Chapter 778: with translation of chapter title
"I know, Director Kong took one bed from each Team-leading Professor, he himself contributed two beds, giving us a total of six Bed Positions. Offending people is certain, but as long as we don't provoke him it's fine." Zheng Ren knew the situation; as soon as he arrived he had a Bed Position, he would definitely offend people.
In Di Du, Bed Positions are precious; just look at the crowds waiting outside for hospitalization and you'll know.
If Director Kong were here, with him suppressing things, it would still be okay to say a few things.
But now Director Kong is not at home, encountering minor bumps is entirely possible. He didn't even consider Professor Zhao's true thoughts; this seems off.
"Then you still agreed? Are you stupid?" Su Yun said contemptuously.
"Let's take a look, just in case there might be a way?" Zheng Ren smiled.
"Boss, although you're from General Surgery, for something like hepatic hydatid disease, if you can avoid involvement, do so; it's too difficult." Su Yun warned.
Zheng Ren nodded.
Su Yun knew what Zheng Ren was thinking; at Haicheng Shi Yiyuan Jizhenbingfang, it had become a habit: if there were emergency patients, he would go take a look, and he would surely do his utmost.
However, this matter had a strange air about it.
Could Professor Zhao easily back down? Zheng Ren didn't know, nor did he want to waste energy guessing. But Professor Zhao had him go see if hepatic hydatid disease could be treated with interventional surgery; the intention was too obvious.
Su Yun took out his phone, dialed a number, and said, "Let me ask."
Soon, Su Yun got through on the phone. He glared at Zheng Ren and communicated softly with the other side.
That side seemed busy; after saying a few words hastily, they hung up.
"The patient was dumped at the entrance of the Inpatient Department, you know that?" Su Yun asked.
"I know."
"Originally Professor Yang Rui was preparing to see if a liver transplant could be done, without mentioning hospitalization fees, and there wasn't even anyone to sign the pre-op consent forms, making General Surgery quite troubled. Later they reported to the Medical Department, awaiting results, when the patient developed anaphylactic shock." Su Yun said, "They're currently resuscitating; a hospital-wide consultation is underway, and it really has nothing to do with interventional procedures."
No matter how much one thinks, it's better to just take a look. Zheng Ren nodded and said, "Go see when the young patient's mother comes out."
"Oh? Quite affectionate, already bonding with the kids so quickly?" Su Yun glanced at Zheng Ren, trying to squeeze out a smile, but ended up walking away expressionless.
Seeing Su Yun enter the ultrasound room, Zheng Ren apologetically said to Xie Yiren, "Yiren, you go back first for now."
"No." Xie Yiren gave Zheng Ren an unexpected answer.
The gentle Xie Yiren, in Zheng Ren's impression, would say yes, but rarely say no.
Zheng Ren was surprised.
"Don't think you can ditch me like last time." Xie Yiren said firmly, gripping Zheng Ren's hand slightly, as if afraid he might run off again.
"Alright, let's go together then." Zheng Ren was only worried that Xiao Yi Ren would suffer, but seeing her persistence, there was no need to say more about it.
Soon, the young patient's mother came out. Zheng Ren hurriedly sent a QQ message to the little boy.
The little boy instantly closed his phone, the flickering light disappeared; he emerged a bit regretfully from the corner, giving Zheng Ren a thumbs-up.
Zheng Ren nodded and smiled.
"Mom, I'm here." The little boy ran over and took his mother's hand.
The two walked away talking; when they were about to turn the corner, the little boy looked back, made a funny face at Zheng Ren, then disappeared.
Zheng Ren looked at that thin little back and that mischievous funny face, his mood somewhat complicated.
"Let's go, Boss." Su Yun ran after him and said, "Director Qi said to go directly to him tomorrow for the puncture."
That's good; Zheng Ren's heartfelt stone fell to the ground.
This is Hospital 912; I'm almost completely in the dark.
They said it was an outpatient minor procedure; at Haicheng Shi Yiyuan, I could just open an emergency operating room, borrow a puncture needle and puncture gun, and do it with emergency ultrasound. But at 912, one can't be so casual.
Since Director Qi agreed to the puncture, the remaining matters are much easier to handle.
Zheng Ren saw Director Qi walking out from afar, bowed, and then he and Su Yun hurried straight to the General Surgery Department.
As they walked, Zheng Ren recalled hepatic hydatid disease.
As the name suggests, this is a parasitic worm disease, common in Qinghai, Gansu, Tibet, etc., and rarely seen elsewhere.
Zheng Ren had only seen one case of hepatic hydatid disease in Haicheng, a fairly simple lesion; back then he couldn't even perform surgery. The surgery Liu Tianxing did, according to Zheng Ren's estimate, was only about 70% complete. Even so, Liu Tianxing bragged about it for half a year.
The surgical difficulty is extremely high, but it shouldn't stump the doctors at Hospital 912; Zheng Ren has been rather confused about this.
Soon, they arrived at the Gan Dan Wai Ke.
Originally, the General Surgery Department had already split into Gan Dan Wai Ke, Gastroenterology Surgery, Endocrinology, etc., rather than a single large General Surgery. Zheng Ren still remembered when he came here last year; he happened to encounter a small patient with P-J Syndrome in the Gastroenterology Surgery Department, and then he went up to take a look.
That basin full of intestinal polyps, Zheng Ren still remembers it vividly. However, Haicheng Shi Yiyuan's departmental division isn't that fine, and Zheng Ren still habitually refers to it as General Surgery.
The corridors constantly had figures in white coats rushing about, the air filled with the atmosphere of a major emergency rescue.
A familiar feeling; in just an instant, Zheng Ren sensed his hormone levels rising, his heart rate climbing to 110 beats per minute.
"Dong Jia!" Su Yun shouted at the door of the Emergency Resuscitation Room; his voice wasn't loud, but those inside could hear him clearly.
"Yun Ge'er!" A doctor in his thirties walked out, sweat covering his forehead.
"How is it?"
"What are you here for?" Inpatient Chief Dong Jia, busy and confused, blurted out the question.
"Impressive, a major rescue and you're panicking? My boss came to take a look and explain the situation." Su Yun said disdainfully.
Dong Jia stared in surprise at Su Yun and Zheng Ren standing behind him; these troublesome matters are usually avoided if possible, and who's rushing to deal with them?
However, that side was busy; nurses were pushing medication, he didn't have time to think further, and just spoke directly.
"A young female patient, 22 years old, diagnosed with end-stage hepatic hydatid disease, admitted to emergency today. 45 minutes ago, the patient showed signs of infection toxicity; now they are under resuscitation."
"End-stage?" Zheng Ren asked.
Hydatid disease is a serious zoonotic infection; domestic dogs etc. are the main sources of transmission.
Contact with infected dogs, or ingesting food or water contaminated with worm eggs, are the main routes of infection.
In our country, hydatid disease mainly comprises cystic, vesicular, and mixed cystic-vesicular types; among them, vesicular hydatid disease is the most severe, with high mortality, even called "worm cancer".
If it's end-stage, it means the hydatid worms have invaded at least two or more organs.
Su Yun heard Dong Jia say that, and his expression also became solemn.
「Chest cavity, abdominal cavity, and portal vein all have erosion; Shou Bing is difficult to perform. 」
Dong Jia had no nonsense, saying everything that could be said.
Must perform a thoracoabdominal combined resection to complete Shou Bing. Moreover, involving the portal vein, likely requires the Blood Vessel Department to step up, with multiple departments joining Shou Bing.
Especially, the portal vein needs diversion; this is no small matter.
Why does TIPS Surgery carry such great risk, with clinical doctors still researching tirelessly? Isn't it because the portal odd vein flow-interruption procedure carries even higher risk?
End of Chapter
