Chapter 1582: 1532 Boss Zheng Stopped the Emergency Surgery

Gastroscopy showed: chronic, atrophic, superficial gastritis. Abdominal CT can see that the patient's duodenal segment has signs of obstruction.

There is also a digestive tract contrast image showing obstruction in the duodenal segment, with a typical radiographic appearance.

The diagnosis should be quite clear; Zhou Litao looked at the patient's various test results, mentally assessing whether surgery could be performed.

Just then, the Inpatient Chief of Gastroenterology rushed down hurriedly.

Zhou Litao repeated the information he had obtained to the Inpatient Chief of Gastroenterology Surgery; there was nothing to hesitate about—prompt emergency surgery was the proper course.

Even without intestinal perforation, the local tissue already showed inflammatory changes; moreover, judging by the patient's condition, the affected area would be extensive and the inflammation severe.

If internal medical means were used, there would be no way to solve this problem.

Surgery—only emergency surgery could resolve the issue.

This was the consensus.

The Inpatient Chief of Gastroenterology Surgery hurriedly pushed the patient away, and the arriving family members followed behind in a bustling crowd.

Zhou Litao watched the relieved out-of-town 120 emergency rescue doctor, smiling as he exchanged a few idle remarks.

"Traveling long distances is really frightening." The out-of-town doctor gave a wry smile and said, "I just fear something might happen on the way, with emergency rescue drugs on the vehicle……"

Saying more would only bring tears, and it would also be meaningless.

Rushing back from Di Du is the proper thing to do.

Zhou Litao watched the 120 emergency rescue personnel leave, pondering the patient just seen.

A duodenojejunostomy should be performed to expose the problematic intestinal segment.

Depending on the severity of the condition, one could choose to leave it alone or to resect it.

Because it involves the duodenum, even if resection surgery is chosen, great caution must be exercised.

The Gastroenterology Surgery of Unit 912 has a high surgical standard; there should be no problem.

Zhou Litao promptly forgot about this patient.

In the Emergency Department, if one tried to remember every patient, one would probably break down soon.

……

In Gastroenterology Surgery, Feng Jianguo led the Inpatient Chief and Quan Xiaocao in urgently conducting physical examinations and diagnoses.

There were CT images, medical history, and physical signs. With no doubt, go up and open it to look—no time to lose!

Regardless of whether the obstruction segment is mild or severe, it must be opened first before considering the next step in treatment.

As for treatment measures, they are nothing more than a few types of surgical procedures.

For Feng Jianguo, there is basically no difficulty; the real difficulty lies in making decisions during surgery based on the condition.

Nurses hurriedly performed preoperative preparations, while family members handled admission formalities. Out of caution, Feng Jianguo did not let Quan Xiaocao brief the patient's family preoperatively; instead, he personally explained the condition.

Feng Jianguo explained the choice among the several surgical procedures clearly; the specific choice, however, also had to be decided during the operation.

Because he was not very familiar with the patient's family, Feng Jianguo solemnly told them that after seeing the situation, he would come out to communicate with them, and any decision would be discussed with them promptly.

The family members were moved to tears.

I never expected the doctors in Di Du to be more attentive than those back home.

Although Feng Jianguo emphasized that the likelihood of the patient not making it off the operating table was high, the family still repeatedly expressed their gratitude.

After all, this is one of the hospitals with the nation's highest technical standards; if it cannot be cured, then it is fate.

After 22 minutes, preoperative preparations were complete, and Quan Xiaocao pushed the patient onto the operating table.

If it were a ordinary intestinal obstruction, the Inpatient Chief would surely have performed it.

But because it involves the duodenum, the Inpatient Chief still brought Feng Jianguo up to give him a guiding hand.

"Teacher Feng, how do you estimate the surgery will be done?" the Inpatient Chief asked while changing clothes.

"A duodenojejunostomy." Feng Jianguo said firmly, "The patient's delay has been somewhat long; I hope we won't have to resect too much intestine."

The Inpatient Chief was about to continue asking when suddenly he heard Quan Xiaocao's voice from outside.

"Teacher Feng, are you there?"

"What's up?" Feng Jianguo found it strange; at this moment Quan Xiaocao should have been changing clothes and observing the patient in the Shujian. Why was he looking for me at the door of the changing room for the running men? Could the patient's condition have changed?

Thinking of this, his blood pressure "whoosh" rose by 10 mmHg.

"Um…" Quan Xiaocao hesitated a little, and Feng Jianguo became somewhat angry.

"If there's something to say, say it; if not, get back to work. An emergency surgery is about to start—why are you coming over here to hem and haw?"

"This kid Xiao Cao is good in every way—diligent at work, willing to endure hardship—but he's just too timid."

"When encountering any unexpected situation, he tends to be timid."

Feng Jianguo felt a bit anxious, quickly put on his clothes, and hurried out.

"What's the matter?" Feng Jianguo asked with a solemn expression.

"Teacher Feng, I just ran into Boss Zheng downstairs; he said the patient is not an intestinal obstruction and told me not to proceed with surgery." Quan Xiaocao said softly.

"…" Feng Jianguo was stunned.

"Not allow surgery?" This matter seems rather significant.

"Not to mention Boss Zheng; even Director Wei would have to weigh it carefully before halting an emergency surgery."

"If the current diagnosis could be overturned, perhaps it could be considered."

"But the patient's diagnosis is quite clear, with abdominal CT and gastrointestinal contrast imaging as the basis."

"Come on, let's go take a look." Feng Jianguo recalled the images and the physical examination process, then strode toward the operating room.

"Teacher Feng, don't be angry, Boss Zheng… Boss Zheng…" Quan Xiaocao was clearly trying to speak up for Zheng Ren, but when the words reached his lips he didn't know how to say them.

"What exactly is going on?" Feng Jianguo asked.

"I brought the patient up, said a word to the emergency anesthesiologist, then went to change clothes. After I finished changing, Boss Zheng and Yun Ge'er were looking at the images in the Shujian." Quan Xiaocao said: "Then Boss Zheng said the patient is not an intestinal obstruction and told me to tell you not to do the surgery."

"He didn't say anything else?"

"Hmm." Quan Xiaocao said: "I only said two sentences; the anesthesiologist asked whether to give anesthesia, the patient's condition was poor, so I ran down."

Feng Jianguo knew Zheng Lao Ban wasn't someone who liked to cause trouble, but this patient's diagnosis shouldn't be too clear.

Such a typical intestinal obstruction, how can it not be operated?

Subconsciously, he trusted Zheng Ren's character, yet he did not trust Zheng Ren's judgment.

This kind of tangled mindset is somewhat complex.

Hurrying to the emergency Shujian, Feng Jianguo saw Zheng Ren and Zheng Lao Ban still in their familiar posture, still with their familiar approach, as they were reviewing the images.

"Zheng Lao Ban, what's going on?" Feng Jianguo didn't have time for pleasantries, he asked directly.

Doubt the patient has myasthenia gravis, accompanied by intestinal smooth muscle weakness. Zheng Renye replied directly.

The patient lay on the operating table, his condition not good; all false courtesy masks were torn off—seizing time for diagnosis, seizing time for treatment is the proper course.

Don't stand here being polite, you two; if the patient dies on the operating table, we're screwed.

"Myasthenia gravis?" Feng Jianguo froze for a moment.

Myasthenia gravis is an autoimmune disease caused by a Function disorder in the transmission at the neuromuscular junction.

Clinical manifestations mainly include partial or whole-body skeletal muscle weakness, easy fatigue, worsening after activity, alleviating after rest.

Under normal circumstances, it mainly manifests in skeletal muscles; smooth muscle symptoms are rare.