2791 We are here to watch
"Boss Zheng, here you are." Director Xu said with a calm face.
"Director Xu, did you do it with a heartbeat? I'll take a look." Zheng Ren greeted simply and went straight to the point.
Lao He immediately handed the echoic report form to Boss Zheng.
The patient's condition was similar to what he saw in the system operating room, and Zheng Ren was even more sure.
"Get another echoic heartbeat." Zheng Ren said.
"Huh?" Director Xu was a little confused. It was enough to do one similar examination. Is it meaningful to do it twice?
He didn't ask a question, but looked at Zheng Ren.
"Director Xu, that's it." Zheng Ren came to the video reader with an echocardiac sign, pointed to the image on the video reader and said: "There was nearly 20 minutes difference between the front and back. From the CT, we can see that the heart is in the right chest cavity, and the farthest part is about 6.7cm from the sternum stem."
Director Xu and a group of anesthesiologists surrounded him. The hospitalization of the hepatobiliary surgery department was always squeezed out. Only Director Li, who had liver and gallbladder, stood beside Boss Zheng and watched.
"You can see from the echocardiography that the heart moved to the left by about 0.3cm."
“…”
Everyone was silent.
0.3cm, can you tell? Such a slight difference is probably enough if the test error caused by a heart beat is enough.
"On the way back, I considered that the patient may have twisted the heart due to a large amount of gas in the left chest cavity. As long as the closed drainage of the lower chest cavity leads out the gas and the left chest cavity returns to negative pressure, the heart should be able to return to its position." Zheng Ren said.
"Boss Zheng, traumatic pneumothorax is very common, but heart twisting is rare." Director Xu said in a deep voice.
If it were a young doctor and the hospitalization director, even Director Xu, the professor in the group, would have started to scold him long ago.
What are all bullshit opinions? Just wait for the heart to return to the position by itself without doing anything? Isn’t this a joke? If you don’t have to do anything, what else do you have to do? Like Director Xu, there are also professors of cardiothoracic surgery, but they know that Boss Zheng has a bad temper and stands behind without questioning it.
The same goes for the same thing, but if it were Boss Zheng, all this became another concept.
Boss Zheng is not the kind of person who dares not perform the surgery because of poor surgery. People are doing cardiothoracic surgery, such as secondary valve replacement, opening the chest and removing a 12cm large thrombus, etc., so there are more surgery such as having more surgery.
The heart is twisted and it is just reset. There is a bit of risk during the process, but Director Xu does not think the risk is too great.
But Boss Zheng needs to treat conservatively...
"That's right. Generally speaking, when a pericardial sleeve resection is performed, there is a very small possibility of heart torsion. However, related case reports have one thing in common - patients will have symptoms of respiratory and circulatory failure."
The operating room was quiet and everyone was listening to Boss Zheng’s statement. Zheng Ren’s voice was not loud, and it was difficult for people behind him to hear it.
After all, the patient has not undergone anesthesia yet. If he hears it, there will be complications.
"When I came in, I saw the patient looking at me, indicating that he was awake. The ECG monitoring values are relatively stable and there are no complications of respiratory and circulatory failure, so I guess if I don't care, the heart will be very likely to reset by itself."
"If this does, the damage to the patient will be minimal. You can try it. If it doesn't work, I can be responsible for opening my chest and rescuing it." Zheng Ren said calmly.
As soon as he heard Boss Zheng say that he could be responsible for breast opening and rescue, the atmosphere in the operating room immediately eased a lot.
"There is no problem with anesthesia?" Director Xu asked.
"Let's have anesthesia, let's watch here. If you have any problems, you will be rescued in the emergency room." Zheng Ren said.
Su Yun sighed in his heart. He did not feel the change in his boss's mentality, but he had already changed a lot when speaking and doing things.
Let’s watch here! This is already subconsciously putting myself and Director Xu on the same platform in my heart.
It is said that the Nobel Prize winners have this qualification, but even Su Yun is not used to this way of speaking and doing things.
After winning the Nobel Prize, he repeatedly told himself that he must be a human being with his tail between his legs, at least not to float to the sky. But his boss is already... tsk, too lazy to talk about him.
Lao He came in with an echo-heart-moving machine, and Zheng Renze was ready to do echo-moving.
"What's your name?"
"Zhu Hong." The patient whispered, "Doctor, I just have chest pain, panting and other things are much better, it's okay."
"It's okay." Zheng Ren squeezed the coupling agent on his chest wall and then started to have an echocardiac.
"Don't worry about small problems. If you have a minor operation, you can go home and recuperate in 5 days." Zheng Ren continued.
"Uh...why are you discussing so many of you? I heard that the doctors in the operating room are talking and laughing. If an old doctor comes in a while and another old doctor comes in a while, then there will be a problem." The patient asked in confusion.
"Discuss whether you can go home in 5 days. If you don't discuss it, you have to lie on the ICU for ten days." Zheng Ren said with a smile, then pointed to the echo-hearted screen and Director Xu and Director Li of the liver and gallbladder, saying: "Here, you can see that there is a greater difference between the CT images, and the reset distance is nearly 1cm."
It takes a deep professional foundation to understand it. Neither Director Xu nor Director Li, who is loyal, can understand it. Only Zhao Yunlong and Su Yun stood behind Zheng Ren and watched silently.
Although they also saw the difference, is Boss Zheng’s choice too risky?
If Zhao Yunlong's idea is to follow Zhao Yunlong's idea, it would be better to have a drastic sternum splitting surgery instead of being conservative.
"If you have no objection, you will start anesthesia?" Zheng Ren asked.
"Lao He, anesthesia." Director Xu directly arranged Lao He to come to the stage.
Although Lao He is not nominally in Boss Zheng’s medical team, he is Boss Zheng’s exclusive anesthesiologist not only in 912, but now almost all the top directors in the national anesthesiology major know about it.
A while ago, the question of who was Lao He swept across the anesthesia major like a strong wind. It only took Lao He a night to go from being anonymous before to becoming a popular anesthesia star.
Lao He glanced at Boss Zheng, but he did not directly answer Director Xu's words.
The boss of our family and Boss Zheng are standing here at the same time. It is actually difficult to choose who to listen to, but Lao He knows it.
Even if you offend Director Xu, you cannot offend Boss Zheng.
"Do it, I'll watch from behind." Zheng Ren said with a smile.
Chapter completed!