Director Li Xiang has found a fairly good way of digestion that combines Chinese medicine and Western medicine. He is especially good at treating ulcers.
When she took off her white coat and put on a short-sleeved green scrub suit, Zhang Fan knew that this female doctor was a master of gastroscopy.
What is a gastroscope? With the development of science and technology, gastroscopes are getting thinner and easier to operate, but they remain the same. First there is a long tube with a camera at the end.
This camera can be rotated in all directions through the control panel in the doctor's hand. Just like a snake head, after entering the digestive tract, this lens can be controlled to observe the digestive tract in all directions.
The controller of gastroscopy is now much smaller. In the early years, the controller was like a steering wheel without a power booster. It was very heavy. A gastroscopy lasted about twenty minutes or even longer.
After years of operating gastroscopes, Dr. Li Xiang’s right arm that controls the direction controller is obviously much thicker than his left arm. If it is a male doctor, you may not be able to see it, but it is very obvious for a female doctor. The muscle stripes on the right arm are very clear.
"This Dr. Li is also a doctor who can perform liver surgery. I don't know how many gastroscopy procedures it takes to train this arm to become like this." Zhang Fan thought to himself.
"Director Li, how many gastroscopes have you performed?" Ren Li asked.
"Me? I guess I have 10,000 to 20,000 units. Haha, when I first entered the hospital, I stayed in the gastroscopy room." Director Li smiled very gently, and he didn't look like someone who was arguing with the dean at all. , probably because he was bullied, he started to resist.
"Come, open your mouth, face down and make swallowing movements, swallow, swallow." Following Dr. Li's voice, the gastroscope followed the mouth pads and entered the mouth, esophagus, and stomach. The uncle with gold teeth started to swallow the tube with tears and runny nose, swallowing the black tube.
The long tube has to go from the mouth to the stomach, and the discomfort is necessary. Today's gastroscopy is much slimmer, about the thickness of an ordinary chopstick.
In the early years, the gastroscopy was only called a thick one, which could produce a very strong sense of suffocation and hiccups that made you want to vomit but couldn't. This feels very bad. This is also the reason why patients who have had a gastroscopy are very reluctant to have a gastroscopy again.
How uncomfortable it is, in fact, it is very simple. With a big mouth, put your longest finger towards the esophagus, keep inserting it in without taking it out regardless of hiccups or not. This feeling is magnified ten times, which is what it feels like during a gastroscopy.
Uncle Goldtooth's gray beard was drooled with stringy drool. Although he was holding a tissue in his hand, he was so uncomfortable that he couldn't even bother to wipe the drool.
"There is an ulcer! Look, this is the stone in his stomach." As Director Li spoke, Zhang Fan and other doctors immediately stepped forward and stared at the monitor.
"Oh my god, what did you eat?" Another doctor said looking at the monitor.
"really big!"
At this time, the doctors also saw the stone in Uncle Gold Tooth's stomach on the monitor. The texture is black, and because of the mucus in the stomach, this round thing looks like mucus on the surface of a frog's body, which makes people uncomfortable to look at.
Vegetable leaves, carrot fragments, and noodles hang on this black texture. As the endoscope gets closer, the round things become clearer and clearer.
There were food residues hanging on the big balls, and in the gaps between the residues, there were black hair-like things growing out of them.
Because the foreign body was so big, it directly pressed on the pylorus of the stomach. As the hiccups occurred, the stomach fluctuated, and the round foreign body also kept rolling in the stomach of Uncle Gold Tooth.
The black fluffy object kept irritating the gastric mucosa, rolling back and forth in the golden-toothed uncle's stomach like a child's head.
"Ugh!" A pregnant female doctor almost vomited in the gastroscopy room. Because she was a pregnant woman, Ouyang who was standing aside did not criticize, "Get out quickly and stop looking!"
"Director Li, is this gastrolithiasis?" This is the first time Zhang Fan has encountered this disease. Although it is the first time he has encountered it, he still knows how to treat it.
"Yes! It's gastrolithiasis, but stones that are so big and accompanied by hair are very rare." Director Li said to Zhang Fan while operating the gastroscope.
"Director Li, try the texture of this thing and see if you can break it into pieces." Zhang Fan said immediately.
"It's probably difficult, look." As he spoke, Director Li moved the gastroscope closer, "The hair is stuck together like your men's hair and stands upright. It's probably difficult, but I'll give it a try."
As he spoke, Director Li used biopsy forceps to clamp it, but it turned out that he couldn't clamp it at all. "This is a mixed stone, and the biopsy forceps can't do anything about it." I tried several times, but only a little hair was pulled out, but not even a trace was left on the stone.
Biopsy forceps are like multi-tooth connectors that connect electrodes. Not to mention soft tissue, even cartilage may be able to be bitten off. However, due to the shape and properties of this stone, biopsy forceps cannot do anything about it.
"Director Li, will this thing grow bigger over time?" Zhang Fan looked at the thing on the child's head and said to Director Li.
"Yes, look at these hairs. Are they human hairs? They are wrapped layer by layer by stomach proteins and turn into male increments. If there is no other way, try enzyme solution or sodium bicarbonate solution first to see if it can help. Dissolve, biopsy forceps can’t do anything about it.”
After taking pictures and taking samples, the gastroscope began to be withdrawn bit by bit.
"This is a compound type of gastrolithiasis, which is rare." After Director Li finished speaking, he asked Uncle Jinya: "When you were young, did you like to eat sour things, such as unripe persimmons, black dates, and hawthorns? ?”
"No! I like sour food." The nurse translated.
"Sour?"
"Sour?" A group of young doctors looked confused, including Zhang Fan.
"I know it's a wild sour fruit on the grassland. It's very sour, even more sour than unripe green apricots. I ate it several times when I went to the countryside for free clinics in pastoral areas." Ouyang took over.
"You can't run anywhere." Director Li nodded thoughtfully.
"Where did this hair and hair come from?" Another female doctor felt goosebumps rise when she thought of the thing like a child's head. "It can't be true cannibalism!" She did not say this sentence.
"What did you do when you were young?" No one answered the female doctor's question, but Zhang Fan started to ask.
"Herding sheep and hunting!"
“One person herds sheep and another person hunts?”
"Well, when I was young, I was mostly alone. When my children are young, they can only be alone." The little nurse was translating.
"Do you like meat? Drink milk every day?"
"Um!"
