"Drinking on an empty stomach is indeed prone to stomach stones." Director Wei said, "So now I want to take two sips and eat something. Cold wine hurts the lungs, hot wine hurts the liver, and no wine makes me sad."
"Director Wei, please ignore him. If he doesn't drink, he keeps talking about how drinking is not good." Su Yun glanced at Zheng Ren with disdain, the disdain in his words was clear.
"The patient is 45 years old. He complained of upper abdominal discomfort for 2 months. He recently developed stomach pain and took some oral medicine. He couldn't tell what he took. But the symptoms have not improved. In the past two days, black loose stools have appeared again. When the hospital checked, they were shocked.”
Director Wei quickly changed the topic from drinking.
"Have you taken sodium bicarbonate orally?" Zheng Ren asked.
"After being admitted to the hospital, I took sodium bicarbonate orally, but the effect was not good. There was white coating on the stone of the gastric calculus, which could not be melted away at all." Director Wei said: "I went to the endoscopy room early in the morning to try lithotripsy, but it couldn't be used at all. It took no effort. Finally, after consultation with the family, we decided to perform surgery to remove the stone."
"Tsk, tsk, awesome." Su Yun praised.
I don’t know if I’m talking about rocks or something else.
Director Wei was a little slow in putting on stockings, especially when talking to Zheng Ren and Su Yun, the speed was even slower.
Zheng Ren saw that Su Yun was eager to give it a try, but in the end he held back.
He had a bad association in his mind. It seemed that Su Yun had worn... or had stockings worn by others? It looks like he should be very skilled.
Forget it, I was angry just now when I talked about drinking. If I talk about stockings again, will I fall out
It's better to be honest for a while, Zheng Ren just smiled.
"Director Wei, do you also wear elastic stockings at the viewing platform?" Zheng Ren asked.
"The great saphenous vein is no longer working, and I don't want to do surgery."
"Why?" Zheng Ren felt a little surprised.
"Mao Chi from the Vascular Department, he is also called a surgeon? The surgery is not good at all." Director Wei said with disdain.
He was scared and said that Director Mao's surgery was not good. Zheng Ren immediately knew the essence of the problem.
Director Mao Chi's surgery was very good.
Besides, even if it doesn't work, he is the director of vascular surgery at a large tertiary hospital like 912, so he can still perform a great saphenous varicose vein surgery.
You know, this is almost the smallest operation in vascular surgery.
Even if we can't take this away, 912 would be better to shut down the vascular surgery department.
But Director Wei would rather go through the trouble of wearing stockings on stage every day than undergo a "minor" surgery.
Zheng Ren thinks Director Wei is a bit cute.
Seeing the expressions of Zheng Ren and Su Yun, Director Wei sighed, raised his head and said, "Look."
There was a surgical incision of about 8cm on his neck. It has healed well and the scars have become very fine, especially as you age and your skin becomes looser. The incision is barely visible behind the skin.
This location is the incision for thyroid surgery.
Zheng Ren and Su Yun both realized it immediately.
"When I was on duty many years ago, I was correcting medical records and rubbing my neck with my hands." Director Wei said with a smile: "I suddenly felt an adenoma growing on the thyroid gland. This guy was already quite old at that time. At that time, I felt Suddenly, I thought it was over."
"Male, solitary, thyroid cancer is more likely."
Zheng Ren looked at Director Wei with a smile.
Thyroid cancer, except follicular cancer, should not be excluded from the list of cancers. Commercial insurance no longer reimburses the disease, and the international medical community is no longer prepared to call it cancer.
And Director Wei is sitting here properly, which proves that the result must be okay.
"Later I went to the Glandular Surgery Department for surgery. At that time, thyroid surgeries were still done under intensive local anesthesia." Director Wei said in a long-winded voice: "I was still a junior doctor, and I also rotated in the Glandular Surgery Department, and worked with patients. It’s so simple to explain.”
He made a gesture and said: "Tilt your neck back and hold on for half an hour."
"Yeah, what happened to you at that time?" Zheng Ren asked.
"When I came on stage, the anesthesiologist was happy when he saw that it was me. He gave me a cervical plexus anesthesia, and then the old director came on stage and gave me enhanced local anesthesia. The anesthesiologist was still afraid that I would be in pain, so before the operation, he gave me Added half a dose of Dufei."
"What happened next?" Zheng Ren was curious.
"I couldn't stand it after lying there for five minutes." Even talking about it many years later, Director Wei still has lingering fears.
"It was difficult to breathe, my heartbeat was racing, and I felt like I was about to die."
"Is it self-feeling?" Zheng Ren asked.
"Yes, but not entirely." Director Wei said: "My apprentice... Jianguo told me that his heart rate was only 76 beats/min. But I felt that my heart rate was at least 150. After 10 minutes, my voice became hoarse and I couldn't speak. None of it is transparent.”
"That's called Yun Zheyue. Now you can sing. You'll have food to eat!" Su Yun joked.
"Don't be ridiculous. The old director of the gland was frightened at that time. He looked for it for a long time and said that it was far away from the recurrent laryngeal nerve and couldn't be touched. Why did his voice become hoarse?"
"Are you scared? You are really promising." Su Yun said intentionally or unintentionally.
"Who knows, anyway, I almost kicked the instrument table in the end. After I came down, I sat in the ward, drank some water, smoked a cigarette, and asked the nurse to give me a shot of Demerol, and I slept until the next day. In the morning, everything will be fine."
"Director Wei, you can't drink water for 6 hours after the operation. Don't you know?"
"Local anesthesia, what can't you drink?" Director Wei said with a smile: "But after that, I knew that it was really not easy for the patient. Anyone who lay down on the operating table would feel uncomfortable. You have never lied down before, and you must have felt that way. Don’t understand.”
"Tsk, tsk."
"Since then, the root of the disease has fallen into place." Director Wei sighed.
"My heart rate speeds up when I think about surgery." Su Yun said with a smile.
"Absolutely, so let's leave it as it is about the great saphenous vein." Director Wei sighed and said, "It's not fatal, so I'll be careful. This disease is considered an occupational disease, and no one cares about it."
"You still want to report an occupational disease..." Zheng Ren chuckled and remembered something, "Director Wei, for saphenous varicose veins, interventional surgery can be performed. With local anesthesia, you won't feel any pain when you walk back after the operation."
"Ah? Can we still perform interventional surgery?" Director Wei was surprised.
"Ultrasound-guided intracavitary radiofrequency closure is used to treat varicose veins of the lower limbs." Zheng Ren said seriously, "The operation is not difficult. If you are willing, if our vascular department does not carry out it, I can do it for you."
"Does it hurt?" Director Wei asked with a worried look on his face.
"It doesn't hurt, 10 minutes, it will save you half an hour to put on socks on stage." Zheng Ren accidentally told the truth.
But Director Wei didn't seem to notice that Zheng Ren's words were unpleasant, and he hesitated.
"Don't be anxious, just think about it slowly." Zheng Ren went in anxiously to see the surgery for gastric stones and said quickly: "If you want to do it, you can do it at any time. You don't have to fast and drink. It only takes a few minutes. If you have the spirit of dedication, I will contact you. Live broadcast of surgery in Xinglinyuan."
“…”
…
…
Note: Yes, this is my experience.
During the operation, the feeling of loneliness and despair lying on the operating table was really bad.
From then on, I can empathize with the patient and will not think that the patient is being pretentious. Because that feeling is really uncomfortable.