Back in 2002 as a doctor

……

……

Note: This case is taken from a report published in Gastroenterology by the Second Xiangya Hospital of Central South University.

Chapter 0088 Although the speech is not good, but looks good

"I didn't expect you, a little doctor, to have such energy." Liu Xiaobie said after Zhou Congwen.Although he was praising Zhou Congwen, no matter what he heard, he felt that Liu Xiaobie had malicious intentions.

"I don't have much energy. I have to ask for a gastroscope. It's hard to ask for help now." Zhou Congwen was a little emotional.

A few years after the last life, no matter what I want to do, I will definitely be served by the whole team.It's not like now, I only know Professor Chen, and I have to use all the favors.

But it doesn’t work, the patient’s “big watermelon” should grow in the throat or upper esophagus, but why the patient has no progressive eating difficulties, Zhou Congwen can’t say.

It's like seeing different flowers in different eyes, even the same disease, there are countless different symptoms in patients.

When I came to the CT room, I watched the operator perform head and neck CT on the patient, and finally determined that the pedicled mass originated from the throat, and the tongue and throat were normal.

No other mass was found in the esophagus.

Zhou Congwen was relieved, if this was the case, the operation would be easier.However, it is estimated that the doctors in the Second Hospital of Medical University have never seen it. Gastroscopy is still an inspection item most of the time, and there are very few invasive operations.

Go by yourself, solve the problem at the first time, and save trouble.

Although he rushed to and came back overnight, and was on duty tomorrow, he was too exhausted, but he absolutely couldn't leave it to Wang Chengfa.

Suddenly, Zhou Congwen remembered something, when he touched his head, the small flat head rustled.

"Forgot one thing, do you have a car?"

"What do you mean?"

"In principle, the hospital's 120 first aid does not leave the urban area. If you go to the provincial capital, you have to drive yourself. I can contact Professor Chen, but if you want an ambulance in Jianghai City... I don't have the energy." Zhou Congwen felt helpless.

In 2002, not to mention the lack of various medical technologies, consumables, and equipment, there were not many 120 ambulances.

The ambulances in Jianghai City can barely meet the needs of the city, so it is absolutely impossible to find an ambulance to go to the provincial capital, and the current road conditions are average.

Alas, Zhou Congwen sighed, very nostalgic for the era when the big infrastructure was built in the future.

To go to the provincial capital, drive faster, and drive at a speed 10% above the speed limit. If there is no traffic jam, it will only take a little over 2 hours from the third hospital to the second hospital of the provincial medical university.

Another point is that now few ordinary people have a Jetta, and the Santana 2000 produced by the third-hand production line eliminated by Germany is very showy.

Sending patients... I was careless.

I still get used to the convenience in the future, and take the luxury enjoyment as a matter of course. 2002, really hehe.

Liu Xiaobie looked at Zhou Congwen contemptuously, her lips pursed slightly, as if she was a little angry.But she didn't hate Zhou Congwen, and said in a flat tone as much as possible, "Yes, I bought a car."

"I haven't seen you drive it before?"

"Does the car take you for a ride? How expensive is the gas! Do you deserve it?" Liu Xiaobie couldn't bear it any longer, and with one sentence drove Zhou Congwen to the corner of the CT room.

Zhou Congwen also knew that Liu Xiaobie in this kind of family should not be too cold about this Uncle Wu in front of him, but because of the landlord's aunt, all the unhappiness was kept in his heart.

He didn't want to be Liu Xiaobie's punching bag.

Although she doesn't speak well, she looks good, bear with it.

I asked a technician to print the film, refused the doctor of the third hospital to delay the report, got in the car and went straight to the provincial capital.

Along the way, Congwen contacted Professor Chen twice last week to roughly determine the time to bring the patient to the Second Hospital of Medical University, and expressed his gratitude to Professor Chen.

It was already midnight when we arrived at the Second Hospital of Medical University.

The Second Hospital of Medical University, which was bustling with people during the day, finally calmed down and had time to take a breath.

"Uncle Wu, can you go?" Zhou Congwen asked.

"Yes." The old man said vaguely, dragging the meat ball.

Because he opened his mouth for too long, saliva flowed from the corner of his mouth. Zhou Congwen's only job along the way was to help him wipe the saliva.

Sometimes the word dignity is not important. In order to live, one can give up almost everything, including dignity.But Zhou Congwen thinks that as long as he hasn't reached that level, he should try his best to make his patients look decent.

This is just Zhou Congwen's personal feeling.

Using a tissue to carefully wipe off the saliva from the corner of the old man's mouth, Zhou Congwen said, "What does your son say?"

"I thought about it, and I won't disturb my son's studies." The old man said, "He's living a very hard life, working part-time and studying, and the return air ticket is quite expensive. I'm afraid he will fly back directly."

Zhou Congwen smiled, he had already guessed this result.

But Liu Xiaobie will definitely not sign, and the landlady has no legal relationship with this Uncle Wu. Even if the landlady wants to sign regardless of righteousness, Zhou Congwen will not agree.

What is the medical office for? Of course it has to be used.

In this "special" situation, there is a medical office, so why bother the landlord.

According to the route Professor Chen said and Zhou Congwen's memory, when he came to the door of the endoscopy room, Professor Chen was talking to a man in his 30s wearing glasses.

"Professor Chen, hello." Zhou Congwen hurried up and bowed slightly to express his gratitude.

"Doctor Shi, this is the Xiao Zhou doctor from the Third Hospital of Jianghai City that I told you about." Professor Chen's gloomy face finally showed a smile after seeing Zhou Congwen.

The middle-aged doctor in his 30s glanced at Zhou Congwen, who was a little surprised.I heard from Professor Chen that this doctor is young, but I didn't expect him to be so young!

However, his attention was quickly attracted by the patient. He was still shaking hands with Zhou Congwen, but his eyes were fixed on the old man.

He held a meat ball in his hand, and saliva flowed from the corner of his mouth...how did the meat ball come from?Why is it so big?Countless questions appeared in his mind, and Dr. Shi instantly became a hundred thousand whys.

The Second Hospital of Medical University has a large number of patients. Dr. Shi has seen thousands of patients, all kinds of weird ones, but this is the first time for this kind of patient to see a doctor with a meat ball.

Is that a tumor?No infiltration of surrounding tissue?Why did you spit it out so easily?Is it because of drinking?

Professor Chen was also stunned. He smiled wryly. Doctor Xiao Zhou really dared to play with everything. This kind of weird patient can be pushed directly to the higher-level hospital. He insisted on doing it himself.

However, Professor Chen didn't say much. He silently glanced at the patient and then at Zhou Congwen.

Dr. Zhou's face exudes a youthful radiance, but there is no youthful and ignorant energy in his youth, but more self-confidence.

"The film was taken. The tumor grew from the lower part of the throat and the upper part of the esophagus. I judged it to be benign."

Zhou Congwen gave his own judgment.

Chapter 0089 Turn a blind eye

"Xiao Zhou, I heard you said that the patient didn't have progressive dysphagia before?" Professor Chen asked suspiciously as he watched the patient hold the meat ball in his hand.

Ordinarily, such a large thing must have grown out little by little in the mouth, how could there be no progressive dysphagia.

"That's what the patient said, and I don't understand it." Zhou Congwen said truthfully.

"Tsk tsk, this thing is easy to get." Dr. Shi sighed that he saw another strange patient, and said, "It's the first time I saw it, didn't this just grow a big watermelon? When the fruit is ripe."

Seeing that Dr. Shi was eager to try, Professor Chen was also relieved.At the very least, Dr. Shi was interested in this patient, and he deserved to bring him from home for surgery in the middle of the night.

It's ripe, this description is still very appropriate.

Dr. Shi thinks the operation is not difficult, but there are many procedures before the operation.

To go through hospitalization, find someone from the medical office to help with the pre-operative explanation, prepare the machine, and go through a series of procedures. Even with Zhou Congwen and Liu Xiaobie running all the way to go through it, it took nearly 2 hours.

After all, it is not a patient who will die after a second of delay. When encountering such a thing, everyone should try their best to follow the normal path to avoid problems in the future.

When the show was about to start, there was already a hint of whiteness outside the window.

"Professor Chen, I heard that you haven't had any surgeries recently? Is Director Zhang so cruel? What are you going to do in the future?"

While having a gastroscope, Dr. Shi chatted.

Professor Chen was speechless, and Zhou Congwen was a little puzzled. This was different from the Professor Chen in his memory. Why didn't he have surgery?

But he didn't ask, this is not what a young doctor should ask, besides, Zhou Congwen is not interested in these intrigues in the hospital.All he cares about is surgery.

"Director Zhang is too ruthless. We talked about it at dinner yesterday, or I wouldn't know. Tell me, you did him a huge favor, but in the end..."

As he spoke, Dr. Shi seemed to be strangled by the neck, and the following words came to an abrupt end.

Zhou Congwen silently watched the situation displayed on the screen of the gastroscope, and was also speechless.There was no entanglement or incomprehensible confusion in his heart, only rejoicing.

Fortunately, I brought the patient here!Otherwise, I don't know how big things will happen.

The pedicle of the patient's throat on the screen is not a vine going out, it may be because it took a long time to fall out, or it may be because of eating and swallowing before, the "watermelon vine" is entangled, and there is already ischemia sign.

Similar to this is a very dangerous disease - ovarian cyst pedicle torsion!

It was a fatal disease.

Although the situation in front of him would not be fatal in a few minutes, it was definitely not easy to handle.

According to Zhou Congwen's pre-study estimate, it is enough to put a clip at the root of the pedicle and then cut it off.The procedure is simple and takes about 10-15 minutes.

However, the pedicle from the patient's throat began to twist and fold from the root. The root was thick, like the root of an old tree, and the clip could not be clamped at all.

Zhou Congwen narrowed his eyes.

"I'll go...it's not easy now." Dr. Shi subconsciously said softly.

Because the patient was not under general anesthesia, he lowered his voice instinctively, trying not to let the patient hear him, so as to avoid accidents such as tension.

Professor Chen also saw this situation, and his brows were already twisted into twists.

The patient in front of me is going to be troublesome, this thing won't require a big knife.

"Professor Shi, why don't we try to unravel this knot?" Zhou Congwen suggested.

"I can't untie it." Dr. Shi was a little frustrated, "Although there is no obvious sign of black necrosis in the back, but once untied, the toxin will flow back into the body circulation, what should I do if septic shock occurs?"

"You can untie the bottom part first."

"Have you...have you had a gastroscope?" Dr. Shi's politeness to Zhou Congwen certainly disappeared, and he said disdainfully, "If you untie it, you will untie it from top to bottom, from bottom to top? Where are the pliers of the gastroscope? What are you going to do?" Use force?"

Doctor Shi's tone of voice was not very kind.

Thinking about it, I was called from home in the middle of the night to do an emergency surgery that wasn't an emergency, and finally found that I couldn't do it, and no one would have a good temper.

And there was also a little doctor from a prefecture-level hospital standing aside and beeping, saying some unreliable things.

Chen Houkun watched quietly, but did not smooth things over.

He was very curious about how Zhou Congwen was going to solve this matter, after all, Zhou Congwen himself made the request to help.

If Zhou Congwen can really do it, it seems that his judgment of him... Forget it, it doesn't make any sense, he will be put on a high note, this life has been ruined, so don't think about supporting young people so far away.

"Professor Shi, you can give it a try. I'll help you." Zhou Congwen said lightly, "If it doesn't work, let's go to the ENT department for consultation. But at this time, there are only doctors on duty in the ENT department."

"Uh……"

"Try it, it's all here."

"Definitely not!" Professor Shi said with certainty.

But even though he said so, he started to operate the gastroscope equipment, ready to try it.

The little doctor from the Third Hospital of Jianghai City made sense. He came here, and he just went on like this. There is no follow-up treatment, and he is not reconciled.

But wanting to "untie" this knot is even more difficult than climbing to the sky.But "it's all here", it's not a big mistake to try it.

Dr. Shi took a deep breath, calmed down, calmed down, and began to operate.

Zhou Congwen used gastroscope forceps to help expose the surgical field, and Chen Houkun's eyes lit up.

Isn't this the situation where I have met twice?

The authorities were a fan, and they didn't even know what happened at the time.But now I am standing under the operating table, looking at the whole situation, my vision is so good that I can see everything at a glance.

Soon, Chen Houkun noticed that Zhou Congwen's sterile gloved hand stretched along the meat ball and touched the whitish pedicle.

What is he doing?

Chen Houkun was engrossed, but instead of looking at the screen, he stared carefully at Zhou Congwen's left hand.

The hand slightly changed the angle, as if it was exerting force from the outside to help "untie" the knot from the inside.

But can it really work?Chen Houkun fell into deep thought.

"Okay, Professor Shi, try to see if the clip can go in. I suggest to tie a knot with an instrument after the clip is put in. After all, there is a relatively thick small artery in the pedicle to avoid bleeding."

"It really works." Dr. Shi was very excited. He operated the gastroscope equipment with both hands, and stared at the exposed root of the pedicle with his eyes fixed on the TV screen.

"..." Chen Houkun was stunned.