1496 The past and present of the endoscopy room
Kim Yaowu's "lifelong enemy" was not as obsessed with, as he imagined, in the tips surgery.
Zheng Ren has gone to the obstetrics department and has explained the relevant condition to the patient with hyperemesis gravida who had just been admitted to the hospital, and has found a laparoscopic room to prepare for surgical treatment.
A sketch was placed on the table and the surgery was clearly drawn.
"It's basically that." 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, resulting in severe vomiting.
In general, it is enough for the tube to remain in the stomach. However, for patients with hyperemesis gravida, we also need to send the tube to the jejunum."
"Is it very dangerous?" asked the patient's lover.
"Not big." Zheng Ren said: "But there is still a possibility of discomfort, which will prevent our expectations for surgery after the operation."
"You didn't say..." the patient's lover asked in a particularly entangled 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 plucked up his courage and kept asking.
"I just said that if you use the gastric tube to lower the gastric tube, it will be very irritating. And even if chyme is injected into the gastric tube, it will cause side effects of severe vomiting."
"If you use intravenous infusion to lower the jejunum tube, you can use relevant nutritional agents to support your lover until the due date. After giving birth, you can unplug the nutritional tube." Zheng Ren said.
The patient's family was a little confused, but Zheng Ren's explanation was simple and sketched at a glance.
"Even if you don't vomit, the nutrient solution can provide sufficient nutrition and may have side effects. For example, removing the nutrition tube after childbirth, your lover's stomach function is affected because he does not eat for a long time, etc."
"Then...what should I do?" The patient's lover's hand was a little numb.
"You can only recover a little bit, or during the jejunum nutrition period, you can drink a small amount of water and eat, and try gradually near the threshold that causes discomfort." Zheng Ren said: "This is just a rough idea, and the specific situation varies from person to person."
The patients' families were silent.
They all understand what Zheng Ren said.
But when everyone thought that pregnant women not only could not eat, but had to rely on nutrient solution for several months, they were a little nervous.
With a series of side reactions, there are as many as 23 preoperative explanations, so no one will be unhappy.
But there is nothing at home.
The pregnant woman had severe pregnancy reactions from the 3rd week of pregnancy until the 24th week of pregnancy. She had miscarriage twice before, but the child was not retained. So this time, even if she had hyperemesis gravida, she had to persist.
The most terrifying thing is that her mental state is a bit unstable.
The patient himself has made it clear that he should never induce labor. Even if he vomits to death, he should give birth to the child.
If she had anesthesia without hiding her, she would jump off the building after the operation.
Such words make the family members and obstetricians at a loss.
The method provided by Zheng Ren is the only way to solve the problem. The obstetrics director contacted the classmates of Union Medical College and provided relevant medical records on the other hand.
Although there are not many, similar attempts have been made on that side.
Like Zheng Ren's method, he also uses jejunum nutrition for nutritional support, and the results after surgery are still good.
So Director Du of the obstetrics department asked the hospitalization officer to have a consultation, so please ask the boss Zheng of the intervention department to come and have a look.
She didn't expect that Boss Zheng would draw a sketch comparable to a textbook picture, nor did she expect that all the side reactions Boss Zheng had considered it and listed twenty-three preoperative explanations.
"Can we... think about it?" In the end, no one of the patients' families could make up their minds and asked hesitantly.
"No problem, you can try to calm vitamin B6 and intramuscular vitamin B1." Zheng Ren smiled, trying to relieve the tense atmosphere in the office.
But no one noticed his smile, and the family was bleak and they were thinking about different things.
"Director Du, then that's it first." Zheng Ren said, "If your family agrees to the surgery, you can notify me at any time. If I don't have surgery on it, I can do it if I have enough time to fast water."
"Okay." Director Du didn't say nonsense and nodded directly, "Look at the laparoscopic room first?"
Zheng Ren thought about it and found that although he had already undergone surgery in the system operating room, he had never touched the 912 laparoscopic room himself, so it was best to go and take a look.
"Okay, Director Du together?" Zheng Ren asked inquiry.
"I'll go with 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 laparoscopic room with Director Du.
"Boss Zheng has heard of Daming for a long time, but I didn't expect the opportunity to cooperate with you to come like this." Director Du said while walking.
"I used to work with obstetrics often." Zheng Ren smiled and said, "Postpartum hemorrhage and other things are all done."
"Well, please consult, but I can't get you on your head. It's a bit regretful. Boss Zheng, is this kind of surety for this kind of surgery?"
"The operation is not difficult, but the recovery of the stomach after childbirth will take a longer time. By the way, there may be a possibility of jejunal nutritional tube blockage in the middle, and it may be necessary to change the tube. However, this is not troublesome, it is just a minor surgery."
"It's also a solution." Director Du said: "There are many patients with hyperemesis gravida. If they succeed, they can cooperate for a long time."
Zheng Ren pondered for a moment and asked: "Director Du, go back and ask the patient if he can undergo a live broadcast of the surgery."
"Live broadcast of surgery in Xinglin Garden?"
"Um."
"The spreading speed on that side is faster and the technique is simple, so you are not afraid..." Director Du stopped halfway through his words.
"This is just a way of thinking, which can solve the pain of many patients. What's the use of keeping it in your hands? The surgical procedure should have solved the problem." Zheng Ren smiled.
Director Du sighed a little, Boss Zheng was magnificent, no wonder they all became Mayo’s visiting professors.
At the office meeting that day, Director Du saw Director Kong resisting Director Mao with his own eyes and finally turned the tables.
At that time, I didn't understand why Director Kong had so much effort to bet on a "little" doctor.
Now when I look at it, I don’t talk about anything else, just because of the grand spirit, I feel comfortable.
In the future, we will have to cooperate more with Boss Zheng.
"The laparoscopy room in our hospital was not big at the beginning, but Director Luo supported it with one hand." Director Du did not mention the issue of jejunal nutrition management and began to introduce it to Zheng Ren.
This is the past and present life of the laparoscopic chamber.
There are some specialists in the laparoscopy room in China, but some hospitals have gastroenterology departments that control the laparoscopy room.
After all, most of the patients who have gastroenteroscopes are in the gastroenterology department. There is absolutely no suspense in the upstream departments.
If the gastroenterology department does not support it, it will be difficult to carry out the work in the laparoscopic room.
It turns out that 912 is in this mode, Zheng Ren nodded with a smile.
Chapter completed!