Zhu Liangchen still remembers that it was a medical accident in which he wiped someone's butt. At that time, the cystic duct was cut off during a gallbladder operation in the rural hospital.
It was he who went to rescue the patient and removed the biliary duct. Later, the patient recovered successfully and was discharged home.
It was said that the patient would come to the hospital to remove the gallbladder stent in half a year, but the patient did not come, so Zhu Liangchen did not pay attention to it.
In his words, there are so many patients every day that no one can always remember one patient.
It might be possible in small hospitals at the prefectural and municipal levels, but it is impossible to have such a situation in the imperial capital. Over the past ten years and tens of thousands of patients, if I could tell the outcome of the disease, there would be no need to do other work.
Moreover, this patient had the surgery by himself when he went to a nearby small hospital for rescue, and he did not remember his name or disease.
"Let's take a look at the movie first." Zhu Liangchen said in a deep voice.
"Director Zhu, the patient's family came to me because they couldn't get your number. Either you take a look and take her back to your ward?" Liu Dexiang asked.
Zhu Liangchen did not respond, but first asked: "Where is the patient now? Why is he feeling uncomfortable?"
"I was in a hotel outside. I had a fever and couldn't get out of bed. I tried intravenous drip at home for more than 20 days, but it still didn't work." When talking about the patient Sun Xiwang, the woman felt sad and said while wiping tears.
The illness lasted for more than 20 days and was also accompanied by fever. This was suppurative cholangitis. Zhu Liangchen picked up the film on the table and looked at it against the light.
The patient has liver cirrhosis, which is considered to be secondary to chronic cholestasis. How long has he been suffering from the disease? Zhu Liangchen only glanced at the film and felt it was very difficult.
If the bile duct is blocked, you can also see the image of accumulated pus.
Surgery can be done, as long as the bile duct inner tube is taken out, Zhu Liangchen made a judgment. As for whether to install another stent, it depends on the situation during the operation.
Conservative treatment is ineffective, and the only option is surgery. Otherwise, one cannot wait to die.
"Why did you just think of it?" Zhu Liangchen had already made up his mind to undergo surgery, but he still said coldly.
"The family doesn't have much money..." the woman said, wiping her tears: "I have been suffering from stomach pain for three to five years, and it is getting worse and worse."
"Lao Zhu!" The deputy director of the Medical Department stood at the door and waved.
Zhu Liangchen took a look, stood up and walked out.
After going to the next room, the deputy director of the medical department lowered his voice and said: "If the operation can be done, just do it for him and send him away quickly."
"Director Xiao, will you be able to register with the medical office from now on?" Zhu Liangchen said with a serious expression.
"Oh, I know you are upset. I heard it just now. The patient is in a small hotel outside. You said that if he is really dead, it will cause trouble." Director Xiao advised.
"Then you can't just come to the medical office to complain and just register." Zhu Liangchen said still unhappy.
"Calm down, are you sure about the surgery?"
"No surgery is 100% sure," Zhu Liangchen said.
"Don't just talk like you're communicating with the patient's family. Just say whether the operation can be done." Director Xiao was also a little annoyed. Zhu Liangchen was holding back and holding back. What was going on!
"It can be done." Zhu Liangchen said solemnly.
"Lao Zhu, take him back and hurry up and get the surgery done." Director Xiao said, "It's the end of the year, and you won't necessarily encounter anyone for various examinations. Don't use eye drops at this time."
Zhu Liangchen feels that everything has been going wrong for him recently, so annoying! However, he did not dare to stand up to Director Xiao and refuse to admit the patient to the hospital.
After all, this was a patient who underwent surgery 14 years ago. If the patient died due to bile duct obstruction, the situation would be unclear. If the patient's family makes trouble again, even if it is not a professional medical trouble, he will be unable to live in peace for at least a month.
The most important thing is that you can't say you can't do the surgery even though you can do it yourself, and you can't help but watch people die.
Zhu Liangchen finally pinched his nose and took the patient away.
Preoperative examination, preoperative explanation, everything was sorted out by 7:30 pm. After an operation, you have to be 10 o'clock smaller when you go home after the operation. Who am I provoking
Zhu Liangchen came to the stage helplessly.
Although he has always been aggrieved in his heart, as a doctor, there is nothing he can do when encountering such a thing. As long as the operation is performed and the patient is discharged well, there is really no way to vent their anger. Zhu Liangchen was reluctant, but he still had to undergo surgery.
"Director, how will the surgery be done today?" Zhu Liangchen's assistant asked.
After Liu Xuzhi left, he found a diligent little doctor to help him perform surgery. Although he is diligent and well-spoken, his level is just worse than Liu Xuzhi's.
However, there are few doctors who can perform surgeries. Although I am the director, I can only find people who can do the work, so I can't find too many faults.
"Cholecystography, just check the position of the inner tube, and then take it out. I hope the adhesion won't be too severe, let's take a look." Zhu Liangchen said.
He said it was very simple, but he also knew that the operation was still a bit difficult. After all, the biliary duct has been in existence for 14 years... Zhu Liangchen couldn't help but get a headache when he thought of this number.
It's not necessarily what's going on inside, he thought to himself. Although there is a high probability that the connotation tube can be taken out, there is still a small probability of emergencies.
And it was so long ago that Zhu Liangchen couldn't even remember the brand and model of the connotation tube he bought at that time.
Alas, what if I say that good people can't do things? When I was wiping the butt of a rural hospital, the whole thing happened to me.
Zhu Liangchen entered the operating room with a straight face and unhappiness written all over his face.
Brush came to the stage and began to do cholangiography.
When the cholangiography images came out, Zhu Liangchen was dumbfounded. The stent is embedded in a 5cm long lollipop-shaped stone, which is called a solid one.
There was such a long stone, Zhu Liangchen felt a little bitter and astringent in his mouth.
MD! He cursed secretly in his mind.
But now that I’m on stage, what else can I do? Zhu Liangchen looked at the lollipop-like stone and recalled many things.
14 years ago, ercp had not yet taken shape, and few people could do it. Biliary stents were usually removed through percutaneous puncture and X-ray. Moreover, the patient's family members said that they had no money at the time, but they were kind-hearted and gave him a plastic inner tube instead of a stent.
Use an expert to drain the bile duct, and then remove it after the bile duct has grown for half a year.
After the patient recovered after the operation, Zhu Liangchen clearly remembered telling the patient and his family to find him in six months. After all, they are plastic products and cannot stay in the body for a lifetime. Cheap and expensive rare metal brackets are still two different things.
Unexpectedly, a patient who had a stent that lasted for half a year to a year actually lasted a full 14 years.
Zhu Liangchen sighed and concentrated on the operation.
I grabbed the forceps and entered the biliary tract retrogradely, but because of the long time and the presence of stones, the stent was firmly in the biliary tract, and it was useless no matter how much I pulled it out.
After trying several times, Zhu Liangchen became a little irritable.