Chapter 1610: with translation of chapter title

1558 Coincidence? Not a coincidence!

"Chief Zheng, long time no see, how's things on the Di Du side?" The doctor in the CT Shi and Zheng Ren chatted, his hands not slowing, he seized the time to examine.

The doctor from the Emergency Department personally sent the patient for examination, indicating that the condition was judged serious; this goes without saying, the doctor in the CT Shi also knows.

For a mild patient, who has the leisure time to accompany them for examination?

The machine emitted a roar; Zheng Ren didn't chat with him, but instead placed his left hand under his right armpit, right hand supporting his chin, staring at the computer screen.

The atmosphere was somewhat solemn.

The doctor in the CT Shi dared not be negligent, nor chat anymore, and looked seriously at the screen.

After 1 minute, the image appeared on the screen.

Several people were stunned.

At the left clavicular end, the image of a needle appeared, obliquely inserted into the mediastinum. The pericardium was severely filled, and both lungs were covered with large patches of shadow.

Changes in the lungs can be ignored; the most important thing is the image of that needle, which appears to be a Kocher needle fixing a clavicle fracture!

It had protruded halfway from the clavicle end, with the needle tip right at the edge of the aorta.

So that's how it was; Zheng Ren was surprised and then suddenly realized.

"I…" The doctor in the CT Shi was also seeing this kind of image for the first time, pointing at the Kocher needle image in astonishment, unable to utter a word.

Zheng Ren seized the time to reconstruct the CT image in his mind; Big Pig Trotter's diagnosis was an ulcer of the outer aortic membrane, and after image reconstruction it was confirmed to have reached the middle and inner layers, with surrounding tissue edema and no local secretion.

The aorta could rupture at any moment! Zheng Ren's back hairs stood up instantly.

"Call Wang Zong, prepare the aortic stent in the Emergency Department Hybrid Operating Room." Zheng Ren said.

Su Yun nodded, picked up her phone and began contacting the Operating Room.

"Chief Zheng, here's the film; the report will have to wait until tomorrow." The doctor in the CT Shi, knowing the situation was urgent, directly printed out the film and handed it to Zheng Ren.

"Thanks." Zheng Ren took the film, and together with the examiner and the patient's family lifted the patient onto a stretcher, rushing all the way to the Emergency Department Operating Room.

MD, how could the distal end of the Kocher needle become detached? Zheng Ren also couldn't understand this.

It might have been a problem when the orthopedics doctor drilled the needle in, or it might have arisen during the patient's postoperative rehabilitation training.

Now is not the time to ask why; we must seize the time to perform surgery.

The outer aortic membrane is damaged, already extending to the middle and inner layers; once blood pressure rises, the patient could at any moment suffer aortic rupture and death.

On the way, Su Yun caught up.

"Not bad luck, there's still one aortic stent left. Next time I return to Hai Cheng, I'll definitely bring Xiao Feng along." Su Yun said.

Zheng Ren realized that, when he wasn't around, Hai Cheng probably wouldn't perform interventional surgery.

If Feng Xu Hui doesn't follow along, even whether there's an aortic stent is uncertain.

Last time, it was Wang Qiang from Eryuan who delivered the various supplies. This time, being able to leave some behind is probably because Wang Qiang recently performed Shou Bing here, or it's leftover from before.

Never mind; as long as we can get through this immediate crisis, that's enough, Zheng Ren thought. This patient's luck isn't bad, running into me.

"You go explain things to the patient's family; I'll go insert the stent." Zheng Ren said: "The family signs the consent, you give me a call, then you scrub and go up onto the table."

Hearing the two's conversation, the patient's family instantly panicked.

Emergency surgery? What kind of situation is this?!

Moreover, the expressions of both doctors were very solemn, scarier than the way the Emergency Department Internal Medicine doctors would solemnly inform of a death.

No matter how serious the words, those are rare accidental situations. What's most frightening is a doctor with a grim face, sprinting all the way, rushing about with no time to explain things in detail to oneself.

The patient's family are sensible people, but they were scared silly by Zheng Ren and Su Yun.

Pushing the patient into the Operating Room, Wang Zong had just finished surgery; seeing Zheng Ren hurriedly pushing a patient in, he asked in surprise: "What's the situation?"

"The distal end of the Kocher needle has become detached, the outer and middle aortic membranes are damaged, and the pericardium is filled." Zheng Ren said urgently.

"……" Wang Zong was stunned.

"You send the patient back, then come up and lend a hand." Zheng Ren said bluntly.

At this moment, telling Wang Zong to lend a hand really means just lending a hand.

In 912, one would still be polite with Director Wei and Professor Feng, but here in Hai Cheng, facing Wang Zong, there's no need to be polite at all.

"Okay." Wang Zong, knowing the situation was urgent, immediately went with his assistant to send the patient down.

"Chief Zheng, just saying you're busy, every time you come back you have to do overnight surgery." Chu Yan zhi helped Zheng Ren lift the patient onto the hybrid operating table while saying.

"Hey, just happened to run into you." Zheng Ren was also speechless.

If I weren't here, maybe it wouldn't be this busy.

But in the Department of Gastroenterology, within a day or two there will likely be a patient who suddenly dies, dying for no apparent reason, silently and without a sound.

Perhaps, such things happen every day.

With the assistance of Big Pig Trotter, Zheng Ren's early detection, diagnosis, and treatment prevented tragedy after tragedy.

"How many surgeries are we preparing for tonight?" Chu Yan zhi continued to nag.

"I don't want to do it either." Zheng Ren said helplessly: "In a bit, after the chief finishes his IV drip, we'll send him home and then go out for a late-night snack."

"Yi Ren said she'd ordered food, but Chief Zheng, you're rarely generous— you guys make a lot of money in Di Du, yet even someone as stingy as you knows to treat others to a meal?" Chu Yan zhi asked.

Not wanting to eat is because it's bothersome and a waste of time, not because I'm stingy, right? Zheng Ren complained inwardly but didn't explain, instead saying directly: "General anesthesia, first place the aortic stent, then open the chest."

"What's the diagnosis?" Chu Yanran asked.

"Ulcer of the outer aortic membrane, pericardial filling, and distal detachment of the Kocher needle." Zheng Ren said.

"Whoa, a Kocher needle?!" Chu Yan zhi jumped.

"Hurry up with the anesthesia." Chu Yanran was busy, saying somewhat disparagingly: "How severe is the ulcer, Chief Zheng?"

"Severe, considering it's caused by a Kocher needle laceration, it's already extended to the middle and inner layers, and could rupture at any moment." Zheng Ren saw Xiao Yi Ren busy preparing the surgical supplies, so he went to scrub up.

On this side of Hai Cheng, the level of emergency and rescue can't match that of Di Du; although the Chu Family Sisters' technical skill is decent, they still have a certain gap compared to Lao He.

However, Zheng Ren feels it's fine; as long as the situation in Xilin Town doesn't occur, everything will be okay.

Last time during the rescue in Xilin Town, I really have a psychological shadow.

After scrubbing out, anesthesia ended, Su Yun's call came in, saying the patient's family had already signed the pre-op consent, we can go straight to surgery.

The images were taken by Su Yun to explain the condition to the patient's family, while Zheng Ren disinfected the patient and recalled the images in his mind.

The arterial stent is not difficult; as long as it doesn't rupture, just inserting the stent is enough.

"Yanran, pay attention to suctioning sputum." Zheng Ren instructed.

"I know." Chu Yanran said: "Just heard, there are lots of wet Luo sounds in both lungs, rest assured, Chief Zheng."