“Boss Zheng, you’re here.” Director Xu said with a sullen face.
“Department Director Xu, have you done an ultrasound? I’ll take a look. ” “Let’s go!” Zheng Ren greeted him simply and went straight to the point.
Old he immediately handed the ultrasound report to boss Zheng.
As expected, the patient’s condition was similar to what he saw in the operating theater of the system. Zheng Ren was even more certain.
“Let’s do another ultrasound. ” Zheng Ren said.
“What?” Department Director Xu did not quite understand. One similar examination was enough, so what was the point of doing it twice?
He didn’t ask any questions and just looked at Zheng Ren.
“Director Xu, it’s like this.” Zheng Ren took the ultrasound scan report to the MRI scanner, pointed at the image on the MRI scanner, and said,””There was a difference of nearly 20 minutes between the beginning and the end. From the CT scan, we can see that the heart is on the right side of the chest, and the furthest distance from the sternum handle is about 6.7 cm.”
Director Xu and a group of anesthetists gathered around. The chief resident from the Department of Hepatobiliary and Pancreatic Surgery was squeezed out, and only director li from the Department of Hepatobiliary and Pancreatic Surgery stood beside boss Zheng and watched the surgery.
“From the ultrasound scan, we can see that the heart has moved about 0.3 cm to the left.”
“……”
Everyone was speechless.
0.3cm, you can even tell that? With such a small difference, the test error caused by one heart beat was enough.
“I thought about it on the way back. The patient’s heart is likely to be reversed due to a large amount of gas being squeezed in the left chest cavity. As long as lower chest closed drainage removes the gas, the negative pressure in the left chest cavity will be restored, and the heart should be able to return to its original position.” Zheng Ren said.
“Boss Zheng, traumatic pneumothorax is very common, but cardiac torsion is rare.” Director Xu said in a deep voice.
If it were a junior doctor, chief resident, or even a professor leading a group, director Xu, he would have started scolding Ling ran.
What kind of bullsh * t opinions are you giving? do nothing and wait for your heart to return to its place? This was a joke. If I don’t need to do anything, why would I need you here? The cardiothoracic professor also had the same doubts as director Xu. However, they knew that boss Zheng had a bad temper, so they stood at the back and didn’t question him.
It was the same saying, but when it came to boss Zheng, everything became a different concept.
Boss Zheng was not the kind of person who would not dare to perform surgery just because the surgery was not done well. He was very good at cardiothoracic surgery, and there were many other surgeries such as a second valve replacement, chest opening, and removing 12-centimeter large blood clots.
For a reversed heart, all he needed to do was to reset it. The process was a little risky, but Department Director Xu did not think that the risk was high.
But boss Zheng wanted conservative treatment …
“It’s like this. Under normal circumstances, when a lung cancer surgery is performed with a cumbersome pericardium resection, there’s a very small possibility of heart torsion. However, there’s a common point in the relevant reports. Patients with tuberculosis will have symptoms of respiratory and circulatory failure. “
The operating room was quiet. Everyone was listening to boss Zheng’s statement. Zheng Ren’s voice was not loud, so it was hard for the people behind him to hear him.
After all, the patient had not been anesthetized yet. If he were to hear things like death or failure, there might be complications.
“When I came in, I saw the patient look at me, indicating that he was conscious. The values on the ECG monitor are relatively stable, and there are no complications of breathing and circulatory failure. So, I think that if we don’t care about it, the possibility of the heart resetting itself is very high. “
“This way, the damage to the patient will be minimal. We can give it a try. If it doesn’t work, I can be responsible for opening the chest to save him.” Zheng Ren said calmly.
The atmosphere in the operating room eased up a lot when boss Zheng said that he could be responsible for opening up the chest and resuscitating the patient.
“Is there any problem with the anesthesia?” Director Xu asked.
“Administer anesthesia. We’ll stay here and watch. If there’s any problem, we’ll perform emergency rescue.” Zheng Ren said.
Su Yun sighed in his heart. He did not feel the change in his boss’s attitude, but the way he spoke and handled things had changed a lot.
Look, we’re both here watching! Subconsciously, he had already placed himself on the same platform as director Xu.
Normally, a Nobel Prize winner had the right to do this, but even Su Yun wasn’t used to this kind of way of speaking and doing things.
After winning the Nobel Prize, he repeatedly told himself that he had to tuck his tail between his legs and at least not get carried away. However, his boss had already … Tsk, he couldn’t be bothered to scold him.
Old he pushed the ultrasound machine in, and Zheng Ren was ready to do an ultrasound.
“What’s your name?”
“Zhu Hong,” The patient said softly,”doctor, I just have chest pain. It’s much better to breathe. Are you okay?”
“I’m fine. ” Zheng Ren squeezed a coupling agent on the patient’s chest wall and began to do an ultrasound.
“It’s a small problem, don’t worry. It’s just a minor operation. If everything goes well, you can go home and rest on your own in five days. ” Zheng Ren continued.
“Uh … Then what are you all discussing about? I heard that the doctors in the operating room are talking and laughing, and it’s fine. If an old doctor comes in one moment and another one comes in the next, then there’s a problem. ” The patient asked in confusion.
“To discuss whether you can go home in 5 days. If you don ‘t, you’ll have to lie in the icu for 10 days.” Zheng Ren said with a smile. He then pointed at the ultrasound screen and said to director Xu and director li,”Here, you can see that there’s a bigger difference compared to the CT image. The reduction distance is almost 1 cm.”
One needed to have a very deep professional Foundation to understand what was going on in an ultrasound scan. Neither Department Director Xu nor Department Director li from the liver and gallbladder Department could understand it. Only Zhao Yunlong and Su Yun stood behind Zheng Ren and watched silently.
Although they could see the difference, boss Zheng’s choice was too risky.
According to Zhao Yunlong’s thoughts, rather than being conservative, it would be better to make a bold and decisive cut through the sternum for surgery.
“If you don’t have any objections, shall we start the anesthesia?” Zheng Ren asked.
“Old he, anesthesia.” Director Xu directly arranged for old he to go on stage.
Although old he was not in boss Zheng’s Medical Group in name, he was boss Zheng’s exclusive anesthetist. This was not only known by 912 but also by almost all the top chief physicians in the country’s anesthesia department.
A while ago, the question of who old he was swept through the anesthesia department like a gust of wind. Old he seemed to have turned from a nobody to a popular anesthesia star in just one night.
Old he glanced at boss Zheng. He didn’t answer director Xu’s question directly.
His boss and boss Zheng were standing there at the same time. It was hard to choose who to listen to, but old he knew what to do.
Even if he had to offend director Xu, he could not offend boss Zheng.
“Do it, I’ll watch from behind.” Zheng Ren said with a smile.
“Alright,” Old he immediately took out a USB flash drive from his pocket, ran to the computer, and started playing ‘good luck’.
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“Boss Zheng, you’re here.” Director Xu said with a sullen face.
“Department Director Xu, have you done an ultrasound? I’ll take a look. ” “Let’s go!” Zheng Ren greeted him simply and went straight to the point.
Old he immediately handed the ultrasound report to boss Zheng.
As expected, the patient’s condition was similar to what he saw in the operating theater of the system. Zheng Ren was even more certain.
“Let’s do another ultrasound. ” Zheng Ren said.
“What?” Department Director Xu did not quite understand. One similar examination was enough, so what was the point of doing it twice?
He didn’t ask any questions and just looked at Zheng Ren.
“Director Xu, it’s like this.” Zheng Ren took the ultrasound scan report to the MRI scanner, pointed at the image on the MRI scanner, and said,””There was a difference of nearly 20 minutes between the beginning and the end. From the CT scan, we can see that the heart is on the right side of the chest, and the furthest distance from the sternum handle is about 6.7 cm.”
Director Xu and a group of anesthetists gathered around. The chief resident from the Department of Hepatobiliary and Pancreatic Surgery was squeezed out, and only director li from the Department of Hepatobiliary and Pancreatic Surgery stood beside boss Zheng and watched the surgery.
“From the ultrasound scan, we can see that the heart has moved about 0.3 cm to the left.”
“……”
Everyone was speechless.
0.3cm, you can even tell that? With such a small difference, the test error caused by one heart beat was enough.
“I thought about it on the way back. The patient’s heart is likely to be reversed due to a large amount of gas being squeezed in the left chest cavity. As long as lower chest closed drainage removes the gas, the negative pressure in the left chest cavity will be restored, and the heart should be able to return to its original position.” Zheng Ren said.
“Boss Zheng, traumatic pneumothorax is very common, but cardiac torsion is rare.” Director Xu said in a deep voice.
If it were a junior doctor, chief resident, or even a professor leading a group, director Xu, he would have started scolding Ling ran.
What kind of bullsh * t opinions are you giving? do nothing and wait for your heart to return to its place? This was a joke. If I don’t need to do anything, why would I need you here? The cardiothoracic professor also had the same doubts as director Xu. However, they knew that boss Zheng had a bad temper, so they stood at the back and didn’t question him.
It was the same saying, but when it came to boss Zheng, everything became a different concept.
Boss Zheng was not the kind of person who would not dare to perform surgery just because the surgery was not done well. He was very good at cardiothoracic surgery, and there were many other surgeries such as a second valve replacement, chest opening, and removing 12-centimeter large blood clots.
For a reversed heart, all he needed to do was to reset it. The process was a little risky, but Department Director Xu did not think that the risk was high.
But boss Zheng wanted conservative treatment …
“It’s like this. Under normal circumstances, when a lung cancer surgery is performed with a cumbersome pericardium resection, there’s a very small possibility of heart torsion. However, there’s a common point in the relevant reports. Patients with tuberculosis will have symptoms of respiratory and circulatory failure. “
The operating room was quiet. Everyone was listening to boss Zheng’s statement. Zheng Ren’s voice was not loud, so it was hard for the people behind him to hear him.
After all, the patient had not been anesthetized yet. If he were to hear things like death or failure, there might be complications.
“When I came in, I saw the patient look at me, indicating that he was conscious. The values on the ECG monitor are relatively stable, and there are no complications of breathing and circulatory failure. So, I think that if we don’t care about it, the possibility of the heart resetting itself is very high. “
“This way, the damage to the patient will be minimal. We can give it a try. If it doesn’t work, I can be responsible for opening the chest to save him.” Zheng Ren said calmly.
The atmosphere in the operating room eased up a lot when boss Zheng said that he could be responsible for opening up the chest and resuscitating the patient.
“Is there any problem with the anesthesia?” Director Xu asked.
“Administer anesthesia. We’ll stay here and watch. If there’s any problem, we’ll perform emergency rescue.” Zheng Ren said.
Su Yun sighed in his heart. He did not feel the change in his boss’s attitude, but the way he spoke and handled things had changed a lot.
Look, we’re both here watching! Subconsciously, he had already placed himself on the same platform as director Xu.
Normally, a Nobel Prize winner had the right to do this, but even Su Yun wasn’t used to this kind of way of speaking and doing things.
After winning the Nobel Prize, he repeatedly told himself that he had to tuck his tail between his legs and at least not get carried away. However, his boss had already … Tsk, he couldn’t be bothered to scold him.
Old he pushed the ultrasound machine in, and Zheng Ren was ready to do an ultrasound.
“What’s your name?”
“Zhu Hong,” The patient said softly,”doctor, I just have chest pain. It’s much better to breathe. Are you okay?”
“I’m fine. ” Zheng Ren squeezed a coupling agent on the patient’s chest wall and began to do an ultrasound.
“It’s a small problem, don’t worry. It’s just a minor operation. If everything goes well, you can go home and rest on your own in five days. ” Zheng Ren continued.
“Uh … Then what are you all discussing about? I heard that the doctors in the operating room are talking and laughing, and it’s fine. If an old doctor comes in one moment and another one comes in the next, then there’s a problem. ” The patient asked in confusion.
“To discuss whether you can go home in 5 days. If you don ‘t, you’ll have to lie in the icu for 10 days.” Zheng Ren said with a smile. He then pointed at the ultrasound screen and said to director Xu and director li,”Here, you can see that there’s a bigger difference compared to the CT image. The reduction distance is almost 1 cm.”
One needed to have a very deep professional Foundation to understand what was going on in an ultrasound scan. Neither Department Director Xu nor Department Director li from the liver and gallbladder Department could understand it. Only Zhao Yunlong and Su Yun stood behind Zheng Ren and watched silently.
Although they could see the difference, boss Zheng’s choice was too risky.
According to Zhao Yunlong’s thoughts, rather than being conservative, it would be better to make a bold and decisive cut through the sternum for surgery.
“If you don’t have any objections, shall we start the anesthesia?” Zheng Ren asked.
“Old he, anesthesia.” Director Xu directly arranged for old he to go on stage.
Although old he was not in boss Zheng’s Medical Group in name, he was boss Zheng’s exclusive anesthetist. This was not only known by 912 but also by almost all the top chief physicians in the country’s anesthesia department.
A while ago, the question of who old he was swept through the anesthesia department like a gust of wind. Old he seemed to have turned from a nobody to a popular anesthesia star in just one night.
Old he glanced at boss Zheng. He didn’t answer director Xu’s question directly.
His boss and boss Zheng were standing there at the same time. It was hard to choose who to listen to, but old he knew what to do.
Even if he had to offend director Xu, he could not offend boss Zheng.
“Do it, I’ll watch from behind.” Zheng Ren said with a smile.
“Alright,” Old he immediately took out a USB flash drive from his pocket, ran to the computer, and started playing ‘good luck’.
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
