Chapter 85(1/2)
Under the shadowless light, the patient's abdominal cavity was simply miserable!
A large amount of gray-yellow, brown-green and pale red substances are intertwined,
Mixed with gastric contents, pancreatic dissolved tissue, various necrotic products, and even regurgitated feces...
At this moment, it is constantly rolling and stirring with the peristalsis of the patient's intestines.
"It's over. It's worse than the patient last week!"
Director Xiao's expression changed slightly.
His hands were shaking a little.
The scene of the deceased patient’s family members kneeling at the door of the operating room and crying loudly is still vivid in their minds.
Now he encountered a more difficult patient!
However, the next moment his expression was replaced by shock.ъìqυgΕtv.℃ǒΜ
In the surgeon's position, Xu Qiu was still immersed in the world of surgery.
He quietly held the oval forceps to bluntly separate and remove the necrotic tissue in the pancreas, and quickly ligated it with the other hand to cut off the strong fibrous connections...
Neat and clean!
As if silky art!
Director Xiao finally understood what Wang Ping said before the operation.
He quickly shouted to the circulating nurse: "Quick, let the doctors in our department stop being so nagging and get on the operating table immediately!"
Wang Ping glanced at Director Xiao, showing contempt.
If I had known this, why would I do it in the first place?
…
…
The operating room is very busy.
And at this time,
Outside Linhai No. 1 Hospital, a hospital car parked at the entrance of the emergency department.
Wearing a pair of gold-rimmed glasses, Gao Pei'an got out of the car with Ma Pingchuan's medical records in his hand.
He was greeted by He Hai.
"Everyone is waiting for you over there, Professor Gao."
"Has the operation started?" Gao Peian asked as he rushed to the operating room.
He Hai nodded: "It started more than half an hour ago."
Gao Pei'an shook his head and said regretfully: "It should be an elective surgery, but there is nothing we can do. The patient can't delay it... By the way, what is the patient's surgery plan?"
He Hai thought for a while and replied: "Routine pancreatitis debridement and drainage."
Gao Pei'an's steps suddenly stopped, his eyes widened, and there was a trace of anger on his expression: "Routine surgery? Who asked you to do this?"
He Hai explained the reason.
Gao Pei'an sighed: "Patients can't take risks if they don't have money... If something goes wrong, if we really file a lawsuit and find out that you didn't use the escalation plan, the hospital must be at least partially responsible!"
But he couldn't be too harsh on anything.
A penny stumps a heroic man.
Although conventional surgery is risky, if it fails, there is no need to spend money on subsequent ICU operations.
At least 10,000 to 20,000 patients died suddenly.
Many surgeries were successful, and a month's stay in the ICU cost four to five million.
As for the escalation plan, the patient will not die easily.
Each minimally invasive surgery requires a little cleaning.
Can't die.
But the recovery process is also very slow.
A little lower, the cost of monitoring is 500,000 to 600,000 yuan, and the patient will die after more than a month of treatment.
If the patient can tolerate multiple endoscopic debridements, the final cost can even reach one million!
The family can't afford it and they want to save their lives. Apart from routine surgery, what other options are there?
"Your hospital is very good." Thinking of this, Gao Pei'an couldn't help but praise.
His impression of Linhai No.1 Hospital was much better.
Think about the patient and dare to take responsibility for yourself.
This hospital - I don’t say it will be famous all over the country in the future, but at least it is a hospital worthy of the four words "saving lives and healing the wounded"!
"After the operation, I will give a free lecture to the gastroenterology department of your hospital. The content is Chen's anastomosis created by my teacher." Gao Pei'an decided to give this kind of conscientious hospital some help within its capabilities.
"I would like to thank Professor Gao on behalf of Director Xiao!"
"Well, how long has it been since Director Xiao's surgery? Is the cleaning halfway through?"
He Hai was stunned: "Director Xiao? He is not the chief surgeon."
"Huh? Is there anyone else in your hospital who can perform this surgery?" Gao Pei'an was a little surprised.
"The chief surgeon is Xu Qiu."
"Xu Qiu? Never heard of it. Newly promoted director?"
"No, he is a resident doctor in our emergency department."
"????"
Gao Pei'an slammed the medical record in his hand to the ground and cursed: "What the hell!"
"Does the resident perform this surgery?"
"Thankfully I thought your hospital had a conscience, but this is a waste of human life! I guess I was mistaken!"
After saying that, he turned around and left.
He Hai hurriedly stopped him, "Professor Gao, this resident doctor is not an ordinary resident doctor..."
“Can resident doctors make a difference?”
"Professor Gao, the three thousand yuan..."
Gao Pei'an's steps stagnated. He turned and walked to the operating room. He felt disgusted with Linhai No. 1 Hospital and said angrily: "I'm blind. After this operation, your hospital will be blacklisted."
…
at this time,
A large group of people have gathered in the operating room.
The doctors in the Department of Gastroenterology, Hepatobiliary and Pancreatology all stretched their necks and stared intently at the surgical site.
From time to time, someone made a sound of admiration.
now,
Under the shadowless lamp.
The abscess tissue surrounds the pancreas everywhere, and there is high-grade adhesion edema around it...
This makes every exposure of necrotic tissue very difficult.
Every time you aspirate the foul-smelling fluid, you have to find a tricky approach.
However,
Xu Qiu can always find an incredible way to solve problems quickly!
Finally, all necrotic areas have been debrided!
He placed a silicone flat drainage tube along the entire long axis of the pancreatic bed, passed behind the hepatic and splenic flexures of the colon, and passed through the lateral abdominal wall.
After all this was done, he reached for the stitches.
Director Xiao paused and said, "It seems...it seems that someone was called to do the Chen's anastomosis."
Xu Qiu raised his head: "That Professor Gao?"
"yes……"
Xu Qiu asked: "Want to wait for him?"
If it were before, Director Xiao would definitely say that we have to wait for Gao Pei'an to come.
But at this moment, he couldn't harden up in front of Xu Qiu. He hesitated and said: "It's okay. Doctor Xu, if you can sew it, can you try to sew it?"
"Um."
To be continued...