Feng Jianguo thought he had heard it wrong, looked at Zheng Ren with a weird expression and asked, "Boss Zheng, what did you say?"

"Considering that the patient has myasthenia gravis, go for thymus CT or MR immediately. If there is a thymoma, you can have a preliminary diagnosis temporarily." Zheng Ren said.

Feng Jianguo saw Zheng Ren's eyes squint slightly and was watching the movie, and he was a little confused.

He glanced at it and saw that Zheng Ren was not looking at the abdomen but the lungs.

This film can only show that there is a small amount of inflammation in both lungs, and nothing special.

How can I tell that there is a thymoma?

However, Feng Jianguo is a person with a good understanding of his psychology.

Imaging, it’s okay to read the abdomen-related films by yourself. If you really need to look at the chest images carefully, your level will be much worse.

"Boss Zheng, are there any problems with the thymus?" Feng Jianguo asked carefully.

"Sweep it flat, it's not clear." Zheng Ren said: "But in imaging, the density here is wrong."

Zheng Ren ordered a video and continued: "If there is an intestinal obstruction, the patient's signs are wrong. The abdominal tenderness is too light and it doesn't feel like it."

Feng Jianguo was a little hesitant, but he did not question Zheng Ren's statement, but picked up his cell phone and called Director Wei.

When something big happens, it is the most normal thing to ask the director to take the blame.

After Feng Jianguo called and looked at the patient lying on the operating table, he felt it was a bit difficult.

Should I throw the patient here and wait for the director to come up?

He has never done anything like this before.

But I have forced a twisting operation? I guess I can't beat Boss Zheng.

It is said that there was a doctor in the Hejia Hospital in Xiangjiang. He was slapped on the wall while beating Boss Zheng. Later, he was kicked out of Hejia, and he didn't know where he is now.

But even if Boss Zheng doesn’t beat him and opens his stomach and sees that there is nothing serious about the intestines, what should I do?

Sit on wax directly!

Just when Feng Jianguo felt in a dilemma, Zheng Ren said: "How long has the Ming Dynasty been given in Xinsi?"

"8 minutes." The anesthesiologist said immediately after a detailed record on the side of the anesthesiologist.

"We have to wait a little longer," Su Yun said: "But I think the patient's breathing difficulties have begun to be relieved, not as severe as when he first came in."

Zheng Ren turned around and glanced at the patient and nodded slightly.

Feng Jianguo knew that positive Neustin test is a common method to diagnose myasthenia gravis.

However, after stopping the emergency surgery and performing the Xinshi Ming test on the operating table, Boss Zheng was very confident.

As long as the patient is not lying in the operating room, it is fine.

"Boss, just open your chest." Su Yun said impatiently: "Let Fang Lin come up and do a mediastinoscopic thymomaectomy, and it will be done in half an hour."

"Don't worry." Zheng Ren said calmly: "Just guessing that without thymus ct and mr, it is impossible to determine whether it is a thymoma."

"It must be here!" Su Yun pointed his finger on the film viewer, and the banged sound was loud.

These few strokes seemed to hit Feng Jianguo in his mind, and he immediately felt symptoms of mild arrhythmia.

But Zheng Ren didn't care what Su Yun said, and didn't watch the movie. Instead, he turned around and hugged his arms to observe the patient's condition.

After 5′12″, Director Wei hurriedly rushed up.

Just after the operation, he was about to come up for urgent consultation. Director Wei didn't even have time to wear stockings.

"What's going on?" Director Wei asked directly after coming in.

Zheng Rengang wanted to say that when he saw Feng Jianguo start to introduce the condition, he remained silent and continued to observe the patient's status.

Feng Jianguo briefly explained that the patient's condition was relatively clear. Director Wei glanced at Zheng Ren and felt a little strange.

The patients were sent to the operating table and shouted to stop directly. What is the difference between this and the shouting of a knife in the court to keep people under the knife?

An interventional doctor uses this domineering method to stop gastrointestinal surgery... Even if the relationship is good, he has to consider his feelings.

However, Director Wei thought again, if something happened to the patient, how could he feel or not?

Maybe it's because Boss Zheng is more confident in the diagnosis.

He carefully found the abdomen ct film and inserted it into the film reader.

It's a typical intestinal obstruction! Director Wei was confused.

I took another look at the digestive tract contrast film and confirmed this point even more.

"Boss Zheng." Director Wei said in a deep voice: "Are you sure?"

"You can hear me talking, open your eyes and open them hard!" Zheng Ren said.

Director Wei was slightly angry. He was too familiar with Boss Zheng. On the operating table, he actually opened his eyes and watched the movie carefully!

wrong!

As soon as his anger appeared in his chest, it was extinguished by Director Wei.

This is not a provocation, but a very strange test - the upper eyelid fatigue test!

The upper eyelid fatigue test is not a physical examination in the gastrointestinal surgery department. Director Wei also heard from the teacher when he was in school.

Today, it was because Feng Jianguo said that Boss Zheng was diagnosed with myasthenia gravis that he vaguely recalled what the teacher taught in class.

This disease has nothing to do with gastrointestinal surgery. I haven’t encountered a single case in many years, and my memory is already covered with dust.

It was because of the anger just now that I thought of the upper eyelid fatigue test that seemed to have been forgotten.

Director Wei turned around and secretly shouted in his heart that it was dangerous.

If someone with a bigger temper just now, I would probably have exploded on the spot.

If this occurs, if Boss Zheng looks back and performs an upper eyelid fatigue test on the patient, he will not be laughed at to death?

There was also an anesthesiologist standing next to him, holding a pen and paper in his hand, as if he wanted to record his loss of composure at that moment.

"Boss Zheng, what are the results of the upper eyelid fatigue test?" Director Wei asked softly.

Zheng Ren was carefully observing the patient's condition. The anesthesiologist glanced at Director Wei and replied: "It is necessary to record 6 times, and there are already 4 records, which should be positive."

Immediately, the anesthesiologist smiled and said, "Director Wei is amazing. You can remember any physical examinations that have no connection with your department."

"Who said there was no contact? Isn't this a contact?" Director Wei calmed down and smiled slightly, saying: "If the upper eyelid fatigue test is positive, send it to a thymus ct. MR will take too long."

Zheng Ren said a value and recorded it by the anesthesiologist. After the fifth test, Zheng Ren turned around and said apologetically: "Sorry, Director Wei, I was just checking the body. What do you think?"

Director Wei felt that he was a big shot.

When watching movies, it must be because of intestinal obstruction, and it is still the kind that is more anxious and needs surgery.

But Boss Zheng directly conducted an upper eyelid fatigue test, and the test result was still very positive.

There was a brief confrontation between his years of clinical experience and his trust in Boss Zheng, but soon, a thought quickly gained the upper hand.

"I think it is myasthenia gravis, at least the patient's diagnosis is not clear, so let's talk about it if you have a thymus CT," said Director Wei.
Chapter completed!