1110 The director of the outer court is the same as the little doctor of his own house
"What tests does the patient have?" asked Jeong-in.
"CT of head and chest, B-ultrasound of abdomen, X-rays of both lower limbs. Yuan Li replied subconsciously, and as soon as the words came out, he regretted it.
Is he the general inpatient of Haicheng First Hospital?
No!
If not, why should he answer his question? It's just that Yuan Li saw that Zheng Ren's face was solemn, and he didn't cause an incident. Countless previous cases told Yuan Li that it was best not to question Boss Zheng's diagnosis.
And if this patient really has something, he will be sent to another hospital according to his own judgment, and if something happens halfway, he will be pestered, sued, or even threatened or scolded by the patient's family.
As he was talking, the doctor in the B-ultrasound room pushed the bedside B-ultrasound and came in with a huff.
After tossing all night, only this point is it possible to get a good night's sleep. If you encounter a doctor who has difficulty sleeping, I am afraid that I will not be able to sleep well all night.
People in their thirties and forties do not sleep all night, which is very damaging to the body.
After she came in, she saw Zheng Ren, rubbed her eyes, and said in surprise: "Mr. Zheng, aren't you going to the imperial capital?"
"Come back and see the Director. Zheng Ren said as he pulled the bedside B-ultrasound machine over, turned on the machine, applied couplant to the patient's abdomen, and began to do the B-ultrasound examination.
"Boss Zheng, do you even know this?"
"I understand a little. ”
"......" Mr. Wang slandered in his heart, a little understood, a little bit of yarn! P-J syndrome is a little understood, and the bedside B ultrasound is also a little understood!
Is there anything else you don't understand?
"Mr. Zheng, I have seen the stomach, there is no fluid in the abdominal cavity, there is no submembrane hematoma in the solid organs, and delayed bleeding is not considered. The doctor in the ultrasound room whispered.
The patient's family has come in, so it is still necessary to be cautious in communication.
"Consider abdominal aorta, thoracic aorta, combined dissected aneurysm. Zheng Ren said, and then the B-ultrasound probe pressed on the patient's stomach and began to look carefully.
Mr. Zheng is still as awesome as ever, and the doctor in the B-ultrasound room sighed. B-ultrasound at the head of the bed, the resolution is extremely low, and it is enough to be able to see it. As for the more, I really can't see it.
The patient's family was stunned, looking at so many doctors in the emergency room, and there was a tense atmosphere in the air. Didn't Dr. Yuan say it's okay? What's going on?
Soon, Zheng Ren put the probe back and beckoned Yuan Lidao: "Explain the condition to the patient's family and diagnose thoracic aortic and abdominal aortic dissection." Contact the ICU and immediately send him to control blood pressure, analgesic treatment, and other surgeries. ”
After speaking, he turned around and asked Mr. Wang: "After I leave, will anyone still make a stent?"
Mr. Wang shook his head in confusion.
Zheng Ren guessed this, but unfortunately he came back in a hurry, Feng Xuhui didn't carry the big and somewhat exaggerated trolley suitcase to follow.
I didn't feel anything when I was there, but once I wanted to use it, but when I didn't have consumables, I realized that Feng Xuhui was important.
Zheng Ren didn't have much to do, so he picked up his phone, glanced at the time, hesitated slightly, and still called out.
"Director Wang, hello. ”
"Well, I'm Zheng Ren. Do you have an aortic stent?"
"Please help me send it, I have an emergency here. ”
"It's not the imperial capital, it's the first courtyard of the city. Mmmm, I'll come back to see the old director, didn't I just happened to meet a patient. That's bothering you, I'm in a hurry, you as soon as possible. ”
After speaking, Zheng Ren hung up the phone.
"Boss Zheng, who are you calling?" Mr. Wang was a little puzzled.
"Director Wang Qiang of the Intervention Section of the Second Hospital. Zheng Rendao.
Nima...... Mr. Wang scolded in his heart. Calling the directors of other hospitals is the same as calling your own little doctor.
Mr. Zheng is really speechless. Besides, it's five o'clock in the morning, so people come directly to deliver the stent...... How much face is this?
But when Boss Zheng said that he wanted a bracket, it was so simple and direct, and he didn't even say a little polite.
It's amazing!
People really can't be compared, and if they do, they have to be angry.
Yuan Li sat on wax, and all the previous explanations were zero, and he had to explain to his family again. What do you explain? There is a problem with your own diagnosis? He cursed in his heart hatefully, and then he was a little confused.
How did Zheng always know that there was a mezzanine?
To be honest, he doesn't hate Zheng Ren, although this kind of thing is a slap in the face, it is also a lifesaver. Between life and face, how to choose, it's good to make a judgment.
If you want to hate, you can only hate yourself for your bad luck, it's just a fracture, why is there a dissection?
If you want to talk about the disease of dissection, it is not common to say that it is common. It is rare to say that the entire emergency department has to encounter 3 or 5 a year. Every emergency department physician has a big enemy of mezzanine, but they can't predict it in advance.
You can't always have a vascular CTA done for every patient who comes to see a doctor. In that case, who can stand a big hat of excessive medical treatment?
However, the diagnosis can be difficult, so every emergency department physician is cautious and walks on thin ice.
There was a patient with a simple rib fracture in the anterior chest department, and after being admitted to the hospital, he walked around like a good person. Suddenly, he died directly the next day, and the matter was very big.
The patient's family refused to take the body away and asked the hospital for an explanation.
In fact, no one can stand this kind of thing, a good person just dies like this, there is no buffer at all, how to accept it?
But doctors can't help it, so they can't just have a full set of tests for all patients when they are admitted to the hospital.
This kind of thing, it's better to look at fate.
His life seems to be good, one foot has already stepped off the cliff, and he was pulled back by Mr. Zheng. Yuan Li thought to himself while explaining to the patient's family.
When you have surgery, you should take a look at it yourself, if it is true, it is a past holiday...... MD, people don't have themselves in their noses at all, Yuan Li sighed.
This is not last year's Mr. Zheng, in half a year, he has already become a dragon and soared for nine days. came back to save himself and the patient's life "simply", and it is estimated that Mr. Zheng will not remember this in a day or two.
Oh, it's really different.
Zheng Ren didn't know Yuan Li's inner entanglement, and he and Mr. Wang walked back. The patient has already been sent to the operation, and if he doesn't hurry back, the patient will be very scared lying on the operating table.
"Boss Zheng, is the diagnosis accurate?" asked Mr. Wang. Until now, he still couldn't believe Zheng Ren's diagnosis, but he couldn't question it.
"Huh?" Zheng Renleng paused.
Mr. Wang glanced at Zheng Ren, and he didn't know why he was stunned.
"Diagnosis?"
"yes. ”
"Didn't you do a B-ultrasound? The blood flow in the dissection is quite obvious, haven't you noticed?"
"......" Mr. Wang finally knew why Boss Zheng was confused.
"Oh, you're a doctor from the general hospital. The diagnosis is clear, it is dissection, and the stent is sent for surgery and sent to the orthopedic department for treatment of compartment syndrome. Zheng Ren said lightly.
Mr. Wang's heart was full of tears.