Why did Mi Zixuan say that Lu Pengyu was too grandson, and he could think of such a bad move? This has to start with radical rectal cancer surgery, which can be divided into two types, one is anal preservation.

Anal preservation is to keep the anus, not to protect the anus is to remove the rectum in the upper part of the anus, suture the anus, and then make a stoma in the abdomen, simply put, it is to make an incision in the abdomen, stretch out the intestinal tube, suture and fix it in the cortex, and then the patient's stool will be discharged from the intestinal tube in the abdominal stoma.

Lu Pengyu asked Xie Tianning to manage the patient, because the cancer is too close to the anus, there is no way to protect the anus, and the patient can only do a stoma in the abdomen, but he does not know what the reason is that the stoma fistula appears, and the feces are not all discharged from the intestinal tube on the stoma opening, and some of them flow to the fat layer and muscle layer, which means that there is a break in the intestinal tube from the peritoneum to the cortex, resulting in the feces flowing out along the damage.

If there are too many damaged positions, the lower part of the intestine should be freed, and after the length reaches a certain standard, the damaged section of the intestine is removed, and then the lower intact intestine is inserted into the anastomosis again and sutured for fixation.

However, the patient has just undergone a major operation, the body is weak, and the feces enter the fat layer and the base layer due to the stoma fistula, which leads to infection, and the patient's repeated high fever does not go away, and the body is even weaker, and the patient's body is unable to tolerate the second operation at this time.

If these organs are not functional, or there is a problem with the coagulation mechanism, the operation will generally not be done, because whether it is anesthesia or surgery, it will cause a great burden on these organs, even if it is an organ that is not functional, if the operation is rash, the organ will collapse because it cannot bear the burden of anesthesia and surgery, and eventually lead to the death of the patient.

And Lu Pengyu asked Xie Tianning to manage the patient, because he had just undergone surgery and had repeated fever because of the ostomy fistula, the data fed back from various examination results were quite poor, and she could not tolerate the second operation in her case, so she could only choose conservative treatment.

What is the conservative treatment? In fact, it is very simple to say, just a few, enhance the patient's physique, anti-inflammatory treatment, and rinse the ostomy every day to drain it to the fat layer as much as possible.

The former is nothing more than infusion, giving patients a variety of energy mixtures, including plasma, albumin input, and then antibiotics, but the latter can be troublesome, the process of flushing is to use a 50 ml syringe to pump normal saline and repeatedly inject into the sinus tract (feces repeatedly enter the fat layer, muscle layer to cause infection, so that fat, muscle necrosis appears in the cyst cavity), the process of flushing the feces in the sinus tract will flow out, flush once to get a hand of feces.

Nausea is nausea, but if it can be rinsed clean, it is good to say, but the reality is that even if you flush it 100 or 10,000 times a day, you can't rinse it clean, because there is a break in the intestinal tube, and feces and feces will flow out all the time along the breakage.

The damage on the intestinal tube is the root cause, and if the root cause is not removed, it will not be flushed clean.

In the patient who has just undergone a major operation, the physical condition is already very poor, and there is a stoma fistula, which makes his physical condition worse, and it is almost impossible to heal the damage on the intestine by relying on the recovery ability of his own body, and the repeated feces overflow and infiltrate along the damage and invade the intestine, which will lead to repeated infections and inflammation, which will make the damage on the intestine bigger and bigger, more and more damage, the larger and more damaged, the more feces will flow out, which means that no matter what kind of antibiotics are used, It was also difficult to control his infection, which eventually led to a vicious circle that became more and more intense, and eventually the patient's body could not stand such repeated infections, collapsed from consumption, and entered death.

In the case of this patient, chemotherapy should have been given postoperative chemotherapy to prolong his life, but because of the ostomy leak, his body could not tolerate chemotherapy, so he had to give up.

The five-year survival rate for rectal cancer is not high, and the lack of chemotherapy is equivalent to a death sentence for him, and the operation was in vain.

Isn't the reason why the family let the patient have surgery because they want him to live a few more years? But now that a lot of money has been spent, and people can't live long, can the family not be in a hurry?

Xie Tianning has been in a big hospital in Beijing, but the patient's situation is helpless in the big hospitals, and the big experts and professors are helpless, the patient can not tolerate the second operation, and can only be treated conservatively, and conservative treatment can not make the broken intestine heal in a short time, but the broken part of the intestine is more and more, bigger and bigger, and the feces flow out more and more day by day, no matter how much it is flushed, it cannot be washed clean.

The root of the disease is actually a broken intestinal tube, but there is no way to remove the root of the disease, this is a dead knot at all, those big experts and professors in big hospitals can't do it, Xie Tianning is not a big Luo Jinxian, how can he untie this dead knot?

In the eyes of people now, people are sent to the hospital, the hospital must be cured, if the cure is not good, your doctor is incompetent, it is your doctor who delays the treatment of our relatives, and in addition to the family spent so much money, the person is finally gone, this grievance can be even greater, nine times out of ten there will be trouble, when Xie Tianning is beaten lightly, the family will make trouble, the hospital will be quiet, no matter whether this matter is to blame Xie Tianning, first of all, you Xie Tianning will apologize to the family.

Is Xie Tianning at fault? The operation was not done by him, and he treated the patient with all his heart, but this disease is too tricky, he is not a Da Luo Jin Immortal who can live and die with human flesh and bones, and he can't help it when he encounters such a patient, he is not wrong.

In order to treat this patient, he had to make a hand of seven or eight times a day, smelly all day long, doing such dirty work, and finally had to apologize to his family, let alone him, no one can stand this grievance?

What if you can't stand it? If Xie Tianning didn't apologize, he still got off his white coat and shouted Lao Tzu quit, he didn't do it, which would have smoothed Lu Pengyu's heart.

pinched his nose and confessed, and apologized to his family, yes, he can still be a doctor, but with Lu Pengyu's personality, there will be a lot of ugly words, for example, why did you Xie Tianning go to a big hospital for three years to study, and you can't even cure this little illness? How did you get your education? Messing around all day, right?

At that time, there are more ugly words than this, as soon as these words are spread, it doesn't take half a day, hundreds of people up and down the hospital will know, how tricky this patient is, few people know, Xie Tianning can't cure this patient is not because of his technical problems, but the patient's disease is too difficult to treat, and the people who know this situation are just a few people outside the world, but Lu Pengyu is an enemy with him, he is the director of a foreign department, who will, who dares to complain for him Xie Tianning? Don't want to mix it up? So they will choose to keep their mouths shut.

People in the know don't dare to say it, then these rumors are true, Xie Tianning's technology is not good, and the fact that the patient was treated to death is confirmed, and what will the patient think when it reaches the ears of the patient? When it reaches the ears of the leader, what will the leader think of him?

At that time, Xie Tianning's reputation was completely stinky, patients did not dare to see him, the leader thought that he had a problem with his skills, and went out to study for three years, not only did he not cure people of this little illness, but also cured people to death, such people still dare to use him?

Xie Tianning's future is bleak, unless he leaves, otherwise with this big hat, he will never want to raise his head for the rest of his life.

Lu Pengyu made it clear that Xie Tianning was forced to die, but there was nothing wrong with it, who made him the director, and whoever he let take care of what kind of patients had to be managed, Xie Tianning didn't care? That is, there is no leader, and he has committed a taboo in the workplace, and no leader will dare to use someone like him in the future.

Anyway, that is, you will embark on a dead end, either get out of the house quickly, or you will not be able to raise your head in the county hospital for the rest of your life.

Xie Tianning is not stupid, he naturally knows these situations, he was so angry that his face turned red and then white, and he was about to argue with Lu Pengyu when he stood up, but Mi Zixuan grabbed him and whispered: "Lao Xie is arguing with him at this time, you are the one who suffers, let's see what the patient is talking about later." ”

Xie Tianning immediately looked at Mi Zixuan in surprise, meaning didn't you watch me jump into the fire pit?

Mi Zixuan didn't look at Xie Tianning, he looked sideways at Lu Pengyu, in the eyes of Lu Pengyu and Xie Tianning, such a tricky patient, but in Mi Zixuan's opinion, there is still no big challenge, but after coming to the hospital for so long, he finally met a decent patient, and those patients were not difficult to treat before.

After coming to the outer one, Mi Zixuan found that things were getting more and more interesting, he wished that there were more tricky patients, how could he show his skills if there were no tricky patients? Just do some appendicitis? It's too unchallenging, right?

Lu Pengyu thought that Xie Tianning would have a big quarrel with him, then he would have a reason to find the dean to slap the table, Xie Tianning bumped into me in front of so many people, I can't be the director, he doesn't have me in the first department, Dean Su, you look at it!

In such a situation, in order to maintain the stability of the outer one, Su Zhiqiang expelled Xie Tianning, but he must be assigned to a Qingshui Yamen Pavilion, and there is no place to use his skills, so he will get out of Xie Tianning if he can't stand it, and he can stand the skills that are full of skills in vain.

But who would have thought that Xie Tianning didn't quarrel with him, this was a bit unexpected by Lu Pengyu, but it wasn't a big deal, as soon as he took over this patient, he also embarked on a dead end, waiting for bad luck.

Thinking of this, Xie Tianning suddenly saw the playful smile on Mi Zixuan's face, and he didn't know why he suddenly had a bad premonition in his heart.

But he didn't take it seriously, Mi Zixuan followed Xie Tianning, as soon as the patient died, Xie Tianning would have to be unlucky, and Mi Zixuan would also have to be affected, and when the time came, he would kick out.