1229 The Interventional Doctors Are All Imaging
"The patient has now had black stools, and the return is released, and the stool is positive for occult blood." Zhu Liangchen added after "reporting" the medical history.
This is the result reported by his deputy director just now. There is nothing to hesitate. The diagnosis is very clear. The patient has lower gastrointestinal bleeding.
There are countless considerations for occult blood after surgery. However, after interventional surgery, it is not a liver interventional surgery. The patient has problems with spleen, cirrhosis, and varicose veins in the stomach. It is very rare.
If the problem cannot be found, Zhu Liangchen feels that he can't even sleep.
Zheng Ren was not as polite as when he entered the house. While listening to Zhu Liangchen's treatment, he stared at the movie.
Habitually, Zheng Ren held his cheek with his right hand and placed his left hand under his right armpit, and his eyes narrowed.
After Zhu Liangchen reported his medical history, he also watched the film.
This is not the latest film. Will Boss Zheng directly say no, and he has to go back and make another film? But what examination is needed to detect it? Is gastroenteroscope?
Zhu Liangchen thought about countless possibilities, but fortunately, he reported to him at home that the patient was in a stable condition and his blood stool did not worsen, so he felt a little relieved.
After ten minutes, Zheng Ren said, "I don't see clearly."
Zhu Liangchen felt a little cold. This is Tai Chi Kung Fu, a word that is supported by experienced doctors.
Does Boss Zheng have no idea, or is he perfunctory to himself?
But as soon as the thought arose in his mind, Zheng Ren continued to speak.
"But the ulcer surface in the pylorus has been shown."
"..." Zhu Liangchen and Director Kong frowned.
T can't see the cavity organs, such as the gastrointestinal tract. If there is a huge solid tumor, T can also see it, but the patient is not a tumor.
"Director Zhu, I don't know if you are paying attention, the patient's stomach wall has expanded." Zheng Ren continued.
"I noticed that I considered it because of embolization of some arteries, insufficient blood supply, and slowed gastric emptying." Zhu Liangchen said immediately.
Zheng Ren shook his head and said, "The problem is indeed due to slowing gastric emptying. After the operation, the doctor told me to see."
This sentence is like an east or a west, but Zhu Liangchen did not argue, but took out his cell phone and transferred out the doctor's instructions for taking the photo.
When asking for help, you must have a urgency attitude. Moreover, just now, Dr. Mehal was watching the film, and a row of foreign experts stood against the wall completely shocked Zhu Liangchen.
He had no other thoughts and knelt very thoroughly.
After reading it, Zheng Ren had a complete treatment plan in his mind. He paused and said, "Director Zhu, go back and check a gastroscopy, remember to get a biopsy."
"Biocheck?" Zhu Liangchen was stunned. Did he encounter a rare malignant tumor? No, he had watched the movie so many times, but why didn't he see it?
Zheng Ren just said to himself that the pace was a little slow, but he didn't expect that Zhu Liangchen had thought about so many things at this moment.
"Biopsy tissue and do bacterial culture." Zheng Ren said.
"Bacterial culture? What do you doubt it?" Zhu Liangchen wanted to ask, Helicobacter pylori? Isn't that nonsense?
"Are you familiar with the laboratory?" Zheng Ren suddenly asked.
Even Su Yun felt that his boss was elusive. Could it be that he expanded into outer space after communicating with Dr. Mehal?
"good."
"When sending the specimen, Director Zhu, you personally greeted an acquaintance in the laboratory. It is not an ordinary bacterial culture, it depends on whether there is any gastrointestinal vasculum." Zheng Ren said.
"..." Zhu Liangchen was speechless.
"..." Director Kong was speechless.
Only Su Yun raised his eyebrows slightly, as if he had thought of something.
"Boss Zheng, what is that?" Zhu Liangchen really didn't know whether Boss Zheng was making trouble for him or what was really like. He came to apologize for the crime today. Boss Zheng smiled and gave him a smile, which was considered particularly favorable. So he could only ask in a low voice and dare not say anything else.
"The Gastrobadiococcus is often stacked together regularly with eight bacteria, forming a cube. It is a micro-oxygen-resistant bacteria that is easily separated from the soil and can also be found in the stomach contents of patients with stomach diseases."
Zheng Ren pointed to a non-uniform density position on the film and said, "Here, I'm considering it's a pyloric ulcer, and the area of the ulcer surface is not small."
"Growing of phylum-Basilica in the human stomach causes certain pathological changes, such as hysterical ulcers and hysterocortic stenosis, causing food to flow into the intestines. In this abnormal situation, the stomach is in acidic conditions, and the carbohydrates and other nutrients for growth in the food promote phylum-Basilica to proliferate rapidly."
Zhu Liangchen was stunned and asked in a daze, "What about?"
Zheng Ren was also a little surprised and looked at Zhu Liangchen with his head turned around, as if he had seen something difficult to understand.
"Boss, the doctors involved are all from images." Su Yun whispered to remind him.
"Oh." Zheng Ren suddenly realized.
Director Kong and Zhu Liangchen seemed to have been slapped several times in the face, and they really wanted to press Su Yun to the ground and beat him up.
Aren’t a doctor from the image?
"Professor goodsir first discovered octosidus in the patient's stomach in 1842. Professor ferrier also discovered its presence in the patient's blood in 1872 and believed that its presence in the blood was related to the delay of gastric emptying." Zheng Ren later explained.
"It is normal for Director Zhu to not know. The most common department in clinical practice is general surgery, and even gastroenterology is not very common."
"General Surgery? Why?" Director Kong asked.
"Because of the previous gastric banding surgery, the possibility of gastrointestinal phylum octopus is generally quite high." Zheng Ren smiled, "So I said that the paper at Johns Hopkins Hospital is questionable, and this is the reason."
"That paper did not mention how to prevent and treat phytococcalis after surgery, nor did it mention any complications, it just said that the long-term efficacy is better."
"I still want to wait for Dr. Mehal to leave and think about it carefully, but Director Zhu will get started first." Zheng Ren said very seriously. Anyway, he couldn't hear the mockery from his tone, and Zhu Liangchen felt upset.
I really want to have an attack, but I feel bored even if I don’t have an attack. Especially when I see Zheng Ren’s honest face, he is helpless. Zheng Ren is not deliberately mocking him, Zhu Liangchen knows this.
But the more this happens, the more you seem to be extremely stupid what you did before.
Director Kong smiled bitterly. It turned out that it was a complication that was common after general gastric belt surgery. No wonder that guy Su Yun reminded Boss Zheng that those who intervened were all from imaging.
I haven't had gastric belt surgery, so who knows what shitty gastrophy is?
Thinking of this, Director Kong could no longer stop cursing.
This is simply an insult to the intervention doctor, but... they are right, what can I do?
Chapter completed!