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363 Flying knife at a distance of 14.8 kilometers

Zheng Ren sneaked away.

That girl should be fine, but tonight, her date with Xie Yiren was ruined again...

It’s so regretful that Zheng Ren took out his cell phone while walking.

There was a message from Xie Yiren on WeChat, she had packed up and was waiting for Zheng Ren in the car.

The ward was very quiet, so Zheng Ren immediately walked back to the emergency room, changed his clothes and went to the underground parking lot.

Life is about repeating continuously, but if you repeat it too many times, it will be a bit boring.

It's already past ten o'clock. If you are in the imperial capital, Chengdu, Magic City, and Pengcheng, this time is just the beginning of nightlife.

However, for an emergency department in a flexible class, it is a bit inappropriate to go out of the field at this time.

Xie Yiren was not interested in places like nightclubs, so she drove to talk and laugh with Zheng Ren, and went home.

After chatting on my phone for a while, the two of them fell asleep on two beds not far apart.

No words all night.

The sun is still rising, and life is still repeating.

Breakfast, go to the hospital, hand over the shift, check in.

When he came to the emergency room for rounds, Zheng Ren discovered a strange patient.

He is a man in his 80s, and he is very healthy, without blurry eyes or deaf ears. There are only a few diagnoses of geriatric diseases on the system panel, and none of them are acute.

But the old man said he was uncomfortable all over.

Director Pan took the rounds and told some principled examinations and treatments, and the rest was left to Zheng Ren.

With the experience of pretending to be sick last time, Zheng Ren was not in a hurry. He checked his physical examination and looked at the examination report. After his judgment matched the system, he asked the emergency department doctor to leave this matter aside and wait until he had the surgery before solving it.

Two slow-diagnosis surgeries were arranged today, one was a phase two recyclable stent, and the other was a pure TIPS surgery to treat stubborn ascites.

Leaving from the emergency room, Zheng Ren went to the Department of Gastroenterology first.

Seeing the patient before the operation and avoiding some low-level mistakes is what a surgeon should do.

Although things are relatively small, they are indeed very important.

After entering the Department of Gastroenterology, two people walked out of the director's office. One was Director Xia, and the other was a middle-aged man with gray hair, who Zheng Ren didn't know.

"Xiao Zheng, introduce one. This is my classmate, surnamed Zhang, who is the vice president of the infectious disease hospital and is in charge of clinical work." Director Xia introduced.

"Hello, Dean Zhang." Zheng Ren's attitude was a bit perfunctory. He had a lot of things to do today. He had to go to the ICU to see Yang Lili's condition before the operation. He was talking about whether he could have lunch. How could he have time to communicate with the director of the outer hospital?

Even if there is time, Zheng Ren will definitely not want to.

President Zhang looked at Zheng Ren with a smile, stretched out his hand enthusiastically, shook with Zheng Ren, and said, "Mr. Zheng, I am here to observe the operation today."

Observe the operation?

Zheng Ren was puzzled and looked at Director Xia.

"The TIPS surgery has not been carried out in the infectious disease hospital yet. But there are the most related patients on their side." Director Xia said with a smile: "The patient you just did was our two classmates. When Lao Zhang got the news, he rushed over and took a look."

"Mr. Zheng, if you have time, come to our Second Hospital (Note 1) for several TIPS surgeries? It's considered a flying knife, and you can decide the price." Dean Zhang said when he saw Zheng Ren's hurried eyes, his eyes were vague, and he didn't look at him at all.

Clinicians are like this.

If you want to discuss the patient's condition with him, he will definitely be focused. But if you say something else, especially before the operation, he can stand here and pretend to listen to you, it will be considered as a face.

Zheng Ren's eyes lit up when he heard that there was a TIPS surgery available.

I really don’t care about the money of flying knives. I will go to the imperial capital to fly knives in a few days. I believe Director Kong will not treat him badly.

But no matter how much money the flying knife is, it seems to have little to do with life.

How can Xie Yiren’s parents care about the income of 18,000 yuan?

However, the second phase of the Crown Pearl task issued by the system is very rewarding, especially the experience of 3,000 radio frequency ablation, which made Zheng Ren drool.

Zheng Ren was thinking about how to complete the task.

Unexpectedly, it fell on the white-haired Dean Zhang in front of him.

"Okay, how many patients are there on your side?" Zheng Ren asked.

"How much do you want, how much do you have?" Dean Zhang said with a smile.

In Dean Zhang's opinion, people like Zheng Ren are the best deal with. Such a young doctor strives for improvement in his technical level. As long as he provides patients with himself, he is not afraid that he will not be interested in the second hospital.

The surgical fee is not a problem. The expert consultation fee of 1,000-2,000 is estimated to be satisfied by this little doctor.

After all, he is in the city and said he is running a flying knife. Does he really think it is running a flying knife?

The most important thing is to feed him the surgery, he has to eat it.

TIPS surgery is not about removing the appendix. If you have been in the hospital for a year or two, you can do it personally. Doctors who have no talent or are not solid in their foundation will never dare to take it all their lives.

President Zhang estimated that the situation was urgent at that time, so he rushed to the shelves. Mr. Zheng from the emergency department was lucky enough to complete a TIPS operation.

This is also the reason why I came to see his surgery in person. If I could do it barely, I would not be stingy to give him a "opportunity".

He fed him with surgery, and at the same time, he also solved the problems of many patients, killing two birds with one stone.

President Zhang's little abacus was a little sensation, mainly because Zheng Ren was young. If Director Pan had been replaced, he would have been kneeling a long time ago.

Those who can undergo TIPS surgery are all gods.

After saying a few words, Zheng Ren asked to see the patient before the operation.

The patients with emergency TIPS surgery recovered well, the vomiting of blood had disappeared, and the complications of hepatic encephalopathy did not appear.

This morning, I urgently checked for blood ammonia, and the value was normal. Even if I did not take a recyclable stent, the existing treatment would be satisfactory.

In another period of decompensation of cirrhosis, patients with stubborn ascites have corrected complications such as ion disorders, and there are no absolute surgical contraindications.

The family members were also more cooperative. Because of their stubborn ascites, they have been sentenced to death in other hospitals and Haicheng First Hospital.

Unless you have TIPS surgery.

However, the high cost of TIPS surgery, and the high cost of going to another place, they were so unbearable that they could not afford it, so they could only wait for the arrival of death.

Director Xia said that Haicheng Hospital can do it, but the risk is relatively high. The patient's family didn't even listen to a word and directly agreed to the operation.

Anyway, they are all going to die, so it's always a chance.

Especially the patients with vomiting blood have recovered well, which has given unlimited hope to the families of patients with stubborn ascites.

The operation signature was completed. Zheng Ren saw that the patient was in good condition and could undergo the operation, so he finished seeing the patient.

He said hello to Director Xia and asked the gastroenterology department to send hematoma hemoglobin to the operating room, while he came to the ICU to see Yang Lili.

...
Chapter completed!
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