Chapter 2134 Zhao Wenhua, It's Not Worth It

"Boss Zheng, isn't that how iodized oil behaves on CT images?" Lin Yuan asked in pursuit.

"It's not like that?" Zheng Ren asked casually.

"It looks like a stone. I always think there is something wrong with what you said." Lin Yuan asked, "Boss Zheng, don't be angry, I just don't understand."

Zheng Ren glanced sideways at Lin Yuan. This kid's talent is not bad, but he is still much worse than Su Yun.

Lin Yuan was taken aback for a moment, and subconsciously raised his hand.

"CT, have you operated it?" Zheng Ren asked, staring at the radial styloid process of Lin Yuan's left hand.

Lin Yuan felt as if an invisible hemostatic forceps had hit the radial styloid process. He was "slapped" by Boss Zheng, and his heart shuddered.

"I'm asking you something." Zheng Ren stopped looking at him, found Director Luo's phone and called him.

"I did, Boss Zheng, you mean..."

"Director Luo, there is a patient here who needs an emergency gastroscopy."

"Yeah, it's an emergency department, hemorrhagic shock. It should be a hepatitis B patient. I'll bring the medical records and I'll talk about it later."

"Yes, it is suspected that the liver cancer is ruptured and bleeding. There is no way to diagnose it here."

"No, no, I suspect that the reflux flow along the bile duct to the pancreas and gallbladder. If so, there may be bleeding in the descending part of the duodenum."

"Yes, all right, let's meet and talk."

After speaking, Zheng Ren hung up the phone.

"What did you say?" Zheng Ren asked.

"I said the duodenum... Uh, I've had a CT scan. Boss Zheng, what questions do you want to ask?" Lin Yuan asked.

"Head CT, how did you give the window frame and window position?" Zheng Ren asked casually.

"The general window width of the head is 100, and the window level is 37."

"Where's the belly?"

"400 for the window frame and 40 for the window position." Lin Yuan answered eloquently.

Well, the basic skills are quite solid, Zheng Ren thought to himself. If you change domestic clinicians, few of you know the concept of CT window frame and window level.

However, it is also conceivable that this is a Ph.D. from Harvard Medical School, and there is nothing to compare with the average domestic undergraduates. He is not a top student, nor can he go to a top international medical school.

"Why are the window frames and window positions different?"

"Because of the visual contrast..." Lin Yuan was stunned for a moment, then she shook her head and said excitedly, "That's it, I know!"

Zheng Ren ignored her and strode forward.

"Boss Zheng, wait a moment!" Lin Yuan chased after her. Although she was tall and had long legs, she was a girl after all. It was normal that she couldn't catch up with Boss Zheng.

"It's because the iodized oil gathers together in the liver, so it looks particularly bright. And it flows back into the gallbladder along the blood flow, and it's just a little bit of high-density shadow like sand." Lin Yuan was bouncing excitedly Speaking of jumping.

"That's right."

Lin Yuan kept asking, Zheng Ren just nodded lightly, without saying a word.

"Wow, how did you think so far!" Lin Yuan asked in surprise.

"Following the various complications, I thought of it." Zheng Ren said.

When I came to the endoscopy room, Director Luo was changing clothes.

"Director Luo, I'm sorry to trouble you. Just say hello, why are you here in person?" Zheng Ren said with a smile.

"Look at Boss Zheng's skills." Director Luo said with a smile, "The liver transplant operation was done beautifully two days ago."

"There still needs to be Su Yun. The patient's condition is too bad and his heart stopped beating. If it wasn't for him doing cardiac compressions, the operation would not be possible." Zheng Ren smiled honestly.

Director Luo looked at Zheng Ren with a smile, Boss Zheng is really humble.

The emergency liver transplant in poor condition was done, and it was still so calm, which is quite good.

"Is it your patient?" Director Luo asked, "Didn't you say that you flew to London for intrauterine interventional surgery, and you didn't rest just after you came back. There is still work in the ward, but it is busy enough."

"Oh, my patient is fine, it's Professor Zhao's patient."

Director Luo was slightly taken aback, feeling a little weird. But he didn't ask, just smiled, changed his clothes and followed Zheng Ren to the endoscopy room.

The two of them didn't talk about their condition, and it was meaningless to say more at this time, they just chatted about the operation two days ago.

Lin Yuan also changed her clothes and followed her in. She wanted to ask Boss Zheng several times, but with Director Luo around, she couldn't interrupt, so she could only restrain herself.

More than 20 minutes later, Zhao Wenhua came up with the patient.

If Su Yun was here, it would definitely be a stinky meal. But Zheng Ren knew that it was because there were still various preoperative explanations to be made, not because Zhao Wenhua was careless.

If you really don't care, you can find a consultation if you have a problem, and then treat it step by step.

In the end, the patient's condition became worse and worse, so he went to the whole hospital for consultation, or sent him to the ICU.

According to the standard process, you don't have to think about things at all.

If he can think about the film carefully, he is not bad. Although he is timid and afraid of getting into trouble, he is still unwilling to take responsibility. When something goes wrong, he makes excuses and troubles his own treatment team.

Zheng Ren kept these things in his heart, so he didn't need to think about them, and he would never forget them.

Boss Zheng's little black book of grievances has long been filled with things about Zhao Wenhua.

but,

Today is different.

The level is different, the realm is different, and the things you think are naturally different.

Within a few months, Zhao Wenhua had become a little doctor in Haicheng, and he could not pose any threat to himself. And he was winking, avoiding himself and walking, Zheng Ren was too lazy to dig up old scores.

Besides, this was a case of misdiagnosis and mistreatment, and he couldn't see it as if he didn't see it. He stood aside and watched the joke coldly, and finally took the case to slap Zhao Wenhua in the face.

A human life costs too much, Zhao Wenhua is not worth it.

"Boss Zheng, I'm sorry for being late." Zhao Wenhua sent the patient in and bowed down to apologize repeatedly.

"It's okay, you go and change your clothes, I'll start doing it here." Zheng Ren pushed the patient inside, and Lin Yuan pointed the way in front.

Looking at Boss Zheng's figure, Zhao Wenhua felt mixed feelings.

Zheng Ren brought the patient to the emergency laparoscopic room, put him on the bed, and the anesthesiologist gave inhalational anesthesia.

Director Luo didn't speak, and he didn't care who did the endoscopy.

If it was an ordinary doctor, or even the director of a certain department, Director Luo would not allow him to do it himself in his laparoscopic room.

But Boss Zheng is different.

A few minutes later, when Zhao Wenhua changed his clothes and hurried in, the gastroscope had passed through the pylorus and entered the descending part of the duodenum.

There are longitudinal folds in the descending part, and the lower end is a round bulge, which 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 continuously poured out tube after tube of blood, which was quite clear through the gastroscope.

Zhao Wenhua felt happy for a while.

Fortunately, I didn't refuse Boss Zheng's help for the sake of face. I just bleed like this. The patient's hemorrhagic shock will definitely worsen tonight, and he will be sent to the ICU. If he is treated like this, he will definitely die in the end.

...

...

Note: The case of the previous few days, the patient after radiofrequency ablation. Xiao Dier, who has done more than 100 cases of radiofrequency ablation, has seen such a patient with concurrent bleeding. In fact, 7 days after the operation, an accident happened when the patient was about to be discharged from the hospital.

After consulting with various departments, the diagnosis is also very clear - gallstones, acute pancreatitis. Later, our director tried his best to make a diagnosis by gastroscopy.

Objective inspection is sometimes unreliable~~~