Back to the Republic of China as a doctor

Chapter 209 207. I think the risks of surgery still need to be explained (please subscribe monthly pass)
After a set of physical examinations, Jiang Lai was really relieved, "At present, the possibility of upper gastrointestinal bleeding is still considered. How is the stool condition in the past few days? What color is it?"

"It's... just normal." Gu Tongen thought about it, and it seemed normal.

Jiang Lai sighed, forget it, sometimes patients can't express their symptoms at all, and with this blood pressure and heart rate, the possibility of acute blood loss is extremely high.

Now he is taking hemostatic medicine, fluid transfusion, and the blood type is being matched, if it is only upper gastrointestinal bleeding...then it will not put this person's life in danger.

"Push it to the intensive care unit, and prepare for the operating room," Jiang Lai ordered.

Yu Wen nodded, and asked people to prepare. Today...he and his subordinates were on duty at the emergency department, so they drove a patient back, but he didn't expect that it was Jiang Yunting who came with the patient.

While surprising him, he felt that Shanghai Beach was really small.

"I'm going to change into a white coat, Doctor Yu, come with me." Jiang Lai called out to Yu Wen.

……

"Why did you call me over?" Yu Wen was puzzled.

"Do you remember the cardiac angiography I mentioned in the information I gave you?" Jiang Lai changed his coat, put on a white coat, and asked with a smile.

"Yes, I remember." Yu Wen nodded.

"Actually, contrast imaging can not only be used in the heart and blood vessels."

"good."

"So, I want to rule out other diseases for this person."

"E.g?"

"Liver cancer, liver cirrhosis." Jiang Lai said seriously.

He remembered the name Gu Tongen, one of the major shareholders of Paramount, who inherited a large amount of inheritance and company from his biological father and stepfather, but died a few years later. The cause of death was not recorded in history.

So, he was curious.

Either, this person died of illness, or this person was killed by him.

But judging from the current speculation, he felt that the possibility of Gu Tongen's own illness and death was quite high. In this era, the average rich man's brother never kept in good health, drunk with sex, and his body was empty.Since the other party has no liver palms, no spider veins, no varicose veins on the abdominal wall, and no ascites, even if there is liver cirrhosis, it must be before decompensation.

"How to check?"

"Through the inguinal artery to the abdominal aorta, then from the common hepatic artery to the proper liver, and then the contrast medium enters the liver to observe the condition of the blood vessels, but the risk is relatively high, and I need someone to help me." Jiang said his plan. , "In our hospital, during the operation, I hope to do this examination together."

"The diameter of the left and right liver..."

"Yes, it's relatively thin, so I don't plan to go in. When the liver is innate, I will create a contrast agent, and wait for the blood to bring the contrast agent in." Jiang Lai nodded.

In this era, when the only inspection method is X-ray, angiography is currently the most accurate examination that can diagnose some organic diseases.

He speculated that there is a high probability that Gu Tongen will be pushed for surgery, and this time, it is also likely to be just an acute hemorrhage of the upper gastrointestinal tract, and the ulcer may be large. Since he is about to undergo surgery, it is of course better to have an examination by the way.

"I'm very happy." Yu Wen nodded with a smile, "However, I have no experience."

"Help me disinfect the X-ray machine and move it to the operating room."

"You kid, you just let me be a coolie?" Yu Wen didn't know whether to laugh or cry.

Jiang Lai nodded with a smile. He planned to ask for a more detailed medical history.

……

"Why are you crying!" Gu Tongen looked impatiently at the woman beside him, "I'm not dead yet!"

"master……"

"Go home!" Gu Tongen became even angrier.

On the side, Jiang Yunting looked amused.

And beside Jiang Yunting, a woman with exquisite makeup was carrying a satchel, and she also had a funny face, and she couldn't help saying, "Gu Tongen, I really thought you were going to die."

"Sheng Qi, what are you talking about!" Gu Tongen couldn't help but sigh, and said to his wife, "Okay, I'm fine, the doctor will be here soon."

"Is it Mr. Jiang's young son? I heard that he can even perform heart surgery. Master, you must be fine." Gu's wife looked at Jiang Yunting.

Jiang Yunting shook his head, "Doctors are not gods, and they cannot guarantee to save everyone."

"But... Dr. Jiang has pulled Mengli back from the gate of hell. Mengli, do you think so?" Mrs. Gu turned to Pu Mengli, who came later than her, for help. people.

Pu Mengli frowned, "Mr. Jiang is right, doctors are not gods."

"you……"

Jiang Lai was standing at the door, watching a good show. No matter how good this Mr. Gu is, housework is always difficult to solve. This Mrs. Gu's tricks are quite low-level. Quiet, I need to ask for a detailed medical history and the patient's current condition."

This is not the first time Xia Yu has seen someone with such a big show, but she felt that she was on duty with Yu Wen, which seemed to be quite unlucky. This family is not easy to mess with, but she still measured her blood pressure and heart rate first. "Blood pressure 86/51mmHg, heart rate 128 beats/min."

Jiang Lai frowned, he stopped the bleeding while infusing fluids, but his blood pressure didn't come up, "I'll take a test later, but now, let's help prepare the operating room together."

"Okay, Dean Jiang." Of course Xia Yu agreed, without any other distractions.

These days, she is not in a very good mood, because the news that Jiang Lai has a girlfriend has spread in the hospital, and it is the daughter of the doctor of traditional Chinese medicine, Dr. Lin, Teacher Lin Wanlin.

Seeing Jiang Lai again today... I don't feel much about it.

Well, it turns out that she just admires Dr. Jiang.

After all, Jiang Lai didn't pay her much attention at all!
"Mr. Gu Tongen, is Mrs. Gu the only family member?" Jiang Lai asked this Gu Tongen. Once, when visiting Paramount, he also had memories of the tour guide's various explanations. Therefore, knowing Gu Tongen's identity is also He knew the identity of the middle-aged woman next to his father, Miss Sheng Qi.

"Yes, no heirs." Gu Tongen replied with a weak voice.

"Okay, then I will explain the condition to you. In your condition, I suggest timely surgery." Jiang Lai said, "It should have been half an hour since you were admitted to the hospital. Although you have not vomited blood anymore, your blood pressure It hasn’t come up yet, which means that there is active bleeding in your body, we need surgery to explore it, if it is gastric ulcer bleeding, then, it may be necessary to cut off most of your stomach body, in addition, in view of your long-term drinking history, I also hope to give You do a check."

"what?"

"Hepatic angiography, check to see if there is any problem with your liver."

"it is good."

"Don't you even ask how it was checked?" Jiang Lai shook his head with a smile.

"You are Yunting's son, you can't trick me, can you?" Gu Tongen is very clear.

Jiang Lai: ...

He suddenly felt that his father was a bit cheating.

"Even so, I'll explain the risks of surgery to you."

　Chapter 2.

　　As the title.

　　
　
(End of this chapter)