Chapter 2894: with translation of chapter title

Oh. Zheng Ren responded, but he didn't seem interested at all. It's just an anastomotic leak; there's no need to go up and look. If 912 can't even solve this kind of problem, it's not a top-tier tertiary hospital in the country.

Lin Ge said, "Then I'll go see Zheng Lao Ban."

After saying that, he turned and left.

Walking down the road, Lin Ge's mind was full of the image of Zheng Lao Ban tying red strings. This person is really interesting. Every time he does a Shou Bing, it seems you can see him holding his arms, repeatedly watching the films without getting tired.

Without saying anything else, just this conscientious attitude is admirable.

Moreover, he's won a Nobel Prize, yet he seems not ready to rest, full of energy preparing to work in the clinic for a lifetime.

I really can't understand him, but this is good for me. I've already reached the Science and Education Department, and I can see the vice president's position beckoning to me in a few years.

Thinking of this, Lin Ge became happy. The confusion in his heart from that bewildering mistaken surgery gradually faded, and he walked with light steps to the Thoracic Surgery Department.

Lin Ge felt that this consultation in the Thoracic Surgery Department wasn't anything special, like the situation where a lower-level hospital botches a surgery and transfers the patient to 912 for continued treatment, which happens almost every day. He didn't know why the Thoracic Surgery Department would even ask the Medical Department to join the consultation.

However, he didn't want to dwell too much on this; instead, he should think more about Zheng Lao Ban's needs and how he could benefit himself.

The consultation was at 3 p. m., a few minutes early, which was also Lin Ge's habit. For this consultation, he had left the Medical Coordination Committee early.

Entering the doctors' office, Lin Ge saw Feng Jianguo and Director Luo there.

Huh? How come there are so many people? Lin Ge was somewhat surprised. Seeing Lin Ge enter, the staff of the Medical Department immediately made room for him.

"Director Luo, why are you here?" Lin Ge asked in surprise.

"Hehe." Director Luo chuckled, saying, "I'm not here for the consultation; I'm just here to watch the excitement."

Lin Ge sat up straight, feeling a faint sense that something was off. The Thoracic Surgery Department and the Xiao Hua Nei Ke only seem to overlap in the esophageal and gastroesophageal junction area. Moreover, Feng Jianguo was also there, with a female doctor sitting beside him, head lowered.

It was Quan Xiaocao. Lin Ge smiled and whispered, "Nobody's in the department; Department Ye went to handle a medical dispute, everyone's scattered busy. I got the news and rushed back from the Medical Coordination Committee, still unaware of the situation."

"There's a patient with cancer of the lower esophageal gastroesophageal junction, gastric fundus, and gastric body who, after neoadjuvant chemotherapy for gastric cancer, underwent a radical total gastrectomy plus esophagojejunal Roux-en-Y anastomosis. Postoperatively, the patient has been running a fever, raising suspicion of an anastomotic leak, which is why we're here." Director Luo said.

If you stretch it a bit, it does relate to the Xiao Hua Nei Ke, but damn, that's too much of a stretch.

Lin Ge still didn't grasp the issue, but he didn't ask and continued to listen closely.

"The Thoracic Department has been performing thoracic cavity lavage drainage, considering the second-stage surgery. Later, Old Feng's student said endoscopic treatment could be done; Xiao Fang asked me, so I came out of curiosity to have a look."

Endoscope? Director Wei's Gastroenterology Surgery department has recently applied for some research projects, which include endoscopy. Now Lin Ge supervises Science and Education work, so he's aware of this.

But research projects are just projects; they need time to be implemented. Lin Ge doesn't believe they can be used clinically in the blink of an eye.

"Director Luo, what do you think?"

"Director Lin, I just took a quick look at the patient's condition; it's not good." Director Luo said, "CT shows left pleural effusion with abscess formation, and under CT guidance, left pleural puncture drainage plus left subdiaphragmatic puncture drainage were performed. About 10 ml of light blue sputum-like fluid was aspirated from the left pleural abscess, and about 20 ml of yellow-green fluid was aspirated from below the left diaphragm."

"Light blue? Yellow-green?" Lin Ge's eyebrows furrowed.

This infection is way too severe.

Colored fluid indicates bacterial infection; yellow-green is more common, light blue is rarer. What bacteria produce light blue fluid? Lin Ge pondered for a while but couldn't figure it out.

"This morning I performed a gastroscopy..." Director Luo said, "At first I thought the risk was high and refused. Later, Old Gu sought me out; I had no choice, so I gritted my teeth and went ahead."

"The gastroscopy showed that at 38 cm from the incisors, there was an esophagojejunal anastomosis; on the left anterior wall of the anastomosis, a 0.8 cm diameter defect was visible, with sutures seen at the edge."

"What should we do in this situation?" Lin Ge asked.

"In the past, all we could do was strengthen nutrition, avoid infection as much as possible, and hope the patient's esophageal defect heals quickly. Whether it heals or not still depends on luck. As for esophageal cancer surgery, you know, the biggest problem lies in the defect."

Lin Ge nodded.

"Now we can place a stent to prevent gastric reflux. But just placing a stent alone still poses a problem of it not staying; Professor Feng's student said endoscopic treatment could be used." Director Luo mentioned Quan Xiaocao again.

This is getting interesting; the Gastroenterology Surgery department seems to be trying to take back some of the business scope that the Xiao Hua Nei Ke had snatched away. Lin Ge made a judgment in his mind.

No wonder Director Luo came to check things out voluntarily.

Lin Ge could see right through what these department heads were thinking. As long as treatment isn't delayed, he definitely won't bother with who handles the specific business.

It's got nothing to do with me anyway; after all, we're all just meat in the big pot of 912. Let them do as they please, as long as they don't cause me trouble.

But this time it involves Quan Xiaocao; Lin Ge knows that Quan Xiaocao has published several SCI papers in the past six months, all crediting Su Yun's contribution, yet Su Yun left no name.

He smiled faintly, deciding to just watch and say little.

Fang Lin came in sweating profusely; seeing Lin Ge already there, he approached and gave a solemn greeting. One shouldn't be frivolous with people from the Medical Department, especially when there's serious business at hand.

This patient belongs to Professor Lu; Fang Lin was just conscripted to help out, said hello, then hid in a corner waiting for the consultation to start.

Professor Lu's doctors began presenting the condition, which wasn't different from what Director Luo had said, just more detailed.

"The patient's condition is as such." Professor Lu said, "After 10 days of closed thoracic drainage with tube irrigation, the esophageal defect showed no improvement. For the next step, I think placing a stent is better; the rest can be left to heal gradually after the patient goes home."

"Isn't placing a stent quite difficult? Why hasn't anyone from the Intervention Department come?" Lin Ge felt a stir and asked.

"Please have Director Kong join the consultation; they said there's an emergency surgery over there, and Director Kong has gone up." Professor Lu said, "After discussing with Old Gu, I think the best approach is to take a certain risk and place a stent. Actually, less than a month post-op, the likelihood of complications from stent placement is too high."

He said this while making a helpless expression.