The Surgeon's Studio c1-799

by Black Ursa Prime

  After a long afternoon, it was almost time to get off from work.

  While he was preparing for the surgery, Department Chief Kong walked around the emergency ward to take a look.

  It was not like he had nothing to do after exchanging some nuggets of experience with Professor Rudolf Wagner on the rehabilitation of patients with prostate embolism.

  Just as they were about to start the operation, Zheng Ren received a call from Chief Sun. He said that there was a difficult case that he needed the other's help to consult.

  Zheng Ren was especially speechless. What he was afraid of had come true.

  Even if he wanted to refuse, Chief Sun's tone sounded very urgent. He did not sound like his usual pretentious and overly polite self.

  From the tone of his voice, Zheng Ren could tell that the matter was very urgent.

  He could only ask the patient to wait for a while so that things could be discussed later.

  That bastard Su Yun insisted on having two drinks with Department Chief Kong at noon. Although it had already been three to four hours since then and the other was a heavy drinker, Zheng Ren still did not dare to take the risk of letting him perform the surgery alone.

  Twenty years ago, it was not unheard of for someone to go on stage and perform an appendectomy from the main surgeon's side after drinking too much alcohol. Zheng Ren rejected such nonsense from the bottom of his heart.

  Soon, Chief Sun rushed over with a crying child in his arms.

  "Chief Zheng, Chief Zheng, help me take a look... Please." Chief Sun was on the verge of tears. Anyone could tell just from looking just how fl.u.s.tered he was.

  Zheng Ren was stunned. He had never treated a patient as close as family. The patient was probably someone close to Chief Sun.

  "Who is this?" Zheng Ren asked first.

  "My eleven-year-old grandson. He has intussusception. I went to give him an air enema but he wouldn't open up." Chief Sun's hands could not help but tremble. As he spoke, tears streamed down his face.

  "Hurry this way." Zheng Ren let Chief Sun into the office and began to ask about his medical history.

  The whole family stood in the corridor, the atmosphere somewhat depressing.

  The laboratory test list was very limited. There was only one blood routine and one X-ray done before the failed air enema. Chief Sun said that the blood clotting sample had been sent to the laboratory department but there was still no report.

  When the illness had initially popped up, Chief Sun determined that it was an intussusception based on his many years of clinical experience. Therefore, he brought his grandson to the hospital. After checking the blood routine, they then went to the radiology department for an air enema.

  However...

  Chief Sun had performed over a thousand air enemas in his lifetime and solved countless infant intussusceptions. When he gave his grandson an air enema, he realized that the intussusception in the ileocecal region could not be opened no matter how hard he tried.

  He could treat normal folks but not the ones close to him… The whole matter made him feel so helpless.

  His only other option was to go to a doctor that was technically beneath him. Could he swallow his own pride? He carried his little grandson without hesitation and rushed straight to the emergency ward.

  If there was anyone in Sea City General Hospital or even the entire province that he could trust, it was Zheng Ren.

  The child's belly was swollen up like a balloon. He did not even have the strength to cry. The System's panel on the upper right side of Zheng Ren's field of vision gave an extremely strange diagnosis—intussusception, acute appendicitis, and intestinal parasitic disease.

  That was...

  Were there similar cases? Zheng Ren was in a trance for a moment as he tried to remember.

  Seeing Zheng Ren's serious expression, Chief Sun was almost in despair.

  "Chief... Chief Zheng, how… How is it?" Chief Sun could not even speak properly.

  "We need to operate immediately," Zheng Ren answered immediately.

  Regarding further details, they would talk about it after the operation was carried out.

  For a disease like intussusception that the air enema could not open, surgery was a requirement.

  There were usually no child patients in Sea City General Hospital so Chief Sun himself could step in since he had been working in the clinic for so many years.

  However, what could Zheng Ren do? This was a child...

  Chapter 544 - What A Complicated Intussusception

  Zheng Ren communicated with the previous acute appendicitis patient and the patient's family. When they saw that it was a child less than one year old who was sick, they generously gave the surgery to the child.

  Subsequently, Zheng Ren asked director Sun to find the head of the anesthesiology department to anesthetize the child.

  After all, Chu Yanran and Chu Yan did not have enough experience. The anesthesia for children, especially children under the age of three, was completely different from that for a.d.u.l.ts.

  After getting everything ready, Zheng Ren brought director Sun to the operating theater.

  Director Kong had long heard the messy corridor and the child's childish cries.Find authorized novels in , faster updates, better experience, Please click #'s-studio_%!d(string=16489637605120805)/what-a-complicated-intussusception_%!d(string=51118319410936966) for visiting.

  He was very curious. There were usually few doctors outside of the child. Only a place like the provincial capital would have a specialist outside of the child.

  Haicheng? It was impossible.

  He did not expect Zheng Ren to perform an operation outside of the child... This was also possible.

  Director Sun changed his clothes and carried the child directly to the operating room. After Director Sun left, director Kong asked, "Boss Zheng, you are very knowledgeable. You can perform extra-curricular surgery? "

  "It's not something extra-curricular. " Zheng Ren frowned. He was also a little troubled.

  "Oh? " Director Kong was stunned for a moment.

  "The patient failed to have an air enema. It is considered to be caused by enterobiasis, " Zheng Ren said.

  " ... "

  Although he was not a general surgeon, director Kong knew that it was not easy to diagnose intestinal parasites. Zheng Ren did not even have a CT scan. How could he diagnose encephalopathy?

  And intussusception was the most common cause of intestinal obstruction in children. In most cases, viral infection (usually from the upper respiratory tract) caused the intestinal lymphatic tissue to expand, creating a starting point that caused the proximal portion of the distal intestinal canal to "Expand" , resulting in intussusception.

  Since the air enema could not be opened, he could only open the operation and perform manual reduction.

  This disease had nothing to do with parasites at all.

  Seeing director Kong's hesitant expression, Zheng Ren took out the X-ray dot film that director Sun had left behind.

  It was already dark, so he could not look at the window. Zheng Ren could only raise his neck and look at the film with the light, "Here, in the ileocecal department, we can see the image of the filaments. We can consider whether this is a false image or an overlapping image under fluoroscopy, but we can not rule out the possibility of the image of the intestinal parasite. "

  Seeing the images, director Kong regained some confidence.

  After all, he had been dealing with images all his life. Without the images, director Kong felt like all his martial arts had been wasted.

  Seeing the images, director Kong's eyes narrowed.

  He had seen where Zheng Ren was talking about. It was indeed suspicious, but if not for Zheng Ren's reminder, with director Kong's clinical experience, he would not have been able to determine that it was parasitic disease.

  It was very d
ifficult to push forward, but it was much easier to push backward.

  After confirming that Zheng Ren was right, director Kong thought in the opposite direction and immediately found the theoretical basis.

  "Here, the density on the image is not right, " director Kong said immediately. "I think you are right. "

  "Not only here, but also here. " Zheng Ren pointed to another location and said, "The patient is probably infected with pinworms. The eggs that the patient ingested hatch in the small intestine, and the a.d.u.l.t worms live in the Appendix Area... "

  "Director Zheng, director Zheng, are you done changing? " As he said this, director Sun ran in like his b.u.t.t was on fire.

  He was stunned when he saw Zheng Ren and another person studying the X-ray film.

  What was there to study about that X-ray film? However, out of instinct as a doctor, director Sun subconsciously clicked on an X-ray film after the air enema failed.

  He had also seen this film. It was just a simple intussusception.

  "Let me introduce you. " Zheng ren smiled and said, "This is director Sun from the Second Department of General Surgery of our hospital. "

  Director sun stretched out his hand in confusion. He did not expect director Kong to just nod his head, indicating that he understood.

  "This is director Kong from the Department of Interventional Surgery of Capital 912 hospital. "

  Director Sun quivered for a moment.

  912 hospital was the top military hospital in the country. It was also the top large-scale tertiary grade a hospital in the country.

  The slight disp.l.e.a.s.u.r.e from before had dissipated like smoke. Even if there was, he did not have the time to care about this now.

  His little grandson was under anesthesia. He needed to operate on him. How could he have the time to care about the attitude of others towards him.

  "Director Sun, both director Kong and I suspect that it's an intestinal parasite disease. After the surgery, look for the director of the pathology department to take a look. If it's a parasite, you'll need to take the corresponding insecticides after the surgery, " Zheng Ren said.

  Director Sun was a little puzzled and also a little lost.

  But since Zheng Ren said so, then no matter what he was asked to do, he would definitely agree

  "Boss Zheng, your diagnostic skills have left me far behind. " Chief Kong smiled. He was neither jealous nor envious. He was only stating a fact.

  Zheng Ren shook his head, changed his clothes, and went to the operating theater with the two chief physicians.

  Chief Sun wanted to scrub his hands and go on stage, but his hands were trembling slightly. It was obvious that he could not perform the surgery.

  Zheng Ren pressed on director Sun's shoulder and said, "Director Sun, you can watch the stage. "

  After he said that, he shouted, "Su Yun! "

  "What are you doing! " Su Yun's voice was heard from the waiting room inside.

  This guy had been taking a break after the heart surgery because he had drunk some alcohol in the afternoon. Anyway, Cao Guozhen was watching over him, so there would not be a problem.

  "Scrub your hands and go on Stage! " Zheng Ren saw that the head of the anesthesiology department had already given general anesthesia to director Sun's grandson, so he went straight to scrub his hands.

  Scrub his hands, disinfect them, and lay out the sheets.

  Zheng Ren and Su Yun worked together to quickly prepare for the surgery. After that, they disinfected their hands, put on their clothes, and wore sterile gloves.

  The shadowless lamp's light was very bright and somewhat dazzling.

  "Boss, what is the surgical method? " Su Yun asked.

  "Laparotomy. "

  Su Yun's eyebrows furrowed slightly, but she did not say anything.

  Right lower abdomen, incision next to the rectus abdominis, 5cm.

  For an a.d.u.l.t, 5cm was a small incision. But for an 11-month-old infant, this incision was already very big.

  At the same time, the Apricot Garden's live broadcast room was opened.

  [ the surgeons are becoming less and less attentive. The number of live broadcasts is so few. ]

  [ it sounds like you're broadcasting the appendicitis surgery every day. ]

  [ needless to say, today's surgery is really appendicitis. No, why are there still intussusception and intestinal parasites? ]

  The doctors who came in at the first moment released their hand speed and chatted with bullet screens while looking at the patient's medical history.

  After that, everyone's interest was piqued.

  Infant, 11 months old. Air enema with intussusception was ineffective. They even diagnosed intestinal parasites.

  Such a complicated disease was still such a young child. The difficulty of the surgery increased exponentially.

  [ it's so strange. How did the surgeon see the intestinal parasites? ]

  [ isn't there a dot in the data after the enema? I think it was diagnosed based on the image data. ]

  [ no, that dot... I'm in the video business. I'll go take a closer look. ]

  In the live broadcast, the operator raised his hand, and the knife fell. A small amount of blood was dipped, and the electrocautery stopped the bleeding. The blunt separation was done. The operator's cooperation with the assistant and the scrub nurse was as smooth as flowing water.

  Chapter 545 - Village Fluoroscopy Miracle Doctor

  With the protection of the peritoneum, Zheng Ren opened the peritoneum of the small patient.

  A ball of twisting intestines appeared in his field of vision. At the place where the twisting was relatively tight, there were already signs of paleness and ischemia.

  Initially, director Sun was still behind Zheng Ren, looking at it from the perspective of the surgeon.

  When he saw the signs of ischemia in the intestines, his head suddenly became dizzy and his body swayed twice.

  "Yanran, help director Sun. " Su Yun had long noticed director Sun's pale face.

  "Push 20 ml of high sugar for him. " It was rare for Su Yun to not open her mouth to spray. Instead, she asked the circulating nurse to give director sun some energy.

  Zheng Ren slapped the sharp knife in his hand to the side of the patient's leg and began to stroke the intestines with both hands.

  His movements were very careful and gentle.

  Intussusception intestinal obstruction was not a serious illness in itself, and manual reduction was especially easy. Unlike patients who had undergone multiple abdominal surgeries, the intestinal tract in the abdominal cavity was in a mess, and it required extremely sophisticated techniques to be able to dissociate and decompose.

  Even Zheng Ren, who had such a high difficulty level, could handle it easily, not to mention the one in front of him.

  In less than a minute, the intussusception was released.

  Zheng Ren stretched out his hand, and a large wet, half-dry gauze pad covered the intestinal tract.

  "Wait a moment, let the intestinal tract restore blood supply, " Zheng Ren said.

  "Boss, what disease do you suspect? Why are you still performing a laparotomy? " Su Yun asked curiously.

  "Intestinal parasites, probably bred in the Caec.u.m, " Zheng Ren said.

  "The country widow and the godly doctor of fluoroscopy told you that you shouldn't read such online novels. If you read too much, your IQ will drop, " Su Yun said disdainfully.

  "Director Kong and I both think so. "

  " ... " Su Yun was itching with hatred.

  Zheng Ren was digging a hole for himself to jump into.

  He could scold Zheng Ren, but the directors of Imperial City were the same generation as Su Yun's teacher. He did not want to offend them.

  If there was a meeting, the teacher would lead him to the front and find that the director across from him had been scolded..

  Su Yun still had a sense of propriety. However, other than Zheng Ren, there was no one else in sea city who could keep a sense of propriety
.

  Of course, director Pan was an exception.

  As for Zheng Ren... if he did not scold him, he would always feel uncomfortable.

  Director Kong stood at the side and smiled. "If it wasn't for boss Zheng's reminder, I wouldn't have noticed the possibility of intestinal parasites. "

  Su Yun was speechless. She lowered her head and looked at the large gauze pad with warm salt water, as if there were flowers embroidered on it.

  In the Apricot Grove live broadcast room, bullet screens flew everywhere.

  The intermission period of this kind of surgery happened to be the time for the doctors to communicate.

  [ how did the operator determine that? Why didn't I see it? ]

  [ that can only prove that your skill level is low. I just sent the dot image to elder Lin at the imperial capital hospital. Unfortunately, it's not available for download here. There's a small problem with the pixel. ]

  [ there were two cases reported by the University of Kansas Medical Center and Columbia University Medical Center three and five years ago respectively. Both were cases of infants who had failed to have an air enema and had their stomachs opened and found parasites in their caec.u.m. ]

  [ huh? What Article? I will go to the database to search for it. ]

  [ The Journal of Pediatrics, Time... you find The keywords yourself. ]

  Those who could go to Apricot Forest Garden were a group of energetic doctors who were eager to learn and willing to study.

  In the whole country, there were not many of these doctors. At the very most, there were only a few thousand of them. Moreover, the vast majority of them were gathered in imperial city, Shanghai, and other high-level tertiary grade A hospitals.

  After all, a small hospital like Haicheng City's first People's Hospital had learned so many things, but there was no room for them to display them. Local Tertiary Grade A hospitals still focused on the diagnosis and treatment of common diseases.

  This was determined by the nature of the hospital, and it had to do with the genes of the hospital.

  For example, Concorde, a huge database, was an existence that made all doctors who wanted to improve envious.

  Legend had it that there was an old man in his eighties or nineties who went to see a doctor in Concorde, saying that he had never been to Concorde. However, when the nurse entered the information, it immediately popped up that the old man had gone to see a doctor in Concorde in 1950. The information was detailed.