Chapter 1228 The Intervening Doctors Are All Born in Video

"The patient has black stools now, and the report comes out, and the stools are positive for occult blood." Zhu Liangchen added after "reporting" his medical history.

This is the result reported by his deputy director just now. There is nothing to hesitate. The diagnosis is very clear. The patient has lower gastrointestinal bleeding.

Postoperative occult blood positive, there are numerous considerations. However, after the intervention, it is not a liver intervention. The patients themselves have problems with splenomegaly, liver cirrhosis, and varicose veins in the fundus of the stomach, and positive occult blood in the stool is too rare.

If he can't find the problem, Zhu Liangchen feels that he can't sleep.

Zheng Ren was not as polite as he was when he entered the room. He was watching the film while listening to Zhu Liangchen talk about the treatment.

Habitually, Zheng Ren held his cheek with his right hand and put his left hand under his right armpit, his eyes narrowed.

After Zhu Liangchen reported his medical history, he also looked at the film.

This is not the latest film, will Boss Zheng directly say no, so he should go back and make another film? But what to do to find out? Gastroenteroscopy?

Zhu Liangchen thought about countless possibilities in his heart. Fortunately, he reported to him at home that the patient's condition was stable and the blood in the stool did not worsen, which made him feel relieved.

After ten minutes, Zheng Rencai said, "The CT scan is not very clear."

Zhu Liangchen felt a chill in his heart, this is Tai Chi Kungfu, and a procrastination can be done by an experienced doctor.

Does Boss Zheng not know either, or is he perfunctory?

But as soon as the thought in his mind started, Zheng Ren continued to speak.

"But the ulcer surface at the pylorus has already shown."

"..." Zhu Liangchen and Director Kong frowned.

CT can not see hollow organs, such as the stomach. If there is a huge solid tumor, CT can also see it, but the patient is not a tumor.

"Director Zhu, I don't know if you paid attention. The patient's stomach wall is dilated." Zheng Ren continued.

"Noted, I think it is caused by embolization of some arteries, insufficient blood supply, and slow gastric emptying." Zhu Liangchen said immediately.

Zheng Ren shook his head and said, "The problem is indeed that gastric emptying is slowing down. After the operation, the doctor ordered me to see it."

This is one sentence in the east and one sentence in the west, but Zhu Liangchen did not argue, but took out his mobile phone and called out the doctor's order for the photo.

Asking for help requires an attitude of asking for help. Besides, when Dr. Mehar just watched the film, the scene of a row of foreign experts leaning against the wall completely shocked Zhu Liangchen.

He had no other thoughts, and knelt down very thoroughly.

After Zheng Ren read it, he had a comprehensive treatment plan in his heart. He paused and said, "Director Zhu, go back and check a gastroscope, remember to take a biopsy."

"Biopsy?" Zhu Liangchen was stunned. Did he encounter a rare malignant tumor? I can't, I've watched the movie so many times, but I can't see it.

Zheng Ren just said to himself, the rhythm was a little slow, he didn't expect Zhu Liangchen to think so many things at this moment.

"Biopsy tissue, do bacterial culture." Zheng Ren said.

"Bacterial culture? What do you suspect?" Zhu Liangchen wanted to ask, Helicobacter pylori? Isn't that nonsense.

"Are you familiar with the laboratory?" Zheng Ren asked suddenly.

Even Su Yun felt that his boss was so elusive. Did he expand into outer space after communicating with Dr. Mayhal?

"good."

"Director Zhu, you personally greeted acquaintances in the laboratory when you sent the specimens. It's not an ordinary bacterial culture. It depends on whether there is Stomachcoccus." Zheng Ren said.

"..." Zhu Liangchen was speechless.

"..." Director Kong was also speechless.

Only Su Yun raised his eyebrows lightly, as if thinking of something.

"Boss Zheng, what is that?" Zhu Liangchen really didn't know whether Boss Zheng was embarrassing himself or what was really going on. He came here today to beg for guilt, and Boss Zheng greeted him with a smile, which was already a special way to save face. So he could only ask in a low voice, not daring to say anything else.

"Stomachcoccus gastrocnemius often consists of eight bacterial cells regularly stacked together in the form of a cube. It is a micro-aerobic bacteria that can be easily isolated from the soil, and can also be found in the stomach contents of patients with gastric diseases. "

Zheng Ren pointed to a section of uneven density on the film and said, "Here, I think it is a pyloric ulcer, and the area of ​​the ulcer surface is not too small."

"The growth of S. stomachica in the human stomach causes certain pathological changes, such as pyloric ulcers and pyloric stenosis, etc., resulting in the slow flow of food into the intestinal tract. In this abnormal condition, the stomach is in an acidic condition, and the food Contains carbohydrates and other nutrients for growth, prompting the rapid proliferation of S. stomach."

Zhu Liangchen was stunned, and asked in a trance, "Then what?"

Zheng Ren was also a little surprised, looking sideways at Zhu Liangchen, as if he saw something incomprehensible.

"Boss, the doctors involved are all from videography." Su Yun reminded in a low voice.

"Oh." Zheng Ren was stunned.

Director Kong and Zhu Liangchen seemed to be slapped a few times in the face, they really wanted to hit Su Yun on the ground.

Isn't it a doctor from a video background?

"Professor Goodsir first discovered S. gastrocnemius in a patient's stomach in 1842. In 1872, Professor Ferrier also found its presence in the patient's blood and believed that its presence in the blood was related to the delay in gastric emptying." Zheng Jen then explained.

"It's normal that Director Zhu doesn't know. The department with the most common sarcinus in clinical practice is general surgery, and even gastroenterology is not very common."

"General Surgery? Why?" Director Kong asked.

"Because of the previous gastric band surgery, the possibility of gastric sarcinus appearing after surgery is generally quite high." Zheng Ren smiled, "That's why I said the paper from the Johns Hopkins Hospital. , is debatable, and that's why."

"In that paper, it did not mention how to prevent and treat S. stomachica after surgery, nor did it mention any complications, but only said that the long-term effect was better."

"I wanted to wait for Dr. Mayhal to think about it after he left, but Director Zhu started it first." Zheng Ren said it very seriously, anyway, he couldn't hear the mockery in his tone, and Zhu Liangchen was upset for a while.

I really want to have an attack, but I feel suffocated if I don't have an attack. Especially seeing Zheng Ren's simple and honest face made him even more helpless. Zheng Ren was not deliberately mocking himself, and Zhu Liangchen knew that.

But the more he did this, the more stupid he seemed to have done before.

Director Kong smiled bitterly. It turned out to be a common complication after gastric banding surgery. No wonder that guy Su Yun reminded Boss Zheng that all those involved in the intervention were born in imaging.

I have never had gastric banding surgery, so who knows what kind of bullshit S. stomach.

Thinking about it, Director Kong couldn't help but want to scold his mother.

This is simply an insult to the interventional doctor, but... people are right, what can I do?

Director Kong sighed.