0272 Floating Gallbladder (1/5)
The operation went smoothly. Zheng Ren and Yang Lei did it and stepped down in 20 minutes.
On the stage, Zheng Ren tirelessly explained the key steps to Yang Lei. Although it was just an apnoscopic appendectomy, Zheng Ren seemed to be of high quality and extended to other surgeries, Yang Lei benefited a lot.
After stepping down, Zheng Ren was bored.
Just after returning from the imperial capital, life seemed to have lost its direction.
No, it’s not because of this, but because Xie Yiren didn’t go on stage for surgery.
It’s just that Zheng Ren didn’t realize this.
The skill points of general surgery are grinding a little bit, and they are still far from the Grandmaster level.
Zheng Ren was determined to go to the system operating room to train a combined pancreatic duodenectomy. It is estimated that one operation can increase more than 100 skill points.
But when he saw his remaining experience and operation time, Zheng Ren gave up this idea.
If all of them are spent, the possibility of being promoted to a master is very slim. Once you encounter a critical situation, you will be stunned.
It’s better to grind a little bit, the long-term main task - the best surgeon has finished many rounds. Although the reward is slim, no matter how small the seeds are, they will still be meat.
"What are you thinking in a daze?" Su Yun's familiar voice came from behind.
"daze."
"Are you thinking about Xiao Yiren? You are too timid. The domineering president fell in love with me. Have you seen it? What you want is that domineering aura." Su Yun urged.
"Mr. Liu is very domineering in the United States and has lost a lot of money. It's so embarrassing." Zheng Ren retorted without hesitation.
"I'm talking about you, just understand the spirit." Su Yun didn't care about Zheng Ren's argument, which proved that he was guilty and smiled slightly.
"How is the patient?" Zheng Ren asked.
"I have just pulled out the tube, and now I can live." Speaking of the patient's condition, Su Yun was not so nagging, but briefly introduced the patient's condition.
Zheng Ren knew that the completion rate of the surgery was 100%. As long as there was no accident on the ICU side and it was handled properly, it would be difficult for the patient to die.
"By the way, the paper on Little Nodule Liver Cancer has been mailed. I just answered the phone and said if there are any more cases."
"It shouldn't be there for the time being." Zheng Ren said: "Is it okay to publish it in a case-by-case form?"
"It's OK, but it's hard to get recognition in a short period of time." Su Yun said, "It doesn't matter anyway. You're just a salted fish. You're always a hospitalized person in Haicheng."
"Not you have been there for a lifetime? Haven't you come back from the imperial capital?"
"Boss, are you interested in the pet hospital? You either ask you to go, there is an operation that requires you to take action, or save a station."
"..." Saving Taiwan and going to a pet hospital, Zheng Ren said that these two words are very strange.
"It's basically golden retrievers. After eating socks in Alaska, foreign bodies in the intestines cause intestinal obstruction. At your level, one is 20 minutes a day, it's no exaggeration." Su Yun said: "Money is easy to say."
"I……"
"Don't say you're not short of money, I asked yesterday that Xie Yiren's parents will come back for the New Year in a month or two." Su Yun said in a thief.
"..." Zheng Ren hesitated for a moment, "Okay. But I don't have a veterinary certificate, is that okay?"
"No problem, how can a veterinarian do surgery? They are all foolish. It's okay to do sterilization. If they really open their abdomen and chest, they can't get it down." Su Yun said.
"Look for an opportunity." Zheng Ren finally lowered his head in front of reality.
When Zheng Ren thought of Xie Yiren's parents coming back, he felt a little nervous. Why was he nervous and how to solve it? Zheng Ren had no tyranny at all.
Just as I was thinking, my phone rang.
"Mr. Zheng, I have an aunt who has a pain in the upper right abdomen. You can take a look." It's Chu Yanran.
It's very simple, not even said it. And I'm not polite. What's the point of being polite to me? It's common.
Since I didn't say anything, I was in the emergency room.
Zheng Ren immediately strode to the emergency department, and Su Yun lowered his head slightly and followed him as usual.
The emergency department is not very busy. It is the cold winter season, and people who drink and fight are almost extinct. The road is still full of ice and snow, and everyone is careful when driving, so the emergency department is a little cold.
But that's pretty good.
In the emergency department, Chu Yanran was standing at the head of the emergency rescue bed, next to it was an emergency B-ultrasound car, and a doctor was performing an abdominal B-ultrasound on the patient.
The family members looked anxiously, but Zheng Ren ignored them and glanced at the prompts on the system panel - acute gallbladder torsion and acute gangrene cholecystitis.
Huh? This is a rare disease.
Gallbladder torsion is a rare situation. It has been more than a hundred years since Wendell first described it as a "floating gallbladder" in 1898. Zheng Ren searched the literature in his memory and estimated that there were only more than a hundred reports.
In addition to what I don’t know, there are probably three to five hundred reports that are so high.
Prepare for surgery, there is nothing to do.
Any organ, as long as it is twisted, means that necrosis will occur next. The system panel has given a prompt, acute gangrene cholecystitis.
When Chu Yanran saw Zheng Ren coming, she said, "Aunt Lin suffered abdominal pain after dinner this morning. She did not treat it at that time. Three hours ago, the pain worsened and she took anti-inflammatory and gallbladder tablets orally, but it did not improve. The pain was severe and unbearable. She came to our hospital for treatment. During the course of the disease, she had no fear of cold and fever, no nausea and vomiting. The routine blood and liver function of the emergency room have been sent for examination, and she is probably coming back soon."
"Cholecystitis requires surgical treatment." Zheng Ren said.
"Are you Dr. Zheng?" asked a middle-aged man in his thirties.
He wore gold-rimmed glasses, a face full of books and anger and anxiety.
"Well, I am." Zheng Ren replied.
"Hello, my name is Zhou Wenxiang." Although the middle-aged man was very anxious, he was not confused and reached out to shake his hand and shook Zheng Ren.
"Doctor Zheng, do you judge that my mother needs surgery? Can you not do it?" Zhou Wenxiang asked.
"I consider acute gangrenechocystitis caused by gallbladder torsion and local necrosis. There are two methods of surgery: removal of the gallbladder and reduction of the gallbladder. I recommend direct resection to avoid similar situations in the future. As for conservative treatment, it cannot alleviate the disease, and it is not recommended."
Zheng Ren explained his diagnosis clearly.
Zhou Wenxiang hesitated for a moment and walked out perfunctorily.
Zheng Ren saw Chu Yanran, and Chu Yanran came over and whispered: "His father is my father's colleague and is rushing back in the provincial capital. Mr. Zheng, gallbladder torsion is a rare disease. Can it be confirmed?"
"Here." Zheng Ren pointed to the B-ultrasound at the bedside and said: "Imaging supports the diagnosis of gallbladder torsion."
"When did you see B-ultrasound? I remember you never made any comments on B-ultrasound before." Chu Yanran keenly discovered the abnormality.
"That's because there was no problem with B-ultrasound in the past. Didn't I just say that when I encountered rare cases in the emergency room?"
Chu Yanran turned her head and thought about it. What Zheng Ren said seemed to make sense, so she didn't continue to say anything.
Chapter completed!