Zheng Ren went home, washed and slept, then lay on the bed and got into the system operating room to start surgical training.
About 30 minutes later, in the emergency room of the 912 gastrointestinal surgery department, Feng Jianguo came over and looked at the foreign body in the rectum and couldn't laugh or cry.
According to our understanding, the rolling pin was about 30cm long, with about 5cm left exposed and stained red with blood. There was some bleeding, but the pressure of the rolling pin stopped the bleeding and the blood pressure dropped. Hemorrhagic shock was not the main problem.
There must be intestinal rupture, the question is where the rupture point is.
Rolling pin... Feng Jianguo felt a splitting headache after hearing this. This thing doesn't even use paraffin oil. The guy is really awesome.
But whatever you say now is in vain, seize the time to treat your illness. Because it involves rectal surgery, I always call third-tier professors over when I’m hospitalized, just because I’m afraid that I won’t be able to handle it myself.
"Young man, where are your family members?" Feng Jianguo asked.
"I work in the imperial capital, and my family members are all in my hometown," the patient said.
"Telephone, please notify your family immediately."
“…”
What awaits Feng Jianguo is silence.
"We will not tell your family about what happened before. We will only say that the intestinal rupture was caused by trauma and requires emergency surgery." Feng Jianguo knew the patient's concerns. If his parents knew that their pigs were not only eaten by cabbage, My brain was filled with water, and I had an extra rolling pin. I was afraid that I might have a heart attack.
"Doctor, how should I treat it?" the patient asked in a low voice.
"Surgery, open it to see where the intestine is broken, and then sew it up. There is a small chance, and what I am most worried about is that your rectum will rupture, which will be troublesome. It is very likely that it will not grow and needs to be redirected."
"What is diversion?" the patient asked worriedly.
"The anus is left alone for a period of time, and the second-stage anastomosis is performed after the inflammation caused by stool in the abdominal cavity is absorbed." Feng Jianguo told the patient the most difficult problem.
It is unlikely, but it is also the most difficult treatment option for patients to accept.
"Uh... what is desolation?"
"It means poking a hole in your stomach, inserting the intestines at the hole, and then defecation does not pass through the anus." Feng Jianguo said.
The patient's face turned green when he heard Feng Jianguo say this.
MMP, how will you meet people in the future
Ordinary people who have never seen diversions find it difficult to imagine that they will have to manually change the feces bags every day in the future, and their bodies will smell bad due to the airtight seal of the feces bags.
Although he didn't know, it didn't affect his ability to figure it out. Moreover, the situation imagined in the mind is even more bizarre than the real situation, and can even be said to be bizarre.
Looking at the patient with a twitching face, Feng Jianguo sighed and said: "This is the rarest situation. I try not to do this during the operation."
"That won't work either!" the patient categorically denied.
"What should I do if it doesn't work?" Feng Jianguo was called to the hospital in the middle of the night, and he was still very angry when he woke up. He said sternly, "Death from bleeding? Or having a bowel movement, infection and fever? Either one will suffer."
"No, no, I won't do the surgery." The patient said firmly. He was already frightened.
Feng Jianguo really didn't know what to say to the mentally ill patient in front of him. He inserted a rolling pin into the patient at home, causing an anal tear, and even refused surgery when he came to the hospital.
Also, if you were a timid person, you wouldn't have the current problem. Without paraffin oil or other lubricants, how much force did he use to push the rolling pin in? !
There is no way to investigate this point, but judging from Feng Jianguo's many years of rich clinical experience... I would definitely not be able to do this.
"Go to the medical office." Feng Jianguo and Quan Xiaocao said, "Let them handle it."
"Doctor... I won't die."
"Are you still going to live without surgery?" Feng Jianguo said coldly, "You have to listen to the doctor when you go to the hospital, don't you know? It's okay if you say not to do it, just sign! You are responsible for all the consequences, Xiaocao, please give your informed consent If you write in detail, say that you have explained the surgery to the patient, but the patient resolutely refuses the surgery and is solely responsible for any consequences.
By the way, we need to record the video when the people from the medical office arrive. If someone's family members come to the door after someone's death and say they don't know, they need to have proof. "
Feng Jianguo habitually scares patients and wants to solve the problem as soon as possible. If I were pushed forward for surgery now, I might be able to squint for a few hours in the middle of the night. Although I can't go home, I can just sleep a little longer.
No matter where you sleep, it's better than sleeping here.
"I… "
"What are you, this is 912, are you going to Xiehe with a rolling pin? Let me tell you, it's cold outside." Feng Jianguo said, "You had bleeding and acute infection, and you fainted outside... you were robbed. It won’t be possible to throw it into the garbage pile after emptying it, but the media is such a good thing!”
Having said this, Feng Jianguo's thoughts suddenly became clear.
"Think about it, the New Imperial City News will have a headline on the front page tomorrow - migrant workers wandering the streets in the middle of the night with a rolling pin inserted into their bodies. Is this a distortion of human nature or a loss of morals?!"
"..." The patient's expression became even more exciting.
"Originally, things that I didn't say or you didn't say, so no one knew, eventually became known to everyone." Feng Jianguo said with a smile, "Tell me, you are doing it one after another!"
“…”
The muscles in the patient's face began to twist.
"It's a trivial matter in the first place. You can be discharged from the hospital after more than ten days. Even if you have an ostomy, you can find a secluded place to recover on your own for a while. It would be great if you come to the hospital and I will perform the second-stage surgery on you."
"If not, then apply for automatic discharge."
Feng Jianguo's statement was powerful, and his threatening words were so vivid that not only the patient, but also Quan Xiaocao was stunned.
terrible.
"Doctor, is there any other way?" the patient asked, "I'll do it. I'll do it, but it won't work. But there's a big hole in my stomach..."
Feng Jianguo smiled, is this right
"Xiaocao, can you try a colonoscopy?" Feng Jianguo asked.
Since Boss Zheng caused a stronger minimally invasive storm, Director Wei applied to purchase a gastrointestinal endoscopy machine and left it in the operating room. Xiaocao is a reserve force for training. No matter how difficult it is to stay in 912, Director Wei has reserved the next spot for her.
This is a new force competing with gastroenterology, and it is Director Wei’s bet on the future of gastrointestinal surgery.
The cost was not high, and Quan Xiaocao's training day and night had already begun to bear fruit.
Feng Jianguo asked casually, and Quan Xiaocao immediately said, "You can use an endoscope to check the location. It's possible."
"Well, let's take a look first, but I guess there is a high possibility of surgery. But the surgery now is different from before. It just makes two holes in the stomach, and one is still on the belly button, which can't be seen at all."
"If there are no extreme circumstances, you can be discharged from the hospital in ten days. Are you saying that you, a grown-up man, really don't want to live anymore just because you are afraid of pain? Isn't that a shame?"
Feng Jianguo used both hard and soft tactics to finally convince the patient to sign and agree to the surgery.