Chapter 1709 Don't Be Afraid
"Okay!" Zheng Ren replied.
This is a very interesting case, Zheng Ren didn't think much about it and agreed directly.
"Take the film, this patient should be a matter of surgery." Director Luo took the film down, put it in the film bag, and handed it to Zheng Ren: "Boss Zheng, it's hard work."
"Director Luo, you're welcome." Zheng Ren said with a smile, "I will contact the patient and make a decision about the operation as soon as possible."
After the matter was finished, Director Luo stood up and patted Zheng Ren on the shoulder, and said, "Don't forget to call me during the operation."
"Okay!" Zheng Ren simply agreed.
"Go, get busy." Director Luo sent Zheng Ren and Su Yun out, and instructed a few more words.
After leaving the gastroenterology department, Su Yun asked, "Boss, what do you think?"
"I'm not sure, but I've seen some cases where toothpicks penetrate the duodenum and stick to the liver." Zheng Ren said, "It may be a toothpick, or it may be... No, depending on the density, it should not be iron. s things."
"I have seen people who ate 5 pounds of nails in the case report in New England. If they swallowed so many nails, maybe one of them would stick to the liver." Su Yun laughed nonsense.
In fact, he also knew that it could not be an iron nail at all, and the CT scan could not be seen, but after reconstruction, it could be seen that the density of the patient's liver abscess was still slightly smaller.
"Bring the patient in and ask if it can be broadcast live." Zheng Ren picked up his mobile phone, clicked Director Cairo's WeChat, and started calling the patient.
Seeing that Zheng Ren couldn't wait, Su Yun was a little helpless.
Early this morning, Ringer just told him about the dispute between liver cancer patients, why didn't he accept the lesson at all?
Generally, doctors are a little timid at this time, and they must be careful when accepting patients, for fear of making mistakes.
But looking at the confident appearance of his own boss, Su Yun really admired Zheng Ren's confidence.
I hope this guy will be safe in his life, Su Yun nags in his heart, this guy's surgery is done well, and his luck is indeed good. A patient with a dispute was resolved without knowing it.
Anyway, Su Yun has been in medical school for ten years, and he has never heard of such a thing.
After contacting the patient, Zheng Ren rushed back to the interventional department.
"Chang Yue, I will receive a patient with a liver abscess that is suspected to be a foreign body." Zheng Ren explained to Chang Yue when he entered the room.
"Abscess? Foreign body?" Chang Yue said: "Patients with trauma should receive their liver and gallbladder. What's the matter with you accepting us here?"
"It wasn't a trauma, it just appeared out of nowhere." Zheng Ren said.
"Are you alright? You have a fever? What nonsense are you talking about?" Chang Yue glanced at Zheng Ren contemptuously, and said, "There is no trauma. Tell me about the foreign body in the liver, how did it get in?"
"Doctor Chang, the Affiliated Hospital of Medical University performed an emergency operation two years ago, and the situation is similar to what Boss Zheng said." Liu Zewei said: "The patient was admitted to the hospital with signs of acute peritonitis, and the liver was checked by contrast-enhanced CT. I was stunned and began to consult the whole hospital."
"Lao Liu, come and see the film." Zheng Ren was happy when he saw that Liu Zewei had met him, and directly inserted the film into the film reader.
Liu Zewei touched his bald head and walked over. After watching the film, he smiled and said, "Boss Zheng, it's almost like this. The patient in the past was relatively old, the toothpick was attached between the duodenum and the liver, the intestines were also broken, and the liver was also broken. , emergency surgery."
"Is there really a toothpick stuck on the liver?" Su Yun was also a little surprised.
"If Lao Liu had seen it, then this matter would have gone away." Zheng Ren smiled: "There was a similar record in the British Medical Journal in 2012, and I said it looked familiar, but at the time I saw it. At the time, the case report did not say where it came from.”
Liu Zewei was startled.
Boss Zheng is doing it at his fingertips. Just mention a case, and he can find similar reports from the vast medical record database?
This memory is also a little too good.
"From the case report in 2012 to the present, a total of 17 cases have been reported in journals with an impact factor of more than 10." Zheng Ren said: "I didn't expect to actually encounter it."
Zheng Ren said, and began to tap the film reader with a little excitement.
The thumping sound was like his heartbeat.
"Boss, be careful, don't be too complacent." Su Yun reminded, "Be careful sailing the ship for ten thousand years."
"I know, the operation is not difficult at all, the patient is only 41 years old, and there will be no problems with the body." Zheng Ren obviously had taken this into consideration and said immediately.
"Should I contact Xiao Hu?"
"Okay, let her know first, and then wait for the patient to come and talk to the patient. If you agree to the live broadcast of the surgery, you will ask the legal department of Xinglinyuan to sign the contract." Zheng Ren said, "Is the surgery going to be done tomorrow as soon as possible?"
"..." Su Yun was speechless, looking at Zheng Ren like a fool, and said, "Liver abscess, if you are in a hurry, it can be treated as an emergency."
"Uh..." Zheng Ren hesitated for a while, then smiled: "Yes, this was originally an emergency. Director Luo was in the outpatient clinic, and I subconsciously thought it was a patient with a slow diagnosis."
After listening to Zheng Ren's explanation, Su Yun was also speechless.
But he was just as curious, but he was subconsciously cautious about unfamiliar cases and patients he had not seen before.
Soon, a middle-aged man timidly walked into the corridor of the interventional department, found the doctor's office, knocked on the door and asked, "Is Dr. Zheng here?"
"I am." Zheng Ren saw that he was a healthy person and asked, "You are..."
"I'm Li Liang's younger brother. We went to see Director Luo this morning." The man whispered.
"Where's your brother?" Zheng Ren asked.
"In the hotel, I can't get up. I have a fever at this point every day, and it was 41 degrees when I came out."
"Did you call 120 first aid to come here?" Zheng Ren said, "The patient's condition is very urgent and needs emergency surgery."
"Doctor, is it really a foreign body?" the man asked.
"Well, now I think it's a toothpick or other wood product or a bamboo product that sticks to the liver." Zheng Ren said.
"Uh...that's impossible."
"Nothing is impossible." Zheng Ren said, "Hurry up and bring your brother to the hospital. Is he alone in the hotel?"
The man nodded.
"I'm not afraid of anything." Zheng Ren said, "Where's your sister-in-law?"
"It's been a few years since we've been divorced, and my brother is alone. That... doctor, how much does the operation cost?" The man asked a little embarrassedly: "We have prepared 20,000 yuan. 1000+."
"You don't need to think about money for the time being, it's more important to bring the patient here first." Zheng Ren said, "I'm all burnt out. I'm in the hotel, and no one takes care of me."
"Chang Yue, when you come, give him half a hospital stay and explain the cost."