Looking at the area of Huang Guohui's fingers, Zhang Xiangyang's heart was heavy. He has worked as a doctor all his life, especially in the field of general surgery, and was once one of the top few people in Tianyang City. Although now because of his age, his eyesight and physical strength are no longer competent for delicate surgical work, but his reading skills have never been lost, and in terms of eyesight alone, Huang Guohui is probably much worse than him.

But because of this, his heart became heavier and heavier, because with his experience and eyesight, he couldn't find out what Huang Guohui said just now that was wrong. This plain X-ray of the abdomen can even be included in the medical textbook as a typical imaging data for patients with extensive necrosis of the small intestine!

Liu Nana didn't understand the seriousness of the total resection of the small intestine, so she asked on the side: "Uncle Zhang, is the resection of the small intestine very serious? In addition to the small intestine, there are also large intestines, colons, duodenums, and the stomach, can't they all help digestion? At most, the body is a little worse, so it won't be life-threatening, right?"

"Nana," Zhang Xiangyang sighed and explained, "The digestion and absorption of nutrients is mainly carried out by the small intestine. If the small intestine is completely removed, the duodenum and colon can be sutured together by anastomosis, but severe short bowel syndrome can occur after surgery. In other words, the patient no longer has the ability to digest and absorb normal food, and can only deliver nutrients to the patient through total parenteral nutrition, which means that proteins, fats, carbohydrates, electrolytes, microorganisms and trace elements are mixed together in a certain proportion and transfused into the patient's body through the intravenous route!"

"Yes, the old director's explanation is very correct!" Huang Guohui took over and said, "Even for adult patients, this method will not last long, not to mention that Fan Leilei is just a baby less than two years old." So at present, the rescue can still be saved, but after the rescue, how long can the life be maintained through TPN, that is, the total parenteral nutrition method mentioned by Director Zhang just now, no one dares to pack a ticket!"

Listening to Zhang Xiangyang and Huang Guohui's explanation, Liu Nana was completely stunned, and tears welled up in her eyes. Lei Lei is only one year and a few months old, such a small and cute child, but now he is coming to the end of his life. This poor kid didn't even have a chance to see his mother for the last time!

"Director Huang, I think your diagnosis is a bit too pessimistic!" Ren Jiangchi didn't want to interject, but he couldn't help it when he heard this, "According to my diagnosis, Fan Leilei was just blocked by a foreign body in the intestine and the small intestine caused intestinal obstruction, and the small intestine is not necrotic, as long as a simple operation is done to remove the foreign body blocking the small intestine!"

"Young man, what's your name, what major do you study at Tianyang College of Traditional Chinese Medicine?" Huang Guohui looked at Ren Jiangchi.

"My name is Ren Jiangchi, and I am a clinical major in Chinese and Western medicine from the Department of Traditional Chinese Medicine of Tianyang College of Traditional Chinese Medicine. Ren Jiangchi replied.

"Those who study the clinical practice of Chinese and Western medicine have a little bit of a side with Chinese and Western medicine. Huang Guohui nodded, "Since you think that Fan Leilei's small intestine is not necrosis, it is simply blocked by a foreign body." So let me ask you, what evidence do you have to support your diagnosis?"

Sharp evidence? I can't tell you that I can see through my eyes, right? If you let me see through something on the spot, I'll tell you again, it costs at least 10,000 yuan for a perspective view, will you beat me?

Ren Jiangchi vomited in his heart, but with a slight smile on his face, he stretched out the index finger and middle finger of his right hand in unison, and said to Huang Guohui: "Director Huang, my evidence is my three fingers. I'll analyze them based on the veins they sign!"

Huang Guohui was amused by Ren Jiangchi, he turned his head to look at Zhang Xiangyang, and said: "Director Zhang, listen, is this talking about human words? Don't say it's him, even if it is a god descending to earth, he doesn't dare to touch the pulse with three fingers to get a diagnosis that is more accurate than a large X-ray machine!"

"It's indeed a bit of a joke!" Zhang Xiangyang nodded, agreeing with Huang Guohui's statement.

If it was a normal time, Ren Jiangchi would have brushed his sleeves away a long time ago, where would he be squeezed by these two old guys? But he not only had to be patient, but also had to find a way to persuade these two old guys.

This is not entirely because he feels sorry for the 10,000 yuan he spent, but most importantly, he feels sorry for Fan Leilei's young life. If he gives up at this time, and Huang Guohui refuses to operate on Fan Leilei, then let it develop, Fan Leilei's small intestine will really be all necrotic, and there will be no possibility of saving it at all!

"Director Huang, Director Zhang," Ren Jiangchi pondered the words, "No matter how you think of traditional Chinese medicine, since traditional Chinese medicine can be circulated in our country for thousands of years, it must be unique." In the past thousands of years, there have been no X-ray machines, no CT machines, no B-ultrasounds, no stethoscopes, blood pressure monitors, and blood glucose meters. Therefore, it cannot be said that with modern medical examination instruments now, the role of traditional Chinese medicine is completely denied. Take me before, didn't you rely on three fingers to find out that Fan Leilei had intestinal obstruction? Didn't you use an X-ray machine to examine me and overturn my conclusion?"

"This is an isolated case, and it can't be done accurately!" Huang Guohui shook his head, "In short, compared to your pulse, the X-ray examination is obviously much more accurate!"

Seeing that Huang Guohui couldn't move, Ren Jiangchi could only pin his hopes on Zhang Xiangyang, "Doctor Zhang, you are an old-timer in the Tianyang medical field, and you live in a community with Aunt Tian, Sister Nana has an unusual relationship with Aunt Tian's daughter, you can't watch Fan Leilei, a child less than two years old, just disappear, right?"

"If he really doesn't have any salvage value, I won't spit on you. The problem is that Fan Leilei is really a simple intestinal obstruction, and there is no extensive necrosis in the small intestine at all, which can be solved by a simple operation to remove the foreign body, but you give up like this, will you be able to get by on your conscience? Doctor Zhang, Sister Nana, when Aunt Tian's daughter and son-in-law come back, can you still face them calmly?"

Zhang Xiangyang didn't care when he heard these words, but Liu Nana cried like a tearful person, shaking Zhang Xiangyang's arm desperately, and begging: "Uncle Zhang, Uncle Zhang, you can persuade Director Huang to listen to him." Since he had made the right diagnosis before, he must have a basis for saying this now. You have nothing to lose by trying!"

Liu Nana's parents often traveled on business when she was young, and then fostered her in Zhang Xiangyang's house, so she can also be said to have been brought up by Zhang Xiangyang, and Zhang Xiangyang's relationship with her is the same as that of a father and daughter. He couldn't bear to see Liu Nana crying like this at this time.

After a deep sigh, Zhang Xiangyang still felt that he had opened his mouth to Huang Guohui, "Director Huang, I think what Nana said also makes sense." If there is no previous example, we can completely ignore what Ren Jiangchi says now. But now, Ren Jiangchi really relied on pulse diagnosis to diagnose Fan Leilei suffering from intestinal obstruction, so now that he has taken out his pulse diagnosis again, Director Huang, do you also have to think about it a little seriously?"

"Of course, this is just my personal proposal," as if worried that Huang Guohui would be unhappy, Zhang Xiangyang hurriedly added, "You are Fan Leilei's attending doctor, what to do, Director Huang, you must have your own ideas." I just think that Ren Jiangchi's words can't be fully believed, but they can't be disbelieved. After all, the conclusion of his previous pulse diagnosis proved to be accurate, right?"

"Old director, what do you think should be done?" Huang Guohui has been able to get to this point today and has received a lot of help from Zhang Xiangyang. Since Zhang Xiangyang opened his mouth to him, he had to give some face.

Zhang Xiangyang has worked in surgery all his life, not to mention the operation of intestinal obstruction, that is, the operation of necrosis of the small intestine, and he encounters at least three or five cases every year. Both experience and qualifications are extremely rich, at this time, seeing Huang Guohui asking him for advice, he smiled slightly and said: "This matter is actually very simple, if you want to determine whether our X-ray diagnosis is correct, or Ren Jiangchi's pulse diagnosis is correct, just do a simple laparotomy!"