"Sorry for the trouble."
After a few seconds of silence, they spoke in unison.
It looked simple, but the fish bone was stuck in the esophagus. If it was an ordinary person, they would definitely take it out.
However, Zheng Ren and Su Yun did not think so. Chief Luo, who had called the hotline for help, did not think so either. If it was simple, Chief Luo would not have called.
The fishbone was like an arrow with a barb, embedded in the wall of the esophagus. Once it was pulled out by brute force, it would be a tragedy.
There was a 1% chance of success, but there was a 99% chance that it would lead to a major emergency rescue. The possibility of the patient dying in the end was very high.
On the way, Zheng Ren called Gao Shaojie and asked him to send the patient to the surgery later. He wanted to see the situation on his side.
"Boss, your temper will tire people to death," Su Yun said without thinking.
Zheng Ren knew he was silently criticizing him for taking care of everything himself.
It was fine if it was anything else, but when it came to surgeries, he would only be at ease if he saw it with his own eyes.
Even if Gao Shaojie's skill level had improved very quickly, and now he had almost reached the level of Professor Rudolf Wagner's surgery.
Even if Lin Yuan was already able to perform independent surgeries, even if Gu Xiaoran could also try to be an assistant on stage.
The others in the medical team were growing, but Zheng Ren was still worried as if he had obsessive-compulsive disorder. Su Yun looked down on his boss. His words were filled with disdain.
However, he did not refute Su Yun's words. Instead, he walked toward the endoscopy room in silence.
When he arrived at the endoscopy room, he changed his shoes and clothes before entering. A doctor was already waiting for him at the door. He first introduced the patient's condition. "Boss Zheng, Chief Luo asked me to pick you up. Please come in. The patient ate fish last night and came to our hospital with hemoptysis for four consecutive days this morning. Under the endoscope, there was a 5cm long fish bone 8cm away from the cardia in the patient's esophagus. There were three fish bones on each side, stuck in the esophagus wall. "
He didn't beat around the bush. After a simple greeting, he began to report his condition.
Uh, the patient's condition is worse than expected! Zheng Ren's expression was grave.
"Chief Luo tried it, but when he pulled it out, the fish bones would rush up, causing the mucous membrane of the esophagus wall to rupture slightly. The director didn't dare to move. Please help me take a look, "the junior doctor continued.
"Yes, let's go take a look." Zheng Ren strode in.
When he arrived at Chief Luo's endoscopy room, Zheng Ren said, "Chief Luo, I'm here."
"Boss Zheng, help me take a look. I can't take it out." Chief Luo's sterile hat was already drenched in sweat. He looked a little tired.
Anyone would be tired to be called from home in the early hours of the morning, and it was such a difficult patient to deal with. Zheng Ren smiled and said, "You can't take it out?"
"Well, if I force it, I'm afraid that the mucosa of the esophagus will tear from a few centimeters above the cardia all the way to the top." He shook his head. "Why don't you go down and directly into the stomach?"
"That's also a solution, but I can't expel it from my stomach," Zheng Ren said.
The main ingredient of fish bones was calcium carbonate. The pH of gastric acid in the gastric juice was 0.9 ~ 1.5. When the fish bones reached the stomach, they would only soften but would not be broken down.
There were many components that made up a fish bone. The phosphate in it could be dissolved in acid. Without these minerals, the fish bone would naturally become softer. However, the fish bone also contained a large amount of collagen, wrapped in many other macromolecular proteins and polysaccharides. These macromolecular structures needed to be further broken down before they could be digested.
Although the pH of the gastric juice was very low, once it entered the small intestine, the pH would rise to about 7-8. Some of the proteases that effectively acted on the fish bone protein, such as collagenase and pancreatic enzymes, could only work under this acid-base condition, causing the food to be further broken down.
In short, even if the fish bone with six fish bones was pushed into the stomach, it would not be digested. Everyone present knew about this.
If the fish bone was stuck in the pylorus along with the peristalsis of the stomach, causing obstruction or tearing, a larger surgery would be needed.
Even a large gastric resection and intestinal anastomosis were no joke.
Chief Luo was also forced to do so. He was just casually saying it.
Zheng Ren put on a pair of sterile gloves and took the gastroscope equipment from Chief Luo's hand. He began to observe the position of the fish bone.
Just as the young doctor had described, the fish bone was larger and harder. Whether it was a freshwater fish or a sea fish, Zheng Ren did not think about it. He did not try to pull the fish bone out. Instead, he looked at his surroundings.
The mucous membrane of the esophagus wall was slightly damaged. This was caused by the fish bone, and part of it was caused by Chief Luo's operation just now. It was obvious that Chief Luo was more careful and did not use brute force to pull the fish bone out.
What should he do?
Zheng Ren was also in a dilemma.
He could not go up, he could not go down, and he could not stay in this position either.
"Ding dong ~"
With a crisp sound, the mission notification sounded. Hearing the mission notification, Zheng Ren was not happy. Instead, he was a little distressed.
This matter was very difficult to solve. Why did the System come to make trouble at this time?
[Emergency Mission: A Dilemma.
Mission Content: Remove the fish bone in the esophagus.
[Quest Reward: 3,000 Skill Points, 10,000 EXP]
Mission Time: 3 hours.]
Zheng Ren looked at the mission that appeared on the top right of his vision and felt a little helpless. Was the System playing with him? It did not issue a mission for such a big surgery like Little Stone's, but this fish bone wanted to issue a mission.
Moreover, the mission reward was not proportional to the difficulty at all.
Looking at the mission panel, Zheng Ren's heart suddenly skipped a beat. According to his understanding of the System, removing the fish bone should be a very simple matter. Otherwise, there would not be such a meager reward.
What was the problem? It should be that there was a blind spot in his thinking.
Countless thoughts appeared in Zheng Ren's mind. He held the gastroscope tube in his hand and looked at the screen without moving. Then, he entered the System's operating theater and began to try various ways to remove the fish bone.
Chief Luo waited for nearly 10 seconds, and the uneasiness in his heart grew stronger and stronger. It was not the fish bone that made him feel uneasy. The biggest uneasiness and anxiety was brought about by Boss Zheng's motionlessness.
A bad thought surfaced in his mind. Could it be that he had injured himself when he pulled the fish bone out just now?
Looking at the screen carefully, Chief Luo was very sure that there was nothing wrong. He carefully recalled his actions just now and still felt that there was nothing wrong.
"Boss Zheng … Could it be that he was injured somewhere?" Chief Luo did not think about it but asked tentatively.
"Your operation was very gentle and did not cause too much side damage. I was thinking about how to remove the fish bone." Zheng Ren smiled and comforted Chief Luo.
"Boss, you were too focused and scared Chief Luo." Su Yun smiled and said, "Do you understand now?"
"Yes, there is a way. We can try it," Zheng Ren said.
Chief Luo was overjoyed. It was good that there was a way, it was good that there was a way!
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