Chapter 1711 Guiding Consultation
After the operation, Zheng Ren took off the live broadcast glasses.
He is satisfied with the outcome of the operation.
The foreign body was removed, the liver abscess was thoroughly cleaned, and the operation was a great success.
After the operation, it was proved that the foreign body was indeed a toothpick. This is an accumulation of experience.
Although the cases are very rare, there is no clear judgment at first, and the diagnosis of liver abscess and liver foreign body is only given to the big pig's hoof. But if you encounter it later, you will have experience.
Zheng Ren turned around and stepped down, chatting and laughing with Director Luo.
"Director Luo, the preoperative judgment is correct, it is indeed a toothpick." Zheng Ren smiled.
"It may be that the patient accidentally ate a toothpick, passed through the cardia and pylorus, and entered the duodenum." Director Luo analyzed: "Because the duodenum is relatively narrow, the toothpick penetrated the intestinal wall and stuck on the liver."
"It's possible, I think so too. Lao Liu... One of my training doctors said that he had seen a similar case in the Affiliated Hospital of Dibei Medical University. It's just that the patient's luck was not very good. The toothpick was connected to the duodenum and the Liver, causing serious illness." Zheng Rendao.
"It's good to take it out after surgery." Director Luo said with a smile.
"I can be discharged from the hospital within 1 week. Do you have any suggestions after the operation?" Zheng Ren asked.
"Normal treatment is enough, and antibiotics don't need to be too high, and they can be discharged soon." Director Luo knew that Zheng Ren was being polite to himself, and he didn't act like a superior doctor, but said a few words casually.
The two went to change clothes, and Zheng Ren received a call from Su Yun.
It's getting late, and I'm ready to go out for a bite at night. Zheng Ren was with Director Luo and invited him to dinner by the way.
Director Luo readily accepted the invitation.
Director Luo is very willing to have more contact with Boss Zheng.
I originally wanted to eat Dapan chicken, but I went to Zhang Xiaohui's side to see a doctor last time, which was a little unhappy.
But when Director Luo is here, eating big plate chicken is a little less serious.
Everyone in the group began to discuss the question of what to eat.
This kind of thing has nothing to do with Zheng Ren, he doesn't even look at it, he just waits for the final outcome. As long as you follow along, it doesn't matter what you eat.
Director Luo was not in a hurry. He took advantage of this time to ask Zheng Ren for some details of the ESD operation.
The relationship between lens magnification and surgical techniques is what Director Luo is most concerned about.
Zheng Ren knew everything about this, and he couldn't say enough.
Zheng Ren never thought about keeping his own technical barriers.
A person's ability is very limited. Zheng Ren has always insisted on curing diseases and saving people. Director Luo told him if he wanted to learn, it was no big deal.
[They said to write quickly...]
Zheng Ren took out his mobile phone and was surprised to see that it was Su Yun's phone. Why are you calling yourself?
"What's wrong?" Zheng Ren answered the phone and asked a little nervously.
His first thought was that there was a new change in the patient's condition after surgery.
Just thinking over and over while answering the phone, it is unlikely that there will be problems after surgery. The system gives the completion of the operation as 100%, which is an evaluation that is unlikely to happen at all.
"Uh... scare me."
"Okay, do you want to go to the community hospital?"
"I'm going over here."
After speaking, Zheng Ren hung up the phone.
"Director Luo, I'm sorry." Zheng Ren was a little apologetic. "I just received an application for consultation from Massachusetts General Hospital. A patient who was once diagnosed with periodic vomiting syndrome has a new situation, and asked for consultation guidance."
Director Luo was stunned for a moment, and a consultation request from the Massachusetts General Hospital to guide the treatment.
He had mixed feelings in his heart.
To say not to be jealous is a lie. Director Luo's academic status is quite high, but not high enough to allow Massachusetts General Hospital to submit a consultation application.
Not to mention consultation, if you go to Massachusetts General Hospital for consultation, others may not take care of you. It's not necessarily, it's definitely not going to take care of yourself.
"I'll invite you to dinner another day, I really have something to do today." Zheng Ren said apologetically.
In his opinion, it is really better to look at the medical records of patients with periodic vomiting syndrome to have a meal.
"Is it cyclical vomiting syndrome? Can I take a look together?" Director Luo asked.
"If you're interested, take a look together." Zheng Ren didn't care, "Are you also interested in periodic vomiting syndrome?"
"I have seen several patients, all of them are children." Director Luo said with a smile: "At present, the etiology and pathogenesis of this disease are still unclear, and the overlap between the clinical symptoms of periodic vomiting syndrome and the characteristics of migraine in children supports that this disease is a partial disorder. A variant form of headache.
Therefore, some scholars have proposed that the related mechanism of migraine and neuronal hypersensitivity may be the cause of periodic vomiting syndrome. "
"Well, but the specific pathogenesis is still unclear." Zheng Ren said: "It is said that this patient's situation is relatively special. Today, it may be due to inhalation of toxic gas, causing changes in his condition."
Toxic gas?
Director Luo was also interested.
If it is poisonous gas, the disease will be more complicated and more difficult.
He was not interested in solving the cases at the Massachusetts General Hospital, but was only interested in how Boss Zheng analyzed and judged.
Director Luo is also looking forward to where this young man can go in the future.
They are all clinical people, so there is nothing to be polite.
Director Luo and his family asked for leave, saying that he would go back a while later and leave a meal for himself, so he and Zheng Ren came to the teaching classroom of the community hospital.
This classroom can accommodate more than 20 people, the equipment is very new, and there are some things that Director Luo can't understand.
Su Yun, Xie Yiren, Chang Yue, and Lao He were already seated inside. Professor Rudolf Wagner and Liu Zewei were not there. They were not interested in gastroenterology cases. They all went to eat by themselves and went back to rest.
Especially Liu Zewei, who is now in a state of exhaustion almost every day.
With the use of the community hospital, the operation suddenly accelerated, and he could only cope with it with all his strength.
As long as it has nothing to do with interventional surgery, he is unwilling to pay attention to it. If you have this time, it is better to go back and lie down on the bed and have a good sleep.
The recent work intensity is simply too great, and Liu Zewei already feels that he is on the verge of collapse.
"Director Luo, why are you here?" Su Yun saw Director Luo coming in, put down the laptop in his hand, and asked with a smile.
"Take a look, you talk about you, don't worry about me."
"I'm not polite to you. I will hurry up and export the data." Su Yun has a deep understanding of this equipment. After all, this is his... boss and his own stage.
"What patient?" Zheng Ren leaned over to see, but was pushed away by Su Yun.
"I'll tell you on the big screen later, I'll give you a surprise." Su Yun said mysteriously.
Zheng Ren was a little helpless. He had used any equipment himself, and was pleasantly surprised.
Xiao Yiren sat in the back with a smile on her face. She chose Zheng Ren among Dapanji and consultation cases.