Zheng Ren and Lin Ge arrived at the cardiothoracic Department. In the office, Zhao Yunlong was standing in front of the film reader, frowning as he read the film.
Since they had already gotten off work, the second – String professors from the other departments had not arrived yet. It was normal for them to arrive a little later at this time.
“Old Zhao, what patient?” Zheng Ren asked.
“President Zheng, come and take a look.” When Zhao Yunlong saw Zheng Ren and Lin Ge come in together, he didn’t greet Lin Ge and directly pulled Zheng Ren over to watch the film.
Zheng Ren’s heart sank as he took a glance.
The patient’s diaphragm was white. The infection was serious, and it had already invaded the pleura and aorta.
“The patient is 62 years old. He ate mandarin fish at home two weeks ago, and a Fishbone got stuck. Later on, I ate the steamed bun after taking the aged vinegar and wanted to swallow it. ” Zhao Yunlong said.
So that’s the case. No wonder the big pig trotter called this a murder case caused by a steamed bun.
Zheng Ren nodded, crossed his arms, and began to read the scans.
“At that time, there were no strong symptoms. After three days, he began to cough and cough. One week later, he had breathing difficulties and the phlegm he coughed was yellow – green in color. One day ago, his phlegm turned black and yellow. The local hospital doctor suggested that he come to Beijing for treatment. ” Zhao Yunlong introduced.
“The longitudinal abscess is very serious, and we need to hurry up for the surgery.” Zheng Ren said.
“Hmm, I’m thinking that my aorta has been violated, and I need to remove the aortic scaffold.” “If it’s possible, try not to use artificial blood vessel anastomosis,” Zhao Yunlong said.
“Yes, if we do that, the surgery will be too big. Moreover, if the infection is too serious, there’s a possibility that it will develop a bacterial disease and pyroxene … There will definitely be complications. ” Zheng Ren immediately understood what Zhao Yunlong meant.
“I’m still thinking of seeing who’s coming from the Department of interventional services for the consultation later. If they’re of high standards, I’ll give Su Yun a call. ” Zhao Yunlong laughed as he spoke softly.
“Who’s going to perform the surgery?” Zheng Ren asked.
“I’ll go. The B – list professor Zhang’s standard isn’t good enough. ” They were all on the same side, Zhao Yunlong said straightforwardly.
This was how clinical medicine worked. The level of a professor might not be higher than that of a chief resident, and the level of a well – known professor in the country might not be higher than that of others.
Generally speaking, the level of a well – known professor in the country might not be that high. Many people gave up clinical practice when they were in their forties, and their hand speed, eyesight, and energy began to decline from their peak. They began to travel around the country and give speeches.
In this case, his fame in the country would increase, but his surgical skills would correspondingly decrease.
Some things were difficult to satisfy both sides. People who were really good at surgery would stay in the hospital quietly and perform surgery, and they rarely had the chance to let everyone know.
Even if someone knew about it, they would only be famous in their small circle.
“Professor Zhang …” Zheng Ren said. He looked around and saw that Lin Ge was the only one sitting on the chair, reporting on his phone. He said softly,””Can you perform the aortic arch replacement?”
“It can be done, but the mortality rate is especially high.” Zhao Yunlong said.
Zheng Ren had an idea.
He did not continue to ask. Whether other people’s surgery was performed well or not had nothing to do with him.
He continued to watch the film with his arms crossed. Zheng Ren was like a stone statue, unmoving despite the wind and rain.
More than ten minutes later, the second – String on – duty professors from the relevant departments came in one after another. Those who knew Zheng Ren greeted him. Zheng Ren did not know most of them, so he just passed by.
“This is the patient’s x – ray?” A voice came from behind.
“Professor Zhang, it’s an emergency patient’s x – ray.” Zhao Yunlong replied in a low voice.
Zheng Ren turned his head and saw a white – haired doctor in his fifties standing behind him.
His hair was neatly combed, and his snow – White clothes looked like a swordsman in white. They could even dance in the wind. He looked especially energetic and gentlemanly.
“Professor Zhang, how are you?” Zheng Ren greeted him politely.
“Boss Zheng, you’ve done some research on cardiothoracic surgery?” Professor Zhang greeted him in a neutral tone.
“I’m not thinking that if it’s a surgery, the risk will be much lower when we use the aortic stent. ” “We’ve set up the stent, but it’s still quite difficult to separate the pustule,”Zheng Ren said with a smile.
“There’s no way we can perform this surgery. ” When professor Zhang heard Zheng Ren mention the surgery, he immediately denied it.
Zheng Ren did not say anything and only smiled. The muscles on Zhao Yunlong’s face trembled a few times, but he held back his words.
“Everyone’s here. Director Zhao, please tell us about the patient’s condition. ” Lin Ge sat in the middle and started the meeting on behalf of the hospital administration.
Zhao Yunlong reported the medical history, and it was much more detailed than what he had told Zheng Ren.
The patient had a high fever, which was a sign of a serious infection. Bacteria cultivation was mainly based on pseudogamonas, but there were also the existence of other resistant bacteria.
It was obvious on the x – ray that there were many complicated diagnoses, such as duodrava hoggesia and duodrava abscess.
However, it was even more difficult when it came to treatment.
“I’ll share my opinion. ” Professor Zhang stood in front of the film reader and said calmly.
His white hair seemed to be telling the story of his rich clinical experience. He looked clean and calm, with a scholarly air that made people unconsciously trust him.
“The patient needs surgery, I don’t deny this. However, after reading the scan, we can see that because we stayed in a lower – ranking hospital for too long, the epicum of the aorta has been damaged. ” Professor Zhang’s voice was very pleasant to the ears. It was heavy with a slight hoarseness.
“Under such circumstances, there’s no chance of removing the abscess. If we force the surgery, the probability of the patient dying on the operating table is more than 95%.” “If the patient’s family insists on surgery, I suggest we do at least a 64 – row CT scan of the chest and get three – dimensional reconstruction before we decide on anything else,” professor Zhang said in a clear voice.
Zheng Ren shook his head in his heart.
Three – dimensional reconstruction of a 64 – row CT scan of the chest … He should be referring to the three – dimensional reconstruction of the blood vessels, CT scan, and the diaphragm.
Even if the hospital administration Department were to come forward, this kind of slow examination could only be done tomorrow. According to the normal procedure, the results would be out the day after tomorrow.
He had made it very clear, and the underlying meaning was also very clear. The surgery could not be done, at least not tonight.
That was because professor Zhang was in the second class today. If something were to happen, he would have to bear the responsibility.
Even if he did, he would have to wait until tomorrow or the day after.
When the time came, he would not be on duty and could just sit around and watch the surgery. The success or failure of the surgery would have nothing to do with him.
However, professor Zhang’s words were more tactful. He first emphasized the severity of the condition. For such a serious illness, it was necessary and necessary to do a 3D reconstruction before the operation to understand the condition.
‘What a slick Tai Chi master,’ Zheng Ren thought.
Professor Zhang saw that everyone was silent, so he picked up the medical record and began to talk non – stop.
He explained everything from laboratory tests to pathological changes, including white blood cells, neutorosis cells, and c – reaction protein.
‘The lesson was really good,’ Zheng Ren thought to himself.
“Does anyone have any other opinions?” Lin Ge asked after a pause.
“I’ll say a few words. ” Zheng Ren stood up and smiled gently.
……
……
Looking for monthly tickets, looking for monthly tickets at the beginning of next month.
