1842 Two esophagus grown
“What’s there to hesitate about? I’ll finish the next shelf.” Su Yun said after looking at the x – ray.
Zheng Ren nodded in agreement with Su Yun’s words.
In this case, if the patient was not implanted with an esophageal stent, the patient would soon die within one to two weeks due to multiple organ failures due to the inability to eat.
The reason why it was uncertain was that when one was on the verge of death, everyone could survive for a different amount of time.
If an esophageal stent was placed, it would either be successful, allow one to eat, and not starve to death. The other option was to fail, and the heart would stop beating, and the patient would die on the operating table.
Of course, this was only the logic of diagnosis and treatment. When it came to life and death, it was a major matter. Very few people could calmly judge it according to logic.
If the patient died slowly without any treatment, the family members might just accept it. This was an illness, this was life.
However, if the patient were to die on the operating table due to an unexpected situation during a risky surgery, the doctor would have to bear the responsibility. Department Director Miao …
This was part of the medical risk.
“Old Liu, who’s there?” Zheng Ren asked.
“Boss Zheng, the patient’s son is a doctor in our hospital.” “I heard you’ve met him before,” Liu Zewei said.
“What?” Zheng Ren was stunned.
“There was a time when we encountered a patient with aortic dissection on the plane. Do you remember?” Liu Zewei asked.
“I remember.” This was the only time he had experienced this, so of course, Zheng Ren would not forget. Moreover, when they left Haicheng, cui Heming’s people had come to help Xie Yiren on her birthday.
“The person who gave you the blood pressure medicine and the blood pressure monitor on the plane is Xia Hua. He’s the patient’s son.”
“Oh, it’s that old man.” Zheng Ren had completely forgotten about Xia Hua. He only remembered that he had met an old man with late – Stage lung cancer when he had boarded the plane that day.
“The chances of lung cancer with esophageal cancer are not high.” Su Yun said,”but at a time like this, we can try to perform an operation.” It’d be best if he’s a doctor from your family. We’re one of you, so you can make it clear. “
Liu Zewei smiled but didn’t say anything.
Zheng Ren felt that there was nothing good about the film. He caught a glimpse of Liu Zewei’s smile and was stunned for a moment. Then, he asked,””What does old Gao mean? You’re looking for me for surgery?”
“Yes.” Liu Zewei nodded.”Director Gao would like to invite you to perform a freelance surgery to remove an esophageal stent.”
The operation was not a major one, so Zheng Ren was not interested.
“Boss Zheng, director Gao wants to see if we can do double interventional therapy.” Liu Zewei asked.
Dual interventional surgery referred to the use of a lower stent inside the esophagus along with interventional embolism surgery.
While restoring the unobstructed esophagus, he also had a certain level of control over the esophageal tumor.
“I can.” Zheng Ren had already thought of this possibility, so he said without hesitation,””But old Gao can do it too, right?”
“One of them might involve the spinal blood supply artery, so director Gao did not dare to touch it.” “If he’s the one who’s going to do it, it’ll probably just be a simple esophageal stent,” Liu Zewei said.
After explaining the situation, Liu Zewei smiled.”Boss Zheng, I think old Gao wants you to go over and ask about his surgery while you’re there.”
Zheng Ren smiled faintly.
Old Gao also wanted to come to the capital at that time, but he had something to do at home and couldn’t let go. Go back? Should he visit old Department Director pan while he was at it?
When Zheng Ren thought of Department Director pan, he had an idea.
The surgery in front of him was not difficult, and there should not be any problems if he performed it carefully. If he was worried, he could have performed an interventional embolism surgery first, and after the tumor passed the stage of necrosis, congestion, and edema, he could then perform a second stage stent surgery.
To Zheng Ren, none of this was a problem.
“Okay, then you can tell old Gao.” “If he discussed with Xia Hua, he’ll be fine as long as he can bear the risk of the surgery,” Zheng Ren said.
“Alright,” he said. Liu Zewei said cleanly. Then, he touched his head with one hand and held his phone with the other, ready to call Gao Shaojie.
“Old Liu, I’m so tired just watching you Pat my head every day.” “By the way,” Su Yun said,”are you envious of your floor?”
“Ah?” Liu Zewei didn’t understand.
“The hair on the floor is more than the hair on the head.” Su Yun chuckled.
“…” Liu Zewei smiled bitterly.
This Brother Yun had a completely different style from boss Zheng. He would seize every opportunity to talk about his baldness, and he had long been used to it.
[They said to quickly write a love song …]
Zheng Ren took a glance and saw that it was Department Director Kong.
“Chief.”
“I’m here, please wait a moment. “
With that, Zheng Ren hung up the phone.
“What is it?” Su Yun asked.
“He said he has a patient for me to take a look.” Zheng Ren said.
Su Yun was curious. She followed Zheng Ren and the two of them arrived at Department Director Kong’s office.
He knocked on the door and went in. Department Director Kong was looking at an x – ray.
“Boss Zheng, come and take a look.” Department Director Kong said.
Zheng Ren took a glance at it and saw that it was an x – ray film of the digestive tract. There seemed to be something wrong with it, so he immediately went over.
The angiography results showed that the esophageal mucous membrane was not smooth, the upper T4 vertebral body was horizontally localized narrow, the upper section expanded, and the lower section of the esophagus was filled and damaged in a line.
After swallowing the barium, the barium was divided into two parts in the middle and lower part of the esophagus and flowed to the bottom of the stomach. On the right side of the esophagus, there was a small tube – shaped film of honestly – colored honestly – colored film. It twisted and turned from the bottom to the top before it finally flowed into the small opening and entered the human esophagus.
“Eh? Double esophagus deformity?” Zheng Ren’s interest was piqued.
“Yes.” Department Director Kong said,”the books say that the probability is one in ten thousand, but I think the incidence of this disease is at least one in a million. I’ve only seen six cases in my life, and this is the seventh case.”
“Do you want to receive surgery?” Su Yun rubbed her hands together.
“The people from the cardiothoracic Department asked me for a consultation, meaning that they want to find someone to cover their backs.” “If it’s missed, we’ll have to go and get the stent done,” Department Director Kong said with a smile.
“The surgery isn’t difficult.” As Zheng Ren spoke, he picked up the chest CT scan at the side and looked at it.
The chest CT scan showed a slender tubular structure in the esophagus. The degree of strengthening was similar to the wall of the esophagus. The upper level of the T2 vertebral body shared the same wall with the esophagus, and the lower part near the heart.
It was a very typical image of a double esophagus deformity.
“When is the surgery?” Zheng Ren asked.
“He said it’s tomorrow.” “Boss Zheng, if you have the time, would you like to go up and take a look?” Department Director Kong said with a smile.
Zheng Ren was the most suitable person for this illness. He could perform both surgeries in the cardiothoracic Department and the interventional services Department. During the surgery, they would make judgments on whether there was any risk of an esophageal suture and whether they needed to put down a stent during the surgery.
“Fang Lin, are you doing it?” Su Yun laughed.
“Professor Li’s patient. I wonder if Fang Lin will be attending.”
“Yes, I’ll call professor li. Tomorrow, the surgery will be performed in the hybrid operating room.” Zheng Ren replied,”it’ll probably be a little late. I saw Fugui ‘er and the rest finish the TIPS surgery.”
Zheng Ren was cautious. He wanted to see professor Rudolph Wagner finish the surgery, so director Kong naturally would not say anything.