"Oh." Zheng Ren responded, but he didn't seem to be interested. It's just an anastomotic leak, so there's absolutely no need to go and check it. If 912 cannot even solve this problem, it will no longer be the top tertiary hospital in the country.
Lin Ge said, "Then I'll go up to Boss Zheng."
After saying that, he turned and left.
As he walked on the road, Ringer's mind was filled with images of Boss Zheng braiding red rope. This guy is really interesting. Every time he went in for surgery, he seemed to be seen holding his arms and watching the movies over and over again.
If nothing else, just this seriousness is admirable.
Moreover, he has won the Nobel Prize. It seems that he is not ready to take a break and is full of energy preparing to work in clinical practice for the rest of his life.
I really can't understand him, but this is fine, it's good for me. He had already arrived at the Department of Science and Education, and saw that the position of deputy dean would be beckoning to him in a few years.
When he thought of this, Lin Ge became happy. The chaotic emotions in my heart caused by the inexplicable wrong operation just now gradually faded away, and I went to the thoracic surgery department with brisk steps.
Ringer felt that there was nothing special about the consultation at the thoracic surgery department. For example, it happened almost every day that the hospital had a surgery and was transferred to 912 for continued treatment. I don’t know what the thoracic surgery department thought, but it actually asked the medical office to come. Attending a consultation.
But he didn't want to put too much thought into this. He just wanted to think more about Boss Zheng's needs and how to benefit himself.
The consultation time was three o'clock in the afternoon, a few minutes early, which was also Ringer's habit. For this consultation, he left the Medical Commission for a while.
Entering the doctor's office, Lin Ge saw that Feng Jianguo and Director Luo were there.
Um? How come there are so many people? Lin Ge was a little surprised. When the staff of the medical department saw Lin Ge coming in, they immediately made room for him.
"Director Luo, why are you here?" Lin Ge asked in surprise.
"Haha." Director Luo smiled and said, "I'm not here for consultation, just to see the excitement."
Lin Ge suddenly sat upright, and he felt a vague aura that something was wrong. Thoracic surgery and gastroenterology seem to only overlap in the esophagus and cardia. And Feng Jianguo was also there, with a female doctor sitting next to him with her head lowered.
It was Quan Xiaocao. Lin Ge smiled and asked in a low voice, "There is no one in the department. Ye Chu went to deal with a medical dispute, and everyone left their business. I got the news and hurried back from the Medical Commission." Yeah, I don’t know the situation yet.”
"There was a patient with cancer of the lower esophageal cardia, gastric fundus, and gastric body. After neoadjuvant chemotherapy for gastric cancer, he underwent radical total gastrectomy + esophago-jejunal Roux-en-Y anastomosis. The patient kept having a fever after the operation. Considering that there may be anastomotic leakage, isn't this coming?" Director Luo said.
If I had to force it a bit, it would have something to do with gastroenterology, but this was too much.
Ringer still didn't understand the question, but he didn't ask and continued to listen.
"The Department of Chest has been doing chest irrigation and drainage, and was thinking about the second-stage surgery. Later, Lao Feng's student said that endoscopic treatment could be done, and Xiao Fang asked me, so I came to take a look out of curiosity."
Endoscopy? Director Wei's gastrointestinal surgery department has recently applied for some scientific research projects, including endoscopy. Lin Ge is now in charge of science and education work, so he knows about this.
However, a scientific research project is just a project, and it takes time to implement it. Ringer does not believe that it can be used clinically in the blink of an eye.
"Director Luo, what do you think?"
"Director Lin, I just took a look at the patient's condition, and it's not good." Director Luo said, "CT showed left pleural effusion with abscess formation, and CT-guided left pleural puncture drainage + left subdiaphragmatic During puncture and drainage, about 10 ml of light blue sputum-like fluid was extracted from the left pleural abscess cavity, and about 20 ml of yellow-green fluid was extracted from the left diaphragm."
"Light blue? Yellow-green?" Ringer's eyebrows wrinkled.
The infection is too serious.
Color means bacterial infection, yellow-green is more common, light blue is less common. What bacteria are light blue? After thinking about it for a long time, Ringer still couldn't figure it out.
"I did a gastroscopy in the morning..." Director Luo said, "At first I thought the risk was too high and refused. Later, Mr. Gu came to me and had no choice but to do it."
"Gastroscopy showed that there was an esophagojejunal anastomosis 38cm away from the incisor, a fistula was visible on the left front wall of the anastomosis, and anastomotic staples were seen on the edge, with a diameter of about 0.8cm."
"What should we do in this situation?" Ringer asked.
"In the past, we could only strengthen nutrition, try to avoid infection, and let the patient's esophageal fistula heal as soon as possible. As for whether it will grow or not, it depends on your luck. Is it surgery for esophageal cancer? You also know that the biggest problem is Right on the fistula.”
Ringer nodded.
"Now you can get a stent to prevent gastric reflux. But if the stent is exposed to light, it will also grow. Professor Feng's student said that it can be treated with endoscopic treatment." Director Luo mentioned Quan Xiaocao again.
It's a bit interesting. Gastrointestinal surgery is going to eat up some of the business scope that the gastroenterology department has taken away. Lin Ge made a judgment in his mind.
No wonder Director Luo took the initiative to check on the situation.
Lin Ge knew exactly what these directors were thinking. As long as the treatment is not delayed, he will definitely not care who is responsible for the specific business.
It has nothing to do with me. Anyway, they are all meat in the big pot of 912. You can do whatever you want, as long as you don't cause trouble for me.
But this time it involved Quan Xiaocao. Ringer knew that Quan Xiaocao had published several SCI articles in the past six months, all of which had Su Yun's contribution, but Su Yun did not leave his name.
He smiled slightly and decided to watch and talk less.
Fang Lin came in sweating. Seeing that Lin Ge was already here, he came over and said hello seriously. Don't be playful with the people at the medical office, especially when there is something serious going on.
This patient belonged to Professor Lu. Fang Lin was just caught working. After saying hello, he hid in the corner and waited for the consultation to begin.
Professor Lu's doctor began to introduce the condition, which was no different from what Director Luo said, but in more detail.
"This is the patient's situation." Professor Lu said, "After 10 days of closed chest drainage and tube irrigation, the esophageal fistula has not improved at all. For the next treatment, I think the next stent is better, and the rest can wait for the patient. I'll heal slowly when I get home."
"It's very difficult to remove the stent. Why didn't anyone from the interventional department come?" Lin Ge asked with a thought in his heart.
"Director Kong was invited to come for consultation. It was said that there was an emergency operation over there. Director Kong came on stage." Professor Lu said: "I discussed it with Mr. Gu and the best way is to take a certain risk and get a stent. In fact, there is no risk after surgery." By one month, the possibility of problems with the stent surgery is too great.”
He said, making a helpless expression.