Surgical artist

Chapter 557
Zhao Peiru: "What about the biopsy, have you done it?"

The director of the Gastroenterology Department shook his head: "It is difficult for biopsy forceps to cut out the submucosal mass of the gastric fundus, and we are going to make a biopsy during the operation."

Lei Rong and the dean of the hospital next to him nodded slightly.

Based on this set of considerations, the director's handling is very appropriate.

Even Lei Rong couldn't see what was wrong with this patient.

The eyes of the director of the department, the dean of the hospital, Lei Rong and others were all focused on Zhao Peiru.

Zhao Peiru said: "Try a biopsy of the enlarged retroperitoneal lymph nodes. This case should not be gastric cancer."

Not stomach cancer?

Everyone's eyes widened.

This gastroscope has been directly seen, it is a space-occupying lesion, isn't it gastric cancer?
Lei Rong asked suspiciously, "Academician Zhao, do you think it's gastric tuberculosis?"

Everyone was also very puzzled.

Solitary gastric tuberculosis is extremely rare and is usually accompanied by other diseases or symptoms.Is this case just an isolated case of gastric tuberculosis?

Zhao Peiru nodded: "It should be gastric tuberculosis, plus TBDNA testing, to further confirm the diagnosis."

The director of the gastroenterology department thought deeply, nodded deeply, and immediately went out with Zhao Peiru's doctor's order.

The people who remained were chatting here, and Zhao Peiru also looked through other cases by the way.

The dean of Dongyuan East District continued to serve and accompany him carefully.

Not long after, the chief of the gastroenterology department came back with the test results with an extremely admiring expression.

As soon as his expression appeared, everyone had a premonition that something was going to happen.

"Academician Zhao, leaders." The director of the Gastroenterology Department picked up the checklist in his hand: "Aspiration biopsy of swollen lymph nodes showed granulomatous inflammation and necrosis, and TBDNA was borderline positive...it should be gastric tuberculosis!"

Lei Rong added: "Primary gastric tuberculosis."

Zhao Peiru asked, "How is gastric tuberculosis treated?"

Director of Gastroenterology Department: "Give levofloxacin and quadruple anti-tuberculosis drugs will do."

He thought to himself, this is completely different from the planned surgical treatment.

If Zhao Peiru hadn't noticed this misdiagnosis, the patient would have been stabbed innocently, but now, he can be cured only by taking medicine.

Zhao Peiru smiled and nodded slightly.

The overall medical level of this hospital is quite remarkable, not too bad.

At the same time, a new reminder sounded in his mind.

[Congratulations, you have completed "Task [-]: Distinguish a case of misdiagnosis of complex gastric cancer". 】

[Rewards obtained: 1 national medical level card, 50 experience points. 】

……

After Zhao Peiru left the hospital.

According to the doctor's order left by Zhao Peiru, the hospital gave the patient symptomatic treatment.

After taking the medicine, the patient's high fever quickly dropped.

Everyone in the hospital immediately felt relieved.It seems that the medicine is right.

Subsequently, the patient was discharged from the hospital and only took medicine in the outpatient clinic. While taking the medicine, he was followed up by telephone from the hospital.

A week later, the patient's previous symptoms of nausea, vomiting, fatigue, etc. had basically disappeared, and his weight had also started to recover slowly from losing weight.

So far, a patient with gastric tuberculosis has basically been declared cured, and only needs to continue taking medicine for two weeks.

After following up the patients, the hospital spread the news from top to bottom.

It is said that academician Zhao Peiru came to their hospital to do research for a certain scientific research project, but in the process of looking at the cases, he randomly picked out a misdiagnosed case, which saved the patient a knife.

This matter has been circulated in their hospital for many years, and it has become a hot topic among many doctors and nurses after dinner.

……

Zhao Peiru just hung up Lei Rong's call.

Lei Rong was on the phone just now, smiling and reporting to him the misdiagnosed case and the latest follow-up results.

On the phone, Lei Rong also admired Zhao Peiru's vision for consultation.

Zhao Peiru glanced at the "work progress report" just sent from the medical device company in his hand.

"That's right, both the simulation test stage and the clinical trial stage have passed. Now it's just a matter of review."

The staplers and occluders that Zhao Peiru made this time are improvements and improvements made on the basis of the original general-purpose staplers and occluders.So the testing process and review process will be faster.

This last step of review can only be waited patiently. Zhao Peiru stayed in the capital to no avail, so he took a plane and returned to Jiangnan Province.

Flying back with him, there are also brand new staplers and closures that have just been made from the laboratory.

"Academician Zhao, is this your new stapler and closer?"

In the West Campus of Jiangxin Hospital, many people from the medical research headquarters looked curiously at the two devices that Zhao Peiru brought back.

Zhao Peiru smiled and said: "Yes, these two instruments are still in the review process, as long as the review over there is passed, we can carry out the example surgery here."

"Professor Shu Yun, I have to trouble you to coordinate a suitable patient."

"Xiao Meng Xiaomu, Director Jia, you guys, you need to get acquainted with these two new things in the next few days."

Everyone immediately understood that they were about to usher in the first operation completed by a new closer and stapler.

Here, Jia Yanjun and others, in the process of getting familiar with closers and staplers, the more they learned about the usefulness of these two devices, the more frightened they became.

These two instruments are safer and more efficient to use than the common version of the basic version. It can be clearly seen that many exquisite skills of Zhao Peiru have been incorporated.

Jia Yanjun smiled and said, "Using the stapler of this stapler, I can also make the tight stitches of Academician Zhao, and every stitch is stitched at the same distance."

……

On the other side, Professor Shu Yun selected a patient with gastric fundus leiomyoma.

When the patient heard that he was going to participate in Academician Zhao Peiru's operation, instead of being flustered because it was "the first operation in a formal operation", he was pleasantly surprised and happy because the surgeon was Zhao Peiru.

"Is it really Academician Zhao Peiru who performed the operation on me?"

The patient was pleasantly surprised: "I have been paying attention to Academician Zhao Peiru for a long time. During the bariatric surgery, there was a great response on the Internet."

"Before, countless overweight and obese patients were vying to be the patient of Academician Zhao Peiru, and I heard that he had performed a demonstration operation in front of international friends. How could he dare to do it without some skills and confidence? Such an operation?"

The patient was very excited that Zhao Peiru performed the surgery for her.

Originally, I was found to have a stomach tumor, but recently I have been depressed. I feel that my luck is so bad. Everyone else is fine and healthy. Why did this tumor suddenly find me.

She had also fantasized countless times that something unexpected might happen to her during the operation, which would lead to a more serious situation...

Now, with such a reliable chief surgeon, she felt much more at ease!

(End of this chapter)