Chapter 1712: Guidance consultation

At the end of the operation, Zheng Ren took off the live glasses.
He is very satisfied with the outcome of this operation.
The foreign body was taken out, the liver abscess was cleaned up thoroughly, and the operation was successful.
Postoperatively, the foreign body was really a toothpick. This is an accumulation of experience.
Although the case is very rare, there is no clear judgment at first. The big pig's hoof only gave the diagnosis of liver abscess and liver foreign body. But if you meet in the future, you will have experience.
Zheng Ren turned to step down and talked and laughed with Director Luo.
"Director Luo, the preoperative judgment is correct, it is indeed a toothpick." Zheng Ren smiled.
"It may be that the patient accidentally took the toothpick and passed through the cardia and pylorus to enter the duodenum." Director Luo analyzed: "Because the duodenum is relatively narrow, the toothpick penetrates the intestinal wall and is tied to the liver."
"It is possible, I think so too. Laoliu... One of my fellow doctors said that I have seen similar cases in the Affiliated Hospital of the Northern Medical University. It is just that the patient's luck does not seem very good, the toothpick is connected to the duodenum and The liver causes a very serious condition." Zheng Rendao.
"It is good to take out the surgery." Director Luo smiled.
"Can you be discharged within 1 week, do you have any suggestions after surgery?" Zheng Ren asked.
"Normal treatment can be, antibiotics are not too high level, and will be discharged soon." Director Luo knows that Zheng Ren is polite with himself, and does not show the posture of the superior doctor, but casually said a few words.
The two went to change clothes, and Zheng Ren received a call from Su Yun.
It’s not too late, I’m going to have a bite out at night. Zheng Ren and Director Luo were together, and invited him to dinner together.
Director Luo is pleased to be invited.
Being able to get in touch with Zheng boss, Director Luo is still very willing.
I originally wanted to eat a large plate of chicken. I ran to Zhang Xiaohui for the last time I was half-eaten. Some of them were not happy.
However, Director Luo is not serious about eating large-scale chicken.
Everyone in the group began to talk about the question of what to eat in the end.
This kind of thing has nothing to do with Zheng Ren. He doesn't look at it, only waits for the final ending to appear. You just have to go with it, as for what you eat, it doesn't matter.
Director Luo is not in a hurry, he took advantage of this time and Zheng Ren to ask for some details of ESD surgery.
The relationship between lens magnification and surgical techniques is what Director Luo is most concerned about.
Zheng Ren knows everything about it, and he has nothing to say.
Zheng Ren never thought about keeping his technical barriers.
A person's ability is very limited, the initial heart, to cure the disease, Zheng Ren has been insisting. Director Luo wants to learn to tell him, no big deal.
[They said to write quickly...]
Zheng Ren took out his mobile phone and was surprised to see that Su Yun’s phone. Why are you calling yourself?
"What's wrong?" Zheng Ren picked up the phone and asked some questions.
His first thought was that the patient's condition had a new change.
Just thinking about it while answering the phone, there is little chance of problems after surgery. The system gives a 100% completion of the surgery, which is an evaluation that is impossible to do.
"Hey... scare me."
"Well, go to the community hospital?"
"I will pass."
After that, Zheng Ren hung up the phone.
"Director Luo, I am sorry." Zheng Ren was a little sorry. "I just received a consultation application from the Massachusetts General Hospital, a patient who was diagnosed with periodic vomiting syndrome. I asked for a consultation."
Director Luo stunned and asked for treatment from the Massachusetts General Hospital.
His heart is full of miscellaneous.
It’s not awkward, it’s fake. Director Luo’s academic status is quite high, but it is not high enough to allow the Massachusetts General Hospital to submit a consultation application.
Don't talk about consultations, look for a consultation at the Massachusetts General Hospital, and people may not take care of them. It is not necessarily that it is definitely not going to take care of itself.
"Please eat dinner the next day, today is really something." Zheng Ren said apologetically.
In his opinion, eating a meal is really better to see the patient's medical history of periodic vomiting syndrome.
"Recurrent vomiting syndrome? Can I have a look together?" Director Luo asked.
"If you are interested, look at your eyes together." Zheng Ren does not care, "Are you also interested in periodic vomiting syndrome?"

I have seen several patients, all of whom are children.
Director Luo said with a smile:
The etiology and pathogenesis of this disease are still unclear. The overlap between the clinical symptoms of periodic vomiting syndrome and the characteristics of children’s migraine supports this disease. A variant of the form of headache.
Therefore, some scholars have suggested that the related mechanisms of migraine and neuronal hypersensitivity may be the cause of periodic vomiting syndrome.

"Well, but the specific pathogenesis is not clear." Zheng Rendao: "It is said that the condition of this patient is quite special. Today may be the inhalation of toxic gases, causing changes in the condition."
Toxic gas?
Director Luo also came to interest.
If it is toxic, the condition will be more complicated and more difficult.
He is not interested in solving the cases of the Massachusetts General Hospital. He is only interested in how Zheng Boss analyzes and judges.
Director Luo is also very much looking forward to what step this young man can take in the future.
They are all clinical people, and they are not very polite.
Director Luo and his family took time off and said that they would go back to the party for a while and give them a meal. Then they went to the classroom of the community hospital with Zheng Ren.
This classroom can do more than 20 people, the equipment is very new, and it is something that Director Luo can't understand.
Su Yun, Xie Yiren, Chang Yue and Lao He have already sat in it. Professor Rudolf Wagner and Liu Zewei are not there. They are not interested in the case of digestive medicine. They go to eat and go back to rest.
In particular, Liu Zewei is now almost exhausted in every day.
With the use of community hospitals, the surgery suddenly accelerated, he can only cope with it.
As long as it is not related to interventional surgery ~EbookFREE.me~ he is not willing to pay attention. With this time, it is better to go back and lie down on the bed to have a good night's sleep.
The intensity of recent work is simply too great, and Liu Zewei has felt that he is on the verge of collapse.
"Director Luo, how come you?" Su Yun saw Director Luo come in, put down his laptop, and asked with a smile.
"Look at it, you talk about yours, don't worry about me."
"That's not a polite thing for you. I'm taking the time to export the data." Su Yun knows the extent of this equipment. After all, this is his own...the boss and his own stage.
"What patient?" Zheng Ren used to look at it, but was pushed away by Su Yun.
"I will tell you on the big screen for a while, give you a surprise." Su Yun said mysteriously.
Zheng Ren has some helplessness, what equipment he has used, and he is also surprised.
Xiaoyi people laughed and sat behind, and in the big chicken and consultation cases, she chose Zheng Ren.