1122 Gastric cancer for systematic diagnosis of gallbladder disease
Professor Yoo was overjoyed, and at the same time, Zheng Ren's cell phone rang.
"Mr. Wang. Zheng Ren answered and greeted.
"Oh, okay, I'll take a look. ”
After speaking, Zheng Ren hung up the phone.
"Boss, you're so busy coming back. Gao Shaojie said with a smile, and also had some regrets. Boss Zheng is simply too busy, and it seems that it is difficult to do teaching surgery.
"When I encountered some problems, I asked Mr. Wang to take a look, didn't I call him. Zheng Ren smiled: "Director Zhou, I'll take a look at the operating room." ”
"Well, you're busy, you're busy. Director Zhou also received a call from Dean Xiao, and was about to explain immediately, so he hurriedly said goodbye and left.
When I went to the operating room, it would be inappropriate for Gao Shaojie, Professor Liu and Wang Qiang to follow. They were going to discuss it, and if they caught Zheng Ren, no one wanted to let him go like that.
Zheng Ren doesn't care, it's not a big deal to have surgery when it's convenient. He reported the itinerary to Xiao Yiren and rushed all the way to the operating room.
Mr. Wang was waiting for Zheng Ren in the locker room, and when he saw Zheng Ren rushing over, he said, "Boss Zheng, Director Sun has something to do, and he will consult on the stage." ”
"What patient?"
"Before the operation, it was considered stomach cancer, and it was necessary to have an excision operation. But after opening it, the situation was not right, and Director Sun was also cautious. ”
Thinking of Director Sun, Zheng Ren smiled.
I don't know if his youngest grandson is recovering well, Director Sun has been cautious all his life, to be honest, he really isn't the material to be a big director. With Liu Tianxing here, the general surgery department can still hold up. Liu Tianxing's illness and the shrinkage of the general surgery business are reasonable.
It's not that Director Sun's surgical level is bad, he is just simply timid.
I want a smooth retirement, and I don't want to get into trouble.
If Mr. Wang can stay in Haicheng, it is estimated that he will become the director of general surgery within three years.
But if they are 912 people, they will definitely not stay.
"Stomach cancer, is the adhesion too heavy?" Zheng Ren asked.
Mr. Wang shook his head and signaled that he didn't know. The two changed their clothes and walked in with hats and masks.
Opening the airtight door of the operating room, Director Sun stood in the surgeon's position, with his back to the airtight door, and did not see the two of them for the first time. The assistant was the general resident of the Second Department of General Surgery, and he looked up and just wanted to say hello, when he saw a familiar face, he was stunned.
"Is Mr. Wang here? Give me a slap and see what it is. Director Sun raised his head when he saw the hospitalizer in the position of a helper, and he didn't look back, and said directly.
Director Sun's words are very polite and familiar, and it seems that he usually bothers Mr. Wang.
"Zheng ......," the hospitalized general said in amazement.
"What is it? This is surgery. Looking for the king always comes to slap a glance, you can't speak strongly. Director Sun scolded.
"Director, it's Mr. Zheng who is here. The hospitalization summary stammered.
Director Sun's hand stiffened slightly, and he asked in surprise, "Who?"
He said, looking back.
Between Jung In's mask and hat, smiling eyes appeared in front of him. Gentle and a little honest.
Sure enough, it's Zheng Ren!
"Ah, Mr. Zheng, when are you coming back?" Director Sun immediately said excitedly.
"I'm here in the early morning, come back and see the old director. Zheng Rendao.
Of course, Director Sun knew that the old director was referring to the old Director Pan, and it would definitely not be himself, let alone Liu Tianxing.
"It's right, it's right, Mr. Zheng, Mr. Wang, help with a glance. Director Sun didn't forget about the operation, Zheng Ren is here, that's the best, he said quickly.
"The patient was a 66-year-old male patient, a lump in the stomach wall was found in the physical examination, it was considered to be stomach cancer, and he was admitted to the outpatient clinic, and there was no preoperative urgency in the examination. Director Sun briefly introduced the medical history: "Mr. Zheng, you help me take a look, why don't I look like stomach cancer?"
Zheng Ren stood behind Director Sun and looked over.
The adhesions in the abdominal cavity are very heavy, and I don't know how long the operation has been going on, and it is free and messy. However, the lump near the stomach wall was already exposed, and it was dripping with blood.
"The patient has had surgery before, and what is his past medical history?" asked Zheng Ren.
Usually such severe adhesions are caused by previous surgery or trauma.
Otherwise it wouldn't be so heavy.
"The patient reported a history of no surgery and no major trauma. The hospitalist immediately reported.
"Huh?" Zheng Ren squeezed forward again, glancing at the patient's system diagnosis.
Systematic diagnosis and gastric cancer have nothing to do with it, but it is a disease of the gallbladder - old gallbladder rupture.
Zheng Ren thought for a moment and said, "Director Sun, go up and take a look at the gallbladder area." ”
The patient's self-report can only be used as a reference. Sometimes there are many conditions that the patient himself overlooks, which is very common in clinical practice.
It is said that there are no major trauma, and the credibility of such a private complaint is definitely not more than 10%. (Note 1)
Director Sun was stunned for a moment, looked at the sticky mess of the abdominal cavity in embarrassment, and asked cautiously: "Mr. Zheng, Mr. Wang, why don't you take a hand?"
Zheng Ren smiled, nodded, and said, "The operation is more difficult, I'll let Yiren go up, is it okay?"
Director Sun naturally won't object, just wait for a while, it's nothing.
Zheng Ren has itchy hands, and the surgical instruments are sterilized in the morning, and he hasn't used them yet. This difficult operation happened to use the instruments that Dr. Charles gave him.
"Yiren, there is an operation in the operating room, come and take the handle, and bring the surgical instruments by the way. Zheng Ren made a phone call to Shay, and he and Mr. Wang began to brush their hands.
"Boss Zheng, what do you suspect?" asked Mr. Wang while brushing his hands.
"The patient's abdominal adhesions are too heavy, there is nothing suspicious, and he needs to be free and explored. But it doesn't look like stomach cancer, so let's talk about it. Zheng Ren also expressed doubts about the diagnosis of large pig trotters.
Isn't it nonsense that there is something on the stomach, but the big pig's trotters tell him that it is a gallbladder disease? However, Zheng Ren's trust in the big pig's trotters is still very high, and he did not have simple suspicions, but decided to take a look.
Mr. Wang was deeply impressed by Zheng Ren's answer, and he thought so too.
If surgery is excluded for such heavy adhesions, the patient has suffered trauma.
Let's explore and check it first, and take a frozen pathology during the operation, and there is a high probability that it can be confirmed.
After brushing his hands and getting dressed on stage, the general inpatient of the Second Department of General Surgery directly gave way to his position, and Director Sun also stood in the place of the second assistant, waiting for Zheng Ren to come up.
It's been a long time since I've seen Mr. Zheng have surgery, if Mr. Zheng doesn't leave, he won't have to be so frightened, Director Sun sighed a little.
……
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Note 1: Many patients find old rib fractures during examination, and they do not pay attention to the fracture when it occurs, thinking that it is a contusion.
This kind of thing is very common.