The surgeon opens a cheat

Chapter 172 The Embarrassed Ma Chenglin
Zhang Gu followed Ma Chenglin all the way to the neurosurgery department.

"Director Ma, what can I do for you? Your neurosurgery department doesn't need gastrointestinal anastomosis, does it?"

Ma Chenglin said: "You can definitely help, come with me."

Zhang Gu suppressed the doubts in his heart.

The two passed by the operating room, but did not enter. Instead, they came to the treatment room next to the inpatient ward.

At this moment, Ma Chenglin's mood changed. He no longer yelled "urgent matter" so confidently just now, but said embarrassingly:

"Here is a patient who is difficult to place a gastric tube, see if you can help."

The corner of Zhang Gu's mouth twitched.

Put him in charge?This is the so-called emergency?
Ma Chenglin smiled awkwardly: "You asked me to do a major neurosurgery operation. It's just the placement of the tube. It's always difficult for me, especially this kind of damage to the esophageal mucosa. It's really killing me."

"Just now I had no choice but to say something urgent, otherwise Lao Yao would let me go?"

Zhang Gu understood as soon as he heard it, and couldn't help grinning.Ma Chenglin still needs face, if he said that Zhang Gu was snatched away because of taking care of such a trivial matter, it would be too embarrassing.

"Okay, let me see."

Zhang Gu put on sterile gloves.

Skillfully took the tongue depressor, and fixed the corner of the mouth with a gag.

After lubricating the gastric tube, tentatively insert it slowly through the nasal cavity.

Zhang Gu's movements were very careful.

This patient made Ma Chenglin lose his old face and went to the general surgery department to ask him. It must be difficult to insert the tube, or even the tube fell off after multiple insertions.

Sure enough, when Zhang Gu inserted a part, he felt great resistance, even a feeling of mucous membrane adhesion. After a little bit, he felt that the patient's esophagus might be scratched and bleeding.

Zhang Gu's actions became more cautious.

"Director Ma, help me adjust the patient's angle. Patients with difficult tube insertion should not act recklessly and take their time."

Ma Chenglin was well aware of the difficulty, and immediately cooperated after hearing the words.

Zhang Gu adjusted it many times, and finally, he slowly let go of the gastric tube.

"Listen to the echo of the water in the stomach, it should be in place."

Ma Chenglin quickly used the stethoscope to feel good, and at the same time injected 10 milliliters of air.

He looked happy: "I heard it! It was successfully sent into the stomach! Oh, you have helped me a lot."

Zhang Gu waved his hand and said: "What a big deal, it's just a matter of little effort."

Ma Chenglin waved his hand and said, "It's a piece of cake for you, but for me, it's a big headache for me."

At this moment, Ma Chenglin looked at Zhang Gu with deep meaning.

"Our neurosurgery department still lacks a person who is so good at placing gastric tubes. What do you think we should do?"

Zhang Gu pretended not to understand the look in his eyes, and said with a smile: "It's easy, you send someone to my general surgery department, and I'll teach him for a while longer, this thing is a matter of proficiency, and you can master it with more practice." gone."

After finishing speaking, Zhang Gu didn't wait for Ma Chenglin to speak again, he let out a haha, and left quickly.

Ma Chenglin couldn't help smiling.

What he said just now was just a casual remark, Zhang Gu has such a bright future now, how could he only come to neurosurgery and be a little doctor for him to put a gastric tube?

Ma Chenglin is also very happy for Zhang Gu to have the current development.

However, when Ma Chenglin turned his head and saw these patients who had difficulty placing gastric tubes, his complexion suddenly darkened again.

No, this problem must be solved. The neurosurgery department can do even major operations, but it is a shame that it has repeatedly encountered obstacles in the placement of gastric tubes.

Or, as Zhang Gu said, send someone to study with Zhang Gu?

Ma Chenglin looked around, and finally, he set his sights on a young female doctor.

Other doctors have heavier responsibilities.Only Xiaolu, a young man who has just been here for half a year, has just finished his rotation and has not yet undertaken important surgical tasks. It just so happens that she can start working from this incident.

……

Come to hepatobiliary surgery.

Seeing Zhang Gu, Yao Yusen was pleasantly surprised and said, "Ma Changlian let you come so quickly?"

Zhang Gu didn't expose Ma Chenglin, he said: "Although the matter is urgent, it is not serious and has been resolved."

"Where's the patient?"

Yao Yusen said, "It's on bed No. 6."

While walking, Yao Yusen introduced the patient's situation to Zhang Gu.

"Male patient, 45 years old, had undergone surgical removal of intrahepatic bile duct stones in the city's No. [-] Hospital and Water Conservancy Hospital before, and had relatively severe obstructive jaundice and liver function damage..."

When Zhang Gu heard it, he understood.

This is a typical patient who "removed stones from repeated operations and was not clean".

The location of the intrahepatic bile duct is very embarrassing.

It is quite difficult to remove stones, and once this disease is contracted, it is very easy to relapse.Because of this, many patients with stones in this place have to undergo multiple operations, and the stones are often not removed cleanly.

Come to the ward.

Zhang Gu chatted with this patient for a while.

The patient said helplessly: "Gallstones are painful! I have had two surgeries, and every two years, they still recur."

"This disease is really tormenting. I want to endure it every time and let it go, but every time the pain is unbearable, I come to the hospital again."

"Doctor, you must think of a way to remove the calculus for me once, so as not to relapse in the future. This disease is about to toss me to death."

"Can you understand how I feel?"

Zhang Gu nodded, and said: "I understand, it probably looks like something with four sides and corners, it keeps spinning in your bile duct, stinging the softest flesh in your body, right?"

The patient suddenly said pleasantly: "You still understand me! Doctor, have you ever had gallstones?"

Zhang Gu said with a smile: "I was poor when I was a child, and I wore worn-out shoes, and the stones drilled into the soles of my feet, causing my soles to bleed. Your pain is probably ten times more painful than mine."

"That's right! It hurts even more than this, ouch, it started to hurt again, and the stone started to turn again."

Zhang Gu said: "This is your biliary and intestinal tissue wriggling, which promotes the rotation of the stone."

"Don't say it, don't say it, let me take it easy, the pain will pass for a while." The patient curled up into a prawn on the hospital bed.

Zhang Gu signaled the nurse to take care of the patient, and if the pain was too painful, he had to notify the doctor.

Back to the doctor's office with Yao Yusen.

Zhang Gu continued to read the patient's medical records.

It was found that this patient not only had a history of multiple biliary tract surgeries, scar adhesions at the hilum of the liver, but also a record of too small and narrow anastomotic stoma.

Yao Yusen's eyes were burning, and he looked at Zhang Gu expectantly: "Doctor Zhang, is this kind of patient suitable for the new type of intrahepatic cholangioenterostomy that you used before?"

Zhang Gu said with a smile: "Yes, you have good eyesight, and the cholangioenterostomy that exposes the bile duct is very suitable for treating this kind of patients."

Yao Yusen was overjoyed instantly.

It seems that although he is not as good as Zhang Gu in developing spells, he still has a vicious vision.

Zhang Gudao: "However, if it is to be used to treat gallstones in the liver, some changes must be made..."

While Zhang Gu was talking, he already had a corresponding plan in his mind.

He was also very happy that the condition of this patient could be used to fill the last blank in his article.

(End of this chapter)