I run a clinic in the United States

Chapter 187 There is no shortage of adventurous and radical people

Can it really be done?

President Deriba is suspicious. He knows the level of medical conditions in his country, and it is inevitable to worry.

If it is other chronic diseases, if he has money, he can send his family to top hospitals in Europe or the United States for treatment. However, isn't it an emergency now?The journey is too far, and I will probably die before reaching it.

Thinking of this, President Deriba looked at the president and the director of the emergency department of that hospital and asked: "If we invite experts from Europe and the United States to come over now to perform knife surgery, will it be possible in time?"

The dean looked at the director of the emergency department.

The director of the emergency department shook his head and said, "I'm afraid I won't be able to hold on."

Immediately, he vowed: "Don't worry, President, although the injury is serious and the rescue is very difficult, two experts in our hospital have gone to the United States for further training. They said they are very confident in this emergency rescue operation! Please believe it." Give them a chance!"

The director of the emergency department thought, give me a chance.

"Hope it goes well, you go and do your work!" President Deriba waved his hand.

"Please rest assured that we will do our best and do our best!"

Immediately, these people left. At the same time, the rescue work was already in full swing, starting before President Deriba arrived.The two doctors responsible for the rescue were the 38-year-old senior attending physician Gemechu and the 31-year-old senior attending physician Ferek who had gone to the United States for further training.

Their family conditions were already very good. They belonged to the upper class in Suesokeng, so they had the opportunity to go to the United States for further study. After returning, they served as the backbone of the hospital.

When the little princess Bekele was sent to the emergency department, the medical staff measured her blood pressure and it was 79/40mmHg. They immediately gave her rapid fluid replenishment and anti-shock treatment. They then placed a urinary catheter to drain out a small amount of clear urine and performed an abdominal puncture to draw out non-coagulable blood.

Physical examination: Still conscious, but pale, limbs clammy, high bulge in the abdomen, no intestinal shape and peristaltic waves, obvious tenderness and rebound tenderness in the whole abdomen, especially severe in the mid-abdomen, liver and spleen under the costal margins Palpable, shifting dullness was positive, but bowel sounds were not heard.

Emergency examination hemoglobin: 74g/L, hematocrit: 23%.

But not long after, before the test results came out, the patient's blood pressure dropped to 58/36mmHg, his consciousness began to blur, and soon he passed out.

After a brief discussion, Gemechu and Ferek made the diagnosis of "abdominal organ rupture and hemorrhagic shock."

Urgent laparotomy is needed!
The best operating room in this hospital is surrounded by more than a dozen medical staff. Gemechu is the surgeon, Ferek is the assistant, and there are also people from other departments, such as general surgery, cardiothoracic surgery, anesthesiology and many other departments. Medical staff cooperate.

After laparotomy, exploration revealed that there were about 2000 ml of non-coagulable blood in the patient's abdominal cavity; the size and texture of the liver were normal; the body of the gallbladder was severely bruised and there was no active bleeding.

The lower section of the common bile duct is severed and bile leaks out.

The gastroduodenal artery was ruptured, and active bleeding was visible. A breach was seen in the portal vein, approximately 3cm × 2cm, and active bleeding was visible.

The rupture opening in the gastric antrum and duodenal bulb is 4cm × 3cm, and active bleeding can be seen; the head and neck of the pancreas and the descending part of the duodenum are severely bruised, and most of the head and neck of the pancreas is severed. Local contusions are severe and active bleeding can be seen. Bleeding; multiple contusions were seen in the mesentery of the small intestine, no rupture and bleeding, and no rupture in the small intestine or colon.

The injuries were shocking, involving damage to multiple organs, including the gastric antrum, duodenum, pancreas, common bile duct, portal vein and gastroduodenal artery.

Gemechu and Ferek looked at each other, and they both saw the horror in each other's eyes.

Gemechu said solemnly: "We may not be able to save such a serious injury, so why don't we inform the director and dean as soon as possible so that they can be mentally prepared."

After being frightened, Ferek's eyes quickly showed surprise and he said, "This kind of injury is very suitable for pancreaticoduodenectomy!"

"I know it too!" Gemechu frowned and pondered for a moment, "But this operation is too difficult. It is known as one of the largest and most difficult operations in general surgery..."

It’s one thing to know what surgery to do, but whether to do it or not is another thing entirely!
Ferek said proudly: "Let me do it! I have participated in two such surgeries when I was studying in the United States, and I already know the process very well!"

At this time, a doctor in the operating room came over and asked: "The director is waiting outside anxiously. He said that the president is coming soon. How sure are we about this operation?"

Gemechu: "..."

Before he could think of how to answer, Ferek immediately shouted loudly: "Tell the director that we are very confident!"

Gemechu: "..." His heart skipped a beat, his teeth gritted, and he said, "I have confidence too!"

The main thing is that one of Ferek's sisters is his lover. Since Ferek wants to challenge, he can't abandon his teammates easily and can only try his best to cooperate.Otherwise, if the brother-in-law-to-be goes out and tells his sister, he won’t be able to eat and will have to walk around!
Maybe, I won't be able to enter the room for a week.

"Gemechu, I will remember your kindness! Well, I will definitely tell my sister!" Ferek smiled slightly and motioned for the two of them to change positions.

Later, it became Ferek as the chief surgeon, with Gemechu as his assistant.

The other medical staff respected these two people and the injuries were urgent, so they didn't say anything.

Anyway, everyone deserves credit for the success. Without our close cooperation, how could you have done it well?
If it fails, hey, that must be the responsibility of the surgeon!If the operation fails, what does it have to do with our cooperating staff?

Outside, the director of the emergency department thought the same way, as long as someone was willing to take the blame, so he and the director went to report to the president.

Surgery, officially started!
General surgery is the broadest category of surgery, with many subspecialties including breast, gastrointestinal, bile and pancreatic, liver, spleen, and blood vessels. When it comes to difficult surgeries in general surgery, the duodenum is basically inescapable.

The duodenum is connected to the stomach above and leads to the intestines below. The bile duct, pancreatic duct and hepatic duct are all around it. These ducts carry large weapons for digesting food. Once leaked, the patient's life will be in danger.

Among them, the most representative pancreaticoduodenectomy represents the peak of general surgery and even the entire surgical anastomosis technology.

This operation was previously performed by Zhou Qiao when he performed radical pancreatic cancer surgery on Jessica’s mother, Mrs. Clark. Compared with ordinary pancreaticoduodenectomy, tumor resection is undoubtedly more difficult!

At that time, Mrs. Clark's physical examination revealed lesions in her lungs. Later, further examination revealed deeply hidden pancreatic cancer.Fortunately, it was discovered early. During the early stage of chemotherapy, the lung lesions disappeared, the pancreatic cancer itself shrank, and the CEA, CA125, and CA19-9 indicators all dropped significantly. In addition, Zhou Qiao's pancreatic cancer resection surgery was at the peak of his master's degree, as well as the later stage. After consolidating chemotherapy, the condition will be effectively controlled in the end. Regular review will be carried out in the future. Once there are signs, they will be nipped in the bud.As long as it lasts for 5 years, it's basically not a big problem.However, Zhou Qiao's success does not mean that the operation is simple, nor does it mean that pancreatic cancer is easy to treat.

The 5-year survival rate is a statistical probability indicator.It is different for each patient.

Pancreaticoduodenectomy is a very complicated operation with many steps and high difficulty.The surgeon needs to reconnect the various pipelines of the digestive system to the new intestine. Leakage in any place is fatal.

Ferek is a bold and adventurous doctor. He secretly thought to himself that he had always wanted to perform this operation, but never had the chance. Unexpectedly, when he returned to Africa, he had a turning point!
Haha, I’m probably the only one in Suesokeng who knows how to do it.Not even cheap brother-in-law Gemechu.Lord, you finally opened your eyes and gave me this opportunity. I will definitely seize it!
Ferek felt that the opportunity for his rapid rise and promotion had come!As long as the little princess saves the President, she will walk sideways in Suesokeng in the future?
Of course, he also knew the difficulty of this operation, so he did not take it lightly, but started the operation very seriously and cautiously.

He recalled the manner in which those experts and professors performed surgeries when he was studying in the United States, so he began to imitate them, paying attention to every move. It must be said that the imitation was quite similar. Gemechu glanced at his cheap brother-in-law. , I thought to myself, my brother-in-law can do it, this posture does look like an expert.I couldn’t help but feel a lot more confident!

The operation went smoothly. The gastroduodenal artery was sutured, the portal vein breach was sutured with 5-0 non-injurious suture, the cystic duct and cystic artery were separated and ligated, and the gallbladder was removed.

The greater omentum and hepatogastric ligament were separated, and the gastric body was cut off at the gastric antrum.

The ligament of Koch is freed, the descending, horizontal and ascending parts of the duodenum are separated, the head and neck of the pancreas and the uncinate process are freed in front of the superior mesenteric vein, the broken tissue is removed, the bleeding point is sutured, and the head of the pancreas and duodenum are removed. Entire section.

After flushing the abdominal cavity and tight hemostasis, the Treiz ligament is freed, the jejunum is led from the back of the colon to the upper colon area, and about 5cm of the proximal jejunum is resected...

Because it was an open surgery, the level of difficulty was lower than the laparoscopic surgery Zhou Qiao had done before.

……

However, Ferek did not really realize the difficulty and workload of this operation. He was full of confidence and energy at the beginning, but he was so tired while doing it!

Later, I didn't even have the strength to speak, so I clenched my teeth to support myself. With a breath of air and a dry mouth, I finally completed the operation successfully!

"Gemechu, call my sister later, we should go and celebrate!"

Ferek breathed a sigh of relief and felt that the future was bright.Even some of my colleagues who usually disliked me now also like me.

Gemechu was more cautious and said: "Although the operation went well, it is too difficult and requires high details. In many cases, we still have to look at the prognosis. If the prognosis is not good..."

"Damn you, stop talking nonsense!" Ferek cursed, but soon smiled, pointed at Gemechu and said loudly, "You don't have to be jealous of me, I'm not boasting, I'm really confident about this operation. . As you saw just now, I do it very smoothly most of the time."

Gemechu thought to himself, No, I think you couldn't bear it later.However, he also knew the nature of his brother-in-law, so he stopped talking and just prayed secretly in his heart.

In the end, Ferek took Gemechu and his sister to the tavern for a good indulgence.Ferek also found a little girl in front of his sister, held her in his arms, and indulged in sexual pleasure.

Gemechu also tried to dissuade him, saying: "The patient is not out of danger yet. Don't drink too much. You have to be on call in the hospital at any time!"

Ferek hugged the little girl and drank heavily, laughing loudly: "Don't worry, there will be no problem with the operation. I am quite confident. Besides, my home is right next to the hospital. If there is any situation at any time, I can go there for support at any time!"

His sister also helped him, blaming Gemechu for being so cautious and acting like a timid turtle all his life. A man should be as high-spirited as my brother!
Gemechu: "..."

In the end, it’s hard to say anything.I just felt that I should stay away from Ferek in the future, but after looking at the beauty next to me, I felt a little reluctant to let go.

After listening to the report from the director of the emergency department, President Deriba felt calm after learning that the operation went smoothly.

After Luo Ya heard about this, she brought gifts and, accompanied by Zhou Qiao, went to the hospital to visit Bekele. However, Bekele was in the intensive care unit and they could not go in, so they had to give the gift to a staff member.

President Deriba expressed his gratitude.After all, Loya has now become a congressman, and her weight in the president's heart is different from before.From his perspective and experience, it would not be surprising for Loya to become a governor or a member of Congress in the future based on her own strength.

After coming out, Luo Ya joked, saying it was a pity not to know this information earlier.Otherwise, Zhou Qiao would definitely be able to do better if he took action.

Zhou Qiao shrugged: "The doctors here have taken over, and they also expressed their confidence. Even if I want to do it, they may not give me a chance."

"That's true." Luo Ya squeezed Zhou Qiao's hand and asked, "If it were up to you to do it, how sure are you?"

Zhou Qiao said calmly: "That must be no problem."

"What about them?" Luo Ya blinked and asked in a low voice.

Zhou Qiao shook his head slightly and said: "This operation is quite difficult. I don't think the doctors here can do it well."

"You mean..." Luo Ya's eyes lit up.

Zhou Qiao said softly: "I also sincerely hope that Bekele can recover as soon as possible and there will be no further problems."

It's a pity... Zhou Qiao sighed softly. It's not that he is proud, but that in a place like Suesokeng, can anyone really do such a difficult surgery well?

If he were in a large hospital in China, Europe and the United States, he would never have such an idea. However, in Suesokeng, he is really worried!

Luo Ya understood the situation, and after getting in the car, she immediately told Yaqi to stay here and pay close attention, and notify them immediately if there was anything unusual.

That night, at around nine o'clock, President Deriba was not feeling well!Because, the hospital called and said that his daughter's condition had taken a turn for the worse!

"Bastard, bastard! These bastards deserve to die! Didn't you say before that the operation went smoothly and you were very confident?" President Deriba and his wife immediately jumped out of bed in shock. They didn't even have time to put on their clothes and rushed to the hospital.

President Deriba cursed and issued an order. He wanted to mobilize the guards and arrest those bastards who dared to deceive him immediately!
His wife was crying even more.

Ferek, who was hugging the little girl and immersed in the tenderness, was horrified to find that the door to his home was blown open. Immediately afterwards, a group of guards rushed in, broke into the bedroom, and pushed him to the ground. !
The little girl was so frightened that she rolled out of bed and squatted on the ground, holding her head and trembling.

(End of this chapter)