Very quickly, Su Yun sent the video data she had received to Zheng Ren.
It was just a few X-rays and test sheets, but it could be seen that the old man’s physical condition was really bad, and his condition was quite tricky.
When he was admitted into the hospital, his ion disorder had been quite serious, but now, it had basically returned to normal. However, based on the X-ray image, the surgery could not be performed at will.
The Zenker’s resting place was a type of gulp-down esophageal resting place. It was different from ordinary gulp-down esophageal resting places. In 1874, the Germany pathologist Zenker made a correct analysis and observation of gulp-down esophageal resting places, so it was named the Zenker’s resting place.
The esophagus reclusive chamber accounted for 60% of the total contents, and it was common for patients between the age of fifty to eighty.
This type of esophagus resting place, which happened at the junction of the esophagus, was known as the Zenker resting place. Its occurrence was related to the disorder of the swallow-esophagus muscle, the slow loss of the circular swallow muscle caused an increase in pressure in the esophageal tube, and the weakness of the local muscle anatomical structure.
There was no doubt about the diagnosis. The gastroscopy had already proved that this old patient did not need to be diagnosed and differentiated. The difficulty lay in the treatment.
“Boss, I see that all the indicators are maintained well, and there is a possibility of surgery. However, it was only a possibility. The possibility of being embarrassed was even greater. With this body, it’ll be hard to withstand the impact of surgery and anesthesia. ” Su Yun said after looking at the test report.
“I’m just thinking about it. ” Zheng Ren put down his phone and looked at the flashing neon lights in the distance, thinking about the patient’s condition.
The old man was already 84 years old. Six years ago, he was found to have difficulty swallowing and was diagnosed with Zenker lounge. At that time, the patient’s family had decided to refuse the surgery after some discussion because he was older.
That was six years ago. If he had rejected her then, it would be impossible to do so now.
The old man could only eat half a diet before he was admitted to the hospital, accompanied by intermittent vomiting.
After he was admitted into the hospital, his superior gastrointestinal angiography showed that there was a large resting lounge from the neck to the right wall of the upper thoracic esophagus. The lower end of the resting lounge was at the level of a bulge, about 10 cm x 6 cm in size. The bottom of the resting lounge was about 7 cm wide, and the length between the resting lounge and the thoracic esophagus was about 3 cm.
The chest CT scan showed that the esophagus dugus in the chest narrowed the windpipe and esophagus.
An electronic gastroscopy showed that the right wall of the esophagus was a large resting area 16 – 23 cm away from the incisor. The mucous membrane of the resting area was obviously congested, and the esophageal tube was compressed into a interrupted open hole, so the gastroscopy could not pass.
“Since the base of the lounge is located in the cervical esophagus and the upper thoracic esophagus, the base of the lounge can not be completely exposed whether the incision is made through the neck or the chest, so it is impossible to completely remove the lounge.” Zheng Ren recalled and told Su Yun.
“Yes.” Su Yun frowned.”The living room is too big. It’s not suitable for hanging.” He’s so old, so he definitely can’t perform a surgery where a neck and chest incision is made. “
“Well, it definitely won’t work. If we make a combined incision, I’m afraid we won’t be able to get out of icu even if we can get off the stage. The general’s residence probably also thinks this way, so it’s reasonable for the patient’s family to refuse treatment. ” Zheng Ren muttered.
The car fell silent after that. Zhou chunyong felt rather awkward. Boss Zheng and Su Yun were both deep in thought, and he did not want to, nor did he dare to disturb their thoughts.
They arrived at the restaurant in silence. Zheng Ren got off the car and walked into the private room with Zhou chunyong. He asked the waiter,”do you have a pen washi?”
“Uh … Yes, please wait a moment, Sir.” The waiter very politely went to get a pen and paper.
“Boss, do you have any ideas?” Su Yun asked.
“It’s a little vague, but I’m not sure. I’ll draw it out for you to see.” Zheng Ren did not sit at the table. Instead, he sat on the sofa at the side and placed his elbows on his knees. He narrowed his eyes and looked at the coffee table in front of him.
“What are they doing?” Dean Bao asked Zhou chunyong in a low voice.
“I told boss Zheng about old Peng’s wife. It was just a casual chat, but I didn’t expect boss Zheng to take it seriously.” Zhou chunyong said helplessly.
“Is there a way?” Dean Bao asked in disbelief.
“I don’t know, let’s see.” Even though Zhou chunyong had seen boss Zheng perform countless difficult surgeries, he still couldn’t believe it.
The old man lived in the general’s residence. Peking Union Medical College was known as the last stop in the country’s medical field, and the general’s residence was the place with the best technical power. Even there was no solution there, so boss Zheng should not be able to solve the problem like a god.
Could it be that he had to intervene again? Zhou chunyong suddenly thought of this possibility. The bullet was embolism, and boss Zheng had removed the bullet with intervention. This thought was like a fairy from beyond the heavens, and he still felt amazed when he thought about it.
It was also possible that Zhou chunyong had knelt down in front of boss Zheng a long time ago. He couldn’t judge boss Zheng with his own standards.
The waiter brought up a pen washi, and Zheng Ren immediately started to draw a sketch. Zhou chunyong looked down from above and saw a diagram of the neck and chest of the human body. Although it was just a sketch, it was very realistic, and the 3D structure was very clear in the shadows.
Boss Zheng and Su Yun started to talk about the concept of the surgery, and director Bao felt very helpless.
By right, he should have been fully respected for sitting here, regardless of whether it was out of courtesy or seniority. After chatting and laughing for a meal, everyone would have a deeper understanding of each other. It would be more convenient for them to do things in the future.
This was the most basic thought, and it seemed that anyone with a little emotional intelligence would do this.
However, boss Zheng and Su Yun didn’t even look at him. They were chatting and quarreling with each other. It was very intense.
“President Bao, that’s boss Zheng’s temper.” Zhou chunyong sighed and said,”why don’t we order first?”
“Let’s wait. ” Although Bao longtao was a little angry, he couldn’t point out what was wrong with him. He was thinking of a treatment plan for his master’s wife. Even if he felt that his family had already given up on treatment and there was no need to think about these things, it was not appropriate to interrupt.
In fact, it didn’t matter whether he wanted to or not. Even if he interrupted boss Zheng, he had to respond to him. It was said that boss Zheng was very strong in combat. During the emergency treatment, he really dared to hit people with a glare.
“Not worth it, not worth it.” Bao longtao shook his head,”let’s wait for a while.”
He found a place to sit down, took out his phone, and opened a small group chat. When he saw the messages in the group chat, his expression darkened.
“The two elders have discussed it and have been discharged.” “I’m fine.” Bao longtao said,”I’m preparing to go back to my hometown.”
“Uh …” Zhou chunyong looked at boss Zheng and Su Yun, who were having a heated discussion, and he had mixed feelings.
What was the point of their discussion? It was completely meaningless.
The Chinese people paid particular attention to returning to their roots. Many people would return to their hometown when they passed away, especially the older people.
“Dean Bao, where is your hometown?”
“It’ll take some time to get there by Fenhe River. ” Bao longtao said softly,”I’m still preparing the car. I’ll probably leave tomorrow morning and arrive at night.” Let’s go see him off tomorrow and then see him again. “
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Very quickly, Su Yun sent the video data she had received to Zheng Ren.
It was just a few X-rays and test sheets, but it could be seen that the old man’s physical condition was really bad, and his condition was quite tricky.
When he was admitted into the hospital, his ion disorder had been quite serious, but now, it had basically returned to normal. However, based on the X-ray image, the surgery could not be performed at will.
The Zenker’s resting place was a type of gulp-down esophageal resting place. It was different from ordinary gulp-down esophageal resting places. In 1874, the Germany pathologist Zenker made a correct analysis and observation of gulp-down esophageal resting places, so it was named the Zenker’s resting place.
The esophagus reclusive chamber accounted for 60% of the total contents, and it was common for patients between the age of fifty to eighty.
This type of esophagus resting place, which happened at the junction of the esophagus, was known as the Zenker resting place. Its occurrence was related to the disorder of the swallow-esophagus muscle, the slow loss of the circular swallow muscle caused an increase in pressure in the esophageal tube, and the weakness of the local muscle anatomical structure.
There was no doubt about the diagnosis. The gastroscopy had already proved that this old patient did not need to be diagnosed and differentiated. The difficulty lay in the treatment.
“Boss, I see that all the indicators are maintained well, and there is a possibility of surgery. However, it was only a possibility. The possibility of being embarrassed was even greater. With this body, it’ll be hard to withstand the impact of surgery and anesthesia. ” Su Yun said after looking at the test report.
“I’m just thinking about it. ” Zheng Ren put down his phone and looked at the flashing neon lights in the distance, thinking about the patient’s condition.
The old man was already 84 years old. Six years ago, he was found to have difficulty swallowing and was diagnosed with Zenker lounge. At that time, the patient’s family had decided to refuse the surgery after some discussion because he was older.
That was six years ago. If he had rejected her then, it would be impossible to do so now.
The old man could only eat half a diet before he was admitted to the hospital, accompanied by intermittent vomiting.
After he was admitted into the hospital, his superior gastrointestinal angiography showed that there was a large resting lounge from the neck to the right wall of the upper thoracic esophagus. The lower end of the resting lounge was at the level of a bulge, about 10 cm x 6 cm in size. The bottom of the resting lounge was about 7 cm wide, and the length between the resting lounge and the thoracic esophagus was about 3 cm.
The chest CT scan showed that the esophagus dugus in the chest narrowed the windpipe and esophagus.
An electronic gastroscopy showed that the right wall of the esophagus was a large resting area 16 – 23 cm away from the incisor. The mucous membrane of the resting area was obviously congested, and the esophageal tube was compressed into a interrupted open hole, so the gastroscopy could not pass.
“Since the base of the lounge is located in the cervical esophagus and the upper thoracic esophagus, the base of the lounge can not be completely exposed whether the incision is made through the neck or the chest, so it is impossible to completely remove the lounge.” Zheng Ren recalled and told Su Yun.
“Yes.” Su Yun frowned.”The living room is too big. It’s not suitable for hanging.” He’s so old, so he definitely can’t perform a surgery where a neck and chest incision is made. “
“Well, it definitely won’t work. If we make a combined incision, I’m afraid we won’t be able to get out of icu even if we can get off the stage. The general’s residence probably also thinks this way, so it’s reasonable for the patient’s family to refuse treatment. ” Zheng Ren muttered.
The car fell silent after that. Zhou chunyong felt rather awkward. Boss Zheng and Su Yun were both deep in thought, and he did not want to, nor did he dare to disturb their thoughts.
They arrived at the restaurant in silence. Zheng Ren got off the car and walked into the private room with Zhou chunyong. He asked the waiter,”do you have a pen washi?”
“Uh … Yes, please wait a moment, Sir.” The waiter very politely went to get a pen and paper.
“Boss, do you have any ideas?” Su Yun asked.
“It’s a little vague, but I’m not sure. I’ll draw it out for you to see.” Zheng Ren did not sit at the table. Instead, he sat on the sofa at the side and placed his elbows on his knees. He narrowed his eyes and looked at the coffee table in front of him.
“What are they doing?” Dean Bao asked Zhou chunyong in a low voice.
“I told boss Zheng about old Peng’s wife. It was just a casual chat, but I didn’t expect boss Zheng to take it seriously.” Zhou chunyong said helplessly.
“Is there a way?” Dean Bao asked in disbelief.
“I don’t know, let’s see.” Even though Zhou chunyong had seen boss Zheng perform countless difficult surgeries, he still couldn’t believe it.
The old man lived in the general’s residence. Peking Union Medical College was known as the last stop in the country’s medical field, and the general’s residence was the place with the best technical power. Even there was no solution there, so boss Zheng should not be able to solve the problem like a god.
Could it be that he had to intervene again? Zhou chunyong suddenly thought of this possibility. The bullet was embolism, and boss Zheng had removed the bullet with intervention. This thought was like a fairy from beyond the heavens, and he still felt amazed when he thought about it.
It was also possible that Zhou chunyong had knelt down in front of boss Zheng a long time ago. He couldn’t judge boss Zheng with his own standards.
The waiter brought up a pen washi, and Zheng Ren immediately started to draw a sketch. Zhou chunyong looked down from above and saw a diagram of the neck and chest of the human body. Although it was just a sketch, it was very realistic, and the 3D structure was very clear in the shadows.
Boss Zheng and Su Yun started to talk about the concept of the surgery, and director Bao felt very helpless.
By right, he should have been fully respected for sitting here, regardless of whether it was out of courtesy or seniority. After chatting and laughing for a meal, everyone would have a deeper understanding of each other. It would be more convenient for them to do things in the future.
This was the most basic thought, and it seemed that anyone with a little emotional intelligence would do this.
However, boss Zheng and Su Yun didn’t even look at him. They were chatting and quarreling with each other. It was very intense.
“President Bao, that’s boss Zheng’s temper.” Zhou chunyong sighed and said,”why don’t we order first?”
“Let’s wait. ” Although Bao longtao was a little angry, he couldn’t point out what was wrong with him. He was thinking of a treatment plan for his master’s wife. Even if he felt that his family had already given up on treatment and there was no need to think about these things, it was not appropriate to interrupt.
In fact, it didn’t matter whether he wanted to or not. Even if he interrupted boss Zheng, he had to respond to him. It was said that boss Zheng was very strong in combat. During the emergency treatment, he really dared to hit people with a glare.
“Not worth it, not worth it.” Bao longtao shook his head,”let’s wait for a while.”
He found a place to sit down, took out his phone, and opened a small group chat. When he saw the messages in the group chat, his expression darkened.
“The two elders have discussed it and have been discharged.” “I’m fine.” Bao longtao said,”I’m preparing to go back to my hometown.”
“Uh …” Zhou chunyong looked at boss Zheng and Su Yun, who were having a heated discussion, and he had mixed feelings.
What was the point of their discussion? It was completely meaningless.
The Chinese people paid particular attention to returning to their roots. Many people would return to their hometown when they passed away, especially the older people.
“Dean Bao, where is your hometown?”
“It’ll take some time to get there by Fenhe River. ” Bao longtao said softly,”I’m still preparing the car. I’ll probably leave tomorrow morning and arrive at night.” Let’s go see him off tomorrow and then see him again. “
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
