Chapter 1662

Director Wei's face is also ugly.

It's not about anesthesia. Is it about gastrointestinal surgery?

As a director, the trait of protecting calves is necessary.

The people under you can't maintain it. Who still thinks you're the chief director? It's good to eat dry and clean up, and walk away when you encounter problems!

That's bullshit.

But today's opponent is boss Zheng. He is a bull in surgery. He has solid basic theory and professional knowledge to an appalling extent.

And boss Zheng?

Director Wei didn't think he would win. When he saw boss Zheng's simple and honest face, his heart trembled.

When rescuing the stage and performing surgery, I feel secure when I see this face. But now it's time to play the opposite game

Director Wei was defeated before he fought.

But at this time, even if you lose, you have to bite the bullet.

"Boss Zheng, you said it wasn't anesthesia. How did the bleeding come from?" Director Wei stood up and asked directly.

Su Yun stabbed Zheng Ren and indicated that Director Wei was angry.

Zheng Ren smiled, stood up, bowed slightly and said, "it must not be a complication of endoscopic appendectomy. Director Wei, rest assured."

Listening to Zheng Ren's words, Director Wei's face immediately improved.

Boss Zheng is boss Zheng after all. He is still reasonable. But no one's business. How did it come about?

"Cough, let me give you a brief comment." Zheng renlang said loudly, strode to the projector and took the photoelectric pen in Professor Wu's hand.

Everyone waited for Zheng Ren to tell the film, but when Professor Wu went back and sat down, Zheng Ren looked at himself with his medical record.

Everyone looked at each other and understood what Zheng Ren was doing for a few seconds.

I didn't even read the medical records and operation records, so I went to the whole hospital for consultation and talked nonsense?!

That's too much.

If boss Zheng hadn't been in the hospital recently and swept through the Affiliated Hospital of Medical University, I'm afraid someone would have stood up and sprayed him.

Zheng Ren read it very quickly, and almost swept every page of the medical record. Before everyone was impatient, he immediately picked up the photoelectric pen and said, "the patient is a middle-aged woman..."

The audience was dumb.

That's Director Mao of the science and education department. He became a patient in boss Zheng's mouth. Still... Especially a middle-aged woman.

Without saying anything else, the four words "middle-aged women" can kill Director Mao.

"In the past, I was in good health. Recently, I took a rest at home because of my physical discomfort."

Watching Zheng Ren talk, many people who know the inside story are helpless.

Don't you have any pressure to count? Why did Director Mao go home to recuperate? It's not because I failed to pay the bill with you.

Can this be counted as a medical history.

"After admission, Professor Wu suggested emergency surgical treatment, which was rejected by the patient, and the patient's family members signed to refuse surgical treatment." Zheng Rendao.

"Dr. Zheng Ren, what you said has nothing to do with what we discussed." Vice President yuan frowned.

"It doesn't matter." Zheng renlang said, "let's see the film first, and then I'll talk about the relationship between them."

With that, the photoelectric pen in his hand opened, and a little red light and shadow appeared on the imaging data on the screen.

"According to the oral statement and anesthesia records of the anesthesiologist, continuous epidural anesthesia is a needle inserted in the chest 12 - waist 1. The patient's CT film shows bleeding in the thoracic 8 and 9 vertebral bodies. This is not in line with common sense and one of the doubtful points."

"High density image, I believe everyone can judge it as bleeding, there is no doubt about it."

"But the problem is here."

"According to the patient's condition, if the operation is wrong, resulting in intracavitary hemorrhage and nerve compression. At least 5 hours have passed from the operation to CT. During this time, subtle clots will appear locally."

Hearing Zheng Ren say so, Lao he's head suddenly lifted up.

But then it went down again.

On the CT image, there was no clot. But it's normal not to appear for a few hours.

Boss Zheng is eloquent and can't argue for himself.

However, boss Zheng was righteous. For his own sake, he talked nonsense in the hospital consultation presided over by Vice President yuan, which was a major overdraft for his academic authority in the future.

Most people will definitely give up themselves directly.

But boss Zheng didn't, but tried to protect himself with his honor and face.

Thinking of this, Lao he had the idea of a scholar dying for his confidant. But if you want to die, you have to be qualified. Revoke the doctor's license and can't even get on the special operating table.

"Let's watch the film." The red dot of the photoelectric pen in Zheng Ren's hand fell on the bleeding position, "here, I didn't see any signs of coagulation after 6 hours of bleeding."

"Boss Zheng, what you said... Seems untenable. CT can't see blood coagulation very clearly." Director Chu couldn't help but whisper.

Although anyone who jumps out at this time is singing the opposite play with boss Zheng, he may become enemies in the future.

But let him talk nonsense on the stage is not the case.

"Director Chu is right. I just provide a point of view. To see clearly, we need an MRI image to determine."

With that, Zheng Ren looked around at the directors of 912.

The whole audience was quiet. Everyone was thinking about what Zheng Ren said.

Su Yun's black hair floated in front of his forehead and rebuilt quickly. More than ten seconds later, he said excitedly: "I didn't see the image of old hemoglobin on MRI!"

"Yes, that's it." Zheng Rendao.

"Dr. Zheng Ren, what disease do you think it is?" Vice President yuan asked in a deep voice.

"I consider that the patient's bleeding between vertebrae is diagnosed as endometriosis!"

In a word, the stone broke the sky.

Uterus

Intima

Ectopic

Director Wei took a mouthful of old blood and almost didn't spray it out.

Boss Zheng's imagination is too rich.

Not to mention anything else, the diagnosis is not very important. Soon, spinal surgery will go on stage to remove this hematoma.

As for whether it is bleeding or endometriosis, postoperative pathology can directly tell.

Does this sophistry make sense?

Director Xu of spine surgery was stunned. Endometriosis is in the spine

"My suggestion is to do MRI first, and then go to the emergency stage to remove the hematoma of endometriosis."

Zheng Ren continued without waiting for others to refute.

"The reason for preoperative diagnosis is that in the process of operation, the hematoma should be perfectly stripped, and no endometrium can be left." Zheng Ren said, "if you leave the inner membrane, you will soon have bleeding and compression symptoms accompanied by menstruation."

“……”

Many directors in the conference room were silly.

Zheng Ren smiled and said, "I know you don't believe it, but this is the only reasonable explanation."

"I haven't seen the patient until now. According to the description on the medical record, the patient should not be in the menstrual period when he was admitted to the hospital. Please ask Director Wei if there is menstrual blood outflow, so we can make a preliminary judgment."