912. Urology Department, Mr. Yu, who is on duty, is very distressed.

He sat in front of the computer, looked at a patient's medical record, and carefully thought about what went wrong.

This is a patient with renal colic. Red blood cells +++ were found in urine, but no organic lesions were found in either B-ultrasound or CT.

Try to give patients orally opioid analgesic drugs, and the effect is quite good.

But you can't always use painkillers, right? The department organized two or three consultations, but in the end, no answer was obtained.

It was already the 6th day. Considering urinary tract infection, antibiotics were tried. The patient's condition not only did not relieve it, but it further aggravated.

Mr. Yu was very upset.

There is no way, so I can only ask the whole hospital for consultation tomorrow.

What department should I hire? Simple kidney colic seems to have nothing to do with other departments.

It was so sad. Mr. Yu sat in the chair, frowned and watched the CT film. There was no way to do it at all.

After sitting quietly for an hour, he searched all the test sheets and imaging materials, but still found nothing.

Mr. Yu gave up his struggle.

I took a look at the time and it was already three o'clock in the middle of the night.

He took out his cell phone and hesitated for a long time before sending a WeChat message.

[Brother Yun, there is a patient who really can't understand it. Can you take a look for me after getting up?]

The message was sent, Mr. Yu shook his head and returned to the duty room to fall asleep in contemplation.

...

...

It was dawn, and Su Yun woke up and saw the message from Mr. Yu with his cell phone in his hand.

He knew that he was looking for him, but in fact he wanted his boss to see what was going on.

What can urology have? It’s definitely not that the urinary catheter cannot get in. Their urethra spy Su Yun felt pain when he thought about it. Just looking at it, he had the illusion that the urinary tract was torn.

No matter what, get up first.

For consultation or something, the boss will check the surgery in the morning and then sort it out by himself.

As usual, it was dull and rushed.

After breakfast, I went downstairs to the community hospital to see the postoperative patient.

More than 60 patients have accumulated here, and in the foreseeable future, there will be more and more patients here.

As for whether to have extra beds, Zheng Ren hasn't figured out yet, mainly because he depends on the work ability of a doctor in the further study.

Lao Liu is good, but his body is almost overdrawn.

If you increase your investment, Zheng Ren is afraid that Liu Zewei will collapse directly. With the current work intensity, a young man may not be able to hold on, let alone an old man like Liu Zewei.

The rounds, handing over, rounds, and surgery are all a set of work processes every day. It roars without hesitation like a running machine.

Although it was a little fresh at the beginning, it would be a little boring over time. But Zheng Ren didn't feel that he was still very happy to spend the day in a dull and fulfilling manner.

After the operation in the morning, Zheng Ren watched the professor tear off the sterile clothes and walked out. The operation of the day was over.

Then there is a meal, and then go to the system library to read books.

"What to eat for lunch?" Zheng Ren asked.

Su Yun came here 10 minutes ago and he had an extremely accurate estimate of the surgical level and operating time of Professor Rudolph Wagner and Liu Zewei.

"Are you going to have a meal first or consult a doctor first?" Su Yun crossed his legs and sat on the sofa behind him, asking leisurely.

"Consultation? What patient?" Zheng Ren asked.

"A patient in urology has renal colic and no organic changes. After checking, he didn't find any problems." Su Yun already knew Zheng Ren's choice, but he was still waiting leisurely.

"Let's go see the patient." Zheng Renhuo stood up.

Have a meal? Faced with a difficult case, this option does not exist at all.

Is renal colic? Most of these pains are caused by kidney stones falling into the ureter.

It is said that the pain level is very high, exceeding the fracture, and even more painful than delivery.

The pathogenesis is that stones move rapidly or become incised in the renal pelvis and ureter, resulting in acute obstruction of the upper urinary tract. Due to the increase in tension in the inner wall of the lumen, the pain receptors in these areas cause severe pain after being pulled.

Subsequently, edema of ureteral or calyx wall and smooth muscle ischemia increase the inflammatory transmitter, activate more pain receptors, and further aggravate the pain.

It's just kidney colic, what's good about it?

Renal colic without stones?

Zheng Ren stood up, stopped moving, and kept thinking about the simple medical history and what Su Yun had just said.

"What do you think?" Zheng Ren looked at the leaded glass, where Xie Yiren was cleaning up medical waste. Just looking at the back, Zheng Ren felt that he would never get tired of watching it for the rest of his life.

"I came to ask you because I had no idea." Su Yun said: "The medical history is very simple. I went to see the patient and asked about various situations in person, but I still had no idea."

"Look at the patient," Zheng Ren said.

"I'm ready to go to the classroom in the community hospital."

Zheng Ren thought about it and it seemed to be fine.

Let’s start with the cases and various auxiliary examinations. If you really can’t tell what the disease is, then use the ability of the big pig’s hooves.

"Is Fuguier interested in going to see it?" Zheng Ren invited Professor Rudolph Wagner.

But the professor was obviously not interested in everything except the Nobel Prize, and he pretended not to understand.

Zheng Ren smiled and then said, "Let's go."

"I called Chang Yue and Mr. Yu." Su Yun said, "Chang Yue's diagnosis is too poor. As the first person to guard the gate and keep a close watch, you can't always do this."

Zheng Ren doesn't care. He doesn't bother to guess what Su Yun is thinking.

However, patients with renal colic are interesting. They have never heard of renal colic without stones.

Are the stones hidden?

Zheng Ren's heart was already flying, and he wanted to go and see the situation immediately.

"Yiren, I'll go to the consultation, at noon..."

"Sister Yue told me that you go first, I'll go later." Xie Yiren said while packing her things, "You guys will check out what to order. What do you want to eat at noon?"

"Uh... whatever." Zheng Ren said, "Then I'll wait for you for a while."

"It's okay, let's go together." Xie Yiren accelerated the speed of packing things.

Another nurse wanted her to leave directly, but was rejected by Xie Yiren. As an operating room nurse, she did not clean up medical waste after the operation. She felt that she had not finished her work and was uncomfortable all over.

Zheng Ren wanted to help, but was pushed out by Xie Yiren, thinking that he was clumsy and was in the way.

"Su Yun, let's talk about the medical history first." Zheng Ren felt bored after he walked out, so he asked.

"Boss, it's too much." Su Yun looked at Zheng Ren with his legs crossed and smiled.

"Um?"
Chapter completed!