Chapter 1495 The Past and Present of the Endoscopy Room

Jin Yaowu's "enemy of his life", which he never forgot, did not bury his head in the TIPS operation as he imagined.

Zheng Ren had already gone to the obstetrics department, and explained the related condition to the patient with hyperemesis gravidarum who had just been admitted to the hospital and the patient's family, and went to the endoscopy room to prepare for surgery.

A sketch was placed on the table, clearly depicting the surgical process.

"It's basically like this." Zheng Ren put down his pen, looked at the patient's family, and said, "The principle is to solve the problem of stimulating the autonomic nerves after eating, causing severe vomiting.

In most patients, it is sufficient to leave the tube in the stomach. But for patients with hyperemesis gravidarum, we also have to send the tube to the jejunum. "

"Is it dangerous?" asked the patient's lover.

"Not much." Zheng Ren said: "But there may still be discomfort, which will lead to the failure to meet our expectations of the operation after surgery."

"You didn't say..." The patient's lover asked in a particularly tangled manner. He was a little timid, but the doctor in front of him looked too young and didn't look like a professor. So he took courage and kept asking.

"I just said that if the stomach tube is used, it will be very irritating. And even if the chyme is injected into the stomach tube, it will cause the side effect of severe vomiting."

"If you have a jejunal tube, you can use intravenous drip, and there are relevant nutritional medicines that can support your lover until the due date. After giving birth, you can pull out the nutrition tube." Zheng Rendao.

The patient's family was a little confused, but Zheng Ren's explanation and sketches made it clear at a glance.

"Even if there is no vomiting, the nutrient solution can provide sufficient nutrition, but there may be side effects. For example, if the nutrient tube is removed after childbirth, your spouse does not eat for a long time, and the function of the stomach is affected, etc."

"Then... what should I do?" The patient's lover's hands were a little numb.

"It can only recover a little bit, or during the jejunal nutrition period, you can drink a small amount of water and eat, and try gradually around the threshold that causes discomfort." Zheng Ren said: "This is just a general idea, and the specific situation varies from person to person."

The patient's family was silent.

They all understand what Zheng Ren said.

But when it comes to thinking that pregnant women not only can't eat, but also need to rely on nutrient solution for a few months, everyone is a little flustered.

Coupled with a series of side effects, there are as many as twenty-three preoperative explanations, and no one will panic.

But there is no way at home.

Pregnant women have severe pregnancy reactions from the 3rd week of pregnancy until the 24th week of pregnancy. She had had two miscarriages before, and the child was not kept. So even if there is hyperemesis gravidarum this time, she will insist on it.

The most frightening thing is that her mental state is somewhat unstable.

The patient himself has made it very clear that he should never induce labor. Even if he vomited to death, he had to give birth to the child.

If she hides the anesthesia and induces labor, she will jump off the building after surgery.

Such things leave family members and obstetricians at a loss.

The method provided by Zheng Ren is the only way to solve the problem. The director of obstetrics contacted Xiehe’s classmates, who provided relevant medical records.

Although not many, a similar attempt was made on that side.

Like Zheng Ren's approach, he also used jejunal nutrition for nutritional support, and the postoperative effect was good.

Therefore, Director Du of the Obstetrics Department asked the inpatient chief for consultation, and asked Boss Zheng of the Interventional Department to take a look.

She also did not expect that Boss Zheng would draw a sketch comparable to a textbook picture, nor did she expect that all the side reactions Boss Zheng would take into account, and listed 23 preoperative explanations.

"Can we... think about it?" The patient's family members finally asked hesitantly.

"No problem, you can try vitamin B6 and intramuscular injection of vitamin B1 first." Zheng Ren smiled, trying to ease the tense atmosphere in the office.

But no one noticed his smile, and the family was gloomy, each thinking different things.

"Director Du, let's do this first." Zheng Ren said, "If the family agrees to the operation, you can inform me at any time. If there is no operation on my side, I can do it if I have enough time to fast."

"Okay." Director Du didn't talk nonsense, and nodded directly, "Look at the endoscopy room first?"

Zheng Ren thought for a while, although he had already performed surgery in the operating room of the system, he had never touched the endoscopy room of 912 himself, so it would be best to take a look.

"Okay, Director Du together?" Zheng Ren asked tentatively.

"I'll accompany you to see it." Director Du said.

The patient's family was still very polite, and a little embarrassed to apologize to Zheng Ren. Zheng Ren smiled and sent them out, and went to the endoscopy room with Director Du.

"Boss Zheng has been famous for a long time, but I didn't expect the opportunity to cooperate with you." Director Du said while walking.

"I used to work with the obstetrics department often." Zheng Ren smiled and said, "Postpartum hemorrhage or something is all done through intervention."

"Well, it's really a pity that I couldn't get you to go to the consultation. Boss Zheng, are you sure about this kind of surgery?"

"The operation is not difficult, but the recovery of the stomach after childbirth will take a long time. By the way, the jejunal feeding tube may be blocked in the middle, and it may be necessary to change the tube. But this is not troublesome, it is just a minor operation."

"It's also a way." Director Du said: "There are many patients with hyperemesis gravidarum. If successful, we can cooperate for a long time."

Zheng Ren pondered for a while, and then asked, "Director Du, go back and ask the patient if he can accept the surgery live."

"Live broadcast of Xinglinyuan's surgery?"

"Um."

"That side spreads faster and the technique is simple, so you're not afraid..." Director Du paused after half the words.

"This is just a way of thinking. It can solve the pain of many patients. What's the use of keeping it in hand? The surgical procedure should solve the problem." Zheng Ren smiled.

Director Du sighed with emotion. Boss Zheng is majestic. It is no wonder that everyone has become a visiting professor of Mayo.

At the office meeting that day, Director Du saw with his own eyes that Director Kong resisted Director Mao, and finally made a comeback.

At that time, I didn't understand why Director Kong put so much effort into a "little" doctor.

Looking at it now, not to mention anything else, I feel comfortable just because of the energy of others.

In the future, I will have to cooperate with Boss Zheng more.

"The endoscopy room of our hospital was not big at first, but Director Luo supported it with one hand." Director Du did not mention the jejunal feeding tube, and began to introduce Zheng Ren.

This is the past and present of the endoscopy room.

In the domestic endoscopy room, there are some specialist doctors, but in some hospitals, the gastroenterology department controls the endoscopy room.

After all, the vast majority of patients who do gastroenterology are in gastroenterology. A proper upstream department, there is absolutely no suspense.

If the gastroenterology department does not support, the work of the endoscopy room will be difficult to carry out.

It turns out that 912 is this model, Zheng Ren smiled and nodded.

Director Luo, you are also very supportive of yourself. It should be a pleasure to work with him.