Chapter 2136: Zhao Wenhua, not worth it

Boss Zheng, the performance of lipiodol on CT images is not the same. Lin Yuan asked, chasing.
"Not what?" Zheng Ren casually asked.
"Looking like a stone, I always feel that you have a problem." Lin Yuan asked, "Zheng boss, don't be angry, I just don't understand."
Zheng Ren looked at Lin Yuan sideways. The child's talent is good, but it is still a lot worse than Su Yun.
Lin Yuan stunned, and the subconsciously raised his hand.
"CT, have you operated?" Zheng Ren stared at Lin Yuan's left hand and asked for a stalk.
Lin Yuan felt like there was an invisible hemostat pliers knocking on the styloid process of the humerus, and was stunned by Zheng Boss, and his heart shuddered.
"Ask you." Zheng Ren no longer looked at him and found the phone call of Director Luo.
"I have done it, Zheng boss, you mean..."
"Director Luo, there is a patient on this side to do emergency gastroscopy."
"Hmm, it's an emergency, hemorrhagic shock. It should be a hepatitis B patient. I will go with my medical record and I will say it later."
"Yes, it is suspected that the liver cancer ruptured and hemorrhage, there is no way to confirm the diagnosis."
"No, I suspect that the bile duct will flow back to the pancreas and gallbladder. If this is the case, there may be bleeding in the descending part of the duodenum."
"Yes, well, meet up."
After that, Zheng Ren hung up the phone.
"What are you talking about?" Zheng Ren asked.
"I said the duodenum... Hey, I have done CT, Zheng boss, what questions do you want to ask." Lin Yuan asked.
"Head CT, how do you give the window frame window." Zheng Ren asked casually.
"The general window width is 100 for the head and 37 for the window."
"Abdomen?"
"The window frame is 400, and the window position is 40." Lin Yuan answered the question.
Well, the basic skills are still quite solid, Zheng Ren thought. If you change to a domestic clinician, you rarely know the concept of the CT window frame.
However, it is also conceivable that this is a Ph.D. student at Harvard Medical School, and there is nothing comparable to a domestic undergraduate. It is not a schoolmaster, nor can it go to the top medical schools in the world.
"Why is the window frame window different?"
"Because of the visual contrast..." said, Lin Yuan stunned, she immediately slammed her head and said excitedly: "This is the case, I know!"
Zheng Ren did not take care of her and strode forward.
"Zheng boss, you wait a moment!" Lin Yuan chased behind, although tall and long legs, but after all, is a girl, it is normal to not be able to hold Zheng boss.
"Because iodized oil is concentrated in the liver, it looks very bright. And flowing back into the gallbladder along the bloodstream is a little muddy-like high-density shadow." Lin Yuan excitedly jumped Said to jump.
"That's it."
Lin Yuan kept asking, Zheng Ren just nodded faintly, did not say a word.
"Wow, what do you think is so far!" Lin Yuan asked in surprise.
"I thought of all kinds of complications." Zheng Rendao.
When I came to the Mirror Room, Director Luo was changing clothes.
"Director Luo, I am in trouble. Just say hello, how come you come in person." Zheng Ren said with a smile.
"Look at Zheng Boss, your craft is not." Director Luo said with a smile. "The surgery for liver transplantation in the previous two days was quite beautiful."
"There is still Su Yun, the patient is in a bad state, and my heart beats. If he does not have a heart press, he will not come under the surgery." Zheng Ren smiled slyly.
Director Luo smiled and looked at Zheng Ren, Zheng boss is really modest.
The emergency liver transplant with poor condition actually did it, and it was still so calm, quite good.

Is your patient?
asked Director Luo.
Isn’t that if you fly to London to do an intrauterine intervention? You just have to come back and not rest. There are still things in the ward, but it is busy enough.

"Oh, my patient is nothing, it is Professor Zhao's patient."
Director Luo gave a slight glimpse and felt a little weird. But he did not ask, just smiled, changed clothes and followed Zheng Ren to the mirror room.
The two did not say the condition. It was meaningless to say more at this time. Just chatting about the surgery for the previous two days.
Lin Yuan also changed clothes and followed in. She wanted to ask Zheng boss about things several times, but there was Director Luo, and she was not good at interrupting her mouth. She could only resist myself.
After more than 20 minutes, Zhao Wenhua took the patient up.
If Su Yun is here, it must be a stinking face. However, Zheng Ren knows that this is because there are still various pre-operative explanations to be done, not Zhao Wenhua does not care.
If you don't have to worry about it, if you have a problem, look for a consultation, and then follow the rules.
Finally, the patient's condition is getting worse and worse, so I will go to the hospital for consultation or send it to the ICU.
According to the standard process, there is no need to deal with things at all.
I can think about the film carefully, this person is still pretty good. Although I was timid, I was not willing to take responsibility, I found an excuse for something, and I still had trouble finding my own treatment group.
These things, Zheng Ren are in mind, do not have to think about it, will not forget.
On the little black book of Zheng’s boss’s vengeance, there was a long-awaited story about Zhao Wenhua’s work.
but,
It’s different in the past.
The level is different, the realm is different, and the things that are thought of are naturally different.
In a few months, Zhao Wenhua has become a small doctor in Haicheng, and it does not pose any threat to himself. And he is very eye-catching, hiding from his own, Zheng Ren is lazy to turn over the old account.
Moreover, this is a case of misdiagnosis and mistreatment. I can't see a joke that is cold and cold when I don't see it. Finally, I take a case to play Zhao Wenhua's face.
A person's life is too expensive, and Zhao Wenhua is not worth it.
"Zheng boss, I am sorry, come late." Zhao Wenhua sent the patient in, and even bent to apologize.
"Nothing, you change clothes, I started doing this." Zheng Ren pushed the patient in and Lin Yuan was in the front.
Zhao Wenhua looked at the figure of Zheng Boss, and his heart was full of miscellaneous.
Zheng Ren took the patient to the emergency laparoscopic room and carried it to the bed. The anesthesiologist gave an inhalation anesthesia.
Director Luo did not speak, nor did he care about who did the mirror.
If the average doctor, or even the director of a certain department, Director Luo will not allow him to do it himself in his own mirror room.
But Zheng boss is different.
In a few minutes, when Zhao Wenhua changed clothes and hurried in, the gastroscope had passed through the pylorus and entered the duodenal descending part.
The lower part has a mediastinum, and the lower end is a circular bulge, which is the duodenal large R head usually referred to as a common opening of the common bile duct and the pancreatic duct.
On the screen ~EbookFREE.me~ the position of the big finger of the duodenum is constantly coming out of a tube, a tube of blood stasis, the gastroscope is quite clear.
Zhao Wenhua was fortunate in his heart.
Fortunately, I did not refuse the help of Zheng Boss for the face, so bleeding, tonight, the patient's hemorrhagic shock will inevitably increase, sent to the ICU, and then treated, and finally will die.
......
......
Note: A few days ago, patients after radiofrequency ablation. Xiaodi, who has had more than 100 cases of radiofrequency ablation, has seen such a patient with blood. In practice, 7 days after surgery, an accident occurred when the patient was ready to leave the hospital.
Consultations in various departments, the diagnosis is also very clear - gallstones, acute pancreatitis. Later, our director made a concerted effort to make a gastroscopy diagnosis.
Objective inspection, sometimes unable to rely on ~~~
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