Chapter 587: Doctor Ben can't help it
After 3 hours of preparation and another 3 hours of flight, when the little prince arrived at the airport, he was rushed to the pediatric ward of the University of Tokyo Medical Center, which took more than an hour to send him across the sea.
It's almost 8 hours, and that's it, if it weren't for the fact that someone's father is a chief, I'm afraid that no one in the world can go faster than this.
But it was still late.
The little prince was already crying non-stop when he was on the plane, and after a preliminary examination at the hospital with the group, it was found that his body temperature had risen, and his heartbeat and breathing were accelerated.
This is typically a worsening of the condition.
Frightened, Chief Abdullah was so frightened that he wanted the pilot of the plane to step on the accelerator all the way.
At the same time, I complained to Dr. Haidong a hundred times, a hundred times, and felt that if it weren't for Dr. Haidong's carelessness, how could my precious son suffer so much?
Therefore, pediatrics is difficult to do, and the difficulty lies in the parents' incomprehension and non-cooperation.
When I arrived at Todai Hospital, the hospital had already received a notice and waited, and the green light was given all the way, and the best doctors were immediately dispatched to conduct a full diagnosis of the whole hospital.
Tsukasa Sakuda, director of the Department of Gastroenterology, also participated in the consultation.
When everyone took out the two X-rays taken by Haidong Children's Hospital, they already knew as colleagues that it was not a misdiagnosis by Dr. Huaguo, otherwise the first X-ray would not have been able to shoot the second battery anyway.
The only explanation is that the coin cell battery in the back was ingested after the first X-ray was taken.
If you really want to be held accountable, it is also the responsibility of the nanny team.
Moreover, the vigilance and clinical level of Dr. Huaguo are still quite high, because they took a second X-ray very targetedly, and only then was they diagnosed with a second foreign body.
If you follow the general thinking of diagnosis and treatment, you have just taken an X-ray, you will definitely not take another X-ray, which is the real delay in the disease.
In this way, not only is there no fault, but it is meritorious.
Therefore, it is said that the interlaced line is like a mountain, and it is also a doctor, and the doctor knows it well in a small day.
But as the saying goes, the one who wronged you knows better than you that you are wronged.
They didn't say a few words of justice for Dr. Huaguo, and they had a mentality that they didn't care about themselves.
I saw the director of the pediatric department frowning:
"Ah, it's been at least 15 hours since the little prince swallowed the battery, and it's stuck in his esophagus, it's too dangerous, we need to do some tests first."
The chieftain and his wife have no master, and nodded again and again:
"Then please, you can do what tests you want, the cost is not a problem, we need the best tests, the best treatment, don't be sloppy like Dr. Haidong."
(Doctors at Haidong Provincial Children's Hospital vomited blood after hearing this)
Dr. Ben collectively straightened his chest:
"Mr. and Madam, please rest assured, our University of Tokyo Medical Center is the most advanced and highest-level hospital in the world, and it is definitely not comparable to the hospitals of some backward countries, and you can definitely rest assured that the little prince is in our hands."
Before the words fell, he was immediately slapped in the face.
When the CT film was obtained, the pediatricians were silent.
The film shows multiple pneumatosis and hyperdensity around the esophagus in the little prince's retropharyngeal space and around the esophagus in the neck, indicating that the child's esophagus may have been perforated.
The dangers of esophageal perforation have been mentioned earlier, and it is very dangerous for patients, especially since it is a corrosive liquid from batteries, which is even more difficult for children to bear.
When the chief's wife heard this, she didn't care about any etiquette on the spot, and cried into tears when she hugged her son.
Chief Abdullah's hand was shaking all the time, and although he still maintained his majesty, it was not much more, and he was obviously in a hurry.
In fact, this can only be blamed on the big dog himself.
If they had stayed in China at that time, Chen Qi had been asked to come as soon as possible, and then they could easily take out the perm and coins with a foreign body net pocket by means of a digestive endoscope.
But they didn't listen, but misunderstood that the level of Huaguo doctors was too low, misdiagnosed the little prince, and then flew to Yuben.
The battery continues to corrode the esophagus during transport, causing the erosion and ulceration of the mucosa around the esophagus to become more and more severe, and finally directly leads to the most serious condition of esophageal perforation.
This is a typical kind of good intentions doing bad things.
Chief Abdullah blushed and calmed down, and then looked at the doctors at Dongda Hospital:
"Please, no matter what method you use, please save my child, I will not let you work in vain!"
The pediatricians were really ashamed that the possible perforation of the esophagus was not something that could be solved by internists, so the director of the Department of Gastroenterology, Tsukasa Sakuda, was pushed out.
The doctors decided to use gastroscopy to see with their own eyes how much the esophagus where the battery is located has corroded, and then decide on the follow-up treatment plan.
The chieftain and his wife agreed with the plan and urged to check it out.
The gastroscope showed that not only had the esophagus been perforated, but the battery had also ruptured, and the alkaline heavy metal liquid of the battery continued to corrode the esophagus.
So the surgeon was called in again.
The surgeon also scratched his head when he saw the situation:
"It's not like a simple esophageal perforation, it's caused by the corrosion of toxic heavy metal liquids, so you see, the esophageal mucosa has eroded and ulcerated, and it's very difficult to treat.
There is also a very important difficulty in this, that is, after esophageal surgery, you cannot eat for a long time, at least for more than 30 days. Then the problem arises, if the little prince can't eat for a long time, it is simply not enough to rely on infusions to maintain nutrition. ”
Chief Abdullah and the chief's wife were a little puzzled, so they asked:
"Doctor, what does this mean? You hurry up and rescue it, you can't delay the condition any longer, it doesn't matter how much it costs. ”
As soon as these words came out, let alone surgeons, pediatricians and internists were a little embarrassed.
The doctor from Baotou State understood it, so he explained to his chief and the chief's wife:
"Mr. Chief, what the doctors mean is that if you have esophageal surgery, you can't eat for more than 1 month, because food will definitely pass through the esophagus during the swallowing process, but now the esophagus can't withstand any stimulation."
Chief Abdullah nodded, and understood.
"What do you mean, after esophageal surgery, the esophagus needs to rest? That's fine, if you can't eat, I remember there was a nasogastric tube that could be used to inject nutrients into it. ”
At this point, Dr. Yumoto went on to explain:
"Mr. Chief, if you look at this endoscope screenshot again, the little prince's esophagus has been seriously corroded by the liquid leaked from the battery, not only is the food not allowed to pass through, but also the nasogastric tube is not allowed to pass through, otherwise it will be continuous bleeding and continuous damage to the esophageal mucosa."
The chief and the chief's wife understood, that is, esophageal surgery was fine, but after the operation, the little prince would starve to death.
"So, what then? You have a way, don't you? ”
The surgeon nodded heavily:
"There must be a way, then this requires two surgeries, one is esophageal repair and the other is gastrostomy, but ......"
Chief Abdullah nervously asked, "But what?" ”
The surgeon looked at the little prince who was crying incessantly on the hospital bed, and couldn't bear it:
"But these two surgeries together are quite difficult for us doctors, so it is more dangerous for the little prince, such as esophageal repair, where we need to cut the skin here, break the sternum and ribs here and then perform the operation.
Gastrostomy requires a large incision in the left upper abdomen, through the rectus abdominis muscle, which is about 6~8cm long. Or make an incision in the middle of the upper abdomen, and then make an incision in the stomach, burying a tube in it, and then the nutrients can be directly injected into the stomach through this tube in the abdomen. ”
Hearing that her son was going to suffer so much, he cut his chest and bones again, and cut his abdomen to appetize, which made the chief's wife almost faint directly.
The surgeon didn't stop and continued:
"A large number of clinical retrospective studies have shown that 10~16% of pediatric patients with gastrostomy have at least one complication after surgery, and the overall mortality rate is 3%, and the proportion of postoperative infection, obstruction, etc., is as high as 23%."
What doctors fear most is to treat the powerful.
Of course, you can get a lot of rewards if you are optimistic, in terms of money and status, but if the operation fails, the consequences are not something that an ordinary doctor can bear.
See why the Haidong Health System and the Provincial Children's Hospital are now in deep water heat?
The Provincial Children's Hospital is not wrong in terms of diagnosis and treatment plan, but because the chief and the chief's wife as parents do not understand and do not recognize, they are finally faced with the dismissal of dismissal, early retirement of early retirement, and back punishment.
The same is true of the ancient imperial doctors.
The imperial doctors treated the emperor or the concubines, and they would never dare to use home remedies, fierce prescriptions, and tiger and wolf prescriptions like Xilaile.
Why? What I am afraid of is taking risks.
Originally, your emperor was sick, and he died of a normal illness, and the imperial doctor didn't have much responsibility, and it was your emperor who should be like this.
But if the imperial doctor is kind enough to pay tribute to a red pill or a pair of tiger and wolf prescriptions, the emperor will die if he eats it.
Then your imperial doctor's family will wait to wash the white and pull it all to the entrance of the vegetable market.
Therefore, doctors in ancient and modern China and abroad generally do not like the powerful, especially the rich who have hands and eyes, because these patients are difficult to deal with, the risk is too great, and it is a hot potato.
Dr. Ben said so much to the chieftain and his wife, and even deliberately said that the consequences of the operation were so serious, but in fact, he was prepared with both hands.
One is that the chief is willing to operate on the hospital of Todai, but if he is given a vaccination, 3% of people may die, and 23% may have complications.
Another meaning is to imply that if you are scared, you can ask for another master.
When Chief Abdullah heard the doctor say something so serious, he couldn't hold back anymore and grabbed the surgeon's arm:
"You're saying that the mortality rate for gastric fistula in children is 3%?"
The surgeon nodded: "Yes, and the smaller the child, the greater the risk." ”
Chief Abdullah sat down on the hospital bed, unable to speak for a long time, and the room was silent except for the crying of the little prince.
Everyone knows that young chiefs need time to think calmly.
For royalty, or bigwigs, a mortality rate of 3%, rounded off is equivalent to certain death, and the risk could not be higher.
In particular, the little prince Aziz is the only heir to the emirate, and the relationship is very important, and one of them dies badly, or is disabled due to surgery, which is a major blow to the country and the royal family.
In order to maintain his image as open and close to the people, Chief Abdullah took the initiative to promise monogamy.
If the tuba is scrapped, it will be a question of whether he and the chief's wife will be able to get another one.
Daughters are useless, and daughters in European and American countries also have the right to inherit and can become queens. But this does not work in the Arab countries, where women have a very low status and can only be subordinate to men.
Arab countries are not allowed to have a queen.
Not to mention the Arabs, the whole of Asian countries does not seem to allow it, such as Xiaori and Savadika, they would rather choose nephews or stupid sons than smart and healthy daughters to take the throne.
If Chief Abdullah does not have a healthy son, no heir, then his ministers, his people will definitely be biased towards the brothers of the current chief, especially those who have sons.
At that time, it is doubtful that Chief Abdullah will survive or not, and the children who have lived in the royal family for a long time are no strangers to palace coups.
Politics is originally your life and death, and in order to seize power, people will never allow you to go into exile and give you a chance to make a comeback?
So the little prince of Aziz must be kept, and he must grow up healthy, this is a principle that Sheikh Abdullah will not allow to change.
Firm in his convictions, Chief Abdullah looked at the many doctors in the ward and asked:
"Ladies and gentlemen, I'm very sorry, but I mean, if there is another world in this world where there is a better treatment for my son's condition, or a better doctor?"
The doctors in the ward, you look at me, I look at you, and they don't want to talk.
The doctor has his own pride, it's okay if you don't see a doctor with me, but if you want me to admit who is higher than me, then you are insulting me, and I won't tell you if I know.
There was silence in the room.
You are still dragging your feet and hesitating, and the battery in the esophagus of the little prince Aziz is still corroding the esophagus and surrounding tissues, and the intense pain makes the child wail again and again.
"Mom, I'm in so much pain~~~"
"Dad, help me, I don't want to hurt~~~"
"Woo woo, I don't eat anymore~~~"
The little prince's wails not only caused the chieftain and his wife to collapse completely, but also caused many doctors in the ward to feel compassion.
The surgeon opened his mouth, but decided to shut up for the possible risks, leaving the choice of surgery to the Arab sheikh.
At this time, Professor Sakuda couldn't help it, and he had his own little ninety-nine.
"Mr. Chief, it's not like there's no better way at all, and in the case of the little prince, you might be able to use endoscopic surgery."
"What is endoscopic surgery?"
(End of chapter)