“Boss Zheng, iodophor doesn’t look like that on CT scans, right?” Lin Yuan continued to ask.

“Not what?” Zheng Ren asked casually.

“It looks like a stone. I feel like there’s something wrong with what you said.” Lin Yuan asked,”boss Zheng, don’t be angry. I just don’t understand.”

Zheng Ren turned his head and took a look at Lin Yuan. This child’s talent was not bad, but he was still far from Su Yun ‘s.

Lin Yuan was stunned for a moment and subconsciously wanted to raise his hand.

“CT scan, have you done it before?” Zheng Ren stared at the radial styloid process on Lin Yuan’s left hand and asked.

Lin Yuan felt as if an invisible hemostatic forceps had knocked on the radial styloid. Boss Zheng had slapped him, and his heart trembled.

“I’m asking you a question. ” Zheng Ren stopped looking at him. He found director Luo’s phone number and called him.

“I did. Boss Zheng, you mean …”

“Department Director Luo, there’s a patient here who needs an emergency gastroscopy.”

“Yes, it’s an emergency. He has hemorrhagic shock. He should be a patient with hepatitis B. I’ll bring his medical record with me, and we’ll talk about it later. “

“Yes, he’s suspected to be bleeding due to ruptured liver cancer. There’s no way to confirm this.”

“No, no. I suspect that the blood flows in reverse along the bile duct to the pancreas and gallbladder. If that’s the case, there might be bleeding at the descending part of the duodenum.”

“Right, alright, let’s meet and talk.”

With that, Zheng Ren hung up the phone.

“What did you just say?” Zheng Ren asked.

“I mean, the duodenum … Uh, I’ve done a CT scan. What do you want to ask, boss Zheng?” Lin Yuan asked.

“How did you give me a CT scan of the head and the window frame?” Zheng Ren asked casually.

“The width of the window in the head is 100, and the window position is 37.”

“What about the abdomen?”

“I’ll give you 400 yuan for the window frame and 40 yuan for the window position. ” Lin Yuan answered smoothly.

‘Hmm, her basic skills are quite solid,’ Zheng Ren thought. Very few Chinese clinicians would know the concept of CT window frames.

However, it was also conceivable that this person had a PhD from Harvard Medical School, so he was not comparable to the average undergraduate students in China. If she wasn’t a top student, she wouldn’t be able to go to the top international medical school.

“Why are the window frames and window positions different?”

“Because of the visual contrast …” Lin Yuan was stunned for a moment. She immediately shook her head and said excitedly,””It’s like this, I know!”

Zheng Ren ignored her and strode forward.

“Boss Zheng, please wait a moment!” Lin Yuan chased after him. Although she was tall and had long legs, she was a girl after all. It was normal that she couldn’t catch up to boss Zheng.

“It’s because iodophor is gathered in the liver, so it looks especially bright. And if it flows back into the gallbladder along the blood flow, it’ll just be a little high-density shadow that looks like mud. ” Lin Yuan said as he jumped up and down in excitement.

“It’s like this. “

Lin Yuan kept asking, but Zheng Ren only nodded his head indifferently and didn’t say a word.

“Wow, how did you think so far ahead!” Lin Yuan asked in surprise.

“I thought of it after I followed the various complications.” Zheng Ren said.

When he arrived at the endoscope room, director Luo was changing his clothes.

“Director Luo, I’m sorry to trouble you. Why did you come here personally?” Zheng Ren said with a smile.

“To see your skills, boss Zheng.” Department Director Luo said with a smile,”the liver transplant surgery was done quite beautifully two days ago.”

“We still need Su Yun. The patient’s condition is too bad, and her heart has stopped. If he didn’t do chest compressions, we wouldn’t have been able to get out of the surgery. ” Zheng Ren smiled honestly.

Director Luo looked at Zheng Ren with a smile. Boss Zheng was really humble.

He was in a bad condition when he performed an emergency liver transplant, and he was still so calm. It was quite good.

“Is he your patient?” Department Director Luo asked,”didn’t you fly to London for an ectopic transplantation? you just came back and you didn’t even take a rest.” There are still things to do in the ward area. It’s really busy. “

“Oh, my patient is fine. He’s professor Zhao’s patient,”

Director Luo was slightly stunned and felt that something was a little strange. However, he did not ask. He only smiled, changed his clothes, and followed Zheng Ren to the endoscope room.

The two of them did not talk about the patient’s condition, as it was meaningless to say anything more at this time. They just chatted about the surgery two days ago.

Lin Yuan also changed his clothes and followed him in. She wanted to ask boss Zheng about some things several times, but with director Luo around, she couldn’t interrupt and could only hold back.

More than twenty minutes later, Zhao Wenhua brought the patient up.

If Su Yun was here, she would have definitely scolded him. However, Zheng Ren knew that this was because there were still various preoperative instructions to be given, and it was not because Zhao Wenhua was not diligent.

If he really didn’t put in the effort, he could just look for a consultation if there was a problem and then treat it step by step.

In the end, the patient’s condition would get worse and worse, and they would have to consult the entire hospital or send him to the ICU.

According to the standard process, he didn’t need to use his brain to deal with things.

To be able to think about the film in detail, this person was not bad. Although he was timid, unwilling to take responsibility, found excuses when something happened, and even caused trouble for his treatment group …

Zheng Ren remembered all these things in his heart. He would never forget them without thinking about them.

In boss Zheng’s little black notebook, which held grudges, everything about Zhao Wenhua had been written down.

But,

Things were different now.

Their levels and realms were different, so they naturally thought of different things.

In just a few months, Zhao Wenhua had become a junior doctor in Haicheng, and he was no longer a threat to her. Moreover, he was very observant and avoided Zheng Ren. Zheng Ren was too lazy to bring up old scores.

Moreover, this was a case of misdiagnosis. He couldn’t just pretend that he didn’t see it, stand aside and laugh at it coldly, and then use the case to slap Zhao Wenhua in the face.

The price of one life was too great. Zhao Wenhua was not worth it.

“Boss Zheng, I’m sorry I’m late.” Zhao Wenhua brought the patient in and apologized profusely.

“It’s fine. Go and change your clothes. I’ll start making the noodles.” Zheng Ren pushed the patient inside while Lin Yuan led the way in front.

Zhao Wenhua looked at boss Zheng’s back with mixed feelings.

Zheng Ren brought the patient to the emergency endoscope room and carried him to the bed. The anesthetist then inhaled the anesthesia.

Department Director Luo did not say anything, and he did not care who did the laparoscopy.

If it was an ordinary doctor, or even a Department Director, Department Director Luo would not allow him to do it personally in his own laparoscope.

But boss Zheng was different.

A few minutes later, when Zhao Wenhua changed his clothes and rushed in, the gastroscopy had already passed through the pylorus and entered the duodenostomy.

There was a vertical fold at the lower part, and the lower part was a round bulge, which was the large duodenon, the common opening of the common bile duct and the pancreatic duct.

On the screen, blood kept flowing out of the large R head of the duodenum, and the gastroscopy could see it quite clearly.

Zhao Wenhua felt lucky.

Fortunately, he didn’t refuse boss Zheng’s help for the sake of his reputation. If the bleeding continued, the patient’s hemorrhagic shock would definitely worsen tonight. If he was sent to the ICU and treated like this, the patient would definitely die.

……

……

[Note: This is a case from a few days ago, a patient who had just undergone radio frequency resuscitation.] In this small place, he had performed more than one hundred cases of radio frequency resection, and he had only seen one patient with complications of bleeding. In reality, it was seven days after the surgery, when the patient was about to be discharged.

After consultation with various departments, the diagnosis was clear that the patient had gallstones and acute pancreatitis. After that, our Department Director went against everyone’s wishes and did a gastroscope to confirm the diagnosis.

Sometimes, an objective examination can’t be trusted.

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