Chapter 824: 812 Let Me Go Back

Clinically, hepatic magnetic resonance diffusion is rarely performed. Or rather, it's not that it's rare; it's almost never done.

Director Luo must have read that article in the New England Journal, knowing that magnetic resonance diffusion can be used to determine the puncture site.

But he still wasn't entirely sure, so he needed to hear it directly from Zheng Ren to believe it.

"Thank you for your help, Director Luo." Zheng Ren said: "After the examination today, if there are no surgical contraindications, we can perform the surgery tomorrow."

Because magnetic resonance diffusion is not a routine examination, patients generally do not bring the relevant films when they come to the 912 clinic for consultation, so we need to take a film first before deciding on the surgery.

Previously, the patients admitted by the Intervention Department were all outpatients who, after finishing their clinic visit, were not hospitalized first; they were sent to the outpatient department to undergo magnetic resonance diffusion, and whoever finished first would be admitted first. This way, we can try to shorten the hospital stay as much as possible.

Director Luo raised his head, glanced at Zheng Ren, and asked: "You're quite familiar with Director Chu, aren't you?"

"I met him when I first came to the capital; Director Chu has taken good care of me." Zheng Ren said.

"Then go find Director Chu, take the patient and find some time today to do the magnetic resonance diffusion; tomorrow we'll do the surgery. Remember to let me know, I want to see Boss Zheng's skills." Director Luo said.

"Okay." Zheng Ren nodded.

He wasn't being polite, and he didn't have any inappropriate reaction to Director Luo asking him to bring the patient for the examination.

Since Director Luo has already said this much, if Zheng Ren were still unsatisfied, that would be going too far.

"Go find Director Liu and have him bring you to see the patient." Director Luo said.

Zheng Ren and Director Luo exchanged phone numbers and WeChat contacts, and then they left the director's office.

Director Liu? The inpatient chief of the Department of Gastroenterology is surnamed Liu.

Zheng Ren thought to himself, came to the door of the doctors' office, and knocked.

"Is Director Liu in?" Zheng Ren asked with a friendly expression.

"That's me. What do you need?" A short, plump female doctor in her thirties looked up at Zheng Ren and asked.

"Hello, I'm Zheng Ren from the Intervention Department. Director Luo asked me to come see you about a patient with end-stage cirrhosis and portal hypertension who was admitted yesterday." Zheng Ren said.

"Oh, you're Boss Zheng." Director Liu said enthusiastically: "Please come in, please come in."

Zheng Ren walked in, wearing a smile, behaving extremely gently.

"The patient is a 60-year-old woman with a history of cirrhosis for over thirty years; her liver is now severely atrophied, but her liver function is still okay. Here are the various indicators; Boss Zheng, take a look." Director Liu found the medical record and handed it to Zheng Ren.

Looking at the lab report, that's indeed the case. The patient's liver function is worse than normal, but it won't affect the surgery.

"How much ascites?"

"Here is the abdominal CT scan; take a look." said the plump Director Liu.

Zheng Ren inserted the film into the viewer and propped his chin to examine it.

After acquiring the passive skill "Reconstruction," Zheng Ren himself could determine the puncture point from a simple abdominal CT plain scan.

But if it's not systematic, it carries a strong personal style.

In other words, no one else can follow Zheng Ren's method to determine the puncture point for TIPS surgery; it has an irreproducible nature.

Irreproducible means it cannot be popularized.

On the film, the patient's liver shows a volume reduction of about one-quarter, the spleen is enlarged, and one can see the image of dilated gastric venous plexus.

For this degree of cirrhosis, the amount of ascites is not considered large, and the patient has it well under control.

"A month ago, the patient came to the local hospital after vomiting blood and received emergency resuscitation. After the condition stabilized, the patient's family came to our hospital for consultation." Director Liu began to introduce the patient's medical history.

Zheng Ren just listened, carefully analyzing the patient's condition.

Actually, for simple end-stage cirrhosis and portal hypertension, Zheng Ren could completely delegate the work to others and only be responsible for the surgery himself.

But having just opened up the situation, Zheng Ren didn't want to leave Director Luo with an impression of arrogance.

Moreover, the most important thing is that Zheng Ren doesn't feel at ease.

After being a doctor for a long time, Zheng Ren belongs to the type of person whose dog's belly can't hold two taels of sesame oil. As long as the patient has any unresolved problem, he can toss and turn and sleep poorly at night.

Like those difficult and miscellaneous diseases, the patient's presentation appears to be one illness but is actually another. Whether to operate or not, he first analyzes it himself, then compares it to the system template, striving to be as flawless as possible.

After hearing Director Liu's report, she then took Zheng Ren to the ward to see the patient.

Just as they entered the ward, Zheng Ren heard an elderly woman say: "Son, our family doesn't have much money; seeing a doctor in the capital must be expensive, right?"

It was a white-haired old man on the phone, looking at least ten years older than his actual age.

"Why don't we go back? I'll take some Chinese medicine and will get better soon."

The old lady said this while trembling.

Just as she finished speaking, a roar came from the phone beside her ear.

What exactly was said, Zheng Ren didn't hear clearly.

But the old lady was obviously frightened; she wasn't that kind of stubborn person, merely listening silently to her son's words, her head slightly bowed, her grayish-white hair disheveled, sunlight filtering through, black and white distinct, like a bunch of withered weeds.

Doctors generally don't get involved in such household matters, unless they encounter extremely special circumstances.

Zheng Ren kept a gentle smile, stood with Director Liu at the head of the bed, waited for the old lady to hang up the phone, and then began the interview.

At first, Zheng Ren didn't ask directly, but chatted with the old lady about everyday matters—such as where her hometown was and how many people were in her family.

The old lady's emotions quickly calmed down, as if she had found someone to confide in, and she chatted on and on with Zheng Ren about many things.

Director Liu was a bit anxious; there was still a pile of work undone on that side, and if they lingered here for half an hour, all the work would be delayed.

Sensing Director Liu's mood, Zheng Ren smiled and said: "Director Liu, you go ahead and get busy; I'll chat with the auntie for a while."

"Mm-hmm." Director Liu nodded repeatedly, "Sorry, Boss Zheng, I really have too much work on my end."

"You go get busy; after I finish asking here, if any examinations are needed, I'll come find you."

Director Liu apologized and hurriedly slipped away.

Zheng Ren also had nothing else to do, so he continued communicating with the patient.

Back in Haicheng, this kind of work was always done by Chang Yue. But when he first started dealing with the 912 Department of Gastroenterology, Zheng Ren still did it himself.

Soon, Zheng Ren understood the patient's situation.

Her husband had died early; she raised a child on her own. The child didn't do well in studies, entered society early to make a living, and often got into trouble.

When she first found out she had hepatitis B, she also didn't go to Hospital for treatment, just shared a bowl of rice with the child to avoid infecting her son.

More than ten years later, signs of cirrhosis appeared. Because of family financial constraints, she still did not receive treatment, only intermittently taking oral medication to control the hepatitis B virus activity.

As the condition progressed, she didn't realize it. When she had ascites, she still thought it was just because she had gained weight, making her belly big.

It wasn't until a month ago that one day she suddenly vomited blood, only then was she hospitalized for emergency rescue, and incidentally underwent a full examination.

Diagnosis was late-stage cirrhosis with portal hypertension accompanied by a large amount of ascites.

After a period of treatment, the ascites improved considerably. Her son began seeking doctors and medicine everywhere, and finally found the 912 Hospital.

She had been waiting for a bed for nearly a month before finally being admitted.

The old lady, seeing Zheng Ren's kind face, took his hand and chattered, "Child, my son isn't married yet. I can't earn much money, but I do have some savings; however, this hospitalization is also too expensive..."

"Auntie, it's fine; you can get partial reimbursement when you go back, depending on the local medical insurance policy." Zheng Ren comforted her.

"I'm fine, Doctor; please tell my son later that I'm okay and let me go back." When money was mentioned, the old lady started wiping her tears again.

"Ugh..." Zheng Renye couldn't do anything; this is a systemic societal project—what can I do?

Perhaps we could save some expenses for the old lady through Surgery live broadcast.

Let's give it a try, though many people cannot accept Surgery live broadcast.

Lu Xun once said, upon seeing short sleeves, immediately thinking of white arms, immediately thinking of naked body, immediately thinking of ###, immediately thinking of ##, immediately thinking of crossbreeding, immediately thinking of illegitimate children. The Chinese imagination can advance only at this level.

This is the old gentleman's discourse on the cheongsam; even though over a century has passed since the Republican era, it still looks timeless.

As for Surgery live broadcast, people will still think that way.

"Mom, I'm here." Zheng Ren was pondering when a rough voice came; Zheng Ren turned his head, and the golden light almost blinded his dog eyes.