Chapter 12 Live Streaming of Misdiagnosed Cases
Uh... Director Liu was stunned.
In his impression, Zheng Ren belongs to the kind of person who is honest and honest and can't get a fart with three sticks.
Persimmons need to be picked up softly, and Director Liu knows this.
So he didn't fight with Director Pan. If it was involved in how he squeezed out Director Pan's students, his teachers, and the former director of general surgery, his face would be ugly.
But I didn't expect that Zheng Ren's "temperament changed greatly" when he first came to the emergency department, and he would say such things arrogantly.
Not everyone can do surgery, and who can't pick faults.
It's really a frog at the bottom of the well. Director Liu first despised Zheng Renyi, then smiled, and without waiting for Director Pan to refuse, he immediately said: "Okay! The appendicitis these days are all yours to do. Well done, I will general... ...The First Department of General Surgery will no longer do appendicitis. If it can't be done well, hehe!"
Leaving a gloomy smile, Director Liu turned around and left, not giving Director Pan a chance to refuse.
Director Sun of the Second Department of General Surgery couldn't understand why Zheng Ren had set up such a big flag, and he also left with Director Liu in contemplation.
The wind was calm, and Director Pan looked helpless.
"Xiao Zheng, what you said is a bit full." Director Pan was worried.
"Director Pan, if my level is not good enough, the operation in the emergency department will not be able to be carried out. If it is enough, I am not afraid that they will find faults." Zheng Ren found a way to survive, and quickly dropped the real hammer: "Don't worry, I guarantee the tasks you arranged. Finish."
ensure? Where to go to guarantee? Director Pan has been playing with scalpels for more than 40 years, and the operations that can't be faulted... It's not impossible, but there are very few sincere.
"Let's go to the general surgery department. When the operation is really going to be done, we have to ask Director Pan to sit in your office. Don't let them confuse black and white."
Director Lao Pan really doesn't know where Zheng Ren's confidence comes from, but he's already said that, what else can he do? With a sigh, he arranged for the on-duty doctor in the emergency department to go to the inpatient department for consultation if he found acute appendicitis or suspected cases.
After making arrangements, the two were silent and went straight to the first department of general surgery.
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...
Zheng Ren clearly remembered that because of the teaching demonstration operation, there were several patients with abdominal pain waiting for investigation in the First General Surgery ward.
When it came to general surgery, Zheng Ren didn't go into the doctor's office, but went to the ward first.
The power of the system is still there. Whenever Zheng Ren looks at a patient, relevant diagnostic information will appear in the upper right corner of the field of vision.
It's just that the font has been faded and slightly blurred.
At the top is the countdown, there are still 2 days and 22 hours.
"Yo? The hospitalization in the emergency department has always come to our general surgery ward?" Seeing Zheng Ren walking from ward to ward, Cen Meng, the hospital chief of the first general surgery department, turned on a mocking mode with a look of disdain.
A large round of wards across departments, no one dares to do this except for a few big cows.
This ridicule was very full, and Cen Meng still had a bunch of words waiting to spray Zheng Ren.
As if he hadn't heard it, Zheng Ren walked around and looked at the few patients with abdominal pain who were waiting for investigation in his memory. Then he came to Cen Meng and said, "Mr. Cen, 3-7 bed patients are diagnosed with ectopic appendicitis and need an emergency room. Operation."
Cen Meng froze for a moment, the big rounds just mentioned was originally a mockery, but he didn't expect Zheng Ren to really lean forward.
Isn't this looking for a fight?
He recalled that bed 3-7 was a 40-year-old male patient with right upper quadrant pain and was admitted to hospital on the 1st. B-ultrasound report, there is an inflammatory mass near the gallbladder area, the gallbladder wall is gross, and acute cholecystitis is considered.
What a parallel import, the diagnosis of acute cholecystitis as acute appendicitis...
"Your technique was taught by your wife?" Cen Meng sneered: "The appendix is in the lower right abdomen, not in the upper right abdomen."
"Heterotopic, I said." Zheng Ren turned sideways, walked past Cen Meng, came to Director Lao Pan, opened the workstation, and called out the 3-7 patient cases.
"Director Pan, you see this patient, I think the diagnosis of the First Department of General Surgery is wrong." Zheng Ren said.
Director Pan was speechless.
This is really the rhythm of coming to the door to slap the face. It is absolutely impossible to reconcile this matter when people say that the diagnosis is wrong.
I just don't know if it was a hit or a hit.
To say that the diagnosis of general surgery was wrong, how much hatred?
Director Pan looked at the case once, and an ominous feeling enveloped his body.
Could it be that he has taken a wrong look, Zheng Ren is such a scumbag? All my fame and fame, will I be pitted by this pit of goods? Although there is an inflammatory mass in the gallbladder area and possibly an ectopic appendix, this possibility is simply too low.
There is no problem with the operation. They are all operated on the right upper abdomen. Whether it is a cholecystectomy or an appendectomy, it is just a name. The real surgery is exploratory laparotomy.
But... Director Pan also thought it was acute cholecystitis.
Clinically, people with small probability don't pay much attention to it. Just be careful not to interfere with the normal medical process with a small probability event.
Various inspection reports point out that the patient's disease is likely to be acute cholecystitis.
The family agreed to the operation and waited for the operating room to pick him up.
Acute cholecystitis can be diagnosed as acute appendicitis, how can I think, how can it be unreliable.
"You're still finished, Zheng Ren, you've already been transferred..." Cen Meng was halfway through when he was interrupted by Director Liu.
"Isn't the patient ready for surgery? Then open the stage and let him do it." Director Liu said: "The possibility of an ectopic appendix is not ruled out, but it is not very likely. The big problem is that the diagnosis is wrong. We will follow the exploratory laparotomy. Come and wipe his ass. Cen Meng, follow along and pay attention to the patient's safety. "
Speaking, Director Liu stared and said, "The patient's surgery is the most important thing and cannot be ignored."
Cen Meng responded.
Cen Meng also experienced what happened in the emergency department just now. In a blink of an eye, he knew what Director Liu was thinking. With a strange smile on his face, he leaned over to Director Liu and whispered, "Why don't I go to the operating room and talk to the operating room? Arranged in the teaching operating room, you can find the leaders of the medical department to save them..."
Director Liu was very relieved and patted Cen Meng's shoulder. This hospitalization was never promoted in vain. It was really caring.
This time, I must slap Zheng Ren to death and tell Director Pan that he dares to come to my general surgery department to grab food, you are not worthy!
With a glance, Cen Meng met and left quietly to arrange many things.
Director Liu looked at Zheng Ren, snorted coldly, and said, "Zheng Ren, this patient would not allow you to make irresponsible remarks. But what you said also makes sense. Since you are sure, go try it. But the ugly words are ahead, Once you make a mistake in your judgment, the operating table is not a place for you to fool around. I will take Cen Meng to replace you, and then... hum!"
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On Xinglinyuan’s website, it was still the anonymous account, and it started live broadcasting, and began to post the patient’s condition, tests, and examinations.
"Which hospital is this person, live broadcast in Xinglinyuan?"
"It is estimated that I want to be famous and want to go crazy, and it is normal to disappear in the end."
"Hahaha, have you seen it? A case of acute cholecystitis was treated as acute appendicitis, and the operation was broadcast live even if the diagnosis was unclear? Do you want to live broadcast the postoperative medical troubles?"
As soon as the live video was broadcast, it attracted more than a dozen people's attention.
Those who dare to live broadcast the surgery are all big cows.
But the live appendectomy is still a "misdiagnosed" appendectomy... Is this a joke?
As the people who started paying attention are calling friends and friends, more and more people are paying attention to this live broadcast.
The test of the patient, the name of the case, and the hospital are all mosaic, and it is impossible to know which hospital it is.
But no one pays attention to this, everyone pays attention to one point - this is a misdiagnosed case!
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...
Showing that the classroom is spacious and bright, a dozen doctors are generally sitting around Director Pan.
This was arranged by Director Liu.
At this time, the higher Director Pan is held in the air, the worse he will fall after ten minutes.
Yes, it only takes ten minutes for Zheng Ren to reveal his true shape. Decades of clinical experience have given Director Liu confidence.
Director Liu has already seen a bright future. The restless child in the emergency department is stillborn. Who will dare to break ground on his head in the future!
"Director Pan, everything is arranged according to your requirements. The equipment nurses use people from your emergency department. Zheng Ren said that there is no need for a desk. Look, is there anything you are not satisfied with?" Cen Meng strode in, Seeing that he came to Director Pan respectfully, there was nothing wrong with his tone and expression.
The deputy director of the medical department sat beside Director Pan with a strange expression.
Director Pan is really old, such a simple case, let a small chief make mischief.
Alas, this time dealing with dim sum will save them from dealing with various disputes in the future.
The classroom is quiet and everyone is thinking about different things.
The anesthesiologist made a gesture on the screen, and the operation officially began.
The scalpel was thin and bright, and Zheng Ren cut it without hesitation.