Chapter 1720 Arrogant and Domineering (Leader Albinism Hacker Plus 2)

"Are you questioning my execution ability?" Su Yun asked contemptuously.

"Just do it, step down and ask the result, if there is a sea of ​​fire." Zheng Ren ignored Su Yun's provocation and said casually.

"What do you suspect?" Su Yun froze for a moment.

"Thyroid crisis." Zheng Ren replied.

"Okay, I'll ask when I step down." This time, Su Yun didn't say anything else, but answered seriously.

Director Luo pondered, was the patient at Massachusetts General Hospital a thyroid storm?

The cause of thyroid storm may be related to the increased levels of circulating thyroid hormones, which mostly occur in patients with untreated or inadequately treated severe hyperthyroidism.

Common incentives include infection, surgery, mental stimulation, etc. The clinical manifestations are high fever, profuse sweating, tachycardia, restlessness, anxiety, delirium, nausea, vomiting, diarrhea, and severe patients may have heart failure, shock and coma.

The diagnosis is mainly based on the comprehensive judgment of clinical manifestations. Patients with a high clinical suspicion of this disease and those with crisis precursors should be treated according to this disease, and the fatality rate is above 20%.

The clinical manifestations are similar to the patient's symptoms, including nausea, vomiting, and abdominal pain. It's just that the probability of thyroid storm is too low, and the patient has a clear history of inhaling smoke from electrical fires, which I didn't expect for the time being.

Seeing that the operation was over, Professor Zhang did not hear anything like thyroid storm, and recalled the process of seeing the operation in his mind.

The operation was done well, stable and fast, but Professor Zhang still couldn't understand some operations.

After all, he is not a cardiothoracic surgeon and can understand more than half of it, even if he is a doctor with solid basic knowledge.

As for all understanding, such a thing does not exist at all. If this can be achieved, Zheng Ren will not need to save Taiwan.

"Boss Zheng, what is the use of the thick hemp rope and double-lumen balloon catheter in the inferior vena cava?" Professor Zhang asked.

Su Yun was very disdainful and said: "I ask you, why did you give a lot of low molecular weight heparin before surgery?"

"Because of preventing thrombosis." Professor Zhang replied.

"That's right, the heart hasn't been opened yet, who knows how much thrombosis is." Su Yun's tone was full of contempt, and everyone present felt ashamed for Professor Zhang, "The inferior vena cava was given a thick hemp rope and a double-lumen balloon catheter. Control, reduce bleeding and prevent stent wall thrombus from dislodging during stent removal."

After speaking, he paused.

"Can't you think about it one step further? Do you want to ask such a simple question?" The contempt in Su Yun's tone was so exaggerated.

"..." Professor Zhang never thought that he would be harmed like a grandson by a little doctor in public.

Under the sterile mask, he opened his mouth and wanted to refute.

But... refute? say what? The operation is ignorant and ignorant, and it is good to be able to write down the operation process.

He also retorted, fearing that he would be sprayed directly by this vitriolic doctor into the airtight lead door of the operating room with just one mouth.

Forget it, the skills are not as good as people, what is there to say.

Lao He knew about Professor Zhang, and when he resigned, there was quite a stir in the hospital for a while.

The private hospital has reached out to 912, and it is not a doctor at the general level of the hospital, but a group of professors.

Unexpectedly, Professor Zhang was so badly injured by Su Yun today. It is really interesting to think about it.

Too arrogant! But Lao He likes it.

Just like in the Affiliated Hospital of the Medical University, no matter how much Director Tian is dissatisfied, no matter how much he hurts him, wouldn't that person have to bite his back teeth and hold back?

Boss Zheng's operation can be carried out, which is equivalent to saving them from misfortune, even if they are farting, these people have to continue. It sounds ugly, but the truth is, as long as the operation is successful, nothing else matters!

Can you be more arrogant?

Lao He thought of this, and laughed at himself. The shadow of Director Mao's incident still lingers in his heart, and it won't be able to dissipate for a while.

You should still be an honest person, as arrogant as Brother Yun, but you don't have the ability.

When he was a graduate student, he was known as the rising star of cardiothoracic surgery in the imperial capital.

Lao He still has a clear understanding of himself, and he carries the U disk with him, just for the good luck of a song that Boss Zheng doesn't know if he likes it or not.

Unfortunately, Boss Zheng is usually invulnerable and has no hobbies. Lao He glanced at Zheng Ren, feeling helpless.

Others are fond of alcohol, gambling, and lust. The so-called wine, sex and wealth are always unavoidable. Boss Zheng is good, he rarely eats and doesn't drink. Girlfriend, bring your own, even the surgical instruments.

It's really a dog biting a hedgehog, and it's impossible to swallow.

Still have to observe carefully, Boss Zheng is more comfortable, and he can feel more comfortable, Lao He thought to himself.

After sewing the leather, Zheng Ren turned around and stepped down, tearing off the sterile garment.

"Boss Zheng, it's hard work." Mao Chi said with a smile.

"It's alright, Director Mao, the operation is not big, but the equipment is not available." Zheng Ren smiled.

Surgery is not...

Well, people have successfully completed the operation, whatever they want to do.

"Mr. Zhang, there are a few things to pay attention to after the operation." Zheng Ren then looked at Professor Zhang and said.

"Ah? Oh, you said what you said." Professor Zhang said quickly.

"There was no obvious thrombus on the removed stent, and it is considered that active heparin anticoagulation before surgery has a certain effect.

Your patient's stent is incarcerated in a special position, and the atrial septum is worn during the operation. In order to prevent myocardial edema, hormone therapy should be actively given after the operation.

During the operation, methylprednisolone 500 mg and ulinastatin 500,000 units were given by cardiopulmonary bypass. After returning to the ward, methylprednisolone 40 mg was given daily for 3 days, supplemented by appropriate diuretics. "

Professor Zhang's mind was still stuck between the joy of the successful operation and the conflict of how to communicate with the patient's family.

He tried hard to remember, but his mind was in a mess, and he couldn't remember anything.

"Zheng... Boss Zheng, please speak slowly." Professor Zhang said embarrassedly.

"Should I make you a cup of coffee, let's sit down and chat slowly? The coffee from the Medical Commission is said to be pretty good." Su Yun removed the sterile sheet from the patient and said contemptuously.

"..."

"Find a pen and paper, write it down and send the patient to the ICU as soon as possible. If your ICU technical force is not strong, go to 912 to find someone." Zheng Ren said warmly.

Professor Zhang blushed, turned around and ran to the operating room, taking an A4 piece of paper and a pen. Zheng Ren reiterated his post-operative doctor's order. After Professor Zhang wrote it down, he carefully placed it in the pocket of the isolation suit.

"Boss Zheng, change your clothes." Mao Chi smiled and said, "I'll trouble everyone today, don't leave for a while, I'll treat you."

"Director Mao, you are welcome." Zheng Ren smiled.

"It should be, you are not allowed to leave." Director Mao stared, pretending to be fierce, but actually expressing his determination to treat guests.