Chapter 587 Japanese doctors cant do anything(1/2)
After three hours of preparation and a three-hour flight, when the little prince arrived at the airport and was rushed to the pediatric ward of the University of Tokyo Medical Center, it took more than an hour to cross the sea and travel.
It's almost 8 hours. That's it. If my father hadn't been a chief, I'm afraid no one in the world could go faster than this.
But it's still too late.
The little prince had been crying non-stop when he was on the plane. After a preliminary examination at the hospital accompanying the group, it was found that his body temperature had increased, and his heartbeat and breathing had accelerated.
This is a typical symptom of worsening condition.
Sheikh Abdullah was so frightened that he wanted to ask the pilot to press the accelerator to the bottom.
At the same time, I complained about Dr. Haidong a hundred times. I felt that if Dr. Haidong hadn't been so careless, how could my precious son have suffered so much?
Therefore, pediatrics is difficult to do, and the difficulty lies in parents’ lack of understanding and cooperation.
When we arrived at Dongda Hospital, the hospital had been notified and was waiting. The green light was given and the best doctors were immediately dispatched to conduct comprehensive consultations in the hospital.
Director of the Department of Gastroenterology, Sakuta Tsukasa, also participated in the consultation.
When everyone took out the two X-rays taken by Haidong Children's Hospital, as colleagues, we already knew that it was not a misdiagnosis by the Huaguo doctor, otherwise the first X-ray would not have captured the second battery anyway.
.
The only explanation is that the button battery at the back was eaten after the first X-ray was taken.
If we really want to hold people accountable, it is also the responsibility of the nanny team.
Moreover, the vigilance and clinical level of the Chinese doctors were quite high, because they took a second X-ray in a very targeted manner, and only then did they confirm that there was a secondary foreign body.
According to the general diagnosis and treatment thinking, if you have just taken an X-ray, you will definitely not take another one. This is the real delay in the disease.
In this way, not only is there no fault, but it is meritorious.
Therefore, it is said that the same person is a doctor, and the doctor knows it well in his childhood.
But as the saying goes, the person who wronged you knows better than you that you have been wronged.
The Japanese doctors are very bad. They did not say a few fair words for the Chinese doctors. They had a mentality of not caring about their own affairs.
The director of pediatrics frowned:
"Ah, at least 15 hours have passed since the little prince swallowed the battery, and it is stuck in the esophagus. This is too dangerous. We need to do some tests first."
The chief and his wife were already confused and nodded repeatedly:
"Then please, just do whatever examination you want. The cost is not a problem. We need the best examination and the best treatment. Don't be careless like Dr. Haidong."
(Doctors from Haidong Children’s Hospital collectively vomited blood after hearing this)
The Japanese doctors collectively puffed up their chests:
"Mr. Chief, Madam, please rest assured that our University of Tokyo Medical Center is the most advanced and highest-level hospital in the world. It is definitely not comparable to hospitals in some backward countries. You can definitely rest assured that the little prince is in our hands."
Before he finished speaking, he was immediately slapped in the face.
After receiving the CT films, Japanese pediatricians were collectively silent.
The film showed multiple air accumulations and high-density shadows in the retropharyngeal space of the little prince and around the esophagus in the neck, which means that the child's esophagus may have been perforated.
The dangers of esophageal perforation have been introduced before. This is a very dangerous thing for patients, especially since it is a battery corrosive liquid, which is even more difficult for children to bear.
When the chief's wife heard this, she ignored any etiquette on the spot and burst into tears while hugging her son.
Chief Abdullah's hands were shaking all the time. Although he still maintained his majesty, this majesty was no longer there, and he was obviously really anxious.
In fact, this can only be blamed on the big dog owners themselves.
If they had stayed in China at that time, Chen Qi would have been asked to come as soon as possible, and then they would have used a digestive endoscopy to easily take out the iron and coins using a foreign object mesh bag.
But they didn't listen. Instead, they misunderstood that the Chinese doctors were too low-level and misdiagnosed the little prince, and then he flew to Japan.
During the transportation process, the battery continues to corrode the esophagus, causing the mucosal erosion and ulcers around the esophagus to become more and more serious, and ultimately directly leads to the most serious situation of esophageal perforation.
This is a typical example of good intentions leading to bad things.
Chief Abdullah's face was livid, he calmed down, and then looked at the doctors at Dongda Hospital:
"Please, no matter what method you use, please save my child. I will not let your hard work go in vain!"
The pediatricians were really ashamed. Possible perforation of the esophagus was something that physicians could not solve, so Director Sakuda of the Department of Gastroenterology was pushed out.
The doctors decided to use gastroscopy to see with their own eyes how corroded the esophagus where the battery was located was, and then decide on the follow-up treatment plan.
The chief and his wife agreed with this plan and urged a quick inspection.
The results were shocking and surprising. The gastroscopy showed that not only had the esophagus been perforated, but the battery had also ruptured, and the alkaline heavy metal liquid in the battery was continuing to corrode the esophagus.
So the surgeon was invited for consultation again.
The surgeon was scratching his head when he saw this situation:
"This is different from a simple esophageal perforation, but is caused by the corrosion of toxic heavy metal liquids. So as you can see, the esophageal mucosa has been severely eroded and ulcerated, making treatment very difficult.
There is also a very important difficulty here, that is, after esophageal surgery, you cannot eat for a long time, at least more than 30 days. Then the problem is, if the little prince cannot eat for a long time, it is simply not enough to rely on infusion to maintain nutrition.
of."
Chief Abdullah and the chief’s wife were a little confused, so they asked:
"Doctor, what does this mean? You hurry up and save me. You can't delay the condition any longer. It doesn't matter how much it costs."
As soon as these words came out, not to mention surgeons, pediatricians and internists were a little embarrassed.
The doctor accompanying the Baotou country understood it, so he explained to his chief and his wife:
"Mr. Chief, what the doctors mean is that if you perform esophageal surgery, you will not be able to eat for more than a month, because food will definitely pass through the esophagus during swallowing, but now the esophagus cannot withstand any stimulation."
Chief Abdullah nodded, as if he understood.
"You mean, after esophageal surgery, the esophagus needs to rest? That's no problem. If you can't eat, I remember there is a nasogastric tube that can inject nutrients into it."
At this time, the Japanese doctor continued to explain:
"Mr. Chief, look at this endoscope screenshot again. The little prince's esophagus has been severely corroded by the leaked battery fluid. Not only is food not allowed to pass, but the nasogastric tube is also not allowed to pass. Otherwise, there will be continuous bleeding.
and persistent damage to the esophageal mucosa.”
The chief and his wife understood that esophageal surgery was possible, but the little prince would starve to death after the surgery.
"Then, what should we do? You must have something to do, right?"
The surgeon nodded heavily:
"There must be a way, so this requires two operations, one is esophageal repair and the other is gastrostomy, but..."
Chief Abdullah asked nervously: "But what?"
The surgeon looked at the little prince who was crying on the hospital bed and couldn't bear it:
"But the two surgeries combined are very difficult for us doctors, so it is more dangerous for the little prince. For example, for esophageal repair, we need to cut the skin here, fold the sternum and
The ribs are operated on again.
Gastrostomy requires making a large incision in the left upper abdomen through the rectus abdominis muscle, about 6 to 8 cm long. Alternatively, an incision is made in the middle of the upper abdomen, and then the stomach is cut open and a tube is buried inside.
It can be injected directly into the stomach through the abdominal tube."
The chief's wife almost fainted when she heard that her son was going to suffer so much, including having his chest removed, his bones removed, and his stomach cut open.
The surgeon didn't stop yet and continued to introduce:
"A large number of clinical retrospective studies have shown that 10 to 16% of children with gastrostomy have at least one postoperative complication, and the overall mortality rate is 3%. In addition, postoperative infection, obstruction, etc. may occur.
The proportion is also as high as 23%.”
What doctors fear most is treating the powerful.
Of course, you can get a lot of rewards in terms of money and status if you take good care of it, but if the operation fails, the consequences are not something that an ordinary doctor can bear.
Let’s see why Haidong Health System and Provincial Children’s Hospital are in dire straits now?
The Provincial Children's Hospital was right in both diagnosis and treatment plan. It was because the chief and the chief's wife, as parents, did not understand or approve of it. In the end, they were faced with dismissal, early retirement, and punishment.
The same goes for ancient imperial doctors.
When treating emperors or concubines, imperial doctors would never dare to use folk remedies, fierce remedies, or tiger-wolf remedies like Xilaile did.
Why? What I’m afraid of is taking risks.
Originally, your emperor fell ill and died of a normal illness, and the imperial doctor did not have much responsibility. It was your emperor's destiny to do so.
But if your imperial doctor kindly offers you a red pill or a tiger-wolf prescription, the emperor will die after taking it.
Then you, the imperial doctor, and your whole family will just wait to wash your hands and drag them to the food market entrance to have them all clicked.
Therefore, doctors at all times and at home and abroad generally do not like powerful people, especially rich people with powerful eyes, because these patients are difficult to deal with, the risks are too high, and they are hot potatoes.
The Japanese doctor talked so much to the chief and his wife, and even deliberately made the consequences of the operation so serious. In fact, he was prepared with both hands.
One is that the chief is willing to have surgery at Dongda Hospital, but only if he is properly vaccinated. There is a 3% chance of death and a 23% chance of complications. Don’t blame us and lower the expectations of his family members.
Another meaning is to imply that if you are afraid, you can ask someone else to do it.
When Chief Abdullah heard what the doctor said was so serious, he couldn't hold himself any longer and grabbed the surgeon's arm:
To be continued...