Chapter 363 The Throwing Knife at a Distance of 14.8 Kilometers

Zheng Ren sneaked away.

That girl should be fine, but tonight, my date with the Xie Yi people was ruined again...

What a pity, Zheng Ren took out his phone while walking.

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

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

Life is a constant repetition, but the more repetitions, the more boring it becomes.

It's past ten o'clock. If you are in the imperial capital, Chengdu, Shanghai, or Pengcheng, this time happens to be the beginning of nightlife.

But for a general in the emergency department who is on a flexible class, it is not appropriate to go out to the field at this time.

The Xie Yi people were not interested in nightclubs and the like, so they drove to talk and laugh with Zheng Ren, and went back to their "home".

After chatting on the phone for a while, the two fell asleep on two beds not far from each other.

Nothing to say all night.

The sun still rises, and life continues to repeat itself.

Breakfast, go to the hospital, shift, rounds.

When he came to the emergency ward for rounds, Zheng Ren found a strange patient.

He is an old man in his 80s, in good health, with no blurred vision or deafness. There are only a few diagnoses of geriatric diseases on the system panel, and none of them are acute.

But the old man just said that he was not feeling well.

Director Lao Pan led the ward rounds and talked about some principled inspections and treatments, and left the rest to Zheng Ren.

With the experience of the young couple pretending to be sick last time, Zheng Ren was not in a hurry. He did a physical examination and read the inspection report. After his own judgment matched the system, he asked the emergency doctor to put this matter aside and come back after his surgery. solve.

Today, two chronic operations were arranged, one is the second-stage retrieval of the recoverable stent, and the other is the pure TIPS operation for the treatment of intractable ascites.

After leaving the emergency ward, Zheng Ren went to the gastroenterology department first.

Seeing patients before surgery and avoiding some low-level mistakes is what a surgeon should do.

Although things are relatively small, they are really important.

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

"Xiao Zheng, let me introduce one. This is my classmate, surnamed Zhang, who works as the vice president of the Infectious Disease Hospital and is in charge of clinical work." Director Xia introduced.

"Dean Zhang, hello." Zheng Ren's attitude was a little perfunctory. He had a lot of things to do today. He had to see patients before the operation, and he had to go to the ICU to check on Yang Lili's condition. They were talking about whether they could have lunch, how could they have time to communicate with the dean of the outer courtyard?

Even if he had time, Zheng Ren would definitely not want to.

Dean Zhang looked at Zheng Ren with a smile, extended his hand enthusiastically, shook Zheng Ren's hand, and said, "Boss Zheng, I'm here to observe the operation today."

Observe surgery?

Zheng Ren was puzzled and looked at Director Xia.

"The TIPS operation has not yet been carried out in the Infectious Disease Hospital. But their side has the most related patients." Director Xia said with a smile: "The patient you just had is a classmate of the two of us. When Lao Zhang got the news, he caught up with him." Run over and have a look."

"Mr. Zheng, if you have time, come to our Second Hospital (Note 1) to do a few TIPS operations? It's a flying knife, and you can decide the price." Seeing Zheng Ren's hurry, Director Zhang's eyes wandered, and he didn't look at himself at all. then said.

Clinicians, 80% of them are like this.

If you want to discuss the patient's condition with him, he must be engrossed. But if you say anything else, especially before the operation, it would be considered a face for him to stand here and pretend to listen to you.

Zheng Ren's eyes lit up when he heard that TIPS surgery was possible.

Flying knife money, I really don't care. I will go to the imperial capital to throw knives in a few days, I believe Director Kong will not treat me badly.

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

Xieyi people's parents, can they care about the income of 18,000 yuan?

However, the rewards for the second stage mission of the jewel in the crown promulgated by the system are very generous, especially the experience of 3000 cases of radiofrequency ablation, which made Zheng Ren drool.

Zheng Ren was thinking about how to complete the task.

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

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

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

In Zhang's view, people like Zheng Ren are the easiest to deal with. This kind of little doctor is working hard to improve his skills. As long as he provides patients, he is not afraid that he will not be interested in the Second Hospital.

The operation fee is not a problem. The expert consultation fee of 1000-2000 is probably enough for this little doctor.

After all, he was in the city, and if he said he was running a throwing knife, did he really think it was a flying knife?

The most important thing is to feed him for surgery, he has to be able to eat.

TIPS surgery is not appendix removal, it can be done by anyone who spends a year or two in the hospital. A doctor who has no talent or a solid foundation will never dare to practice in a lifetime.

Dean Zhang guessed that the situation was urgent at the time, and he rushed the ducks 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 barely do it, I would not hesitate to give him a "chance".

Feed him with surgery, and at the same time solve the problems of many patients, killing two birds with one stone.

Dean Zhang's small calculations were crackling, mainly because Zheng Ren was young, if old Director Pan were standing here, he would have already knelt down.

Those who can perform TIPS surgery are all gods.

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

The patient who underwent emergency TIPS surgery recovered well, hematemesis has disappeared, and complications of hepatic encephalopathy have not appeared.

This morning, the blood ammonia was checked urgently, and the value was normal. Even without the recoverable stent, the existing treatment is satisfactory.

In another patient with decompensated liver cirrhosis and intractable ascites, complications such as ion disorders have been corrected to a certain extent, and there is no absolute contraindication to surgery.

The family members are also more cooperative, because of intractable ascites, other hospitals and Haicheng No. 1 Hospital have already sentenced him to death.

Unless it is TIPS surgery.

However, the high cost of TIPS surgery, coupled with going to other places, they can't bear the cost, so they can only wait for death.

When Director Xia said that Haicheng No. 1 Hospital could do it, but the risk was relatively high, the patient's family members agreed to the operation without even listening to the last sentence.

They're all going to die anyway, try it, it's always a chance.

In particular, the good recovery of patients with hematemesis has given infinite hope to the families of patients with intractable ascites.

The signing of the operation has been completed, Zheng Ren sees that the patient is in good condition and can undergo the operation, so he ends seeing the patient.

I said hello to Director Xia, and asked the Department of Gastroenterology to send the hematemesis patient to the operating room, while I went to the ICU to see Yang Lili.

...

Note 1: The first hospital in many cities is a general hospital like the People’s Hospital, and the second hospital is an infectious disease hospital, which treats infectious diseases such as tuberculosis and hepatitis B.