The road to the rise of great doctors

Chapter 131 Don’t look at fools
The man saw the onlookers pointing and pointing, and although he couldn't hear what was being said, he guessed that it was definitely not a good thing.So, I was annoyed, and ran out without saying a word, regardless of my wife and children, "It's all their fault, I'll go to another hospital for consultation, and I'll just let it go without them."

His wife still had a calm face. She didn't know if she was suffering from postpartum depression, but she didn't have much expression.

She glanced at the child, picked up the mobile phone next to her, and called the child's grandfather and grandmother, "Dad, Mom, come back quickly. The baby is a little uncomfortable and may need surgery, but his father and the doctor We had a fight and ran out." Tears fell down as he spoke, and he cried, "I just gave birth to a baby, and I'm still feeling a little uncomfortable. Come back quickly, woo woo woo."

The child's grandfather, grandmother, and the two of them are not locals, but the whole family has moved here for more than ten years.Two years ago, I bought a house nearby and settled down.Because it is the closest to here, and because of the scale and reputation of this hospital, I chose this place for my birth checkup and childbirth.

The children's grandfather and grandmother had just left in the morning and went back to cook for them and bring them over at noon. Who would have expected that so many things would happen after they left.

Not to mention how quickly the two old men who received the call returned.Continue back to Deputy Chief Physician Zhang Wei.

Zhang Wei, who returned to the ward, met Liu Dong and others in the office and vividly recounted what he had experienced in the obstetrics department.

"Hi, when I looked at the medical records, I found that the man was from the same county as me. Who knew there was such a person? I have to ask if anyone knows them. He looks so much younger than me. How old are you, but this behavior is not very manly."

"I hope he will be wiser and visit a few hospital outpatient clinics to realize the dangers of this disease and that it requires emergency surgery!"

Zhao Gang nodded frequently when he heard this and said: "Mr. Zhang, you are right. Besides, he is hospitalized here and met us. He is lucky. He will know when he goes out and asks about these hospitals in our province. Every one counts, who doesn’t know that what we do here is the best in the surgeries performed by primary surgeons? Don’t be angry!”

Liu Dong also comforted him: "Yes, Teacher Zhang. That man is not sensible, but other doctors are sensible. As long as they ask, they will know that children born here, diagnosed here, and emergency cases are recommended Surgery. As a result, the child’s father refused to agree to the surgery, and even after asking, he complained and complained everywhere. Who would be taken advantage of and take the initiative to provoke such a person who may cause trouble!"

"However, the child is still sick after all, so we still have to make preparations to prevent that person from causing trouble when he comes back, and to provide him with a reason if there is a delay."

Zhang Wei also agreed very much after hearing what the two said.He said, "On the way back, I called the on-duty phone number of the operating room and the anesthesia department. I told them the situation and estimated time, so I reserved the operating room. But you reminded me, I I was so angry that I almost forgot that this person is a potential troublemaker and should not be taken lightly.”

As the saying goes, "strategically despise the enemy, and tactically pay attention to the enemy." If we want to fight, we must fight a well-prepared war.I will call the medical office right away and ask them to send someone over to talk to the patients who are at high risk of causing trouble. They will videotape and sign when necessary.

There are many pathological types of congenital anorectal malformation, and the clinical manifestations vary according to the types.The vast majority of children with anorectal malformations will be discovered soon after birth. Especially if the baby does not pass meconium 24 hours after birth, the possibility of anorectal malformation should be considered, and the perineum should be checked in time to see if there is an anus or abnormality. of fistula.

This is the case for this child. He did not pass meconium within 1 day after birth, and then the examination revealed anal atresia.

Others are not detected early, and manifest as vomiting after feeding. The vomit contains bile or even fecal matter, the belly is bulging, the abdominal distension gradually worsens, and the child cries non-stop.If this disease is not diagnosed and treated in time, death may occur within 1 week.

This child's condition was diagnosed in a timely manner, and he was repeatedly advised to require timely surgical treatment.But meeting such a father can be regarded as the first obstacle encountered after birth. It is a bad luck.

Liu Dong continued to ask: "Teacher Zhang, what type of child does this have?"

Zhang Wei did not hesitate and answered directly: "It should be a low deformity. Although there is no anus, there is a depression at the position of the normal anus, and the anal canal is completely blocked by a diaphragm. When the child cries, the diaphragm is obviously outward. Bulky performance."

"When I was writing the consultation opinion just now, I also suggested to the doctor in charge of the bed. Although the child's father ran away, the examination and preparations that the child should do were still to be done. When I was about to arrive at the ward, I asked about it. , saying that the child’s grandparents would come to the hospital immediately.”

"Because the child is relatively young, the younger the child, the weaker his ability to bear, and the child's father still has such an attitude, so we must be highly vigilant. The treatment plan we make must put the child's life safety first and ensure the safety of the child." First, we don’t seek merit but seek no fault. Therefore, although one-stage surgery can solve the problem to the greatest extent, there are problems such as long operation time and large surgical trauma, so we will not consider it for the time being. We still choose the safest treatment method, staged surgery Surgery is needed to deal with this disease. This time, colostomy is performed first to resolve the life-threatening situation first! After 3-6 months, when the pelvic structure matures, normal anatomical landmarks will be easily recognized, and the child's surgical tolerance will increase. Afterwards, radical surgical treatment is performed.”

Zhao Gang listened and said yes repeatedly, "Teacher Zhang is indeed a role model for us, and he is considerate. This way of handling cannot be exaggerated, it can be called a template. Moreover, from the consultation opinions, the diagnosis time, treatment recommendation time, and The preparations and plans we have made now can withstand scrutiny. Unlike those of us who are filled with righteous indignation, while learning knowledge from Teacher Zhang, we also learned how to do things. Liu Dong, you have made a profit."

Listening to Zhao Gang's obvious flattery, Liu Dong smiled slightly and said, "That's not true. When I first entered the clinic, I started to learn emergency surgery from Teacher Zhang. When I came to the General Surgery Department, it was only thanks to Teacher Zhang's roll call that I came this group"

"Well, I almost forgot about this. Forget about Versailles. I'll order a meal first. I don't know when I'll come back and agree to do the surgery."

"Okay, you go ahead and place the order. When you're done, tell me and I'll transfer the money to you as a treat. We're not on the same level as that person. Don't be fools. Solving the disease problem is the most fundamental thing."

Zhang Wei said to Liu Dong, "Xiao Liu, this operation is also a very common operation. You will take a good look at it later. No matter which department you do in the future, intestinal treatment is also a common situation. As the saying goes, 'it is not difficult for those who know it. Difficult people don't know how to do it, and doing a good internship is never a bad thing."

After saying that, Zhang Wei turned around and left without any hesitation.

"If you come to the hospital with a hospitalization slip, give me a call."

(End of this chapter)