The doctor in charge of the emergency ultrasound room in the B-ultrasound room knows Zheng Ren. After all, the most important thing for emergency ultrasound is the emergency department.

He smiled and said, "Mr. Zheng can even do B-ultrasound by himself?"

"I understand a little bit." Zheng Ren took the probe, scratched the patient's belly twice, found the position he needed to look at, and carefully looked at the images on the screen.

There is indeed a blockage at the distal end of the bile duct. Under the B-ultrasound, Zheng Ren changed two hand shapes, lateral position, and positive position to determine that the blockage is not a more dense stone, but a rotten and fermented food residue.

The blockage point is consistent with the characteristics of postoperative complications of the lateral anastomosis of the common bile duct, and the differential diagnosis ruled out the possibility of Roux-en-Y anastomosis of the common bile duct and duodenal fistula.

The bile duct dilation is very obvious, which is also the reason for obstructive jaundice in patients.

Gas accumulation can be seen in the bile tract and cystic wrapping can be seen in the liver. It is highly suspected that it is a liver abscess.

It should be sewage pool syndrome, and depending on the patient's status, emergency surgery is needed.

Zheng Ren put the probe on the shelf of the B-U-Up, picked up the square toilet paper, threw it on the patient, and while pondering the operation, he casually said: "Wipe."

"Mr. Zheng, are you sure?" Zheng Ren's skillful technique came to his mind. The doctor in the ultrasound room admired him very much. At least he would never reach Zheng Ren's level.

I can't make it, but I can still understand the images, so I can save myself from doing it.

He even asked while rubbing the coupling agent from the patient.

"It should be confirmed." Zheng Ren said: "Director Xia, if the patient's family agrees, let's take surgery. Before the operation, let the patient's family go to the emergency room to find me."

"Yes." Director Xia nodded with a heavy and serious expression.

This patient is completely different from the patient who had TIPS surgery last night.

Director Xia didn’t know him or was not familiar with him. He couldn’t say with confidence as last night, “I’ll sign the emergency surgery.”

We also need to communicate with the patient's family and explain the condition. However, these things can also be left to Zheng Ren to do.

Zheng Ren walked out of the gastroenterology department and was still struggling between laparoscopic surgery and open-language surgery.

If the patient undergoes laparoscopic surgery, the patient will have little trauma, and all the patients with laparoscopic cholecystectomy in the emergency room will run home the first night after the operation, which is a clear evidence.

However, patients have various complications. If they want to solve them all in one operation, opening the abdomen is the best choice.

but……

"Boss, you just threw the toilet paper on your body and said, "Wipe, that feeling is really like a scumbag." Su Yun said with a smile.

At this time, only people like Su Yun can laugh.

Zheng Ren was stunned for a moment, and then realized what Su Yun meant. He was distracted just now, but unexpectedly, Su Yun grabbed the braid.

Scumbag...tsk.

It's really a vivid image, and Zheng Ren is also happy.

"What are you thinking?" Su Yun asked seriously.

"Is it a laparoscopic or a parascopic?"

"It's necessary to open the abdomen. It's hard to remove food residues with laparoscopy. It's too troublesome to use antibiotics after the operation. Moreover, the main reason is that I don't want to hold the mirror." Su Yun was confident.

Su Yun, who looks delicate like a little girl, pursues surgery and needs to be spacious and elegant, so when he was a graduate student, he chose thoracic surgery.

With the evolution of minimally invasive surgical procedures, thoracic surgery has also decreased rapidly, and a 40cm large blade is rarely seen.

Zheng Ren suspected that this was Su Yun’s initial motivation to learn heart transplant.

"Then open your abdomen." Zheng Ren also made the decision, not because Su Yun didn't want to hold the mirror, but because the patient's condition was quite complicated. During the operation, he might use an ultrasound probe to find the point of the liver abscess and puncture and extract the pus. In addition, a series of operations such as phlegm yellow have to be treated.

The two returned to the emergency room, and today Director Pan arranged for Yang Lei to take the first class.

Chang Yue took the professor to go around each ward, chatted with the patient's family, and talked about why he went home in violation of the regulations last night.

After a round of the ward, Chang Yue found that he was transferred to the ward with Professor Rudolph Wagner, and the patient's medical treatment was at least twice as high.

In Haicheng, I often see interns taking rounds. However, no one has ever seen a foreign "intern" taking rounds.

The ward was in order, and Zheng Ren notified Yang Lei to prepare for surgery.

Because of Yang Lei’s request that day, Zheng Ren also thought about letting him have part of the surgery to improve his level as soon as possible.

Just a few months ago, Zheng Ren was worried about Cen Meng and Director Liu's refusal to let him go for surgery.

Unexpectedly, he can now have surgery for someone else.

All of this is so fantastic when you think about it.

Soon, Zheng Ren received a call from Director Xia, saying that the patient's family agreed to the operation and was on the way to the emergency room. She also made pre-operative preparations on the other side, and after it was done, she pushed the patient to the operating room.

Director Xia is quite decisive in his behavior and Zheng Ren admires this personality more.

Zheng Ren did not throw the pre-operative explanation to Yang Lei or Chang Yue to do it.

Because when the patient's family said that the patient's past history, there was a vague idea. Zheng Ren wanted to determine whether it was the patient's family because of lack of professional knowledge or intentionality.

The difference between the two is getting bigger.

The patient's family soon arrived at the emergency room. They were two middle-aged people, probably the patient's sons.

Zheng Ren had also seen them in the ward before.

He looks quite kind and is more active.

Zheng Ren asked about the patient's past situation. Judging from the physical and verbal words of the patient's family, it should be a lack of professional knowledge. In addition, it was a long time that the patient should not have adults when the patient had the surgery.

After confirming this, everything is on track.

The possible situations during the surgery were explained one by one, and the patient's family explained the patient's current situation. It would be impossible to do without surgery, and there was a 30% chance that he would not be able to come to Taiwan after the surgery.

After Zheng Ren said that, the patient's family's face was pale and he was sweating coldly.

Seeing that there was nothing wrong with this, Su Yun went directly to the operating room with Yang Lei to do various pre-operative preparations.

The family still signed the letter of consent to the operation. Zheng Ren handed the signature form to Chang Yue and went to the operating room.

Professor Rudolph Wagner and Zheng Ren went to change clothes and entered the operating room. He did not talk repeatedly and wanted to persuade Zheng Ren to go to Heidelberg, Germany to establish a research group.

Zheng Ren was also lazy to teach his true thoughts, and he focused all his attention on the surgery that was about to begin.

I hope it’s not too severe for sewage pool syndrome.

While changing clothes, Zheng Ren went to the system operating room and practiced ten surgical operations for sewage pool syndrome.

The surgery process went smoothly. After all, Zheng Ren is at the level of general surgery master. With experience in liver and gallbladder anatomy, local anatomy is very powerful.

He has solid basic skills and can get started quickly in any surgery.

Practicing ten pieces is already very cautious.

Hearing the sound of a flat car, Zheng Ren happened to change his clothes and walked into the operating room.

"Mr. Zheng, I'm starting to have anesthesia. Is there anything you need?" Chu Yanzhi asked.
Chapter completed!