Chapter 1881 Seeing the patient before the operation
Zheng Ren spoke in detail, but his tone was not harsh. However, even if it was a gentle breeze, it still made Xia Hua feel a little embarra.s.sed.
“Generally speaking, the initial symptoms of the patient are severe nausea and vomiting, followed by chest pain and upper abdominal pain.
Some patients vomited blood or blood – like vomit.
The pain was like being torn apart and unbearable. Even large doses of painkillers could not ease it. Most of the pain was in the upper abdomen, the back of the sternum, the ribs, and the lower chest. Sometimes, the pain shot up to his shoulder and back. When the symptoms are serious, there are obvious shortness of breath, breathing difficulties, cyanosis, and even shock. “
Zheng Ren looked at the x – ray and found the position he wanted, then explained to Xia Hua calmly.
“I haven’t read the medical record, and I don’t know the patient’s condition, but how can I be so sure that it’s spontaneous esophageal rupture? It’s because he has a typical medical imaging manifestation. “
“You can see dumbedom airsma on the side of the chest X – ray, and the shadow of subc.u.mbus airsma on the neck. Sometimes, you can see a triangular shadow of airsma on the side of the posterior lower medicinum.”
“This is a typical medical imaging indicator, and it’s shown on the CT scan.” Zheng Ren immediately used the mouse to outline an area.
“If you’re worried, you can choose to use Meylan to do a jiede angiography. You can see that the thoracic cavity’s drainage was led out by Meylan.”
“There’s one more thing. The guide fluid in the patient’s chest bottle is turbid, and it does not match the characteristics of the guide fluid of bronchicoplechulas. “
“But there’s no need to perform any more examinations. Let’s go up to the stage and perform the surgery by thoracotomy. If I’m right, we’ll perform a simple suture after the patient is dissociated and put in an esophageal stent. “
“If you’re right, we’ll repair the lunge, what do you think?”
Xia Hua was stunned by his words.
“Have you sent the puncture fluid for testing for Amaryllis?” Su Yun asked from behind, her tone full of disdain.
Although his words were a question, one could feel that he was actually saying that he had not even tested for the starch enzyme, what the h.e.l.l was this bronchracolea leakage!
“No…” Xia Hua was stunned.
Was this the difference between the provincial capital and the imperial capital?
“There’s no need for that. Let’s just cut open his chest and explore it. ” “The diagnosis is very clear,” Zheng Ren said with a smile.”I’ll take a look at the patient and send him directly to the operating room.”
“You still want to take a look at the patient?” Su Yun said from behind.
“It’s a rule to look at the patient before the surgery. We can’t ignore this just because the time is short. ” Zheng Ren said.
Although the diagnosis was clear, Zheng Ren still had to use the system panel as a reference. He was already used to it.
However, the shock that this sentence brought to Gao Shaojie and Xia Hua was far from as simple as just explaining the patient’s condition.
A sense of responsibility was something that every doctor had to possess.
However, everyone had been living for decades, and some of their original intentions had changed.
Flying over to perform surgeries and going back and forth for a day meant that the more surgeries performed in a single unit of time, the more income they would earn.
The higher the income, the better the life of his wife and children.
This was a very simple account that everyone could calculate.
Therefore, many professors were unwilling to see the patient again after they had seen the x – ray sent to them by their mobile phones.
Of course, it did not matter. After all, the local hospital would take care of the first hurdle. If the patient had a problem, he would definitely bring it up directly.
The professor could just leave after the surgery, but the doctor – in – charge couldn ‘t.
Besides, boss Zheng didn’t earn anything from this surgery. He was purely selling his wrists to help with the surgery.
Gao Shaojie was a little embarra.s.sed, but he didn’t say anything.
Xia Hua immediately contacted the patient’s accompanying doctor and said that the patient was already on the way. They went directly to the corridor to wait, so that they would not have to trouble the patient to go back to the hospital bed and come back again.
“Boss Zheng, is old Liu doing well over there?” Gao Shaojie asked when the patient came back.
“I’m fine. I’m just too tired. I think …” Zheng Ren hesitated.
“His hair is getting less and less, and he even said he wanted a hair transplant. I think the hair on the back of his head is almost gone. Old Liu’s hairline is really about to reach his waist. ” Su Yun said with a smile.
“Is the improvement in his skill obvious?” Gao Shaojie pretended to ask casually.
“It’s good that I can upgrade it by one grade. Now that old Liu has come back to do the TIPS surgery himself, there shouldn’t be any mistakes. ” Zheng Ren looked at the door and said casually.
Gao Shaojie’s heart felt like it had been thrown into a pot of oil, and it was boiling.
At that time, he had made a mistake …
However, her child was going to take the college entrance examination and she really couldn’t leave him. Even if he had to do it all over again, Gao Shaojie would probably still choose to stay at home.
As parents, how could they abandon their child in the last few months and cause unstable factors?
When the little kid at home got into university, he would wait for old Liu to come back and go to the capital.
It would be best if her child could be admitted to a University in the capital.
At that time, he would be a study partner and a study partner … Gao Shaojie planned his future in his heart.
“Boss Zheng, when old Liu comes back, my son will have finished his college entrance examination. Can I go for Advanced Studies for half a year or a year?” Gao Shaojie asked.
“You’re welcome,” “Old Gao, it’d be great if you could go,” Zheng Ren said with a smile. Fu Gui ‘er and old Liu are both gone. I didn’t have a successful surgery on my side. “
Gao Shaojie’s heart was finally at ease.
As he said that, the sound of the Gurney was heard.
Even though he had been away from the emergency department for some time, Zheng Ren’s heart still beat faster when he heard the sound of the Gurney wheels rolling over the marble floor.
This illness would probably never be cured in this lifetime.
Zheng Ren stopped the Gurney and checked the patient’s body.
The breathing sounds on the left side were extremely weak. One could vaguely hear the sound of water bubbles, but it was not obvious. This was not important. The key was that Zheng Ren had checked the system panel, and it was indeed a spontaneous rupture of the esophagus.
“Go up the stage, I want a hybrid operating room.” “Doctor Xia, maybe you should let the in – Service training doctors do the preoperative briefing,” Zheng Ren said.
Xia Hua pushed her fatigue to the back of her mind and began to rush at full speed.
He had to explain the patient’s condition to the patient’s family members, talk about the emergency surgery, and even sign the papers. Although the patient had his gastric tube, ureter, and venous access implanted, and he only needed to prepare the skin, he would still need at least half an hour to finish his work.
More than ten minutes later, Xia Hua handed over the preoperative instructions and signing of the forms to the in – Service training doctor, and she brought the patient who had finished preparing the skin to the stage.
“Boss, you’re just too mild – tempered.” “I remember that you’ve been different ever since you left the country,” Su Yun said unhappily.”What’s going on?”
“It’s the same even after I go abroad. There’s not much difference.” Zheng Ren said.
“At The King’s Hospital, I remember you kicking gade against the wall.”
“He’s going to do chest compressions. Judging from his posture, there’s no need for emergency treatment after the chest compressions are done. That’s killing people, not saving people. How can I not be anxious?” Zheng Ren said,”you, on the other hand, hit director sun of the Affiliated Hospital of the medical University with a pair of pliers. It’s a bad influence.”
“I don’t like that guy.” Su Yun said,”I’m just here to pick and choose. The surgery can’t be carried out with just a mouth?” He’s really a dog at the start of the surgery, and the surgery all depends on his mouth. “
Gao Shaojie was dumbfounded.