Director Xia, I'm back. Zheng Ren knocked on the door and came in, Director Xia was studying the double gallbladder malformation.

"Mr. Zheng, come and tell me about double gallbladder malformations. Director Xia didn't stand up, and beckoned very calmly.

She was about to stand up to make way for Jung In, but Jung Ren smiled and pressed her on the chair.

"Director Xia, don't dare to do this. You sit, you sit, it's not difficult, I'll just say a few words. Zheng Ren bent over, held the mouse in his right hand, and began to move the MR 3D reconstruction he had just done.

Both MRI and CT can be reconstructed in 3D, but clinicians basically only know about CT 3D reconstruction, and few people know that MRI can also be reconstructed.

The resolution of CT can reach 0.5mm, but although the NMR of Haicheng First Hospital is 3.0, the resolution is only 6.0mm, and the three-dimensional reconstruction is like a mosaic, which looks very awkward.

Zheng Ren is just trying to save trouble, but also to save some money for patients.

The gold standard for diagnosing double gallbladder malformations is ERCP, but because ERCP is an invasive test and is expensive, the current consensus is to use MRCP to confirm the diagnosis.

As for three-dimensional imaging, Zheng Ren did it easily, saving the patient from tossing and uncertainty, which is difficult for Director Xia to do.

Although Director Xia did not intentionally misdiagnose ...... Basically, no one will intentionally misdiagnose, and the patient looks more cooperative, but Zheng Ren still subconsciously niplicates all hidden dangers in the bud.

"Director Xia, look here, the patient has cystic ducts in both gallbladders. Zheng Ren used the mouse to outline the area he wanted to say, and then briefly explained: "Double gallbladder malformations are divided into type 1 and type 2. Harlaftis type 2 refers to two or more cystic ducts in both gallbladders that are independently connected to the common bile duct, and type 2 can be further subdivided into H-shaped and trabecular variants. ”

"This patient is one of the more common Harlaftis type 2, which means that it can be treated surgically. ”

"The patient is now pain-free, and I don't think it's likely that the patient's family will agree to the surgery. But you can tell the patient and the patient's family that I can do this surgery. ”

Director Xia glanced at Zheng Ren, lightly, not surprised, and didn't say anything.

"In 1997, Gigot reported a case of a double gallbladder malformation. At that time, the surgeon removed only one gallbladder, leaving the other. Twenty-seven months after surgery, the patient's other gallbladder was complicated with gallstones and acute cholecystitis, and the remaining gallbladder had no choice but to be removed. ”

"If it were to be surgery, I would recommend that both gallbladders be removed. ”

"Of course, that's just my statement. I think patients should go a little more and have a good consultation. Zheng Ren hesitated slightly, wanted to say something, but finally held back.

"Mr. Zheng, you have slapped me on the beach with this back wave. Director Xia sighed.

"Look at what you said. Zheng Ren smiled: "How can there be." ”

Director Xia picked up the instruction manual of Roche Fen (ceftriaxone) from the table, waved it, and said, "Mr. Zheng, the manual can be memorized, this ability...... I can't. ”

Zheng Ren smiled and didn't speak.

"Mr. Zheng, how do you know?" Actually, Director Xia didn't believe that Zheng Ren could memorize the drug instructions.

There are at least 100 kinds of drugs commonly used in clinical practice.

All kinds of drugs, the better the medicine, the more detailed the side effects are written.

If you look at the instructions, this medicine will not be used at all.

But the more this medicine is, the better the effect. Unlike the ragtag drugs produced by the pheasant pharmaceutical factory, the instructions are almost all-inclusive.

So Zheng Ren's ability to know about this is a very strange thing in Director Xia's opinion.

How good is this memory?

"Director Xia, my doctor's certificate is a general surgery specialty. Zheng Ren said: "A few years ago, did you hear of the medical accident in Liaozhou People's Hospital?"

Liaozhou, a county under Haicheng, performed an emergency cholecystectomy on a patient a few years ago because of the diagnosis of cholecystitis and cholelithiasis.

It just so happened that the patient's family was more serious, so they had to look at the stone, saying that it was a relic and wanted to stay as a souvenir.

Before the operation, he also stuffed a red envelope, and the surgeon confidently said that he must keep the stone for the patient's family. It's just a gallbladder cut, and no one thinks it's risky.

But after cutting off the gallbladder, the surgeon was stupid.

There are no stones in the gallbladder at all.

This matter ended up making a lot of trouble. The surgeon insisted that there were gallstones in the preoperative B-ultrasound, and there was no problem with the operation by himself. But after the operation, he didn't take out the stone, and he refused to let go.

In the end, the family members pulled banners, and the trouble became bigger and bigger.

Later, the chief surgeon was suspended, and the hospital lost a lot of money.

Zheng Ren resolutely refused to accept red envelopes, which was directly related to this matter.

It's scary to think about. The preoperative examination is very sure that there is a stone, but the stone is not large.

But during the operation, the stone disappeared like a ghost.

In this case, how do you explain it to the patient's family? If the money is confiscated, it will be tougher. If you collect the money, you will be ashamed.

After this incident, Zheng Ren read a lot of information and mastered the causes and consequences of this gallstone disease before the big pig's trotters were put on his body.

So when he encountered it today, he directly judged that it was a static fftriaxone, a crystalline substance left over from gallbladder metabolism, and as long as it stopped at the static point, it would soon disappear.

In Zheng Ren's opinion, it is a trivial matter, but in Director Xia's opinion, it is very magical.

Director Xia thought of the medical dispute and immediately realized that the chief surgeon at that time had also encountered this situation that he had encountered.

If it weren't for Zheng Ren, and then I met a difficult family member, I wouldn't have been able to explain how the gallstones came from.

But fortunately, I seemed lucky to meet this young Mr. Zheng.

For clinical doctors, luck is very important.

Director Xia nodded, understanding what Zheng Ren meant. Zheng Ren didn't continue to say anything, after all, the rabbit died and the fox was sad, and the thing hurt it.

Talking about the chief surgeon behind his back, Zheng Ren and Director Xia will be a little awkward in their hearts.

After chatting a few more words, Director Xia felt the bottom of his heart, and Zheng Ren also said goodbye and left.

Can surgery be done?

Absolutely.

But Zheng Ren knows that for this rare disease, it should be difficult for the family to choose to have surgery in Haicheng. I can only provide my opinions to Director Xia, and then she and the patient's family will explain it.

The size of the temple is directly related to the Bodhisattva's incense.

And I belong to the type that is too young, and it is difficult for the patient's family to have a sense of trust.

If it was replaced by the imperial capital and the magic capital, Zheng Ren might have directly explained the situation to the patient's family and performed the operation.

At this point, Zheng Ren is still quite compelling in his heart.

Not in a hurry, Zheng Ren slowly returned to the emergency ward, looked around the patients, and then continued to sit down and read.

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