Vol 3 Chapter 2705: Go to the medical office if you ca n’t register

Zhu Liangchen still remembered that it was a medical accident that wiped his buttocks by himself, when the township hospital cut the gallbladder tube.
It was he who went to the rescue station, under the biliary tract, and the patient recovered and was discharged home.
It was said that after six months, the patient was asked to come to the hospital to remove the gallbladder stent, but the patient did not come, and Zhu Liangchen did not care about it.
In his words, there are more patients taking over every day, and who can always remember a patient.
If it were possible in a small hospital at the city level, it would not be possible in Emperor Capital. For more than ten years, tens of thousands of patients, if they can tell the outcome of the disease, do not have to do other work.
Moreover, this patient still had the operation when he went to the nearby small hospital to rescue the patient, and he would not remember the name and disease.
"Look at the movie first," Zhu Liangchen said in a deep voice.
"Director Zhu, the family members of the patients mean that they can't get your number, so they came here. Or you can take a look and take her back to your ward?" Liu Dexiang asked.
Zhu Liangchen didn't respond, but asked, "Where is the patient now? How uncomfortable."
"Outside the hotel, I have a fever and can't get out of bed. After dripping at home for more than 20 days, it still doesn't work." Said the patient Sun Xiwang, the woman said sadly, wiping tears.
The course of the disease for more than twenty days was accompanied by a fever. This is purulent cholangitis. Zhu Liangchen picked up the film on the table and looked at the light.
The patient has cirrhosis. It is considered to be secondary to chronic cholestasis. How long has the disease been? Zhu Liangchen found it tricky after only glancing at the film.
Clogged bile ducts, and you can see an image of accumulated pus.
Surgery can be done, just take out the biliary duct, Zhu Liangchen made a judgment. As for the next bracket, it depends on the situation during the operation.
Conservative treatment is ineffective, and only surgery can be performed. In addition, you can't wait to die.
"How come to think of it." Zhu Liangchen had made up his mind to have surgery, but said coldly on his mouth.
"There isn't much money at home ..." the woman wiped her tears and said, "Old Sun has been suffering, and his stomach hurts for three or five years, and it gets heavier and heavier."
"Lao Zhu!" The deputy director of the medical department stood at the door and waved.
Zhu Liangchen took a look and stood up and went out.
When he went to the next room, the deputy director of the medical department said in a low voice, "If the operation can be done, do it for him, and quickly send him away."
"Director Xiao, is it possible to register in the medical office since then?" Zhu Liangchen said with a serious expression.
"Well, I know you're upset, and I just heard it. The patient is in a small hotel outside, and if you really die, wouldn't you just be doing things in peace?" Director Xiao advised.
"That can't all come to the medical office to complain when the registration is not." Zhu Liangchen still said badly.
"Chill out, is the operation safe?"
"No one has 100% certainty about the operation," Zhu Liangchen said.
"Don't talk like you're talking to the patient's family, you can tell if the operation can be done." Director Xiao was also annoyed, this Zhu Liangchen was holding back and walking, and it was all going on!
"Can do it," Zhu Liangchen said in a deep voice.
"Lao Zhu, get back and hurry up and have the operation done." Chief Xiao said, "It's the end of the year. It's not necessary to run into all kinds of tests. Don't take eye drops at this time."
Zhu Liangchen feels that he has really been troubled recently, so annoying! However, he did not dare to face Director Xiao and refused to admit the patient to hospital.
After all, it was a patient who performed the surgery 14 years ago. If the patient died because of a blocked biliary tract, the matter would not be clear. Family members of the patient make trouble again, even if it is not a professional medical trouble, they must not be safe for at least 1 month.
The most important thing is that you can't do this operation by yourself, but you can't do it, just watching someone die.
Zhu Liangchen finally pinched his nose to take the patient away.
Preoperative examination and preoperative explanation, everything was straightened out. It was 7:30 pm. Surgery, you have to be 10 o'clock home after surgery. Who do you want to mess with?
Zhu Liangchen was particularly helpless in brushing the stage.
Although he was always angry, there was nothing he could do when he was a doctor. After the operation was done, the patients could be discharged well. There was really no way to breathe with them. There were 11 million Zhu Liangchen reluctantly, but they still had surgery.
"Director, what is the operation today?" Zhu Liangchen's assistant asked.
After Liu Xuzhi left, he found a diligent doctor to help him with the operation. Although he is diligent and speaks well, he is worse than Liu Xuzhi.
However, there are few doctors who can get surgery. Although he is the director, he can find work to do, and can't pick up too many problems.
"Biliary angiography, just look at the position of the endoprosthesis tube, and then take it out. I hope that the adhesion is not too strong, do it." Zhu Liangchen said.
What he said is simple, but he also knows that the operation is still a bit difficult. After all, the duct of the biliary tract has been in existence for 14 years ... Just thinking of this number, Zhu Liangchen couldn't help but have a headache.
What wasn't necessarily inside, he thought. Although a large probability can be taken out of the prosthetic tube, there are still a small probability of an emergency.
And time is too long, Zhu Liangchen did not remember the brand and model of the inner tube at that time.
Alas, otherwise, good people can't do it, rubbing the buttocks of the township hospital that year, as a result, things fall to themselves.
Zhu Liangchen's face was full of unhappiness, and he entered the operating room.
Brush your hands on the stage and start biliary angiography.
The image of cholangiography came out, and Zhu Liangchen looked dumbfounded. The scaffold is embedded in a 5cm-long lollipop-shaped stone, which is called a strong one.
Even with such a long stone, Zhu Liangchen felt a bit bitter and astringent in his mouth.
MD! He secretly cursed.
But already on stage, what else can I do. Zhu Liangchen looked at the lollipop-like stone and remembered many things.
14 years ago, ercp was not formed, and few people would do it. UU reading books www.uukanshu.com Biliary stent is generally percutaneous puncture, and the stent is under X-ray. And the patient's family said at the time that they had no money, and they were kind. They gave him a plastic inner tube instead of the bracket.
Use an expert to do intrabiliary drainage, and remove it after the bile duct has grown for half a year.
After the patient recovered, Zhu Liangchen clearly remembered at this time that he told the patient and his family to find himself after six months. After all, it's a plastic product, and there's no way to stay in the body for a lifetime. Cheap goods and expensive rare metal brackets are two different things.
I did not expect that a stent patient who could use it for half a year to a year actually survived for 14 years.
Zhu Liangchen sighed and focused on the operation.
Grab the pliers retrogradely into the biliary tract, but because of the long time and the presence of stones, it is stable in the biliary tract.
After trying several times, Zhu Liangchen was a little irritable.
vertex
List of chapters in high-speed text manual surgery room