Chapter 225: A Tricky Patient
Lu Pengyu glanced at Xie Tianning and Mi Zixuan coldly and said, "Rounds." ”
Lu Pengyu walked at the front, Xie Tianning and Mi Zixuan walked at the end, Xie Tianning frowned and whispered, "Why didn't you let me speak just now?" ”
Mi Zixuan smiled and said: "It's useless for you to quarrel with him, but instead pinch his little tail, he can run to the dean and force you away." ”
Xie Tianning sighed and said, "I know, but after receiving this patient, I have been tired for a few months, and I still have to leave in the end?" It's better to beat him up and relieve my anger on a dog day, I'm leaving. ”
Mi Zixuan smiled: "This is not necessarily, look at what the patients are saying." ”
Xie Tianning had already heard of Mi Zixuan's magic, this kid can't treat him as an intern, and there is no intern who can do any surgery like him, and he does it quite neatly, Xie Tianning doesn't have the heart to ask Mi Zixuan these things he learned from now, and said hurriedly: "Do you have a way?" ”
Mi Zixuan said: "There is really no way now, but after seeing the patient, you may have it." ”
Xie Tianning was about to die, and asked, "Brother, just tell my brother." ”
Mi Zixuan smiled bitterly: "Lao Xie, you are also an old doctor, don't you know that you have to see the patient before you decide on any treatment plan?" Don't worry, we've seen what patients are saying. ”
Hearing Mi Zixuan say this, Xie Tianning could only hold back.
After more than ten minutes, Mi Zixuan finally saw the patient, as soon as he entered the house, he smelled a smell of feces, all over the house, and now it is winter again, and there is no way to open the window and open the door for ventilation, the patient is already very weak, and it is easy to catch a cold and fever.
Because it is in the old hospital, the condition of the ward is not good, although it is a single room, but there are only two beds, not to mention the bathroom, not even a TV.
A woman in her forties was lying on her side on the bed with a pale face, her forehead was sweating a lot, her hair was all sticking to her forehead, and she didn't even open her eyes when she heard the door open, which would make her very uncomfortable, quite uncomfortable.
There was also a man a few years older than her in the house, this was her husband's name An Jinbao, who was just in his fifties, with gray temples and wrinkles on his face, looking like an old man in his sixties.
As soon as he saw Lu Pengyu An Jinbao, he hurriedly said: "Director Lu, you should think of a way, my family always has a fever, and it is almost forty degrees Celsius in the first dose, can't people finish burning like this?" ”
Lu Pengyu stretched out his hand and pointed at Xie Tianning and said: "This is Director Xie who has just returned from the Beijing Hexie Hospital, the technology is one of the best in our department, and I have been studying for three years, I can't compare to him technically, from today onwards, your wife will be in charge, I think Director Xie's technology will definitely cure your wife." ”
An Jinbao was excited when he heard this, he knew very well what kind of hospital the Beijing Hexie Hospital was, it was one of the largest hospitals in the country, he wanted to take his wife there for treatment, but he begged his grandfather to tell his grandmother, and looked for relationships everywhere, and he couldn't arrange a bed, so he could only retreat and go to other hospitals.
I heard that Xie Tianning has studied in Hexie Hospital for three years, and the technology must be amazing, Lu Pengyu said again, now that his skills are stronger than his own, he must be able to cure his wife!
Thinking of this, An Jinbao grabbed Xie Tianning's hand and said, "Director Xie, you must cure my wife, as long as you cure him, our family will definitely thank you." ”
Mi Zixuan knows very well that the reason why Lu Pengyu praised Xie Tianning so much is just digging a pit for him, as the so-called greater hope, the greater the disappointment, Lu Pengyu praised Xie Tianning so much, and said in front of everyone in Corey that his skills were not as good as him, it was nothing more than to give An Jinbao greater hope, when Xie Tianning couldn't cure An Jinbao's wife, how disappointed would An Jinbao be? The greater the disappointment, the greater the anger, at that time, if he didn't make a fuss with Xie Tianning, it was simply the sun coming out in the west.
Xie Tianning naturally knew that Lu Pengyu didn't have a good heart when he said this, dug a pit, let him jump and jump, and if he didn't jump, he had to jump, and now he was as anxious as if he was on fire, and he didn't have the heart to greet An Jinbao, he only said that he would do his best.
Lu Pengyu smiled coldly and continued to check the room, and didn't even say how to deal with An Jinbao's wife Lu Lanyan's high fever if it didn't go away, and it was clear that she threw it to Xie Tianning and Mi Zixuan, and waited to see them unlucky.
After the ward round, Xie Tianning dragged Mi Zixuan to Lu Lanyan's ward again.
An Jinbao naturally distrusts Mi Zixuan, whoever makes him so young, he believes in Xie Tianning, and looks at him with a look of hope, hoping that he will cure his wife immediately.
Xie Tianning: Is there a way now? He can only count on Mi Zixuan, hoping that this kid is just like the rumors, a medical genius who can constantly create miracles.
The two of them didn't rush to examine Lu Lanyan first, but asked An Jinbao for all her pre- and post-operative checklists, and looked at them in the ward.
There was no film reader in the ward, so they could only hold the film to the bedside to watch.
Mi Zixuan looked at it, pointed to the MRI film and said: "The CA tumor is here, it is indeed too close to the anus, there is no way to protect the anus, and the intestinal tube used for the ostomy should be this section." ”
As the so-called connoisseur knows if there is one as soon as he makes a move, just the speed of reading Mi Zixuan's eyes lit up Xie Tianning's eyes, whether it is a CT film or an MRI film, it is not so easy to understand, if it is really so easy to understand, the medical school does not need to set up a radiation medicine department.
These films are too abstract, not to mention Mi Zixuan, who has just been in the hospital for a long time, even old doctors like Xie Tianning or Lu Pengyu often have to take the films to the radiology department to find the director of the radiology department and ask him to help take a good look, but this thing is really not good-looking, and it is not easy to understand.
But now Xie Tianning hasn't understood it, Mi Zixuan saw the cancer at a glance, and then analyzed the section of the intestinal tube fixed by the ostomy according to the location of the cancer, and said it accurately, just for the speed and accuracy of this reading, Xie Tianning also had to shout to convince him, and then he was more hopeful that Mi Zixuan could find a way to cure Lu Lanyan.
Xie Tianning looked at it carefully and said: "This section of the intestine is ...... from the CA swelling" Speaking of this jam, he really can't estimate the actual distance between the cancer and the section of the intestine from the ostomy in a short period of time.
Mi Zixuan said directly for him: "About eleven centimeters." ”
Xie Tianning immediately looked at Mi Zixuan in surprise and whispered, "You can come out so soon." ”
Mi Zixuan looked at the film and subconsciously said: "If you watch too much, it will be considered fast." ”
Xie Tianning was immediately stunned, what do you mean? Seen too much? How long have you only been in the hospital, and how many films can you watch in such a short time?
Mi Zixuan knew that he was speechless and quickly changed the topic: "Although this intestinal tube is far away from the CA swelling, there are lymphatic vessels below, I estimate that there is metastasis, and the intestinal tube of the ostomy is damaged because of the metastatic infiltration of CA. ”
CA is the meaning of cancer cells in English, and the doctors in the oncology department say this English in front of the patient, for fear that the patient will give up treatment if he knows that he has cancer and can't stand it, and may commit suicide in serious cases.
Xie Tianning was stunned again, he never expected Mi Zixuan to find the cause of the ostomy fistula so quickly.
Mi Zixuan was not watching the film, but frowned, this patient is troublesome to treat, the surgical removal is not clean, and there are remnants of cancer cells, even if her ostomy fistula is cured, it takes time to treat, and the time is not short, after such a long time, the cancer will appear again and spread out, waiting for her to die.
Now that she can't tolerate the surgery, what can she do?
Mi Zixuan couldn't think of a way to sigh silently, walked to the patient and opened her shirt, took off the fecal bag, and immediately a foul smell came, Mi Zixuan could clearly see that the skin around the ostomy was black, obviously necrotic, and there were many cavities around the ostomy, and he could even see the fat and muscle underneath, as well as the remaining feces.
Xie Tianning walked over and took a look, his brows furrowed even tighter than Mi Zixuan, the patient's situation was really too tricky.
Brothers, you look at me, I look at you, they all have a sad face.
Xie Tianning sighed and said, "Let's rinse first, we'll discuss it after rinsing." ”
As soon as these words came out, An Jinbao was stunned, what is the situation? Director Xie wants to discuss with this young man? This......
Xie Tianning turned around and went out to get rinsing supplies, Xie Tianning wanted to come by himself, but Mi Zixuan was useless, he wanted to know the situation around the stoma opening, so he wanted to rinse it himself.
Rinsing is naturally a very dirty job, just flushed once, Mi Zixuan's hands were full of feces, seeing that his face did not change and continued to rush, An Jinbao felt very embarrassed, people are doctors in the end, and they do the work of treating diseases and saving people, so can people do this work of and urine?
Thinking of this, An Jinbao is going to come by himself, what can Mi Zixuan do? Rinsing is not something anyone can do.
Mi Zixuan took two hours to flush out the sinus tract around the stoma opening, but it didn't take long for the feces to remain in.
Mi Zixuan carefully observed the situation inside, and frowned, this patient's illness is indeed too tricky.
Xie Tianning said: "Let's fast water first." "In this situation, the patient is not allowed to eat and drink without water, and the feces around the stoma cannot be washed clean.
Mi Zixuan shook his head and said, "You can't fasting water, she needs to eat now." ”
Xie Tianning was stunned and said, "Still let her eat?" But this can worsen the infection. ”
Mi Zixuan sighed and said: "The patient's current condition is very weak, do you think she can improve her physical condition by relying on rehydration?" It's going to be worse. ”