Chapter 2020 The Upper Body of the Showman (the Leader Is Quietly Waiting for Your Arrival Plus 5)

Zheng Ren understood what Su Yun meant.

To determine whether it is a free liver or not, the patient needs to switch positions, do a CT in the left decubitus position, and a CT in the right decubitus position.

With the change of body position, if the liver is dissociated, there will be marked changes on imaging, so that a direct diagnosis can be made.

Now watching the film, although I am almost 100% sure, it is not rigorous.

Zheng Ren can also think of several diseases that have similar images. Although the possibility is relatively small, they do exist.

He nodded and immediately sent a message to Dr. Liang.

"Boss, do you think this disease belongs to the liver and gallbladder, or the stomach and intestines?" Su Yun suddenly asked with a smile.

"Heart and gallbladder. Go up and have a look. If there is no intestinal obstruction, reset and fix the liver."

"Reset, this job is also gastrointestinal."

Su Yun raised the bar, it was ISO9002 certified.

"Then let's go together." Zheng Ren didn't care, and said casually: "Laparoscopic surgery is fine, just change shifts."

"Boss, you said how long it will take for Lin Yuan to find foreign aid to diagnose green urine?" Su Yun changed the subject quickly.

"I don't know. In China, it depends on luck. In foreign countries... it mainly depends on whether anyone has seen similar patients, which has a certain degree of randomness." Zheng Ren said, "But judging from the current situation, it should be that the cancer hospital has never seen similar cases. .”

"The chance of this is too small. I have read the instruction manual of propofol before, but I have never noticed those six words."

"I haven't noticed it either. I just read the doctor's order early in the morning and recalled the various drug instructions, and felt that there seemed to be something missing there." Zheng Ren said, "This case, if it is given to people who study physiology and physiology, it may be of some significance. From a doctor's point of view, it doesn't make much sense."

"Well, it doesn't have much clinical significance." Su Yun said: "I have seen many patients with liver failure + propofol sedation and ventilator-assisted breathing, and none of them had green urine."

"Don't talk about it, it's just a side effect of medicine. Why are you researching so carefully?" Zheng Ren said.

"Boss, it's not like you." Su Yun said with a smile.

"It's true in the first place. It has nothing to do with clinical practice, so it's not worth spending too much energy on."

"If the ICU doesn't ask you, what do you think will happen?" Su Yun asked.

"The patient's condition is fine, so let's observe and see. If you are brave enough, try to stop the drug and extubate. As long as you stop the drug, you will be fine. You can get well without looking for me, that's for sure." Zheng Ren said casually. guessing.

With that said, the two came to the 912 emergency department.

Walking in through the door, there was a quarrel in the corridor.

It is a bit exaggerated to say that it is a quarrel, and the voice should be expressing their dissatisfaction unilaterally.

"Why do we need three CT scans for one organ!"

"Will you see a doctor and call 912! Have the face to say that you are the doctor of 912!"

"Don't be ashamed, it's not like extorting money!"

When Zheng Ren heard it, he immediately knew what had happened.

This is because the family members of the patients quit.

For one location, three CT examinations are required. Normally, three inspection lists are required.

Is the questioning of the patient's family wrong?

That's right.

How can people who don't understand medical care understand the significance of three CT scans in one location.

Not to mention people who don't understand medical treatment, ordinary doctors, who don't understand free liver, probably won't understand the significance of doing so.

This is not bad. I remember that many years ago, there was an old Lai in a hospital.

The patient was critically ill and died in the intensive care unit of a large tertiary hospital.

In the end, the family members of the patients started to claim compensation, found the media, and showed the daily medical fee receipts.

One of the receipts contained a large amount of normal saline charge. At that time, Zheng Ren was still young, was in school, and was in a period of ignorance.

I think I understand medical treatment, so I am more angry than ordinary people who eat melons after seeing media reports.

But after contacting the clinic, I realized that there are too many places where normal saline is needed for a seriously ill patient.

Dialysis, various flushing tubes, drips, etc. Almost every pipeline must be flushed with sterile saline.

Then there is sputum suction. If there is no normal saline, the viscous sputum will be sucked out and the sputum suction tube will be blocked.

I didn't understand these when I was a medical student, let alone an ordinary family member of a patient.

Seeing Su Yun raised his eyebrows, Zheng Ren patted him on the shoulder and said with a smile, "Are you angry?"

"They know nothing!" Su Yun said angrily.

"Stop swearing." Zheng Ren said, "Getting angry is bad for your liver, and you're still drinking."

"Don't rely on drinking for everything!" Hearing what Zheng Ren said, Su Yun became even more angry.

"hey-hey."

"Then what do you say? The colon is between the liver and the diaphragm, and who knows when it will be twisted. Once it is necrotic, there will be too many intestines to cut."

As he said that, Su Yun smiled and said, "Tell me, is this an act of death?"

"Don't say that, they don't understand either." Zheng Ren said, "It's nothing, just look at me."

"You?" Su Yun looked at Zheng Ren in surprise.

If Chang Yue said this, Su Yun would immediately believe it. But for my boss... his communication skills with patients are not bad, but they definitely haven't reached the top level of Chang Yue.

"There is no need to communicate." Zheng Ren smiled.

After autologous fat transplantation and eye wrinkle filling surgery in the system operating room, Zheng Ren was in a good mood and was much more active than usual.

Zheng Ren raised his chest and walked in with big strides.

"Doctor, hurry up and make a bill for my old man!"

Seeing this guy's appearance, Su Yun instantly understood what his boss was going to do.

Really...it's shameless to be a tenured professor at Massachusetts General Hospital!

The patient's family also grabbed the doctor in the emergency department and questioned him. Zhou Litao explained that the freckles all over his face were about to burst into bloom.

Seeing Boss Zheng walking in with his head held high and his chest held high, he was stunned when he said he was going to make a bill for his old man.

The patient's family members were still complaining bitterly, Zheng Ren stepped forward and shouted: "What's the trouble! Can you afford to delay my old man's medical treatment!"

Zheng Ren was wearing casual clothes. From Zhou Litao's point of view, he was Boss Zheng. But in the eyes of the family members of ordinary patients, he is just a family member of the patient.

Although he looked kind, he was not polite at all when he spoke, his eyes were wide open, and he looked fierce.

The patient's family was taken aback.

The corridor of the emergency department fell silent for a moment.

Taking advantage of this opportunity, Zhou Litao quickly explained to the patient's family why three CT scans were performed.

Zheng Ren was full of impatience, and said, "Doctor, there's no end to it. Hurry up and write me an order. There are quite a lot!"

The sense of urgency from the patient's family is immediate.

Facing the doctor, they can quarrel and quarrel, because they know that the other party will not fight back or fight back.

Who doesn't squeeze a soft persimmon.

But when they encountered family members of patients like themselves, they immediately became anxious.

"We came first!"