2136 Zhao Wenhua, not worth it
"Boss Zheng, the performance of iodine oil on the CT image is not like that, right?" Lin Yuan asked afterwards.
"What's not like?" Zheng Ren asked casually.
"It looks like a stone, and I always feel that there is something wrong with what you said." Lin Yuan asked, "Boss Zheng, don't be angry, I just don't understand."
Zheng Ren turned his head and looked at Lin Yuan. This child had a good talent, but he was still much worse than Su Yun.
Lin Yuan was stunned for a moment and subconsciously wanted to raise his hand.
"ct, have you done it?" Zheng Ren asked at Lin Yuan's left hand radial styloid process.
Lin Yuan felt like an invisible hemostatic forceps hitting the radial styloid process. Boss Zheng was "snapped" and his heart shivered.
"What are you asking?" Zheng Ren stopped looking at him, found Director Luo's phone number and called.
"Do it, Boss Zheng, you mean..."
"Director Luo, there is a patient on this side who needs to undergo emergency gastroscopy."
"Yeah, it's an emergency department, hemorrhagic shock. It should be a hepatitis B patient. I'll take the medical record and I'll talk about it then."
"Yes, I suspect it is liver cancer rupture and bleeding, and there is no way to diagnose this."
"No, I suspect that the downstream of the bile ducts to the pancreas and gallbladder. If that is the case, there may be bleeding in the descending duodenum."
"Yes, OK, let's meet and chat."
After saying that, Zheng Ren hung up the phone.
"What did you say?" Zheng Ren asked.
"I said duodenum... Uh, I've done ct. Boss Zheng, what questions do you want to ask?" Lin Yuan asked.
"How did you give the window frame and window seats on the head?" Zheng Ren asked casually.
"The general window width of the head is 100, and the window position is 37."
"Where is the abdomen?"
"Give 400 window frames and 40 windows." Lin Yuan answered in a serene way.
Well, the basic skills are quite solid, Zheng Ren thought to himself. If he had changed to a domestic clinician, few people would know the concept of CT window frames and window positions.
However, it is also conceivable that this is a doctorate from Harvard Medical School, and there is nothing good to compare with ordinary undergraduates in China. If you are not a top student, you can't go to top international medical schools.
"Why are the window frames and windows given differently?"
"Because of visual contrast..." Lin Yuan was stunned for a moment, and she immediately shook her head and said excitedly: "That's it, I understand!"
Zheng Ren ignored her and walked forward with great strides.
"Boss Zheng, wait a moment!" Lin Yuan chased behind him. Although he was tall and long, he was a girl after all, so it was normal that he could not catch up with Boss Zheng.
"It's because iodine oil gathers together in the liver, so it looks particularly bright. And along the blood flow to the gallbladder, it's a little bit of high-density shadow like mud and sand." Lin Yuan jumped excitedly.
"That's right."
Lin Yuan kept asking, and Zheng Ren just nodded lightly, without saying a word.
"Wow, why did you think so far!" Lin Yuan asked in surprise.
"I thought of it with all kinds of complications." Zheng Ren said.
When he arrived at the laparoscopic room, Director Luo was changing his clothes.
"Director Luo, please give me a message. Just say hello, why are you here in person?" Zheng Ren said with a smile.
"Look at Boss Zheng, your skills are not." Director Luo said with a smile, "The liver transplant surgery was done very beautifully two days ago."
"Su Yun still needs to be there. The patient's condition is too bad and his heartbeat stops. If he hadn't had a heart compression, he wouldn't have been able to get out of the surgery." Zheng Ren smiled honestly.
Director Luo looked at Zheng Ren with a smile. Boss Zheng is really modest.
The emergency liver transplant in poor condition actually took place, and it was so calm and quite good.
"Is it your patient?" Director Luo asked, "Didn't you say you flew to London for intrauterine interventional surgery? You didn't even take a break when you came back. There is still something to do in the ward, but it's busy enough."
"Oh, my patient is nothing to do, he is Professor Zhao's patient."
Director Luo was slightly stunned and felt a little strange. But he didn't ask, but just smiled, changed his clothes and followed Zheng Ren to the apnoramic room.
The two of them didn't talk about their condition. It would make no sense to say more at this time. They just chatted about the surgery two days ago.
Lin Yuan also changed his clothes and followed him in. She wanted to ask Boss Zheng several times, but with Director Luo here, she couldn't interrupt, so she could only force herself to hold back.
It took Zhao Wenhua to come up with the patient more than twenty minutes later.
If Su Yun was there, he would have been terrified. But Zheng Ren knew that this was because there were still various preoperative explanations to do, not that Zhao Wenhua was careless in his work.
If you really don’t care, you can ask for a consultation if you have any problems and then treat them step by step.
In the end, the patient's condition became worse and worse, so he went to the hospital for consultation or sent him to the hospital.
Follow the standard process and do not need to deal with things at all.
If you can think about the movie carefully, this person is pretty good. Although he is timid and afraid of things, he is unwilling to take responsibility. If something happens, he will find excuses and even trouble himself in the treatment team.
Zheng Ren remembers all these things in his heart, and he doesn't have to think about them specifically, and he will never forget them.
In Xiaohei's book where Boss Zheng holds his revenge, there are already many things about Zhao Wenhua.
but,
Today is different from the past.
Different levels and different realms, so the things you think are naturally different.
Within a few months, Zhao Wenhua had become a young doctor in Haicheng, which could not pose any threat to him. Moreover, he was very flirting and avoided himself, and Zheng Ren was lazy to get up on old accounts.
Besides, this is a case of misdiagnosis and mistreatment. You can't see it as if you didn't see it. You stood aside and looked at the joke coldly, and finally took the case and slapped Zhao Wenhua in the face.
A life is too expensive, and Zhao Wenhua is not worth it.
"Boss Zheng, I'm sorry, I'm late." Zhao Wenhua sent the patient in and bent down to apologize.
"It's okay, go change your clothes, I'll start doing it." Zheng Ren pushed the patient in, and Lin Yuan set his direction in front.
Zhao Wenhua looked at Boss Zheng's figure and felt mixed feelings.
Zheng Ren brought the patient to the emergency laparoscopy room, carried him to the bed, and the anesthesiologist gave him anesthesia inhalation.
Director Luo didn't say anything, nor did he care about who made the acupuncture.
If an ordinary doctor or even the director of a certain department, Director Luo would not allow him to do it himself in his laparoscopy room.
But Boss Zheng is different.
In a few minutes, when Zhao Wenhua changed his clothes and came in in a hurry, the gastroscopy had already passed through the pylorus and entered the descending part of the duodenum.
The descending part has a longitudinal fold, and the lower end is a circular bulge, which is what is usually called the large R-head of the duodenum, which is the common opening of the common bile duct and pancreatic duct.
On the screen, the position of the large R-head of the duodenum is constantly coming out, and the blood is squeezing on each tube, which makes the gastroscopy look quite clearly.
Zhao Wenhua felt a little glad.
Fortunately, I did not refuse Boss Zheng’s help for the sake of face, so I just bleed like this. The patient’s hemorrhagic shock will definitely worsen tonight. I was sent to the ICU and treated like this and he will definitely die in the end.
...
...
Note: A few days ago, a patient who was post-radiofrequency ablation. Xiao Dier had more than 100 cases of radiofrequency ablation and had seen such a patient with bleeding. In fact, it was 7 days after the operation, and the patient had an accident when he was about to be discharged from the hospital.
The diagnosis was also clear in various departments - gallstones and acute pancreatitis. Later, our director went against the opposition and had gastroscopy for diagnosis.
Chapter completed!