"The patient has black stool now. The report is out. It's positive for occult blood." Zhu Liangchen added after "reporting" the medical history.
This was the result of his deputy chief's report. There was nothing to hesitate about. The diagnosis was very clear. The patient had lower gastrointestinal bleeding.
There were countless considerations for the occult blood to be positive after the surgery. However, after interventional surgery, it was not a liver interventional surgery. The patient already had problems such as splenomegaly, cirrhosis, and gastric varicose veins. It was very rare for there to be positive occult blood.
If he couldn't find the problem, Zhu Liangchen felt that he wouldn't be able to sleep.
Zheng Ren was not as polite as when he entered the room. He listened to Zhu Liangchen's explanation of the treatment process while staring at the radiographic films.
Out of habit, Zheng Ren rested his chin on his right hand and placed his left hand under his right armpit. His eyes narrowed.
After Zhu Liangchen reported the medical history, he also looked at the radiographic films.
This was not the latest film. Would Boss Zheng directly say that it was not good and have to make another film later? But what kind of examination was needed to find out? Gastroscopy?
Zhu Liangchen thought of countless possibilities in his heart. Fortunately, when he reported to him at home, the patient's condition was stable, and the hematochezia did not worsen. Only then did he feel slightly relieved.
After a full ten minutes, Zheng Ren said, "The CT scan isn't very clear."
Zhu Liangchen's heart turned cold. This was Taiji Kung Fu. Any experienced doctor would know the word 'support'.
Did Boss Zheng not know, or was he just brushing him off?
However, as soon as the thought appeared in his mind, Zheng Ren continued speaking.
"But the ulceration at the pylorus is already showing."
"…" Zhu Liangchen and Chief Kong frowned.
A CT scan could not reveal empty organs, such as the gastrointestinal tract. If there was a large solid tumor, a CT scan would be able to detect it, but the patient was not a tumor.
"Chief Zhu, I'm not sure if you've noticed, but the patient's gastric wall has expanded," Zheng Ren continued.
"I noticed. I think it's caused by the embolization of some arteries, insufficient blood supply, and slow gastric emptying," Zhu Liangchen immediately said.
Zheng Ren shook his head and said, "The problem is indeed the slowing down of gastric emptying. Let me take a look at the doctor's instructions after the surgery."
However, Zhu Liangchen did not refute her. Instead, he took out his phone and opened the medical advice that had been taken.
He had to have the attitude to ask for help. Moreover, when Dr. Mehar came to look at the radiographic films just now, the scene of a row of foreign experts standing against the wall had completely shocked Zhu Liangchen.
He didn't have any other thoughts and knelt down completely.
After reading it, Zheng Ren had a treatment plan in mind. He paused and said, "Director Zhu, go back and do an endoscopy. Remember to take a biopsy."
"Biopsy?" Zhu Liangchen was stunned. Could it be that he had encountered a rare malignant tumor? That's impossible. I've watched the films so many times. Why can't I see it?
He did not expect Zhu Liangchen to think of so many things at this moment.
"Biopsy and bacterial culture," Zheng Ren said.
"Bacterial culture? What do you suspect? "Zhu Liangchen wanted to ask, helicobacter pylori? Wasn't that nonsense?
"Are you familiar with the laboratory department?" he asked suddenly.
Even Su Yun wondered how his boss could appear and disappear like a ghost. Could it be that after communicating with Dr. Mehar, he had expanded to outer space?
"It's not bad."
"When you send the specimen, Director Zhu, you should personally greet your acquaintances in the laboratory department. It's not an ordinary bacterial culture. You have to see if there's any gastroenterococcus," Zheng Ren said.
"…" Zhu Liangchen was speechless.
"…" Director Kong was also speechless.
Only Su Yun raised his eyebrows slightly, as if he had thought of something.
"Boss Zheng, what's that?" Zhu Liangchen really did not know if Boss Zheng was making things difficult for him or if it was really like that. Today, he had come to ask for forgiveness. Boss Zheng welcomed him with a smile, which was already considered giving him special face. Therefore, he could only ask in a low voice and did not dare to say anything else.
"Gastroenterococcus is often stacked together with eight bacteria in a regular pattern, forming a cube. It's a kind of micro-aerobic bacteria that can be easily separated from the soil. In addition, it can also be found in the stomach contents of patients with stomach problems," Zheng Ren pointed at a section of the radiographic films with uneven density and said.
Zheng Ren pointed at the uneven density on the radiographic films and said, "Here, I think it's a pyloric ulcer. The area of the ulcer is not small."
"Gastroenterococcus grows in the human stomach, causing certain pathological changes, such as pyloric ulcers and pyloric stenosis, causing food to flow slowly through the intestines. Under this abnormal situation, the stomach is in an acidic condition. The carbohydrates and other nutrients for growth in the food promote the rapid proliferation of Gastroenterococcus. "
Zhu Liangchen was stunned when he heard this. He asked in a daze, "And then?"
Zheng Ren was also a little surprised. He turned his head to look at Zhu Liangchen as if he had seen something difficult to understand.
"Boss, the doctors involved are all from imaging backgrounds," Su Yun reminded him in a low voice.
"Oh, oh." Zheng Ren finally understood.
Director Kong and Zhu Liangchen felt as if their faces had been slapped a few times. They really wanted to press Su Yun to the ground and beat him up.
Weren't those who came from imaging all doctors?
“goodsir
Professor.
Gastroenterococcus was first found in the stomach of a patient.
Ferrier.
The professor also found its existence in the patient's blood and believes that its existence in the blood is related to the delay in gastric emptying, "Zheng Ren explained.
"It's normal that Director Zhu doesn't know. The most common department for Gastroenterococcus is the General Surgery Department. It's not even very common in the Department of Digestive Medicine."
"General Surgery Department? Why? "Director Kong asked.
"Because of the previous gastric banding surgery, under normal circumstances, the possibility of Gastroenterococcus appearing after the surgery is quite high." Zheng Ren smiled. "That's why I said that the paper from Johns Hopkins Hospital is worth discussing. That's why."
"That paper didn't mention how to prevent and treat Gastroenterococcus after the surgery, nor did it mention any complications. It only said that the long-term effect is better."
"I wanted to wait for Dr. Mehar to leave to think about it, but Director Zhu made the first move," Zheng Ren said very seriously. In any case, there was no mockery in his tone. Zhu Liangchen's heart was in a mess.
He really couldn't flare up even if he wanted to. If he didn't flare up, he would feel depressed. Especially when he saw Zheng Ren's honest face, he felt even more helpless. Zheng Ren was not deliberately mocking him. Zhu Liangchen knew this.
However, the more it was like this, the more stupid his previous actions seemed.
Director Kong smiled bitterly. It turned out that it was a common complication after gastric banding surgery in the General Surgery Department. No wonder Su Yun reminded Boss Zheng that those who were involved in the intervention were all from imaging backgrounds.
Without having undergone gastric banding surgery, who the hell knew what Gastroenterococcus was?
Thinking about it, Director Kong could not help but want to curse in his heart.
This was simply an insult to the intervention doctors, but … he was right. What could he do?
Director Kong sighed.
。
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