Chapter 2787: with translation of title
"Okay." Director Ma nodded, this was within his expectation. If not, we'll find someone; no matter what, we must calm the patient's family's emotions.
Medical work is tough, ah, the child swallowed a staple, and in the end all contradictions concentrate on the doctor—what the hell is this?
Are the parents okay? Is the school okay? The child themselves… forget it, thinking about this is useless. The child is in the ward, already showing signs of bleeding from the staple's abrasion; nobody knows whether this will get better or worse.
Director Ma learned of this news after the failed removal of the staple via bronchoscopy, which led to a tension pneumothorax. He rushed over and saw the angry, bewildered, and grieving patient's family.
This family is relatively reasonable, but we can't provoke them further. Now the family's emotions are at the brink of a volcanic eruption; even a tiny ripple could set off the whole volcano.
Thinking this, he shifted his butt, as if he were sitting right on the volcano's crater, with scorching magma below.
"Director Tian, which hospital are you familiar with?"
"Xiehe, I'll contact Professor Han." Director Tian said; he is familiar with Professor Han Zhijun and their relationship is decent. Getting Professor Han Zhijun to perform the Shou Bing isn't embarrassing.
As for that vague thought in his mind, Director Tian had already "forgotten" it long ago. If the Intervention Department is willing to ask, let them ask; I can't bring myself to say it.
"Director Geng..."
Director Ma said, noticing Director Geng wasn't in his seat, he said somewhat displeased: "Where's Director Geng?"
At that moment the door opened, Director Geng walked back holding his phone: "It's a call from Director Zhou of the Di Du Hepatobiliary Department; the patient knows him."
"Oh?" Director Ma's interest piqued instantly.
"I asked Director Zhou; he'll come right away, and we'll discuss doing it together." Director Geng's mood wasn't as low as before.
It's like walking a night road—having someone walk with you; even though the situation is the same, discussing it with two people is better than stumbling along alone.
Especially for patients whose family emotions are already at the brink of eruption, the family's emotions affect the doctor's Shou Bing. Tension, Anxiety, the brain will short‑circuit; with someone consulting on the side, the outcome is definitely not as simple as 1+1=2.
Director Ma also relaxed a bit; since Zhou Chun Yong is willing to act as intermediary and has rushed over to prepare for the Shou Bing, at least 30% of the responsibility falls on him.
Good, good. The Medical Department staff have a lot to consider, but their main focus is still on the Shou Bing failure. Success? What's there to think about! Only by preparing thoroughly for failure can we avoid panicking when the time comes.
Many medical disputes arise from improper handling; panic in the moment makes things blow up.
Preparing for the Shou Bing, everyone dispersed, and Director Geng stared at the patient's chest X‑ray, letting out a long sigh.
Eight staples are scattered within the right main airway, from the main bronchus to the bronchial tubes, everywhere.
That's also why a conservative approach isn't possible.
Airway foreign bodies are classified into several stages by size. For a foreign body as small as a staple, generally there isn't a major reaction.
The staple's irritancy is not strong; after entering the bronchial tubes via the trachea, it may present as mild coughing and shortness of breath for a period, even disappearing, followed by an asymptomatic period of varying length.
Waiting for granulation tissue to encapsulate and fix the staple might actually be a better time to remove it.
Director Geng still prefers this semi‑conservative approach, but because there was slight bleeding earlier, and using the bronchoscope to remove the foreign body caused secondary injury leading to the patient's family… sigh, the patient's family's emotions decide the treatment plan—damn it!
Just as the client's emotions affect a project's final outcome, Director Geng has spent a lifetime in medicine and never encountered a "client." Legend says the client‑dad is hard to serve, just like the situation he faces now.
On all the Signature Forms, the patient's family signs in the Party B slot, but in reality? The doctor should be Party B, right?
If only we could go conservative, how nice that would be; Director Geng helplessly stares at the image, thinking.
Still, he adjusted his emotions; the matter is what it is, and we still need to figure out how to solve it. What model of grasping tool should we use to snag the staples?
Operating the grasping tool to remove a foreign body still can't allow single‑lung ventilation. Once the bronchial tube collapses, the lowest few staples can't be retrieved.
Really troublesome; Director Geng imagined several scenarios, but he had no confidence whatsoever—absolutely no chance.
Forget it; let's wait until Zhou Chun Yong arrives and then decide.
……
……
Clinical work proceeds in tension and orderly manner.
Director Ma personally led several department heads and the patient's family in communication and preoperative Signature Form. Meanwhile the patient was sent to the Operating Room, and under general anesthesia the Shou Bing was completed in the Hybrid Operating Room.
All needed instruments and supplies are neatly arranged; whenever a circulating nurse is needed, they can be brought to the Operating Table.
At 47 Minutes, Zhou Chun Yong arrived.
The moment he saw the chest X‑ray, Director Geng saw Zhou Chun Yong's face as black as a pot bottom.
"Old Geng, you've handled this poorly." Zhou Chun Yong said in a low voice: "You didn't tell me there were eight staples."
"I thought you knew." Director Geng laughed, he had already made up his mind to drag Zhou Chun Yong onto the stage.
Zhou Chun Yong has a bad temper, which is well known in the Di Du Intervention Discipline circle. But Director Geng doesn't have the luxury to worry about that; even being scolded by Zhou Chun Yong a couple of times is unavoidable.
Since I can't think of a complete solution, I can only get on stage with Zhou Chun Yong to give it a try.
"If I'd known it would be like this, I damn well wouldn't have come." Zhou Chun Yong said resentfully.
"Old Zhou, don't be like that." Director Geng comforted him: "Let's discuss; I think there's still hope. Besides, if it fails, we still have Thoracic."
"Thoracic, your hospital's Thoracic would just excise a small nodule." Zhou Chun Yong directly dismissed it.
"Our Thoracic is still very strong."
"Then let them just open it up; tell me how Intervention retrieves it!" Zhou Chun Yong said while tapping his finger on the viewbox.
The viewbox made a "thump‑thump" sound, like the heartbeat of a ventricular fibrillation patient.
"Old Zhou, Thoracic has already contacted Professor Han at Xiehe; if it doesn't work, Professor Han will come over directly." Director Geng comforted Zhou Chun Yong's emotions.
"Old Geng, it's not that I won't give you face; I'm being frank—we two can't pull off this Shou Bing." Zhou Chun Yong said, "Is it Director Ma handling this for you guys?"
"Hmm."
"Then tell Director Ma you want to bring in Zheng Lao Ban!" Zhou Chun Yong said without hesitation: "This kind of Shou Bing, only Zheng Lao Ban can pull it off!"
End of Chapter
