22. Lost gastric tube
Xinglin Garden often has a request for help.
But in the end, there are very few that can perfectly solve the problem of the help-seeker.
After all, the limitations of online medical treatment are too great, although the Xinglinyuan Forum will not have the beginning of cancer, but the lack of a complete record of the course of the disease and the lack of direct contact with the patient have led to the deviation of the final diagnosis and the inability to be perfect.
Like now.
After more than an hour of heated discussion, the question raised by the unlucky doctor still did not reach an accurate conclusion.
A group of doctors also gradually felt overwhelmed.
"Maybe it has something to do with the operation, maybe it has something to do with the operation during the day today, or maybe it has nothing to do with either, but these are just reasonable conjectures based on established facts, and no one has said why."
"Oh, do you really expect any results from online medical treatment, the important thing is the process, at least we have said a lot of opinions, which can be used for reference."
"It's all gone, maybe we're all doing useless work, and the patient may really be fine, but there are just some minor postoperative reactions."
But at this moment, a user named 'master is always lonely' replied:
"The landlord is here, I have a question for you."
"I see that the site of surgery for this patient's intracranial tumor is the sellar area, what is the surgical approach?"
Seeing this problem, the doctors involved in the discussion were confused, and did not understand what connection this problem had with the patient's headache.
The unlucky doctor seems to have been paying attention to the post, and when he saw someone Aite himself, he quickly appeared to answer questions and said: "The nasal-sphenoid sinus approach was surgically removed!" ”
The master is always lonely: "Who inserted the gastric tube during the day today?" ”
Unlucky doctor: "This, I don't know very well, but it should be the regular training doctor on duty on the day shift, this kind of simple operation is handed over to the regular training doctor to practice." ”
The master is always lonely: "There is not enough information, not enough clues, I can only make bold guesses, whether it is the answer in the end, you need to be careful to verify." ”
Unlucky Doctor: "Big, big, you know why patients have headaches?!" ”
Time.
All eyes were on him.
After more than an hour of discussion, someone finally found the final answer?!
The master is always lonely: "I suspect that the stomach tube was inserted into the patient's skull during the day, which caused the patient to have a series of symptoms such as headache, nausea and vomiting, and drowsiness. ”
A stomach tube stuck in the brain?!
I think you're getting gastric juice in your head!
The doctors laughed and laughed, thinking that this master was also here to be funny.
But the master is always lonely but continues to analyze seriously: "Two days ago, the patient had an intracranial tumor surgery, and the surgical approach was nasal-sphenoidal sinus. ”
"Two days later, that is, during the day today, due to the patient's long-term inability to eat and malnutrition, the director decided to place a gastric tube on him after ward rounds for enteral nutrition."
"According to the unwritten rules of the department, this uncomplicated job was handed over to a doctor who was not so skilled in operation."
"The gastric tube placement can be imagined not smooth, just inserted about 15cm, I encountered the first physiological stenosis, because the patient's compliance is very poor, unable to cooperate with the swallowing action, the insertion is even more abrupt and difficult."
"After trying a few times, Dr. Guipei even wanted to give up, but in the end he still wanted to rely on his own efforts, so he increased his strength and was ready to try it by brute force."
"The strange thing is that this time the gastric tube insertion was unusually smooth, but in the process of insertion, Dr. Guipei should have felt a sense of frustration, but he was inexperienced and didn't realize the inappropriateness, and thought it was just a normal situation, so he ignored it."
"However, what no one noticed was that the gastric tube did not actually enter the stomach, but entered the saddle area of the skull through the nasal-sphenoid surgical approach."
"This lost stomach tube is the culprit that causes the patient to have a series of symptoms."
Unlucky Doctor: "......"
Doctors who participated in the discussion: "......"
Everyone was silent.
Everyone is thinking.
Think about the possibility of such a scenario.
When the master first said that the gastric tube was the culprit of the patient's series of symptoms, everyone scoffed at it, thinking that it was probably another clown who came to be funny.
But when the master starts to analyze, all the clues are connected together, and the impossible can be deduced into the possible.
Only then did everyone suddenly realize that the clown was actually me!
"Yes, something, I think it's possible!"
"Yes, the nasal-sphenoid approach is originally operated on from the nasal cavity into the skull, and the gastric tube is also entered through the nasal cavity.
"Hurry up and take a CT to confirm, don't inject nutrient solution into the stomach tube, otherwise your brain will really get water......
The unlucky doctor disappeared by this time.
Obviously, he also agreed with the master's opinion and hurried to report to the senior doctor.
The gastric tube is mistakenly inserted into the skull, which can be big or small, and if it is serious, it can be regarded as medical malpractice, and it must be dealt with as soon as possible!
Chu Liang sat in front of the computer, rubbed his sour fingers, and a voice sounded in his head:
[Glory +1]
[Glory +1]
[Glory +1]
……
Sure enough, you still have to rely on your own intelligence to get a sense of accomplishment, which is a good feeling, and it is beautiful...... Chu Conscience was satisfied, glad that he didn't put on Professor Tang's skin and show off in the forum.
However, to Chu Liang's disappointment, the speed of the increase in glory points seemed to be a little too slow.
It only increases a little in a few seconds, and as time goes on, the intervals get longer and longer, and even stop increasing after a few minutes.
In the end, the result of the victory was fixed at 50 glory points, which were converted into points, which was only 5,000 points.
"How can it be such a small amount of glory? The number of views of this post has at least exceeded 1,000, so many people have seen their wonderful diagnostic reasoning, and in the end, dozens of people have worshiped and offered glory points? ”
Chu Liang pursed his lips, feeling like he was being prostituted for nothing.
"There are two kinds of people I hate the most in this world, the first is to prostitute me for nothing, and the second is to not let me prostitute for nothing...... Damn, did you exchange fifty glory points for so much effort? It's just enough to exchange for a mall ticket. ”
was unwilling, but Chu Liang still did not hesitate, exchanged five thousand points, and opened the system mall.
A huge cabinet similar to a nest cabinet appeared on Chu Liang's retina out of thin air, and each small compartment contained props sold in the mall.
There are skill packs, chests with different functions, and a lot of gray slots that still seem to require more conditions to redeem......
It's so dazzling that it's overwhelming.
As soon as Chu Liang's mind moved, the treasure chest for upgrading the tendon suture technique immediately appeared in front of him.
[Upgrade Treasure Chest: You can upgrade a skill you already have and exchange it for 8,000 points]
Even though he had been prepared, seeing the price of eight thousand points, Chu Liang couldn't help but twitch the corners of his eyes.
"It's so dark, it's so dark......"