Holding the newly printed film, Zheng Ren hurriedly returned to the emergency department.
The director of the Vascular Department was also dragged over from the cafeteria.
Because the vascular department was a small department, there were not many related surgeries, so there was not even a chief resident.
A small hospital was full of all kinds of non-compliance.
When Zheng Ren walked in, director fan of the Vascular Department was walking out.
The two of them bumped into each other. Zheng Ren waved the film in his hand and said, "Director fan, take a look? "
Director fan nodded cautiously. Zheng Ren called the patient's lover to his office and found a film reader to insert the film.
On the CTA of the blood vessels in the neck, the triangular piece of glass that was less than 1 cm was particularly eye-catching.
Almost at the sight of the slide, the piece of glass was like a horror film, "Stabbing" out of the slide.
"Director fan, prepare for the surgery, " Zheng Ren said.
"Sigh. " Director fan shook his head and said, "The patient's life is really big. "Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/fortunately-he-was-not-careless_51118379792131137 for visiting.
Zheng Ren agreed with him.
If there weren't so many coincidences, the ambulance that arrived at the hospital with the number 120 ambulance would only have been a corpse.
The diagnosis was clear, and there was nothing much to say. The emergency surgeon issued the hospitalization form, and director fan brought the patient back in a hurry to prepare for the surgery.
This kind of surgery would recover very quickly.
Zheng Ren estimated that he would be discharged from the hospital two to three days after the surgery.
There were many big things, but once it was discovered, it was a trivial matter.
The fatal trauma, illness, and diagnosis were clear. The patient could be discharged two to three days after the surgery. Thinking about it, she was indeed lucky.
After working in the clinic for a long time and seeing a lot of things, she slowly began to believe in her fate.
At the scene of the car accident, the patient who was hit and did not have a human shape was discharged from the hospital in half a month, one month, and then returned home.
The patient was fine with a small scratch, but there was a 1 in 50,000 chance of a delayed carotid endarterectomy. After three to five days in the hospital, he suddenly lost control of his bowels and urine. Zheng Ren had also witnessed the case of losing consciousness. (Note 1)
So, people..
..
..
Note 1: carotid endarterectomy. This case was encountered by a friend of mine when he was in the neurosurgery department. When I looked it up, it was one in 50,000.
The carotid case. I remember something similar from the American TV series good doctor. This case is from the Journal of Vascular Surgery, and there are some places where I find it amazing. But there are some clinical cases with very small probabilities.
Chapter 570 - 570 unlucky second department of General Surgery
After sending the patient away, Zheng Ren finally calmed down.
It was similar to an emergency patient. He did not need to go on stage for surgery, so he did not have to worry too much.
Time did not even have to pass. At this moment, Zheng Ren's mind had already forgotten the appearance of the patient and the patient's family members. He only remembered such a case.
Next, it was time to study the issue of her birthday.
That plan... Zheng Ren cursed in his heart. It was so big that it was beyond Zheng Ren's control.
However, seeing the group of people in the department in high spirits, Zheng Ren did not want to brush off everyone's good intentions.
"Su Yun! " Zheng Ren looked around but did not see Su Yun, so he called out.
Su Yun responded. The sound that came along with it was the ringtone of the cell phone in Zheng Ren's pocket.
Standing in the emergency department, Zheng Ren knew that there was no major emergency treatment. When his cell phone rang, Zheng Ren was not afraid at all.
He took it out and took a look. It was Department director Sun.
He had been dealing with department director Sun for the past few days. Could it be that this fellow could not even perform abdominal closure? How long had it been? Could it be that it was not done yet.
"Hello, Department director Sun, " Zheng Ren thought to himself and answered the call.
"HMM? Okay, I'll go up now. "
"Okay, I'll do it as soon as possible. "
Seeing Zheng Ren hang up the phone, Su Yun asked, "Boss, what happened to Old Sun? "
"He said that he was going to perform a hernia repair operation. There was a problem during the operation, so the operation couldn't be carried out anymore. "
"Good for you! " Su Yun scolded.
"Uh... " Zheng Ren pondered for a moment. "Maybe it really is a difficult problem. I don't think their level would be so bad. They can't even perform a hernia. "
Su Yun simply did not like director Sun's temper. Moreover, it was fun to celebrate Xie Yi's birthday. It was much more fun than operating or consulting in a hospital.
Even though that was the case, she still had to go.
If the second department of General Surgery did not encounter any difficulties, they would not have looked for a consultation during the operation.
After all, every consultation on the stage was a very embarrassing thing. (Note 1)
It was not a situation of last resort. No surgeon would want to have a consultation on the operating table.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/570-unlucky-second-department-of-general-surgery_51118382208050257 for visiting.
Of course, emergency treatment was an exception.
The two of them went to the operating theater for the second time today.
They usually did not go once a month. Today was really strange. They actually went twice, and they were all chief Sun's patients.
Zheng Ren felt that Chief Sun's luck had been a little bad recently.
After getting off the elevator, Su Yun did not directly go to the doctor's passage to change clothes. Instead, she pulled Zheng Ren and glanced at the patient's family waiting area.
More than a dozen patients' family members were anxious like ants on a hot pan. They walked around the waiting area, and the atmosphere was oppressive.
Thinking about it, it made sense. If they were to perform a hernia repair operation, they would only be able to finish it in an hour at most.
Director Sun, director Meng, and the others did not know what problems they had encountered on stage, which was why they had been delayed for so long.
The two of them turned around and walked through the doctor's passage to change their clothes. Zheng Ren was deep in thought.
"Boss, guess what you found during the operation? " Su Yun asked softly.
"Hernia repair... " Zheng Ren really could not answer Su Yun's question.
It was just a hernia repair. It was the smallest surgery in the general surgery department.
A few months ago, in the general surgery department, no matter how unpopular Zheng Ren was, he could still perform such a small surgery.
It was an extremely simple surgery. Zheng Ren really could not think of what would happen.
The only possibility was that there was a hernia in the intestinal tract that caused a croton, resulting in the necrosis of the intestines.
However, this possibility had long been ruled out by Zheng Ren.
Even if it was the necrosis of the intestines, the general surgery department could
just cut the intestines directly. There was no need for him to go to the stage for a consultation.
The two of them were filled with doubts. They changed their clothes and took the opportunity to enter the surgery room outside the hospital.
It was already noon. The surgery room was closed, and there were only a few rooms that were still undergoing surgery. Zheng Ren glanced at them and went to the first surgery room to ask.
In the eighth surgery room, the two of them walked straight in.
"Director Sun, what's the matter? " After entering the surgery room, Zheng Ren did not exchange pleasantries and asked directly.
At this time, it was probably because director Sun's face was already on fire, so it was not appropriate to exchange pleasantries.
"Director Zheng... " director Sun wore a hat and a mask. He raised his head, and his eyes were a little scattered and absent-minded.
It looked like director Sun should have been rescued.
Zheng Ren did not say anything.
"Director Zheng, the patient was admitted to the hospital with a right inguinal refractory painless tumor for three days. " Director Meng was also dumbfounded. However, he was a little younger after all, and he had the ability to withstand blows... in short, director Meng's words were still considered normal.
"The ultrasound examination of the groin area found that there was an oval-shaped echo tumor in the hernia sac, which was suspected to be an ovary. Before the operation, I explained the condition to the patient's family. If there is a need during the operation, I will perform a resection operation. "
Zheng Ren was a little impatient. After saying so much, he still had not mentioned the situation during the operation.
This director Meng was really long-winded.
However, he did not say anything and just listened quietly.
"Yesterday, I made a list. Today, I will do a repair of the right inguinal hernia. The surgery will remove the tumor and send the pathology. The defect will be repaired with a Vypro mesh film, " CEO Meng said. "Because the patient's family is worried that it is a malignant tumor, I made an intraoperative freeze. "
When he said this, CEO Meng stopped.
Zheng Ren knew that the show was about to begin. The pathology... was malignant?
If it was a malignant tumor of the ovaries, he should have looked for department director Su from the Obstetrics and Gynecology Department for a consultation. He should not have looked for him.
"Intraoperative freezing... the reward... is the testicular... testicular tissue. " When director Meng said the last sentence, his voice was hoarse.
Zheng Ren's blood pressure instantly soared, and the cold sweat on his back directly penetrated through the isolation suit.
Although it was not an operation in the emergency ward, but... This was a big deal!
To have a hernia..
Zheng Ren really wanted to scold him, but he immediately remembered that director Meng was a cautious person. This was all under director Sun's guidance, so there should not be such a mistake.
"Does the patient's family know? " Zheng Ren asked in a low voice.
"I haven't told the patient's family yet, " director Meng's voice was hoarse. "I didn't expect this kind of problem before the operation. "
"What the F * CK Can you think of! " Su Yun couldn't help but curse.
" ... " CEO Meng was stunned for a moment. Then, he realized what the problem was. He immediately said, "The patient is female. She has a history of primary amenorrhea... "
" ... " Zheng Ren.
" ... " Su Yun.
The two of them were speechless.
Female? The tumor in the hernia sac was a testicle?
Zheng Ren frowned. He walked to the side of the patient's head and took a glance.
Because there was a sterile towel blocking his view, the system panel on the upper right side of his field of vision did not show the patient's condition.
Director Meng thought that Zheng Ren wanted to see if it was a man or a woman. He immediately explained, "The patient's family said that it was a woman. I have also seen the patient. The woman's characteristics are obvious. She really isn't a man. "
Zheng Ren took a look at the patient. She had changed to general anesthesia. She was intubated and helped with breathing by a ventilator. She... was beautiful. She was not even as neutral as brother Chun. She was indeed a girl.
The system panel on the upper right side of the field of vision was marked -- testicular... womanizing syndrome.
..
..
Note 1: this matter was indeed very embarrassing. Saving the patient meant that the surgery could not continue.
The biggest rescue in his memory was when Huaxi Department of Cardiology performed a particularly complicated heart surgery on a child. He did not manage to perform the surgery. Instead, he looked for a cardiologist from Fuwai (or Concorde) . The one who was sent flying came over to perform the surgery. After that, the professors from both departments studied the surgery for eight to nine hours, and the surgery was successful.
Of course, the gossip behind the surgery was from Huaxi. It was not embarrassing. It was just a particularly complicated surgery.
Chapter 571 - Provincial City Expert Who Teleported There
Zheng Ren was stunned.
The disease was rare and could not be blamed on the secondary general surgery department.
His mind was running at lightning speed as it tried to recall similar literature reports in his mind.
This type of patient was also known as Reifenstein syndrome.
The main cause was due to androgen resistance.
It fell under a list of clinical syndromes caused by the abnormal combination of androgen receptor and the ligand or the abnormal signal transduction after the receptor. What happened after resulted in the underdevelopment of androgen function.
Depending on the severity, it could be divided into two types, complete androgen resistance, and partial androgen resistance.
This type of patient could show different degrees of male pseudohermaphroditism or even a completely feminine appearance.
Seeing Zheng Ren standing over the patient's head, Chief Sun was completely disheartened. His hands on the sterile warm saline gauze trembled so much that he could not even lift them up.
"Boss." Su Yun walked behind Zheng Ren and whispered, "Why do I feel like it's Reifenstein syndrome?"
"Yes, it is," Zheng Ren said. "Bring me the intraoperative ultrasound machine from the operating theater."
The circulating nurse was stunned for a moment and had not heard what Zheng Ren said.
"Intraoperative ultrasound machine," Su Yun reminded loudly.
It was only then that the circulating nurse hurriedly ran out to push the machine.
"Chief Zheng... What kind of syndrome did you mention" Department Chief Sun heard a glimmer of hope from the conversation between Zheng Ren and Su Yun.
"Reifenstein syndrome," Zheng Ren said. "If the diagnosis is correct, the patient should not have a uterus and other female reproductive organs."
Department Chief Sun was stunned.
"Call Department Chief Su of the obstetrics and gynecology department for an intraoperative consultation," Zheng Ren said.
With Zheng Ren's arrival, the right to direct the surgery fell directly into his hands. Department Chief Sun did not have any objections to it. At that time, having a backbone was better than having a loose pile of sand.
"Oh right, call Department Chief Zhou of the medical affairs department. Tell him that the secondary general surgery department is in big trouble. Ask him to come personally. The junior department officer can't handle it."
The few orders were simple and straightforward.
The circulating nurse, Ma Shi, and Su Yun each went to work.
Soon, the ultrasound machine was pushed over.
Zheng Ren washed his hands, put on his clothes, and went on stage to perform an abdominal ultrasound on the patient.
&nbs
p; As expected, the patient did not have a uterus and the related parts.
Next, it was time to figure out how to get the patient's family to accept the problem.
"Chief Zheng, the patient..." Chief Meng of the secondary general surgery department swallowed a mouthful of saliva but his mouth was still dry. He did not know what to think. "The patient's boyfriend is still outside."
Sighing, Zheng Ren shook his head, turned around, and undressed before he went down.
This kind of troublesome matter could be avoided if he went on stage for the surgery.
If the family approved, it would be fine. If the family did not, the matter could cause the medical department...or even the entirety of Sea City General Hospital to be in serious trouble.
Soon, Department Chief Su and Department Department Chief Zhou of the obstetrics and gynecology department rushed over.
Department Chief Su performed a gynecological examination on the patient and found that the v.a.g.i.n.a.l wall was shorter and hit a wall.
Department Chief Zhou's brows were tightly furrowed. It was as if there was a large, dark cloud shrouding his head and it was raining cats and dogs.
Reifenstein syndrome was an extremely rare disease. Department Chief Zhou had just searched the database and found the relevant explanation needed.
If one sharpened their arsenal at the last minute even if they did not have a lot of time, it would still shine. If one wanted to deal with this sort of thing, they needed to understand it.
That was the only way.
No one could master all kinds of rare diseases, and that included the experts in the Imperial City and Sorcery City.
"Department Chief Zhou, about this..." Zheng Ren moved to Department Chief Zhou's side and questioned in a low voice.
"Chief Zheng, what do you think?" Department Chief Zhou's lips were dry. One look and people could tell that he was burning with anxiety.
His anger was burning his heart. His blood pressure through the roof.
Zheng Ren did not bother with pleasantries and said directly, "I suggest that we find a professor from a medical university to consult. The patient should have his abdomen closed and push on. As for the issue with his s.e.x selection, it depends on the patient's own will and what his family members think."
The Surgeon's Studio c1-799 Page 272
