1742 The angry mosaic
Mao Chi wanted to say something, but when he thought of the big frame that had been removed from the heart in an International Hospital a few days ago, his mouth seemed to be covered by an invisible big hand, and he could not say a word.
Department Director Zhang Lin did not say anything.
When she arrived at director Yan’s surgery a few days ago, two purplish – Black blood clots were in front of her. He had rushed over as quickly as he could, but it had not even taken twenty minutes from the time he received the news to the time he entered the operating room.
But boss Zheng had even finished the surgery.
Boss Zheng didn’t even want to send director Yan back to her Ward!
He just walked away like he was treating director Yan like a normal patient.
Although they were faced with an unidentified group ‘poisoning’ incident, if it were anyone else, why didn’t they send director Yan back to the ward and say a few warm words?
Why did he have so much confidence?
It was all because of his high level of skill. Although he didn’t know why Boss Zheng was so arrogant and overbearing this time, he must have his reasons.
Director Zhang Lin glanced at Sun Chao, thinking that this guy was probably going to die on 912.
She had dealt with boss Zheng a few times, and it was an indisputable fact that boss Zheng’s diagnosis was very good.
Department Director Zhang Lin still remembered the ion channel disease and the family members ‘abandonment.
Every time she thought about it, she would be surprised at how boss Zheng was so sure without any hesitation.
It should be the same this time.
Boss Zheng was definitely not the kind of person who didn’t know the severity of the situation. If he said he wanted to open up the chest, he had his reasons.
Sun Chao glared at Zheng Ren, but Zheng Ren completely ignored the mosaic around him. Who would compete with mosaic?
Zheng Ren carefully studied the lung CT scan again and reconstructed the surgery in his mind.
Even though there were no experimentals and it was only a virtual surgery, he would still do it if he could and make the best use of his time. Zheng Ren had already accumulated a lot of surgery training time, but he was still very stingy and unwilling to waste it.
He would need to practice at least three to five more surgeries before he went on the operating table, so it would be good if he could become more skilled.
Zheng Ren was also a little vexed. The big pig trotter had never been willing to give him a pinnacle skill book.
He had not found a way to climb to the peak of surgery, so he could only perform surgery at the master level.
As he was thinking, there was a rush of footsteps in the corridor.
Lin GE’s heart skipped a beat and he looked up.
Principal Zhang walked in quickly. Lin Ge quickly went up to him and extended his hands.””Principal Zhang, you’re really serious.”
“How is it?” Principal Zhang asked in a hurry.
“His condition is very bad. We suspect that he has pulmonary embolism.” “Our opinion is to perform an emergency thoracotomy,” Lin Ge said.
Principal Zhang was stunned for a moment. Emergency thoracotomy, or cardiac surgery …
This pressure was a little too great.
“Has director Yan been discharged?” Principal Zhang asked.
“He was discharged and recuperated at home. As you know, director Yan’s … Deputy Director Yuan is having a meeting at the Department and is on his way back. ” Lin Ge reported,”however, our judgment is not optimistic about the patient’s condition. We need to hurry up and perform the operation.”
“You don’t even have the time to do a CTPA?” Sun Chao said angrily,”you guys are too irresponsible. This is a crime!”
Principal Zhang was really stunned this time.
He knew Sun Chao, the director of the Affiliated Hospital of the medical University. Sun Chao was short and chubby, the kind of person who could not see his toes when he lowered his head.
It was hard not to remember him.
But why was director Sun Chao here?
“Director sun? What’s the meaning of this?” Principal Zhang asked in surprise.
“Boss, the ultrasound image.” Su Yun squeezed through the crowd and passed a stack of printed papers to Zheng Ren.
“Alright. Teachers who have questions, I’ll now talk about why the patient’s condition is so urgent and why it was diagnosed as pulmonary embolism.” “Su Yun, send the patient over!” Zheng Ren ordered.
Lin Ge, President Shao, director Zhang Lin, and director Mao Chi did not say anything.
When boss Zheng said the words “send the patient”, he narrowed his eyes and scanned the crowd.
Those who had objections were all gagged by the sharp gazes.
“This is so sloppy. It’s simply treating human lives like grass!” Director Sun Chao said angrily,”is there no one in charge of 912?”
Mao Chi lowered his head and looked at the ground, as if there was a picture on it. “I believe in boss Zheng’s diagnosis,” Lin Ge said with a smile.”If anything happens, the hospital administration will bear the responsibility.”
Sun Chao almost spat out a mouthful of blood.
MLGBD! Was the hospital administration Department in 912 crazy? To support this young boss Zheng unconditionally?
This was simply too crazy.
“Principal Zhang, you can make the decision, right?” Zheng Ren asked principal Zhang.
Principal Zhang nodded his head cautiously but did not say anything.
“Then, I’ll talk about the ultrasound scan. If any of you have any questions, you can just ask. If there are no questions, we can start the show after the presentation. ” “There’s no time,”Zheng Ren said.
When they heard him say that there was no time, everyone’s hearts trembled.
Although pulmonary embolism was urgent, it was not like myocardial infarction, which could kill a person in a few minutes.
What did he mean by that?
“First of all, as the most unique ultrasound characteristic, throprobably pulmonary thrombosis can be determined when the ratio between the anterior and posterior diameter of the right ventricle and the left& ventricle is gt, 0.5, and the ratio between the transverse diameter of the right ventricle and the left& ventricle is 1.1, or when the diameter of the end Phase contraction and the end dilapidation of the left ventricle is reduced, especially the end dilapidation.”
“This is something that can be clearly judged from an ultrasound scan. There’s no doubt about it.” Zheng Ren said in a clear voice. Although his voice was still very anxious, it had a clanging force.
“Second, under normal circumstances, the amplitude of the anterior wall of the right ventricle should be>5 mm, and the amplitude of the right ventricle free wall’s movement should be>8 mm. However, in patients with pulmonary embolism, the amplitude of movement from the base of the right ventricle wall to the free wall will decrease or even disappear.”
Zheng Ren held the ultrasound scan and said,””Teachers, do you have any questions?”
The image was printed out, and the people around them couldn’t help but gather around to look at the image carefully.
Zheng Ren’s words were reasonable and irrefutable.
Even sun Chao could not say a word to deny Zheng Ren’s statement.
“Third, the normal diameter of the main pulmonary artery is <30 mm, and the right pulmonary artery is <20 mm. Meanwhile, the MPA’s were more than 30 mm, and the RPA’s were more than 20 mm in patients with thrombotic pulmonary artery hypertension. The expansion of MPA in patients with chronic thrombotomy is more obvious. “
“In the image, the TPA is 28 mm. The initial judgment is that it’s acute pulmonary embolism.” Zheng Ren continued.
“Fourth, I’m not sure if any of you know the formula for calculating the collapse rate of the inferior vena cava.”
Zheng Ren glanced at principal Zhang as he spoke.
He wanted to convince principal Zhang. As for the angry mosaic, Zheng Ren had no impression of her at all.
Principal Zhang was already dumbfounded.
What the f * ck is this? With the standard logic of a Science Guy, what else could he say?