Xu Changgeng on the hospital bed said:

"Many geriatric patients, like me, have to be treated conservatively and live out their old age with a very low quality of life. ”

"I'm already very lucky, but thanks to the artificial anastomosis method that you Xiao Zhang came up with. ”

Zhang Gu hurriedly said that he didn't dare.

He was praised in his heart, and sighed that the founder was extraordinary, and praised me so many times, but there was not a single word repeated!

Zhang Gu quietly glanced at Xiang Jianhua next to him.

Director Xiang, you also learn more from Mr. Xu.

Having said so much, Xu Changgeng was also tired.

"Xiao Xiang, train young people well, the future of our three hospitals belongs to this group of young people. ”

Xiang Jianhua said "hey".

Zhang Gu observed his words and knew that he should leave, so he and Xu Changgeng said goodbye to Jianhua and Geng Bozhong and went out.

just came out, but I didn't expect Geng Bozhong to come out with him.

"Dr. Zhang Gu, your idea of anastomosis is simply a genius idea. ”

"Do you have any other matching ideas?"

Zhang Gu said with a smile: "How can there be so many consistent ideas, this time it is also a coincidence." ”

Geng Bozhong had a smile on his face, indicating that he didn't believe Zhang Gu's words at all.

Last time he asked Zhang Gu like this, Zhang Gu said the same thing.

As a result, when Xu Lao's serious condition was encountered, Zhang Gu directly took out a bombshell that matched the fistula!

Geng Bozhong really wanted to know how many wonderful ideas about the match were still in Zhang Gu's mind.

He said: "Zhang Gu, our first hospital really needs talents like you who have wonderful ideas in the field of coincidence, you should think about it, do you want to come to our first hospital?"

"As for the formalities and organizational relations, don't worry, the First House will help you with everything. ”

"And the treatment is definitely far beyond your current treatment in the Third Academy. ”

At this moment, Xiang Jianhua appeared behind Geng Bozhong.

"Ahem, what are you talking about?"

Geng Bozhong smiled awkwardly, after all, he was digging into the corner of the wall, and he was caught on the spot.

He turned his back to Xiang Jianhua and winked quietly at Zhang Gu: "You have my number, call me when you have an idea." ”

After Geng Bozhong left, Xiang Jianhua looked helpless and angry.

This Geng dwarf, digging people has dug under my nose.

Is there still a royal law?

Xiang Jianhua cleared his throat and said righteously: "Zhang Gu, don't listen to Geng Bozhong, the treatment of you in our third court will definitely not be lower than that of the first court." ”

"Besides, you also heard what Elder Xu said just now, you can develop in our three courtyards with peace of mind, and the future of the three courtyards must belong to you young people. ”

Zhang Gu said with a smile: "Knowing Director Xiang, you treat me well, I know it in my heart." ”

"Okay!

Xiang Jianhua breathed a sigh of relief.

At the same time, there is also vigilance in the heart.

In the future, you have to beware of a little Geng dwarf, don't let him poach everyone one day.

......

Back to Zhou Dongfeng.

Zhang Gu continued to discuss with Zhou Dongfeng about the comparison between laparoscopic and open tension-free hernia repair.

As he was talking, a medical record spread out on Zhou Dongfeng's desk attracted Zhang Gu's attention.

Zhang Gu, who has intermediate "hernia repair" skills, can see at a glance that there is something wrong with this case.

"Teacher Zhou, this case ...... The diagnosis is intestinal obstruction?"

Zhou Dongfeng came over and took a look: "This is a patient admitted to the emergency department, who complained of abdominal pain, abdominal distention, and was dull in nature, accompanied by nausea and vomiting, and stopped bowel movements for more than 24 hours, so the emergency department considered it to be intestinal obstruction." ”

Zhang Gu said: "Have you checked the electrocardiogram and film?"

Zhou Dongfeng was a little puzzled, why Zhang Gu was still discussing the comparison of the two hernia repairs with him just now.

In the next second, Zhang Gu's thoughts jumped to this case of intestinal obstruction.

Did you notice something wrong?

Zhou Dongfeng is still serious and responsible, and took out the relevant examination results of the medical case for comparison.

"The electrocardiogram showed myocardial ischemia, the x-ray showed small bowel obstruction, and the patient had no previous trauma and serious medical history, and the body temperature and pulse examination were normal, and there were no other typical symptoms, so I have always considered it to be intestinal obstruction. ”

Zhou Dongfeng asked, "What's the matter, do you think there's a problem?"

Zhang Gu nodded.

He always felt that the root of this patient's disease was not intestinal obstruction, but should be considered in the direction of hernia.

But the feeling is vague and not precise enough.

"Is it the reason why the skill ability is only intermediate, and the ability is not enough?"

In Zhang Gu's mind, he raised the hernia repair to an advanced level.

Saving a misdiagnosis is saving a patient, so that the patient does not miss the best time for treatment.

So, this boost is well worth it.

Moreover, elevating this surgical skill to an advanced level is not only useful for this misdiagnosis.

There will also be a deeper understanding of laparoscopic and open tension-free hernia repairs.

......

With the experience and ability instillation of the advanced skill card, Zhang Gu looked at this case again, and felt that his thinking was much clearer.

At this moment, Zhou Dongfeng still doesn't know why.

He continued: "In the two days since the patient was admitted to the hospital, I have been treating the intestinal obstruction conservatively, but the patient has not passed gas and bowel movements, and the abdominal tenderness has not been reduced. ”

Speaking of which, Zhou Dongfeng also felt a little wrong.

"Zhang Gu, what do you think is the cause?"

Zhou Cheng also looked at Zhang Gu with blank eyes.

This patient was brought over by Zhou Dongfeng at his own arrangement, and he always believed that the cause was intestinal obstruction.

At this moment, listening to the analysis of the two bigwigs, he also felt that something was wrong, and wanted to hear Zhang Gu's high theory.

Zhang Gu said: "Teacher Zhou, I suggest a laparotomy to explore, it is very likely to be an obturator hernia." ”

As soon as Zhou Dongfeng heard the obturator hernia, his brows tightened: "The clinical symptoms of the obturator hernia are not obvious, and the symptoms are very similar to small bowel obstruction, so there is indeed a possibility of misdiagnosis." ”

He looked carefully at the results of conservative treatment in the past few days, and the more he looked at it, the more he felt that the previous treatment of intestinal obstruction may have been wrong.

Thinking of this, Zhou Dongfeng's back broke out in a cold sweat!

If his misdiagnosis causes the patient to have an accident and delays the best treatment period for the patient, then he will have a bad conscience!

After practicing medicine for so many years, the reputation that has been accumulated with great difficulty will definitely be affected a little by this.

The most important thing is that Zhou Dongfeng can't get over it with his conscience.

He immediately said, "Zhou Cheng, you go and explain the situation to the patient's family and persuade them to agree to the laparotomy and exploration." ”

"I immediately went to the coordinating operating room to arrange an exploratory laparotomy without another quarter of an hour's delay. ”

Zhang Gu took the initiative to say, "Teacher Zhou, I'll also go into the operating room." ”

Zhou Dongfeng glanced at Zhang Gu gratefully, this time, thanks to Zhang Gu's suggestion. Now Zhang Gu took the initiative to go in and help.

But at this moment, Zhou Dongfeng didn't care about what to say, and nodded at Zhang Gu, a thousand words were in it.

It's important to see the patient first!

The patient's family was more open-minded and wanted to make the patient better, and when they heard that the situation was urgent, they hurriedly signed.

Got on the operating table.

Zhou Dongfeng made an incision in the middle of the abdomen, and then cut each layer in turn.

A marked dilation of the small intestine and edema of the abdominal wall were noted.

Zhou Dongfeng chuckled in his heart!