272 Floating Gallbladder (1/5)

Chapter 272 Floating Gallbladder (15)

The operation went well, Zheng Ren took Yang Lei to do it, and he stepped down in 20 minutes.

On the stage, Zheng Ren tirelessly explained the key steps to Yang Lei. Although it is only a laparoscopic appendectomy, with Zheng Ren's level of performance, Yang Lei has benefited a lot from other surgeries.

After stepping down, Zheng Ren was bored.

Just returned from the imperial capital, it seems that life has lost its direction.

No, not because of this, but because the Shea people didn't have surgery.

It's just that Zheng Ren didn't realize it.

The skills of general surgery are honing little by little, and it is still far from the master level.

Zheng Ren actually went to the operating room of the system to train on combined pancreaticoduodenectomy. It is estimated that one operation can increase his skill points by more than 100 points.

But when he saw his remaining experience points and surgery time, Zheng Ren dismissed the idea.

If all the money is spent, the possibility of being promoted to Grandmaster is very slim, and once you encounter a critical situation, you will be dumbfounded.

It's better to grind it a little bit, the long-term main quest - the best surgeon has completed an unknown number of rounds, although the reward is meager, but no matter how small it is, it is still meat.

"What are you thinking?" Su Yun's familiar voice came from behind.

"daze."

"Are you thinking about Xiao Yiren? You are too timid, the domineering president fell in love with me, have you seen it? What you want is that domineering." Su Yun snorted.

"Mr. Liu is very domineering in the United States, and he lost a lot of money. It's embarrassing." Zheng Ren went back without hesitation.

"I'm talking about you, just understand the spirit." Su Yun didn't care about Zheng Ren raising the bar, which proved that he was guilty and smiled slightly.

"How is the patient?" Zheng Ren asked.

"The state is stable, I just had the tube pulled out, and now I can see that I can live." Speaking of the patient's condition, Su Yun didn't talk so much, but briefly introduced the patient's situation.

Zheng Ren knew that the operation was 100% complete. As long as there was nothing wrong with the ICU and proper handling, it would be difficult for the patient to die.

"By the way, the paper on small nodule liver cancer has been mailed. I just answered the phone and asked if there are more cases."

"There shouldn't be any for the time being." Zheng Ren said, "Is it possible to publish it in a case-by-case form?"

"It's possible, but it's hard to get recognition in a short period of time." Su Yun said, "You don't care anyway, you're just a salted fish, it's better to be in a hospital in Haicheng."

"Where is it not for a lifetime, didn't you also come back from the imperial capital?"

"Boss, is the pet hospital interested? It's not letting you go, there is an operation that requires you to go out, or it's saving a station."

"..." To save Taiwan and go to the pet hospital, these two words Zheng Ren expressed are very strange.

"Basically, golden retrievers and Alaskans ate socks, and intestinal foreign bodies caused intestinal obstruction. At your level, one every 20 minutes is not an exaggeration." Su Yun said: "Qian, it's easy to say."

"I……"

"Don't say you're not short of money, I asked yesterday, Xie Yiren's parents will come back for the New Year in a month or two." Su Yun said hilariously.

"..." Zheng Ren hesitated for a while, "Okay. However, I don't have a veterinary certificate, can I?"

"No problem, how can veterinarians perform surgery? They are all blind. It's okay to be sterilized. If they open the abdomen and chest with a real knife and a gun, they won't be able to get it off." Su Yun said.

"Look for a chance." Zheng Ren finally lowered his head in front of reality.

Zheng Ren felt a little nervous when he thought that Xie Yiren's parents were coming back. Specifically why he was uneasy and how to solve it, Zheng Ren didn't have a clue.

While thinking about it, the phone rang.

"Mr. Zheng, I have an aunt who has pain in the upper right abdomen. Please take a look." It was Chu Yanran.

It's very simple to say, not even to say. And you're welcome, your own people, what's the courtesy? See more outside.

Since he didn't say anything, he was in the emergency room.

Zheng Ren immediately strode to the emergency department. As usual, Su Yun lowered his head slightly and followed behind.

The emergency department is not very busy. It is the cold winter season. There are almost no people who drink and fight. The roads are still full of ice and snow. Everyone is careful when driving, so the emergency department is a little cold.

But that's fine.

In the emergency department, Chu Yanran was standing at the bedside of the emergency rescue bed, next to the emergency B-ultrasound car, and a doctor was performing an abdominal B-ultrasound on the patient.

The family members looked around anxiously, but Zheng Ren ignored them and glanced at the prompt on the system panel - acute torsion of the gallbladder, acute gangrenous cholecystitis.

Huh? This is a rare disease.

Gallbladder torsion is a rare condition. It has been more than 100 years since it was first described by Wendell as a "floating gallbladder" in 1898. Zheng Ren searched the literature in his memory and estimated that there were only more than 100 cases. report.

Plus what I don't know, it is estimated that there are 300 to 500 cases reported to the sky.

Get ready for surgery, there's nothing you can do.

As long as any organ is twisted, it means that necrosis will occur next. The system panel has given a prompt, acute gangrenous cholecystitis.

Seeing Zheng Ren coming, Chu Yanran said, "Auntie Lin had abdominal pain after eating this morning, but she didn't get any diagnosis and treatment at that time. 3 hours ago, the pain got worse, and she took Xiaoyanlidan tablets, but it didn't improve. 1 hour ago, the pain was severe, Unbearable, came to our hospital for treatment. During the course of the disease, there was no chills and fever, no nausea and vomiting, the emergency blood routine and liver function tests have been sent, and it is estimated that he will be back soon. "

"Cholecystitis requires surgery." Zheng Ren said.

"Are you Dr. Zheng?" a middle-aged man in his thirties asked.

He wears gold-rimmed glasses and looks angry and anxious.

"Well, I am." Zheng Ren replied.

"Hello, my name is Zhou Wenxiang." Although the middle-aged man was very anxious, he didn't lose his mind and reached out and shook Zheng Ren's hand.

"Doctor Zheng, do you think my mother needs surgery? Is it okay not to have surgery?" Zhou Wenxiang asked.

"I think it is acute gangrenous cholecystitis caused by torsion of the gallbladder and local necrosis. There are two surgical methods, removal of the gallbladder and reduction of the gallbladder. I recommend direct removal, which can avoid similar situations in the future. As for conservative treatment, it is impossible to Relieve symptoms, not recommended."

Zheng Ren explained his diagnosis clearly.

Zhou Wenxiang hesitated for a moment, then walked out perfunctorily.

Zheng Ren looked at Chu Yanran, Chu Yanran leaned over and whispered, "His father is my father's colleague, he is rushing back from the provincial capital. Mr. Zheng, gallbladder torsion is a rare disease, can it be diagnosed?"

"Here." Zheng Ren pointed to the bedside ultrasound and said, "The imaging supports the diagnosis of gallbladder torsion."

"When did you see the B-ultrasound? I don't remember you ever commenting on the B-ultrasound before." Chu Yanran keenly discovered the abnormality.

"That's because there were no problems with B-ultrasounds in the past. This is not a rare emergency case, so I just said it."

Chu Yanran turned her head and thought for a while, what Zheng Ren said seemed to make sense, so she did not continue to say anything.

"Director Xia, look for help, my mother can't stand the pain, she doesn't want surgery yet." Zhou Wenxiang's voice came in.