"It's trouble."

After a few seconds of silence, Zheng Ren and Su Yun said in unison.

It looks simple, but the fishbone is stuck in the esophagus. If ordinary people think it must be taken out.

But Zheng Ren and Su Yun don’t think so, and Director Luo, who called the hotline for relatives and friends, didn’t think so. If it were simple, Director Luo wouldn’t call.

The fish bones were like arrows with barbs, embedded on the wall of the esophagus. Once they were pulled out with brute force, it would be a tragedy.

A 1% chance of success, but a 99% chance of leading to emergency rescue, and the patient is very likely to die in the end.

On the way, Zheng Ren called Gao Shaojie and asked him to wait and then send the patient to the surgery, and he wanted to see the situation on his own.

"Boss, your temper will be exhausted." Su Yun said blindly.

Zheng Ren knew that he was complaining about his attitude of doing everything himself.

Forget other things, you must see the surgery with your own eyes before you can feel at ease.

Even though Gao Shaojie's level has improved rapidly, he has almost reached the surgical level of Professor Rudolph Wagner.

Even if Lin Yuan can start independent surgery, even Gu Xiaoran can go on stage to try being an assistant.

Everyone else in the medical team is growing up, but Zheng Ren is still as worried as if he has obsessive-compulsive disorder. Su Yun looked down on his boss very much, and his words are full of disdain.

However, Zheng Ren did not refute Su Yun's words, and he walked to the apnoramic room silently.

When I came to the laparoscopic room, changed my shoes and clothes, a doctor had been waiting at the door. He first introduced the condition: "Boss Zheng, Director Luo asked me to pick you up and invite you inside. The patient ate fish last night and came to our hospital for treatment for 4 days this morning. Under the gastroscopy, there was a 5cm long fish bone in the patient's esophagus 8cm away from the cardia. There were 3 fish bones on both sides, stuck on the esophagus wall."

He didn't talk too much, and started reporting on his condition after a simple greeting.

Well, the patient's condition is even worse than expected! Zheng Ren's expression is a bit solemn.

"Director Luo tried it, but if he pulled it out, the fish bones rushed up, causing the mucosa of the esophageal wall to slightly rupture. The director did not dare to move, please help me take a look." The little doctor continued.

"Well, go and see the situation." Zheng Ren strode in.

When he came to Director Luo's laparoscope room, Zheng Ren said: "Director Luo, I'm here."

"Boss Zheng, I can't take it out with a look." Director Luo's sterile cap was already penetrated by sweat, and he looked a little tired.

He was called from home in the early morning, but he was still such a difficult patient to deal with. Anyone would be tired of changing. Zheng Ren smiled and said, "Can't you take it out?"

"Well, if I force myself, I'm afraid that a few centimeters of the esophageal mucosa cardia will be torn to the top." He shook his head, "How about going down and going directly into the stomach."

"This is also a solution, but it can't be discharged from the stomach." Zheng Ren said.

The main ingredient of fish bones is calcium carbonate, and the gastric acid ph in the gastric juice is 0.9 to 1.5. The fish bones will only become soft when they reach the stomach, but will not be decomposed.

There are many components that make up fish bones. The phosphate in them can be dissolved in acids. The fish bones that remove these minerals will naturally become soft. However, fish bones also contain a lot of collagen, which is wrapped in many other macromolecular proteins and polymeric sugars. These macromolecular structures need further decomposition to be digested.

Although the gastric juice ph is very low, once it enters the small intestine, it will rise to about 7-8. Some proteases that effectively act on cystoid proteins, such as collagenase and trypsin, can only work under this acid-base condition, so that the food can be further decomposed.

In short, even if the fish bones with 6 fish bones are pushed into the stomach, they will not be digested. Everyone present knows these things.

If the fish bones get stuck on the pylorus with gastric peristalsis, causing obstruction or tear, greater surgical treatment is required.

Even large stomach cleavage and intestinal anastomosis are not a joke.

Director Luo was also forced to do so, and he just said casually.

Zheng Ren put on a pair of sterile gloves, took the gastroscopy equipment from Director Luo, and began to observe the location of the fish bones.

Just as the young doctor described just now, the fish bones are relatively large and hard. Zheng Ren did not think about whether it was a freshwater fish or a sea fish. He did not try to pull the fish bones out, but looked at the surrounding situation.

There was a slight damage to the esophageal wall mucosa, which was pierced by the fish bones, and some were secondary damage caused by Director Luo’s operation just now. It was obvious that Director Luo was more careful and did not use brute force to pull out the fish bones.

What should I do?

Zheng Ren was also a little bit waxy.

You cannot go up or down, and you cannot stay in this position.

"Ding Dong~"

With a crisp sound, the task prompt sound rang. When Zheng Ren heard the task prompt, he was not happy, but was a little distressed.

This matter is difficult to solve, what trouble can the big pig's hooves come to fill in at this time?

[Emergency task: Difficulty from top to bottom.

Task content: Take out the fish bones in the esophagus.

Mission reward: 3000 skill points and 10000 experience points.

Mission time: 3 hours.]

Zheng Ren looked at the task that appeared in the upper right corner of the field of vision, and felt helpless. Is the big pig's hooves playing with him? It doesn't issue tasks for surgery as big as a small stone, but the fish bones have to issue tasks.

Moreover, the mission reward is not proportional to its difficulty at all.

Looking at the task panel, Zheng Ren suddenly felt aroused. According to his understanding of the big pig's hooves, removing the fish bones should be a very simple thing, otherwise there would be no such a slight reward.

What's the problem? It should be that there are blind spots in your own thinking.

Countless thoughts appeared in Zheng Ren's mind. He held the gastroscopy duct in his hand and looked at the screen motionlessly. Then, he entered the system operating room and began to try various ways to remove fish bones.

Director Luo waited for nearly 10 seconds, and the feeling of anxiety in his heart became stronger and stronger. It was not that the fish bones made him uneasy, but the biggest uneasiness and uneasiness were brought by Boss Zheng motionless.

A bad idea came to my mind - could it be that I was hurting something when I just pulled the fish bones out?

After looking at the screen carefully, Director Luo was sure that nothing was wrong. He thought about what he had just done, but he still felt nothing was wrong.

"Boss Zheng... Could it be that it was damaged somewhere." Director Luo didn't think about it, but asked tentatively.

"Your operation is very gentle and has not caused too much damage to the side. I was wondering how to remove the fish bone." Zheng Ren smiled and comforted Director Luo.

"Boss, you are too focused and frightened Director Luo." Su Yun smiled and said, "Do you understand now?"

"Well, there is a way, you can give it a try." Zheng Ren said.
Chapter completed!