"Oh," Zheng Ren replied, but he did not seem to be interested. It was just an anastomotic leakage. There was no need to go up and take a look. If the 912 could not even solve this kind of problem, it would not be the top Class Three Grade A Hospital in the country.
"Then I'll go up, Boss Zheng," Lin Ge said.
After saying that, he turned around and left.
Walking on the way, Lin Ge's mind was filled with the image of Boss Zheng weaving a red rope. This person was really interesting. Every time he went for surgery, he seemed to be able to see him hugging his arms and looking at the radiographic films over and over again.
Not to mention anything else, just this seriousness was admirable.
Moreover, he had already won the Nobel Prize. It seemed that he was not prepared to rest. He was full of energy and was prepared to work in the clinic for the rest of his life.
He really could not understand him, but this was also good. It was beneficial to him. He had already arrived at the Science and Education Department. He could see that the position of deputy director was waving at him in a few years.
At the thought of this, Lin Ge became happy. The chaotic emotions in his heart that had been caused by the inexplicable mistake in the surgery gradually faded away. He walked briskly to the thoracic surgery department.
Lin Ge felt that there was nothing special about the consultation of the thoracic surgery department. It was almost every day that the lower hospitals had surgery and were transferred to the 912 to continue treatment. He did not know what the thoracic surgery department was thinking. They actually wanted the medical affairs department to participate in the consultation.
However, he did not want to put too much thought into this. He wanted to think more about Boss Zheng's needs and how he could get more benefits for himself.
The consultation time was three o 'clock in the afternoon. It was a few minutes earlier. This was also Lin Ge's habit. For this consultation, he had left the Medical Investigation Commission for a period of time.
After entering the doctor's office, Lin Ge saw that Feng Jianguo and Chief Luo were both there.
Huh? Why were there so many people? Lin Ge was a little surprised. When the staff of the medical administration division saw Lin Ge come in, they immediately made way for him.
"Chief Luo, why are you here?" Lin Ge asked in surprise.
"Hehe." Chief Luo smiled and said, "I'm not here for a consultation. I'm just here to watch the show."
Lin Ge immediately sat up straight. He could vaguely sense that something was wrong. The thoracic surgery department and gastroenterology department seemed to only intersect in the esophagus and cardia. Feng Jianguo was also there, and beside him sat a female doctor with her head lowered.
It was Quan Xiaocao. Lin Ge smiled and asked in a low voice, "There's no one in the department. Director Ye went to deal with a medical dispute, so everyone is busy. I rushed back from the Medical Investigation Commission when I got the news, so I don't know the situation yet."
"There was a patient with cancer of the lower esophagus, fundus, and body of the stomach. After neoadjuvant chemotherapy for gastric cancer, he underwent radical total gastrectomy and esophago-jejunal Roux-en-Y anastomosis. After the surgery, the patient has been having a fever. We thought that there might be an anastomotic leakage, so we came, "Chief Luo said.
If it was a little too much, it would have something to do with the gastroenterology department, but this was too much.
Lin Ge still did not understand the problem, but he did not ask and continued to listen.
"The Thoracic Department has been doing chest irrigation and drainage, thinking about the second-stage surgery. Later, Old Feng's student said he could do endoscopic treatment. Xiao Fang asked me, so I came to take a look out of curiosity. "
Endoscope? Department Chief Wei's Gastrointestinal Surgery Department had recently applied for some research projects, and one of them was endoscopy. Now that Lin Ge was in charge of scientific education, he knew about this matter.
However, a scientific research project was only a project. It would take time to implement it. Lin Ge did not believe that he could use it in the clinic in the blink of an eye.
"Chief Luo, what do you think?"
"Chief Lin, I just took a look at the patient's condition. The situation is not good," Chief Luo said. "CT showed left pleural effusion with abscess formation. Under CT guidance, left pleural puncture drainage and left diaphragm puncture drainage were performed. About 10 ml of light blue sputum was extracted from the left pleural abscess, and about 20 ml of yellowish-green liquid was extracted from the left diaphragm."
"Light blue? Yellowish-Green? "Lin Ge frowned.
This infection was too serious.
Color meant that there was bacterial infection. Yellowish-Green was more common, and light blue was rare. What kind of bacteria were light blue? After thinking for a long time, Lin Ge still did not understand.
"I gave him an gastroscopy in the morning …" Chief Luo said. "At first, I felt that the risk was too high, so I refused. Later, Old Gu came to me. I had no choice but to bite the bullet. "
"The gastroscopy showed that there was an esophageal jejunal anastomosis 38 cm away from the incisor. There was a fistula on the left front wall of the anastomosis. There was an anastomosis nail at the edge. It was about 0.8 cm in diameter."
"Then what should we do in this situation?" Lin Ge asked.
"In the past, we could only increase nutrition and try our best to avoid infection so that the patient's esophageal fistula could heal as soon as possible. As for whether it would grow or not, it would depend on our own luck. As for esophageal cancer surgery, you also know that the biggest problem is the fistula. "
Lin Ge nodded.
"Now, we can put down a stent to avoid gastric reflux. It's just that the stent under the light is also a problem. Professor Feng's student said that we can use endoscopy to treat it. "Chief Luo mentioned Quan Xiaocao again.
It was a little interesting. The Department of Gastrointestinal Surgery was going to eat up some of the business scope that the Department of Gastroenterology had snatched away. Lin Ge made a judgment in his heart.
No wonder Chief Luo took the initiative to take a look at the situation.
Lin Ge knew what these chief physicians were thinking. As long as it did not delay the treatment, he definitely did not care who was in charge of the specific business.
It had nothing to do with him. Anyway, they were all meat in the big pot of 912. They could do whatever they wanted as long as they did not cause trouble for him.
However, this time, it involved Quan Xiaocao. Lin Ge knew that Quan Xiaocao had published a few SCI articles in the past six months, and all of them had Su Yun's credit. However, Su Yun did not leave his name.
He smiled slightly and decided to just watch and talk less.
Fang Lin came in with a head full of sweat. When he saw that Lin Ge had already arrived, he came over and greeted him very seriously. He could not be mischievous with the people from the medical administration division, especially when there was something serious.
This patient was Professor Lu's. Fang Lin was just a burly man. After greeting him, he hid in a corner and waited for the consultation to begin.
The doctor under Professor Lu began to introduce the patient's condition. It was no different from what Chief Luo had said, but it was more detailed.
"This is the patient's situation," Professor Lu said. "After 10 days of closed thoracic drainage and catheter irrigation, the esophageal fistula has not improved at all. For the next treatment, I think the next stent is better. The rest can wait for the patient to go home and slowly heal. "
"It's very difficult to put down the stent, right? Why didn't the people from the Department of Interventional Medicine come?" Lin Ge's heart skipped a beat as he asked.
"We asked Chief Kong to come for a consultation. It was said that there was an emergency surgery over there, and Chief Kong went on stage," Professor Lu said. "I discussed it with Chief Gu. The best way is to take a certain risk and do a stent. In fact, less than a month after the surgery, the possibility of problems with the stent surgery is too high. "
As he spoke, he made a helpless expression.
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