Chapter 2360: 2365.2279 You say, how did Boss Zheng's brain grow?
2365.2279 You say, how did Boss Zheng's brain grow?
10ml of saline was injected, Zheng Ren turned back, and drew another 10ml.
Lin Yuan looked somewhat confused, but following Boss Zheng's line of thought, she suddenly realized the water bag had expanded—could it be…… a urinary catheter was inserted into this intestinal segment, reaching the blind end and injecting saline to expand the balloon, the balloon's elasticity providing controllable pressure on the intestinal wall.
Then the urinary catheter was removed, and in this process the gauze was pulled out by the catheter's balloon.
This line of thought was…… Lin Yuan hadn't even had time to marvel when Zheng Ren pulled out the catheter, already having pulled out the gauze strip together.
"I'm going……"
"What kind of operation is this!"
"Boss Zheng, you're truly amazing!"
The several doctors present were dumbfounded, chattering away. The emergency surgery doctor even more so worshipped with a five-body prostration, eyes shining.
Zheng Ren let out a breath, looking at the balloon at the front of the catheter, its wall already thin. The recent maneuver tested his 'sense of touch'.
The balloon's elasticity, the slight pressure where the balloon wall contacts the intestinal wall—combined, they allowed the gauze strip to be removed safely.
"All right." Zheng Ren put the items into the urine bag, stood up habitually to tidy up.
"Boss Zheng, leave it here, I'll handle it." The emergency surgery doctor quickly said, "You've worked hard, you've worked hard."
Zheng Ren smiled, didn't take off his gloves, but placed the needle tip into the sharps box and threw the other items into the medical waste bin.
"Pay more attention next time, it'll be fine after a while." Zheng Ren then said to the female patient who had already put on her clothes.
"Hmm." The female patient lowered her head and responded.
It seems her physical changes are recent, but her psychological changes occurred long ago. Being stared at by a bunch of smelly men, she felt a bit shy.
"Has Boss Zheng left?" a voice came from outside.
Zheng Ren blinked, then thought it might be the Head of Interventional Radiology Department who had gone to the capital for further study. Didn't he have an emergency surgery? Was it done?
Looking for himself, there's never a bad time, yet he insists on rushing to finish surgery and then seek him out. Hurriedly performing surgery, he's not afraid of accidents.
"Here, Director Tai." The emergency surgery doctor immediately opened the door to greet.
"Boss Zheng, Boss Zheng!" Director Tai strode in, matching Director Zhai's posture, slightly bending forward with hands outstretched.
Zheng Ren still wore sterile gloves on his hands, covered in paraffin oil. He raised his hand to indicate it was inconvenient, then smiled and said, "Director Tai, no need to be polite."
"Boss Zheng, you didn't even give us a heads-up before coming here." Director Tai said politely.
"It's fine, our medical team came out to play, ran into an emergency patient, and I brought him along. I'm leaving now, no trouble."
Hearing Boss Zheng say that, Director Tai rubbed his hands slightly embarrassed.
Zheng Ren took off his sterile gloves, saw his strange expression, and immediately asked, "How is it? Did the emergency surgery finish, or can't you go on?"
Director Tai let out a long sigh; Boss Zheng is truly understanding.
"Boss Zheng, I can't go on, could you take a look?" Director Tai whispered.
"What's going on?"
"We had a patient a few days ago for whom we invited a teacher from the capital to insert an IABP, but now it's offline and the catheter hasn't been removed." Director Tai said.
Aortic balloon counterpulsation is available in some municipal hospitals, though not many; however, over time it has become much more common than before.
This patient must be critically ill, or perhaps for other reasons a doctor from the capital inserted an IABP. But it can't be removed—could the IABP catheter be lodged in the blood vessel?!
This is an emergency!
Zheng Ren immediately asked solemnly, "Please explain in detail, what's going on?"
He said while walking out, leaving a room full of doctors and the female patient from whom the gauze strip had just been removed.
"Hey, Old Zhang, who is this? Why does the Intervention Department's Director Tai see him so obsequious?" a doctor asked curiously.
"That's right, when has Director Zhang ever smiled at someone? Earlier, the vice president went to the office on site, said something about irrational drug use, and Director Zhang directly retorted, 'You're the one using drugs irrationally, your whole family does,' and shoved the vice president back."
"Exactly, for patients needing uterine artery embolization, we have to have the director make the call." The obstetrics and gynecology doctor sighed: "This is our hospital—only he can do interventional procedures, everyone else has left. One of a kind, can his temper not be big?"
The emergency surgery doctor proudly said, "That's Boss Zheng, Director Tai's backer; even Director Zhou of the capital's liver and gall department has to nod and bow when he sees him—he's nothing."
"Boss Zheng? Is he the operator who performs surgeries in the Apricot Grove Garden Surgery Live Broadcast Room?"
"Uh…… why didn't you say so earlier!" the obstetrics and gynecology doctor snapped.
"What difference does it make if you said it? You want to go be an intern?" the emergency surgery doctor scoffed, "You haven't seen Boss Zheng casually escorting an emergency patient, always accompanied by pretty girls. Your looks aren't enough, first……"
Before he finished, the obstetrics and gynecology doctor grabbed a small pack of sterile gauze and threw it over.
"Speaking frankly really doesn't win you favor." The emergency surgery doctor casually grabbed the sterile gauze and chuckled.
However, they didn't say much more, since the patient was still present. The emergency surgery doctor, obstetrics doctor, and patient exchanged some precautions, repeatedly urging, "Never rush to poke around at home."
Even after seeing the patient off, the obstetrics doctor still wore an incredulous expression, "You say, how did Boss Zheng's brain grow, how could he think of using a urinary catheter to remove the gauze strip?"
……
……
"That's how Boss Zheng is." Director Tai hurriedly said while walking, "Patient, female, 78 years old, admitted to emergency eight days ago due to chest pain and breathing difficulty."
Zheng Ren didn't mind his long-windedness, instead quietly following behind Director Tai and listening.
"The emergency ECG indicated acute anterior wall myocardial infarction. Emergency coronary angiography showed diffuse stenosis of 80%~90% in the mid-left anterior descending artery. A percutaneous coronary intervention was performed on the LAD, after which the patient's condition was relatively poor."
"Considering the patient's advanced age and post‑infarction chest pain and dyspnea, to further increase coronary blood flow, an intra‑aortic balloon counterpulsation was performed."
"After the IABP was placed, the patient's condition improved greatly; today we attempted to withdraw it, but found the catheter couldn't be pulled out. Consulting me, under DSA fluoroscopy we saw the IABP catheter lodged in the abdominal aorta‑right iliac artery; I tried many times but couldn't remove it."
Director Tai finished speaking, then said resentfully, "Xiao Zhai too—seeing you, he didn't know to ask you to take a look."
"Did you try to pull it out? Where does it feel stuck?" Zheng Ren asked.
"The common iliac artery and external iliac artery." Director Tai said, "Boss Zheng, please take a look—my department's head nurse's mother, everyone's in tears, desperate. Vascular Surgery is waiting for surgery; if we cut, the old lady might not survive."
End of Chapter
