Zhang Gu followed Ma Chenglin all the way to the Department of Neurosurgery.

"Director Ma, what do you want me to help with? You neurosurgery don't need to do gastrointestinal and biliary anastomosis, right?"

Ma Chenglin said: "You can definitely help, come with me." ”

Zhang Gu suppressed the doubts in his heart.

The two passed by the operating room, but did not enter, but came to the disposal room next to the inpatient ward.

At this time, Ma Chenglin's mood changed, and he was no longer so arrogant as he was shouting "urgent matters" just now, but said embarrassedly:

"There's a patient here who has a stomach tube to spare, see if you can help. ”

The corners of Zhang Gu's mouth twitched.

Let him be put in custody? This is called an emergency?

Ma Chenglin smiled embarrassedly: "You asked me to do major neurosurgery, it's this catheterization, it always stumps me, especially this kind of esophageal mucosa damage, it just kills me." ”

"Just now, I had to say that it was an urgent matter, otherwise Lao Yao would be able to let me go?"

Zhang Gu understood when he heard it, and couldn't help grinning. Ma Chenglin still has to be face-saving, and it would be too embarrassing to say that he snatched Zhang Gu away because of such a trivial matter as placing the tube.

"Okay, I'll see. ”

Zhang Gu brought sterile gloves.

Skillfully take the tongue depressor and fix the corner of the mouth on one side with an opener.

After lubricating the gastric tube, it is tentatively inserted through the nasal cavity.

Zhang Gu's movements were very careful.

This patient can make Ma Chenglin pull down his old face and go to the general surgery department to ask him, it must be difficult to place the catheter, and even the catheter falls off after multiple times.

Sure enough, when Zhang Gu inserted a little bit, he felt a lot of resistance, and even a feeling of mucosal adhesion, and a little bit of it, he felt that the patient's esophagus might be cut and bleeding.

Zhang Gu's movements became more cautious.

"Director Ma, help me adjust the patient's angle, this kind of patient with high difficulty in catheterization can't be brutal, you have to take your time. ”

Ma Chenglin knew the difficulty and immediately cooperated when he heard the words.

Zhang Gu adjusted many times, and finally, he slowly let go of the stomach tube.

"Listen to the sound of water in the stomach, it should be in place. ”

Ma Chenglin hurriedly used a stethoscope and injected 10 ml of air at the same time.

His face was overjoyed: "I heard it! I got it into my stomach! Oh, you've helped me a lot." ”

Zhang Gu waved his hand and said, "What a big deal, it's a lot of work." ”

Ma Chenglin waved his hand and said: "It's a lot of work for you, but for me, it's a big headache for me." ”

At this moment, Ma Chenglin looked at Zhang Gu with deep meaning.

"Our neurosurgery department still lacks such a good person with a gastric tube, what do you think this can do? ”

Zhang Gu pretended not to understand his eyes, and said with a smile: "This is easy to do, you send someone to my general surgery, I will teach him for a while longer, this thing is a matter of skilled experience, and you will be able to practice more." ”

After speaking, Zhang Gu didn't wait for Ma Chenglin to speak again, and quickly left.

Ma Chenglin couldn't help but smile.

What he said just now was just a casual remark, Zhang Gu now has such a great future, how can he only come to the neurosurgery department and be a little doctor with a gastric tube for him?

Zhang Gu can have the current development, and Ma Chenglin is also very happy for him.

However, when Ma Chenglin turned his head and saw these patients who were difficult to place gastric tubes, his face suddenly darkened again.

No, this problem must be solved, neurosurgery can even do major surgery, but it is a succession of walls on the gastric tube, which is really not true.

Or, as Zhang Gu said, send someone to study with Zhang Gu?

Ma Chenglin looked at it, and finally, set his eyes on a young female doctor.

Other doctors have heavier responsibilities. There is only Xiaolu, a young man who has just been here for half a year, and he has just finished the rotation department, and he has not yet undertaken an important surgical task, so she can start working from this matter.

......

Came to the Department of Hepatobiliary Surgery.

When Yao Yusen saw Zhang Gu, he was immediately surprised: "So soon, Ma Chang will let you over?"

Zhang Gu also did not expose Ma Chenglin, and said: "Although the matter is urgent, it is not big, and it has been solved." ”

"What about the patient?"

Yao Yusen said: "In bed No. 6." ”

While walking, Yao Yusen introduced the patient's situation to Zhang Gu.

"The male patient, 45 years old, had undergone intrahepatic bile duct stone removal surgery in the First Municipal Hospital and the Water Conservancy Hospital respectively, and had more serious obstructive jaundice and liver function impairment......"

As soon as Zhang Gu heard it, he understood.

This is a typical case of "multiple surgeries with unclean stones".

The location of the intrahepatic bile duct is very awkward.

Stone removal is quite difficult, and once you get the disease, it is very easy to recur. Because of this, many patients with stones in this place have to undergo multiple surgeries, and the stones are often not clean.

Come to the ward.

Zhang Gu chatted with the patient for a while.

The patient said helplessly: "Gallstones hurt this thing! I have had two surgeries, and every two years, it still recurs." ”

"This disease is so tormenting, I want to endure it every time, but every time it hurts, I come to the hospital again. ”

"Doctor, you must find a way to remove the stones for me at one time, and don't recur in the future, this disease is about to kill me. ”

"Can you understand my feelings?"

Zhang Gu nodded and said, "I understand, it's probably like there's something on all sides, constantly rotating in your bile ducts, stinging the softest soft flesh in your body, right?"

The patient was pleasantly surprised: "You still know me! Doctor, have you also had gallstones?"

Zhang Gu said with a smile: "When I was a child, I was poor, I wore broken shoes, and the stones drilled into the soles of my feet, and the soles of my feet bleed, and your pain was probably ten times more painful than mine." ”

"Yes, yes, yes, it just hurts more than that, and oops, it starts to hurt again, and the stone starts to turn again. ”

Zhang Gu said: "This is your bile and intestinal tissues are peristalsis, promoting the rotation of stones. ”

"Don't say it, don't say it, let me slow down, it's good if it hurts for a while. "The patient is in a hospital bed, curled up into a prawn.

Zhang Gu motioned to the nurse and asked her to take care of the patient, and if it was too painful, she had to notify the doctor to deal with it.

and Yao Yusen returned to the doctor's office.

Zhang Gu continued to look through the patient's medical records.

It was found that this patient not only had a history of multiple biliary surgeries, scar adhesions at the hilum of the liver, but also a record of small and narrow anastomosis.

Yao Yusen's eyes burned, and he looked at Zhang Gu expectantly: "Doctor Zhang, is this kind of patient suitable for the new type of intrahepatic gallbladder-intestinal anastomosis you used before?"

Zhang Gu said with a smile: "Yes, your vision is good, and it is very suitable to treat this kind of patient with biliary-intestinal anastomosis that exposes the bile ducts." ”

Yao Yusen was instantly overjoyed.

It seems that although he is not as good as Zhang Gu in terms of development techniques, his vision is still quite vicious.

Zhang Gu said: "However, if it is to be used to treat gallstones in the liver, it has to be slightly modified......

Zhang Gu said as he spoke, already having a corresponding plan in his mind.

He was also very happy that this patient's situation could be used to fill the last gap in his article.