"Old Cui is boiling frogs in warm water. First, look for you to see the patient, and then as long as you can't wipe your face, it will give you benefits and let you work in the emergency room." Su Yun said.

Zheng Ren also thought of the little thoughts here. However, with the Nobel Prize project in hand, who would go to the emergency department to work like a busy, tiring and unearned money?

Zheng Ren just smiled and did not answer Su Yun's words.

Both of them knew in their hearts that like Director Pan, Mr. Cui was also unwilling to accept it.

There are no new people in the emergency department, but they must exist. They just desperately burn the few lives left to barely support them.

If you devote yourself to your work, you will only die before you die.

But is the power of an individual useful?

It's completely useless. Even though Mr. Cui insisted on giving lectures nationwide, he still gained little.

However, it is necessary to increase the treatment of emergency department doctors, and other problems will cause chain reactions. This kind of thing cannot be decided by an academician of the Academy of Engineering.

It sounds tall and noble, and it is an academician, but it is just a signboard. It is useful to say that it is useful. It is useless to say that it is useless.

Let the hospital and society regulate themselves? How much does it take to improve after paying?

A while ago, beating and scolding bus drivers was taken seriously. Now the people who beat and scolded drivers have begun to sentence them to endanger public safety.

However, when it comes to medical care, the situation is even more complicated.

Forget it, I am just a little doctor, Zheng Ren smiled awkwardly.

After coming to the emergency department, the hospitalization director Zhou Litao had already stood in the corridor waiting.

His five-short figure is full of pockmarks on his face, and his dark face is sticking to Su Yun, forming a sharp contrast.

"Boss Zheng, there is a patient's symptoms that are inconsistent. Mr. Cui happened to visit you today. I'll see you." Zhou Litao greeted him and said politely.

"I dare not, don't dare." Zheng Ren replied immediately: "Old Cui loves you wrongly, I dare not take it."

Zhou Litao smiled and said a few polite words, and took Zheng Ren to Mr. Cui’s clinic.

After entering the door, Zheng Ren saw an old man with white hair and beard sitting in the clinic, asking for consultation.

"Hello, Mr. Cui." Zheng Ren bowed deeply and expressed his respect first.

"Well, Xiao Zheng, come and see this patient." Old Cui nodded, "Li Tao, tell Xiao Zheng about the patient's condition."

Zhou Litao immediately said: "The patient came to our hospital for treatment due to intermittent upper abdominal pain for one day, accompanied by nausea and vomiting. The patient has a history of smoking for more than 30 years and a history of hypertension for 12 years. He was given Luohuoxi treatment and his blood pressure was well controlled."

"The patient's abdomen has no bloating, no intestinal shape or peristalsis waves, no skin scars or varicose veins on the abdominal wall.

Deep tenderness in the upper abdomen, no rebound pain or muscle tension. The liver, spleen and ribs were not reached, Murphy's sign was negative, and no obvious mass was touched. The abdominal percussion showed drum sound, liver and spleen area, no percussion pain in both kidney areas, no mobility voiced negative, intestinal sound was about 3 times per minute, no abnormal vascular murmur was heard."

"B-ultrasound reward, mild fatty liver, and negative. However, the patient complained that the pain was severe, and Mr. Cui judged that it might be aortic or mesenteric artery dissection, and was preparing to perform 64-discharge blood vessels in the emergency room."

Zheng Ren understood that there were probably patients on the 64th row, waiting for the call, so he looked at him during the break.

This must be what Mr. Cui means.

While listening to Zhou Litao's narration of the patient's medical history and looking at the patient, Zheng Ren saw that the system panel was bright red.

Several diagnoses such as isolated superior mesenteric artery dissection type 2b, hypertension, etc. appear in front of you.

It's a very troublesome disease, Zheng Ren thought to himself.

Vascular dissection is very troublesome. From Cui Heming's aortic dissection to the patient in front of him, if the hospital with a lower level is in a hospital, he will be admitted to the hospital or for observation with abdominal pain or for outpatient visits.

If the diagnosis cannot be made in time, once the dissection ruptures, the patient will die.

Especially small and medium-sized hospitals are the main ones, and the misdiagnosis rate is quite high when encountering this disease.

Mr. Cui basically confirmed the diagnosis of the disease by using physical examination alone. This level of experience is not something that can be said.

Zheng Ren nodded and began to check his body.

Just as Zhou Litao said, the patient's abdominal tenderness is not obvious, and there is a little deep tenderness, but it is not the main one.

The tenderness in the body examination was very mild, but the patient looked pale and sweated profusely. This was a case of self-described severe symptoms.

This is the case with the so-called physical disorder.

After Zheng Ren finished his physical examination, he took a look at the emergency B-ultrasound and the test form. The patient can be said to be very healthy. In addition to severe pain, there are few other positive indicators for examinations.

"Old Cui, I consider that it is more likely to have a mesenteric artery dissection." Zheng Ren said: "You can choose to do a 64-row CTA examination or interventional angiography and undergo surgical treatment."

“Where is conservative treatment?”

"Well... conservative treatment depends on the opinions of the patient's family. I am a surgical graduate and do not agree with conservative treatment very much. Because whether it is an isolated mesenteric arterial dissection or aortic dissection, once conservative treatment is conservative, if the dissection suddenly breaks at night, it will cause greater damage to the patient." Zheng Ren said.

He also knew that his attitude was more radical.

Surgeons are generally more aggressive. Why should there be a hidden thunder around you if you can solve problems with surgery?

Of course, the recovery rate of conservative treatment for isolated superior mesenteric artery dissection is also very high, Zheng Ren knows this.

However, Mr. Cui just asked his own opinions, and Zheng Ren expressed his inner thoughts.

Mr. Cui looked at Zheng Ren and then said lightly: "Can you do the patient's surgery?"

"I have no problem with general surgery," Zheng Ren said: "I will try to minimize the patient's injury."

"Okay, you and Litao take the patient to have an examination. Tell me after that." After saying that, Mr. Cui waved his hand and signaled them to push the patient to do a 64-emission blood vessel cta.

The old man was full of momentum. Zheng Ren recalled the scene where Mr. Cui pointed at Director Kong's nose yesterday, and then smiled bitterly.

People who work in emergency departments cannot be in a hurry. Even if they are chronic, they will be quickly damaged in the emergency department.

However, Mr. Cui in front of him was very kind and told him to pay attention to the patient's blood pressure. He personally saw the concentration and speed of antihypertensive drugs pumped in the micro pump, and then he let Zheng Ren and the others push the patient away.

"Boss Zheng, do you think the patient is an isolated dissection or aortic dissection?" Zhou Litao asked in a low voice as he walked.

The patient's family is around, and without objective basis, everything is a hypothesis. If you can speak in a low voice, just whisper.

"I see that the patient's signs are isolated." Zheng Ren replied: "The pain points are wandering, not like the pain points fixed in the aortic dissection with radiation pain."

This is a reverse thrust, based on the system panel.

Zheng Ren felt it was normal. The physical examination matched the diagnosis of the system panel. I guess the big pig's hooves were still correct this time.
Chapter completed!