Chapter 812： Let me go back
Clinically, the nuclear magnetic dispersion of the liver is rarely done. Or not very little, but almost nothing.
Director Luo should have read the article in the New England Journal, knowing the location of the puncture by nuclear magnetic dispersion.
It’s just that he is still not sure, so he has to listen to Zheng Ren’s personal opinion before he believes.
"Thank you for your help, Director Luo." Zheng Rendao: "Today, I have finished the examination. If there are no surgical contraindications, I can have surgery tomorrow."
Because nuclear magnetic dispersion is not routinely examined, patients generally do not carry the relevant film to the 912 visit, so a film is needed to determine the surgical problem.
The patients who had been involved in the obstetrics were all observed in the outpatient clinic. They did not receive the hospital first, so that the patients had nuclear magnetic dispersion in the outpatient clinic. Whoever had finished the first admission was admitted. In this way, the hospitalization cycle can be shortened as much as possible.
Director Luo looked up and looked at Zheng Ren and asked: "You are familiar with the old man."
"When I first came to the emperor, I met him very much," said Zheng Ren.
"Then you go to the old man, take the patient to take the time to do the nuclear magnetic dispersion today, tomorrow surgery, remember to tell me, I went to see the boss's craft." Director Luo said.
"Okay." Zheng Ren nodded.
He was not polite, nor did he have any reaction because Director Luo asked him to take the patient to check.
Director Luo said this step, if Zheng Ren is not satisfied, it would be too much.
"Go to Liu to take you to see the patient." Director Luo said.
Director Zheng Ren and Luo exchanged the mobile phone number and WeChat, which was out of the director's office.
Liu boss? The total surname of Liu in the Department of Gastroenterology is Liu.
Zheng Ren thought, came to the doctor's office and knocked on the door.
"Excuse me, is Liu always?" Zheng Ren asked with kindness.
"I am, what are you doing?" A chunky female doctor in her thirties looked up at Zheng Ren and asked.
"Hello, I am Zheng Ren of the Interventional Department. Director Luo asked me to come to you and see a patient with portal hypertension at the end of the cirrhosis yesterday." Zheng Ren said.
"Oh, you are Zheng Boss." Liu said very enthusiastically: "Please come in, please come in."
Zheng Ren walked in with a smile and performed extremely mildly.
"The patient is a 60-year-old woman with a history of cirrhosis for more than 30 years. Now the liver is shrinking very much, and the liver function is still good. Here are the indicators, Zheng Boss, you have a look." Liu found the medical record and gave it to Zheng Ren. .
On the test list, this is indeed the case. The patient's liver function is worse than normal, but it does not affect the operation.
"How much is the ascites?"
"Here is the abdominal CT film, look at it." The chubby Liu said.
Zheng Ren inserted the film into the reader and asked him to look up.
With the passive skills of [Reconstruction], Zheng Ren himself can determine the point of puncture with a simple abdominal CT scan.
But if it is not systematic, it has a strong personal style.
In other words, other people simply can't judge the puncture point of TIPS surgery according to Zheng Ren's practice, which has non-repeatable nature.
Can not be repeated, it is impossible to promote.
On the film, the patient's liver has shrunk by about 1/4 of the volume, and the spleen is large, and the image of the varicose veins can be seen.
The amount of ascites is not large for this degree of cirrhosis, and the patient is well controlled.
"A month ago, the patient was treated in a local hospital because of hematemesis, and he was rescued in an emergency. After the condition was stable, the patient's family came to our hospital for treatment." Liu began to introduce the patient's medical history.
Zheng Ren just listened and carefully analyzed the patient's condition.
In fact, simple cirrhosis in the late stage, portal hypertension, Zheng Ren can completely do not personally, give this kind of thing to other people to do, he is only responsible for surgery.
But has just opened the situation, Zheng Ren does not want to leave a arrogant impression to Director Luo.
And the most important thing is that Zheng Ren is not at ease.
When the doctor has been a long time, Zheng Ren belongs to the kind of dog who can't hold two or two sesame oils. As long as the patient has a problem that is not solved, he can sleep well at night.
Like those intractable diseases, the patient's performance is a disease, but it is actually another disease. To surgery, or analyze it yourself, and then compare the system template, try to be foolproof.
After listening to Liu’s report, she took Zheng Ren to the ward to see the patient.
Just entering the ward, Zheng Ren heard an old woman say: "Children, there is not much money in the family, it is valuable to see a doctor in the emperor."
It was a white-haired old man who was on the phone and looked at least ten years older than the actual age.
"Would you like to go back, I will take some Chinese medicine and I will be able to get better soon."
The old lady trembled and said.
She just finished talking, and the roaring voice came from the phone in her ear.
Specifically, Zheng Ren did not hear clearly.
But the old lady is obviously timid. She is not the kind of tough person. She just listens to her son's words silently. Her head is slightly low, her white hair is scattered, the sun is shining, and the black and white is distinct, like a weedy weed.
This kind of chores, doctors generally do not manage, unless they encounter very special circumstances.
Zheng Ren kept a gentle smile, and stood on the bed with Mr. Liu, waiting for the old lady to hang up the phone, and this began to ask.
At first, Zheng Ren did not directly ask, but chatted with the old lady a few words. Such as where the home is, a few people at home.
The mood of the old lady quickly stabilized, like finding someone to talk to, and Zheng Renzhen said a lot.
Mr. Liu is in a hurry. There are still a lot of work on the other side. Once he has been here for half an hour, all work has to be postponed.
Zheng Ren felt the general mood of Liu and said with a smile: "General Liu, you should go to work first, I will talk to Auntie for a while."
"Yeah." Liu always nodded. "I am embarrassed that Zheng boss, my life is too much."
"You go to work, I will finish this question after a while, I need to check it, I will go to you."
General Liu made an apology and flashed quickly.
Zheng Ren did not have anything to do, and continued to communicate with patients.
In Haicheng, this kind of life is always happy. But at the beginning, dealing with 912 digestive medicine, Zheng Ren is still personally involved.
Soon, Zheng Ren understood the patient's condition.
Her lover died early, and she pulled a child to grow up. Children are not good at learning. They have been in the society for a long time, and they have not caused much trouble.
When she first knew that she had hepatitis B, she did not go to the hospital for treatment. She only had to eat with the children and avoid transmission to her son.
After more than ten years, he began to have cirrhosis. Because of family restrictions, she still did not give treatment, just intermittent oral medication to control the activity of hepatitis B virus ~ www.novelhall.com ~ disease development, she did not know. When there is ascites, I think that I am fat and lead to a big belly.
Until one month ago, one day suddenly hemated with blood, which was hospitalized and rescued, and by the way did a check.
The diagnosis is advanced in cirrhosis, and portal hypertension is accompanied by a large amount of ascites.
After a period of treatment, the ascites is much better. Her son began to look for medicine and medicine, and finally found the 912 hospital.
The row of beds was arranged for nearly a month, and it came in.
The old lady saw Zheng Ren face good, holding his hand and groaning. "Children, my son is still not married. I can't make much money, but I have a little savings in my hand, but this hospitalization is too expensive..."
"Auntie, nothing, go back and reimburse a part, depending on the local health insurance policy." Zheng Ren comforted her.
"I have nothing to do, doctor, trouble you to say to my son, I have nothing to do, let me go back." When it comes to money, the old lady begins to wipe her tears again.
"Oh..." Zheng Ren has no choice. This is a systematic social project. What can I do?
Maybe you can save some money for the old lady through live surgery?
Give it a try, but many people can't accept the live broadcast.
Lu Xun said that when I saw the short sleeves, I immediately thought of the white arm, immediately thought of the whole fruit, immediately thought of ###, immediately thought of ##, immediately thought of hybridization, immediately thought of the illegitimate child. The imagination of the Chinese can only leap forward at this level.
This is the old gentleman's exposition on cheongsam. Even though it has been a hundred years since the Republic of China, it still seems to be out of date.
This kind of thing is live broadcast, everyone will still think so.
"Mom, I am coming." Zheng Ren is pondering, a rough voice came, Zheng Ren looked back, Jin Guang almost did not flash Zheng Ren dog eyes.
. m.
Director Luo should have read the article in the New England Journal, knowing the location of the puncture by nuclear magnetic dispersion.
It’s just that he is still not sure, so he has to listen to Zheng Ren’s personal opinion before he believes.
"Thank you for your help, Director Luo." Zheng Rendao: "Today, I have finished the examination. If there are no surgical contraindications, I can have surgery tomorrow."
Because nuclear magnetic dispersion is not routinely examined, patients generally do not carry the relevant film to the 912 visit, so a film is needed to determine the surgical problem.
The patients who had been involved in the obstetrics were all observed in the outpatient clinic. They did not receive the hospital first, so that the patients had nuclear magnetic dispersion in the outpatient clinic. Whoever had finished the first admission was admitted. In this way, the hospitalization cycle can be shortened as much as possible.
Director Luo looked up and looked at Zheng Ren and asked: "You are familiar with the old man."
"When I first came to the emperor, I met him very much," said Zheng Ren.
"Then you go to the old man, take the patient to take the time to do the nuclear magnetic dispersion today, tomorrow surgery, remember to tell me, I went to see the boss's craft." Director Luo said.
"Okay." Zheng Ren nodded.
He was not polite, nor did he have any reaction because Director Luo asked him to take the patient to check.
Director Luo said this step, if Zheng Ren is not satisfied, it would be too much.
"Go to Liu to take you to see the patient." Director Luo said.
Director Zheng Ren and Luo exchanged the mobile phone number and WeChat, which was out of the director's office.
Liu boss? The total surname of Liu in the Department of Gastroenterology is Liu.
Zheng Ren thought, came to the doctor's office and knocked on the door.
"Excuse me, is Liu always?" Zheng Ren asked with kindness.
"I am, what are you doing?" A chunky female doctor in her thirties looked up at Zheng Ren and asked.
"Hello, I am Zheng Ren of the Interventional Department. Director Luo asked me to come to you and see a patient with portal hypertension at the end of the cirrhosis yesterday." Zheng Ren said.
"Oh, you are Zheng Boss." Liu said very enthusiastically: "Please come in, please come in."
Zheng Ren walked in with a smile and performed extremely mildly.
"The patient is a 60-year-old woman with a history of cirrhosis for more than 30 years. Now the liver is shrinking very much, and the liver function is still good. Here are the indicators, Zheng Boss, you have a look." Liu found the medical record and gave it to Zheng Ren. .
On the test list, this is indeed the case. The patient's liver function is worse than normal, but it does not affect the operation.
"How much is the ascites?"
"Here is the abdominal CT film, look at it." The chubby Liu said.
Zheng Ren inserted the film into the reader and asked him to look up.
With the passive skills of [Reconstruction], Zheng Ren himself can determine the point of puncture with a simple abdominal CT scan.
But if it is not systematic, it has a strong personal style.
In other words, other people simply can't judge the puncture point of TIPS surgery according to Zheng Ren's practice, which has non-repeatable nature.
Can not be repeated, it is impossible to promote.
On the film, the patient's liver has shrunk by about 1/4 of the volume, and the spleen is large, and the image of the varicose veins can be seen.
The amount of ascites is not large for this degree of cirrhosis, and the patient is well controlled.
"A month ago, the patient was treated in a local hospital because of hematemesis, and he was rescued in an emergency. After the condition was stable, the patient's family came to our hospital for treatment." Liu began to introduce the patient's medical history.
Zheng Ren just listened and carefully analyzed the patient's condition.
In fact, simple cirrhosis in the late stage, portal hypertension, Zheng Ren can completely do not personally, give this kind of thing to other people to do, he is only responsible for surgery.
But has just opened the situation, Zheng Ren does not want to leave a arrogant impression to Director Luo.
And the most important thing is that Zheng Ren is not at ease.
When the doctor has been a long time, Zheng Ren belongs to the kind of dog who can't hold two or two sesame oils. As long as the patient has a problem that is not solved, he can sleep well at night.
Like those intractable diseases, the patient's performance is a disease, but it is actually another disease. To surgery, or analyze it yourself, and then compare the system template, try to be foolproof.
After listening to Liu’s report, she took Zheng Ren to the ward to see the patient.
Just entering the ward, Zheng Ren heard an old woman say: "Children, there is not much money in the family, it is valuable to see a doctor in the emperor."
It was a white-haired old man who was on the phone and looked at least ten years older than the actual age.
"Would you like to go back, I will take some Chinese medicine and I will be able to get better soon."
The old lady trembled and said.
She just finished talking, and the roaring voice came from the phone in her ear.
Specifically, Zheng Ren did not hear clearly.
But the old lady is obviously timid. She is not the kind of tough person. She just listens to her son's words silently. Her head is slightly low, her white hair is scattered, the sun is shining, and the black and white is distinct, like a weedy weed.
This kind of chores, doctors generally do not manage, unless they encounter very special circumstances.
Zheng Ren kept a gentle smile, and stood on the bed with Mr. Liu, waiting for the old lady to hang up the phone, and this began to ask.
At first, Zheng Ren did not directly ask, but chatted with the old lady a few words. Such as where the home is, a few people at home.
The mood of the old lady quickly stabilized, like finding someone to talk to, and Zheng Renzhen said a lot.
Mr. Liu is in a hurry. There are still a lot of work on the other side. Once he has been here for half an hour, all work has to be postponed.
Zheng Ren felt the general mood of Liu and said with a smile: "General Liu, you should go to work first, I will talk to Auntie for a while."
"Yeah." Liu always nodded. "I am embarrassed that Zheng boss, my life is too much."
"You go to work, I will finish this question after a while, I need to check it, I will go to you."
General Liu made an apology and flashed quickly.
Zheng Ren did not have anything to do, and continued to communicate with patients.
In Haicheng, this kind of life is always happy. But at the beginning, dealing with 912 digestive medicine, Zheng Ren is still personally involved.
Soon, Zheng Ren understood the patient's condition.
Her lover died early, and she pulled a child to grow up. Children are not good at learning. They have been in the society for a long time, and they have not caused much trouble.
When she first knew that she had hepatitis B, she did not go to the hospital for treatment. She only had to eat with the children and avoid transmission to her son.
After more than ten years, he began to have cirrhosis. Because of family restrictions, she still did not give treatment, just intermittent oral medication to control the activity of hepatitis B virus ~ www.novelhall.com ~ disease development, she did not know. When there is ascites, I think that I am fat and lead to a big belly.
Until one month ago, one day suddenly hemated with blood, which was hospitalized and rescued, and by the way did a check.
The diagnosis is advanced in cirrhosis, and portal hypertension is accompanied by a large amount of ascites.
After a period of treatment, the ascites is much better. Her son began to look for medicine and medicine, and finally found the 912 hospital.
The row of beds was arranged for nearly a month, and it came in.
The old lady saw Zheng Ren face good, holding his hand and groaning. "Children, my son is still not married. I can't make much money, but I have a little savings in my hand, but this hospitalization is too expensive..."
"Auntie, nothing, go back and reimburse a part, depending on the local health insurance policy." Zheng Ren comforted her.
"I have nothing to do, doctor, trouble you to say to my son, I have nothing to do, let me go back." When it comes to money, the old lady begins to wipe her tears again.
"Oh..." Zheng Ren has no choice. This is a systematic social project. What can I do?
Maybe you can save some money for the old lady through live surgery?
Give it a try, but many people can't accept the live broadcast.
Lu Xun said that when I saw the short sleeves, I immediately thought of the white arm, immediately thought of the whole fruit, immediately thought of ###, immediately thought of ##, immediately thought of hybridization, immediately thought of the illegitimate child. The imagination of the Chinese can only leap forward at this level.
This is the old gentleman's exposition on cheongsam. Even though it has been a hundred years since the Republic of China, it still seems to be out of date.
This kind of thing is live broadcast, everyone will still think so.
"Mom, I am coming." Zheng Ren is pondering, a rough voice came, Zheng Ren looked back, Jin Guang almost did not flash Zheng Ren dog eyes.
. m.
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