Pancreatitis, if hypertension and diabetes are little ghosts surrounding the crowd, then pancreatitis is a ghost king that can devour people.
In terms of cost, the cost of treating high blood pressure and diabetes for one year is also very huge, but if divided into 12 months, the average patient can still grit his teeth and persevere.
However, pancreatitis is not good. Once it occurs, money will be thrown away like water. It is not an exaggeration at all.
If the symptoms are severe, based on current prices, an ordinary building in a second- or third-tier city may not be able to afford it.
Moreover, even if the money is spent, sometimes you may not be able to keep the person. It is such a terrible disease.
In the early years, pancreatitis in China was almost always caused by problems with the biliary system, because after the bile from the gallbladder flows out, it finally merges with the duct of the pancreas and then flows into the small intestine.
In the past, people did not eat well and did not control parasites well, so these diseases often led to duct blockage and pancreatitis.
With the improvement of living standards, pancreatitis in China has begun to change from complications of the biliary system to overeating.
The patient operated by Mr. Wu and Zhang Fan was a business manager of a company.
The position is neither big nor small, and he can be considered a rootless kid in a big city who can grit his teeth and work hard.
In order to survive in the big city, the young man worked hard. He ranked among the top three in the company's business. At the end of the quarter, the company had some bad debts that could not be recovered.
Then the boss promised that whoever came up with the money could share the money. The young man was thinking about his infant child at home and wanted to buy milk powder because his wife had low milk supply. He also thought about the old man who was in poor health and needed more nutritional supplements.
Gritting his teeth, the young man took the job. At first, he couldn't even get through the door of the other company. He didn't give up and slept at the door of the other company with his bedding.
Within a week, it became a local sight. The boss of the other company was also helpless by the young man. Doesn’t the boss worth tens of millions have no face?
After someone brought the young man to his office, he didn’t say much. He pointed to the piles of Blue Bird beer in the corner of the office and said, “Ten thousand a bottle. I’ll pay you back as much as you drink.”
"keep your word?"
"I am such a big boss, would I tease you? Drink."
The workplace and business world are cruel, very cruel, and human dignity, sometimes, really...
He drank for the children and the elderly at home.
One can, two cans... I don’t know how much I drank. The young man who had been drinking for a week just drank from standing up, then sitting down, and finally lying down. The wine that reaches your mouth goes in and then trickles out again, in and out.
In the end, his desperate attitude scared the other party's boss, and he directly wrote a check. The young man took the check and climbed out of the other party's office.
After he went out, he vomited violently. The beer he drank was like a foam fountain, and the wine spurted out like a bubbling water column.
Then, pain suddenly appeared, extreme pain. After being numbed by alcohol, he could feel his lower back very clearly, and the pain was like a knife stabbing him.
Fortunately, a kind passerby called 120, otherwise he might have died on the road.
His condition was a typical case of pancreatitis caused by heavy drinking.
There is another way, maybe for the sake of life, maybe for the so-called face, when drinking, you don't care.
Then, he secretly went to the bathroom and put two fingers into his throat to remove it. After vomiting, he went out to drink.
Never learn this method. If you vomit dozens of times, you may get a huge number of titles. Once it causes pancreatitis, it may lead to the death of your family, your wife will be slept with by someone else, and your child will be beaten by someone else.
No exaggeration at all.
The human digestive system was originally designed to go down and not backwards, but it evolved so that once forced vomiting occurs, it can be done once, twice, or even hundreds of times.
Once a system disorder occurs and pancreatitis occurs, it will be a disaster for you or your family.
Therefore, don’t hold on to the wall when you’re eating to go in or out, and don’t try to be a hero when drinking.
In the United States, 200,000 people are hospitalized for pancreatitis every year, about 20% of whom suffer from severe pancreatitis, and the mortality rate is as high as 25%.
The remission rate of pancreatic surgery is about 60%. That is to say, when patients with severe pancreatitis require surgery, the success rate is very low and there is no healing rate. Instead, a remission rate is used.
One can imagine how terrible this disease is. Between World War II and the Vietnam War, for some unknown reason, the number of people drinking alcohol suddenly increased dramatically in the United States. Therefore, they are the best at pancreatitis surgery in the world.
However, in the most advanced countries, this disease also makes doctors talk about it, and not all pancreatic doctors can perform this kind of surgery.
Moreover, this disease is also very cruel to patients. Look at the treatment methods of this disease.
1. Pain relief, large doses of painkillers. 2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide is really exciting.
It's as simple as that, after the pain is masked, the patient's pancreas reduces secretion, and then the patient recovers on his own.
It hurts. The pain of this disease can make even a hardened man call his mother in pain. That’s not all. If it doesn’t work, the next step is surgery.
Not to mention ordinary hospitals, some key provincial hospitals cannot perform this kind of surgery.
The pancreas was separated very clearly under Mr. Wu's hands. The most difficult and critical part of the operation had arrived.
Why is this surgery so difficult?
To put it simply, it is like a grape attached to a grape branch. When shaken, a grape falls off and breaks.
Now what Mr. Wu and Zhang Fan have to do is to first cut off the potentially damaged parts of the broken grape, then find a way to restore the grape skin to integrity, and finally connect the repaired grape to the branches.
The examples are all so difficult, so you can imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body after the liver.
It can secrete, and it is a very large secretory gland, so the ducts in the pancreas extend in all directions, like a honeycomb, connected by paths.
There are countless blood vessels, lymphatics, and secretory ducts inside. Once the surgical technique is not good, they will be blocked.
The blockage of the pancreas is not the blockage in the city. The driver scolds you a few times. The pancreas secreted here is like aqua regia. It will corrode. If it is not done well, it will be like a bomb that will explode at an unknown time. .
"Look here, the pancreas is very swollen. You must not rush this kind of surgery. You must be fully prepared. The results of failure and success must be anticipated."
Mr. Wu, who was silent, began to speak, and Zhang Fan, who was originally speaking, began to remain silent.
If we compare the levels of Zhang Fan and Mr. Wu, then Zhang Fan's current level is like a great knight in the world.
If a knight who can calm things down has been bullied, well, go to Zhang Fan, he can give you peace.
As for Mr. Wu's level, there is really not much difference between him and Zhang Fan in terms of ordinary things and not ordinary things.
But the old man's background is that if he knows the people in the world, nothing will happen to him, he is just so awesome.
Zhang Fanru is a superb young knight, and Mr. Wu is a famous figure in the world of martial arts, who can scare a whole river and lake with his fame.
This is the difference, this is the extremely precious experience that the old man has worked hard for most of his life.
To be honest, sometimes, doctors and soldiers are very similar. An army needs countless lives to build an iron-blooded team.
Doctors are actually the same. A good doctor actually relies on his life.
In the medical industry, teachers are really just guides. To be honest, anyone with some education can do a simple cardiopulmonary resuscitation.
However, whether you do well or badly is the difference between heaven and earth.
If you haven't experienced a few deaths during cardiopulmonary resuscitation, you really can't do it well and you won't be able to improve much. No matter how hard you train, it's worse than losing someone in your hands. It's a cruel industry!
"Don't take the swelling here lightly. Once the pancreatic fluid is not cleared away, no one can guarantee whether this area will heal after surgery."
The old man glanced at Zhang Fan. Although Zhang Fan did not look at the old man, he seemed to know that his uncle was looking at him. Zhang Fan nodded lightly.
After finishing speaking, Mr. Wu pierced the pancreas with a needle, slowly punctured the swelling like a bladder filled with urine, and then slowly began to extract pancreatic juice with a syringe.
The pancreas that has absorbed pancreatic juice is really like a tongue sticking out. Even the lines in the middle of the tongue are very similar to the pancreas.
"Knife!" After emphasizing what to pay attention to, the old man personally asked for a sharp knife.
The hand holding the knife very steadily starts from the center of the pancreas, which is the middle line of the tongue, and draws the blade across it.
The old man's hands were very nimble, cutting, pricking and slicing the epidermis of the pancreas just like a veteran in love, using his sharp teeth to gently bite off the dry skin on his girlfriend's lips.
In a few moments, without any involvement, the other party's clothes completely fell off.
A master can accomplish fatal things under calm conditions. Cut open and separate the necrotic pancreas.
"Notice!
There can be no more and no less here. If too much of the pancreas is removed, it will no longer function; if too little is removed, the pancreas will become necrotic. "
The old man said while cutting. Needless to say, Mr. Wu believed that Zhang Fan could understand.
The nimble fingers turned over the greasy pancreas.
The doctors standing behind Zhang Fan were in a state of mind at this moment, "Do I know how to do it? I know how to do it! But I just can't do it."
But Zhang Fan is different. What he needs is not the details, but an overall view of the disease.
When the old man started to do it from beginning to end, Zhang Fan kept making comparisons in his mind.
"What should I do? If this step were mine, what should I do?"
After a little bit of confirmation, Zhang Fan finally asked his question at the most critical point of the operation.
"Uncle, before dividing the necrotic tissue under the incision line, why don't you clear the ducts in the gland first? Wouldn't dredging the pancreas ensure smoothness?"
"Haha, it seems you really understand. It's not impossible to clear it first, but there is a chance that the accessory pancreatic duct will be damaged.
We can unblock it slowly, but if the accessory pancreatic duct is damaged, there is no way to recover. This is what I figured out when I was fifty years old. "
"Uh, fifty? Accessory pancreatic duct?"
When Sansuke's doctor was originally unconvinced, he suddenly became convinced because he didn't understand.
The director, who was the second assistant, seemed to understand something and looked at Zhang Fan with a very grateful look.
As for the group of people behind the magician, they just looked at each other in a fog. What did they say?
Figured out! After Zhang Fan figured out the key points, it was like window paper. After being pierced, the sky suddenly lit up. His uncle's words gave him clarity, and the pancreatic surgery was completed directly.
"Oh my God, that's it. How can I put it? In the system, pancreatic surgery is sometimes successful, and sometimes it is judged to have failed. The technique is obviously the same. It turns out that the accessory pancreatic duct was ignored!"
What it means to clear the clouds and see the sun, this is what it is to clear the clouds and see the sun, what it means to be worth a thousand pieces of gold, this is it. If it weren't for Mr. Wu, even if Zhang Fan had the system, he probably wouldn't have figured it out before he entered the second level. This doesn't mean that Zhang Fan doesn't work hard, but that he doesn't have enough time! Not enough people died at his hands!
Really, the cheating people of Mr. Wu and his generation didn’t get it for free. This is also the precious thing about surgeons. Senior surgeons are often able to solve problems that junior doctors have been unable to figure out for decades with just one sentence.
After repairing, connecting, and figuring out the pancreatic problem, Zhang Fan and Mr. Wu cooperated more and more smoothly.
The operation went faster and faster, and the two hands cooperated quite tacitly, as if one brain was giving orders.
It was at this time that the second and third assistants discovered what it means to be a master. Zhang Fan and Mr. Wu were like racing sports cars.
Speed, accuracy, and prediction don't need to be communicated, the two of them are directly in sync.
As assistants, they were sweating profusely trying to find ways to catch up with Mr. Wu and Zhang Fan.
"It's so fucking bullying. It's so fucking bullying." Sansuke was almost in tears. He was aggrieved, truly aggrieved.
Originally, he could still keep up with Mr. Wu's surgery, and he was full of pride in his heart.
Among doctors under the age of thirty-five, he felt that he could take the top spot.
This is not only his own idea, but also recognized by all colleagues in the hospital and departments.
As a result, today, he did not expect that a black guy appeared out of nowhere and made the operation more difficult and faster at the same time as if he had discussed it with Mr. Wu.
It's nothing, but he can't keep up. Even with all his strength, he can't keep up.
"The person who is the first person below the deputy senior position, the leader of young doctors in East China, they are all lies! Woo! Woo! Woo!"
He was extremely sad. The more people understand the difference in technical level, the deeper they will understand it.
After repairing, filling, patching, tapping, cutting, and cutting, the original pancreas was like white tofu that fell on the ground. It was slowly repaired by Mr. Wu and Zhang Fan.
Zhang Fan figured out the difficulties of the pancreas. Zhang Fan, who was cleared of dark clouds by Mr. Wu, became more and more enlightened under the temptation of Mr. Wu's superb surgical skills.
Immersed in the refreshing feeling of transparency, Zhang Fan's skills slowly began to come into play.
When he didn't figure it out, Zhang Fan couldn't fully exert his full strength because he didn't know why the operation sometimes succeeded and sometimes failed in the system.
But now, he figured it out and no longer had to worry. Then, when Zhang Fan figured it out, the group of people behind him opened their mouths!
"Be good, what will this guy do again!"
In the operating room, especially in front of a very strict expert like Mr. Wu, if you talk nonsense, you will definitely be scolded.
However, even if Mr. Wu was there, the observer standing behind the practitioner was so surprised that he even forgot the rules and spoke out.
