There was a swelling on the duodenal bulb, but it was from more than ten days ago.
“Chairman Jiang, did you do a CT scan?” Zheng Ren asked.
“I did a chest and abdomen scan.”
“Let me take a look,” Zheng Ren said.
Chairman Jiang called for the circulating nurse and brought the radiographic films to the operating table. Zheng Ren glanced at the lights.
The passive ability of [reconstruction] showed its advantage at this moment.
Before he went to the earthquake relief, Zheng Ren looked at the radiographic films. After careful analysis, he could come to a vague conclusion.
But now, with a glance, he reconstructed the radiographic films in his mind. The location of the tumor and the relationship with the surrounding tissues appeared instantly in his mind.
“This child’s illness…” Zheng Ren lamented. He did not know if it was a good or bad fate.
If she had not been so tormented, he would not have noticed that the duodenal bulb had a space-occupying lesion. However, if she kept tormenting it, would his immunity decrease and cause the tumor to grow explosively? It was hard to say what would happen after the surgery.
Seeing that Zheng Ren was hesitating, Chairman Jiang asked, “Chief Zheng, do you want to irrigate and close the abdomen?”
The emergency surgery ended there. There was only a damaged duodenum left where the suture should be done.
As long as the patient was sutured, irrigated, and had their abdomen closed, this emergency surgery could be said to be perfect.
However, Zheng Ren remained silent. After almost a minute, Zheng Ren said, “Chairman Jiang, I’ll go and talk to the family.”
“Uh… What’s wrong?” Chairman Jiang asked.
“According to the radiographic films, the patient has in-situ cancer, but whether or not she needs emergency surgery depends on the family’s opinion,” Zheng Ren said.
“Tumor? Where?” Chairman Jiang was stunned.
“In the duodenal bulb; there is a flat space of less than 1 cm. That is not an image of the intestine, but a tumor. I am worried about the patient’s physical condition if I remove it here.
“But if I don’t remove it, I don’t know what will happen in a month or two,” Zheng Ren said, he walked off the stage.
He picked up the pathological specimen basin covered with a cotton pad and said, “Please open the door for me.”
The circulating nurse understood. Chief Zheng wanted to explain to the patient’s family. He did not want to open the airtight door of the operating theater, but the door outside.
He was wearing sterile gloves with blood stains on them. He could not contaminate the door handle of the operating theater.
As he walked out of the operating theater, Zheng Ren shouted, “Sister Lin!”
Lin Jiaojiao immediately ran over, followed by a group of people.
Zheng Ren glanced at her. The woman who was crying her eyes out was not around. She was probably the patient’s mother. She was sent back to rest.
A solemn man with a gloomy face was beside Lin Jiaojiao, looking at Zheng Ren.
Lin Jiaojiao said, “Chief Zheng, this is Mengzi’s father, Mr. Zhou Zhen.”
“Okay.” Zheng Ren nodded and said, “Move aside a little, don’t hurt yourself.”
Hearing Zheng Ren’s words, everyone had a strange look on their faces. What was this thing that was taken out?
Zheng Ren gently opened the cotton pad, and a black metal ball appeared in front of everyone’s eyes.
“Ah…”
Countless stifled soft cries sounded.
“Mr. Zhou, I’m not too sure what this is. It was taken out from the patient’s stomach,” Zheng Ren said.
Zhou Zhen’s face showed a hint of surprise, but it immediately turned into anger.
“Is this a hunting iron ball?”
“It looks like it, but it’s more advanced than the ones I’ve seen.”
“How did this thing get into his stomach?”
At the back, a few people were discussing in low voices.
The older ones, those who came from other places, or those who loved hunting, had some understanding of this kind of thing.
Just as Zheng Ren had guessed, this kind of iron ball was wrapped with meat and turned into a honey poison pill. It was to be eaten by a big animal, and then stirred in the stomach, causing a lot of bleeding.
This girl called Mengzi was really ruthless. She wanted to commit suicide, but she actually chose such an unbelievable method.
“Chief Zheng, thank you,” Zhou Zhen controlled his emotions and said in a low voice.
“It’s okay,” Zheng Ren said. “We are facing a few problems now. The patient’s injury is under control, but the ERCP has confirmed that the duodenal bulb has ulcers and in-situ cancer.”
Zhou Zhen nodded. He could still think and was not confused by the sudden events.
“The current situation comprises hepatic rupture, spleen rupture, gastric rupture, duodenal bulb rupture, hemorrhagic shock.” Zheng Ren folded the cotton pad again. He was really afraid that this metal ball would do something weird.
In Zheng Ren’s mind, this was a bloody guillotine, and it was the kind that could slit throats.
“Now that the patient’s bleeding part has been sutured, her physical condition is relatively poor,” Zheng Ren said seriously. “Whether to perform the duodenal bulb surgery or not, we need the family’s opinion.”
“Chief… Zheng Ren, what’s your opinion?” Zhou Zhen heard Zheng Ren’s meaning and asked hesitantly.
“I have no opinion,” Zheng Ren said truthfully. “The patient’s condition is very bad, but if the surgery is to be performed, a pancreatoduodenectomy is required. Gastric rerouting and reconstruction are also required. Given that the patient has undergone gastric bypass surgery before, if the surgery is performed again, the injury will be much greater than that of normal surgery.”
“Is the probability of success high?” Zhou Zhen asked.
“The surgery itself is not a problem, but because of this thing, the patient suffered from hemorrhagic shock. Every minute that the surgery is prolonged, there will be many unpredictable situations,” Zheng Ren said as he glanced at the pathology basin.
Zhou Zhen’s expression darkened.
“You see…” Zheng Ren looked into Zhou Zhen’s eyes and asked.
“Sigh.” Zhou Zhen sighed, and two streams of turbid tears flowed down unconsciously. “Then let’s pass one test after another.”
“In a while, the people from the General Surgery Department will come out to sign the papers. Sister Lin, please take care of this for me,” Zheng Ren said. “Then I’ll go back to the ICU. If there are no major complications after the surgery, I’ll probably be able to transfer her out in three to five days.”
Zheng Ren still wanted to persuade him, but after a moment of hesitation, he turned around and left.
There was something wrong with this young patient’s mind. He did not know if it was because her family was too pampered, or if it was because of other reasons.
Zheng Ren did not have the mood to gossip. Several diseases were mixed together. If he performed a combined pancreatoduodenectomy under the condition of hemorrhagic shock, the small patient’s body would definitely not be able to withstand it.
He could only do this. He was not a god.
Zheng Ren’s mood was a little strange. He carried the pathology basin and returned to the operating theater.
Chairman Jiang asked, “Chief Zheng, how did it go?”
“The family refuses to perform the pancreatoduodenectomy. Get someone to go out and find the family members to sign it. I’m familiar with Sister Lin Jiaojiao outside. Go find her,” Zheng Ren said.
“Okay.” Chairman Jiang then asked his junior doctor to go out and find the family members of the patient to sign it.
Zheng Ren washed his hands, changed his clothes, and returned to the stage.
The external injuries were almost done. All kinds of wounds had been treated and there was no more bleeding.
Zheng Ren looked at the patient’s duodenal bulb and sighed. If not for these things, the patient should have no problem with surgery.
It was a pity that she was so young.
To use such a strange method to commit suicide… What was this girl thinking? Was being alive not good enough?
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There was a swelling on the duodenal bulb, but it was from more than ten days ago.
“Chairman Jiang, did you do a CT scan?” Zheng Ren asked.
“I did a chest and abdomen scan.”
“Let me take a look,” Zheng Ren said.
Chairman Jiang called for the circulating nurse and brought the radiographic films to the operating table. Zheng Ren glanced at the lights.
The passive ability of [reconstruction] showed its advantage at this moment.
Before he went to the earthquake relief, Zheng Ren looked at the radiographic films. After careful analysis, he could come to a vague conclusion.
But now, with a glance, he reconstructed the radiographic films in his mind. The location of the tumor and the relationship with the surrounding tissues appeared instantly in his mind.
“This child’s illness…” Zheng Ren lamented. He did not know if it was a good or bad fate.
If she had not been so tormented, he would not have noticed that the duodenal bulb had a space-occupying lesion. However, if she kept tormenting it, would his immunity decrease and cause the tumor to grow explosively? It was hard to say what would happen after the surgery.
Seeing that Zheng Ren was hesitating, Chairman Jiang asked, “Chief Zheng, do you want to irrigate and close the abdomen?”
The emergency surgery ended there. There was only a damaged duodenum left where the suture should be done.
As long as the patient was sutured, irrigated, and had their abdomen closed, this emergency surgery could be said to be perfect.
However, Zheng Ren remained silent. After almost a minute, Zheng Ren said, “Chairman Jiang, I’ll go and talk to the family.”
“Uh… What’s wrong?” Chairman Jiang asked.
“According to the radiographic films, the patient has in-situ cancer, but whether or not she needs emergency surgery depends on the family’s opinion,” Zheng Ren said.
“Tumor? Where?” Chairman Jiang was stunned.
“In the duodenal bulb; there is a flat space of less than 1 cm. That is not an image of the intestine, but a tumor. I am worried about the patient’s physical condition if I remove it here.
“But if I don’t remove it, I don’t know what will happen in a month or two,” Zheng Ren said, he walked off the stage.
He picked up the pathological specimen basin covered with a cotton pad and said, “Please open the door for me.”
The circulating nurse understood. Chief Zheng wanted to explain to the patient’s family. He did not want to open the airtight door of the operating theater, but the door outside.
He was wearing sterile gloves with blood stains on them. He could not contaminate the door handle of the operating theater.
As he walked out of the operating theater, Zheng Ren shouted, “Sister Lin!”
Lin Jiaojiao immediately ran over, followed by a group of people.
Zheng Ren glanced at her. The woman who was crying her eyes out was not around. She was probably the patient’s mother. She was sent back to rest.
A solemn man with a gloomy face was beside Lin Jiaojiao, looking at Zheng Ren.
Lin Jiaojiao said, “Chief Zheng, this is Mengzi’s father, Mr. Zhou Zhen.”
“Okay.” Zheng Ren nodded and said, “Move aside a little, don’t hurt yourself.”
Hearing Zheng Ren’s words, everyone had a strange look on their faces. What was this thing that was taken out?
Zheng Ren gently opened the cotton pad, and a black metal ball appeared in front of everyone’s eyes.
“Ah…”
Countless stifled soft cries sounded.
“Mr. Zhou, I’m not too sure what this is. It was taken out from the patient’s stomach,” Zheng Ren said.
Zhou Zhen’s face showed a hint of surprise, but it immediately turned into anger.
“Is this a hunting iron ball?”
“It looks like it, but it’s more advanced than the ones I’ve seen.”
“How did this thing get into his stomach?”
At the back, a few people were discussing in low voices.
The older ones, those who came from other places, or those who loved hunting, had some understanding of this kind of thing.
Just as Zheng Ren had guessed, this kind of iron ball was wrapped with meat and turned into a honey poison pill. It was to be eaten by a big animal, and then stirred in the stomach, causing a lot of bleeding.
This girl called Mengzi was really ruthless. She wanted to commit suicide, but she actually chose such an unbelievable method.
“Chief Zheng, thank you,” Zhou Zhen controlled his emotions and said in a low voice.
“It’s okay,” Zheng Ren said. “We are facing a few problems now. The patient’s injury is under control, but the ERCP has confirmed that the duodenal bulb has ulcers and in-situ cancer.”
Zhou Zhen nodded. He could still think and was not confused by the sudden events.
“The current situation comprises hepatic rupture, spleen rupture, gastric rupture, duodenal bulb rupture, hemorrhagic shock.” Zheng Ren folded the cotton pad again. He was really afraid that this metal ball would do something weird.
In Zheng Ren’s mind, this was a bloody guillotine, and it was the kind that could slit throats.
“Now that the patient’s bleeding part has been sutured, her physical condition is relatively poor,” Zheng Ren said seriously. “Whether to perform the duodenal bulb surgery or not, we need the family’s opinion.”
“Chief… Zheng Ren, what’s your opinion?” Zhou Zhen heard Zheng Ren’s meaning and asked hesitantly.
“I have no opinion,” Zheng Ren said truthfully. “The patient’s condition is very bad, but if the surgery is to be performed, a pancreatoduodenectomy is required. Gastric rerouting and reconstruction are also required. Given that the patient has undergone gastric bypass surgery before, if the surgery is performed again, the injury will be much greater than that of normal surgery.”
“Is the probability of success high?” Zhou Zhen asked.
“The surgery itself is not a problem, but because of this thing, the patient suffered from hemorrhagic shock. Every minute that the surgery is prolonged, there will be many unpredictable situations,” Zheng Ren said as he glanced at the pathology basin.
Zhou Zhen’s expression darkened.
“You see…” Zheng Ren looked into Zhou Zhen’s eyes and asked.
“Sigh.” Zhou Zhen sighed, and two streams of turbid tears flowed down unconsciously. “Then let’s pass one test after another.”
“In a while, the people from the General Surgery Department will come out to sign the papers. Sister Lin, please take care of this for me,” Zheng Ren said. “Then I’ll go back to the ICU. If there are no major complications after the surgery, I’ll probably be able to transfer her out in three to five days.”
Zheng Ren still wanted to persuade him, but after a moment of hesitation, he turned around and left.
There was something wrong with this young patient’s mind. He did not know if it was because her family was too pampered, or if it was because of other reasons.
Zheng Ren did not have the mood to gossip. Several diseases were mixed together. If he performed a combined pancreatoduodenectomy under the condition of hemorrhagic shock, the small patient’s body would definitely not be able to withstand it.
He could only do this. He was not a god.
Zheng Ren’s mood was a little strange. He carried the pathology basin and returned to the operating theater.
Chairman Jiang asked, “Chief Zheng, how did it go?”
“The family refuses to perform the pancreatoduodenectomy. Get someone to go out and find the family members to sign it. I’m familiar with Sister Lin Jiaojiao outside. Go find her,” Zheng Ren said.
“Okay.” Chairman Jiang then asked his junior doctor to go out and find the family members of the patient to sign it.
Zheng Ren washed his hands, changed his clothes, and returned to the stage.
The external injuries were almost done. All kinds of wounds had been treated and there was no more bleeding.
Zheng Ren looked at the patient’s duodenal bulb and sighed. If not for these things, the patient should have no problem with surgery.
It was a pity that she was so young.
To use such a strange method to commit suicide… What was this girl thinking? Was being alive not good enough?
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.
