"What's there to hesitate about? Just put down the shelf and finish the work," Su Yun said after looking at the radiographic films.
Zheng Ren nodded in agreement.
In this case, if the esophageal stent was not inserted, the patient would quickly be unable to eat, leading to multiple organ failure, and die within one to two weeks.
The reason why he couldn't be sure was because everyone had different lengths of time when they were on the brink of death.
With the esophageal stent removed, one would either succeed or be able to eat and not starve to death. Either he failed, his heart stopped beating, or he simply died on the operating table.
Of course, this was just the logic of diagnosis and treatment. When it came to life and death, it was a huge matter. Very few people could calmly and logically judge it.
The patient died slowly without any treatment. The family members might just accept it. It was all an illness. It was all fate.
However, if the patient died on the operating table due to an unexpected situation during the surgery, the doctor would have to bear the responsibility. Chief Miao …
That's part of the medical risk.
"Old Liu, who is it?" Zheng Ren asked.
"Boss Zheng, the patient's son is a doctor in this hospital," Liu Zewei said. "I heard that you've met him before."
"Huh?" Zheng Ren was stunned.
"Once, on a plane, I met a patient with aortic dissection. Do you still remember?" Liu Zewei asked.
"I remember." Of course, he would not forget such an experience. Moreover, when they left Sea City, Cui Heming's people came over to help on Xie Yiren's birthday.
"The person who gave you the blood pressure medicine and the blood pressure monitor on the plane is called Xia Hua. He is the patient's son."
"Oh, that old man." He did not remember Xia Hua at all. He only remembered that he had met an old man with terminal lung cancer when he boarded the plane that day.
"The probability of lung cancer complicated with esophageal cancer is not high," Su Yun said. "But at this time, we can try to do a surgery. It'd be best if you're a doctor from your family. We're on the same side. You can make it clear. "
Liu Zewei smiled and said nothing.
Zheng Ren felt that there was nothing good to see in the film. He caught a glimpse of Liu Zewei's smile and was stunned for a moment. Then, he asked, "What does Old Gao mean? You want me to perform the surgery? "
"Yes." Liu Zewei nodded. "Old Gao wants to invite you to perform a freelance surgery to remove the esophageal stent."
It was not a major surgery, so Zheng Ren was not interested.
"Boss Zheng, Old Gao wants to see if he can do dual intervention treatment," Liu Zewei asked.
Dual interventional therapy referred to the placement of a stent in the esophageal cavity and interventional embolization surgery.
While restoring the unobstructed esophagus, it also had a certain degree of control over esophageal tumors.
"I can do it." Zheng Ren had already thought of this possibility. He said without hesitation, "But Old Gao can do it too."
"There's a section that might involve the artery that supplies blood to the spinal cord. Old Gao doesn't dare to touch it," Liu Zewei said. "If he does it, it'll probably just be a simple esophageal stent."
After explaining the situation, Liu Zewei smiled. "Boss Zheng, I think Old Gao wants you to go there and ask about his surgery."
Zheng Ren smiled faintly.
At that time, Old Gao also wanted to come to the Imperial Capital, but he couldn't let go of his family matters. Make a trip back? Take a look at Old Chief Physician Pan?
At the thought of Old Chief Physician Pan, Zheng Ren was tempted.
The surgery in front of him was not difficult. As long as he performed it carefully, there should be no problem. If he was worried, he could do an interventional embolization first. After the tumor passed the necrotic hyperemia and edema stage, he could do a second-stage stent surgery.
None of this was a problem for Zheng Ren.
"Okay, then you can tell Old Gao," Zheng Ren said. "If he discusses it with Xia Hua and can bear the risk of the surgery, it's fine."
"Okay." Liu Zewei said cleanly. Then, he touched his head with one hand and held his phone with the other, preparing to call Gao Shaojie.
"Old Liu, I feel tired seeing you touch my head every day," Su Yun said. "By the way, are you especially envious of the floor in your house?"
"Huh?" Liu Zewei did not understand.
"There's more hair on the floor than on my head." Su Yun chuckled.
"…" Liu Zewei smiled bitterly.
Brother Yun had a completely different style from Boss Zheng. He seized the opportunity to talk about his baldness. He had long been used to it.
[They said they were going to write a love song …]
Zheng Ren took a look. It was a call from Department Chief Kong.
"Chief."
"I'm here. Please wait a moment."
After saying that, Zheng Ren hung up the phone.
"What's the matter?" Su Yun asked.
"He said that there's a patient who wants me to take a look," Zheng Ren said.
Su Yun was curious and followed Zheng Ren. The two of them came to Department Chief Kong's office.
They knocked on the door and entered. Department Chief Kong was looking at a radiographic film.
"Boss Zheng, come and take a look," Department Chief Kong said.
Zheng Ren glanced at it and saw that it was a radiographic film of the upper gastrointestinal tract. There seemed to be a problem, so he immediately went over.
The radiographic film showed that the esophageal mucosa was not smooth, and the upper segment was flat at the level of the T4 vertebra. The upper segment was dilated, and the lower segment of the esophagus had a line-like filling defect.
After swallowing barium, the barium was divided into two parts in the middle and lower segment of the esophagus and flowed into the fundus of the stomach. There was a small tubular barium shadow on the right side of the esophagus. It zigzagged from the bottom to the top and finally flowed into a small opening into the human esophagus.
"Huh? Double esophageal malformation? "Zheng Ren suddenly became interested.
"Yes," Department Chief Kong said. "The book says that the probability is one in ten thousand, but I think the incidence is at least one in a million. I've only seen six cases in my life. This is the seventh case."
"Do you want to do surgery?" Su Yun rubbed his palms together.
"The people from the thoracic surgery department came to me for a consultation. They want to find a backstop," Department Chief Kong said with a smile. "If there's a leak, we'll have to go for a stent."
"The surgery isn't difficult," Zheng Ren said as he picked up the chest CT film beside him and looked at it.
The chest CT showed a thin tubular structure in the esophagus. The degree of strengthening was similar to the esophageal wall. The upper segment was at the level of the T2 vertebra and the esophagus, and the lower segment was near the cardia and the esophagus.
It was a typical image of double esophageal malformation.
"When is the surgery?" Zheng Ren asked.
"They said it's tomorrow." Department Chief Kong smiled and said, "Boss Zheng, if you have time, do you want to go up and take a look?"
This kind of disease was the most suitable for Zheng Ren to see. He could handle the thoracic surgery and interventional surgery. During the surgery, there was no risk of esophageal fistula after the esophageal repair, and whether to put a stent during the surgery.
"Will Fang Lin do it?" Su Yun asked with a smile.
"Professor Li's patient. I don't know if Fang Lin will go."
"Yes, I'll call Professor Li. This surgery will be done in the hybrid operating room tomorrow," Zheng Ren said. "It'll probably be a little later. I'll watch Lil Fugui and the others finish the TIPS surgery."
Zheng Ren was cautious. He wanted to watch Professor Rudolf Wagner finish the surgery. Naturally, Department Chief Kong would not say anything.
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