Chapter 49: Disagreement
"Okay, thank you, Doctor Wu." Facing the gentle and elegant young man in front of him, the uncle sincerely liked him.
The conversation between the two people did not deliberately lower their voices. Zhao Guoqiang on the side heard it clearly. He saw that the two parties were getting along harmoniously, and there was even a hint of cordiality in it. This made Zhao Guoqiang, who was regarded as a transparent person, a little helpless.
After all, the patient is also his uncle, so even if he didn't help him just now, he won't be ignored.
Perhaps the embarrassment on Zhao Guoqiang's face was too obvious, so the family members on the side quickly came over to comfort him.
"Nephew, thank you for supporting his uncle just now. He must be tired now. How about I do it instead?"
After all, the radiology department's examination bed cannot raise the head of the bed, so the elderly man's ability to sit up safely and receive treatment depends on Zhao Guoqiang's support from behind.
Even though it was just a simple aid, the patient was already in a semi-fuzzy state at that time and had no strength at all. This was like a drunken person in the middle of the night. Sometimes even two or three strong men might not be able to pull him.
But even so, Zhao Guoqiang still supported the patient silently. Even though Wu Xiangdong had been suctioning the fluid for so long, he kept the patient sitting still without moving for even a minute.
"Auntie, I'm okay. I can hold on. Just keep an eye on me." Zhao Guoqiang took a slight breath, but the strength of his hands remained unabated. He grabbed the patient's arm with both hands and pushed it with his chest.
Hold the patient's back and secure the patient's body firmly.
At this moment, Wu Xiangdong had already pulled out the needle inserted into the patient's body. While holding the needle tip on the patient's skin, he took the abdominal puncture needle placed on the table.
"Director Zhao, if you can't hold on anymore, you can lay the patient down first." Even though Wu Xiangdong was focused on the operation, what happened in the entire examination room could not escape his eyes.
Seeing Zhao Guoqiang's arms shaking a little, he knew that maintaining the same posture for a long time had almost reached his limit.
"No, you finally determined the puncture position through auscultation. If I lay the patient down at this time, the position of his abdominal effusion will change with the change of body position. In this way, our preliminary work will be in vain.
"
Zhao Guoqiang shook his head decisively. In his opinion, the patient's puncture and drainage had reached a critical moment. If all previous efforts were wasted because of him at this time, even Zhao Guoqiang himself would not forgive himself.
"Okay, then Director Zhao, please hold on." Zhao Guoqiang's answer was a bit beyond Wu Xiangdong's expectation. After all, in his impression, Zhao Guoqiang had used a lot of tricks to get the old director who was about to retire for the position of director of general surgery.
Squeezed away.
This caused quite a stir at the time. However, Wu Xiangdong had just arrived at that time and naturally had no way of understanding the cause and effect of the incident. He could only hear about it and naturally thought that Zhao Guoqiang was a despicable person.
But now it seems that no matter what Zhao Guoqiang has done before, his concern and care for patients still meet the basic requirements of a doctor.
Wu Xiangdong no longer thought about it. At this time, with Zhao Guoqiang helping the patient, he could free up his hands to perform the final operation.
He picked up the needle he had just pulled out and looked at it. The puncture depth was more than 4 centimeters. Then he held the abdominal puncture needle in his hand, pointed the needle tip at the needle hole left by the puncture on the patient, and slowly inserted it.
Although this needle is much thicker than the needle of the syringe just now, because Wu Xiangdong had given the patient an anesthetic before, the patient sitting on the examination bed only felt a pushing sensation in his stomach, but did not feel any pain.
Due to his previous puncture experience, Wu Xiangdong did not need to be cautious this time. Instead, he quickly inserted the needle inward after penetrating the skin, and the depth was the same as the length of the needle measured just now.
Then, the orange-yellow liquid reappeared at the end of the steel needle and was flowing out. Wu Xiangdong saw this and connected the catheter and drainage bag that had been prepared.
"When the patient lies on his back, focus on the middle part of his jejunum. The intestinal cavity there is probably the most swollen and has the most fluid. I'm now trying to extend the catheter directly there, and I'll take a picture later.
Please pay more attention to the position of my catheter."
Wu Xiangdong said this to the radiologist. Although X-rays still have great limitations in diagnosing diseases, under current conditions, they are the most effective diagnostic method.
At this time, the radiologist was still confused. After all, it was rare to encounter surgical operations where he worked, let alone emergency catheterization like this.
He glanced at the patient on the examination bed whose belly was as swollen as a ball, and couldn't help but mutter in his heart, "It's a bit impossible that his belly is so swollen, but he can still determine the specific location of the obstruction."
When Wu Xiangdong saw the doctor's expression of disbelief, he didn't say much. After all, in their understanding, they only believed in definite evidence, and Wu Xiangdong's method of diagnosis based solely on experience was indeed unconvincing.
"It's okay. Just put the radiant panel in the position I told you when taking the X-ray." After saying this, Wu Xiangdong had already inserted the catheter into the patient's body through the steel needle. Suddenly, light yellow fluid gushed out of the transparent catheter.
It flows along the pipeline and into the installed drainage bag.
"Are you ready to take the X-ray?" Seeing that Wu Xiangdong had completed the operation, the doctor was about to reach out and grab the radiation panel hanging above everyone's heads.
"Wait a minute, let me adjust the position of the catheter." Wu Xiangdong did not ask him to take a picture immediately, and controlled the catheter in his hand to continuously extend into the patient's abdominal cavity.
Since the patient only used local anesthesia, as the catheter continued to move in his body, the discomfort became more and more intense. He gritted his teeth and persisted, but such abnormal movements were naturally noticed by Zhao Guoqiang, who was supporting him.
"Wu Xiangdong, it's almost ready. We'll go for surgery in a while. If you adjust the tube again and again, wouldn't everything be in vain?" Zhao Guoqiang saw Wu Xiangdong adjusting the tube left or right, and thought in his heart
I was very anxious. Since the peritoneal effusion had been drained, I shouldn't adjust the catheter in pursuit of perfection. After all, the top priority now was to go to the operating room for surgery.
Wu Xiangdong heard this and said: "The patient has high-level obstruction. Although I have temporarily relieved his symptoms, the exudate will continue to seep out from the patient's obstructed jejunum. Only by placing the drainage tube close to this can it be better."
to help him drain the blood."
Because the old man had small intestinal obstruction, and it was located very high up. According to the physiological structure, the small intestine is divided into three parts: duodenum, jejunum, and ileum. Through Wu Xiangdong’s operations and examinations during this period, he judged that the old man’s high-level obstruction was located in the jejunum.
position, so I insisted on placing the drainage tube on it.
But Wu Xiangdong's words made Zhao Guoqiang a little angry. He said with a stern face and evil eyes: "Wu Xiangdong, I know that the success of abdominal puncture has made you full of confidence, but you can't act recklessly just because of this matter. I was the one who held back and said nothing to you just now.
.”
Zhao Guoqiang saw Wu Xiangdong turning a deaf ear and focusing on letting things go, and his tone became even colder: "You are too brave. Diagnosis is not child's play. You can't just open your mouth and come in. This requires evidence. You just rely on your own subjective assumptions.
Blindly installing drainage tubes will cause big problems."
Zhao Guoqiang was always cautious and even a little harsh in his work. He thought that for a diagnosis like jejunal obstruction, the patient could only be diagnosed clearly after going to the operating table and performing a laparotomy. However, Wu Xiangdong was on the good side and wanted to leave him with a jejunal drainage tube.
Chapter completed!