Chapter 1230

"Er, forget..." Zheng Ren said, suddenly patting his head.

"What's the matter?" Zhu Liangchen asked.

"It's not sent to the laboratory department, but to the pathology department for biopsy. When you look at it with a 1000 times oil microscope, you can see that the diameter is 2-3 μ M. gastric octopus. " Zheng Ren said with a embarrassed smile, "as soon as you say bacteria, you say you want to cultivate them. You're used to it. I'm sorry."

Zhu Liangchen stopped talking, but silently picked up a pen from director Kong's desk, took out a chapter of A4 paper from the printer and wrote down Zheng Ren's words.

Gastroscope, biopsy, pathology, and 1000 times oil microscope.

"When you go back, give the patient a group of fluoroquinolones, a group of metronidazole and a group of proton pump inhibitors. By the way, hemostatic drugs... Oral Yunnan Baiyao is also OK, static point and intramuscular injection are also OK." Zheng Rendao.

Zhu Liangchen meticulously recorded it.

Not a word. Boss Zheng also made mistakes, which made Zhu Liangchen feel much better. Although it was only a trivial slip of the tongue, it was not a mistake.

When Zheng Ren stopped talking, he pressed the tip of his pen back, looked up and said, "Zheng..."

Before he could speak, director Kong took the pen back.

The doctor's pen, as long as you don't put it on yourself, it will be gone in the blink of an eye. No matter where it is, it will disappear without a trace.

But it's okay. Just ask someone for a pen when you want to use it. Don't put it in your white pocket when you're finished. You'll have a pen.

Zhu Liangchen was stunned for a moment, then smiled bitterly and said, "boss, you are still so stingy."

"This is the fifth pen this month!" Director Kong said angrily, "it's you!"

"Don't mention it. I've only been here twice this month." Zhu Liangchen said.

Zheng Ren smiled. Fortunately, he doesn't write medical records now. You don't have to worry about the one signed by the superior doctor.

"Boss Zheng, I'm sorry." Zhu Liangchen smiled. After director Kong's trouble, he felt less embarrassed than before. "How long do you expect the patient to get better according to this treatment?"

"After 2 weeks of medication, it is estimated that it will be relieved in 3-4 weeks." Zheng Ren said, "but director Zhu, this kind of operation is still immature. You should be careful."

Zhu Liangchen nodded frequently.

Now that you have knelt, kneel thoroughly. It's so boring to be shy. You have to be single.

"Then I'll go back and arrange an inspection." Zhu Liangchen said, "boss Zheng, I was wrong in the past. I apologize here. When the patient is better, I'm not so confused. Please drink."

"Easy to say, easy to say." Zheng Ren smiles.

"Hurry back and wait for me to send you." Director Kong said, holding the pen.

Zhu Liangchen said a few more jokes and then left.

When he left, director Kong asked seriously, "boss Zheng, I think you have a problem with your expression when you talk. What's the matter?"

Zheng renleng for a moment and then smiled.

"I guess Director Zhu's surgical embolization is too cruel, and the symptoms of delayed gastric emptying are also very serious. There is a certain probability that the effect of drug treatment is not very good, and even complications of gastric perforation will occur." Zheng Ren is a little worried.

"Don't listen to him, director." Su Yun said, "it's good to have one gastric perforation in 100 cases of gastric banding. I said boss, don't always scare yourself."

"I didn't see the film of intraoperative angiography." Zheng Ren sighed and said, "but look at CT, the blood vessels in the area of gastric fundus artery have been closed. If..."

At this point, he stopped talking and just shook his head.

Director Kong knows that the reason why Zheng Ren doesn't want to carry out gastric fundus and left gastric artery embolization immediately is that this operation is really immature.

It's not that the operation can't be done, but how to do it just right.

Just right. These four words are easier said than done. Moreover, because of the individual differences of patients, it is not easy to say if you want to be appropriate.

"Boss Zheng, I always say I want you to be cautious. I'm afraid you're young and vigorous, but you're too cautious." Director Kong said with a smile.

"After all, it is a new operation. There are not many people who have done it, and there are not many cases that can be referred to. Recently, I am considering how to do embolization with reference to the situation of patients after gastric banding."

"Well, it's really good to think more. Lin Jiaojiao has come to grind me several times. I'll tell her directly next time. What's the hurry? No one can run away if something happens." Director Kong said.

"Director, shall I go out first?" Zheng Rendao.

"Go ahead, Dr. Mehal. You have to be more attentive." Director Kong said.

Zheng Ren and Su Yun came out of director Kong's office. Su Yun smiled and said, "Zhu Liangchen is on his knees."

"Oh, just ask about your condition. Don't be so ugly." Zheng Rendao.

"Cut, in another six months, you can't find the door if you want to kneel." Su Yun said, "boss, believe it or not, director Zhu will call tomorrow to invite you to dinner."

"Well, if you're in a hurry, you'll see gastric Octopus under the microscope tomorrow. It's estimated that you'll call." Zheng Rendao, "but the treatment is very difficult. What I worry about is that the blood supply of the gastric wall is insufficient, the peristalsis slows down for a long time, and there will be perforation."

"Wear it again. You can't help worrying." Su Yun patted Zheng Ren and said.

This is true, and the embolic agent is in the blood vessel. It takes time to revascularize. Even if it is perforation, there is no way to prevent it in advance. Zheng Ren's treatment, including proton pump inhibitors, is the best treatment available.

As for the patient, I hope nothing will happen.

Back in the office, Liu zewei was reviewing the medical records. Since the last patient's clerical error, he has to carefully check every medical record four or five times.

Zheng Ren felt that this was a blind delay in Kung Fu. After returning, Liu zewei couldn't write medical records. But I can't say it yet. Being idle is also idle. If you want to be a trainee, just be it.

Seeing Zheng Ren coming in, Liu zewei put down his work and said with a smile, "boss Zheng, your Swedish is really standard."

"Ha ha." Zheng Ren smiled dryly, with a standard posture of wanting to end the topic.

"Lao Liu, you haven't learned Swedish." Su Yun said with a smile: "the Swedish spoken by the boss has the dialect of Dr. mehar's hometown, which can't be said to be the standard."

Liu zewei smiled. He had long respected boss Zheng and his evil assistants. No matter how outrageous things happen, he thinks it's normal.

"Boss Zheng, I heard that Dr. mehar is going to tell you the process of the operation while doing the operation. Is it true?" Liu zewei asked.

This kind of thing sounds so strange that he still doesn't believe it.

"Yes." When Zheng Ren mentioned this, he was also worried and worried. Which patient instructs the operator how to do the operation during the operation? What if we really encounter differences?

No, it has to be made clear to Dr. Mehal.

Look, you can.

But don't beep.