Chapter 38
Chang Qiu looked at Kang Hong in surprise: "Do you think the patient is not chronic jejunal ulcer, but small intestinal clonal disease? No way?"
Kang Hong nodded and said, "Yes, it is indeed very rare to have colon cancer complicated with small intestinal cloning disease. It is precisely because of this that it is easy to cause misdiagnosis. Because there are many places where the symptoms of small intestinal cloning disease and colon cancer overlap, such as abdominal distension and low fever diarrhea, combined with bleeding and perforation. We mistakenly think it is a symptom of colon cancer, but in fact it is small intestinal cloning disease."
"If the treatment of small intestinal clonal disease is not performed, these symptoms will continue, and jejunal ulcer perforation will continue, symptoms of peritonitis and severe anemia will appear. Such a result will inevitably lead to a third operation. However, I am worried that the patient will not be able to delay the third operation..."
Wei Jun couldn't help but say, "I said Xiaokang, you are too alarmist..."
Chang Qiu said, "Doctor Wei, can't you correct your problem of not listening to your opinions?"
Wei Jun stopped talking, his expression was disappointed.
Chang Qiu said: "Whether there is really a problem with small intestinal cloning disease? You can tell if you do a quick frozen section? If it is small intestinal cloning disease, you have to thank them for their well-off life, otherwise the patient will really have big problems."
Of course, Wei Jun had to follow Chang Qiu's opinion and nodded immediately to agree. Soon, he quickly frozen slices were sent for inspection.
Chang Qiu said to Kang Hong: "Xiaokang, wait for a while for the intestines to be sutured again, you can do it."
Wei Jun was very dissatisfied: "Director Chang, I am the main surgery for this surgery."
Chang Qiu sneered: "Now the state of the intestine, you have had problems with the stitching so carefully last time. Are you sure you can't get any problems now?"
Wei Jun was speechless.
He was really not sure because last time he had already used the highest level he thought was the most perfect, but there was still a problem, forming a fistula. If you get started again, you will likely have another fistula.
Chang Qiu said: "Kang Hong's suture is the best I have ever seen. In this case, the patient's condition is no longer something that can be done by ordinary suture. Let Xiaokang go. His suture makes people feel more at ease."
Wei Jun was silent for a moment and finally nodded. Because he had seen Kang Hong stitching, it was really perfect.
Kang Hong actually has not practiced suture skills specifically, but he dared to take on this important task because he is still within the effective time of the perfect skill of bowel cancer surgery. This skill includes perfect intestinal suture skills, and there is no flaw under the perfect skill, even if there is no one in the slightest.
So he is very confident.
Wei Jun still muttered: "Excellent surgeons are not qualified to be sutured, but they also have to be able to see a doctor."
Chang Qiu raised his eyebrows and was about to speak when the phone in the operating room rang.
The traveling nurse Hai Yin answered the phone and said to Chang Qiu: "Director Chang, the laboratory department said that the results of the rapid section test have come out, which is a small intestinal clonal disease."
Wei Jun suddenly felt a burning face.
Chang Qiu looked at Wei Jun: "Xiaokang is also very capable of seeing a doctor. At least this time he diagnosed the right diagnosis, but you were wrong."
Wei Jun was so embarrassed that he couldn't speak.
Chang Qiu said: "Since it's really a cloning disease, Xiaokang, you can deal with it. Dr. Wei and Mr. Gu, you two are wronged as assistants, are you okay?"
The most important thing in this treatment is to remove and suture the ulcerated small intestine. Wei Jun was not sure about this, so he nodded helplessly.
Kang Hong was not polite, and exchanged positions with Wei Jun and began the operation.
He repaired and stopped hemotherapy by ulcers in small intestinal clonal disease.
Kang Hong performed jejunectomy and intestinal anastomosis for those areas that were very deep and could not repair and stop bleeding.
This intestinal suture once again demonstrates Kang Hong's strong suture ability.
Chang Qiu exclaimed: "Not to say anything else, just as suture, Xiaokang can be our teacher, which is perfect! The last time he rescued the old lady with liver trauma, he showed it once - Mr. Gu. In the future, you are his superior doctor. You should let Xiaokang get started more and put a burden on him."
"Okay!" Gu Xiujie nodded in a smile and agreed, "I said, Xiaokang is very powerful. Of course, he is not taught by me, and I can't teach him either. Just like Director Chang said, he can be our teacher for all of us. His stitching can be used as a teaching video for everyone to observe. I don't think there will be any problems."
The operation is over.
Since it is clonal disease, Wei Jun will of course treat it.
He immediately gave a medical advice, performed pressure infusion, and continued to undergo whole parenteral nutrition treatment, blood transfusion strengthened anti-infection. He used medicine every day to rinse the abdominal cavity, actively corrected electrolyte disorders, and maintained liver and kidney function.
A few days later, the overseas Chinese began to improve significantly and they could gradually eat liquid food.
Half a month after the operation, I was able to eat independently, and off-site nutrition was stopped. Normal yellow feces were discharged from the colon's fistula.
A month later, the patient recovered and was discharged from the hospital.
When they were discharged from the hospital, the family sent a banner to Kang Hong, general surgery and others.
The overseas Chinese wife was excited and ashamed, holding Chang Qiu's hand and said, "I always thought that Australian doctors were better than domestic doctors. Now I know that they are far inferior to us. The Australian doctor refused to give my husband surgery and said it was helpless, but my husband returned to our motherland and cured the disease. You gave my husband a second life. I am so short-sighted and so ashamed. Thank you!"
The overseas Chinese also waved their fists, made a few jumping movements, and said, "Yes, I didn't expect that I could still live. In my current state, I believe I can live healthily. I decided not to go back to Australia, stay in China, and live a life will be guaranteed. When the child is old, let him explore the outside world."
……………………
The weekend is here again.
Gu Xiujie contacted several flying knives, but none of them were intestinal cancer and liver trauma that Kang Hong was good at. Kang Hong did not have enough gold coins to buy skilled medicine to obtain skills, so he couldn't take it, so he was bye on weekends.
Gu Xiujie shook his head helplessly.
Kang Hong smiled and said, "It doesn't matter, I happened to get the paper out on weekends. Didn't you say that your attending physician is not qualified enough and you need a high-quality paper to catch up with the last wave of professional title assessment before retirement and have an associate chief physician?"
"Yes, but can you do it on weekends?"
"Actually, I have been preparing these days. I wrote a first draft last time and I can't make it a problem to publish it in a provincial journal, but I don't think it's enough, because for you, I guess the chance to evaluate a professional title is only this last time. You must provide a heavyweight paper, otherwise it will be ruined. So if we want to invest in the core journal this time, and we have to make a shot, otherwise it will be meaningless."
Gu Xiujie said: "This is, a paper in a provincial journal is definitely not enough. If you can win a core journal, it is of course the best. But such papers have high quality requirements, and can they be handled in one day?"
"Try it!" Kang Hong said with a wink.
He is planning to work behind closed doors on weekends and create a high-quality paper.
Chapter completed!