Jung in sneaked away.

The girl should be fine, but tonight, her date with Shay has gone through again......

It's a pity, Zheng Ren took out his mobile phone as he walked.

There was a message from Shay in WeChat, and she had already packed it up and was waiting for Zheng Ren in the car.

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

Life is constantly repeated, but the more repetitions there are, the more boring it is.

It's already past ten o'clock, if it's in the imperial capital, Chengdu, magic capital, and Pengcheng, this time is just the beginning of nightlife.

However, for an emergency department inpatient who is on a flexible shift, it is a little inappropriate to go out again at this time.

Shay people are not interested in nightclubs and other places, so they drive to talk and laugh with Zheng Ren, and go back to their "homes".

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

Nothing was said all night.

The sun still rises, and life keeps repeating itself.

Breakfast, going to the hospital, shifts, ward rounds.

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

He is an old man in his 80s, very healthy, not dazzled, and not deaf. There are only a few geriatric diagnoses on the system panel, none of which are in the acute phase.

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

Director Pan took the ward rounds and said some principled examinations and treatments, and the rest was handed over to Zheng Ren.

With the experience of the last time the little couple pretended to be sick, Zheng Ren was not in a hurry, after the physical examination and examination report, his judgment was consistent with the system, and he asked the emergency doctor to put this matter aside first, and then solve it after his own operation.

Today, two chronic surgeries were arranged, one was a secondary retrievable stent and the other was a pure TIPS surgery for refractory ascites.

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

Seeing the patient before surgery to avoid some low-level mistakes is what a surgeon should do.

It's a small thing, but it's important.

I entered the gastroenterology department and two people walked out of the director's office. One is Director Xia, and the other is white.

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

"Dean Zhang, hello. Zheng Ren's attitude is a little perfunctory, there are many things to do today, to see the patient before the operation, and to go to the ICU to see Yang Lili's situation. If you can eat lunch or not, how can you have time to communicate with the dean of the outer courtyard?

Even if he had time, Zheng Ren would definitely be unwilling.

Dean Zhang looked at Zheng Ren with a smile, stretched out his hand enthusiastically, shook hands with Zheng Ren, and said, "Mr. Zheng, I came to observe the operation today." ”

Observing 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 they have the most patients on that side. Director Xia said with a smile: "The patient you just did is a classmate of the two of us, Lao Zhang got the news, so he rushed over to take a look." ”

"Mr. Zheng, if you have time, come to our second hospital (Note 1) to do a few TIPS surgeries? Dean Zhang saw that Zheng Ren was in a hurry, his eyes were wandering, and he didn't look at himself at all, so he said.

Clinicians, eighty percent of them look like this.

You have to discuss the patient's condition with him, and he will definitely pay full attention. But if you say anything else, especially before the operation, if he can stand here and pretend to listen to you, it's a face-saving thing.

Zheng Ren's eyes lit up when he heard that there were TIPS surgeries that could be done.

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

But no matter how much money there is, it doesn't seem to have much to do with life.

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

However, the second phase of the crown jewel task promulgated by the system has very generous rewards, especially the experience of 3,000 cases of radiofrequency ablation, which makes Zheng Ren drool.

Zheng Ren was pondering how to complete the task.

I didn't expect it to fall on the white-eyed Dean Zhang in front of me.

"Okay, how many patients do you have over there?" asked Jung-in.

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

People like Zheng Ren, in Dean Zhang's opinion, are the easiest to deal with. This kind of little doctor, working hard to improve the technical level, as long as he provides patients himself, is not afraid that he will not be interested in the second hospital.

The cost of surgery is not a problem, and the cost of expert consultation of 1000-2000 is estimated to be satisfied by this little doctor.

After all, it's in the city, and it's said that it's a flying knife, does he really think it's a flying knife?

The main thing is to feed him the operation, he has to eat.

TIPS surgery is not an appendix cut, and it is done by everyone after a year or two in the hospital. Doctors who have no talent or a solid foundation will not dare to get started for the rest of their lives.

Dean Zhang estimated that the situation was urgent, and the ducks were put on the shelves, and Mr. Zheng from the emergency department was lucky to complete a TIPS operation.

This is also the reason why I came to see him for the operation, if I can really do it reluctantly, I will not hesitate to give him a "chance".

Feeding him with surgery also solves the problems of many patients, killing two birds with one stone.

Dean Zhang's little abacus crackled, mainly because Zheng Ren was young, if Director Pan stood here, I am afraid he would have already knelt down.

Those who can do TIPS surgery are all gods.

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

Patients who underwent emergency TIPS surgery recovered well, hematemesis had disappeared, and complications of hepatic encephalopathy did not appear.

This morning, the blood ammonia was urgently checked, the value was normal, and even if the retrievable stent was not taken, the existing treatment was satisfactory.

In another patient with decompensated cirrhosis, refractory ascites, ion disorders and other complications have been corrected to a certain extent, and there are no absolute contraindications to surgery.

The family members are also more cooperative, because of the intractable ascites, the death penalty has been sentenced in other hospitals and Haicheng First Hospital.

Unless it is a TIPS surgery.

However, the high cost of TIPS surgery, coupled with the fact that they went to other places, their eyes were blackened, and the cost was even more unbearable, so they could only wait for death to come.

As soon as Director Xia said that Haicheng First Hospital could do it, but the risk was relatively large, the patient's family didn't even listen to the latter sentence, and directly agreed to the operation.

It's all going to die anyway, give it a try, it's always a chance.

In particular, patients with hematemesis recovered well, which gave the families of patients with refractory ascites infinite hope.

The operation signature had been completed, and Zheng Ren saw that the patient was in good condition and could accept the operation, so he ended his visit to the patient.

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

……

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

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