Chapter 350 The Boss

"how?"

"Yang Lili's test report looks pretty good." Su Yun said with a smile.

One night, I finally saw a smile from the heart on his face.

Zheng Ren hurried over, and Xie Yiren saw that Zheng Ren was busy, so he went back to the operating room to look at the golden retriever named Harry with great love.

Taking Su Yun's cell phone, Zheng Ren zoomed in on the test sheets and looked at them one by one.

Renal function has basically recovered, and blood urea nitrogen and creatinine have dropped to levels slightly higher than the upper limit of normal values.

The transaminases of liver function also dropped to around 100. Zheng Ren was also very happy to recover so quickly from acute liver injury.

The blood coagulation value is particularly optimistic, and it has basically returned to normal, which is the most important thing.

The blood gas analysis and other laboratory indicators also showed that the vitality in Yang Lili's body was rejuvenated.

"Not bad!" Zheng Ren patted Su Yun's shoulder vigorously.

For two consecutive days, Su Yun was exhausted like a dog... It seems that dogs don't have to be so tired now, except for those who ate socks.

Finally pulled Yang Lili back from the death line.

"Of course, it must be perfect." Su Yun smiled.

"Do you want to try extubation tomorrow?" Zheng Ren asked.

"Well, but try it, if you don't need a tracheotomy, try not to use it. You don't even know how fierce Acinetobacter baumannii is in the ICU. As long as the tracheotomy is done, it basically doesn't escape."

"Then go back and rest early, you have worked hard these few days."

Suddenly, the tiredness on Su Yun's face disappeared, replaced by a gossiping expression.

"Boss, did you push it down?" Su Yun asked in a low voice.

"..." Zheng Ren wanted to curse.

"Holding hands counts." Su Yun was full of hope.

"..."

"Forget it, I know you're a coward, take your time." Seeing Zheng Ren's appearance, Su Yun knew it was what he expected, and sighed.

"I'm going to live at her house," Zheng Ren said.

"..." Su Yun's eyes were filled with exclamation marks!

"Just another house."

"cut……"

"Don't blame me. We went to the movies today and received an emergency call." Zheng Ren was also very helpless.

Spread your hands.

"Take your time, let me tell you, don't miss such a good girl." Su Yun's face was full of exhaustion again, he let out a breath, and said, "I'm going back to sleep."

"give you?"

"There are no cars on the avenue, I'm driving slowly, I'm fine." Su Yun walked out unsteadily, Zheng Ren was really worried that he would fall down and fall asleep at any moment.

"By the way, the expert fee for this operation will be given to you when I find time. Don't worry." Su Yun raised his hand, and after speaking, he walked out of Migou's house and disappeared into the night.

"Boss Zheng, you are amazing." Shen Xiaoou said with a smile on the side.

"..." Zheng Ren didn't know how to answer the conversation again. He and Shen Xiaoou were not familiar with each other. He praised him, so he should be polite. But what to say?

"The person introduced by Brother Yun is really amazing." Shen Xiaoou continued: "Harry has seen it in the provincial capital, and said that there is no other way, and the mortality rate after surgery is as high as 90%."

"Oh, veterinarians don't know how to perform surgery." Zheng Ren said casually, not knowing how many people he offended.

The eyes of the employees who are still busy in Migou's house are a bit wrong.

Shen Xiaoou said: "veterinarians rarely do this kind of surgery, and they don't have much experience in postoperative care. You also know that the veterinary industry is still a new industry, and it is a blue ocean."

Zheng Ren had no interest in this.

"Can you leave your contact information?" Shen Xiaoou asked tentatively.

"No need, just ask Su Yun if you have anything to do." Zheng Ren directly refused, not interested at all.

The smile on Shen Xiaoou's face froze slightly.

It was really a pleasure to refuse.

Greeting Xie Yiren and Chu Yanzhi to leave, I was somewhat tired after talking all night.

The three of them found a restaurant at random and ate a meal, which was considered a fool for a late-night snack.

After dinner, three people and two cars arrived at Xie Yi's house.

Because of Chu Yan's presence, the hug that Zheng Ren imagined was gone. Xie Yi has a thin skin and really doesn't look like a girl of this era.

After bidding farewell and going back, Zheng Ren put a jar of water in accordance with Xie Yiren's request, and took a comfortable bath.

I chatted with the Shay people for nearly an hour before falling asleep.

...

The next day, the sun was shining brightly.

It's another day.

Zheng Ren planned the work to be done today, making ward rounds and seeing patients, which are necessary.

The next step is to go to the ICU to see Yang Lili. It is indeed a miracle that the girl was saved.

For patients undergoing TIPS surgery in the Department of Gastroenterology, if the blood ammonia is not high and there is no symptom of hepatic encephalopathy, it seems that they should also undergo a second-stage operation to remove the recoverable stent.

In this way, the outflow tract is guaranteed to be unobstructed and the radius is increased to ensure that there is no bleeding from the gastric fundus vein.

I probably don't have time to watch the orthopedic lumbar spine resection. Zheng Ren has a little interest in orthopedics, but it's not to the point where he desperately wants to observe surgery.

After calculating everything, after breakfast, I came to the hospital.

Director Lao Pan asked about the situation of the patients who were automatically discharged from the hospital yesterday, cursed a few words in a low voice, and then began to hand over shifts and make ward rounds.

After everything was over, Zheng Ren went to the gastroenterology department by himself.

When Director Xia saw that Zheng Ren had arrived, he took a junior doctor to the emergency room.

The subordinate doctor reported the recent situation. The patient recovered very well after the operation. Hematemesis had disappeared long ago, and there was no hepatic encephalopathy. Blood ammonia is slightly high, but acceptable.

Zheng Ren assessed the patient's condition and thought that the recoverable stent could be removed.

Director Xia also agreed with Zheng Ren's judgment, and the two made an appointment tomorrow morning for the second-stage surgery.

After seeing the patient after surgery, Director Xia said, "Xiao Zheng, your TIPS operation is very good."

Zheng Ren basically didn't know how to respond to this very straightforward compliment.

"I asked the professor in the imperial capital, and he was also very surprised. TIPS surgery in the emergency department is far more difficult than chronic surgery." Director Xia said with a smile: "I also have a patient with intractable ascites here. You can help me. If you can, I will do it tomorrow. The patient's condition is relatively serious. If it is delayed, I am afraid that it will not survive for a month."

Zheng Ren had already been immune to Professor Imperial Capital's praise.

On the contrary, Zheng Ren was more interested in the patient with intractable ascites that Director Xia mentioned.

If you want to make great progress in interventional surgery, you may not make any progress in a lifetime of ordinary minor surgery to stop bleeding.

To do it, you have to do surgery like the jewel in the crown like TIPS surgery.

When I came to the ward, a thin patient with only bones left but a bulging stomach was half sitting on the hospital bed.

Because of the large amount of ascites, it was difficult for him to breathe.

With each breath, the supraclavicular and suprasternal fossa deflate.

Zheng Ren knew that this was not a three-concave sign, but a symptom of dyspnea caused by the pressure brought by the ascites pushing the diaphragm up, making it impossible for the lungs to fully expand.

In the upper right corner of the field of view, the system panel also gives a diagnosis at the same time.