Chapter 79: Let the old director do it.

The middle-aged man was silent, and the emergency bedside doctor B drove a car and rushed over to check the elderly to determine the diagnosis of cholecystitis.
When I opened the hospitalization order and went through the formalities, Chang Rencai knew that this middle-aged man was called Lin Yuanshan and worked in the province.
Just after completing the formalities, I have not waited for Changyue and Lin Yuanshan to do a brief introduction and pre-operative communication. The president of the First Hospital, the vice president, the director of the second division, and some staff members rushed over.
"Lin Hall, you see if you come to the city, why don't you say hello." Xiao Keming said warmly from the long distance, extended his right hand, walked more than ten steps before holding Lin Yuanshan's hand.
"This is not a small guy with a Chu family. The doctor in the emergency room is very high, so he came directly." Lin Yuanshan's tone of voice is somewhat indifferent, giving a feeling of rejection and condescending.
But Xiao Xiaochang and others don't think there is anything. It seems that this is the right thing to do.
"This is the old Pan director of the emergency department. This is the director of the general surgery department, let the experienced veteran comrades take the check." Xiao Dean introduced them one by one.
Lin Yuanshan beheaded, and there was a bit of irritability between the eyebrows.
After a brief chill, the director of the second division of the general public rushed to the rescue room and began a detailed examination.
Zheng Ren is also mastered, but since there is a system blessing, he is just doing it, and most of them are still used to stay. In fact, if you do not check the body, it is also possible, after all, the diagnosis and condition of the system is so detailed.
After seeing Sun’s professional techniques and detailed examinations, the disappointment between Lin Yuanshan’s eyebrows was slightly reduced.
"Acute cholecystitis, see B-return, there is a lot of gas near the gallbladder, it is estimated that inflammation caused by intestinal tube, can be considered surgical treatment." Sun also gave a judgment.
"The elderly are old, first check for complications." Director Xiao pointed.
"The patient's electrocardiogram is sinus rhythm, bradycardia. The respiratory system auscultates the lungs with clear breath, no symptoms of hypostatic pneumonia. Preoperative blood collection has been sent to the laboratory, and there is a return within half an hour." Yue 1510 report on the relevant situation.
The ward nurse has begun to indwell the catheterization, indwelling the stomach tube, preparing the skin and other preoperative work.

Is the trauma of surgery big?
Lin Yuanshan was worried.
After all, the old man was more than seventy years old. He had to have a cerebral infarction and his physical condition was not as good as before. To recover, it is definitely necessary to slow down.
Lin Yuanshan’s fears are justified.
"Laparoscopic cholecystectomy, the patient recovered quickly." Director Sun comforted.
"Laparoscopy? Dr. Zheng said that he needs to open his stomach." Lin Yuanshan raised an objection.
When the family members of the patient face a 50-year-old, experienced old doctor, and a hairy boy of less than 30, it tends to be clear at a glance.
Dean Xiao listened to Zheng Ren’s diagnosis and felt a little worried. He asked:
Zheng Ren, your laparoscopic level is very high. Why don’t you do the endoscope?

"The patient is an acute episode of chronic cholecystitis. I am worried that the adhesion in the abdominal cavity is more serious." Zheng Ren replied with frankness, and did not take care of the official prestige radiated from Lin Yuanshan.
For the technical house, those are non-existent.
Lin Yuanshan's brow wrinkled.
The wizards who predicted that something bad happened were to be tied to the firearms and burned to death. Whether it is the Westerners of the Middle Ages or the present, or the current Orientals, there will be such a mentality.
In particular, people who may be more complicated may still be young people, and they are even less convincing.
Lin Yuanshan decided to ignore Zheng Ren and directly asked the director of the second division of the Department of Foreign Affairs, "Director Sun, do you judge that you can do a less traumatic laparoscopic surgery?"
The Chu family sisters have already prepared for general anesthesia, but even if it is, it is estimated that there is no way to reverse Lin Yuanshan’s decision.
"There is difficulty." Director Sun is also telling the truth. After he finished, he blinked his eyes and looked innocently. He apologized to Director Pan for his eyes.
"If surgery is necessary, I would like to find Director Sun to do the endoscope. If the endoscope is not working, then turn to open the lap." Lin Yuanshan decided quickly.

Is the emergency operating room fully equipped?
asked Xiao Xiaochang.
In his heart, he is also more inclined to find the chief knives of Sun. After all, he is the old director. The level is impeccable and the grasp is relatively large.
As for Zheng Ren... special patient, let him stand by.
"Everything, I have recently done some endoscopic cholecystectomy." Zheng Ren does not care, "Sun Director will take a look at the palm of the hand to see if there are any devices that are not handy, so take it from the ordinary."
"It should be no problem." Director Sun felt that he stepped into the pit, and he really did not want to provoke the emergency department, and he recognized it more thoroughly.
However, I did not expect a special need patient, but also involved myself.
"When the blood test is returned, there are no surgical contraindications, so I am ready to do it." Xiao Dean pretended to be relaxed and smiled and said: "The laparoscopic cholecystectomy, the city's first hospital to do about a thousand cases each year. Last year made a 108 The old man, who went to the ground one day after the operation, should not worry about Li Hall."
Lin Yuanshan snorted with his nose, his face worried, and the atmosphere was a bit heavy.
When Chang Yue waited for the pre-operative examination, he began to write the book communication, pre-operative communication, and the keyboard sounded to break the silence of the office.
Zheng Ren went to the rescue room. He didn't like the atmosphere of the office~EbookFREE.me~ So he hid it.
"You are very insidious." Su Yun is still floating like a shadow in Zheng Ren's side, no matter where he goes, Su Yun will follow.
"Insidious?" Zheng Ren is puzzled.
"You all judge that the patient has severe abdominal adhesions. If there is no mistake, I estimate that the laparoscopic surgery can't be done at all." Su Yundao: "Why don't you stop?"
"I will listen to someone who will listen?" Zheng Ren is just a straight man, but not stupid.
After working in the clinic for many years, these basic judgments are still there. It is mainly because the family members of the patients make their own choices. If Zheng Ren rushes forward, it will cause many contradictions.
"Well, there is no Madonna, so I am more relieved." Su Yun smiled a little, and the little nurse who was preparing the patient for the preoperative preparation in the rescue room was stiff.
Zheng Ren felt that the interference in this room was too great.
"Let the old grandson do it first. I am very curious. You can judge the patient's abdominal adhesions seriously."
"In the image of B-ultrasound, there is a gas-like zone in the gallbladder area. Ordinary patients can understand gas interference. But the air-belt has no obvious signs of activity. I judge that the transverse colon moves up and is wrapped under the liver."
Speaking of the unexpected diagnosis, Zheng Ren opened the invincible mode.
Taking the liberty to judge is one thing. With the final diagnosis of the system panel, going back to it is relatively simple.
Su Yun's eyebrows are very delicate, and when frowning, they are also very delicate, not dignified, but make him more calm, glamorous, flashing a lot of eyes.
He is trying to recall the images of the emergency B-ultrasound on the bedside.
Is Zheng Ren saying that it is true? How does he know even the B-ultrasound, and is very thorough and in-depth?