1561 A full set of physical examination
“Big brother Yun, look at what you’re saying. These are normal complications. We didn’t do it on purpose. Everyone wants the patient to be well. Who would deliberately knock the Kirschner needle out of the bone?” When general manager Zhou heard Su Yun’s words, his face turned pale and he tried to explain.
“If you have the ability, go out and explain to the patient’s family.” Su Yun did not let him off.
“Boss Zheng, do you think President Zhou will do it now or later?” CEO Wang came to smooth things over.
He had been in Haicheng for some time and had interacted with the orthopedics department a lot. He knew that general manager Zhou was an honest and somewhat feminine person.
Such a person would be bullied to death by Brother Yun if they fought one – on – one. It was a one – sided crushing, and in the end, general manager Zhou cried.
He didn’t care about general manager Zhou’s life or death, but if he wanted to die, he would have to perform the surgery first.
“Well …” Zheng Ren muttered to himself for a moment.”In a few minutes, the pericardium fiber tissue was completely removed. I’ll have to trouble general manager Zhou to take out the Kirschner needle.”
Only then did general manager Zhou realize that the patient’s Kirschner needle was still there …
That’s right, if he wasn’t here, there wouldn’t be such a big problem.
Usually, before the surgery, they would tell the doctors to remove the Kirschner needle after half a year. Even if it was done by himself, President Zheng estimated that it had been three years since the operation, and the patient had not come for the second stage of the operation. This should be something to talk about.
After calming down, general manager Zhou finally figured out the problem.
He was really too flustered. General manager Zhou scolded himself in his heart.
While they were chatting, Zheng Ren had already cut open the pericardium at the left lobe of the heart. The position was as far as possible towards the posterior side, and he chose a calcium – Free area.
A layer could be seen below the incision, and the pericardium effusion had been sucked clean.
He found layers outside the epineurium and separated them along the layers while gradually expanding the area.
Blunt separation was Zheng Ren’s specialty, and he was able to separate the adhesion between the epicidal membrane and the fiber board with ease.
“President Zheng, why are you back?” General manager Zhou looked at Zheng Ren’s surgery and suddenly remembered that general manager Zheng had gone to Imperial. He didn’t think much and asked in surprise.
As soon as he said this, general manager Zhou immediately realized that something was wrong. He immediately lowered his head to avoid Su Yun’s disdainful gaze.
He could lower his head and pretend to watch the surgery, but he could not cover his ears on purpose.
“Chief Zhou, did you transmigrate, or did you open the door and see Truman’s world? It’s just a Kirschner needle that can only be used at the far end, and you’re already so scared?” Su Yun’s voice was filled with endless contempt.
“It’s just a Kirschner needle. If the First People’s Hospital of Yun Hua city were to carry out cervical spine surgery, wouldn’t you be unable to sleep at night?”
“I missed home, so I came back to see you.” Zheng Ren said with a straight face,”director Zhou, please go and wash your hands.”
“Ah?” General manager Zhou, who was in a daze, let out an “ah” in a daze.
“The surgery is almost done. Come up and take the Kirschner needle. We’ll close the chest.” Zheng Ren looked around and had no choice but to accept the fact that he had to stay behind to close his chest.
912 was still the most convenient place. After the surgery, he could just leave without having to worry about closing his chest or abdomen.
Without realizing it, Zheng Ren’s thoughts had become that of a professor or a director.
Chest and abdomen closure? That’s the work of a young doctor, what does it have to do with me?
Zheng Ren removed the pericardium in order.
If cardiac rupture occurs, the removed pericardium can be used to repair and stop the bleeding.
Of course, this was just a preventive measure. Zheng Ren had only done it subconsciously. He did not expect that such a problem would occur with his master – Level cardiothoracic surgery skills.
The pericardium on the right separated to the atrial septal defect on the left, and the upper boundary was below the thoracic cavity. The left pericardium was separated from the main pulmonary artery in the upper realm and its coarsening ring was cut off to avoid serious postoperative right ventricle pressure.
In the lower bound, the thickened pericardium other than the diaphragm was completely separated or removed. The posterior boundary tried to separate the pericardium, which was the manifestation of the left chamber.
Zheng Ren’s hand speed was a little slower when he was at the groove between the separation chamber. He was especially careful not to damage the branches of the coronary arteries.
However, the fist – sized heart was separated step by step in a blunt manner according to the sequence, and the separation was completed in an instant.
At the end of the surgery, Zheng Ren asked for warm saline gauze to cover the incision.
It was best to keep the opening of the chest open.
Otherwise, Zheng Ren was afraid that general manager Zhou would Pierce the patient’s aorta if he were to blindly perform the bold operation in the orthopedics department.
After changing the incision and paying attention to the sterile area, Zheng Ren took a look at the ECG monitor.
The patient’s vital signs were stable, so he should have overcome this difficulty.
“Boss Zheng, why do you think the first symptoms of this heart problem are in the abdomen?” Director Wang recalled the patient’s medical history. Although he didn’t know the details, if he were to receive the patient himself, he was afraid that he wouldn’t have thought of the chest Disease.
He wanted to ask boss Zheng for his thoughts so that he could learn from him in the future.
“Didn’t you see how the left diaphragm artery was squeezed during the surgery just now?” Su Yun said,”the patient has been suffering from long – term chronic injuries, and he has gradually gotten used to it. That’s why he only said that he has chest tightness.” However, the symptoms of nausea and vomiting caused by stomach ulcer and bleeding in the digestive tract are quite typical, so it’s really easy to miss the diagnosis. “
“Boss Zheng, Brother Yun, how did you two find out?” Director Wang said in admiration.
“The patient complained about chest tightness and shortness of breath, but his breathing sounds were normal from the auscultation.” “Director Wang,” Zheng Ren said casually,”it’s a normal physical examination. Some simple and major tasks still need to be done. You can’t be sloppy.”
CEO Wang was stunned for a moment, then he smiled bitterly.
According to the rules, a physical examination was a must, and it had to be a full set.
However, clinical medicine was not that simple.
It would take at least half an hour to complete a set of examinations. The emergency department was so busy, where would they find the time for a detailed examination?
Besides, the situation was definitely not that simple.
A female patient was diagnosed with appendicitis, but she insisted on doing a chest and Vulture examination. Wasn’t that just being a pervert?
Many doctors who had just entered the clinical field fell into this trap.
CEO Wang could only smile bitterly at Zheng Ren’s words. However, the patient complained that he had a stuffy chest. He should know how to do auscultation, right?
General manager Zhou led the first – String doctors from the orthopedics department to disinfect and lay out the sheet before they started the surgery.
Removing the Kirschner needle was one of the smallest surgeries in the orthopedics department. It should not have been difficult for general manager Zhou.
However, the surgery today was extremely awkward.
He was very careful and didn’t dare to use violence.
However, the Kirschner needle was deeply buried in the scab, and it was impossible to remove it without violence.
In the past, when the treatment scope of the orthopedics department did not include the cervical spine and the lumbar spine, people called them “carpenters.”
Abzes, chisels, axes, saws, everything was available.
The surgery was also done in a heroic manner, and it ended with a few knocks and hits.
Zheng Ren sighed when he saw that general manager Zhou could not let go.
He had no choice but to provide sufficient protection for President Zhou’s chest cavity. He used a large gauze cushion to protect it, and then used an iron sheet with a large hook to block the Kirschner needle. In this case, even if the Kirschner needle was violently shifted, it would not cause too much damage.