2134 I do not have much clinical experience, so please do not lie to me.
Was he bleeding? Where was the bleeding point?
With so much blood-red, there was at least 1500 ml of bleeding, which would be a big blood bag.
A tumor that caused a malignant drop in blood hormone levels?
It was not to that extent. In the middle stage of liver cancer, the possibility of malignant anemia was not very high. Moreover, malignant anemia would decrease slowly, not so drastically in less than 24 hours.
“Is there any fluid in the abdominal cavity?” Zheng Ren asked.
“No, I didn ‘t,”
Gallbladder … Pancreas … What was the problem?
Zheng Ren furrowed his brows in deep thought as he stared at the last CT scan. His mind was constantly reconstructing the image.
Soon, Zheng Ren found the problem.
It was not the gallbladder. There was nothing wrong with the gallbladder. The problem was that he could vaguely see a part of the “mud-like stone” in the bile duct.
If it was a normal patient, this would be normal. However, Zheng Ren thought of another possibility.
“I’m here to take a look at the patient. ” Zheng Ren was not pretentious and insisted on finding the answer to his question.
The patient’s hemoglobin levels had already dropped to such a low level. If they continued to wait, he might die.
Zhao Wenhua was overjoyed. But when he encountered a problem, boss Zheng was willing to help, so he had more confidence.
This patient was giving Zhao Wenhua a huge headache.
As a Doctor Who especially hated medical risks, Zhao Wenhua was conservative and stubborn. They were not willing to try new surgical methods easily, and they even “carefully selected” the patients they took in.
But even so, it was hard to guarantee that nothing would happen.
Today, he had encountered it.
Zhao Wenhua brought boss Zheng to the ward. He walked in front, and his steps became more and more steady.
The aura behind him was as steady as a mountain, and his heart didn’t seem to be as panicked as before. It was like a small boat floating on the dark river water, not knowing when it would sink. At this time, a rock was suddenly added to the cabin, and it immediately stabilized.
This was the feeling that Zhao Wenhua was feeling.
Sigh, he regretted offending boss Zheng for a bed. As Zhao Wenhua walked, he suddenly felt dejected when he recalled what had happened back then.
Zheng Ren did not pay any attention to what Zhao Wenhua was thinking. He was trying hard to find a reason and logic for his strange idea.
In just a few steps, Zheng Ren walked more and more steadily. He had already thought it through.
When he entered the ward, the patient was lying on the bed. The blood bag was hanging on the drip stand, and he was transfusing blood. His lips were pale and cracked, and he looked weak.
His system panel had already started to turn white from blood red.
The diagnosis on the system panel clearly stated that he had a hemorrhagic shock and liver cancer rupture.
It was just as he had imagined!
“Boss Zheng, the patient …” Zhao Wenhua walked to the bedside and was about to explain the patient’s condition to boss Zheng for a physical examination. However, he saw that boss Zheng did not follow him in. Instead, he stood outside and waved at him.
Uh … What’s going on?
If it had been a while ago, Zhao Wenhua would have thought that boss Zheng was targeting him.
He had set a trap and played with himself. Who knew what kind of dirty and underhanded methods would follow behind.
However, Zhao Wenhua still had some knowledge. A few days ago, boss Zheng had even beaten the specialists from King’s Hospital of United Kingdom to the ground, so how could he have the time to play with him?
What a great insight!
Puzzled, he braced himself and walked out under the strange and anxious gazes of the patient’s family members.
“Boss Zheng, you …”
“I got it. It’s because after radio frequency meltdown, the liver cancer necrosis area atrophied, causing the blood vessels to rupture and bleed, resulting in the current situation.” Zheng Ren said in a low voice.
Zhao Wenhua was stunned.
Radio frequency meltdown burned the liver cancer tumor from the middle and destroyed the tumor cells. After the surgery, a scar would definitely form. As the internal structure collapsed, the periphery would begin to shrink.
From the perspective of X-ray imaging, the tumor would shrink after the surgery, and the smaller liver cancer would completely turn into scar tissue.
Zhao Wenhua knew all of this, but it had been a few days since the high-frequency meltdown, and suddenly there was blood loss … This situation was possible and logical, but the probability was too small.
“You’re thinking about gallstones?” Zheng Ren asked with a smile.
“Yes.” Zhao Wenhua didn’t try to hide anything and admitted to it.
“I’ll contact Department Director Luo and make an appointment for an emergency colonoscopy. We’ll know once we take a look at the duodenostomy’s lower section. ” Zheng Ren said,”send the patient over. Oh right, call the operating room directly and prepare for emergency bleeding control.”
Zhao Wenhua immediately turned into a junior doctor. No matter how much he did not understand the diagnosis of a senior doctor, he could only nod out of habit.
Zheng Ren turned around and almost bumped into Lin Yuan.
She was shocked and immediately ‘jumped’ away.
“Why don’t you go and write the medical records? If you’re done, you should take a break. Aren’t you tired?” Zheng Ren frowned.
He was thinking too much about the patient’s condition just now and didn’t even notice that Lin Yuan was following beside him.
“Boss Zheng, how is the patient’s gallstones removed?” Lin Yuan asked softly.
“That’s not gallstones. It’s fresh blood. ” Zheng Ren said.
“Er … Boss Zheng, are you saying that the tumor tissue ruptured and the bleeding flowed back into the gallbladder through the bile duct?” Lin Yuan thought for a while and still had some doubts.”The blood imaging performance is not like that. I have little clinical experience, so don’t lie to me.”
Zhao Wenhua was busy and happened to hear Lin Yuan’s words. He nodded repeatedly in his heart. ‘Boss Zheng, we have little clinical experience, so don’t lie to us.’
“Have you forgotten why interventional surgery is required before we perform radio frequency resection and CT scan localization?” Zheng Ren said.
“Is it iodophor?” Lin Yuan said in surprise.
“Well, it’s iodophor.” Zheng Ren said,”the image after the iodophor spread out is mixed with fresh blood that just came out. The imaging manifestation can be similar to sediment-like gallstones.”
“Er …” Lin Yuan still had some questions, but after Zhao Wenhua heard boss Zheng’s words, the fog in front of him was cleared up, and he suddenly saw the light.
He had thought through the cause and effect.
Sometimes, a single sentence was enough for an immortal to point the way.
“Boss Zheng, I understand!” Zhao Wenhua said excitedly,”let’s go directly to the operating theater.”
“There’s no hurry. Let’s do a colonoscopy first. There are other rare possibilities. ” Zheng Ren smiled and said,”I’ll go to the endoscope room first. Keep in touch.”
With that, Zheng Ren strode out.
Lin Yuan followed behind Zheng Ren, his ponytail swinging back and forth.
“Don’t you need to write medical records?” Zheng Ren did not turn around. Instead, he took out his phone and started to look for director Luo’s phone number.
“Isn’t gu Xiaoran here? I’ll finish my work later. Boss Zheng, I don’t have much clinical experience, you have to teach me more. ” As he said that, Lin Yuan almost meowed out of habit.
However, boss Zheng was a straight man. He didn’t hear the hidden meaning in her voice at all. Instead, he said casually,”Oh, as long as you don’t feel tired from working overtime.”