Chapter 2862: 2767.2660 Strange Condition

2767.2660 Strange Condition

Huh? Zheng Ren was taken aback.

Umm... Quan Xiaocao lowered her head and spoke softly: "Zheng Lao Ban, when I practiced below before, I felt I did well."

Zheng Ren nodded, this time he had a more intuitive judgment of Quan Xiaocao.

But every time I go on stage I get scared. Xiao Cao said timidly.

Then what?

Once I asked Yun Ge'er, and he said you just give yourself a psychological suggestion, thinking you are Zheng Lao Ban, and that's enough. Quan Xiaocao said.

Zheng Ren laughed and cried, this kind of psychological suggestion still needs to be built on a solid foundation. Quan Xiaocao's basic skills are solid, she usually puts in effort, it seems her psychological suggestion is really good.

I tried it...

Hehe. Zheng Ren looked at Quan Xiaocao, smiled happily, and said: "That doesn't mean you have to imitate even closing the peritoneum and turning to step down offstage that closely."

Uh... I unconsciously learned it that way. Quan Xiaocao's voice was already like a mosquito.

Not bad, not bad. Zheng Ren said, "For surgeries you're confident about, you can think like that. I have a question for you."

Ah? What? Quan Xiaocao became a bit flustered again.

When you look at the spleen, what are you thinking in your heart? Zheng Ren asked.

Blockage of the splenic artery branches causes local splenic tissue ischemia and hypoxia leading to infarction. Diagnosing splenic infarction, there's no doubt.

Continue. Zheng Ren saw Quan Xiaocao pause, then immediately said.

This kid needs to drag along to walk; Zheng now has some understanding of her. Unconsciously, I didn't expect to have influenced so many people.

Uh...

Xiao Cao, put yourself in that situation now, let me hear your judgment back then. Zheng Ren said with a smile.

Lao He found it interesting, whispered in Quan Xiaocao's ear: "Zheng Lao Ban, should the music volume be louder?"

Quan Xiaocao knew Lao He was joking, she finished the suturing, then instead of using the final disinfectant and covering the wound dressing, she closed her eyes again.

Zheng Ren saw Quan Xiaocao's focused appearance and found it interesting; his heart stirred, he recalled Su Yun's appearance when smoking.

Should we also go study psychology?

But this thought just flashed and disappeared; lately things have been busy, let's wait until Xiao Shitou's condition improves before talking about it.

About half of splenic infarction patients can be asymptomatic. When Quan Xiaocao opened her eyes again, her voice became steady; the earlier flustered look was gone.

A small number of small splenic infarctions can present with low fever, leukocytosis without pain, etc.; larger acute splenic infarctions can present with sudden left upper abdominal pain, or diffuse abdominal pain radiating to the left shoulder and back, worsening when bending over or taking deep breaths, accompanied by nausea, vomiting, or breathing difficulty, high fever, etc.; symptoms can last a week.

Judging by the patient's presentation on admission, the symptoms are not severe. Directly seeing that the splenic infarction is small further confirms this view.

So I think the patient's spleen can be preserved, no need for splenectomy. Quan Xiaocao said firmly.

What if thrombosis worsens after surgery? Zheng Ren asked.

Interventional angiography, place a catheter to dissolve the clot. Quan Xiaocao said without hesitation, "The damaged area is not large, during surgery we can..."

As it turned out, she even knew this; listening to Quan Xiaocao describe this extremely rare follow-up treatment, Zheng Ren drifted off in thought.

Little guy, you've grown up so fast.

While thinking, Zheng Ren pressed sterile gauze on the incision, disinfected the surroundings, then covered the incision.

Xiao Cao, not bad! Zheng Ren praised.

Quan Xiaocao heard Zheng Lao Ban praise her, a glint flashed in her eyes.

Alright, send the patient back. Zheng Ren said, "Splenic infarction shouldn't be a big problem; if any unexpected situation arises, find me immediately to handle it."

Mm. Quan Xiaocao nodded vigorously.

Zheng Ren glanced at Xiao Cao, feeling Su Yun wasn't just messing around. Xiao Cao belongs to the type of doctor with extremely solid theoretical foundation, decent hands-on ability, but lacking in psychological development.

Put bluntly, it's stage fright.

Letting her assume she's herself, it really works quite well.

Lao He, how's Brother Feng's side? Zheng Ren stepped off the stage, tore off the sterile gown and threw it into the big red sterile waste bin, then asked casually.

Complete blood count, cardiac enzymes, and other lab tests; imaging including head CT and transthoracic echocardiogram—all normal. Lao He said bluntly.

Why check a head CT?

Yun Ge'er said there are nausea symptoms, not ruling out possible cranial complications. Lao He said.

Zheng Ren nodded, walked out of the operating room.

Blood pressure 81/52 mmHg, heart rate 41/min, Yun Ge'er already gave targeted treatment, intravenous norepinephrine, and also a dose of atropine.

When I left, I looked at the ECG monitor; the atrioventricular block had changed from third-degree to second-degree.

Has the heart rate changed? Zheng Ren asked.

No significant increase.

Zheng Ren pondered; in adults, atrioventricular block most commonly occurs in myocardial infarction patients. Unlike children, who often develop AV block for various reasons. Feng Jianguo's ECG shows no myocardial infarction, but the QRS complex is narrowed—this point Zheng Ren has never figured out what it means.

He silently changed clothes; Lao He saw Zheng Lao Ban looking worried, and cautiously followed beside him.

There's a problem, an inexplicable AV block. Zheng Ren clearly remembers that Feng Jianguo's system panel was previously very healthy, and this AV block's symptoms are also atypical; dizziness can be said to stem from insufficient blood supply.

Then what about nausea? Quan Xiaocao said Feng Jianguo self-diagnosed as acute gastrointestinal dysfunction caused it. A doctor's self-diagnosis, especially a gastroenterology surgeon diagnosing their own illness, certainly has basis.

Such baseless speculation... Zheng Ren doesn't really believe it.

What disease presents mainly with gastrointestinal dysfunction and also sudden AV block?

Zheng Ren thought of two obscure diagnoses, but then fell silent. The system panel already confirmed there's no gastrointestinal issue; he had gone off track.

Again encountering this situation, Zheng Ren also felt helpless. Big Pig Trotter said things unclearly and vaguely; the rest is up to me to guess.

He finished changing, slowly walked out of the operating room changing room. Lao He remained silent, wearing a white coat, with shoe covers on his slippers, following behind Zheng Lao Ban.

Zheng Lao Ban was deep in thought; Lao He somewhat couldn't understand, Feng Jianguo is a typical AV block, why bother thinking? What is Zheng Lao Ban pondering?

But he still didn't speak, just followed along honestly.

Lao He.

Eh.

Help me ask whether the head of the gastroenterology department is hospitalized or resting at home.