But why is he so confident?

The same question also appeared in Director Xia's mind.

strangeness!

"Mr. Zheng, I think what you said just now may be because the patient is older, and the possibility of the blood image not responding in a short time is higher." Director Xia and Su Yun have similar opinions, thinking that it may be a large abscess in the abdominal cavity Sex is bigger.

Zheng Ren smiled and said: "I haven't seen a similar case in our city's first hospital, but it was mentioned in the relevant literature. Dr. Molière S's last article on Surgery mentioned a similar case. , very similar to this patient."

Su Yun was suddenly enlightened. It turned out that Zheng Ren had read similar reports, so he could be sure of it with a high probability.

It seems that the road to catch up has been a lot longer.

But it's strange, I don't usually see Zheng Ren reading periodicals and magazines. Could it be that he read them when he was in school?

Director Xia still insisted on his own opinion, and asked: "Similar cases cannot prove..."

"Director Xia, look here." Zheng Ren's face was full of confidence. He recalled a case report he had just seen, and then reversed, everything suddenly became clear.

Zheng Ren took out the pen, pointed at a position on the CT of the lower abdomen with the tip of the pen, and said, "Here, the image of the liquid level changes slightly. The information obtained from the CT scan is calculated to obtain the X-ray attenuation coefficient or The absorption coefficient is then arranged into a digital matrix. The change here, according to the attenuation law of the digital matrix, I judge the density..."

Director Xia was confused by the endless technical jargon.

Although, as the director of the University of Gastroenterology, he is well-known in Haicheng and has rich clinical experience, this does not mean that Director Xia is familiar with CT and has reached the level of Zheng Ren.

"Boss, it's time to urinate! It's time to urinate! The patient urinates successfully!" Professor Rudolf Wagner's excited voice came from the other end of the corridor like a lion's roar.

"Su Yun, tell Fugui to shut up!" Zheng Ren said displeasedly, frowning.

Soon, the professor hurried to the office with uncontrollable excitement.

"Boss, boss, pee!" the professor whispered excitedly.

"Fugui, it's not the boss who urinates, it's the patient who urinates normally after surgery." Zheng Ren was a little unhappy, and corrected, "Isn't it normal to urinate? It's a big fuss."

Zheng Ren then said flatly: "Director Xia, let's continue."

Professor Rudolf Wagner glanced at the film and said casually, "Boss, you have an abdominal abscess... No, the density doesn't look like an abscess."

"Fu Guier, what do you think?" Zheng Ren couldn't stand the professor's yelling, so he asked the professor instead of explaining it to Director Xia.

"Boss, I think it may be a colonic diverticulum or an abscess, this identification..."

"I think it's a colonic diverticulum. If you inversely deduce the digital matrix from the image, and then add a reconstruction, it will be more obvious from the perspective of transparency and absorption." Zheng Ren said.

"Boss, praise you!" Professor Rudolf Wagner made an exaggerated expression, pointed at the CT film with his finger and said, "I understand what you mean, it is indeed a diverticulum, there is no doubt about it!"

Director Xia couldn't understand the communication between Zheng Ren and Professor Rudolf Wagner at all, and looked confused.

Su Yun frowned tightly, and after more than ten seconds, he showed an expression of sudden realization.

The family members of the patients were even more at a loss. They didn't know why there was a foreigner who was so fluent in Chinese in the city's first hospital.

"Boss, I think God not only kissed your hands, but also endowed you with a unique brain." Professor Rudolf Wagner continued to praise, without feeling nauseous at all, "The patient urinated, I left the urine sample, you can go and see A glance? It looks like the best beer in Munich."

Well……

Zheng Ren couldn't understand the professor's excitement, and cast a disgusted look at the professor, rejecting him thousands of miles away.

"I have something to do here, go get busy." Zheng Ren said with disgust.

The professor just wanted to defend, but also wanted to fight for it. But when he saw Zheng Ren's nonchalant expression, he cringed and walked away in embarrassment.

"Director Xia, the diagnosis is relatively clear. I think surgical treatment is needed. Laparoscopy is not recommended, because the diverticulum is too large, and surgery is safer." Zheng Ren said.

Director Xia couldn't understand what digital matrix Zheng Ren was talking about, what inverse derivation was, but he just thought it made sense. She stared blankly at the CT of the lower abdomen inserted into the film reader, and thought to herself, perhaps only Philips engineers could do this if they started studying medicine.

"Director Xia?" Zheng Ren asked again.

"Ah?" Director Xia came over in a daze, and smiled, "Young people are scary, since the professor and you have the same idea, let's do it."