Chapter 1532 Retaining People Under the Knife
Feng Jianguo thought he had heard it wrong, looked at Zheng Ren with a strange expression, and asked, "Boss Zheng, what did you say?"
"Considering that the patient has myasthenia gravis, immediately go for thymic CT or MR. If there is a thymoma, a preliminary diagnosis can be made temporarily." Zheng Rendao.
Feng Jianguo saw that Zheng Ren's eyes were slightly narrowed, and he had been watching the film, and he was a little puzzled.
He glanced at it and saw that Zheng Ren was not looking at the CT of the abdomen, but the CT of the lungs.
This film can only see a small amount of inflammation in both lungs, nothing special.
How do you see a thymoma?
However, Feng Jianguo belongs to the kind of person with a good mind.
In imaging studies, it’s okay to look at the abdomen-related films by yourself, but if you really have to look at the images of the chest carefully, the level is much worse.
"Boss Zheng, is there something wrong with the thymus gland?" Feng Jianguo asked cautiously.
"Sweeping, I can't see clearly." Zheng Ren said: "But in terms of imaging, the density here is wrong."
Zheng Ren ordered some films and continued: "If the bowel is obstructed, the patient's physical signs are not right. The abdominal tenderness is too light, it doesn't feel like it."
Feng Jianguo hesitated, but instead of questioning Zheng Ren's statement, he picked up his mobile phone and called Director Wei.
In the event of a major event, it is the most normal thing to ask the director to take the blame.
After Feng Jianguo finished the phone call, he looked at the patient lying on the operating table and felt a little difficult.
Should the patient be thrown here and wait for the director to come up?
He never did such a thing.
Can force twist surgery? I guess I can't beat Boss Zheng.
It is said that there is a doctor in Xiangjiang He Sanitation Hospital who slapped Boss Zheng and slapped him against the wall. Later, he was kicked out and raised, and now he doesn't know where he is.
But even if Boss Zheng doesn't beat himself, it doesn't matter if he opens his stomach and sees his intestines, what should he do?
Wax directly!
Just when Feng Jianguo was in a dilemma, Zheng Ren said, "How long have you given Xinsidi Ming?"
"8 minutes." The anesthesiologist had a detailed record and said immediately.
"We'll have to wait." Su Yun said: "But I think the patient's breathing difficulties have begun to ease, not as severe as when they first came in."
Zheng Ren glanced back at the patient and nodded slightly.
Feng Jianguo knew that a positive neostigmine test was a common method for diagnosing myasthenia gravis.
But after the emergency operation was stopped, and the Neostin test was performed on the operating table, Boss Zheng was really confident.
As long as there is a diagnosis and treatment, as long as the patient is not still lying in the operating room, anything will do.
"Boss, just open your chest." Su Yun said impatiently, "Find Fang Lin to do a mediastinoscopy thymoma resection. It will be done in half an hour."
"Don't worry." Zheng Ren said calmly: "It's just a guess. Without thymic CT and MR, it is still impossible to determine whether it is a thymoma."
"It must be here!" Su Yun pointed his finger on the film reader, banging loudly.
These few strokes were like knocking on Feng Jianguo's heart, and he immediately felt a slight arrhythmia.
But Zheng Ren didn't care what Su Yun said, and didn't watch the movie. Instead, he turned around and hugged his arms to observe the patient's condition.
After 5'12", Director Wei hurried up.
Just after the operation, he had to run up to the emergency consultation again. Director Wei didn't even have time to wear the stockings.
"What's the matter?" Director Wei asked directly after he came in.
Zheng Ren just wanted to say that when Feng Jianguo started to introduce his condition, he kept silent and continued to observe the patient's condition.
Feng Jianguo briefly explained that the patient's condition was relatively clear. Director Wei glanced at Zheng Ren, feeling a little strange.
All the patients were sent to the operating table, and they immediately called to stop. What is the difference between this and the practice of shouting to keep people under the knife?
A doctor in the interventional department uses such a domineering way to stop the operation of gastrointestinal surgery... Even if the relationship is usually good, he has to consider his own feelings.
However, Director Wei thought about it, if something happened to the patient, why would he not feel it.
It may be that Boss Zheng is more confident about the diagnosis.
He carefully found the abdominal CT film and inserted it into the reader.
Very typical intestinal obstruction ah! Director Wei was puzzled.
I took another look at the film of the digestive tract angiography to be more sure of this.
"Boss Zheng." Director Wei said solemnly, "Are you sure?"
"You can hear what I'm saying, open your eyes again, and open them hard!" Zheng Ren said.
Director Wei was slightly annoyed in his heart. This is because he was too familiar with Boss Zheng. On the operating table, he even let himself open his eyes and watch the movie!
wrong!
As soon as the anger appeared in his chest, it was extinguished by Director Wei.
This is not a provocation, but a very unfamiliar test - the upper eyelid fatigue test!
The upper eyelid fatigue test is not a physical examination for gastrointestinal surgery. Director Wei also listened to the teacher when he was in school.
Today, it was because of what Feng Jianguo said that Boss Zheng was diagnosed with myasthenia gravis, so he vaguely recalled what the teacher taught in class.
This disease has nothing to do with gastrointestinal surgery. I have not encountered one case in many years, and my memory has been covered with dust.
It was because of the momentary anger that the upper eyelid fatigue test, which seemed to have been forgotten, was brought to mind.
Director Wei turned around, secretly crying out for danger.
If I changed someone with a bigger temper just now, I'm afraid it would explode on the spot.
If this happens, look back and see Boss Zheng performing the upper eyelid fatigue test on the patient, and he will not be laughed at to death?
There was an anesthesiologist standing next to him, with a pen and paper in his hand, as if he wanted to record his momentary gaffe.
"Boss Zheng, what's the result of the upper eyelid fatigue test?" Director Wei asked softly.
Zheng Ren was carefully observing the patient's condition. The anesthesiologist glanced at Director Wei and replied, "It needs to be recorded 6 times. There are already 4 recorded values, so it should be positive."
Immediately, the anesthesiologist smiled and said, "Director Wei is amazing. I can remember the physical examinations that have nothing to do with your department."
"Who said there is no contact, isn't there a connection?" Director Wei forced himself to calm down, smiled slightly, and said, "If the upper eyelid fatigue test is positive, send it for a thymus CT, the MR time is too long."
Zheng Ren said a value, and the anesthesiologist recorded it. After the fifth physical examination, Zheng Rencai turned around and said apologetically, "I'm sorry, Director Wei, I was just doing a physical examination. What do you think?"
Director Wei felt that he had become a dog.
Looking at the film, it must be intestinal obstruction, or the kind that is more anxious, and needs surgery.
But Boss Zheng did the upper eyelid fatigue test directly on this side, and the test result was still very positive.
There was a brief confrontation between his years of clinical experience and his trust in Boss Zheng, but soon, a single thought quickly gained the upper hand.
"I think the possibility of myasthenia gravis is relatively high. At least the diagnosis of the patient is not clear. Let's do a thymus CT." Director Wei said.
"Do the upper eyelid fatigue test again, and then the result is positive, then go... It seems that there is no need." Zheng Ren suddenly remembered something and said, "The average value must be positive, so let's go directly to CT."