Chapter 1583: 1533 Spare the Blade

Feng Jianguo thought he had misheard, looking at Zheng Ren with a strange expression, and asked: "Zheng Lao Ban, what did you say?"

"Considering the patient has myasthenia gravis, immediately go do a thymus CT or MR; if there is a thymoma, we can temporarily make a preliminary diagnosis." Zheng Ren said.

Feng Jianguo saw Zheng Ren's eyes slightly narrowed, continuously looking at the images, feeling somewhat doubtful.

He glanced and saw that Zheng Ren was not looking at an abdominal CT, but a chest CT.

This image only shows a slight inflammation in both lungs, nothing special.

How could you tell it's a thymoma?

Feng Jianguo is the type who has a clear idea in mind.

In imaging, looking at abdominal-related images is fine, but if you really need to carefully examine chest images, the level is far off.

"Zheng Lao Ban, does the thymus have a problem?" Feng Jianguo asked carefully.

"Plain scan, can't see clearly." Zheng Ren said: "But from an imaging perspective, the density here is wrong."

Zheng Ren pointed at the image and continued: "If it were intestinal obstruction, the patient's signs would be wrong. Abdominal tenderness is too mild, it doesn't feel like it."

Feng Jianguo was somewhat hesitant, but he did not question Zheng Ren's statement; instead, he picked up his phone and called Director Wei.

When something big happens, finding the director to take the blame is completely normal.

After Feng Jianguo finished the call, looking at the patient lying on the operating table, he felt it was somewhat difficult.

Or should we just dump the patient here and wait for the director to come up?

He has never dealt with this kind of thing before.

But forcing the surgery? I estimate I can't beat Zheng Lao Ban.

It is said that at Xianggang Harmony Nurture Hospital, a doctor defied Zheng Lao Ban, got slapped and flung against the wall. Later he was also expelled from Harmony Nurture, and now nobody knows where he is.

But even if Zheng Lao Ban doesn't hit me, opening the abdomen and seeing that the intestines are fine, what then?

Just sit there helplessly!

Just as Feng Jianguo felt torn between options, Zheng Ren said: "How long has the Neostigmine been given?"

"8 Minute." The anesthesiologist's side had detailed records and immediately said.

"We still need to wait a bit more." Su Yun said: "However, I see the patient's breathing difficulty has begun to ease, not as severe as when they first arrived."

Zheng Ren glanced back at the patient and gave a slight nod.

Feng Jianguo knew that a positive Neostigmine test is a common method for diagnosing myasthenia gravis.

But stopping the emergency Shou Bing, performing the Neostigmine test on the operating table, Zheng Lao Ban is really overconfident.

As long as there is treatment, it's fine as long as we don't leave the patient lying in the operating room; anything goes.

"Boss, just open the chest." Su Yun eagerly said: "Call Fang Lin up to perform a mediastinoscopic thymoma resection; it'll be done in half an hour."

"No rush." Zheng Ren said calmly: "It's just a guess; without a thymus CT or MR, we still can't determine whether it's definitely a thymoma."

"It's definitely here!" Su Yun tapped the viewer, bang bang repeatedly.

These knocks felt like they were hitting Feng Jianguo's heart; he immediately felt symptoms of mild arrhythmia appearing.

But Zheng Ren completely ignored what Su Yun said, didn't look at the images, and instead turned around, crossed his arms, and observed the patient's condition.

5'12" later, Director Wei hurried over.

After finishing the Shou Bing, then having to rush over for an urgent consultation, Director Wei didn't even have time to put on stockings.

"What's going on?" Director Wei asked directly upon entering.

Zheng Ren was about to speak, but seeing Feng Jianguo begin to explain the condition, he fell silent and continued observing the patient's condition.

Feng Jianguo briefly explained; the patient's condition was relatively clear, Director Wei glanced at Zheng Ren, feeling a bit Strange inside.

The patient has been sent to the operating table, and we directly shout to stop—what's the difference between that and shouting "spare the blade" at an execution ground?

An Intervention Department doctor, using this overbearing method to stop the Gastroenterology Surgery Shou Bing…… even if they usually get along, he still has to consider his own feelings, right?

However, Director Wei thought, if the patient has an accident, what feelings matter?

Maybe Zheng Lao Ban is more confident in the diagnosis.

He carefully found the abdominal CT image and inserted it into the viewer.

A typical intestinal obstruction! Director Wei felt doubtful.

He also glanced at the gastrointestinal contrast image, further confirming this.

"Zheng Lao Ban." Director Wei said solemnly: "Are you sure?"

Zheng Ren said: "Can you hear me speaking? Open your eyes wide, strain to keep them open!"

Director Wei felt slightly annoyed inside; this is because being too familiar with Zheng Lao Ban, on the operating table, he actually let himself stare at the images with eyes wide open!

Wrong!

The anger that just arose in his chest was extinguished by Director Wei.

This is not provocation, but rather a rather unfamiliar test—the upper eyelid fatigue test!

The upper eyelid fatigue test is not a physical examination of the Gastroenterology Surgery; Director Wei also recalled hearing about it from the Title: Teacher when he was in school.

Today, because I heard Feng Jianguo say that Zheng Lao Ban diagnosed myasthenia gravis, I only vaguely recalled what the Title: Teacher taught in class.

This disease has nothing to do with Gastroenterology Surgery; it's been years since encountering a case, and the memory is covered in dust.

Precisely because of that sudden anger just now, the upper eyelid fatigue test, which seemed long forgotten, came to mind.

Director Wei turned around, inwardly thinking how fortunate.

If just now it had been someone with a bigger temper, they probably would have exploded on the spot.

If it were to flare up, looking back at Zheng Lao Ban performing the upper eyelid fatigue test on the patient, wouldn't we be laughed to death?

Beside, the anesthesiologist stood holding a pen and paper, seemingly wanting to record his own momentary lapse just now.

"Zheng Lao Ban, how is the upper eyelid fatigue test result?" Director Wei asked softly.

Zheng Ren was carefully observing the patient's condition; the anesthesiologist glanced at Director Wei and replied: "We need to record six times, we already have four records, it should be positive."

Immediately, the anesthesiologist laughed and said, "Director Wei is amazing, you can even remember the physical exams that have nothing to do with your department."

"Who said there's no connection? This is already a connection." Director Wei forced himself to stay calm, smiled slightly, and said, "If the upper eyelid fatigue test is positive, send them for a thymus CT; MR takes too long."

Zheng Ren said a number, and the anesthesiologist recorded it. After finishing the fifth test examination, Zheng Ren turned around, apologetically saying, "Sorry, Director Wei, I was just doing the examination. What do you think?"

Director Wei felt screwed.

Looking at the film, it's definitely an intestinal obstruction, the more urgent kind—need Shou Bing.

Zheng Lao Ban directly performed the upper eyelid fatigue test on this side, and the test result was still damn positive.

There was a brief clash between my years of clinical experience and my trust in Zheng Lao Ban, but soon a single thought quickly gained the upper hand.

"I think the possibility of myasthenia gravis is greater; at the very least the patient's diagnosis is still unclear, let's do a thymus CT first." Director Wei said.

"Do the upper eyelid fatigue test again, and if the result is positive, then go…… actually maybe not needed." Zheng Ren suddenly realized something and said, "The average will definitely be positive, let's go straight for a CT."