The so-called contrast-enhanced ultrasound uses the GE Logiq E 9 color Doppler ultrasound diagnostic instrument equipped with real-time imaging function. This instrument is only available in the entire general surgery department, and so many patients are waiting to use it. Generally, it is used for cholecystitis.

Even minor surgeries will not be performed.

As for enhanced CT, GE Light Speed ​​VCT 64-slice spiral CT is used. In terms of effectiveness, these two examination methods have a better identification effect on gallbladder sludge-like stones and thick-walled benign gallbladder lesions.

Because contrast-enhanced ultrasound can dynamically display blood perfusion and microcirculation characteristics within the lesion in real time, it provides more differential diagnostic information than conventional ultrasound.

The effect is good, but the cost is naturally high. For example, in Hecheng No. 1 Hospital, double-augmentation surgery is rarely needed.

This is the hospital in the capital city of Hangzhou, where only professors are accustomed to using double-augmented films.

"The patient's condition has actually been diagnosed through ordinary color ultrasound and CT. I don't think it's necessary to do double enhancement. It doesn't make much sense. And, to be honest, the surgery is tomorrow, and I may not be able to make it in time today.

.”

Yan Ruoyun called Tang Qichen directly to communicate.

"Dr. Yan, this was specially raised by Professor Yang. I think we still respect Professor Yang's opinion."

How dare Tang Qichen say no to Professor Yang? He put a lot of energy into this operation and did not want to make Professor Yang's team unhappy because of these things.

"Oh well."

Yan Ruoyun finally compromised. After all, given Professor Yang's status, he could only try his best to cooperate with his request.

After putting down the phone, Yan Ruoyun began to arrange contrast-enhanced ultrasound and contrast-enhanced CT.

It's just that this temporary arrangement requires additional examinations, and it requires extremely demanding contrast-enhanced ultrasound and contrast-enhanced CT, which is impossible to do so quickly.

The only way is to use personal relationships to ask the doctor who does the examination to work overtime after get off work to help.

However, Yan Ruoyun really doesn't have the right person in the CT room, and usually those who work overtime for examinations are young people, and given his age, he has very little contact with them.

"Tanglou, do you have any friends in the CT room who can help with the examination?"

Of course, Yan Ruoyun didn't have high hopes. After all, Tang Lou was a training doctor and had only rotated in the general surgery department, so he asked casually.

"No, but I can help ask."

"Okay, then you ask first, and then I'll think of a solution."

Yan Ruoyun walked away while holding her cell phone and flipping through her address book.

The first thing Tanglou thought of was naturally Cheng Sisi, and he sent a WeChat message.

Soon Cheng Sisi came back: "Senior brother Yang Ming is working in the CT room now. Do you want me to help you ask him if he can get off work overtime after get off work to help you with it."

Before Tanglou could reply, after a while, Cheng Sisi’s second WeChat message arrived:

"It's done! Senior Brother Yang Ming said that he will work overtime today, so you can go there at 6:30 pm."

"Okay, okay, then thank Yang Ming for me."

Tanglou didn't expect it to be resolved so quickly. When he thought that the other party was still Yang Ming, he felt a strange sense of fate.

"Why don't you thank me? A disappointed expression."

Soon, Cheng Sisi sent another WeChat message.

"I'll treat you to dinner this weekend to express my gratitude to you."

Tanglou immediately replied.

"Yeah, that's pretty much it. Three drooling expressions."

Tanglou quickly called Yan Ruoyun. Hearing that Tanglou had completed the inspection, he was naturally very happy.

"Today's young people are amazing."

After Yan Ruoyun put down the phone, he naturally thought a lot and thought about how much Director Cheng and Director Shen valued Tanglou. Now he solved the CT examination that gave him a headache.

This tenement building made him a little confused. It seemed that he could not just be treated as a talented young man from now on.

...

...

When Lai Meiyun's operation was proceeding step by step.

Hu Jie, who had suffered a myocardial infarction due to cholecystitis, was sent back to the General Surgery Department from the Cardiothoracic Surgery Department after treatment to continue the subsequent cholecystectomy.

By a very coincidence, Hu Jie was assigned to Lin Dong's group because the patient had just been rescued and had acute myocardial infarction.

So for this cholecystectomy, Lin Dong invited Yan Ruoyun and Qingping to prepare for a small consultation.

As interns, Ye Kai and Hong Guan were of course responsible for projections and meeting preparations, and were not qualified to conduct consultation discussions.

Therefore, when everyone arrived before the consultation started, they were both very surprised and a little unconvinced when they saw that Tanglou was also at the table.

However, when they saw Tanglou sitting down to participate in the meeting, Yan Ruoyun and Qingping didn't think there was anything wrong.

Even the two senior attending doctors had no objections. As a resident doctor, Lin Dong certainly would not question Tang Lou's attendance.

As the organizer of the meeting, Lin Dong distributed the patient's information as soon as everyone arrived, and at the same time turned on the projector and introduced Hu Jie's situation in detail.

Looking at the information, Tanglou was also slightly stunned. What a coincidence.

"This patient was diagnosed by Ma En and I together. At that time, we asked her to undergo electrocardiogram and cardiac color ultrasound examination. However, the patient was so uncooperative that she suffered an acute myocardial infarction during the fluid replenishment process."

Tanglou reported the previous events to Yan Ruoyun, Qingping and others.

"That's quite abominable. Such a patient is so uncooperative with treatment. It's hard to get a bad person to file a complaint first."

After Lin Dong heard this, his brows were already furrowed, and he was a little reluctant to undergo this operation.

"Since the patient has just come back from rescue, the risk of undergoing cholecystectomy is still very high. In view of the performance of the patient and his family, it is necessary to communicate with them well before the operation. If the patient and family continue to be troublesome, then I suggest that they be transferred directly to the hospital for treatment.

Our department does not accept them."

Yan Ruoyun, as a veteran, has of course analyzed from Tanglou's introduction that such patients and family members are the most disgusting to doctors.

You have done a lot of things and taken on a lot of responsibilities, but the patients and their families not only don't appreciate it, but they also criticize you and even make a big fuss.

It is not uncommon for family members to stab doctors to death due to medical disputes. Therefore, treating some garbage people is not worth the gain.

"Dr. Yan is right. We first formulate a surgical plan and communicate with the patient and family. In view of the patient's special situation, the possibility of danger during the operation is very high, so we have to ask them to sign a disclaimer in advance, otherwise it will happen later.

An accident, given their character, would be very detrimental to us."

Qing Ping also spoke at the side, saying that all doctors work together to deal with such bad patients.

"For cholecystectomy, the traditional method is open abdomen, which is obviously not suitable for this patient. There is also the four-port laparoscopic cholecystectomy, but due to the patient's poor physical condition and recurrent cholecystitis all year round,

In addition, just after emergency treatment, there may be deterioration and new problems, and further diagnosis cannot be made clear. Only during the operation can the real diagnosis be confirmed. Therefore, the difficulty and risk are very high."

Lin Dong put forward his own opinions.

Yan Ruoyun and Qingping both nodded slightly and fell into deep thought. If they were ordinary patients, they would naturally be willing to try and take risks.

But now it is obvious that if something unexpected happens to this patient and his family during the operation, there is a great possibility of medical disputes later on.

Yan Ruoyun pondered for a few more seconds. After all, the patient was now assigned to Lin Dong. As his direct leader, of course he had to make the decision for Lin Dong: "Lin Dong, Dr. Qing and I both agree with your point of view. In view of the risks of surgery and

There are hidden dangers of medical disputes for patients and their families. If you are sure, then do the surgery. If you are not willing, then we recommend that the patient be transferred to another hospital."

After Lin Dong heard this, he breathed a sigh of relief. To be honest, of course he was not willing to undergo surgery.
Chapter completed!