Chapter 79 Let the Old Director Do It

The middle-aged man was silent. The B-ultrasound doctor at the bedside of the emergency department hurried over with a small cart, checked the old man, and confirmed the diagnosis of cholecystitis.

When the hospitalization order was issued, the procedures were completed, and Chang Yue entered the patient's information, Zheng Ren knew that the middle-aged man was named Lin Yuanshan and worked in the province.

Just after finishing the formalities, before Chang Yue and Lin Yuanshan gave a brief introduction and preoperative communication, the dean and vice dean of the city's first hospital, director sun of the second general surgery department, and some clerks rushed over.

"Lin Ting, why didn't you say hello when you came to the first hospital in the city?" Xiao Keming said enthusiastically from a distance, stretched out his right hand, and took more than ten steps before holding Lin Yuanshan's hand.

"Isn't this the little guy from the Chu family? He said that Dr. Zheng in the emergency ward is very high-level, so he came directly." Lin Yuanshan's tone was a little indifferent, giving people a feeling of rejection and condescension.

But Dean Xiao and others didn't think there was anything, it seemed that this was the way it should be.

"This is the old director Pan of the emergency department, and this is the director Sun of the general surgery department. Let the experienced old comrades check it out." Dean Xiao introduced them one by one.

Lin Yuanshan nodded, and there was a trace of irritability between his eyebrows.

After a brief greeting, Director Sun of the Second Department of General Surgery rushed to the emergency room and started a detailed physical examination.

Zheng Ren has also mastered the physical examination, but since there is a systematic blessing, he is just pretending, and most of it is the habit he left behind. In fact, if you don't have a physical examination, it is completely possible. After all, the diagnosis and the disease process given by the system are so detailed.

After seeing Director Sun's professional technique and detailed physical examination, Lin Yuanshan's displeasure slightly lessened.

"Acute cholecystitis, look at the B-ultrasound report, there is a lot of gas near the gallbladder, it is estimated that the inflammation is caused by the stimulation of the intestinal tract, and surgical treatment can be considered." Director Sun also gave a judgment on the condition.

"The old man is old, first check to see if there are any complications." Dean Xiao instructed.

"The patient's ECG was in sinus rhythm and bradycardia. Breath sounds in both lungs were clear on auscultation of the respiratory system, and there were no symptoms of hypostatic pneumonia. The blood collection before surgery has been sent to the laboratory, and the report will be returned within half an hour." Chang Yue 1510's report on the relevant situation.

Nurses in the ward have begun preoperative work such as indwelling catheterization, indwelling gastric tube, and skin preparation.

"Is the trauma of the operation big?" Lin Yuanshan was a little worried.

After all, the old man is in his seventies and has suffered from a cerebral infarction, and his physical condition is not as good as before. It's definitely inevitable to recover slowly.

Lin Yuanshan's worries are justified.

"With laparoscopic cholecystectomy, the patient recovered quickly." Director Sun reassured.

"Laparoscopy? Dr. Zheng said he needed to open the abdomen." Lin Yuanshan objected.

When a patient's family is faced with an experienced doctor in his fifties and a young boy in his thirties, it is natural to see which side they prefer.

Hearing that Zheng Ren had been diagnosed, Dean Xiao was also a little worried and asked, "Zheng Ren, your laparoscopy level is very high, why don't you do laparoscopy?"

"The patient has an acute attack of chronic cholecystitis, and I'm worried that the adhesions in the abdominal cavity are more serious." Zheng Ren replied candidly, ignoring the official prestige radiating from Lin Yuanshan's body at all.

For tech nerds, none of that exists.

Lin Yuanshan frowned.

Wizards who foretell bad things are bound to be burned at the stake. Whether it is Westerners in the Middle Ages, they are now, or Easterners today, there will be such a mentality.

In particular, it is even more unconvincing to say that the person whose condition may be more complicated is still a young person.

Lin Yuanshan decided to ignore Zheng Ren and directly asked Director Sun of the Second Department of General Surgery, "Director Sun, do you think it is possible to perform endoscopic surgery with less trauma?"

The Chu family sisters have already gone to prepare for general anesthesia, but even if they are there, it is estimated that there is no way to reverse Lin Yuanshan's decision.

"It's difficult." Director Sun also told the truth. After he finished speaking, he quickly blinked his eyes, looking innocent, and apologized to Director Pan with his eyes.

"If an operation is necessary, I would like to find Director Sun to do the laparoscopy. If the laparoscopy fails, the abdomen will be turned to open." Lin Yuanshan made a quick decision.

"Is the emergency operating room fully equipped?" Dean Xiao asked.

In his heart, he was more inclined to look for Director Sun to take the lead. After all, he was the old director, with impeccable level and great confidence.

As for Zheng Ren...special patients, let him stand aside first.

"Yes, I have had some laparoscopic cholecystectomy recently." Zheng Ren didn't care, "Director Sun will take a look at the palm of his hand in a while to see if there are any instruments that are incompatible with his hand, so that he can take it from the general public."

"It should be no problem." Director Sun felt that he stepped into the pit with one foot. He really didn't want to provoke this gentleman in the emergency department, and he admitted it more thoroughly.

But I didn't expect a special needs patient to involve himself again.

"Wait for the blood test report, and there is no contraindication to surgery, then prepare to do it." Dean Xiao pretended to be relaxed, and said with a smile: "Cholecystectomy under endoscopy, the first hospital of the city does about 1,000 cases every year. Last year, a 108 was performed. The old man will go to the ground one day after the operation, so don't worry about Li Ting."

Lin Yuanshan hummed with his nose, with a worried look on his face, and the atmosphere was a little heavy.

While waiting for the preoperative examination, Chang Yue began to communicate with the hospital and the preoperative communication. The crackling of the keyboard broke the silence of the office.

Zheng Ren went to the emergency room. He didn't like the atmosphere of the office, so he hid.

"You are very insidious." Su Yun was still "floating" beside Zheng Ren like a shadow, no matter where he went, Su Yun followed.

"Insidious?" Zheng Ren was puzzled.

"You have all judged that the patient has severe abdominal adhesions. If there is no mistake in the judgment, I guess the laparoscopic surgery will not go on at all." Su Yun said: "Why don't you stop it?"

"Will anyone listen to what I say?" Zheng Ren is just a straight man, but not stupid.

After working in the clinic for many years, these most basic judgments are still there. It is mainly the family members of the patients who make their own choices. If Zheng Ren rushes forward, it will cause many conflicts.

"Well, there is no Mother's Heart, so I feel more relieved." Su Yun smiled, and the little nurse in the emergency room who was preparing the patient before surgery was a little stiff.

Zheng Ren felt that bringing this cargo in the emergency room would be too much interference.

"Let Lao Sun do it first. I'm very curious. How can you judge the patient's severe 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. However, there is no obvious sign of activity in the gas-like band. I judged that the transverse colon moved up and was fixed under the liver by a wrapping material."

Speaking of unexpected diagnosis, Zheng Ren turned on the invincible mode.

It's one thing to be fooled. With the final diagnosis of the system panel, it is relatively simple to work backwards.

Su Yun's eyebrows are very delicate, and when he frowns, he is also very delicate, not dignified, but makes him more calm, full of charm, blinding many coveted eyes.

He was trying to recall the images of the emergency B-ultrasound examination at the bedside.

Is what Zheng Ren said true? How could he even understand B-ultrasound, and be very thorough and in-depth?

Thanks to the Yangtze River and Xi Baoer for their reading time, the return of the God of Wealth, the reward of book friends 20171005184812681, and the reward of 1,000 yuan for the little rookie in the medical field.