0079 Let the old director do it
The middle-aged man was silent. The doctor at the bedside of the emergency room was pushing a small car and rushed over. He examined the old man and confirmed the diagnosis of cholecystitis.
After getting the hospitalization form and the procedures were completed, and when Chang Yue entered the patient information, Zheng Ren learned that the middle-aged man was named Lin Yuanshan and he worked in the province.
Just after the procedures were completed, before Chang Yue and Lin Yuanshan could make a brief introduction of the disease and communicate before the operation, the director of the First Hospital of the Municipal Hospital, vice president, director Sun of the Second Department of General Surgery and some staff rushed over.
"Lin Hall, you see, you come to the First Hospital of the City, why don't you say hello?" Xiao Keming said enthusiastically as he was far away, stretched out his right hand, walked more than ten steps before he held Lin Yuanshan's hand.
"Isn't this the little guy from the Chu family here? He said that Dr. Zheng in the emergency room has a high level, so he came straight away." Lin Yuanshan's tone of speaking was a little indifferent, giving people a feeling of being rejected and condescending.
But Dean Xiao and others didn't think there was anything, it seemed that this was the right thing to do.
"This is the old director Pan of the emergency department and this is the Director Sun of the general surgery department. Let experienced old comrades check it out." Dean Xiao introduced one by one.
Lin Yuanshan nodded, and a hint of irritability appeared between his eyebrows.
After a brief greeting, Director Sun from the Second Department of General Surgery rushed to the rescue room and began to conduct a detailed physical examination.
Zheng Ren also mastered the physical examination, but since he had the support of the system, he was just doing it, and most of it was the habit he had left behind before. In fact, if he didn't have the physical examination, it would be perfect. After all, the diagnosis and disease process given by the system are so detailed.
After seeing Director Sun's professional techniques and detailed physical examination, Lin Yuanshan's displeasure slightly decreased.
"In acute cholecystitis, looking at the B-ultrasound, there is a large amount of gas near the gallbladder. It is estimated that inflammation stimulates the intestinal tract, so surgical treatment can be considered." Director Sun also gave a judgment on the condition.
"The old man is old, check if there are any complications first." Dean Xiao instructed.
"The patient's electrocardiogram is sinus rhythm and bradycardia. The respiratory system auscultation of both lungs is clear and there is no symptoms of accumulation pneumonia. The relevant blood collection before the operation has been sent to the laboratory department, and there will be a reward within half an hour." Chang Yue reported the relevant situation in detail.
The nurses in the ward have begun to indwell the catheterization and gastric tubes, and skin preparation.
"Is the surgery trauma serious?" Lin Yuanshan was a little worried.
After all, the old man is over 70 years old and still has to go through a cerebral infarction. His physical condition is not as good as before. If he recovers, he will definitely be slower.
Lin Yuanshan’s worries make sense.
"The patient recovers quickly under laparoscopic cholecystectomy." Director Sun comforted.
"Laparoscopy? Dr. Zheng said it was necessary to open the abdomen." Lin Yuanshan raised objection.
When the patient's family faces an old doctor in his fifties and an experienced boy in his thirties, it is natural to see which side they tend to.
When Dean Xiao heard that Zheng Ren had already diagnosed, he was a little worried and asked: "Zheng Ren, your laparoscopy is very high, why don't you do laparoscopy?"
"The patient has an acute attack of chronic cholecystitis. I am worried that the adhesion in the abdomen is more serious." Zheng Ren's answer was open and he ignored the official power emitted by Lin Yuanshan at all.
For technical homes, those do not exist.
Lin Yuanshan frowned.
Wizards who predict that something bad happened would be tied to a stolen rack and burned to death. Whether it is the Westerners in the Middle Ages, the current people, or the current people, they will have this mentality.
Especially for people whose condition may be more complicated, it is still a young person, which is even less convincing.
Lin Yuanshan decided to ignore Zheng Ren and asked Director Sun, the second department of General Surgery, directly, "Director Sun, do you judge that you can have laparoscopic surgery with less trauma?"
The Chu sisters have already prepared for total anesthesia, but even if they are there, they probably cannot reverse Lin Yuanshan's decision.
"There are difficulties." Director Sun also told the truth. After he said that, he quickly blinked his eyes, looked innocent, and apologized to Director Pan with his eyes.
"If surgery is necessary, I want to ask Director Sun to do laparoscopy. If laparoscopy does not work, turn it open again." Lin Yuanshan made a quick decision.
"Is the emergency operating room fully equipped?" asked Dean Xiao.
He also tends to find Director Sun to take action. After all, he is the old director, with impeccable skills and great confidence.
As for Zheng Ren... the special patient, he should let him stand aside first.
"Everyone has, I have recently undergone some laminoscopic cholecystectomy." Zheng Ren doesn't care. "Director Sun will take a look at him and see if there are any equipment that is not in harmony with his hands, so he can get it from the Puwai."
"It should be no problem." Director Sun felt that he stepped into the pit. He really didn't want to mess with the two men in the emergency department, and he admitted it thoroughly.
But unexpectedly, a special patient involved himself again.
"When the blood collection and testing report is not contraindicated, just prepare to do it." Director Xiao pretended to be relaxed and said with a smile: "The first hospital of the city has to do about a thousand cases every year. Last year, I did a 108-year-old man and went to the ground one day after the operation. Don't worry Li Hall."
Lin Yuanshan nodded with his nose, looking worried, and the atmosphere was a little heavy.
While waiting for preoperative examination, Chang Yue began to write to the hospital for communication. Before the operation, the keyboard sound broke the silence of the office.
Zheng Renze went to the rescue room. He didn't like the atmosphere in the office, so he hid out.
"You are very sinister." Su Yun still "floats" by Zheng Ren like a shadow. No matter where he goes, Su Yun follows him.
"Insidious?" Zheng Ren was puzzled.
"You have judged that the patient has severe abdominal adhesion. If the judgment is not wrong, I guess the laparoscopic surgery cannot be performed at all." Su Yun said: "Why don't you stop it?"
"Will anyone listen to me?" Zheng Ren was just a straight man, but not stupid.
After working in clinical practice for many years, there are still some basic judgments. The main reason is that the patient's family makes their own choices. If Zheng Ren rushes forward, it will cause many conflicts.
"Well, I don't have the Virgin Heart, so I feel much more relieved." Su Yun smiled, and the little nurse in the rescue room who was preparing for the patient before the operation became a little stiffer.
Zheng Ren felt that the interference was too great when he brought this guy in the rescue room.
"I'm curious to ask Lao Sun to do it first. Why can you judge the patient's abdominal adhesion?"
"On the image of the B-ultrasound, there is a gas band in the gallbladder area. Ordinary patients can understand it as gas interference. However, the gas band does not show obvious signs of activity. I judged that the transverse colon is moved upward and is wrapped in organochemicals and is fixed under the liver."
Speaking of unexpected diagnosis, Zheng Ren turned on the invincible mode.
It is one thing to be confused about judgment. With the final diagnosis of the system panel, it is relatively simple to go backwards.
Su Yun's eyebrows were very delicate, and he was also very delicate when frowning. Instead of being solemn, he became more calm, full of charm, blinding many coveted eyes.
He is trying to recall the images of an emergency B-ultrasound when he was undergoing a check-up at the bedside.
Chapter completed!