Chapter 117

Time flickered, and another 10 days passed.

The incident gradually calmed down, and how the outside world investigates and handles it is none of Lin Feng’s business…

On the patient’s side, experts from all over the country take care of it, and Lin Feng’s help is not needed…



Lin Feng regained his calm.

Continue to the gastrointestinal surgery, or the outpatient department of internal medicine.

Although Lin Feng is Doctor Gui Pei, there are not many patients at all, even more than many chief physicians. Of course, most of them-mostly girls…

Lin Feng: “…”

If you are on a night shift at night, go to the ward to look after the patient.

This night,

Lin Feng was assigned to work night shifts in the inpatient ward to take care of the inpatients.

After checking the room, Lin Feng sat in the office to rest.

Sudden.

It’s noisy outside.

“Where is Doctor Lin? I’m looking for Doctor Lin!”

I saw a man about 30 years old, yelling at the nurse’s station.

The nurse wondered: “What are you looking for Dr. Lin for?”

Male patient: “See a doctor! My stomach hurts to death.”

“Do you know Doctor Lin?” The nurse was surprised.

“I don’t know.” The man told the truth.

“I don’t know, why do you have to seek him to see a doctor?”

“I went to the emergency room, and they told me to come to the gastroenterology department to see Dr. Lin, he can see me for this disease!”

Lin Feng in the distance heard this conversation and was amused.

The brothers and sisters in the emergency department are really interesting, recommending patients to themselves.

Lin Feng turned his head and walked to the consulting room, while shouting at the male patient from a distance, “Come on to me, I am Dr. Lin.”

The man froze for a moment, and immediately followed him.

The nurses’ desk was left with a group of astonished little nurses.

Come to the office.

Sit down.

Lin Feng started asking the doctor, “Where is it uncomfortable?”

“stomachache!”

“Where is the specific stomach pain?”

“here……”

Lin Feng got to know about it, and started physical examination and palpation.

“Does it hurt here? …here? How long has it been painful? Are there any other symptoms?”

After a few minutes.

Lin Feng learned about the patient’s symptoms:

· Two weeks ago, there was no obvious cause of pain around the belly button, paroxysmal, mild, tolerable, and similar abdominal pain, colic, severe, and blood in the stool appeared again 2 days ago.

·A lump was also found in the abdomen.

Abdominal pain, blood in the stool, abdominal mass…

The three characteristics are too obvious, and Lin Feng immediately thought that these are the three major symptoms of “intussusception.”

Highly suspicious!

Of course, it may also be acute gastroenteritis, rectal prolapse, intestinal volvulus, viscous intestinal obstruction, bacillary dysentery… these types of diseases may have three symptoms.

However, based on Lin Feng’s experience, intussusception (meaning: a section of intestines that wraps another section of intestines) is most likely.

Lin Feng opened a CT examination.

“You go and do a plain CT scan of your abdomen. After the results come out, look for me quickly.”

“Okay, doctor.”

After half an hour.

The patient returned to the hospital building with a plain CT scan of his abdomen.

Lin Feng glanced at the CT report: “You have intussusception. You need to be hospitalized immediately.”

Patient: “What? Intussusception?”

The patient said that he had never heard of it, and his face was dumbfounded.

Lin Feng explained: “It’s just a section of intestinal tube that is inserted into the adjacent intestine.”

The patient said that he still did not understand.

Lin Feng thought for a while and thought of a perfect explanation, “Have you ever seen a telescopic telescope?”

The patient nodded.

Lin Feng continued: “Just like that, one paragraph is shrunk into the other paragraph.”

The patient understood.shocked.

He didn’t understand how his good intestines could become telescopic telescopes.

intussusception:

·Children’s intussusception usually occurs under 2 years old (primary/unexplained cause)

·Adult-type intussusception is mostly secondary to pathological changes in the intestines (secondary/intestinal tumors, polyps, diverticula or dysplasia, etc.)

Lin Feng went on to explain: “Your illness is caused by the pushing of lipoma in the intestine.”

Patient: “Then doctor, can my disease be cured?”

Lin Feng nodded, “Surgery.”

Patient: “Okay!”

The intestines are now telescopic telescopes. Can I not operate?

Intussusception is an acute abdomen.

Acute abdomen is a general term for abdominal diseases that are clinically manifested as acute abdominal pain.

These diseases progress rapidly and are in serious condition and require urgent treatment.

Now.

Lin Feng arranged for the patient to be hospitalized.

The night nurse is also busy.

The doctor’s order is issued.

· Level I nursing, fasting with water, putting a gastrointestinal tube for gastrointestinal decompression.

· Give anti-infection, antacid, supplement water, electrolyte, nutritional support and other treatments.

The patient’s abdominal pain improved slightly.

But Lin Feng knows that these are all appearances.

The intestines have become folding telescopes.

Conservative treatment has a fart.

If not paying attention, the patient may have intestinal necrosis and intestinal perforation.

Seek the patient’s consent.

Lin Feng is going to perform surgery on this patient the next day.

Use strong medicine for bad diseases!

Lin Feng’s strong medicine is surgery!

For this patient, Lin Feng and the nurses worked all night.

It’s dawn, and the night nurses are dragging their tired bodies off work.

Lin Feng did not go back to the dormitory.

100% stamina bonus!

Take a short nap in Lin Feng’s office.

Then I went to the morning meeting.

In accordance with the rules and regulations of the hospital.

First-line departments, early morning meetings a week.

This is something that cannot be beaten by thunder, just like elementary school students do radio gymnastics every day.

The morning meeting must be presided over by the heads of each department.

All medical staff on duty must attend.

This kind of meeting is not the kind of non-nutritive, sleepy meeting, but full of dry goods. At the meeting, presentations should be made to newly admitted patients and critically ill patients, focusing on solving various problems.

The meeting was presided over by Director Zhang Wu.

Lin Feng did not go back, but also attended the meeting.

He came with a purpose.

He was going to be at the meeting and proposed to operate on patients with intussusception today.

And of course he will do this operation.

However, he has not yet spoken.

Director Zhang has already mentioned this matter first.

Zhang Wu: “I checked last night’s new medical record in the morning. A new patient with intussusception came last night. This patient is caused by a small bowel tumor. The patient’s condition is relatively serious. Surgery needs to be arranged as soon as possible, preferably today. Just have an operation. Any of you have time to take over this operation…”

Like Lin Feng’s thoughts, Zhang Wu also feels that the patient needs to be operated on as soon as possible.

“I…” Just as Lin Feng was about to raise his hand,

Zhang Yang stood up first: “Director Zhang, let me do this operation. I have done a few cases of this kind of operation in the Imperial City.”

Zhang Yang has been depressed recently.

He urgently needs to show up in front of Zhang Wu to redeem his previous glory, after all, Lin Feng was forced to pretend.

It happened that he had done this kind of intussusception several times.

Zhang Yang thinks he can do it.

Zhang Wu glanced at Zhang Yang.

Know the son Mo Ruo father.

Similarly, the master knows the apprentice best.

Zhang Wu is very clear about Zhang Yang’s current strength.

Doctor 301 Guipei, Doctor of Medicine in Wudaokou, has been with himself for many years.

Have done a lot of operations.

Have the level of attending.

If it is a general intussusception operation, he can do it.

But this patient’s condition is serious.

The nested part is relatively long.

Let Zhang Yang host it alone.

He was a little worried.

Zhang Wu had to find him a helper, or an instructor.

Who is more appropriate to go to?

Zhang Wu’s gaze swept across his gang one by one.

suddenly.

An outstanding figure fell into his eyes.

Lin Feng!

It’s him!

With Lin Feng, I can rest assured.

Lin Feng’s strength is much stronger than Zhang Yang.

And this patient was taken over by Lin Feng’s night shift.

He is most familiar with the patient’s condition.

Zhangwu felt that it was too appropriate for him to guide Zhang Yang in the operation.

Zhangwu: “Lin Feng!”

Lin Feng: “Yes.”

Zhang Wu: “You give Zhang Yang a hand. Let him lead the sword and you can help. How about?”

Being a helper does not mean that your status is lower than that of the chief sword. The instructor and disciple will sometimes be in the first help position.

Director Zhang opened Chingkou, and Lin Feng was not embarrassed to object.

Lin Feng said helplessly: “…Okay.”



Open your eyebrows and smile.

The opportunity is here!

0 ········Find flowers····

I must do this surgery!

The morning meeting is over.

Each is busy.

Surgery for patients with intussusception is scheduled in the afternoon.

As usual, Zhang Yang held a preoperative meeting for the surgical staff.

Mainly discuss the surgical plan.

Said it was a discussion.

It was Zhang Yang alone who had the final say.

For example, in order to be safe, Zhang Yang chose the minimally invasive laparoscopic intussusception reduction he is most familiar with.

He is familiar with this kind of reset, and he has done so in several cases.

After Lin Feng watched the film, he felt a little wrong.

It is necessary to reset a large tumor near the intestines.

The intussusception is longer.

Laparoscopy is too limited.

Lin Feng recommends open reduction.

But Zhang Yang is very confident, feels that it is okay, and sticks to his plan.

Lin Feng couldn’t help him either.

Hey, if you don’t listen to the old man, you will suffer.

Wait a minute, when you cry.

Lin Feng went back to the dormitory to catch up…

afternoon.

The operation officially began.

Patients with adult intussusception are relatively rare.

Therefore, in addition to Zhang Yang and Lin Feng, this operation also attracted many observers.

Attending physicians, residents, and interns in the gastroenterology department, a large number of people came under pressure.

Zhang Yang stood in the operating room and glanced at Lin Feng, who was standing beside him.

An uncontrollable smile appeared on his face.

…….. …….. …….

Ha ha!

Lin Feng, it’s my turn to take the lead today.

You can watch my performance on the sidelines.

Lin Feng: emmm… What’s so good about the third-level surgery? Didn’t you see that your teacher asked me to give you pressure?

The operation begins.

Anesthesia comes first.

Anesthesia: general anesthesia.

Surgical method: laparoscopic intussusception reduction + partial (tumor) resection of the proximal jejunum.

Laparoscopic intussusception reduction surgery.

Zhang Yang did a few cases when he was in the imperial capital.

All succeeded.

So many people came to observe today.

Zhang Yang was extremely excited.

This is a good opportunity for the return of the king.

Get started!

operate!

The patient lies supine on the operating table after successful anesthesia.

Zhang Yang is familiar with the road and uses three-hole laparoscopy to explore the abdomen.

observe.

There is a small amount of light yellow ascites in the abdominal cavity, no food residue and fecal contamination, the proximal jejunum is obviously expanded, the surface is purple-red, and the intussusception of the intestine occurs.

Everything goes according to the script.

Publicity is even more confident.

Operate instruments quickly under laparoscopy.

The intussusception tube was reset.

Reset!

Reset!

Reset!

After several operations.

Something is wrong with Zhang Yang.

The previous confidence is gone.

The hand also slowed down.

wrong!

f*ck!

Today, the intestines seem to be knotted.

How to operate unscrupulously.

It just can’t be reset.

The two intestines are tightly tied together.

Laparoscopy is minimally invasive though.

high tech.

However, the surgical field of view is obviously inferior to traditional laparotomy.

In operation, we also have to use equipment.

Compared with laparotomy, it has great limitations.

The more you operate, the more impatient you are.

Beads of sweat on his head burst out.

5 minutes passed…

10 minutes passed…

Half an hour passed.

One hour TM passed.

The patient’s intestines are still nested together like a folded telescope.

Zhang Yang’s sweat made his mouth dry.

He seemed to have heard the whispers of the crowd onlookers.

“What’s wrong? It seems that the operation is not going well?”

“It seems to be in big trouble.”

“Didn’t he take the initiative to request this operation at the morning meeting?”

“That’s really shameful.”

“Don’t you know? When discussing the surgical plan, Lin Feng said that the operation is best done openly.”

“He didn’t adopt it?”

“How can the arrogance of the imperial capital take other people’s opinions casually.”

“Then he is miserable! I still can’t figure it out. I have to call Director Zhangwu.”

————————

ps: 5300+4000+4000=13000+ words, it’s a bit late, sorry.

……Knife.

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