The 'lifelong enemy' that Jin Yaowu could not forget did not immerse himself in TIPS surgery as he had imagined.
Zheng Ren had already gone to the obstetrics and gynecology department to inform the patient with hyperemesis gravidarum and her family about her condition. He also found an endoscopy room to prepare for surgery.
A sketch was placed on the table, clearly depicting the process of the surgery.
"That's basically it." Zheng Ren put down the pen, looked at the patient's family, and said, "The principle is to solve the problem of stimulating the autonomic nervous system after eating, causing violent vomiting.
For most patients, it was enough to leave the tube in the stomach. But for patients with hyperemesis gravidarum, we still have to send the tube into the jejunum. "
"Is it dangerous?" the patient's wife asked.
"Not big." Zheng Ren said, "But there's still a possibility of discomfort, resulting in postoperative failure to meet our expectations."
"Didn't you say …" the patient's husband asked hesitantly. He was a little timid, but the doctor in front of him looked too young and did not look like a professor. Therefore, he plucked up his courage and kept asking.
"I just said that if we use a gastric tube, the stimulation will be very strong. Moreover, even if chyme is injected into the stomach, it will cause violent vomiting. "
"If it's through the jejunum tube, using the intravenous drip method, with the relevant nutrient fluid, it can support your lover until the due date. After giving birth, you can remove the nutrient tube, "Zheng Ren said.
The patient's family was a little confused, but Zheng Ren's explanation and the sketch made it clear at a glance.
"Even if you don't vomit and the nutrient solution can provide you with sufficient nutrients, there might still be side effects. For example, removing the nutrient tube after giving birth, or your lover not eating for a long time, so her stomach function is affected, and so on. "
"Then … then what should we do?" The patient's lover's hand was a little numb.
"You can only recover bit by bit. Or during the period of jejunum nutrition, you can drink a small amount of water and eat. You can try gradually near the threshold of discomfort," Zheng Ren said. "This is just a general idea. The specific situation varies from person to person."
The patient's family members were silent.
They all understood what Zheng Ren said.
However, when they thought about how pregnant women not only couldn't eat, but also had to rely on nutrient solutions for a few months, everyone was a little flustered.
In addition to the series of side effects, there were a total of twenty-three preoperative instructions. Who would not panic?
But there was nothing the family could do.
The pregnant woman had severe pregnancy reactions from the third week of pregnancy until the 24th week of pregnancy. She had two miscarriages in the past and failed to keep the baby. So this time, even if she had hyperemesis gravidarum, she had to persist.
The scariest thing was that her mental state was unstable.
The patient herself had made it very clear that she absolutely should not induce labor. Even if she vomited to death, she had to give birth to the child.
If he were to lie to her about anesthesia and induction of labor, he would jump off a building after the surgery.
Such words made the family and the obstetrician at a loss.
The solution Zheng Ren provided was the only solution to the problem. The director of obstetrics and gynecology contacted a classmate from Union Medical College, who provided the relevant medical records.
Although there weren't many of them, they had made similar attempts.
Just like Zheng Ren's method, they also used jejunum nutrition for nutritional support. The postoperative effect was quite good.
Therefore, Chief Du of the Obstetrics and Gynecology Department asked the chief resident for a consultation and invited Boss Zheng of the Interventional Department to take a look.
She did not expect Boss Zheng to draw a sketch that was comparable to a textbook picture. She also did not expect that Boss Zheng would consider all the side effects and list twenty-three preoperative instructions.
"Can we … consider it?" the patient's family asked hesitantly. In the end, none of them could make up their minds.
"No problem. We can first try the method of intravenous injection of vitamin B6 and intramuscular injection of vitamin B1." Zheng Ren smiled, trying to ease the tense atmosphere in the office.
However, no one noticed his smile. The family was gloomy, and each of them was thinking about different things.
"Chief Du, that's it for now," Zheng Ren said. "If the family agrees to the surgery, you can inform me at any time. If there's no surgery on my side, I can do it as long as I fast enough."
"Okay." Chief Du did not waste any time and nodded directly. "Shall we take a look at the endoscopy room first?"
Zheng Ren thought for a moment. Although he had already performed surgery in the operating theater of the System, he had never come into contact with the 912's endoscopy room. It was best to take a look.
"Okay, Chief Du, shall we go together?" Zheng Ren asked tentatively.
"I'll accompany you to take a look," Chief Du said.
The patient's family was still very polite. They were a little embarrassed to apologize to Zheng Ren. Zheng Ren smiled and sent them out. He went to the endoscopy room with Chief Du.
"Boss Zheng, I've heard of you for a long time. I didn't expect the opportunity to cooperate with you to come just like that," Chief Du said as they walked.
"I used to work with the obstetrics department a lot," Zheng Ren said with a smile. "Postpartum hemorrhage and so on were all done by interventional surgery."
"Well, it's indeed a little regrettable that we can't invite you for a consultation. Boss Zheng, are you confident in this kind of surgery? "
"The surgery isn't difficult, but the postpartum recovery of the stomach will take a long time. Oh right, there might be a possibility of the jejunum nutrition tube being blocked in the middle. There might be a need to change the tube. However, this isn't troublesome. It's just a small surgery. "
"It's also a way," Chief Du said. "There are many patients with hyperemesis gravidarum. If it's successful, we can work together for a long time."
Zheng Ren pondered for a moment and asked, "Chief Du, go back and ask the patient if he can accept the live broadcast of the surgery."
"The live broadcast of the surgery in Xinglin Garden?"
"Yes."
"The transmission speed over there is faster, and the surgical method is simple. Aren't you afraid …" Chief Du paused halfway through his sentence.
"This is just a way of thinking. It can solve the pain of many patients. What's the use of keeping it in your hands? The surgical method should have solved the problem. "Zheng Ren smiled.
Chief Du was a little emotional. Boss Zheng was magnificent. No wonder he had become a visiting professor at Mayo.
At the office meeting that day, Chief Du had personally seen Chief Kong resist Chief Mao and make a comeback in the end.
At that time, he did not understand why Chief Kong would put so much effort into a 'junior' doctor.
Now that he saw it, not to mention anything else, just the other party's magnanimity made him feel comfortable.
He had to work more with Boss Zheng in the future.
"Our hospital's endoscopy room wasn't big at first, but Chief Luo single-handedly supported it." Chief Du did not mention the jejunum nutrition tube and began to introduce it to Zheng Ren.
This was the past life of the endoscopy room.
There were some specialists in the endoscopy room in the country, but there were also some hospitals where the Department of Gastroenterology controlled the endoscopy room.
After all, most of the patients who did gastroenteroscopy came from the Department of Gastroenterology. It was a proper department with no suspense.
If the Department of Gastroenterology did not support it, it would be very difficult to carry out the work of the endoscopy room.
It turned out that the 912 was such a model. Zheng Ren smiled and nodded.
Chief Luo was also very supportive of him. Working with him should be a very happy thing.
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