After raising a cat, the goddess doctor became popular in the interstellar

Chapter 547 Challenge the Authority
The child was only five years old, and he was conscious, his brows were tightly furrowed, showing pain, and he couldn't speak a word.

This is a bit different from what we have learned before.

Following the car was his mother, a very young Tibetan woman. Although there was a little anxiety in her expression, more of it was her trust in the doctor.

Through simple communication, everyone can understand that she didn't see the process of the child swallowing the foreign object, and she didn't know whether it was a nail or not.

But the reason why the county hospital reported it in this way is naturally based on its basis.

They took CT films and brought them with them in the car.

CT prompts: metal foreign body in esophagus, located at level neck 5-thoracic 1 vertebral body.

This hint is very clear.Flat neck 5 is the most prominent part of the flat thyroid cartilage, which is where the Adam's apple is located.The T1 thoracic vertebrae are approximately 4 cm above the jugular notch.

The distance between the two is about 3 centimeters, which is similar to the length of an iron nail, so the county hospital made this guess.

Just guessing, not really sure.

Fortunately, except for the stuck foreign body, the child's indicators in all aspects are still stable for the time being, which gave everyone time for consultation and discussion.

In tonight's consultation, the emergency department, emergency surgery department, digestive endoscopy department and anesthesiology department all participated.

It was Director Kong himself who came down from the digestive endoscopy department.

He had already changed his clothes and was about to leave work, but after hearing about this, he felt a little uneasy. He had to see it with his own eyes.

He took the CT film and watched it for a long time, and passed it on to others to watch it one by one.

"It is difficult to see the shape of the foreign body from the CT film alone." He said, "What do you think?"

Ye Chen, as a representative of emergency surgery, immediately shook his head: "I can't see it. It doesn't look like an iron nail from the cross-section, and it neither pierced the esophagus nor fell into the stomach."

"Your analysis makes sense." Director Kong nodded, and his eyes fell on Tao Le who was standing aside.

He had noticed this little girl just now, and she spoke Tibetan fluently, which was completely different from someone like him who was leaning on a Bluetooth headset.

There are too many new things in the courtyard recently, and an old man like him can't cope with it, so he hasn't spared time to experience some virtual teaching, so naturally he doesn't recognize Tao Le's identity.

Even so, seeing that she was so young and had a resident doctor's name tag, most likely a local doctor—his habit of being a good teacher came back again.

There is no way, passing on, helping, and leading are the most important tasks of this aid to Tibet.

Not only is it necessary to do a good job in the treatment service at the right time, but more importantly, what is left after the person leaves.

In this kind of situation, Kong Qingmin has never been left behind.

"Let's talk about it." Director Kong pointed to Tao Ledao, with the meaning of school examination in his tone.

"I agree with the opinion of the director and Mr. Ye." Tao Le replied calmly: "I have a suggestion, since the shape of the object cannot be seen clearly on the plain CT scan, then take the chest plain film directly."

"That's right." Director Kong nodded with satisfaction: "Image detection is just a means, and the choice depends more on where it is used. CT is indeed clearer than plain films in many cases, but only plain films can be accurate. accurately reflect the general shape of the foreign body."

Soon the plain film was shot.The position of the foreign body is similar to that seen on CT, but the shape is quite different from the guess.

It's not an iron nail, but a ring-shaped metal piece, stuck right under the entrance of the esophagus.

It was this thing that tormented the child for more than [-] hours.

Judging from its size and location, it is still difficult to take it out by conventional means.

"To be on the safe side, let's do a surgical incision." Director Kong thought about it, but he wasn't sure.

"No problem." Ye Chen was born in gastrointestinal surgery, and he still has experience in this kind of surgery.

Today's operation conditions are quite good.Needless to say, the blood source was prepared in advance, and he also wanted to try the acupuncture and moxibustion control pulse hemostasis technique he had just learned.

What is even more unique is that Teacher Tao Letao is also there, so even if there is any problem, he can remedy it in time.

Seeing that the proposal for the operation was unanimously approved, and the discussion of the anesthesia plan was about to begin, Tao Le hurriedly spoke out.

"Wait a minute." Her voice was clear, and everyone's eyes were focused on her.

"I think you can try to take the object directly. If it doesn't work, let's do another operation."

When Director Kong heard this, he was both surprised and impatient.How many years has it been since his judgment and decision were interrupted and questioned?

The anesthetist in the emergency department was Le Zeng, the attending doctor of Beijing Second Hospital.He was sitting on top of Tao Le, and when he heard this, he quietly gave her a hand, and muttered in a very small voice:

"Teacher Tao, Director Kong is authoritative in this regard."

"I know." Tao Le said generously: "That's why I said I want to give it a try and let Director Kong see if it's feasible."

Kong Qingmin's good opinion of this young doctor has basically disappeared.He has always been generous with teaching his sensitive and studious disciples, but the premise is that the other party must understand the rules.

"Why can't I do it? I have a comprehensive thinking." He said with a sullen face, "I don't have time to explain to you one by one now. In the future, you can learn more and think more by yourself, and you will naturally understand."

"The main reason is that there is no endoscope for assistance?" Tao Le did not stop there, but continued to ask.

Kong Qingmin straightened his face and did not answer.He turned his head and asked Le Zeng, "Is there any problem with anesthesia?"

"The child is a little young. Consider using intravenous anesthesia. There should be no problem." Le Zeng replied quickly, and gave Tao Le a wink by the way.

It's a pity that not only did she not want to pick it up, but she stood up directly and said loudly:

"The position of the foreign body is not deep, and it can be taken out directly with intubation forceps. I can do it blindly without an endoscope."

Kong Qingmin felt a fire rushing straight up.

Blind fetch?who do you think You Are?I have done endoscopy for so many years, and I know the structure of the esophagus and stomach of the human body very well, so why don't I do blind extraction?
It's not because the metal piece stuck under the esophagus is actually a bit big, and blind access has a great possibility of pushing it deeper, scratching or even cutting the esophagus.

Instead of having surgery in the end, and even facing more serious problems - esophageal fistula, even suppurative mediastinitis and pleurisy, it is better to use this method for treatment now.

He was about to say something more when he heard Tao Le say, "I'll just try once. If it doesn't work once, I can use the director's plan for surgery, is that okay?"

Kong Qingmin suddenly felt unable to use his strength.

(End of this chapter)