Chapter 2706 Go to the Medical Office if You Can't Get a Number

Zhu Liangchen still remembers that it was a medical accident in which he wiped someone's ass by himself. At that time, the township hospital cut off the cystic duct when cutting the gallbladder.

He was the one who went to rescue Taiwan and inserted a biliary endovascular tube. Later, the patient recovered and was discharged home.

It was said that the patient would come to the hospital to take out the gallbladder stent half a year later, but the patient didn't come, so Zhu Liangchen didn't care about it.

In his words, there are so many patients who take over every day, who can always remember a patient.

It might be possible in a small hospital at the prefectural level, but it is impossible in the imperial capital. For more than ten years, tens of thousands of patients, if I can tell the outcome of the disease, I don't need to do other work.

Moreover, this patient had undergone surgery when he went to a nearby small hospital to save Taiwan, and he couldn't remember his name or disease.

"Let's take a look at the film first." Zhu Liangchen said in a deep voice.

"Director Zhu, the family members of the patient came to me because they couldn't get your number. Why don't you take her back to your ward?" Liu Dexiang asked.

Zhu Liangchen didn't answer, but asked first: "Where is the patient now? Why is he uncomfortable?"

"In the hotel outside, I had a fever and couldn't get out of bed. After more than 20 days of drip at home, it still didn't work." Speaking of the patient Sun Xiwang, the woman said with grief, wiping her tears.

The course of more than 20 days was accompanied by fever. This was suppurative cholangitis. Zhu Liangchen picked up the film on the table and looked at it against the light.

The patient has liver cirrhosis, and it is considered to be secondary to chronic cholestasis. How long has the disease been? Zhu Liangchen only glanced at the film and found it very tricky.

The bile duct is blocked, and the image of accumulated pus can also be seen.

Surgery can be done, just take out the inner tube of the biliary tract, Zhu Liangchen made a judgment. As for whether to install another stent, it depends on the situation during the operation.

Conservative treatment is ineffective, and surgery is the only option. Besides, we can't just wait for death.

"Why did I remember to take a look?" Zhu Liangchen had already made up his mind to have an operation, but he still said coldly.

"The family doesn't have much money..." The woman wiped her tears and said, "Old Sun has been suffering, and his stomach has been hurting for three to five years, and it's getting worse and worse."

"Old Zhu!" The deputy director of the medical affairs department stood at the door and waved.

Zhu Liangchen glanced at it, stood up and walked out.

After going to the next room, the deputy director of the medical department lowered his voice and said, "If the operation can be performed, he will be performed, and he will be sent away quickly."

"Director Xiao, will you be able to register at the medical office from now on?" Zhu Liangchen said with a serious expression.

"Hey, I know you're not feeling well. I heard it just now. The patient is in a small hotel outside. You said that if he really died, wouldn't something happen on the ground?" Director Xiao persuaded.

"Then we can't all come to the medical office to complain and be registered." Zhu Liangchen said still displeased.

"Calm down, is the operation sure?"

"No one is 100% sure about surgery." Zhu Liangchen said.

"Don't talk like you're communicating with the patient's family, just say whether the operation can be done." Director Xiao is also a little annoyed, this Zhu Liangchen is holding him back, what's the matter!

"It can be done." Zhu Liangchen said in a deep voice.

"Old Zhu, take it back and hurry up to do the operation." Director Xiao said, "It's already the end of the year, and you may not meet anyone in various inspections. Don't use eye drops at this time."

Zhu Liangchen felt that things were going wrong for him recently, so annoying! However, he did not dare to stand up to Chief Xiao and refuse to admit the patient.

After all, it was a patient who underwent surgery on his own 14 years ago. If the patient died because of biliary blockage, it would be unclear. If the patient's family makes trouble again, even if it is not a professional medical trouble, he will not be safe for at least one month.

The most important thing is that you can't do this surgery yourself but say you can't do it, and watch people die, right?

Zhu Liangchen finally took the patient away while pinching his nose.

It was 7:30 p.m. for the preoperative examination and preoperative explanation. Everything was in order. After the operation, I have to be 10 points younger when I go home after the operation. I am messing with whom.

Zhu Liangchen came to the stage helplessly.

Although he was always aggrieved in his heart, there was nothing a doctor could do about this kind of thing. After the operation is done, the patient can be discharged from the hospital. I really can't get angry with them. Zhu Liangchen had eleven million reluctances, but he still had to undergo surgery.

"Director, how do you do the surgery today?" Zhu Liangchen's assistant asked.

After Liu Xuzhi left, he found a diligent little doctor to help him perform the operation. Although he is diligent and well-spoken, his level is inferior to Liu Xuzhi's.

However, there are few doctors who can perform surgery. Although I am the director, I can find anyone to work, and I can't find too many faults.

"Choledochoradiography, check the position of the internal tube, and then take it out. I hope the adhesion is not too strong, let's do it." Zhu Liangchen said.

He said it was very simple, but he also knew that the operation was still a bit difficult. After all, the inner tube of the biliary tract has been preserved for 14 years... Thinking of this number, Zhu Liangchen couldn't help but get a headache.

It's not necessarily what's going on inside, he thought to himself. Although there is a high probability that the internal tube can be taken out, there is still a small probability of emergencies.

And it's been so long, Zhu Liangchen can't even remember the brand and model of the connotation tube he downloaded at that time.

Alas, why don't you say that good people can't do it? Back then, I wiped the ass of the township hospital, but the matter fell on me.

Zhu Liangchen entered the operating room with a stern face, his face full of unhappiness.

Brush your hands on the stage and start doing cholangiography.

When the cholangiography image came out, Zhu Liangchen was dumbfounded. The stent is embedded in a lollipop-shaped stone with a length of 5 cm, which is called a solid one.

With such a long stone, Zhu Liangchen felt a bit bitter and astringent in his mouth.

MD! He cursed secretly in his heart.

But already on stage, what else can I do. Zhu Liangchen looked at the lollipop-like stone and recalled many things.

14 years ago, ercp had not yet been formed, and few people could do it. Biliary tract stents were usually percutaneously punctured, and the stents were placed under X-rays. Moreover, the patient's family members said they had no money at the time, and they were kind enough to give him a plastic inner tube instead of a stent.

Use an expert to do biliary drainage, and wait for the bile duct to grow for half a year before taking it out.

The patient recovered after the operation, and Zhu Liangchen clearly remembered telling the patient and the patient's family to look for him in half a year. After all, it is a plastic product, and there is no way to stay in the body for a lifetime. Cheap and expensive exotic metal brackets are two different things.

Unexpectedly, a patient with a stent that can be used for half a year to a year survived for a full 14 years.

Zhu Liangchen sighed and concentrated on the operation.

Grab the forceps and enter the biliary tract retrogradely, but because of the long time and the presence of stones, the stent is firmly in the biliary tract, no matter how you pull it out, it is useless.

After trying several times, Zhu Liangchen was a little irritable.