459 Origin of Hair
Is there a way? I can't cut my stomach off!" Uncle Gold Tooth said to the doctors, holding his gold tooth.
He was also scared, when he was in their country, for various reasons, the hospital doctors grinded foreign workers, did not work, and treated roughly. At that time, he told him that it would be good to cut off his stomach, and the old man was frightened, this good day had just come, and he was going to cut his stomach, so he hurriedly brought his family to Huaguo.
Zhang Fan looked at the old man with a smile, he was going to go out to discuss the treatment plan with the doctors outside the door, because the gastroscopy room had to look at the monitor, so it was generally dark.
When they saw the old man's anxious appearance, Zhang Fan and the others didn't leave, they just stood in front of him, waiting for the old man, not worrying about anything else, just worried that the old man would swallow the gold tooth into his stomach in a hurry.
"Don't cut your belly, treat it first, and then see, if it doesn't work, open your belly, like taking a doll, and take out this round pin in your belly. Then sew it up, sew it like a garment, sew it up. That's it. Zhang Fan patiently explained.
"Sew it well, it's not good to leak! "The old man is also a strange man.
"No, no, no. Zhang Fan smiled and waited for the old man to press his teeth, then turned around and walked out of the gastroscopy room.
"Come, let's go to the conference room and talk. Ouyang came to the conference room with a group of doctors.
"Director Li and several directors have not yet been appointed, but there will be no major problems. It's really embarrassing to let Director Li work before we have a welcome meeting!" Ouyang said to the doctors with a smile.
"The dean who is not afraid of a good meal is not afraid of being late, we are not in a hurry. Director Li said with a smile.
"Haha, that's it, I'll be a comrade-in-arms in the trench in the future. Let's talk about this patient's condition today, the government has also specially explained that it is necessary to treat it carefully, Director Li will talk about it first. ”
After thinking for a while, Director Li said: "This gastrolith is very hard and the composition is complex, and it is estimated that the effect of conservative treatment is not ideal." Surgery is still required. ”
"Can you make it a little smaller, this form is too big, almost the same as the entire stomach cavity. Doing surgery is too damaging. After Director Li finished speaking, Ouyang looked at Zhang Fan.
"Try drinking a little enzyme or sodium bicarbonate solution. Another deputy director from the Chinese medicine hospital spoke.
"How did this hair-like object come to be?" asked a female doctor in the gastroscopy room, and then asked again.
It's not that she's curious, but this uncle, with gold teeth and wrinkles on his face, looks a bit like a wolf grandmother, and the stone in his stomach is like a child's head, it seems too terrible to think about it, and if she doesn't ask clearly, it is estimated that she will not dare to come to the hospital.
"Conventional gastrolithiasis is generally formed because after eating a large amount of tannin-rich food, it condenses into jelly-like food in the stomach acid environment, and then combines with the protein in the food to form a water-insoluble tannin protein, and then sticks to the food, and begins to become larger and larger. Director Li explained with a smile.
"What hair!"
"Hehe, I think Dean Zhang seems to have asked the key, otherwise Dean Zhang will talk about it. When Director Li Xiang was in the gastroscopy room, she was also very curious about Zhang Fan, the young dean, and with Zhang Fan's consultation, she also felt that this young doctor was not ordinary.
"Okay, let me say a few words. "The doctors of the two hospitals are fused together, it is impossible to be very tacit at the beginning, they are all from the slow temptation, you know my strengths and weaknesses, I know your depth, and then they become harmonious.
Zhang Fan didn't think about it and began to say: "From the roughness of the skin on this patient's face, it can be clearly seen that he has many years of outdoor work experience.
Combined with the examination, it can be judged that the patient's living environment and nutritional status in his early years are average, which leads to the imbalance of his nutrition, and because of the particularity of his work.
Herding sheep, hunting, almost all of them are alone. In the deserted wilderness, lonely people will unconsciously take something in their mouths, which is also the so-called sense of security.
There is also no need for anything special, like his own hair. After a long time, it becomes a habit, and then there may be a phenomenon of devouring hair.
Combined with the consultation, the patient likes to eat acidic wild fruits containing tannins, and in the pastoral area, three meals a day are inseparable from a large amount of dairy products. Over the years, the egg white is wrapped in the egg white, mixed with hair, food scraps, and wrapped layer by layer, forming the current form. ”
As soon as Zhang Fan finished speaking, Director Li said with a smile: "Amazing, Zhang Yuan observed carefully, and the consultation was also very powerful." ”
"Hehe, everyone will be a family in the future, so there is no need to be polite to each other. Now what. Ouyang smiled and said to Director Li, Zhang Fan's analysis can be recognized by Director Li, of course she is happy.
"Oh!~" Zhang Fan explained, and the young female doctor who had questions just now began to be less afraid, "Eating hair, pica!"
"Director Li, try conservative treatment first? Is it dangerous? Secretary Ren Li asked, although she is not engaged in gastroenterology, but she also saw the situation under the endoscope just now.
"You can try, but because this stone in the patient's stomach irritates the stomach wall all year round, a certain area of ulcer has formed, and if enzymes or weak alkali are used, the patient's symptoms may be aggravated or bleeding may occur. Even piercings. Director Li, holding the pen in his hand, frowned.
"You can take a small dose to observe, if there is an effect, you can first take drugs to protect the gastric mucosa, let the ulcer recover and recover, and then dissolve the gastrolith, and the damage is still too big if you do surgery directly. Zhang Fan said while recalling the gastroscopy in his mind.
Although the depth of the ulcer is not large, no one can guarantee this kind of thing, the gastric mucosa is very strange, and sometimes a little ulcer, because of the idiopathic effect, may lead to perforation.
"Yes, let's give it a try. ”
Treatment, especially many medical treatments, is specific to the human body, so it is necessary to find a suitable treatment for the patient, but ......
"Sweet!" Uncle Gold Tooth took a sip of the enzyme with sweetener.
Waiting, it is estimated that before the stone has changed, the old man began to hold his stomach and scream. "Let him drink milk!" Director Li, who was on the side, quickly commanded the nurse.
"No! Enzymes can't resist it, so don't think about using weak alkali. Zhang Fan shook his head and walked out of the ward.
"Let's have surgery, explain the condition to the patient and family, and prepare for the operation to take it out!"
"That's all there is to it. ”