In the past two years, the patient has repeatedly vomited blood and has 'tarry stools', and has been seen in ......"

"Okay, I didn't ask you this!" The woman's heart was a little calmer, after all, the hospital seemed to take Cheng Xincai's illness very seriously, and this young doctor knew everything about the condition.

But her attitude was still very bad: "You go back, what's the use of memorizing medical records, you still have to let your director come in person." ”

After all, the patient's son was older, and his face was embarrassed: "That, Dr. Lin, my sister is a little anxious about my father's illness, you bear with me, we want to ask, it is blood drawing and examination, tossing so much, whether we can do surgery, and the operation is a little certain." ”

Lin Zijin's face was pale: "This requires all the inspections to be done, and only after looking at the inspection results can I know that there are no inspection results, even if Director Zhao comes in person, I can't be sure." ”

"Doesn't this toss people?" the woman shouted, "How did doctors treat patients when there were not so many instruments in the past!"

The man hurriedly waved his hand at her, signaled her to suppress her anger, and said to Lin Zijin: "I'm sorry Doctor Lin, my father's physical condition is really not very good, as a child, I always hope that he can suffer less toss, you can get busy, that's all." ”

"Okay, for the sake of the patient's health, please try to keep the room as quiet as possible. ”

Lin Zijin politely admonished and turned to leave.

"You!" came a woman's hateful shout from behind, followed by a man's voice: "Be quiet, you be quiet, didn't the doctor say, keep quiet, since we have chosen this hospital, it's always right to listen to the doctor......"

Hehe, quietly, this name is really not good.

It is understandable that patients and their families do not trust young doctors, but it is not understandable that they are noisy in the ward, making insulting remarks, and not cooperating with examinations and treatments.

The next day, the results of the patient's tests came out.

Director Zhao convened several key doctors for a small meeting to study Cheng Xincai's condition.

Director Zhao, 69 years old, has long been honorably retired, and after being rehired by the hospital, he only hung the title of director, but in fact was only responsible for expert outpatient clinics and difficult surgeries, and was not responsible for specific affairs in the department.

The reason for this situation is, on the one hand, due to the turmoil in the past few years, the suppression of knowledge and talents, which has led to a talent gap in the hospital.

On the other hand, high-end medical talents are always scarce, and many difficult procedures can only be mastered by Director Zhao, so the hospital hired him back, hoping to bring out a group of skilled backbone doctors through teaching.

The CT film was placed on a light box, and several doctors gathered around to watch and study it, and Lin Zijin was among them.

"The right liver is awkward, and the left liver is hypertrophied," Zhang Ning, deputy director of the Department of Hepatobiliary Surgery, pointed to the film and said, "Here, the bile duct in the left liver is also dilated." ”

"Multiple high-density stones, and here, this is a gallstone, right?"

"The enlarged spleen is not ordinarily large, it is huge. ”

"It's not easy to cut such a big spleen. ”

"Varicose veins in the hilar area. ”

"I also have varices in my esophagus, which are quite serious. ”

"Esophageal varices could be the cause of hematemesis?"

"Varicose veins in the stomach lining are one of the causes of tarry stools?"

Looking at the films one by one, several doctors were frowning and deeply worried—the patient's condition was too complicated.

Zhang Ning looked at Director Zhao with a difficult face: "Director Zhao, the patient is fifty-eight years old, and he really has to do it, this operation is too difficult and too complicated, you see?"

Director Zhao also frowned, and he was a little hesitant in his heart.

On the one hand, according to the patient's condition, at least splenectomy, spleen-kidney shunt, and the right half of the liver, which is likely to be atrophied, also need to be removed.

Not to mention anything else, due to the patient's bile leakage, biliary peritonitis, and adhesions of the omentum and varicose veins of the intestines, it is difficult to enter the abdomen during surgery alone.

Coupled with the complicated situation around the spleen, I am afraid that it will also be difficult to cut the spleen.

In other cases, due to multiple varicose veins and thickening of the peritoneum, surgery is almost a difficult step, and the slightest carelessness can be dangerous.

The complexity of the operation is beyond imagination, and if there is a slight mistake or a small problem in any area, the operation will be wasted.

At present, it is only seen under the CT film, and the patient's condition has been complicated to this extent, and after the laparotomy, I don't know what the situation is, and there may be other problems.

Director Zhao hesitated for a long time, and several doctors looked at him.

To be honest, after reading a series of examination results, Director Zhao didn't want to do this operation.

On the one hand, it is because of physical strength.

Doctors, especially surgeons, must not only have superb skills, but also physical strength.

With the difficulty and complexity of the operation, it can be expected that the operation will take at least 18 to 20 hours, Director Zhao is 69 years old this year, it is not impossible to let him persist on the operating table for 20 hours, the key is that after the operation, his energy and attention, as well as the degree of control of the operation, will decline to varying degrees.

Such a complex operation does not allow the surgeon to be lax at all, so physical strength is the first major difficulty in front of Director Zhao.

On the other hand, it is the current specific situation of Director Zhao.

In half a year, Director Zhao will retire completely, no longer hold a scalpel himself, and at most give lectures to students at the Medical University.

Before he retired, he didn't want to have such an overly complicated operation, and if it didn't work, it would leave a great regret for his career.

In particular, this patient has a large background, and the family is extremely difficult, and he was introduced by a big figure in the health system, which is even more troublesome in case the operation fails.

Director Zhao is old, and after the past few years of exercise, he is really not very willing to take this risk.

After staring at the film for a long time, Director Zhao stood up: "I'll go and communicate with the patient." ”

Immediately, he called Lin Zijin's name: "Xiaolin, you go with me." ”

The two went out, and the remaining doctors looked at each other: "Why did Director Zhao take Dr. Lin there?"

"Maybe it's because Dr. Lin was scolded by the patient's family yesterday, and this is to find a place for Xiao Lin?"

"Don't talk nonsense, it's common for doctors to be wronged, as long as they don't get beaten, it's nothing, not to mention that this patient is quite big, how can Director Zhao go to find someone else's field, people won't come to us for trouble, they will laugh. ”

"Yes, I don't think the patient's daughter has a good temper, and I don't know how Director Zhao and Xiaolin went and talked about it. ”

How's the talk?

Hades is easy to see, but the little ghost is difficult.

No, the patient is good, but the family is difficult.

On the third day of the patient's admission, following Director Zhao, Lin Zijin saw the awake patient for the second time.

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