Chapter 595： The instructions are backed up?

"Director Xia, I am back." Zheng Ren knocked in the door and Director Xia was studying the double gallbladder deformity.

"Zheng Zong, come and tell me about the double gallbladder deformity." Director Xia is not a shelf, very calmly said.

She had to stand up and give Zheng Ren a position, and Zheng Ren smiled and pressed it on the chair.

"Director Xia, don't dare to do this. You sit, you sit, there is nothing difficult, I can simply say two words." Zheng Ren bent over, holding the mouse in his right hand, began to move the MR 3D reconstruction he had just done.

Both nuclear magnetic and CT can be reconstructed in three dimensions, but clinicians only know about CT three-dimensional reconstruction. Few people know that nuclear magnetic resonance can also be reconstructed.

The resolution of CT can reach 0.5mm, but the nuclear magnetic field of Haicheng No.1 Hospital is 3.0, but the resolution is only 6.0mm. The 3D reconstruction is the same as the mosaic. It looks very awkward.

Zheng Ren is just a simple map to save trouble, but also to save some money for patients.

The gold standard for the diagnosis of double gallbladder malformation is ERCP, but because ERCP is an invasive test and it costs a lot, the current consensus is to use MRCP for examination to confirm the diagnosis.

As for the three-dimensional imaging, Zheng Renshun did it, saving the patients to toss, and saving any uncertainty. Director Xia is difficult to do.

Although Director Xia did not intentionally misdiagnose... basically no one would intentionally misdiagnose, the patients looked more cooperative, but Zheng Ren still subconsciously eliminated all hidden dangers in the bud.

"Director Xia, you see here, the patient has a gallbladder in both gallbladders." Zheng Ren used the mouse to outline the area he wanted to say, and then simply explained: "The double gallbladder deformity is divided into type 1 and type 2. The type refers to the double gallbladder. Two or more cystic ducts are independently connected to the common bile duct, and type 2 can be further subdivided into H-shaped and trabecular variations."

"This patient is a relatively common type, that is, it can be treated surgically."

"The patient has no symptoms of pain right now. I estimate that the family members are not likely to agree to the operation. But you can talk to the patient and the patient's family that I can do this operation."

Director Xia took a look at Zheng Ren, shallow and faint, no surprise, and did not say anything.

“In 1997, Gigot reported a case of double gallbladder malformation. At that time, the surgeon only removed one gallbladder and left another. After 27 months, the patient had another gallbladder with gallstones and acute cholecystitis. Also removed the remaining gallbladder."

"If surgery, I recommend that all the gallbladders be cut off."

"Of course, this is just my opinion. I think that patients still have to go a few more places, so please consult." Zheng Renhe hesitated, want to say something, and finally resisted.

"Zheng Zong, you are the one who shot me on the beach and died." Director Xi exclaimed.

"You see what you said." Zheng Ren smiled: "Where there is."

Director Xia took the instructions of Roche Fen (Ceftriaxone) from the table and waved it. "Zheng Zong, the instructions can be backed down. This is the ability... I can't."

Zheng Ren smiled and didn't speak.

"Zheng Zong, how do you know?" In fact, Director Xia does not believe that Zheng Ren can carry down the drug manual.

There are at least hundreds of commonly used drugs in clinical practice.

The more medicines, the better the medicine, the more detailed the side effects are written.

If you look at the instructions, this medicine can't be used at all.

The more this medicine is, the better the effect will be. Unlike the rag drugs produced by the pheasant factory, the instructions are almost all cure.

Therefore, Zheng Ren can know this, in the opinion of Director Xia, it is a very strange thing.

How good is this memory?

"Director Xia, my doctor's card is a foreign professional." Zheng Rendao: "A few years ago, the medical accident of Liaozhou People's Hospital, have you heard of it?"

Liao Zhou, a county under Haicheng, had an emergency cholecystectomy for a patient who had diagnosed cholecystitis and cholelithiasis a few years ago.

It is also true that the family members of the patients are still true. They have to look at the stones and say that this is a relic, to stay and commemorate.

The red bag was also inserted before the operation. The surgeon said confidently that he must keep the stone for the patient's family. But just cut a gallbladder, no one thinks there is any risk.

But after cutting the gallbladder, the surgeon is stupid.

There is no stone in the gallbladder.

This matter is very big at the end. The surgeon gave a bite to pre-operative B-ultrasound to see gallstones, and his surgery was fine. However, he did not take out the stone after the operation, and he would not let go.

Finally, the family pulled the banner and it was getting bigger and bigger.

Later, the surgeon was suspended and the hospital lost a lot of money.

Zheng Ren is determined not to accept the red envelope, and has a direct connection with this matter.

Think about it, it feels terrible. Preoperative examinations are sure to have stones, but the stones are not big.

But during the operation, the stone disappeared like a ghost.

How do you explain this to the patient's family? If you confiscate the money, it will be harder. If you take the money, then you will be self-confident.

After this incident, Zheng Ren read a lot of information ~ www.novelhall.com ~ before the big pig hoof upper body to grasp the cause and effect of this cholelithiasis.

So today, he directly judged that it is a static ceftriaxone, a crystalline substance left by the metabolism of the gallbladder. As soon as it stops the static point, it will disappear soon.

It seems trivial in Zheng Ren, but in the opinion of Director Xia, it is amazing.

Director Xia thought of the medical dispute and immediately realized that the surgeon at the time also encountered the situation he had encountered.

If there is no Zheng Ren, and then encounter a difficult family, there is no way to explain how the gallstones come.

But fortunately, I seem to be lucky, met this young Zheng.

For clinical doctors, luck is very important.

Director Xia nodded and understood the meaning of Zheng Ren. Zheng Ren did not continue to say anything, after all, the rabbit died of fox sorrow, the object hurts its class.

In the back, the surgeon, Zheng Ren and Director Xia’s heart will be a bit awkward.

After a few more chats, Director Xia’s heart was at the bottom, and Zheng Ren also left.

Can the surgery be done?

Of course you can do it.

However, Zheng Ren knows that this rare disease, it should be difficult to choose to operate in Haicheng. She can only provide advice to Director Xia, who will explain it to her family members.

The size of the temple is directly related to the incense of the Buddha.

And they belong to the type that is too young, and it is difficult for family members to have a sense of trust.

If it is replaced by the Imperial Capital and the Magic Capital, Zheng Ren may explain the situation directly to the patient's family and give the surgery.

This point, Zheng Ren's heart is still quite a lot of pressure.

Not worried, Zheng Ren slowly returned to the emergency room, looked at a patient, and then continued to sit down to read the book.