236. Ultrasound-guided percutaneous transhepatic gallbladder puncture and drainage
Although Su Jie had anticipated in advance that the old man had something to hide, Su Jie was still stunned when the other party told him the reason.
"Do you know your current situation?" Su Jie asked.
"I used to work as a veterinarian in an institution. Although I don't know how to treat people, I can still understand the 'code words' between doctors."
The old man was very open-minded and said: "Several doctors came to see me alone, and then went out to communicate with each other privately. Finally, they came back to persuade me to go to an outside hospital for treatment. The condition must be quite serious, and even going to an outside hospital may not be able to save me."
Gotta come back.”
"We used to encounter pigs, sheep, and cows that couldn't be cured. Basically, we followed this process."
Su Jie pursed his lips slightly and twitched his eyebrows.
The old man seemed to notice Su Jie's micro-expression and continued to smile: "Look, it seems I guessed it right."
"You are so awesome." Su Jie praised sincerely.
"No matter how powerful you are, you will grow old and die. It is better to get rid of it as soon as possible so that your loved ones can relax." The old man suddenly became lonely again.
"I heard that you had a cholecystitis attack for three full days before your daughter sent you to the hospital. Why didn't you tell your daughter earlier?" Su Jie asked.
"Didn't you see her?"
The old man pointed to the bathroom: "The big boss of a listed company is busy day and night every day. He is over thirty years old. He doesn't even have a stable boyfriend, let alone a bad old man like me."
"As people get older, their willpower is still too fragile. In the end, the pain was unbearable, so I still called her. But looking at her now, I wish I had not called her in the first place."
"You're a little angry now." Su Jie said with a wry smile.
"Maybe, but I don't want to be transferred to another hospital anyway. The old lady died in this hospital. I only want to live in this hospital." The old man said stubbornly.
But the strange thing is that Su Jie did not try to persuade the old man anxiously. Instead, he nodded and stood up. It seemed that he was about to end the conversation.
"Okay, then I'll talk to your daughter."
"Doctor, you promised me not to tell my daughter what I just said." The old man said nervously.
"rest assured."
Su Jie stood up and walked to the bathroom, and said calmly: "What I want to discuss with your daughter is the plan for you to receive treatment in this hospital."
Boom, boom, boom.
He bent his fingers and knocked lightly. Su Jie knocked four or five times in a row before the toilet door opened.
The woman just put her phone away and asked sheepishly: "Has the doctor finished the examination? Is there any good treatment plan?"
Su Jie nodded: "Let's go to the office and have a chat."
"OK."
The woman agreed, but at this moment her cell phone rang again. She subconsciously took out her cell phone and made an apologetic mouth gesture to Su Jie, then answered the call and instantly took out the strong woman's phone.
Aura: "Hey, it's me, hurry up, I'm busy."
Su Jie did not disturb her and watched her finish another phone call.
"I'm really sorry. There is a meeting in the company today. I was supposed to be there. I'm not usually so busy." The woman hung up the phone and explained guiltily.
"It's okay, let's go." Su Jie took the lead and walked out of the ward.
Li Minghui and Lao Wu were still standing at the door of the ward, watching Su Jie bring out the patient's daughter again. They looked at each other, wondering what Su Jie was fussing over.
However, the two of them still remained silent in tacit agreement, following behind them while maintaining a certain distance.
Su Jie led the woman into the office. Su Jie asked the woman to sit on the sofa while he sat opposite. Li Minghui and Lao Wu also walked in at Su Jie's signal and sat next to Su Jie.
As soon as she sat down, the woman asked impatiently: "Doctor, is there really a way to treat my father in this hospital? Didn't Dr. Wu say that surgery is not possible?"
Not only the woman, Li Minghui and Lao Wu were also puzzled. The patient's condition was obviously inoperable. Su Jie himself admitted this, but why did he now say that there was something that could be performed in this hospital?
What about treatment options'?
Su Jie did not continue to be secretive and said directly: "Considering the patient's current physical condition and the severity of gallbladder inflammation, open or laparoscopic surgery is definitely not feasible."
"And not just in Badu, even if the old man goes to Kyoto or the big hospital in the capital, I personally feel that this diagnosis will not change."
"So the top priority now is not to surgically remove the gallbladder, but to control the inflammation, give the patient a chance to breathe, and create a suitable opportunity for surgery."
The woman asked with her own shallow understanding: "Should we need conservative treatment? But Dr. Wu has already said that simple conservative treatment is of little significance for my father's inflammation."
Su Jie shook his head: "No, the treatment plan I am talking about is not conservative treatment."
"Percutaneous transhepatic gallbladder drainage under ultrasound guidance can actually be regarded as a micro-surgery in a sense. Through B-ultrasound guidance outside the body, the guide wire is sent to the gallbladder, and then the guide wire is guided.
Drainage of inflammatory bile from the gallbladder."
"After waiting for a long enough time, the patient's gallbladder inflammation is relieved, and then we can use laparotomy or laparoscopy to completely remove the gallbladder."
Old Wu couldn't help but nodded, but at the same time he frowned.
Severe cholecystitis, at the same time, the patient is elderly, the gallbladder is edematous, brittle, wrapped, and the anatomical relationship is unclear. The operation is time-consuming and laborious, prone to complications, and the probability of conversion to laparotomy is high... A lot of problems lie ahead.
, immediate emergency surgery is definitely the next option.
Ultrasound-guided percutaneous transhepatic gallbladder puncture and drainage is used to drain cholecystitis bile and control gallbladder inflammation with extremely minimal trauma and stimulation. When the patient's inflammation subsides, the triangular inflammation is completely absorbed, and the patient's physical condition recovers quickly.
When in good condition, elective surgery will be performed...
This is indeed a very reasonable and feasible idea.
On the one hand, Lao Wu was annoyed that he had not thought of such a curvy treatment plan to save the country, but at the same time, he couldn't help but think of a controversial point about this treatment plan.
After successful puncture and drainage, when should elective surgery be performed?
Based on the old man's current condition and the severity of the inflammation, it is estimated that the catheter will need to be left in place for two weeks or even longer.
The patient certainly cannot stay in the hospital for such a long time. He needs to go home and needs a relative to accompany him and take care of him.
Can……
Just then, the woman's cell phone rang again.
She subconsciously took out her mobile phone and made an embarrassed mouth gesture to the three doctors in front of her.
But this time, Su Jie stretched out his hand to stop her.
"If it's not a very important call, I'd like you to hang up."
"This is an attitude that determines whether we have the confidence to perform this series of treatments on the old man."
"Ultrasound-guided percutaneous transhepatic gallbladder drainage is just the beginning. It will take at least a month for the old man to get through this. During this month, you have to stay with the old man and take care of him."
"If you can't even do this, to be honest, it doesn't really matter whether the old man has surgery or not. According to his temper, he can bear the pain of cholecystitis for three days without coming to the hospital. If he is recuperating at home with a tube
If something happened, I don’t think he would take the initiative to come to the hospital.”
"I know you are very busy, but I also hope you understand that your father is over seventy this year. After a serious illness, he does not have much time left..."
After saying that, Su Jie took back his hand and stopped stopping the woman.
The phone rang rapidly in the doctor's office, as if there was something important waiting for the owner to deal with.
The woman's face was still stained with tears, her eyeshadow was a bit smudged, and she looked very haggard.
The ringing tone didn't last long. The woman didn't even look at the caller ID or confirm whether the call was important. She hung up the phone calmly and turned off the phone.
Then he looked at Su Jie and said:
Chapter completed!