The Surgeon’s Studio Chapter 798 - Hospital Consultation

Chapter 798: Hospital Consultation

Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
After returning to the department, Zheng Ren and Su Yun changed their clothes and walked around the ward first.
Six beds… Compared to Sea City General Hospital, they were much shabbier.
Zheng Ren suddenly had a thought. If he returned to Sea City, the entire emergency building would be renovated, and there would be at least a hundred beds. If he worked hard every day to perform 20 TIPS surgeries a day, it would be 600 a month. A few months would be enough.
However, this was just a thought. Zheng Ren did not take it seriously. If he really went back to Sea City, how could there be such a large number of patients?
The deputy director of the Second People’s Hospital bragged that there were as many patients as he wanted. However, after doing it a few times, the patients could not keep up.
The patients in the ward were very stable after the surgery. Their symptoms had already made a preliminary improvement.
Professor Rudolf Wagner was focused on organizing the relevant documents and information. Zheng Ren went to look through the documents and felt that he was like the foolish son of a landlord.
However, with the professor and Su Yun handling these matters, he felt much more comfortable. If they were all depending on him to do it, the sky would fall.
However, Zheng Ren’s mind was filled with the scene of the Emergency Department causing trouble, and he could not get rid of it.
Zheng Ren felt a sense of sorrow. He sympathized with the Emergency Department’s pediatrician and nurse staff for their unexpected disaster.
As he was thinking, his phone vibrated–the ringtone was very low.
He took it out and saw that it was Chief Qi from the Ultrasound Department.
“Boss Zheng, are you in the department?” Chief Qi answered the call and asked directly.
“Chief Qi, I’m here.”
“Genitourinary surgery, conference room, and the entire hospital’s here for consultation. Are you here to take a look?” Chief Qi said.
“Okay, I’ll go up now.”
After he finished speaking, the call had already hung up.
The department’s chief was an authoritative figure.
Whether it was Concorde, 912, Peking University’s First, Second, and Third departments, or the Eastern and Western hospitals, there were countless god-level figures in the Imperial Capital.
Every department’s chief was able to reach the top successfully. Their own skill level was naturally very high, and they had countless helpers behind them.
To be able to obtain the approval of any chief was considered to have reached the sky in one step. It was just like how Zheng Ren could get Director Kong’s approval and be transferred to 912. The moment he arrived, he received the treatment of a group of professors and was given six beds.
‘Chief Qi treats me quite well. It’ll be easier for me to gain a reputation during the consultation of the entire hospital,’ Zheng Ren thought.
‘Hurry up and go. I don’t know what illness the consultation of the entire hospital is.’
‘Genitourinary surgery… I’m really not very familiar with that.’
During the trainee for patients with liver hydatidosis, he clicked on an intermediate skill book to improve his surgical skills on the Department of Genitourinary Surgery.
However, this was not enough.
Zheng Ren did not think that he could say anything during the consultation of the entire hospital in the Department of Genitourinary Surgery. He reckoned that it was Chief Qi’s guidance that allowed him to show his face in front of all the chief physicians and the professors in charge of the household.
This was a great favor, and Zheng Ren knew it.
Without wasting any time, Zheng Ren took the elevator and went straight to the Department of Genitourinary Surgery. Su Yun did not follow him. If he brought his assistant at this time, how arrogant would he be? He was afraid that if he went in, he would be despised by all the chief physicians.
At the entrance of the surgical demonstration classroom of the Department of Genitourinary Surgery, Zheng Ren gently knocked on the door, then pushed the door open and entered.
More than a dozen people were sitting in the room. In front of them was a projector with the patient’s information on it.
Seeing Zheng Ren enter, Chief Qi and Chief Miao of the Department of Genitourinary Surgery waved at him at the same time.
Zheng Ren was stunned for a moment. Then, he bowed slightly to Chief Miao and sat down next to Chief Qi.
He had just entered, and he already had such a difficult multiple choice question?
What was the meaning of this? Zheng Ren was in a daze.
“This is the medical record. Take a look first,” Chief Qi said. “If you know a little bit, say a few words. If you’re not, just watch from here.”
Zheng Ren understood the meaning and nodded.
The patient was a 23-year-old female patient. Because she did not menstruate, she was infertile and came to Imperial Capital to see a doctor. In the end, she discovered an adrenal tumor.
As soon as the opening chapter began, Zheng Ren was drawn by the special case.
A 23-year-old who had never had menstruation before knew how to treat a disease? How sloppy was that?
After taking a closer look, Zheng Ren realized that the patient was a woman from another city. She had not been pregnant since she got married. She came to Imperial Capital to see a doctor, and only then did she know that she had never had menstruation.
Abdominal Color Doppler imaging revealed that the right adrenal region was an echo tumor. The size was about 6.5cm by 6.4cm.
Abdominal contrast-enhanced CT scan revealed a mass of low-density of the right adrenal area, about 6.54 cm in size. Contrast-enhanced CT scan revealed that there were many blood vessels in the lesion, and the venous phase was quickly cleared. Adrenal tumors were considered.
Various test sheets were also relatively complete. Testosterone, androstenedione, dehydroepiandrosterone sulfate, blood cortisol, and adrenocorticotropic hormone were all on the high side.
This should be a disease for the Department of Endocrinology, but there was an adrenal tumor, so they came to the Department of genitourinary Surgery to be hospitalized and prepared for excision.
This kind of relatively complicated disease was different from simple trauma.
Zheng Ren had some understanding of Chief Miao of the Department of Genitourinary Surgery. His surgical techniques were quite good.
A kidney invaded by cancer could almost perfectly be excised, and the hydatid vesicles were stripped clean. This level was already very high. Using the System’s judgment, it was at least at the Grandmaster level.
However, the patient’s disease was not that simple.
One had to know that the position occupied was the adrenal gland.
Zheng Ren had encountered patients with liver cancer accompanied by adrenal metastasis. During the operation, the adrenal gland metastasis was embolized, and the patient’s blood pressure suddenly dropped.
After touching this endocrine organ, there would be unexpected changes.
This was especially so for this woman whose condition was very complicated. It was not something that could be simply removed by excising the adrenal tumor.
Zheng Ren looked at the medical record and gradually became stunned.
At this moment, the doctor from the Endocrinology Department was giving his opinion. He were in his forties or fifties. His speech was very melodious.
Zheng Ren read the medical record while listening. What he meant was to consider the possibility that the tumor on the right adrenal gland was a cortical source, with the exception of adrenal cortical carcinoma.
The patient’s cortisol level was currently elevated. During the perioperative period, he should closely monitor the changes in vital signs, electrolytes, and mental state, and also give her glucocorticoid supplementation therapy.
He followed the rules, and there was nothing wrong with the treatment and judgment.
“Little Zheng, can you find the problem?” Chief Qi asked in a low voice.
Zheng Ren asked, “Is there a physical examination in gynecology?”
“…” Chief Qi was stunned.
“I’m thinking that it’s not a simple adrenal disease. It’s just a change in the adrenal gland.” Zheng Ren whispered. “I’ll think about it again.”
“It’s not a simple adrenal occupation disease. You’re also thinking about it?”
“Huh? Who’s also thinking about it?” Zheng Ren’s interest was piqued. It was just a sudden thought. He thought that this disease might be similar to a rare disease, but it was just a thought. He did not dare to talk nonsense in this kind of situation.
“I said it in the kidney,” Chief Qi pouted and said.
“What did Chief Qi think about it?”
“She’s not very sure. She just said that it might be a disease caused by a hydroxylase deficiency.”
“21-hydroxylase deficiency?!”