This doctor has a system

Chapter 587 650. Ten Deaths and No Life
"Where is her husband?" Li Youliang asked.

"How could her ex-husband care about her?" Liang Congyue shook his head. After the young man knew the whole story, he beat the patient up on the spot.

“Now they are divorced.”

This is actually very predictable. Not long after getting married, my wife gave me a green hat and got pregnant with someone else's child. Who can accept this?
It's really hard for the girl's family. They raised their daughter with great difficulty and married her off. Before she even had a grandchild, she was returned.

But after all, blood is thicker than water, and if there is really a problem with the body, the patient's parents will still be relatively positive.

"I'll do it, and you follow my guidance." Liang Congyue said. He felt that he was relatively skilled in placing airway stents. What he lacked was just some grasp of the details. Gao Feng was the most skilled expert he had ever seen.

The patient was very fragile. He started wiping tears as soon as he arrived at the bronchoscopy room. The anesthesiologist could only comfort him for a while.

As the "milk" was pushed in, the crying sound finally disappeared.

"Oh, that's so strenuous!" the nurse beside her sighed.

Liang Congyue first took a look with a conventional soft endoscope. The narrowest part of the airway was about 25 centimeters away from the incisors. This area was covered with dense granulation tissue, which gave people goose bumps.

This is the disadvantage of having a scar-prone constitution.

As a special clinical constitution, people with this constitution will have keloids after skin injury, and the formation of keloids has no obvious relationship with the cause and severity of skin injury.

Minor trauma, such as daily vaccinations and ear piercings, or even inconspicuous trauma, can cause keloids in people with scar-prone constitutions.

The pathogenesis of this constitution is currently unclear. Since patients with this disease often have a family history, it is considered to be related to genetic factors.

However, according to the patient's family, no one else in their family had this condition.

"First, use argon gas to make an incision and clean up the surrounding granulation tissue, then perform cryosurgery, inject triamcinolone acetonide submucosally, and finally implant a silicone stent." Liang Congyue roughly told Gao Feng about his ideas. This was also their previous routine operation method.

If there is no obvious granulation tissue hyperplasia in the later stage, the silicone stent will be removed after a period of observation. If the granulation tissue still proliferates significantly, multiple endoscopic treatments may be required.

Anyway, patients with airway stenosis due to scar constitution are difficult to treat. Many patients have not seen good results after many treatments and have to be hospitalized repeatedly.

After all, Liang Congyue has been immersed in bronchoscopy for many years and is now very skilled in operating the hard endoscope. Gao Feng has a feeling that he is impeccable and there is no cheating involved to achieve this. Liang Congyue's level is beyond his expectation.

It seems that everyone has made progress, not just him who is working hard.

As the silicone stent was successfully inserted, a few people were talking and laughing when a nurse rushed in.

"Director Liang! The patient in Room 2 is bleeding heavily!"

"What!?" Liang Congyue was shocked. "Who is there?!"

The operating physician in Room 2 is Wang Dan, a doctor in our hospital.

The bleeding patient was a 57-year-old man who had been coughing intermittently for 2 years but had never taken it seriously.

The reason is simple, he smokes a lot, 3 packs a day, sometimes more.

"How can I not cough if I smoke?" When his family suggested that he go to the hospital for a checkup, the patient said confidently, "Why waste that money!"

Half a month ago, he developed blood in his sputum when he coughed, which scared his family.

"Don't panic!" The patient remained calm on the surface, "I think my throat was torn when I coughed. I should be fine."

But deep down, he was very scared, so he ran to the county hospital for treatment that day.

"I suggest a chest CT scan," the doctor from the respiratory department suggested. "You have a history of smoking, and this time there is blood in your sputum." "Please check it carefully for me!" The patient interrupted the doctor, "It's okay to take a few more!"

Now he no longer felt that he was wasting money.

The result was not a fluke. Chest CT showed a mass in the right lung and enlarged right hilar lymph nodes, and Ca was considered.

"Why don't you go out first and I'll talk to your family?" said the respiratory medicine outpatient doctor after thinking for a while.

"Just tell me what you have to say..." The patient pretended to be calm, "I am not a petty person, I have a good attitude."

"Dad, you better go out." The son knew his character, "Let's talk to the doctor first."

"Okay then." The patient agreed, but he sat on the stool motionless.

"Dad, why don't you go away?" his wife said to him.

"Please give me a hand." The patient said, "My legs are weak and I can't stand up."

"It's considered a lung malignancy. I suggest a bronchoscopy to confirm it." The doctor said to the patient's son, "We have also started this examination."

But the county hospital can only do it under local anesthesia, and the process is relatively painful.

Considering his father's ability to endure pain, the son discussed with other family members and decided to go directly to the province in one step.

This is also a microcosm of the inadequacy of the domestic tiered diagnosis and treatment, but it also allows us to understand the most simple idea of ​​the people: if you have a serious illness, doesn't it mean going to a big hospital?
Wang Dan is the patient's attending physician. She had previously stayed in the bronchoscopy room for a year, but she seldom came here on normal days. She would only come and do the operation herself occasionally when she had her own patients.

I didn't expect something bad would happen as soon as I started doing this.

It was actually quite smooth at the time. As soon as I put the mirror down, I saw a neoplasm at the opening of the right middle trunk bronchus. It was an uncomfortable cauliflower-like and very hideous. It bled when I touched it slightly. The mucosa around the neoplasm was obviously congested and edematous.

Since the neoplasm could be seen directly, Wang Dan signaled the nurse on the stage to bring the biopsy forceps.

4-5 pieces of tissue were quickly taken out with forceps, and the nurse reminded her that the sample quantity was sufficient.

"I'll give you one last clamp."

The nurse who was setting up the stage frowned when she heard this. In the bronchoscopy room, such words were not allowed to be said, as they would appear very unlucky.

She was just about to lecture Wang Dan when an accident happened.

With this last pinch of forceps, a large amount of blood gushed out.

“Heavy bleeding!”

"Quick! Pillow! Hemostatic medicine!"

The people around were startled and started running quickly.

"Oh, why does Doctor Wang have such bad luck!" Liang Congyue said helplessly, and quickly ran into Room 2 with Gao Feng.

Wang Dan was sweating coldly at this moment. The hemostatic drug had been sprayed and the nurse was now injecting posterior pituitary hormone intravenously, but all that was drawn out from the negative pressure tube was blood.

"It's over!" This was Gao Feng's first thought. At this rate of bleeding, he would be dead if nothing unexpected happened.

(End of this chapter)