Chapter 1741： Overbearing is to directly crush the past
"Zheng boss?"
"Zheng boss!"
In the office, after a few greetings, the atmosphere changed.
Zheng Ren was wearing a casual dress, and he seemed to be carrying a sullen, cold-stricken force at the autopsy, and strode in.
Director Sun Chao stunned, this Zheng boss is really overbearing! I didn't ask the patient, didn't the patient see it, and said it was on the stage?
"Director Lin, Director." Zheng Ren simply greeted him and said: "This is the patient's film?"
Shao Yongxiang nodded quickly.
Boss Zheng has quickly become a legend. In the face of the legendary boss Zheng, many of the 912 doctors, no one can feel the pressure.
What is really stress-free is the directors who come with Director Mao.
They don't know who Zheng is, so they have the same idea as Sun Chao.
I saw a young doctor striding in and directly denied the CTPA.
How is 912 so unruly?
Looking at the age, this person is still less than 30. It is estimated that even the graduate students have not graduated. It is a great doctor. Can you deny the statement of the directors?
Sun Chao’s eyes picked up and asked: “Zheng boss, the preoperative CTPA is clearly diagnosed, is there something wrong?”
Zheng Ren did not know who was talking to himself. He looked at the film with his chest and it was the same as the image data seen in the operating room of the system.
Zheng Ren failed this operation many times.
Because that pulmonary embolism is simply too long, Zheng Ren sees 12cm after anatomy!
Interventional department to take the plug, other positions will be considered, the level of high can be taken directly. But pulmonary embolism is not the same.
Guidewire from the inferior vena cava, through the heart, right atrium, right ventricle, to the pulmonary artery segment.
Because of the presence of a valve, it is equivalent to going through various gates, and the thrombus cannot be completely removed. Need to be broken, and pulled out a little.
The operation time is very long and there is a risk of re-embedding.
12cm of thrombosis, even if Zheng Ren is doing surgery, it must be at least 2 hours!
The experimental body could not stand so long, and died of heart and lung failure.
So the only way out now is to angiography, determinate, and then open the thoracic surgery, using surgical means to take the plug.
The risk is high, but this is the only viable option.
The skill tree of Zheng Ren's thoracic surgery is only a master level... Well, "just" the master level, failing 15 times, only to find the possibility of success.
On the way, he has already called Lao He, Professor Rudolf Wagner, Liu Zewei and Xie Yi, and joined the hybrid operation room to prepare for emergency surgery!
But now, he has to convince everyone.
After all, preoperative diagnosis, CTPA should be. But for Zheng Ren, this is not a difficult thing.
Originally, the level of reading is beyond the geometric order of others, plus the reverse push, to see more clearly.
Sun Chao said the voices of other people present, and the office was quiet. Even Su Yun looked at the film, some doubts, I don't know why my boss didn't choose to get involved in the operation.
Is it because of my own hobbies, is it necessary to open the chest, dissect the heart, and perform surgical treatment?
If so...
Impossible, how can the goods give up intervention surgery because of their hobbies, and use more risky surgical methods!
Su Yun stared at the film and fell into meditation.
"Here!" Zheng Ren's finger clicked on the reader, and the translucent glass made a creaking sound, like a drum, impassioned.
"Although the artifacts are heavy and the internal structure of the heart is not very clear, combined with echocardiography, we can guess that the patient's thrombus is longer."
"Guess?" Sun Chao sneered, said.
Linger looked at him and had some doubts. Is this coming to the market? The directors of Mao Zedong and Zhang Lin did not speak. Who did he think he was?
"You are?" Ringer asked.
"This is Sun Chaosun, director of the Department of Vascular Surgery of the Affiliated Hospital of the Medical University. He came to the annual meeting and heard the emergency department and came together to see the eyes." Mao Zhihan came out and explained quickly.
"The patient is a young woman, and it is said that the body is no problem." Zheng Ren did not get angry, but explained.
Only this time, he spoke quickly and seemed a little anxious.
"Su Yun, the image of echocardiography, look for it." Zheng Rendao.
Su Yun quickly communicated with Shao.
"Sudden shock means that the condition is urgent and heavy! In addition, there is a large amount of pleural effusion after the discovery, which means that the patient's right pulmonary artery embolism is extremely high, and it will not be solved by simple thrombolysis. Case."
"In imaging, we have given a vague judgment. More specifically, we have to find the answer from the echocardiographic image." Zheng Renyi talked, although the voice is urgent, but not chaotic, revealing a mature and steady .
"Zheng boss, what do you mean, from this CT, can you see the severity of pulmonary embolism?" Director Sun Chao finally found a flaw and directly attacked.
This is not a nonsense!
I have been doing this for so many years, but I still don't know how to judge pulmonary embolism? The gold standard for clinical diagnosis is pulmonary angiography, the second gold standard is CTPA!
Can a CT see it? Or a large amount of effusion in the right chest, a piece of white flowers.
This is simply irresponsible to the patient!
Sun Chao is a little angry, how can 912 make a young doctor so arrogant?
Uh... although he can do echocardiographic reconstruction, although he can get involved in taking bullets.
But doing this is too much!
Do you still need clinical diagnosis and treatment standards? To put it aside, it denies the gold standard of diagnosis. Who does he think he is? What is the master of imaging?
This schoolmaster is definitely not the same as the school's schoolmaster.
The school’s academic tyrants are only good at academic performance, and they dominate the exam. The superba that Sun Chao thinks is the kind of Newton.
Whoever suppresses whoever suppresses.
Is Brenitz bullish? Newton said that the pressure is pressed, and the formula must start with Newton.
912 This is to cultivate a schoolmaster?
Sun Chao has some anger, even if he is a tyrant, he can't make a joke about the life of a young student!
He looked at Zheng Ren with anger.
Zheng Ren did not speak, he saw Su Yun on the phone. It is estimated that it is necessary to upload more image data by echocardiography, and this is exactly what you need.
"Zheng boss?" Ringer whispered.
"The diagnosis is very certain. I will upload the echocardiogram and I will explain it to everyone."
Zheng Ren said that Sun Chao is even more furious.
Do you take yourself as a doctor? Also explain! Tell a wool!
"Is the patient's family member? Can you sign it?"
"Principal Zhang of the Medical University is estimated to be coming soon, and the parents are definitely not there. President Zhang is fully responsible." Lin said.
"Good." Zheng Rendao, "Be prepared for surgery, after President Zhang came, I will explain it and sign it."
"..." Everyone is ashamed.
This... is too confident, too overbearing!
:. :
"Zheng boss!"
In the office, after a few greetings, the atmosphere changed.
Zheng Ren was wearing a casual dress, and he seemed to be carrying a sullen, cold-stricken force at the autopsy, and strode in.
Director Sun Chao stunned, this Zheng boss is really overbearing! I didn't ask the patient, didn't the patient see it, and said it was on the stage?
"Director Lin, Director." Zheng Ren simply greeted him and said: "This is the patient's film?"
Shao Yongxiang nodded quickly.
Boss Zheng has quickly become a legend. In the face of the legendary boss Zheng, many of the 912 doctors, no one can feel the pressure.
What is really stress-free is the directors who come with Director Mao.
They don't know who Zheng is, so they have the same idea as Sun Chao.
I saw a young doctor striding in and directly denied the CTPA.
How is 912 so unruly?
Looking at the age, this person is still less than 30. It is estimated that even the graduate students have not graduated. It is a great doctor. Can you deny the statement of the directors?
Sun Chao’s eyes picked up and asked: “Zheng boss, the preoperative CTPA is clearly diagnosed, is there something wrong?”
Zheng Ren did not know who was talking to himself. He looked at the film with his chest and it was the same as the image data seen in the operating room of the system.
Zheng Ren failed this operation many times.
Because that pulmonary embolism is simply too long, Zheng Ren sees 12cm after anatomy!
Interventional department to take the plug, other positions will be considered, the level of high can be taken directly. But pulmonary embolism is not the same.
Guidewire from the inferior vena cava, through the heart, right atrium, right ventricle, to the pulmonary artery segment.
Because of the presence of a valve, it is equivalent to going through various gates, and the thrombus cannot be completely removed. Need to be broken, and pulled out a little.
The operation time is very long and there is a risk of re-embedding.
12cm of thrombosis, even if Zheng Ren is doing surgery, it must be at least 2 hours!
The experimental body could not stand so long, and died of heart and lung failure.
So the only way out now is to angiography, determinate, and then open the thoracic surgery, using surgical means to take the plug.
The risk is high, but this is the only viable option.
The skill tree of Zheng Ren's thoracic surgery is only a master level... Well, "just" the master level, failing 15 times, only to find the possibility of success.
On the way, he has already called Lao He, Professor Rudolf Wagner, Liu Zewei and Xie Yi, and joined the hybrid operation room to prepare for emergency surgery!
But now, he has to convince everyone.
After all, preoperative diagnosis, CTPA should be. But for Zheng Ren, this is not a difficult thing.
Originally, the level of reading is beyond the geometric order of others, plus the reverse push, to see more clearly.
Sun Chao said the voices of other people present, and the office was quiet. Even Su Yun looked at the film, some doubts, I don't know why my boss didn't choose to get involved in the operation.
Is it because of my own hobbies, is it necessary to open the chest, dissect the heart, and perform surgical treatment?
If so...
Impossible, how can the goods give up intervention surgery because of their hobbies, and use more risky surgical methods!
Su Yun stared at the film and fell into meditation.
"Here!" Zheng Ren's finger clicked on the reader, and the translucent glass made a creaking sound, like a drum, impassioned.
"Although the artifacts are heavy and the internal structure of the heart is not very clear, combined with echocardiography, we can guess that the patient's thrombus is longer."
"Guess?" Sun Chao sneered, said.
Linger looked at him and had some doubts. Is this coming to the market? The directors of Mao Zedong and Zhang Lin did not speak. Who did he think he was?
"You are?" Ringer asked.
"This is Sun Chaosun, director of the Department of Vascular Surgery of the Affiliated Hospital of the Medical University. He came to the annual meeting and heard the emergency department and came together to see the eyes." Mao Zhihan came out and explained quickly.
"The patient is a young woman, and it is said that the body is no problem." Zheng Ren did not get angry, but explained.
Only this time, he spoke quickly and seemed a little anxious.
"Su Yun, the image of echocardiography, look for it." Zheng Rendao.
Su Yun quickly communicated with Shao.
"Sudden shock means that the condition is urgent and heavy! In addition, there is a large amount of pleural effusion after the discovery, which means that the patient's right pulmonary artery embolism is extremely high, and it will not be solved by simple thrombolysis. Case."
"In imaging, we have given a vague judgment. More specifically, we have to find the answer from the echocardiographic image." Zheng Renyi talked, although the voice is urgent, but not chaotic, revealing a mature and steady .
"Zheng boss, what do you mean, from this CT, can you see the severity of pulmonary embolism?" Director Sun Chao finally found a flaw and directly attacked.
This is not a nonsense!
I have been doing this for so many years, but I still don't know how to judge pulmonary embolism? The gold standard for clinical diagnosis is pulmonary angiography, the second gold standard is CTPA!
Can a CT see it? Or a large amount of effusion in the right chest, a piece of white flowers.
This is simply irresponsible to the patient!
Sun Chao is a little angry, how can 912 make a young doctor so arrogant?
Uh... although he can do echocardiographic reconstruction, although he can get involved in taking bullets.
But doing this is too much!
Do you still need clinical diagnosis and treatment standards? To put it aside, it denies the gold standard of diagnosis. Who does he think he is? What is the master of imaging?
This schoolmaster is definitely not the same as the school's schoolmaster.
The school’s academic tyrants are only good at academic performance, and they dominate the exam. The superba that Sun Chao thinks is the kind of Newton.
Whoever suppresses whoever suppresses.
Is Brenitz bullish? Newton said that the pressure is pressed, and the formula must start with Newton.
912 This is to cultivate a schoolmaster?
Sun Chao has some anger, even if he is a tyrant, he can't make a joke about the life of a young student!
He looked at Zheng Ren with anger.
Zheng Ren did not speak, he saw Su Yun on the phone. It is estimated that it is necessary to upload more image data by echocardiography, and this is exactly what you need.
"Zheng boss?" Ringer whispered.
"The diagnosis is very certain. I will upload the echocardiogram and I will explain it to everyone."
Zheng Ren said that Sun Chao is even more furious.
Do you take yourself as a doctor? Also explain! Tell a wool!
"Is the patient's family member? Can you sign it?"
"Principal Zhang of the Medical University is estimated to be coming soon, and the parents are definitely not there. President Zhang is fully responsible." Lin said.
"Good." Zheng Rendao, "Be prepared for surgery, after President Zhang came, I will explain it and sign it."
"..." Everyone is ashamed.
This... is too confident, too overbearing!
:. :
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