The surgeon opens a cheat

Chapter 64 Temporary Deterioration
The data that made Zhang Gu frown.

is the pressure index used by esophageal manometry to monitor gastroesophageal motility.

According to his judgment, "this patient may experience decreased esophageal motility tonight, or tomorrow or the day after tomorrow."

Zhang Gu frowned, if his worry really happened, then this operation can no longer be done.

Decreased gastroesophageal motility will cause cavity, retractor and other equipment to be unable to lower the stomach.
"Now, we can only hope that this patient will not experience gastroesophageal reflux again. Otherwise, the esophageal motility will inevitably decrease again if there is a few more reflux."

"At that time, I really can't do surgery."

Zhang Gu glanced at the schedule.

"It just so happens that I'm on duty tonight, and I'll observe and observe."

night.

In the general surgery duty room, it was Zhang Gu and Shen Wenting's turn to be on duty.

After the two inspected the ward, they chatted in the duty room.

"Brother Zhang, is the house still comfortable to live in? The uncles and aunts downstairs do Tai Chi and run in the morning, will it disturb your sleep?"

"If you are not satisfied, I will change another room for you. I have a lot of rooms in my house." Shen Wenting said generously.

Zhang Gu said: "It's okay, don't bother me, I wake up and eat breakfast in the morning, and look at the people who get up early to exercise, I'm in a good mood."

"That's good, if you have any questions, just ask."

After Shen Wenting finished speaking, she poked her head curiously.

"Brother Zhang, you are a sketcher, what do you write?"

Holding the stack of materials Xiang Jianhua gave him in his hand, Zhang Gu was correcting with pens of different colors.

"Fundoplication materials, I will write some experience."

Shen Wenting stared enviously, and said enviously, "It's the new operation that Director Xiang arranged for you?"

"Correct."

Shen Wenting's eyes shone with anticipation of progress.

"Can I take a look?"

Zhang Gu smiled and said: "Okay, these materials are not confidential, they are basically public and open materials. If you want to read, take a few pages to read."

Zhang Gu took out the first few pages of basic information and showed it to Shen Wenting.

He himself continued to correct the difficult parts later.

At this time, Xiao Mao, who was arranged by Zhang Gu to pay close attention to the special case patient, hurried over.

"Mr. Zhang, the patient has reflux again. He keeps saying that he has heartburn. He even vomited out the acid reflux just now."

Zhang Gu frowned, got up and rushed to the ward.

Shen Wenting also put down the materials, and followed Zhang Gu in three steps at a time.

The three came to the ward.

Two little nurses are handling the wipe clean.

Zhang Gu looked at the situation and quickly said: "Xiao Mao, do another real-time monitoring of esophageal manometry."

"it is good."

Xiao Mao also knew that the situation was serious, so he connected to the instrument with both hands and feet.

When the pressure value came out, Zhang Gu's expression turned ugly.

Esophageal motility continues to decline.

This should last until tomorrow.

"Mr. Zhang, what should I do?" Xiao Mao was worried as he saw that the pressure value was almost lower than the standard value.

Shen Wenting also looked worried: "Brother Zhang, can this operation still be done?"

The patient who was vomiting acid was also very frightened by his situation and flustered.

"Doctor, am I okay? Can I still have surgery?"

"What can I do if I can't have surgery?"

Zhang Gu took a deep breath and said, "Contact Director Xiang and tell him that the operation will be carried out overnight, please ask him to make arrangements."

"At the same time, contact Director Lu Taolu of the No. [-] Digestive Department of the No. [-] Hospital and ask him to come over overnight to help."

Xiao Mao hurriedly called.

Xiang Jianhua was sleeping at home, but when he answered the call, he immediately got up and got dressed.

At the same time, he also contacted Lu Tao of the first hospital, and learned that Lu Tao had no shift tonight and was resting at home.He also just received a call and was getting up and getting dressed quickly.

The problem is that Lu Tao's home is a bit far from the Third Hospital.

Xiang Jianhua made a decisive decision and sent Dr. Yen Zimin who was on duty to Zhang Gu.

Cooperate with Zhang Gu to carry out the operation first.

First do anesthesia, lower gastroscope, retractor and other equipment preoperative work.

Before the patient's esophageal motility dropped to the standard value, he raced against the clock to complete the first half of the operation.

Wait for Lu Tao to rush over before doing the core part of the operation.

An operation attracted several people from different places to act urgently at the same time.

In general surgery operating room.

Donnie Yen hurried over.

At the same time, an anesthesiologist dispatched urgently also rushed over to administer general anesthesia to the patient.

Yen Zimin said: "Doctor Zhang Gu, Director Xiang arranged for me to be your deputy, and I will follow your command."

Zhang Gu couldn't be bothered to be polite at the moment, and quickly said: "Okay, Dr. Zhen put the patient on the left side and help me have a gastroscope."

Mao Junliang knew that at this time, there was no place he could help. If he forced himself to help, it might be a disservice to help, and the more he helped, the more chaotic he would be.

He was anxious, but after helping to position the patient, he retreated to the side sensibly.

on the operating table.

With the assistance of Donnie Yen, Zhang Gu gradually underwent a gastroscopy.

Check the esophagus and stomach.

As the screen gradually displayed on the monitor, Zhang Gu shook his head: "No wonder the power of the esophagus keeps decreasing, it's getting worse."

"Dr. Zhen, gastroscope, lower retractor equipment."

"Okay." Yen Zimin showed his excellent assistant ability.

Mao Junliang was next to him, carefully observing Donnie Yen's cooperation methods, and sometimes took out the small notebook he carried with him to write down a few lines.

After a while.

The gastroscope, tractor and other equipment have all been installed.

Just waiting for Lu Tao, the chief surgeon, to come to perform the operation.

But there was still no sign of Lu Tao at the gate of the operating room, and even Xiang Jianhua was not in place.

"Doctor Zhang Gu, what should we do?" Yen Zimin ran out of ideas.

He cooperated with Xiang Jianhua in performing many surgeries, but never involved in this fundoplication.

Faced with this situation, Yen Zimin, the old deputy, was at a loss.

Zhang Gu's hand didn't stop, and he said directly: "We will continue with the operation."

Yen Zimin was stunned: "Don't you wait for Director Lu and Director Xiang?"

Zhang Gu said: "While doing it, wait."

Donnie Yen hesitated a little, then nodded.

……

Another 25 minutes passed.

At the gate of the Third Courtyard, a car turned in and entered the parking lot.

After Lu Tao got out of the car, he immediately rushed towards the general surgery operating room.

After a while, Xiang Jianhua also came.

He passed by the door of the general surgery duty room and saw Shen Wenting on duty inside.

"Has Director Lu Tao from the First Hospital arrived?"

Shen Wenting hurriedly said: "Here we are! We just entered the operating room."

Xiang Jianhua's heart immediately relaxed a lot!

I am not so anxious anymore.

This operation, only Lu Tao in the whole city can do it.

Just now he arranged for Zhang Gu and Yen Zimin to have anterior segment surgery first and gastroscopic equipment first, which was actually a risk.

Now that Lu Tao is in place, it should be fine.

"Huh? Why are you holding this stack of documents?"

Xiang Jianhua was going to the operating room, but found that the stack of materials he gave Zhang Gu appeared in Shen Wenting's hands.

Shen Wenting was a little at a loss, guilty like a thief caught, and said: "Dr. Zhang said that I can read it too. He went to the operating room, so I picked it up and read it."

Xiang Jianhua smiled and comforted her: "It's okay, I didn't say you can't watch it."

Out of the corner of his eye, he saw the annotations on the document with two colored handwriting pens.

In my heart, Zhang Gu's enthusiasm for learning is really high, and he has already written so much experience.

Xiang Jianhua took the materials and flipped through a few pages, even more surprised.

(End of this chapter)