Director Xia, I'm back." Zheng Ren knocked on the door and came in. Director Xia was studying biliary deformities.

"Mr. Zheng, come and tell me about the deformity of the biliary gallbladder." Director Xia waved calmly without showing off his airs.

She wanted to stand up and give up her seat for Zheng Ren, but Zheng Ren smiled and pressed on the chair.

"Director Xia, I don't dare to do this. You sit, it's nothing difficult. I'll just say a few words." Zheng Ren bent over, held the mouse in his right hand, and began to move the mr three-dimensional reconstruction he had just done.

Both nuclear magnetic and CT can be used for three-dimensional reconstruction, but clinicians basically only know CT three-dimensional reconstruction, and few people know that nuclear magnetic resonance can also be used for reconstruction.

The resolution of CT can reach 0.5mm, but although the nuclear magnetic field of Haicheng First Hospital is 3.0, the resolution is only 6.0mm. The three-dimensional reconstruction made is like a mosaic, which looks awkward.

Zheng Ren just simply tried to save trouble, and also wanted to save some money for the patients.

The gold standard for diagnosis of bigalioma malformation is ercp, but because ercp is an invasive examination and costs a lot, the current consensus is to use mrcp for examination to confirm the diagnosis.

As for three-dimensional imaging, Zheng Ren did it casually, so as to save patients from being troubled and uncertain. Director Xia was difficult to do this.

Although Director Xia did not intentionally misdiagnose... basically no one intentionally misdiagnose, and the patient looked more cooperative, Zheng Ren subconsciously eliminated all hidden dangers in the bud.

"Director Xia, look here, the patient's gallbladder has gallbladder ducts." Zheng Ren used the mouse to outline the area he wanted to talk about, and then briefly explained: "Dual gallbladder malformations are divided into types 1 and 2. Harlaftis Type 2 means that the gallbladder ducts with two or more gallbladders are independently connected to the common bile duct. Type 2 can be further subdivided into h-shaped variation and trabecular variation."

"This patient is a relatively common type 2, which means that it can be treated surgically."

"The patient has no symptoms of pain now, and I guess it is unlikely that the patient's family will agree to the surgery. But you can tell the patient and the patient's family that I can do this surgery."

Director Xia glanced at Zheng Ren, light, no surprise, and nothing to say.

"In 1997, Gigot reported a case of bigali malformation. At that time, the doctor who was operating only removed one gallbladder and left another one. 27 months after the operation, another gallbladder was complicated with gallstones and acute cholecystitis, so he had no choice but to remove the remaining gallbladder again."

"If it's the surgery, I recommend that both gallbladders be removed."

"Of course, this is just my statement. I think the patient should go to a few more places and consult carefully." Zheng Renluo hesitated and wanted to say something, but finally hesitated.

"Mr. Zheng, you, the younger man, took me on the beach and took me tightly." Director Xia sighed.

"Look at what you said." Zheng Ren smiled and said, "Where is it."

Director Xia picked up the instructions of Luo Shifen (ceftriaxone) from the table, waved it, and said, "Mr. Zheng, you can memorize the instructions. This is a skill...I can't do it."

Zheng Ren smiled and didn't say anything.

"Mr. Zheng, how did you know?" In fact, Director Xia didn't believe that Zheng Ren could recite the drug instructions.

There are at least hundreds of commonly used drugs in clinical practice.

The better the various drugs, the more detailed the side effects are.

If you read the instructions, this medicine will not be used at all.

But the more this medicine is, the better the effect. Unlike the broken medicine produced by pheasant medicine factories, the instructions almost cure all diseases.

So it is very strange to Director Xia’s opinion that Zheng Ren was able to know this.

How good is this memory?

"Director Xia, my doctor's certificate is a general foreign exchange major." Zheng Ren said: "Have you heard of the medical accident at Liaozhou People's Hospital a few years ago?"

Liaozhou is a county under Haicheng. A few years ago, they had an emergency cholecystectomy on a patient due to cholecystitis and cholelithiasis.

It happened that the patient's family was serious and insisted on looking at the stone, saying that it was a relics and wanted to stay for memorial.

A red envelope was also stuffed before the operation. The surgeon confidently said that the stone must be kept for the patient's family. It was just a gallbladder, and no one thought there would be any risks.

But after cutting off the gallbladder, the surgeon became stupid.

There are no stones in the gallbladder.

This incident ended up being a big deal. The surgeon insisted that there were gallstones before the operation, so there was no problem with the surgery. However, he did not take out the stone after the operation, and he refused to let go.

Finally, the family members put on banners, and the trouble became bigger and bigger.

Later, the surgeon was suspended and the hospital paid a lot of money.

Zheng Ren is determined not to accept red envelopes and has direct connection with this matter.

When I think about it, I feel terrible. The preoperative auxiliary examination is sure that there are stones, but the stones are not big.

But during the technique, the stone disappeared like a ghost.

When encountering this situation, how should I explain it to the patient's family? If the money is confiscated, I will be more tough. If I collect the money, I will feel ashamed.

After this incident, Zheng Ren read a lot of information and learned about the causes and consequences of this cholelithiasis before the big pig's hooves were on.

So today he met, and he directly judged that it was ceftriaxone, which was left behind by the gallbladder metabolism. As long as it stopped, it would disappear soon.

In Zheng Ren's opinion, it was a trivial matter, but in Director Xia's opinion, it was amazing.

Director Xia thought of the medical dispute and immediately realized that the surgeon at that time also encountered the situation he encountered.

If Zheng Ren had not met another difficult family member, he would have no way to explain how the gallstones came about.

Fortunately, I seemed to be lucky and met this young Mr. Zheng.

For a doctor who works in clinical practice, luck is very important.

Director Xia nodded and understood what Zheng Ren meant. Zheng Ren didn't continue to say anything, after all, rabbits died and foxes were sad, and things hurt their species.

When talking about the surgeon behind the scenes, Zheng Ren and Director Xia felt a little awkward.

After chatting for a few more words, Director Xia kept his heart in his heart, and Zheng Ren said goodbye and left.

Can the surgery be performed?

Of course it can be done.

But Zheng Ren knew that it would be difficult for his family to have surgery in Haicheng for this rare disease. He could only provide his opinions to Director Xia, and then she would explain to the patient's family.

The size of the temple is directly related to the incense of the Bodhisattva.

Moreover, I am too young, and it is difficult for the patient's family to feel trust.

If it were changed to the imperial capital or the magic capital, Zheng Ren might have explained the situation directly to the patient's family and performed the operation.

Zheng Ren is quite sure about this.

Not in a hurry, Zheng Ren slowly returned to the emergency room, looked at the patient for a while, and then continued to sit down to read the book.
Chapter completed!