The operation went well, Zheng Ren took Yang Lei to do it, and stepped down in twenty minutes.

On the stage, Zheng Ren took the trouble to tell Yang Lei about the operation of the key steps. Although it is only a laparoscopic appendectomy, Yang Lei has benefited a lot from Zheng Ren's level and the side evidence that has been extended to other surgeries.

After stepping down, Zheng Ren was bored.

Having just returned from the imperial capital, it seems that life has lost its direction.

No, not because of that, but because the Shay didn't go to the stage for surgery.

It's just that Jung in didn't realize it.

The skill points of general surgery are grinding little by little, and it is still far from the grandmaster level.

Zheng Ren is willing to go to the systematic operating room to train pancreaticoduodenectomy, and it is estimated that one operation can increase more than 100 skill points.

However, as soon as he looked at his remaining experience and operation time, Zheng Ren dispelled this idea.

If it is all spent, the possibility of being promoted to the Grandmaster is very small, and once it encounters a critical situation, he will be dumbfounded.

It's better to grind it a little bit, the long-term main quest - the best surgeon has finished I don't know how many rounds, although the reward is small, but no matter how small the lice is, it is meat.

"What are you thinking?" Su Yun's familiar voice came from behind.

"Daze. ”

"Are you thinking about Xiao Yiren? You are too timid, the domineering president falls in love with me, have you seen it? What you want is that domineering. Su Yun pouted.

"Mr. Liu is very domineering in the United States and has lost a lot of money, so embarrassed. Zheng Ren didn't hesitate to go back.

"I'm talking about you, just grasp the spirit. Su Yun didn't care about Zheng Ren raising the bar, which proved that he was weak-hearted, and smiled slightly.

"How's the patient?" asked Jeong-in.

"The state is stable, I just pulled out the tube, and now I see, I can live. Speaking of the patient's condition, Su Yun was not so chattering, but gave a brief introduction to the patient's situation.

Zheng Ren knew in his heart that the completion of the operation was 100%, as long as there was no accident in the ICU and it was handled properly, it would be difficult for the patient to die.

"By the way, the paper on liver cancer has been mailed in, and I just answered the phone and said if there are any more cases. ”

"Not at the moment. Zheng Ren said: "Isn't it okay to publish it in the form of a case?"

"Yes, but it's hard to get recognition in a short period of time. Su Yun said, "Anyway, it doesn't matter to you, you are just a salted fish, it is always good to be hospitalized in Haicheng." ”

"Isn't it a lifetime, haven't you also come back from the imperial capital? ”

"Boss, are you interested in the pet hospital? It's not for you to go, if there is an operation that requires you to go out, it's to save the table. ”

"......" save Taiwan, go to the pet hospital, these two words Zheng Ren said that they are very unfamiliar.

"It's basically a golden retriever, Alaska or something that eats socks, and intestinal foreign bodies cause intestinal obstruction. At your level, twenty minutes a game, no exaggeration. Su Yun said: "Money, it's easy to say." ”

"I ......"

"Don't say you're not short of money, I asked yesterday, Shay's parents will come back for the New Year in a month or two. Su Yun said awkwardly.

"......," Zheng Ren hesitated, "Okay." However, I don't have a veterinary certificate, can I?"

"No problem, how can a veterinarian do surgery? It's okay to be sterilized, but if you open your stomach and chest with a real knife, they won't be able to take it down. Su Yun said.

"Look for a chance. Zheng Ren finally bowed his head in the face of reality.

Thinking that Shayren's parents were coming back, Zheng Ren felt a little apprehensive in his heart. Why is he worried and how to solve it, Zheng Ren has no force at all.

Just as I was thinking about it, my phone rang.

"Mr. Zheng, I have an aunt who has pain in her upper right abdomen, you can take a look. "It's Chu Yanran.

It's very simple, and it's not even true. And you're not welcome, your own people, what's polite?

Since I didn't say anything, it was in the emergency room.

Zheng Ren immediately strode to the emergency department, and Su Yun, as usual, lowered his head slightly and followed behind.

The emergency department is not very busy, it is the cold winter season, people drinking and fighting are almost extinct, the road is still full of ice and snow, everyone is careful to drive, so the emergency department is a little cold.

But that's good.

In the emergency department, Chu Yanran was standing at the head of the emergency rescue bed, next to the emergency B ultrasound, and a doctor was doing abdominal B ultrasound on the patient.

The family members looked anxiously on the side, Zheng Ren ignored them, and glanced at the prompts on the system panel - acute gallbladder torsion, acute gangrenous cholecystitis.

Huh, this is a rare disease.

Gallbladder torsion is a rare condition that has been reported for more than 100 years since Wendell first described it as a "floating gallbladder" in 1898.

Coupled with what I don't know, it is estimated that there are three to five hundred cases reported to the sky.

Let's get ready for surgery, there's no way.

Any organ that is torsional means necrosis. The system panel has given a hint of acute gangrenous cholecystitis.

When Chu Yanran saw Zheng Ren coming, she said, "Aunt Lin had abdominal pain after dinner this morning, and she was not diagnosed and treated at that time. 3 hours ago, the pain worsened, and oral anti-inflammatory choleretic tablets were taken, but there was no improvement. 1 hour ago, the pain was severe and unbearable, and I came to our hospital for treatment. During the course of the disease, there was no fear of cold and fever, no nausea and vomiting, and the emergency blood routine and liver function had been sent for examination, and it was estimated that he would be back soon. ”

"Cholecystitis, which requires surgery. Zheng Rendao.

"Are you Dr. Zheng?" asked a middle-aged man in his thirties.

He wore gold-rimmed glasses, and his face was bookish, angry, and anxious.

"Well, I am. Zheng Ren responded.

"Hello, my name is Zhou Wenxiang. Although the middle-aged man was very anxious, he didn't mess up, and reached out to shake Zheng Ren's hand.

"Dr. Zheng, do you think my mother needs surgery?" asked Zhou Wenxiang.

"I think it's gallbladder torsion, acute gangrenous cholecystitis caused by local necrosis. There are two types of surgery, removal of the gallbladder and reduction of the gallbladder. I recommend excision so that you don't have to do it later. As for conservative treatment, which does not alleviate the condition, it is not recommended. ”

Zheng Ren made his diagnosis clear.

Zhou Wenxiang hesitated and walked out perfunctorily.

Zheng Ren looked at Chu Yanran, Chu Yanran came over and whispered: "His father is my father's colleague, and he is rushing back in the provincial capital." Mr. Zheng, gallbladder torsion is a rare disease, can it be diagnosed?"

"Wow. Zheng Ren pointed to the bedside ultrasound and said, "Imaging supports the diagnosis of gallbladder torsion." ”

"When are you going to watch the ultrasound? I remember you didn't have a problem with the ultrasound before. Chu Yanran keenly discovered the abnormality.

"That's because there was nothing wrong with B ultrasound in the past, didn't I encounter a rare case in the emergency department, I just said it. ”

Chu Yanran thought about it sideways, and what Zheng Ren said seemed to make sense, so she didn't continue to say anything.

"Director Xia, please help me take a look, my mother can't stand the pain, and she doesn't want surgery yet. Zhou Wenxiang's voice came in.