After raising a cat, the goddess doctor became popular in the interstellar

CHAPTER 328 NEW SITUATIONS

The surgical protocol is simple and easy.After the laparoscope enters the body, it goes straight to the outside of the stomach, assists in loosening the foreign body at the position corresponding to the foreign body, and then takes it out with a gastroscope.

This surgery requires general anesthesia.However, the patient has chronic pulmonary heart disease, which is a contraindication to general anesthesia, let alone an elderly person in his 80s.

So this is where Tao Le is needed in the whole operation: using acupuncture anesthesia instead of general anesthesia.

She breathed a sigh of relief.Although she can't use golden fingers, she has received special training in various endoscopic foreign body removal operations, and she is also extremely proficient in the related acupuncture anesthesia.

While speaking, both of them had already entered the operating room, brushed their hands and changed into surgical gowns.

The two inpatient chiefs of digestive endoscopy and gastrointestinal surgery, Mr. Shao and Mr. Zhang, had arrived earlier, and when they saw Tao Le coming in, they greeted her warmly.

To be honest, they have long been curious about the legendary acupuncture anesthesia.

Everything is ready and the operation is about to begin.At this time, the head nurse suddenly received a call.

It was an international long-distance call from the patient's son, and the other party described a new situation in an eager tone.

The patient had a certain degree of coagulation dysfunction and was not suitable for surgery.

The head nurse relayed the situation to everyone, and all the doctors on the stage were a little confused, and all looked at the patient.

The old lady was awake at this time, blinking her small brown eyes a few times, and said as if waking up from a dream: "Oh yes, there is indeed such a thing. It has been too long, and I have forgotten that there is such a problem gone."

Now is simply not the time to pursue incomplete medical history.

This is an emergency small laparoscopic surgery, and it is not necessary to perform a comprehensive blood coagulation function screening in advance like major surgery, so the doctors are a little worried at the moment.

"The arranged surgery plan has to be changed." Mr. Zhang from the Department of Gastrointestinal Surgery sighed: "Why don't you invite the senior doctors from each department to come over for consultation?"

The emergency doctor Xu Shou looked at Tao Le and suddenly remembered an incident he had heard from Dr. Geng from the department last time.

"Little Tao, I heard that you can also control the pulse to stop bleeding? How about we do the surgery and show us your skills?"

"I don't agree. It's too risky." Director Shao of digestive endoscopy immediately waved his hand: "Not to mention the effect of pulse control and hemostasis during the operation, the difficulty in hemostasis and recovery after the operation is the big problem."

"In that case, we can only follow Mr. Zhang's opinion." Xu Shou said.

The old lady has been frowning urgently since just now, presumably because of the severe pain in her abdomen.

At this moment, she simply held her belly with her hands and moaned out of her mouth.

Such a painful method, is it going to be pierced?
Everyone is an experienced clinician, and they still have some insight.

But if the superior doctor is notified now and everyone rushes over for consultation, it will take more than an hour at least, and the patient can't wait.

"In this case, we can't wait any longer. Let's proceed with the previous operation plan, let's talk about the operation to stop the bleeding." Mr. Shao suggested.

Both Xu Shou and Mr. Zhang nodded.There is no way, if gastric perforation really occurs, then laparotomy will have to be done no matter what, and the problem at that time was much more serious than it is now.

"Little Tao, please do acupuncture anesthesia for the patient." Xu Shou said.

The results of the patient's previous gastroscopy were displayed on the big screen. Tao Le glanced at it and knew the situation well.

Hearing Xu Shou's words, she immediately responded and stood in front of the patient's left side.

Lorennie was very nervous.It is a very troublesome thing to fall ill in a foreign country, especially in a country with a relatively backward medical level compared with your own country.

But what is more exciting than this is that the other party used an anesthesia method that she could not understand.

She has many friends from China, so unlike some foreigners, she doesn't know anything about acupuncture.

But even among her Chinese friends, no one has heard of acupuncture anesthesia.

But they all knew about Zhou Jishen and had deep trust in his disciples.

It is for this reason that she signed and lies here.

No matter how severe the pain in her upper abdomen was, the doctor in front of her could not see clearly with a mask on, but from those eyes, she could also feel that she was very young.

Youth is a capital to be proud of.But for doctors, that is a deduction item.

The young female doctor stood in front of her and said softly, "Don't worry. Get some sleep and everything will be fine."

Don't worry, how can you not worry?Lorenny's eyes widened, staring closely at the female doctor's hand.

She just waved that hand a few times, and she hardly felt anything. Then she didn't know anything.

"Let her sleep first." Tao Le said, "Acupuncture anesthesia is mainly based on local anesthesia, so acupuncture and moxibustion to help sleep should be supplemented."

She gave the needle extremely fast, and within 3 minutes, the anesthesia was completed.

Mr. Zhang from the Gastrointestinal Surgery Department picked up the scalpel and was eager to try, but was stopped by Tao Le.

"Wait a minute, I have an idea," she said. "Why don't you, Mr. Zhang, put off the operation. I want to try to get the object under the endoscope again."

Mr. Shao of the digestive endoscopy frowned: "We have tried it just now. Most of the dentures are embedded, and the surrounding edema is so bad that it doesn't work at all."

He was a little dissatisfied.Is this little Tao questioning his own endoscopic retrieval skills?

Oh, he tried so many times and failed, but she can do it when she comes?
If it weren't for the urgent situation of the patient, he really wanted her to hit the south wall for a try, to see if the endoscopic retrieval could be done by anyone!
Tao Le can actually do it.In the large collection of endoscopic extractions, she has extracted all kinds of weird things, just this kind of dentures. The difficulty is only medium.

But right now, she really doesn't intend to slap Mr. Shao in the face.

Wanting to successfully achieve one's own goals without arousing the disgust of others is a great question, and Tao Le is still practicing it.

"The patient has a blood coagulation disorder, and she is old. Even a minimally invasive operation will do her a lot of damage, and it will be more difficult for the operator to recover." Tao Le quickly explained:
"In fact, in this operation, the laparoscope mainly played the role of assisting outside the stomach to help loosen foreign bodies."

"But if you don't need a laparoscope, can you also play this role?"

Tao Le's eyes were full of confidence: "Acupuncture can be used to promote the peristalsis of the gastric antrum. Although it is not as direct as laparoscopy, it can still have half the effect."

Hearing this, the other three doctors all understood.

"Then let's give it a try." Mr. Shao's little dissatisfaction just now disappeared in no time.

As he started the gastroscope, he said, "Xiao Tao, show us well, you are a famous acupuncture practitioner!"

The effect is really good.The gastric peristalsis accelerated, and the dentures moved as expected, and Mr. Shao quickly pulled them out.

This movement was steady, accurate, and ruthless, and he played the highest level since he practiced, which was unanimously praised by the doctors present.

"Teacher Shao, you are really amazing!" Tao Le praised sincerely with bright eyes.

This is a compliment from Zhou Guoshou's disciple.Mr. Shao is also in a good mood.

At this moment, he had already put aside the little dissatisfaction he had with Tao Le before.

Tao Le is worthy of being a famous disciple.He has a high level of acupuncture and moxibustion, a quick mind, and is very humble.

This little girl can do it!
After the foreign body is removed, the damaged stomach wall should be repaired with sutures.

The bottom of the patient's gastric antrum was obviously thickened due to edema, and immediately after the dentures were taken out, hemorrhage occurred. The depth was about 3 mm by visual inspection, which was only a thin layer away from perforation.

"Little Tao." Mr. Shao's expression became serious: "I have seen your suturing, and it is at the level of a master. But have you ever done suturing the stomach wall?"

Tao Le's eyes lit up immediately: "I did it, let me do it!"

(End of this chapter)