The middle-aged man was silent, and the B-ultrasound doctor at the head of the emergency bedside hurriedly came over with a small cart to examine the old man and confirm the diagnosis of cholecystitis.

When the hospitalization order was opened, the formalities were handled, and Chang Yue entered the patient's information, Zheng Ren knew that this middle-aged man's name was Lin Yuanshan and he worked in the province.

Just after completing the formalities, before Chang Yue and Lin Yuanshan could make a brief introduction to their condition and communicate before the operation, the president of the First Municipal Hospital, the vice president, the director of the Second Department of General Surgery, and some clerks rushed over.

"Lin Hall, you see that you came to the first courtyard of the city, why don't you say hello. Xiao Keming said enthusiastically from afar, stretched out his right hand, and walked more than ten steps before holding Lin Yuanshan's hand.

"Isn't this the little guy from the Chu family here, saying that Dr. Zheng in the emergency ward is of a very high level, so he came directly. Lin Yuanshan's tone of voice was a little indifferent, giving people a feeling of rejection and condescension.

But Dean Xiao and the others didn't think there was anything, it seemed that this was the way it should be.

"This is the old director of the emergency department, and this is the director of the general surgery department, let the experienced old comrades check it. Dean Xiao introduced them one by one.

Lin Yuanshan bowed his head, and there was a trace of irritability between his eyebrows.

After a brief greeting, Director Sun of the Second Department of General Surgery rushed to the rescue room and began a detailed physical examination.

Zheng Ren has also mastered the physical examination, but since he has the blessing of the system, he is just doing it, and most of it is still the habit left before. In fact, if you don't have a physical examination, it's completely okay, after all, the diagnosis and condition given by the system are so detailed.

After seeing Director Sun's professional techniques and detailed physical examination, the displeasure between Lin Yuanshan's eyebrows decreased slightly.

"Acute cholecystitis, looking at the B-ultrasound return, there is a large amount of gas near the gallbladder, which is estimated to be caused by inflammation stimulating the intestinal tract, and surgery can be considered. Director Sun also gave a judgment on his condition.

"The elderly are old, so check if there are any complications first. Dean Xiao instructed.

"The patient's ECG is sinus rhythm and bradycardia. Auscultation of the respiratory system reveals clear breath sounds in both lungs, and there are no symptoms of pneumonia. The preoperative blood collection has been sent to the laboratory department, and the return can be made within half an hour. Chang Yue 1510 reported the relevant situation.

The nurses in the ward have already started preoperative work such as indwelling catheterization, indwelling gastric tubes, and skin preparation.

"Is the operation traumatic?" Lin Yuanshan was a little worried.

After all, the old man is in his seventies, and he has had a cerebral infarction, and his physical condition is not as good as before. To recover, a little slower is definitely inevitable.

Lin Yuanshan's worries were justified.

"With laparoscopic gallbladder removal, the patient recovered quickly. Director Sun reassured.

"Laparoscopy?" Dr. Zheng said that a laparotomy is needed. Lin Yuanshan objected.

When the patient's family is faced with an experienced doctor who is about 50 years old and a hairy boy who is less than 30, it is naturally clear which side to lean into.

When Dean Xiao heard that Zheng Ren had been diagnosed, he was also a little worried, and asked, "Zheng Ren, your laparoscopic level is very high, why don't you do laparoscopy?"

"The patient had an acute attack of chronic cholecystitis, and I was worried that the adhesions in the abdominal cavity would be more severe. Zheng Ren replied frankly, ignoring the official authority emanating from Lin Yuanshan's body at all.

For tech nerds, those don't exist.

Lin Yuanshan's brows furrowed.

Wizards who prophesied that something bad would happen would be burned at the stake. Whether it is the Westerners of the Middle Ages or the present, or the Easterners of the present, they will have this mentality.

In particular, it is even more unconvincing to say that the person whose condition may be more complicated is still a young person.

Lin Yuanshan decided to ignore Zheng Ren and asked Director Sun of the Second Department of General Surgery directly, "Director Sun, do you judge that you can do laparoscopic surgery with relatively small trauma?"

The sisters of the Chu family have already gone to prepare for general anesthesia, but even if they are, it is estimated that they will not be able to reverse Lin Yuanshan's decision.

"There are difficulties. Director Sun also told the truth, after he finished speaking, he quickly blinked his eyes, looked innocent, and apologized to Director Pan with his eyes.

"If I have to have surgery, I want to find Director Sun to do a laparoscope. If the laparoscope does not work, turn the abdomen again. Lin Yuanshan made a quick decision.

"Is the emergency operating room fully equipped?" asked Dean Xiao.

He is also more inclined to find Director Sun in his heart, after all, he is an old director, his level is impeccable, and his grasp is relatively large.

As for Zheng Ren...... For special patients, let him step aside first.

"Yes, I've had some laparoscopic cholecystectomy recently. "Zheng Ren doesn't care," Director Sun will take a look at the palm of his hand to see if there are any instruments that are not in harmony with his hands, so that he can take them from the outside. ”

"It should be fine. Director Sun felt that he had stepped into the pit, he really didn't want to provoke the two men in the emergency department, and he recognized it more thoroughly.

But I didn't expect a special needs patient to involve himself again.

"When the blood collection and test report are returned, there are no contraindications to surgery, so let's prepare to do it. Dean Xiao pretended to be relaxed and said with a smile: "Under laparoscopic gallbladder removal, the first hospital of the city will do about 1,000 cases every year. Last year, I made a 108-year-old man, and I went to the ground one day after the operation, so don't worry about Li Hall. ”

Lin Yuanshan snorted with his nose, his face worried, and the atmosphere was a little heavy.

While waiting for the preoperative examination, Chang Yue began to write admission communication and preoperative communication, and the sound of the keyboard crackled to break the silence of the office.

Jung in went to the rescue room, he didn't like the atmosphere of the office, so he hid.

"You're sinister. Su Yun was still "floating" beside Zheng Ren like a shadow, no matter where he went, Su Yun would follow.

"Insidious?" Zheng Ren was puzzled.

"You have judged that the patient has severe abdominal adhesions, and if there is no error in the judgment, I estimate that the laparoscopic surgery will not be able to be done at all. Su Yun said, "Why don't you stop it?"

"Will anyone listen to what I say?" Zheng Ren is just a straight man, but he is not stupid.

After many years of clinical work, these most basic judgments are still available. It is mainly the patient's family to make their own choice, and if Zheng Ren rushes forward, it will cause a lot of contradictions.

"Well, there is no Madonna heart, so I am much more relieved. Su Yun smiled, and the little nurses in the rescue room who were preparing the patients for the operation stiffened a little.

Zheng Ren felt that the interference was too great with this goods in the rescue room.

"Let Lao Sun do it first, I'm curious, how can you judge that the patient's abdominal adhesions are serious. ”

"On the ultrasound image, there is a gas-like band in the gallbladder area. Ordinary patients can understand it as gas disturbance. However, there was no obvious sign of activity in the gaseous band, and I judged that the transverse colon had moved upward, and it was fixed under the liver by the encapsulated organize. ”

Speaking of unexpected diagnosis, Zheng Ren turned on the invincible mode.

It's one thing to be confused about judgment. With the final diagnosis of the system panel, going back is relatively much simpler.

Su Yun's eyebrows are very delicate, and when he frowns, he is also very delicate, not dignified, but makes him more calm, charismatic, and blinds a lot of coveted eyes.

He was trying to recall the images of the emergency B-ultrasound at the bedside.

Could it be that what Zheng Ren said is true? How can he even know about B-ultrasound, and he is very thorough and in-depth?