"Trouble."
After a few seconds of silence, Zheng Ren and Su Yun said in unison.
It seems simple, but the fish bone is stuck in the esophagus. If ordinary people think of it, it must be taken out.
But Zheng Ren and Su Yun didn't think so, and Director Luo, who called the family and friends hotline for help, didn't think so either. If it were simple, Director Luo wouldn't have called.
The fish bone is like a barbed arrow, embedded in the esophageal wall. Once it is pulled out with brute force, it will definitely be a tragedy.
There is a 1% chance of success, but a 99% chance of leading to emergency rescue, and a high possibility of the patient dying in the end.
On the way, Zheng Ren called Gao Shaojie and asked him to wait before sending the patient for surgery. He wanted to check the situation.
"Boss, your temper will make me exhausted." Su Yun said in a confused manner.
Zheng Ren knew that he was slandering his own hands-on attitude.
Forget about other things, for things like surgery, you must see it with your own eyes before you feel at ease.
Even though Gao Shaojie's level has improved rapidly, he has now almost reached the surgical level of Professor Rudolf Wagner.
Even if Lin Yuan can start operating independently, even Gu Xiaoran can come on stage and try to be an assistant.
Everyone else in the medical team is growing, but Zheng Ren still feels uneasy as if he has obsessive-compulsive disorder. Su Yun looked down upon his boss very much, and his words were full of disdain.
However, Zheng Ren did not refute Su Yun's words. He walked towards the endoscopic room in silence.
When I came to the endoscopy room, I changed my shoes and clothes and went in. There was already a doctor waiting at the door. He first introduced the condition: "Boss Zheng, Director Luo asked me to pick you up, please come inside. The patient ate fish last night and came to our hospital this morning for 4 days of hemoptysis. Under endoscopy, it was found that there was a 5cm long pellet in the patient's esophagus at a position 8cm from the cardia. The fish bones had three fish bones on each side, stuck in the esophageal wall."
He was not long-winded and started reporting on his condition directly after a brief greeting.
Well, the patient's condition is more serious than imagined! Zheng Ren's expression was a little solemn.
"Director Luo tried it, but when he pulled it out, the fish bones rushed in, causing a slight rupture of the esophageal wall mucosa. Director Luo didn't dare to move, please take a look at it." The little doctor continued.
"Well, let's go take a look at the situation." Zheng Ren strode in.
Arriving at Director Luo's endoscopy room, Zheng Ren said: "Director Luo, I'm here."
"Boss Zheng, please take a look, I can't take it out." Director Luo's sterile cap was soaked with sweat, and he looked a little tired.
I was called from home in the early morning. He was still such a difficult patient to deal with. It would be tiring for anyone else. Zheng Ren smiled and said, "Can't you take it out?"
"Well, if I have to force it, I'm afraid that the upper few centimeters of the esophageal mucosa from the cardia will be torn all the way to the uppermost section." He shook his head, "If it doesn't go down, it will go directly to the stomach."
"This is also a way, but it can't be discharged from the stomach." Zheng Ren said.
The main component of fish bones is calcium carbonate. The gastric acid in the gastric juice has a pH of 0.9 to 1.5. When fish bones enter the stomach, they will only become soft but will not be decomposed.
There are many ingredients that make up fish bones. The phosphates in them can be dissolved in acid. The fish bones that are stripped of these minerals will naturally become softer. However, fish bones also contain a large amount of collagen, wrapped in many other macromolecular proteins and polymeric sugars. These macromolecular structures need to be further broken down for digestion.
Although the pH of gastric juice is very low, once it enters the small intestine, the pH will rise to about 7-8. Some proteases that effectively act on fish bone proteins, such as collagenase and pancreatin, can work under this acid-base condition to further decompose food.
In short, it is said that even if a fish bone with 6 fish bones is pushed into the stomach, it will not be digested. Everyone present knows these things.
If the fish bones get stuck on the pylorus due to gastric peristalsis, causing obstruction or tearing, larger surgery will be necessary.
Even major gastrectomy and intestinal anastomosis are no joke.
Director Luo was also helpless, so he just talked casually.
Zheng Ren put on a pair of sterile gloves, took the gastroscopy equipment from Director Luo, and began to observe the position of the fish bones.
Just like what the little doctor just described, the fish bones are larger and harder. Whether it was a freshwater fish or a sea fish, Zheng Ren didn't think about it. He didn't try to pull the fish bone out, but looked at the surrounding situation.
There was slight damage to the mucosa of the esophageal wall, which was caused by fish bones, and some of it was secondary damage caused by Director Luo's operation just now. It was obvious that Director Luo was more careful and did not use brute force to pull out the fish bones.
what should I do
Zheng Ren is also a bit on the wax.
You can't go up, you can't go down, and you can't stay in this position.
"Ding dong~"
There was a crisp sound, and the task prompt sounded. After hearing the task prompt, Zheng Ren was not happy, but rather distressed.
This matter is difficult to solve. Why is the big pig's trotters here to fill the mess at this time
Emergency mission: a dilemma.
Task content: Remove the fish bones from the esophagus.
Mission reward: 3,000 skill points and 10,000 experience points.
Task time: 3 hours.
Zheng Ren looked at the mission that appeared on the upper right side of his field of vision, feeling a little helpless. Is Big Pig Hoof just kidding himself? It does not issue tasks for operations as big as a small stone, but it does for this fish bone.
And the task rewards are not proportional to its difficulty at all.
Looking at the task panel, Zheng Ren suddenly felt something in his heart. According to his understanding of the big pig's trotters, taking out the fish bones should be a very simple matter, otherwise there would not be such a meager reward.
where is the problem? It should be that I have a blind spot in my thinking.
Countless thoughts appeared in Zheng Ren's mind. He held the gastroscope tube in his hand and looked at the screen motionlessly. Afterwards, he entered the system operating room and began to try various methods to remove the fish bones.
Director Luo waited for nearly 10 seconds, feeling increasingly uneasy. It wasn't the fish bones that made him uneasy. The biggest uneasiness and anxiety was caused by Boss Zheng's motionlessness.
A bad thought came to mind—could it be that I had damaged something when I just pulled the fish bone out
Looking at the screen carefully, Director Luo was sure that nothing was wrong. After carefully recalling his actions just now, he still felt that nothing was wrong.
"Boss Zheng... Is there any damage?" Director Luo didn't think about it, but asked tentatively.
"Your operation was very gentle and did not cause too much secondary damage. I am thinking about how to take out the fish bones." Zheng Ren smiled and comforted Director Luo.
"Boss, you are thinking so hard that you scared Director Luo." Su Yun smiled and said, "Do you understand now?"
"Well, there is a way, you can try it." Zheng Ren said.
Director Luo was overjoyed, if there was a way, that would be great, if there was a way, that would be great!