2707 If you can't get a number, go to the medical office.
Zhu liangchen still remembered that it was a medical accident where he had to clean up someone’s mess. At that time, the village hospital cut off the cystic duct when they were performing a cholecystectomy.
He was the one who went to the operating table and removed the biliary duct’s cystic duct. Later, the patient successfully recovered and was discharged from the hospital.
He said that the patient would come to the hospital to get a gallbladder stent removed after six months, but the patient did not come, so Zhu liangchen did not care about it.
In his words, he took in so many patients every day that no one could remember a patient all the time.
It might be possible if it was in a small city-level hospital, but it was impossible for such a situation to happen in the capital. There were tens of thousands of patients in more than ten years. If he could tell the outcome of the disease, he would not need to do other work.
Moreover, this patient had been operated on by him when he went to the nearby small hospital to save the patient, so he would not remember the patient’s name and disease.
“Let’s take a look at the X-ray first. ” Zhu liangchen said in a deep voice.
“Director Zhu, the patient’s family said that they can’t get you an appointment, so they came to me. Why don’t you take a look and bring her back to your Ward area?” Liu Dexiang asked.
Zhu liangchen didn’t answer. Instead, he asked,”Where is the patient now? Why are you uncomfortable?”
“I’m in a hotel outside. I have a fever and can’t get out of bed. I’ve been at home for more than 20 days, but it still doesn’t work. ” When the woman mentioned the patient sun Xiwang, she was filled with sorrow. She wiped her tears and said.
It had been more than 20 days since the disease was cured, and he had a fever. This was pungent biliary inflammation. Zhu liangchen picked up the X-ray film on the table and looked at it under the light.
The patient had cirrhosis, and it was considered to be a follow-up of chronic biliary deposition. How long had this illness been there? Zhu liangchen felt that it was a tricky situation after only one glance at the film.
The bile duct was blocked, and he could even see the pus accumulated on the image.
“The surgery can be done,” Zhu liangchen made a judgment.”Just take out the choledochoscope.” As for whether another stent should be placed, that would depend on the situation during the operation.
Conservative treatment was ineffective, so surgery was the only option. Other than that, he could not just wait for death.
“Why did you only think of it now?” Zhu liangchen had already made up his mind to perform the surgery, but he still said it coldly.
“We don’t have much money at home …” The woman wiped her tears and said,””Old Sun has been suffering. His stomach has been hurting for three to five years, and it’s getting worse.”
“Old Zhu!” The hospital administration department’s Deputy Director stood at the door and waved.
Zhu liangchen took a look at it and walked out.
They went to the room next door, and the hospital administration Deputy Director said in a low voice,””If the surgery can be done, just do it. Hurry up and send him away.”
“Chief Xiao, does that mean we can register at the medical Affairs Department in the future?” Zhu liangchen said with a serious face.
“Sigh, I know you’re not happy. I heard everything just now. The patient is in a small hotel outside. If he really dies, wouldn’t we be causing trouble?” Director Xiao advised.
“Even so, you can’t just come to the hospital administration Office to complain and treat it as a registration, right?” Zhu liangchen said unhappily.
“Calm down. Are you confident in the surgery?”
“No one has 100% confidence in a surgery.” Zhu liangchen said.
“Don’t talk like you’re talking to the patient’s family. Just tell us if the surgery can be done or not. ” Director Xiao was also a little annoyed. This Zhu liangchen was holding onto her hand and not moving forward. What the hell was this!
“I can.” Zhu liangchen said in a low voice.
“Old Zhu, take him back and hurry up with the surgery.” “It’s the end of the year,” director Xiao said.”There are all kinds of examinations, and we may not run into anyone. Don’t make things difficult for us at this time.”
Zhu liangchen felt that he had been having a lot of trouble lately. However, he did not dare to go against chief Xiao and refuse to admit patients to the hospital.
After all, the patient was operated on by him 14 years ago. If the patient died because of biliary obstruction, it would be hard to explain. If the patient’s family made a fuss again, even if it was not a professional medical complaint, he would not be able to give birth in peace for at least a month.
The most important thing was that he couldn’t just say that he couldn’t perform the surgery and watch the patient die.
Zhu liangchen pinched his nose and accepted the patient.
It was already 7:30 p. M. By the time everything was in order. After the surgery, he would have to go home by Teno’ clock. Who did he offend?
Zhu liangchen waved his hands helplessly and went up the stage.
Although he had always felt indignant, there was nothing he could do as a doctor when he encountered this kind of thing. After the surgery, the patient could be discharged. He really could not be angry with them. Zhu liangchen was extremely reluctant, but he still had to go for the surgery.
“Department Director, what’s the plan for today’s surgery?” The assistant asked.
After Liu xuzhi left, he found a diligent young doctor to help him perform the surgery. Although he was diligent and spoke well, his level was still inferior to Liu xuzhi ‘s.
However, there were only a few doctors who could perform surgeries. Although he was a Department Director, it was fine as long as he could find someone to do the work, so he could not find too many problems with it.
“Choledochoscope. Look at the position of the cystic duct and then take it out. I hope the adhesion isn’t too severe. Let’s just do it and see. ” Zhu liangchen said.
He made it sound simple, but he knew that the surgery was still a little difficult. “After all, the choledochodurium of the biliary tract has been around for fourteen years …” Zhu liangchen could not help but feel a headache when he thought of this number.
‘I don’t know what’s going on inside,’ he thought. Although there was a high probability of it being removed and contained within, there was still a small probability of an emergency.
Moreover, it had been so long ago that Zhu liangchen could not even remember the brand and model of the underwear that he had put down.
Sigh, it’s said that one can’t be a good person. Back then, I had to clean up the mess of the village hospital, but in the end, it fell on me.
Zhu liangchen walked into the operating room with a long face.
He brushed his hands and went on stage to start choledochogenostomy.
Zhu liangchen was dumbfounded when he saw the image of choledochoscope. The stent was buried in a 5cm-long lollipop-shaped stone, which was very solid.
Zhu liangchen’s mouth tasted bitter when he saw the long stone.
MD! He cursed in his heart.
However, he was already on stage, so what else could he do? Zhu liangchen looked at the stone that looked like a lollipop and recalled many things.
Fourteen years ago, ERP had not yet been formed, and few people knew how to do it. Biliary stent was generally puncture through the skin and the stent was placed under X-ray. Moreover, the patient’s family had said that they had no money at that time. Out of kindness, they had not removed the stent but had inserted a plastic inner tube for him.
Internal biliary drainage was performed by an expert, and the bile duct was removed half a year after it had grown.
The patient recovered after the surgery. Zhu liangchen clearly remembered that he had told the patient and the patient’s family to find him in six months. After all, it was made of plastic and could not be kept in the body forever. A cheap product and an expensive rare metal bracket were two different things.
He did not expect that a patient who could use a stent for half a year to a year would actually last for 14 years.
Zhu liangchen sighed and focused on the surgery.
The grabbing forceps entered the biliary tract in reverse, but because the stent took a long time and there were stones, it was firmly in the biliary tract, so it was useless no matter how much it was pulled out.
After trying a few times, Zhu liangchen was getting a little annoyed.