Chapter 811 Let Me Go Back

Clinically, MRI diffusion of the liver is rarely done. Or not very little, but almost none.

Director Luo should have read the article in the "New England" journal, and knew that the location of the puncture can be determined by nuclear magnetic dispersion.

It's just that he was still not sure, so he had to listen to what Zheng Ren said before he believed it.

"Thank you for your help, Director Luo." Zheng Ren said: "After the examination today, if there are no surgical contraindications, the operation can be performed tomorrow."

Because MRI is not a routine examination, patients generally do not bring relevant films to 912 for treatment, so a film is required before deciding on the surgery.

Previously, the patients admitted to the interventional department were all treated as outpatients, and they were not admitted to the hospital. They were asked to undergo MRI diffusion in the outpatient clinic, and whoever completed the treatment first would be admitted to the hospital first. In this way, the hospitalization period can be shortened as much as possible.

Director Luo looked up, glanced at Zheng Ren, and asked, "You know Lao Chu very well, right?"

"I met when I first came to the imperial capital. Director Chu took good care of me." Zheng Ren said.

"Then you go to Lao Chu and take the patient to take the time today to have the MRI done. Remember to tell me about the operation tomorrow, and I will go to see Boss Zheng's craftsmanship." Director Luo said.

"Okay." Zheng Ren nodded.

He was not polite, and he didn't react inappropriately because Director Luo asked him to take the patient for an examination.

Director Luo has said so far, if Zheng Ren is not satisfied, then it is going too far.

"Go to Mr. Liu and take you to see the patient." Director Luo said.

Zheng Ren and Director Luo exchanged phone numbers and WeChat before leaving the director's office.

Mr. Liu? The general surname of the inpatient in the Department of Gastroenterology is Liu.

Thinking about it, Zheng Ren came to the door of the doctor's office and knocked on the door.

"Excuse me, is Mr. Liu there?" Zheng Ren asked kindly.

"That's me, what's the matter with you?" A short, fat female doctor in her thirties looked up at Zheng Ren and asked.

"Hello, I'm Zheng Ren from the interventional department. Director Luo asked me to come to you to see a patient with advanced cirrhosis and portal hypertension admitted yesterday." Zheng Ren said.

"Oh, you are Boss Zheng." Mr. Liu said enthusiastically, "Please come in, please come in."

Zheng Ren walked in with a smile on his face, acting extremely gentle.

"The patient is a 60-year-old woman with a history of liver cirrhosis for more than 30 years. Now her liver is shrunken severely, but her liver function is not bad. Here are all the indicators. Boss Zheng, take a look at them." Mr. Liu found the medical records and handed them to Zheng Ren .

Judging from the test sheet, it is indeed the case. The patient's liver function is worse than normal, but it will not affect the operation.

"How much ascites?"

"Here is a CT scan of the abdomen, take a look." The chubby Mr. Liu said.

Zheng Ren inserted the film into the film viewer, resting his chin to read it.

With the passive skill of [Reconstruction], Zheng Ren can determine the point of puncture with a simple plain CT scan of the abdomen.

But if it is not systematic, it has a strong personal style.

In other words, other people simply cannot judge the puncture point of the TIPS operation according to Zheng Ren's method, which is non-repeatable.

If it cannot be repeated, it cannot be promoted.

On the film, the patient's liver has shrunk by about 1/4 of its volume, the spleen is enlarged, and images of gastric varicose veins can be seen.

The amount of ascites is not too large for this degree of liver cirrhosis, and the patient is well controlled.

"A month ago, the patient went to the local hospital for vomiting blood and was treated in an emergency department. After the patient's condition stabilized, the patient's family members came to our hospital for treatment." Mr. Liu began to introduce the patient's medical history.

Zheng Ren just listened and carefully analyzed the patient's condition.

In fact, for simple advanced cirrhosis and portal hypertension, Zheng Ren could not do it himself, and leave this kind of work to other people, and he can only be in charge of the operation.

But the situation has just started, Zheng Ren doesn't want to leave an impression of arrogance on Director Luo.

And most importantly, Zheng Ren was worried.

After being a doctor for a long time, Zheng Ren belonged to the kind of person who couldn't hold two taels of sesame oil in his stomach. As long as the patient has a little problem that is not resolved, he can't sleep well at night.

Like those difficult and miscellaneous diseases, the patient appears to be one kind of disease, but in fact it is another kind of disease. If you need surgery, you should analyze it yourself first, and then compare it with the system template to try to be foolproof.

After listening to Mr. Liu's report, she took Zheng Ren to the ward to see the patients.

As soon as Zheng Ren entered the ward, Zheng Ren heard an elderly woman say: "Son, our family doesn't have much money. Seeing a doctor in the imperial capital is very expensive."

It was a gray-haired old man on the phone, who looked at least ten years older than his actual age.

"Why don't we go back, I'll take some Chinese medicine, and I'll get better soon."

The old lady said tremblingly.

As soon as she finished speaking, a growling sound came from the mobile phone next to her ear.

Zheng Ren didn't hear clearly what he said.

But the old lady was obviously timid. She was not the kind of tough person. She just listened to her son's words silently, with her head slightly lowered, her gray hair scattered, the sun shining through, and black and white were distinct, like withered weeds.

Doctors generally don't take care of this kind of housework, unless they encounter extremely special circumstances.

Zheng Ren maintained a gentle smile and stood by the bedside with Boss Liu, waiting for the old lady to hang up the phone before starting the consultation.

At first, Zheng Ren didn't ask directly, but chatted with the old lady for a few homely things. Such as where is the hometown and how many people are in the family.

The old lady's mood calmed down quickly, as if she had found someone to talk to, and she had a lot of nagging with Zheng Ren.

Mr. Liu is a little anxious, there is still a lot of work to be done on the other side, if you delay here for half an hour, all the work will be postponed.

Zheng Ren sensed Mr. Liu's mood, and said with a smile, "Mr. Liu, go and do your work first. I'll chat with Auntie for a while."

"Yeah." Mr. Liu nodded again and again, "I'm sorry, Boss Zheng, I have too much work on my side."

"Go and do your work. After I finish asking, what inspections are needed, I will go to you."

Mr. Liu apologized and quickly disappeared.

Zheng Ren was fine, so he continued to communicate with the patient.

When I was in Haicheng, this kind of work was Chang Yue's. But at the very beginning when dealing with 912 Gastroenterology Department, Zheng Ren still did it himself.

Soon, Zheng Ren learned about the patient's condition.

Her lover died early, and she brought up a child by herself. The child is also not good at studying, and he made a living in the society very early, causing troubles a lot.

When she first found out that she had hepatitis B, she didn't go to the hospital for treatment. She just shared a bowl with her child to avoid infecting her son.

More than ten years later, the manifestation of liver cirrhosis began. Because of family constraints, she still did not receive any treatment, but took intermittent oral medication to control the activity of hepatitis B virus.

As the disease progressed, she didn't know it. When I had ascites, I thought it was because I was fat and my belly was big.

Until a month ago, one day he vomited blood suddenly, and then he was hospitalized for emergency treatment, and a set of examinations was performed along the way.

The diagnosis was advanced stage of liver cirrhosis, portal hypertension accompanied by massive ascites.

After a period of treatment, the ascites got better. Her son began to seek medical treatment everywhere, and finally found the 912 hospital.

After arranging the beds for nearly a month, I moved in.

The old lady saw Zheng Ren's face was kind, she took his hand and said, "Son, my son is not married yet. I don't earn much money, but I do have some savings, but this hospitalization is too expensive..."

"Auntie, it's fine. You can get reimbursed part of it when you go back, depending on the local medical insurance policy." Zheng Ren comforted her.

"I'm fine, doctor, please tell my son later that I'm fine, let me go back." As soon as money was mentioned, the old lady began to wipe her tears again.

"Uh..." Zheng Ren couldn't help it. This is a systematic social project. What can he do?

Perhaps it is possible to save some expenses for the old lady by live broadcasting the operation?

Give it a try, but many people can't accept the live broadcast of surgery.

Did Lu Xun say that when he saw short sleeves, he immediately thought of white arms, immediately thought of full body, immediately thought of ###, immediately thought of ##, immediately thought of hybridization, and immediately thought of illegitimate children. It is only at this level that the Chinese imagination can make such a leap forward.

This is what the old man said about cheongsam. Even though it has been a hundred years since the period of the Republic of China, it still looks out of date.

Let's talk about live broadcasting of surgery, everyone will still think so.

"Mom, I'm here." Zheng Ren was thinking about it, when a rough voice came, Zheng Ren looked back, and the golden light almost blinded Zheng Ren's dog eyes.