Clinically, MRI diffusion of the liver is rarely done. Or rather, not very little, but almost none.

Director Luo should have read the article in the New England journal and knew that the location of the puncture could be determined by MRI diffusion.

It's just that he is still not sure, so he has to listen to Zheng Ren himself to believe it.

"Thank you for your help, Director Luo. Zheng Ren said: "After the examination today, if there is no contraindication to surgery, you can operate tomorrow." ”

Because MRI diffusion is not a routine examination, patients generally do not bring relevant films to 912 for treatment, so they need to do a film before deciding on the issue of surgery.

In the past, the patients admitted to the interventional department were all outpatient clinics, and they were not admitted to the hospital first, and the patients were allowed to do MRI diffusion in the outpatient clinic, and whoever finished it first was admitted to the hospital first. In this way, the length of hospital stay can be shortened as much as possible.

Director Luo raised his head, glanced at Zheng Ren, and asked, "You are very familiar with Lao Chu." ”

"I met when I first came to the imperial capital, and Director Chu took good care of me. Zheng Ren said.

"Then you go to Lao Chu, take the patient to take the time to do the MRI diffusion today, and tomorrow the operation, remember to tell me, I will go and see Boss Zheng's skills." Director Luo said.

"Okay. Zheng Ren nodded.

He was not polite, and he did not have any undue reaction because Director Luo asked him to take the patient for an examination.

Director Luo has said that at this step, if Zheng Ren is still not satisfied, it will be too much.

"Go to Mr. Liu and show you the patient. Director Luo said.

Zheng Ren and Director Luo exchanged mobile phone numbers and WeChat, and then they left the director's office.

Mr. Liu? The general name of the resident in the Department of Gastroenterology is Liu.

Thinking about it, Zheng Ren came to the door of the doctor's office and knocked on the door.

"Is Mr. Liu there?" asked Zheng Ren with a kind face.

"I am, what's the matter with you?" asked a stocky female doctor in her thirties, looking up at Zheng Ren.

"Hello, I am Zheng Ren from the interventional department, and Director Luo asked me to come to you to see a patient with advanced liver cirrhosis with portal hypertension admitted yesterday. Zheng Ren said.

"Oh, you're Boss Zheng. Mr. Liu said enthusiastically: "Please come in, please come in." ”

Jung In walked in, smiling and acting extremely gentle.

"The patient is a 60-year-old woman with a history of liver cirrhosis for more than 30 years, and now her liver is atrophiing very much, and her liver function is fine. Here are the indicators, Boss Zheng, you have a look. Mr. Liu found the medical records and handed them to Zheng Ren.

Judging from the test sheet, this is indeed the case. The patient's liver function is worse than normal, but it does not affect the operation.

"How much ascites?"

"Here's a CT scan of the abdomen, take a look. The chubby Mr. Liu said.

Zheng Ren inserted the film into the reader and looked at it with his cheek.

With the passive skill of [Reconstruction], Zheng Ren himself can determine the puncture point with a simple abdominal CT scan.

But if it's not systematic, with a strong personal touch.

In other words, others simply cannot follow Zheng Ren's practice to determine the puncture point of TIPS surgery, which has an unrepeatable nature.

If it can't be repeated, it just can't be promoted.

On the film, the patient's liver has shrunk by about 1/4 of its volume, the spleen is enlarged, and the image of gastric varicose veins can be seen.

The amount of ascites is not large for this degree of cirrhosis, and the patient is well controlled.

"A month ago, the patient was presented to a local hospital for vomiting blood and was treated in an emergency room. After his condition stabilized, the patient's family came to our hospital for treatment. Mr. Liu began to introduce the patient's medical history.

Jung Ren just listened, carefully analyzing the patient's condition.

In fact, for simple advanced liver cirrhosis and portal hypertension, Zheng Ren can completely leave this kind of thing to others to do, and only be responsible for the operation.

But has the situation just opened up, Zheng Ren doesn't want to leave Director Luo with an arrogant impression.

And the most important thing is that Zheng Ren is not at ease.

has been a doctor for a long time, Zheng Ren belongs to the kind of person who can't hold two taels of sesame oil in his dog's belly. As long as the patient has a little problem that is not solved, he can not sleep well at night.

For example, those incurable diseases, the patient manifests as one disease, but in fact it is another disease. If you want surgery, you should analyze it yourself first, and then compare it with the system template to try to be foolproof.

After listening to Mr. Liu's report, she took Zheng Ren to the ward to see the patient.

As soon as he entered the ward, Zheng Ren heard an elderly woman say, "Son, our family doesn't have much money, so it's expensive to see a doctor in the imperial capital." ”

It was a gray-haired old man on the phone, who looked to be at least ten years older than his actual age.

"Why don't we go back, I'll take some Chinese medicine, and I'll get better soon." ”

The old lady said tremblingly.

As soon as she finished speaking, a roaring sound came from the phone in her ear.

Zheng Ren didn't hear what he said specifically.

But the old lady was obviously timid, she was not the kind of tough person, she just listened to her son's words silently, her head slightly bowed, her gray hair scattered, the sun shining through, black and white, like withered weeds.

Doctors generally do not take care of this kind of household chore, except in very special circumstances.

Zheng Ren maintained a gentle smile, stood at the head of the bed with Mr. Liu, and waited for the old lady to hang up the phone before starting to ask for a consultation.

At first, Zheng Ren didn't ask directly, but chatted with the old lady for a few homely words. Such as where is the hometown, how many people are in the family.

The old lady's mood quickly calmed down, as if she had found someone to talk to, and chattered a lot with Zheng Ren.

Mr. Liu was a little anxious, there was still a lot of work to be done, and once he was delayed here for half an hour, all the work would have to be postponed.

Zheng Ren felt Mr. Liu's mood and said with a smile: "Mr. Liu, you go and get busy first, and I'll talk to my aunt for a while." ”

"Uh-huh. Mr. Liu nodded again and again, "I'm sorry Boss Zheng, I have too much work on my side." ”

"You go and get busy, I'll go to you after I'll ask you what kind of tests you need to do in a while. ”

Mr. Liu apologized and flashed quickly.

Zheng Ren didn't have anything to do, so he continued to communicate with the patient.

When I was in Haicheng, this kind of work was always enjoyable. But at the beginning of dealing with the 912 Department of Gastroenterology, Zheng Ren still did it himself.

Soon, Zheng Ren learned about the patient's condition.

Her lover died early, and she pulled a child to grow up. The child is not good at studying, and he has been in society very early and has caused trouble.

When she first found out that she had hepatitis B, she did not go to the hospital for treatment, but only shared a bowl of food with her child to avoid infecting her son.

More than 10 years later, he began to have signs of cirrhosis. Due to family constraints, she was still not given treatment, but only intermittently took oral medication to control the activity of the hepatitis B virus.

The disease progressed, and she did not know. When I had ascites, I thought I was fat and had a big belly.

It wasn't until a month ago that I suddenly vomited blood one day, so I was hospitalized for rescue and did a set of tests by the way.

The diagnosis was advanced cirrhosis, portal hypertension with massive ascites.

After a period of treatment, the ascites is much better. Her son began to look for medical advice and finally found 912 Hospital.

I waited in line for almost a month before I moved in.

Seeing Zheng Ren's kind face, the old lady took his hand and nagged, "Child, my son is not married yet." I don't make much money, I have some savings, but this hospitalization is too expensive......"

"Auntie, it's okay, you can be reimbursed part of it when you go back, it depends on the local medical insurance policy. Jung in comforted her.

"I'm fine, doctor, please tell my son later, I'm fine, let me go back." As soon as she spoke of money, the old lady began to wipe her tears again.

"Uh......" Zheng Ren can't help it, this is a social system project, what can he do?

Maybe you can save some of the cost for the old lady through the live broadcast of the operation?

Try it, but many people can't accept the live broadcast of the surgery.

Did Lu Xun say that when he saw short sleeves, he immediately thought of white arms, immediately thought of the whole fruit body, immediately thought of ###, immediately thought of ##, immediately thought of hybridization, and immediately thought of illegitimate children. The imagination of the Chinese can only make such a leap forward at this level.

This is the old gentleman's discussion on cheongsam, even though it has been a hundred years since the Republic of China, it still looks outdated.

Surgery live broadcast, everyone will still think so.

"Mom, I'm here. Zheng Ren was pondering, a rough voice came, Zheng Ren looked back, and the golden light almost blinded Zheng Ren's dog's eyes.

。 m.