Doctor of Healing

Intussusception is the intussusception of a section of intestinal tube into the lumen of the intestine that connects it, resulting in obstruction of the passage of intestinal contents.Intussusception accounts for 15% to 20% of intestinal obstruction.

There are two types of primary and secondary.Primary intussusception occurs more often in infants, while secondary intussusception is more common in adults.

Intestinal motility is active in children, and intussusception may occur due to disturbance of intestinal motility at the age of supplementary food.Upper respiratory tract or gastrointestinal tract infection in children is often accompanied by enlarged mesenteric lymph nodes, which may also affect the normal peristalsis of the intestinal tube and cause intussusception.

But adult intussusception is not the same as pediatric intussusception.

Although they are all called intussusception, adult intussusception mostly occurs in the intestinal tract with lesions, such as benign or malignant tumors, polyps, tuberculosis, adhesions, and Meckel's diverticulum, which can affect the normal peristalsis of the intestinal tract and become the cause of intussusception. predisposing factors.

Intussusception in children is treated with air enemas, and most adults require surgery.

Although both are intussusception, the treatment is completely different.

No wonder Mr. Miao is so angry. It is estimated that some second-hand doctor in the emergency department does not know the difference in age of intussusception and the follow-up treatment, so he called Mr. Miao for consultation.

Ji Xiang thought for a while, then focused slightly, and came to the operating room of the system.

After seeing the system NPC, Ji Xiang first bowed and saluted, and then explained the situation.

The system npc is well-informed and not surprised, he just smiled slightly, "Similar situations are rare, but they do happen. Doctor Xiaoji, let me ask you, what would you do if you encountered a similar situation clinically."

"I?!"

Ji Xiang's thoughts flashed, and he thought of empathizing with him and analyzing the pros and cons in an instant, thinking about this matter from the perspective of patients, family members, and doctors.

"Have you figured it out?" the system npc saw everything and asked Ji Xiang with a smile.

"I want to feel it from the patient's point of view." Ji Xiang said.

"why?"

"The perspective of the patient's family is quite weird. Either they don't understand nonsense, or there are other reasons. If I feel it from the perspective of the patient's family, I have to stop the air enema immediately. And..."

Before Ji Xiang finished speaking, the system npc nodded, "The idea is basically correct, but the experience from each angle is different. Try it. It won't hurt too much, and there is no harm in trying."

"Teacher, can I feel it from every angle?" Ji Xiang asked suddenly.

"This is a reward for completing a thousand times of empathy." The system npc said, "Actually, it's not really a reward, you are helping me with data collection. It is Zhou Congwen, who is so clever that he treats a cow as a horse It sounds so good."

Ji Xiang raised his eyebrows, and he said with a smile, "I'm enjoying it, it's like a Sims game, and it's pretty good."

The system npc smiled and didn't speak, his muddy eyes gradually became clear, revealing a burst of joy.

Ji Xiang deliberately avoided the topic of data collection, and the system NPC did not elaborate, and brought Ji Xiang to the next surgery room.

Light and shadow flickered, and Ji Xiang felt cold.

Looking carefully at the surrounding environment, Ji Xiang found himself lying on the flat car, with cold wind blowing from the direction of the soles of his feet.

Fortunately, he was covered with another piece of clothing to keep himself a little warmer.

Searching the memory, Ji Xiang was a little speechless.

I am a 73-year-old male, and he has symptoms of intestinal obstruction in the past few days, abdominal distension, little gas, and no bowel movement.

I came to the hospital for an examination, and after doing an abdominal CT, it was found to be intussusception.

The emergency doctor said that he would be admitted to the hospital for surgery, but his son insisted that no surgery was possible, and the treatment was air enema.

It’s true to say that, a few years ago, when my grandson was young, he also had an intussusception. At that time, seeing his grandson with blood in his stool and his stomach swelled into a ball, the whole family panicked.

In particular, there is only one hospital in the city that can do air enemas. At that time, I was in a hurry to ask for help from various hospitals with my baby in my arms. In the end, the doctor in this hospital spent half an hour to solve the problem, and the baby seemed to be fine.

This incident left a deep impression on everyone in the family, and even now it is often mentioned.

Intussusception, and intussusception again, no wonder "son" is so stubborn.

It's all path dependent.

My son is right, air enemas are indeed useful, but...

Ji Xiang complained in his heart.

"Wait a minute." The radiologist said coldly, "The gastrointestinal surgeon will be down soon, but let me tell you first, the same sentence, the intussusception of adults is different from the intussusception of children."

"Hey."

Ji Xiang's "son" sneered.

"Xiaohua, come here." Ji Xiang beckoned.

Every movement of the body, even a simple movement like waving, involves the muscles and nervous system, and there is a sharp pain in the abdomen.

Oh shit!

Ji Xiang cursed in his heart.

The position just now is the most comfortable position. If you move around a bit, a slight change in the position will cause terrific pain.

Just once, cold sweat broke out.

Ji Xiang changed a few more positions and found a slightly more comfortable position.

"Dad, what's the matter?" the son asked softly.

"I think what the doctor said makes sense." Ji Xiang whispered, "Or just have an operation."

"Dad, don't believe them." The man curled his lips and said contemptuously, "It's all intussusception, what tricks can the treatment do, you say yes. Let's say, appendicitis can get it, but whether it's a child Or the elderly, no matter how old they are, should they be treated conservatively and hang water, or else they should be operated on?"

"..." Ji Xiang wanted to explain, but just as he was about to speak, he felt a stabbing pain in his stomach.

Chapter 610 The Savior

"Dad, is this position uncomfortable for you, move slowly, and I'll help you find a position that doesn't hurt."

The son is very filial, he gently helped Jixiang change a few positions until he saw that Jixiang's painful expression eased slightly.

"Dad, I don't know about their hospital. Some time ago, there was a hospital that had a New Year's Eve dinner and hung up a banner. You couldn't guess what was written on it."

"What is it?" Ji Xiang asked in pain.

"The tigers and tigers welcome the New Year, and the operating room is full of money."

"..."

Ji Xiang was silent.

"Think about it, your eldest grandson only spent more than 200 yuan for an air enema, and it was done in half an hour. But if he went to the operating room, it would cost at least [-] to [-] yuan, and he would have to be hospitalized and drip something. The same disease, how many Spend a hundred times as much."

Speaking of this, the man seemed to feel that something was wrong, he quickly explained apologetically, "Dad, it's not that we are reluctant to spend money, you know what I mean."

Ji Xiang tried his best to nod his head, giving the man some comfort.

"We will definitely not save the money that should be spent. I am also worried that you will suffer. Think about it, a big knife cuts down like this, and a section of intestines has to be cut. Is this a human suffering?"

"Using the words of my hometown, this is hurting your vitality, and it's fundamental. Don't say that you are over 70, and I can't do it."

"The doctors in the hospital are as dark as they are now. Good people have to peel off their skin when they go in. If they catch a patient, they can urinate out of a dead toad."

Ji Xiang listened to the man explaining to himself constantly, feeling helpless in his heart.

There used to be a joke - a foreigner got into a taxi and asked where he was going, and he boldly said to go to the most expensive place in your city.As a result, the taxi driver took him to the hospital.

There are too many things to say here, and I can't finish talking all day and night.

Ji Xiang didn't bother to explain much, he probably understood the thinking of the patient's family.

Mistrust + previous experience, this series of things led to a non-indication patient lying outside the radiology department waiting for an air enema.

Now Jixiang is only worried about one thing - the doctor in gastrointestinal surgery is cowardly, similar to Zhao Mengmeng, a doctor who belongs to the clinical rookie type.

When the patient's family members pressed hard, they backed down unprincipled, and even began to have self-doubt, and then started the real air enema according to the opinion of "my" son.

If that's the case, Ji Xiang really can't tell what the consequences will be.

What if the intestinal tract bursts due to the pressure, causing intestinal contents and tumors to scatter... Ji Xiang couldn't think about it anymore, even though he knew it was just a feeling, he felt uncomfortable just thinking about the consequences.

Ji Xiang even regretted that he should not choose to participate in empathy as a patient.

"I am coming."

A familiar voice appeared.

Even if Ji Xiang had just found a more comfortable posture, he couldn't help but look up.The previous depression dissipated, and he knew that the savior had arrived.

It's Professor Zhou Congwen Zhou!

The familiar voice was like the sound of nature, which warmed Ji Xiang's heart. It was Professor Zhou who came out, so he should be fine.

"Brother Zhou, look, it's him." The doctor in the radiology department pointed to Ji Xiang and said, "Bai Wuchang from the emergency department took it over. He said that the patient's family members strongly requested it, so he threw him here and went to work. This is very special." What's the matter, the emergency department is getting more and more disgusting now."

Professor Zhou patted the radiologist on the shoulder, and Ji Xiang felt that he should be signaling the radiologist not to magnify the conflict.

"Hello, I'm a doctor in gastrointestinal surgery, and my name is Zhou Congwen." Professor Zhou came over with a serious face, and said to the man, "Is there any examination, let me take a look."

"Here is the result of the blood test, and here is the CT." After the man handed the auxiliary examination report to Zhou Congwen, he couldn't bear the emotions in his heart, and said contemptuously, "Are you doing the surgery to give the emergency department a kickback? Otherwise, why would the emergency department The doctor strongly advised my dad to go to the operating table."

This is a proposition. From the corner of Ji Xiang's eyes, he saw a gentle and elegant smile on Professor Zhou's face, which was completely different from when he communicated with other doctors.

"There is no rebate, it's all nonsense." Zhou Congwen took out the film with a smile, and glanced at the LED lights on the roof of the corridor.

From Ji Xiang's perspective, Zhou Congwen scanned twice, and all 44 windows have been scanned.But Zhou Congwen didn't speak, didn't put down the film, but continued to stare.

Professor Zhou knew well what was going on with him, the reason why he didn't put down the film right away was because he was performing.

If the film is put down after a quick glance, it will give the patient's family a feeling that the doctor doesn't care.There is not much trust in the first place, and if you don't pay attention to the details, the problem will inevitably become bigger and bigger.

Professor Zhou is worthy of being a student of the system NPC, one of the creators of the system, and has a lot of clinical experience.

Professor Zhou paid great attention to such a small detail, and Ji Xiang trusted Professor Zhou more and more in his heart.

Professor Zhou grasped the time very well.

It didn't leave the patient's family members with the feeling of sloppy watching the film, and did the patient's family members feel that the doctor's level is not good enough, and it takes so long to watch a film.

He got everything right.

"It's an intestinal obstruction."

"Doctor Zhou, it's intussusception." Ji Xiang's "son" corrected him.

"Intussusception is also a classification of intestinal obstruction. In this way, it is cold in the corridor, and I will find a warm explanation for you."

"Hurry up the air enema, we'll go home after we're done," the man said irritably.

His voice was very loud, similar to roaring, and he couldn't hold back his violent temper.

"Xiaohua."

Hearing what Ji Xiang said, Professor Zhou came over immediately and took Ji Xiang's hand.

His hands were warm and didn't use much force, but they felt solid.

"Old man, my name is Zhou Congwen. We have to explain your illness in detail. Can I delay you for 10 minutes? Just 10 minutes."

"It's too cold in this corridor. In winter, if you catch a cold again, you'll have to suffer. I'll find you a warm place, check your body, and tell you and your family about the specific situation. How will you choose?" It's all right."

Speaking, Professor Zhou tucked Ji Xiang's clothes, and inadvertently used his body to help Ji Xiang block the cold wind.

"Doctor Zhou..." The man frowned.

His voice was much lower, and he was more considerate of his heart than his heart. The doctor's words were reasonable, and he could accept them except for a very small number of patients with antisocial personality or their family members.

"Xiaohua, listen to the doctor, I'm fine." Ji Xiang quickly expressed his attitude while he was still talking nonsense.

He was really afraid of giving himself an air enema.

Not to mention inserting a tube from the anus, but also pumping air into it, it is very sour to think about it.

In addition, the pressure in the intestinal tract is too great, once the stomach is full of poop...

The consequences could be disastrous.

Chapter 611 Dispute Resolution

The man pushed the flat cart and followed Zhou Congwen to the treatment room of the Radiology Department.

Zhou Congwen clicked on "Little Sun" on purpose, and Ji Xiang instantly felt the room warm up.

"To make a long story short, the old man is still in pain." Zhou Congwen showed a kind smile, and his tone was soft, exuding warmth like the little sun beside him.

At this moment, Jixiang even felt that the pain of intestinal obstruction was much lighter.

"Let me briefly explain this disease first. If you don't understand anything, feel free to ask. You're welcome."