"Mr. Zheng." Chang Yue led the little girl and stood in front of Zheng Ren.
Zheng Ren was also very convinced of Chang Yue when he saw that the little girl was not indifferent and fearful, but had a more trusting expression. As long as she is willing, it seems that anyone can become a friend.
It does not matter whether it is the young and "mature" little girl in front of me or the many patients and patients' families in Haicheng back then.
Except for myself, the medical team leader.
It was not without reason that she was driven to the medical office back then.
"It's okay." Zheng Ren was thinking wildly in his mind and said, "I think it's avoidance-restrictive eating disorder. Just correct it."
"What should I do?" Chang Yue asked seriously.
"Now she only drinks porridge every day, which gradually turns into pureed food, such as yogurt, applesauce, and pudding."
"After a few days of adaptation, it will turn into a coarse food puree, such as oatmeal, mashed potatoes, etc. Then you can eat slightly softer solid foods, such as rice, noodles, bread, and potatoes."
"So simple?" Chang Yue looked at Zheng Ren in surprise.
"How simple." Zheng Ren smiled and wanted to touch the little girl's head, but saw her making a slight evasive movement, but he reacted instantly and stopped abruptly.
The stop was abrupt, Zheng Ren took his hand back, not wanting to irritate her.
"When her grandfather comes back and signs the agreement, the old lady will be extubated and go home soon after the operation." Zheng Ren took back his hand and said with a smile: "Seeing the patient get better, her problems will also get better soon. Just now. It’s just minor things, mainly the surgery.”
Although Chang Yue felt that what Zheng Ren said was too simple, after so long, she still had a considerable degree of trust in her boss's diagnosis and treatment of diseases.
Mr. Zheng has said it, so that’s it.
Zhou Litao is busy. I don’t know why tonight, but the emergency department feels like it’s boiling. Patients with minor injuries and illnesses kept coming, and there was no time to entertain Zheng Ren.
Zheng Ren had no intention of staying in the emergency department.
Fang Lin's patient's situation is a bit special. If he really has an operation in the afternoon tomorrow, he will have to do several more trainings in the system operating room.
The completion rate of surgery for such patients is less than 95%, and Zheng Ren does not dare to perform surgery directly. Thinking of so many postoperative complications gave him a headache.
Chang Yue said she wanted to stay with the little girl and watch her eat.
A night of silence.
The next day was the normal ward rounds and operations. After lunch, Zheng Ren sat in his usual place and read in the system library.
At around 1 p.m., Su Yun told Zheng Ren that the patient's son was back.
The two went up to take a look at the situation and saw Xinglinyuan's lawyer discussing relevant legal procedures with the patient's son.
He was probably in his fifties, and his face was deeply wrinkled. It was not just dust and mud, the wrinkles seemed to be mixed with concrete debris.
Whatever the lawyer said, he responded meekly. It seemed that he was still a little afraid of lawyers in suits and ties.
"Get ready for the operation." Seeing that there was nothing wrong, Zheng Ren told Su Yun.
Su Yun saw that the patient's son looked different from what he imagined, but he didn't say anything else. After completing the legal procedures here, Fang Lin made pre-operative instructions and was about to take the stage.
Lao He had already prepared all the anesthesia-related matters. Propofol and analgesics were ineffective during the operation, and all preparations for intubation were in place.
No matter whether Boss Zheng can successfully complete the operation every time, Lao He's preparations are as if something big is going to happen, and he is cautious and walks on thin ice.
Zheng Ren was very satisfied with Lao He's attitude.
One hour and 22 minutes later, Fang Lin sent the patient to the operating room.
Under mask anesthesia, Zheng Ren understood that the biggest purpose of interventional surgery was to preserve the patient's lung function. He took a deep breath to calm down his emotions, then waited for the anesthesia to take effect and started exploring with a fiberoptic bronchoscope.
When the mirror went in, Zheng Ren discovered that the main fistula was in the left superior lobe propria, and there were also small fistulas in the posterior and anterior segments.
After using a balloon to occlude the proper segment of the left upper lobe, he began to observe the chest bottle.
There were fewer air bubbles in the chest closed drainage bottle, but they could not disappear completely. Zheng Ren suspected that there might be a communicating branch in the left superior proper lobe fistula.
Then the bronchoscope continued to be sent inside.
While exploring as much as possible, we should also try to avoid excessive stimulation of the patient's airway.
Zheng Ren felt that it was simply too difficult for him.
This kind of operation still feels a little headache even for him who is at the peak level of intervention level.
Su Yun carefully assisted on the side, and soon discovered that the previously expected air leakage range of the communicating branch ranged from the upper lingual lobe and left inferior lingual lobe of the left upper lobe, the dorsal segment of the left lower lobe, and the medial anterior basal segment of the left lower lobe.
The range is too wide. If all of them are bolted, the patient's respiratory function cannot be guaranteed.
Su Yun stared closely at the pressure waveform of the Charitis system, his eyebrows furrowed tightly.
"Boss, what should we do next?" Su Yun asked.
"The pressure waveform of the Charitis system may have the possibility of false positives. The pressure waveforms of the posterior and anterior segments of the left upper lobe tip in the patient are significantly wider than the other subsegments. The main fistula is undoubtedly confirmed. Confirmation of the communicating branch needs to be combined with other positioning methods. "Zheng Ren said calmly, and then started to do the test.
Su Yun cooperated attentively.
He saw his boss using a balloon to seal the left superior proper lobe, using gelatin sponge to seal the left lingual lobe and the dorsal portion of the left lower lobe, and then looked down at the chest closed drainage bottle.
The blisters in the bottle disappeared. Su Yun immediately explained this to Zheng Ren and ruled out collateral ventilation in the basal segment of the left lower lobe.
Zheng Ren then slowly removed the gelatin sponge from the dorsal segment of the left lower lobe. The blisters in the chest drainage bottle still did not appear, indicating that collateral ventilation in the dorsal segment of the left lower lobe had little impact.
The surgery was done very slowly and carefully, and the observation time was longer than the operation time.
Zheng Ren used a one-way valve to seal the left superior proper lobe, and used gelatin sponge to seal the left lingual lobe. The bubbles in the chest closed drainage bottle completely disappeared.
After about half an hour, the pressure was slowly reduced, and the gelatin sponge on the left tongue leaf was removed. No bubbles appeared in the chest closed drainage bottle.
In the end, Zheng Ren only implanted a one-way valve in the left superior proper lobe, and the communicating branch of the left lingual lobe was not further processed.
Although only one one-way valve was left, the meticulousness of the operation and exploration during the operation was astonishing.
The entire operation took nearly three hours, and Fang Lin was impressed by Boss Zheng's stability and patience.
When the operation was finally completed, Boss Zheng's hand was as steady as at the beginning, as if it had never changed.
"Is it done?" Fang Lin asked in a low voice when he saw Boss Zheng withdrawing control and Lao He administering the medicine.
"Well, I guess there's no problem." Zheng Ren said softly as the system gave a 98% success rate for the operation.
Fang Lin felt relieved when he saw that the water column in the closed chest drainage bottle fluctuated well but no bubbles emerged.