Chapter 2021

Zheng Ren understands what Su Yun means.

To determine whether it is free liver, the patient needs to change his position, do a CT in the left lying position and a CT in the right lying position.

With the change of body position, if the liver is free, there will be landmark changes in imaging, so that it can be diagnosed directly.

Although I am almost 100% sure of watching the film now, it is not rigorous.

Zheng Ren can also think of several diseases with similar images. Although it is unlikely, they do exist.

He nodded and immediately sent a message to Dr. Liang.

"Boss, do you say this disease belongs to liver and gallbladder or gastrointestinal tract?" Su Yun suddenly asked with a smile.

"Liver and gallbladder. Go up and have a look. If there is no intestinal obstruction, reset and fix the liver."

"Reset, this job is also gastrointestinal."

Su Yun raised the bar. It was certified by ISO9002.

"Then go together." Zheng Ren didn't care. He said casually, "endoscopic surgery is OK. It's time to change shifts."

"Boss, you said that Lin Yuan asked for foreign aid to diagnose green urine. How long can there be results?" Su Yun's topic changed quickly.

"I don't know. At home, it depends on luck. Abroad... It mainly depends on whether anyone has seen similar patients, which has a certain randomness." Zheng Rendao, "but looking at the current situation, it should be that the cancer hospital has not seen similar cases."

"The probability is too small. I've read the instructions of propofol before and never noticed that there are those six words."

"I haven't noticed either. I just read the doctor's orders early in the morning and recalled the instructions of various drugs. I think there seems to be something missing there." Zheng Rendao said, "this case may be of some significance if it is given to people who study pharmacology and physiology. It is of little significance to clinicians."

"Well, it has little clinical significance." Su Yun said: "I have seen a lot of patients with liver failure + sedation with propofol and ventilator assisted breathing, and none of them had green urine."

"Stop talking about this. It's just a side effect of drugs. Why are you studying so carefully?" Zheng Rendao.

"Boss, not like you." Su Yun smiled.

"Originally, it has nothing to do with clinic, so it's not worth spending too much energy."

"Guess what if the ICU doesn't ask you?" Su Yun asked.

"If the patient's condition is OK, let's observe. If you are brave, try to stop taking the medicine and pull out the tube. As long as you stop taking the medicine, you'll be fine. You can be fine without looking for me, that's for sure." Zheng Ren guessed casually.

Then they came to the 912 emergency department.

Walking through the gate, there was a quarrel in the corridor.

It's a bit exaggerated to say that they quarrel. The voice should be a unilateral expression of their dissatisfaction.

"Why should an organ ask us to do three CT!"

"Will you see a doctor? You have the face to say that you are a doctor of 912!"

"Don't be shameless. There's no such wrong money!"

Zheng Ren heard it and immediately knew what had happened.

This is the patient's family quit.

In one position, three CT examinations are required. Normally, three checklists need to be opened.

Is there anything wrong with the questioning of the patient's family?

you 're right.

How can people who do not understand medical treatment understand the significance of doing three CT in one position.

Let alone those who do not understand medical treatment, ordinary doctors do not understand the estimation of free liver, and they will not understand the significance of doing so.

This is good. I remember many years ago, a hospital met an old Lai.

The patient was critically ill and died in the intensive care unit of a large class III hospital.

Finally, the patient's family began to claim, found the media and displayed the daily medical charge receipt.

One of the receipts contained a large number of charges for normal saline. At that time, Zheng Ren was still young, in school and in an ignorant period.

Since they think they know medical treatment, they are more angry than ordinary people who eat melons after seeing media reports.

However, after contacting the clinic, I know that a seriously ill patient has too many places that need normal saline.

Dialysis, various flushing tubes, drops, etc. Almost every pipe should be flushed with sterile normal saline.

Another is sputum suction. If there is no normal saline, the viscous sputum will block the sputum suction tube.

I didn't understand these when I was a medical student, let alone an ordinary patient's family.

Seeing Su Yun's eyebrows picking, Zheng Ren patted him on the shoulder and said with a smile: "angry?"

"They know shit!" Su Yun said angrily.

"Don't swear." Zheng Ren said, "anger is bad for the liver. You still drink."

"Don't lean on drinking everything!" Su Yun was even more angry when Zheng Ren said so.

"Hey, hey."

"What do you say? The colon is between the liver and diaphragm. Who knows when it will turn around. Once it is necrotic, there are many intestines to cut."

Then Su Yun said with a smile, "do you think this is death?"

"Don't say that, they don't understand." Zheng Ren said, "it's all right. Look at me."

"You?" Su Yun looked at Zheng Ren in surprise.

If Chang Yue said this, Su Yun would immediately believe it. But his boss's words... His communication skills with patients are not poor, but he has never reached the top level of Chang Yue.

"There is no need to communicate." Zheng Ren smiled.

In the system operating room, Zheng Ren was in a good mood and was much more active than usual.

Zheng renting looked up and strode in.

"Doctor, quickly write out a list for my old man!"

Seeing the appearance of the goods, Su Yun immediately understood what his boss was going to do.

Really... I'm a tenured professor at Massachusetts General Hospital. Do you want a face!

The patient's family members also questioned the doctor in the emergency department. Zhou Litao explained that the small freckles on his face were about to blossom.

I was stunned to see boss Zheng come in with his head held high and say something to write a list for his old man.

The patient's family members are still complaining. Zheng Ren came forward and shouted, "what's the trouble? Can you afford to delay my father's medical treatment?"

Zheng Ren wears casual clothes. In Zhou Litao's opinion, he is boss Zheng. However, in the view of ordinary patients' families, he is only a patient's family.

Although he looked kind, he was not polite at all. He stared and looked very fierce.

The patient's family was stunned.

The corridor of the emergency department was momentarily quiet.

Taking advantage of this opportunity, Zhou Litao quickly explained to the patient's family why he had to do three CT scans.

Zheng Renxi refined his upper body, his face full of impatience, and said, "doctor, is it over or not? Hurry to write me a list. There are many!"

The sense of urgency of the patient's family will come soon.

In the face of doctors, they can quarrel and make trouble, because they know that the other party will not fight back.

Who doesn't pinch a soft persimmon.

But when they met the patient's family members like themselves, they immediately became anxious.

"We came first!"