The surgeon opens a cheat

Chapter 101 Do you want to come to my first hospital (please order first!)

Xu Changgeng on the hospital bed said:
"Many elderly patients like me can only adopt conservative treatment and spend their later years with extremely low quality of life."

"I'm already very lucky. Among them, it's thanks to the artificial anastomosis method you Xiao Zhang came up with."

Zhang Gu quickly said he didn't dare.

He was flattered in his heart, lamenting that the founder of the foundation is extraordinary. He praised me so many times, but there was not a single word repeated!
Zhang Gu quietly glanced at Xiang Jianhua next to him.

Director Xiang, you should also learn more from Mr. Xu.

Having said so much, Xu Changgeng was also tired.

"Xiao Xiang, train the young people well, the future of our Third Hospital belongs to this group of young people."

Xiang Jianhua said "Hey".

Zhang Gu observed the words and expressions, and knew that it was time for him to leave. He and Xu Changgeng bid farewell to Jianhua and Geng Bozhong and went out.

Just came out, unexpectedly Geng Bozhong also came out.

"Dr. Zhang Gu, your idea of ​​ostomy is simply a genius idea."

"Do you have any other matching ideas?"

Zhang Gu said with a smile: "How can there be so many matching ideas, this time is also a coincidence."

Geng Bozhong had a smile on his face, expressing that he didn't believe Zhang Gu's words at all.

The last time he asked Zhang Gu that, Zhang Gu also said the same.

In the end, encountering Mr. Xu's serious illness, Zhang Gu directly took out a blockbuster anastomotic fistula!
Geng Bozhong really wanted to know how many wonderful ideas about matching are still in Zhang Gu's mind.

He said: "Zhang Gu, our first hospital really needs talents like you who have fantastic ideas in the matching field, you should think about it carefully, do you want to come to our first hospital?"

"As for the formalities and organizational relations, don't worry, the first hospital will handle everything for you."

"And the treatment is definitely far more than your current treatment in the Third Hospital."

At this moment, Xiang Jianhua appeared behind Geng Bozhong.

"Hey, what are you talking about?"

Geng Bozhong smiled awkwardly. After all, he was poaching a corner, and he was caught on the spot.

With his back turned to Jianhua, he winked quietly at Zhang Gu: "You have my number, call me if you have an idea."

After Geng Bozhong left, Xiang Jianhua looked helpless and angry.

This dwarf Geng even dug people under my nose.

Is there any king law?
Xiang Jianhua cleared his throat, and said righteously: "Zhang Gu, don't listen to Geng Bozhong, the treatment you are treated by the third hospital will definitely not be lower than that of the first hospital."

"Besides, you heard what Mr. Xu said just now. You can develop in our Third Academy with peace of mind. The future of the Third Academy must belong to you young people."

Zhang Gu said with a smile: "I see Director Xiang, you treat me well, I know that."

"Okay! Go back!"

Xiang Jianhua breathed a sigh of relief.

At the same time, my heart also aroused vigilance.

In the future, I have to be wary of Shorty Geng, and don't let him poach everyone away one day.

……

Back to Zhou Dongfeng.

Zhang Gu continued to discuss with Zhou Dongfeng about the comparison between laparoscopic and open tension-free hernia repair.

Just as he was talking, a medical record spread out on Zhou Dongfeng's desk caught Zhang Gu's attention.

Zhang Gu, who possessed intermediate-level "hernia repair" skills, could tell at a glance that there was something wrong with this case.

"Ms. Zhou, this medical record... is diagnosed with intestinal obstruction?"

Zhou Dongfeng came over and took a look: "This is a patient in the emergency department. When he was admitted to the hospital, he complained of abdominal pain, abdominal distension, and dull pain in nature, accompanied by nausea and vomiting. He stopped defecation and exhaust for more than 24 hours, so the emergency department considers intestinal obstruction."

Zhang Gu said: "Have you checked the ECG and X-rays?"

Zhou Dongfeng didn't understand why Zhang Gu was still discussing the comparison of the two hernia repairs with him just now.

In the next second, Zhang Gu's thoughts jumped to this case of intestinal obstruction.

Did you notice something was wrong?

Zhou Dongfeng was still serious and responsible, taking out the relevant inspection results of the medical records for comparison.

"The electrocardiogram showed myocardial ischemia, and the X-ray showed small bowel obstruction. The patient had no previous trauma or serious medical history. The body temperature, pulse and other physical examinations were also normal, and there were no other typical symptoms, so I always considered intestinal obstruction."

Zhou Dongfeng asked: "What's the matter, do you think there is a problem?"

Zhang Gu nodded.

He always felt that the root cause of the patient's disease was not intestinal obstruction, but hernia should be considered.

But the feeling was vague and imprecise.

"Is it because the skills and ability are only intermediate, and the ability is not enough?"

In Zhang Gu's mind, he raised the hernia repair to an advanced level.

To save a case of misdiagnosis is to save a patient, so that the patient will not miss the best time for treatment.

So, this upgrade is worth it.

Moreover, upgrading this surgical skill to an advanced level is not only useful for this case of misdiagnosis.

The understanding of laparoscopic and open tension-free hernia repair will also be deeper.

……

With the instillation of the experience and ability of the advanced skill card, Zhang Gu felt that his thinking was much clearer when he looked at this case again.

At this moment, Zhou Dongfeng still doesn't know why.

He continued: "In the two days since the patient was admitted to the hospital, I have been using conservative treatment methods to deal with intestinal obstruction, but the patient has not had exhaust or defecation, and the abdominal tenderness has not relieved."

Speaking of this, Zhou Dongfeng also felt something was wrong.

"Zhang Gu, what cause do you consider?"

Zhou Cheng also looked at Zhang Gu eagerly.

Zhou Dongfeng arranged for him to bring this patient here, and he always believed that the cause was intestinal obstruction.

At this moment, after listening to the analysis of the two big brothers, he also felt that something was wrong, and wanted to hear Zhang Gu's high opinion.

Zhang Gudao: "Teacher Zhou, I suggest a laparotomy, it is very likely that it is an obturator hernia."

When Zhou Dongfeng heard about obturator hernia, he frowned: "The clinical symptoms of obturator hernia are not obvious, and the symptoms are very similar to small intestinal obstruction. There is indeed a possibility of misdiagnosis."

He carefully looked at the results of the conservative treatment for a few days, and the more he looked at it, the more he felt that the previous treatment for intestinal obstruction might be wrong.

Thinking of this, Zhou Dongfeng's back broke out in cold sweat!
If his misdiagnosis causes an accident to the patient and delays the patient's best treatment period, then he will have a bad conscience!
After so many years of practicing medicine, the word-of-mouth accumulated with great difficulty will definitely be affected a little by this.

The most important thing is that Zhou Dongfeng's conscience can't bear it.

He immediately said: "Zhou Cheng, go explain the situation to the patient's family and convince them to agree to the laparotomy."

"I will immediately go to coordinate the operating room and arrange a laparotomy. I can't delay another quarter of an hour."

Zhang Gu took the initiative: "Teacher Zhou, let me go into the operating room too."

Zhou Dongfeng glanced at Zhang Gu gratefully, thanks to Zhang Gu's suggestion this time.Now Zhang Gu took the initiative to go in and help.

But at the moment Zhou Dongfeng didn't care about what to say, he nodded at Zhang Gu, and there were thousands of words in it.

It is important to see the patient first!

The patient's family members were more open-minded, and they wanted to make the patient better. When they heard that the situation was urgent, they quickly signed.

On the operating table.

Zhou Dongfeng made an incision in the middle of the abdomen, and cut through each layer in sequence.

Significant dilation of the small intestine and abdominal wall edema were found.

Zhou Dongfeng's heart skipped a beat!
　Chapter 5 is late, upload later...

　　
　
(End of this chapter)