2155 A 22-year-old old patient
Zheng Ren didn’t know that so many things had happened in the imperial capital Medical University.
After having lunch with Yiren, he returned to the chair by the window in the Department of interventional services.
The afternoon was quiet and beautiful, and the sun was shining brightly. He sat in the sun with the fifth edition of external science on his lap and went to the system library to read.
A quiet life was wonderful. How good would it be if she could always live like this?
Zheng Ren was sitting by the pond in the system space, reading a magazine quietly with his feet in the pond. When he saw happy, he moved his feet slightly, and a few ripples appeared.
“Boss, come and watch the movie!” Su Yun’s voice came from outside. Zheng Ren gave up on his moment of leisure and came out of the system space.
“What patient?”
“I was wandering around aimlessly just now. Fang Lin accepted a patient with pneumothorax.” Su Yun said.
“What’s there to see about pneumothorax?” After hearing what Su Yun had to say, Zheng Ren lost all interest.
Whether it was a traumatic or spontaneous, pneumothorax was a traumatic pneumothorax. General anesthesia, single-chamber ventilation, find the location of the pulmonary blister or the rupture of the lung, and suture it.
Nowadays, laparoscopy was much easier. All they had to do was find the place where the wound was and insert a titanium clip. The surgery would not take more than an hour, and this included the anesthesia and the waking time.
The only thing to pay attention to was the repeated lung bloating to see if there was only one place where the air was coming out. If he missed anything, he might have to open up the chest again, which would be hard to explain.
“There’s something strange about the chest cavity. Fang Lin wasn’t sure, so he came to me for a look.” Su Yun laughed.
Zheng Ren saw his strange expression and was moved.
Did Su Yun have to look for him to solve the problem of her heart and chest? There had been a surgery in Haicheng before. The lungs did not seem to be compressed at all, but in fact, the lung rupture was quite serious.
For such a rare case, Su Yun would only ask him to take the blame when she was uncertain.
“What patient?” Zheng Ren asked.
“It’s a repeated pneumothorax attack. The last time was 20 days ago. He went to a local doctor and was still breathing after the surgery, so he came to Beijing.” Su Yun said.
“Where’s the X-ray?”
“Fang Lin sent a photo to me on his phone. There’s nothing to see, so I’ll just go up and take a look.” Su Yun pulled Zheng Ren and left.
“Repeated episodes? Spontaneous pneumothorax?” Zheng Ren was puzzled.
“Yes, in two years, it has broken out seven times.” “Boss, don’t you think it’s strange?” Su Yun asked.
“I think it’s very strange.” Zheng Ren started to ponder.
Spontaneous pneumothorax refers to the rupture of lung tissue and visceral pleura due to lung disease, or the lung blisters close to the surface of the lung, or fine dumplasty blisters, which will rupture on their own, causing the air in the lungs and bronchi to escape into the pleura cavity.
Under normal circumstances, young men around the age of 15 to 25 were prone to spontaneous pneumothorax.
This was especially true for high school students. When she returned to Haicheng a while ago, she met a mother who insisted on performing an appendectomy for her child. Su Yun used this as an example to scare her.
In fact, he wasn’t trying to scare her. He was just telling the truth.
For a young boy, before the lung blister ruptured, he had to open his chest and suture the lung blister. However, laparoscopy now only required two shots.
And the repeated flare-up in front of him meant that the previous surgeon did not remove all the lung blisters.
It was not necessary to remove all the bumpkins in the lungs. The condition was always more complicated than one could imagine. Some patients ‘lungs were full of lung blisters, at least a dozen or dozens. It was impossible to cut off the entire lung leaf, right?
There was also an abnormality in the last operation. After the operation, the chest bottle continued to draw out gas.
This was a serious problem.
Fang Lin was looking at an X-ray when he arrived at the chest area. A man in his forties with an average build but was very fat was standing beside him.
“Boss Zheng, Brother Yun, please help me.” When Fang Lin saw Zheng Ren and Su Yun enter, he immediately greeted them,”this is my Savior, boss Zheng. This is Brother Yun.”
He introduced Zheng Ren and Su Yun to the fatty beside him.
Soon after, Fang Lin said,”this is doctor Shao from L city.”
Zheng Ren nodded and gave the chubby mosaic a kind smile, indicating that he understood.
“Eh? Is it the hospital that asked you to go for the surgery?” Su Yun chuckled and asked.
“Isn’t it for earthquake relief? our hospital has already gone to the front line. I only went to old Yan’s Hospital for an operation. ” Fang Lin explained with a smile.
For freelance surgeries, usually only professors would go out for a few trips, and very few people would look for chief residents. Fang Lin had only managed to run once due to his high skill level and special circumstances.
“Brother Yun, why did you bring boss Zheng here?” Fang Lin felt a little embarrassed.”I think that there might be a problem even though the condition looks simple. That’s why I’m asking you to take a look for me.”
“Don’t be so polite, it’s no trouble. ” Zheng Ren said with a smile as he walked to the film reader.
It was a CT scan and looked very simple. It was a left chest cavity with a tube shadow of closed thoracic drainage. The lungs were compressed by about 10%.
There were abnormal images on the surface of the lung and the rib diaphragm. Zheng Ren guessed that it was because the long time spent in intubation had formed irritated hyperplasia or pus moss caused by infection.
“What’s the patient’s condition?”
“Boss … Zheng, Hello. I’m Shao Jinghe.” The chubby doctor greeted him honestly.
Zheng Ren found it funny in his heart. If he was a slightly more astute person, he would have come forward to shake hands with Fang Lin after his introduction just now in order to get closer to him.
He didn’t know if this person had been struck by medical malpractice or if he had always been this kind of person, but he was a few steps too late to even greet him.
“Doctor Yan, you’re welcome. Tell me about the patient’s condition.” Zheng Ren said with a smile.
“This is an old patient. She’s 22 years old this year and is a female.”
“……”
The words of a 22-year-old patient sounded a little strange. However, Zheng Ren and the others knew that Shao Jinghe meant to tease the elderly patient, which meant that he often had dealings with the hospital.
“Two years ago, the patient suddenly felt that his chest was stuffy and short of breath. He went to the doctor for a chest scan and reported that he had spontaneous pneumothorax on the right side. I did a thoracoscopy for him. He recovered well after the surgery and was discharged. “
“Then, in the past two years, the patient’s illness kept acting up.”
Shao Jinghe felt a little depressed as he spoke.
“Old Yan, did you get a lung blister?” Su Yun asked as she looked at the film.
“I’ve checked every operation carefully, and there’s nothing unusual.” Shao Jinghe said with a long face,”Brother Yun, should I call you that too?”
“I’m fine with anything. ” Su Yun said with a smile. At least this old woman knew what she was doing. She should help him.
“I want to hide whenever I see this patient … My colleagues are all laughing at me, saying that I did something to the girl, so why is she pestering me?”
Zheng Ren glanced at Shao Jinghe’s big belly and found it funny.
However, it was normal for him to feel this way. He had performed six to seven surgeries in the past two years. Although the adhesion of the lung tissue during chest surgery was not as serious as that of the intestinal tract, it was enough to give him a headache.
This did not count. Those who had worked in the cardiothoracic Department knew that it was rare to see someone who could perform two or three bulectomies. He had done this seven times in two years. Who wouldn’t want to hide?