Chapter 1498 Call Boss Zheng

"Director, come and see, the appendix can't be found." Feng Jianguo gave up his struggle and sighed.

I really can't find it. Let the director come up and take a look. If it doesn't work, then it's really...

wrong! And Boss Zheng is here!

Such an idea suddenly appeared in Feng Jianguo's mind.

But this kind of thing, Director Wei can solve it is the best, don't make trouble to find Boss Zheng to solve it.

Appendicitis can't be cured, I feel ashamed to think about it.

"All turned over?" Director Wei frowned and asked very cautiously.

"Well." Feng Jianguo and another professor who led the group nodded together.

Director Wei didn't want to have this kind of surgery either.

This is not a question of technical level. Even if you get it on your own, there is a high probability that you will not be able to find the appendix.

But he is the director, and all the bad things will happen to him in the end.

This is the responsibility and obligation of the chief director.

No way, Director Wei bite the bullet and brush his hands to the stage.

The operating room was quiet, and the background music was turned off early. At this time, the practitioners have a bad temper. If it is blamed on music, it will be considered a disaster.

Not only music, but also nothing like driving a car or making jokes.

No one was driving, and even speaking voices were kept very low.

Fearing that the surgeon would be unhappy with any words, he would start throwing instruments on the operating table, which is also a common occurrence.

The incision was covered with white gauze, and the two leading professors gave up their last struggle and simply waited for Director Wei to come on stage.

Quan Xiaocao stood aside, waiting for Director Wei to come out and put on sterile clothes, and rush up to tie the belt for the Director at any time.

Although this is a small detail, it can also try to leave a good impression on Director Wei.

And the surgery... Quan Xiaocao was stunned.

The patient's appendix seemed to be lost out of thin air and could not be found at all.

Director Wei had a gloomy face, brushed his hands, disinfected, put on sterile clothes, and came to the surgeon's position.

Opening the white warm saline gauze, he saw at a glance that the incision had been extended to nearly 10cm.

The initial appendix incision extended upwards, turned into a straight opening, and had a small hook, which looked extraordinarily "ugly".

Every time I encounter such an ugly incision, it means that the operation is extremely difficult.

What a headache, Director Wei took a deep breath, stretched out his hand, and asked the instrument nurse for big tweezers, and started to search for the "disappeared" appendix again.

After 2'12 seconds, Director Wei's heart sank.

Sure enough, it wasn't Feng Jianguo's mistake, the appendix was not in a familiar location.

What contralateral appendix, high appendix, retroperitoneal appendix, simple exploration did not find.

No way, start digging your intestines a little bit to find it. I really can't believe it, I can't find this little guy.

Because he was too focused and nervous, and the sympathetic nerves were highly excited, Director Wei felt that the position of his armpit was a little cold.

It was sweating, he knew in his heart.

The latency period of mental sweating from stimulation to sweating is very short, only a few seconds to 20 seconds.

Nervous emotions constantly stimulate the sympathetic nerves, and nerve impulses are transmitted from the cerebral cortex to the palms, armpits, and eccrine glands on the front and face.

The increased concentration of norepinephrine leads to a rapid increase in the secretion and excretion of the eccrine glands in a short period of time, that is, mental sweating.

First, the apocrine glands in the armpit begin to secrete sweat, and immediately other eccrine sweat glands begin to secrete sweat.

At 6'23", Director Wei turned his head and asked the roving nurse to tie a white sterile gauze.

Plan ahead, if you really can't find the appendix, but drip sweat in the surgical area, don't be a human in the future.

However, no matter how many hormones the sympathetic nerve induces the body to secrete due to tension, Director Wei's concentration and hands are more stable, and his skills are brought to the peak, but all this is in vain.

After 23'45", Director Wei started to sweat.

Acetylcholine CAMP started to boost the energy of the nerve cells, but it didn't work, and the sweat continued to increase.

The intestines have been stroked almost, from the cecum up to the duodenum. Down, almost to the rectum, the appendix seemed to be non-existent.

"Is the preoperative diagnosis clear?!" Director Wei said in a deep voice.

"Definitely." Another professor who led the group said with a guilty conscience: "Metastatic pain, the initial onset is pain in the upper abdomen, then pain around the umbilicus, and finally fixed in the right lower quadrant. The appendix area of ​​the right lower quadrant has tenderness and diarrhoea. Thrilling pain, no muscle tension. Blood routine..."

He began to report his condition.

Very simple, clear medical history.

Physical examination, symptoms, and clinical examination, except for the absence of B-ultrasound of the right lower quadrant, all pointed to acute simple appendicitis.

What a surprise! Director Wei cursed in his heart and continued to stroke his intestines.

In the duodenum, I encountered a case of appendicitis when I was young, and it was discovered here.

Hopefully this time too.

After 2′12″, Director Wei was disappointed again.

All the intestines have been stroked again, and there is nothing.

Even the rarest retroperitoneal appendix is ​​absent.

Director Wei felt desperate, even the retroperitoneal appendix, which had been ruptured and perforated because of severe swelling and obstruction of the appendix.

Although the operation is extremely troublesome, it is better than this kind of appendix that cannot be found at all.

He turned his head, and the anesthesiologist immediately came up to wipe the sweat.

After all, the treatment of the chief director is different from that of a group professor.

Director Wei turned his head back, looked at the surgery area blankly, and did not move any further.

He was reminiscing about the cases he had experienced over the years.

The most complicated and troublesome is the retroperitoneal appendix, also known as the extraperitoneal appendix. And this kind of meticulous search, but the appendix is ​​not found at all, which has not happened yet.

Are you going to capsize in this small gutter?

I was famous all over my life because of appendicitis.

Is it an intraluminal appendix? Director Wei suddenly remembered such a term.

He found the ileocecal region, squeezed the intestines gently with his hands, and searched for 6-8cm up and down.

Still nothing.

"Director, why don't you ask Boss Zheng to give him a hand?" Feng Jianguo suggested in a low voice.

"I've done my bowel movements, so I'm sure there's no appendix. It's helpful to have a look at Boss Zheng?" Director Wei glared at Feng Jianguo.

"..."

Feng Jianguo did not dare to speak.

The voice of communication was very low, and the patient lay on the operating table and knew that something major had happened. His upper limbs were trembling, and his upper and lower teeth were constantly colliding, making a loud bang.

Because of the sterile sheet, he couldn't see anything, and could only vaguely hear the voice from that side.

Until the silence on the operating table fell, the patient pretended to be courageous and asked in a low voice, "Director, I won't die."

"..." Director Wei really wanted to cry.

But because of sweating too much, the body fluid volume is obviously insufficient, even if I cry at this moment, I can't cry.

How does the body distribute fluids to the most important organ, the tear gland? It doesn't matter at all there, okay.

Director Wei didn't answer the patient's words. He was silent for a few seconds, sighed, and said, "Call Boss Zheng."