Is there any way? Cutting off the belly won’t work! "Uncle Gold Teeth said to the doctors while putting on his gold teeth.
He was also afraid. When he was in their country, for various reasons, the hospital doctors worked hard, refused to work, and treated patients roughly. At that time, he was told that just having his stomach removed would be fine. The old man was frightened that the right time had just come and he had to have his stomach removed, so he hurriedly brought his family to China.
Zhang Fan looked at the old man with a smile. Originally, he was going to go out and discuss the treatment plan with the doctors outside the door. Because the gastroscopy room requires viewing monitors, it is usually relatively dark.
When they saw the old man's anxious look, Zhang Fan and the others didn't leave. They just stood in front of him, waiting for the old man. They didn't worry about anything else. They were worried that the old man would swallow the gold tooth in his stomach in a hurry.
"Instead of cutting your belly, treat it first, and then see if it doesn't work. If it doesn't work, open your belly, just like taking out a doll, and take out the round lump in your belly. Then sew it up, just like sewing clothes. Just sew it up. Okay." Zhang Fan explained patiently.
"Sew it up better so that it doesn't leak! There are people who spend money on it." The old man was also a strange person.
"No, no, it won't leak." Zhang Fan smiled and waited for the old man to fix his teeth, then turned around and left the gastroscopy room.
"Come, let's go to the conference room to talk." Ouyang brought a group of doctors to the conference room.
"The transfer orders of Director Li and several directors haven't been issued yet, but there won't be any big problem. But we haven't even held a welcome meeting yet, so we let Director Li do the work. I'm really sorry!" Ouyang smiled at everyone. said the doctor.
"Dean, you are not afraid of being late for a good meal. We are not in a hurry." Director Li said with a smile.
"Haha, that's right. I will be a comrade in the trenches from now on. Let's talk about the patient's condition today. The government has also specifically stated that he must be treated carefully. Director Li will talk about it first."
Dr. Qianlao Digestion had nothing to be afraid of. Director Li thought for a while and said: "This gastric stone is very hard in texture and has complex components. It is estimated that the effect of conservative treatment is not very satisfactory. Surgery is still needed."
"Can you make it smaller? This form is too big, almost the same as the entire stomach cavity. The surgery will cause too much damage." After Director Li finished speaking, Ouyang looked at Zhang Fan.
"Try drinking some enzyme preparation or sodium bicarbonate solution." Another deputy director who came from the Chinese Medicine Hospital said.
"How did this hair-like object form?" A female doctor who had asked in the gastroscopy room asked again at this time.
It's not that she was curious, but that this uncle, with his gold teeth and wrinkles on his face, looked a bit like a wolf grandmother, and the stone in his belly was like a child's head. It seemed too scary to think about it. If I didn't ask clearly, I guess she I don’t even dare to come to the hospital anymore.
"The formation of conventional gastrolithiasis is generally caused by eating a large amount of tannic acid-rich food, which condenses into a jelly-like state in the gastric acid environment, and then combines with the protein in the food to form water-insoluble tannic acid protein, which then combines with the food After adhesion, it started to get bigger and bigger." Director Li explained with a smile.
"Where's the hair?"
"Haha, I think Dean Zhang seems to have asked the key, otherwise Dean Zhang can tell me." When Director Li Xiang was in the gastroscopy room, he was also very curious about Zhang Fan, the young dean. As Zhang Fan asked During the consultation, she also felt that this young doctor was unusual.
"Okay, let me say a few words." Doctors from the two hospitals are fused together. It is impossible to have a tacit understanding from the beginning. It is through gradual testing that you know my strengths and weaknesses, and I know your depths. Become harmonious.
Zhang Fan started to say without thinking: "From the roughness of this patient's facial skin, it can be clearly seen that he has many years of outdoor work experience exposed to wind and sun.
Combined with the consultation, it can be judged that the patient's living environment and nutritional status were average in his early years, which led to his unbalanced nutrition and the particularity of his work.
Herding sheep and hunting are almost always done by one person. In the deserted wilderness, a lonely person will unconsciously hold something in his mouth. This is the so-called sense of security in his heart.
It doesn't require anything special, like his own hair. Over time, it becomes a habit, and then you may have the phenomenon of swallowing hair.
After further consultation, it was found that the patient liked to eat acidic wild fruits containing tannic acid, and since he lived in a pastoral area, he could not do without a large amount of dairy products for three meals a day. Over the years, the egg whites were wrapped in egg whites, mixed with hair and food residues, and wrapped layer by layer to form its current form. "
As soon as Zhang Fan finished speaking, Director Li smiled and said: "Awesome, Zhang Yuan is very careful in his observation and consultation."
"Haha, we are all a family from now on, no need to be polite to each other. What should we do now?" Ouyang said to Director Li with a smile. Of course she was happy that Zhang Fan's analysis could be approved by Director Li.
"Oh!~" Zhang Fan explained this, and the young female doctor who had just had questions began to lose his fear, "Eating hair, pica!"
"Director Li, try conservative treatment first? Is the risk high?" Secretary Ren Li asked. Although she is not a gastroenterologist, she also saw what happened under the endoscopic examination just now.
"You can try it, but because the stone in the patient's stomach has irritated the stomach wall all year round, ulcers have formed in a certain area. If enzyme preparations or weak alkali are used, the patient's symptoms may be aggravated, or bleeding may occur. Or even perforation." Li The director, holding the pen in his hand, frowned.
"You can take it in small doses and observe. If there is any effect, you can first take drugs to protect the gastric mucosa to allow the ulcer to recover, and then dissolve the gastric stone. Direct surgery will still cause too much damage." Zhang Fan recalled the things in his mind. He said while looking at the situation under gastroscopy.
Although the depth of the ulcer is not large, no one can guarantee this kind of thing. The gastric mucosa is very strange. Sometimes a little ulcer may lead to perforation due to idiopathic effects.
"Okay, let's give it a try."
Treatment, especially many medical treatments, must find a suitable treatment method for the patient due to the specificity of the human body, but...
"Sweet!" Uncle Gold Tooth took a sip of the enzyme preparation with sweetener.
Waiting, probably before the stone changed, the old man started holding his stomach and screaming. "Let him drink milk quickly!" Director Li, who was on the side, quickly ordered the nurse.
"No! If the enzyme preparation can't resist it, don't even think about using weak alkali." Zhang Fan shook his head and left the ward.
"Let's do the surgery, explain the condition to the patient and family, and prepare for surgery to take it out!"
"It can only be the."
