There were no emergency patients yesterday, the ward was very stable, and there was nothing to say about handing over the shift.

After handing over the shift and checking rounds, Director Pan returned to his office to take charge.

Zheng Ren called two people that Director Pan knew in, asked the patient's medical history, and checked the test report he brought.

The patient is a 69-year-old male, and he is in good health. One week ago, he accidentally hit a hard object and went to a township hospital for examination. The ultrasound found multiple liver placeholder lesions, which were considered malignant tumors, with the largest placeholder of about 6×7cm.

The entire medical history is very simple, because the patient's liver space-occupying lesions have already undergone intrahepatic metastasis, so surgical resection cannot be performed.

At this time, intervention is the best choice.

But the specific situation, such as whether it can be done or whether the postoperative effect is good, depends on the 64-row CT enhancement before it can be determined.

He instructed Chang Yue to ask her to put the patient in the hospital, and Zheng Ren and Su Yun went all the way to see other postoperative patients.

When he came to the Department of Gastroenterology, Director Xia's enthusiasm for Zheng Ren was significantly improved by two levels. Even Director Xia was not so enthusiastic about the senior directors of other departments of the hospital.

She personally led Zheng Ren to see the postoperative patient.

The patient's hemorrhage after TIPS has improved significantly, and the symptoms of hepatic encephalopathy are not serious. Zheng Ren thinks that the second stent can be removed after one or two days of observation.

The patient's family thanked Zheng Ren very much, but Zheng Ren just laughed. Zheng Ren was already satisfied with the greatest satisfaction when he was able to "retrieve" the patient in front of the gates of hell.

As for the thanks from the patient's family, it is actually not important to Zheng Ren.

Patients with sewage pool syndrome are also in good condition. Although they are still having fever, their body temperature has been controlled.

From 39.5 degrees Celsius before the operation yesterday to 38.5 degrees Celsius now, this change is huge.

Zheng Ren is confident in her surgery. The most important thing for patients with sewage pool syndrome is to treat sepsis. As long as she can survive this level, she will be alive.

After seeing the patient, Director Xia sent Zheng Ren all the way to the gate of the ward.

Judging from that, Director Xia already recognized Zheng Ren's level in his heart. Subconsciously, she believed that Zheng Ren was qualified to be on an equal footing with her.

After leaving the gastroenterology department, Zheng Ren and Su Yun walked towards the ICU again.

There was no trace of a hangover on Su Yun's face, which was completely different from the situation of eleven boxes of big green sticks that day.

Zheng Ren was also very strange. The alcohol content of Scotch whiskey last night completely exceeded eleven boxes of big green sticks, but Su Yun had nothing to do with it.

"Did you succeed last night?" Su Yun suddenly asked as he walked.

Success... Zheng Ren doesn't know how to answer this question.

If you say hugging, you should have succeeded. But I guess Su Yun is not saying this.

"It should be pretty good to see how you look in the morning. Don't worry, the strong girl is afraid of being entangled, so take it step by step." Su Yun taught earnestly.

Zheng Ren suddenly felt that what Su Yun said seemed to be good, at least yesterday's story made him stop.

Otherwise, according to your own temper, you don’t know where the situation will develop.

After arriving at the ICU, changing clothes and entering, Director Qian and others were serious in their expressions and discussing their condition.

"Xiao Zheng, here you are." Director Qian waved to see Zheng Ren and Su Yun see the patient.

Zheng Ren knew there was something wrong and walked over immediately.

"The patient in bed 5 was very restless. According to the condition, she could remove the tracheal intubation today and stop the ventilator to assist in breathing. However, after the sedative drug power, she began to agitate and her vital signs became unstable."

Director Qian said briefly.

The 5th bed in the prison is the patient who fell from a high altitude when Zheng Ren made the day before yesterday.

Any other situations happen?

Zheng Ren was a little confused. At this time, her condition should be better every day, and she will go to the orthopedic department for internal fracture fixation surgery in a few days.

The system issued a task of [Save People from Water and Fire] to Zheng Ren, but Zheng Ren did not want to complete it at all.

Slow diagnosis surgery is a slow diagnosis surgery, and it must not be done in the emergency room. Otherwise, the patient will suffer greater trauma and make the body's recovery unpredictable.

What's going on?

Zheng Ren glanced at the patient and the system panel in the upper right corner of the field of view was still a faint red background.

This is normal, she still has many fractures that have not been treated.

Judging from the diagnosis given by the system, there seems to be nothing special...

Zheng Ren was puzzled and stood quietly behind the doctors in the ICU and listened carefully to their analysis of the patient's condition.

"Boss, I have a feeling that the patient is suffering from severe pain in adenomyosis, which causes severe agitation when the concentration of sedative drugs decreases." Su Yun said in a low voice.

Zheng Ren also considered this point, but without quantitative standards, there was no way to be 100% sure.

He nodded, held his cheek with his right hand, frowned and thoughtful.

"Xiao Su, what do you think?" Director Qian asked in a familiar way.

"Director Qian, I think the patient needs to try to treat adenomyosis with interventional embolism. If it is not effective, the uterus must be removed." Su Yun continued without waiting for others to question, "The reason why the patient jumped off the building was because of the severe pain caused by adenomyosis and was unbearable, so he chose to commit suicide.

We can't guess how high the peak of that kind of pain is. But one thing that is certain is that it must be very high, and I guess it should be about 4 degrees of pain."

Pain classification, grades 1-12 were fabricated by netizens. The medical pain classification is professionally 0-4 degrees. 4 degrees is severe pain, accompanied by changes in blood pressure and pulse.

The doctors in the ICU seemed to be accustomed to Su Yun's usual correctness and subconsciously substituted what he said.

Although what Su Yun said is quite imaginative, the more you think about it, the more you think it makes sense.

Director Qian pondered.

"The pain of fracture can be tolerated as long as you lie quietly. So I don't think the patient's agitation is due to the pain caused by the fracture.

I suggest to explain the condition to the patient's family. If it really doesn't work, the uterus needs to be removed." Su Yun was still firm, "If it is dragged on, the patient has been intubated for nearly 48 hours and will soon have a tracheotomy.

In that case, you will face complications such as intrapulmonary infections and make it even more difficult to recover.”

"You can try it." Although Zheng Ren was not sure whether the patient was agitated due to the pain of adenomyosis, he still agreed with Su Yun's statement.

Now the patient has no longer had the acute problems of hemorrhagic shock, so it is no harm to try it out.

After all, interventional surgery is minimally invasive treatment.

If the patient does not have such severe trauma, he will be able to move 24 hours after the operation.

Of course, if there are a series of high-value consumables such as the hemostatic plate of the imperial capital, you can get into the ground in 4-6 hours.

Director Qian found it incredible. After all, adenomyosis is not particularly rare, but most people choose to remove the uterus and make it happen once and for all.

For women who have not yet had children, this disease rarely occurs, and Director Qian has no experience.
Chapter completed!