Chapter 2507 Dilemma

"Trouble."

After a few seconds of silence, Zheng Ren and Su Yun said in unison.

It looks simple, it's just that the fish bone is stuck in the esophagus, if ordinary people's thinking is to take it out.

But Zheng Ren and Su Yun didn't think so, and Director Luo, who called the hotline for relatives and friends, didn't think so either. If it was simple, Director Luo wouldn't call.

That piece of fishbone is like a barbed arrow, embedded in the wall of the esophagus. Once it is pulled out with force, it will inevitably be a tragedy.

There is a 1% probability that it will be successful, but there is a 99% probability that it will lead to emergency rescue, and there is a high possibility that the patient will die in the end.

On the way, Zheng Ren called Gao Shaojie and asked him to wait a while before sending the patient for surgery, and he wanted to see the situation on his side.

"Boss, with your temper, you will be exhausted." Su Yun said without thinking.

Zheng Ren knew that he was slandering his attitude of doing everything by himself.

Forget about other things, such as surgery, you must see it with your own eyes to be at ease.

Even though Gao Shaojie's level has improved rapidly, he has almost reached the level of surgery performed by Professor Rudolf Wagner.

Even Lin Yuan can start independent surgery, even Gu Xiaoran can try to be an assistant on stage.

Everyone else in the medical team was growing, but Zheng Ren was still worried as if he had obsessive-compulsive disorder. Su Yun really looked down on his boss, his words were full of disdain.

But Zheng Ren didn't refute Su Yun's words, he walked to the mirror room silently.

When I came to the endoscopy room, I changed my shoes and clothes and went in. There was already a doctor waiting at the door. He first introduced the condition: "Boss Zheng, Director Luo asked me to pick you up, please come inside. The patient ate fish last night and came to our hospital for treatment for hemoptysis for 4 days this morning. Under the gastroscope, there was a 5cm long esophagus in the patient's esophagus at a position 8cm away from the cardia. There are 3 fishbone on each side, stuck on the esophagus wall."

He was not long-winded, and immediately began to report his condition after a simple greeting.

Uh, the patient's condition is more serious than imagined! Zheng Ren had a serious expression on his face.

"Director Luo tried, but when he pulled it out, the fishbone rushed up, causing a slight rupture of the mucous membrane of the esophagus wall. The director didn't dare to move, please take a look." The little doctor continued.

"Well, let's check the situation." Zheng Ren strode in.

Coming to Director Luo's endoscopy room, Zheng Ren said, "Director Luo, I'm here."

"Boss Zheng, give me a hand, but I can't take it out." Director Luo's sterile cap was soaked through with sweat, and he looked a little tired.

He was called from home in the early morning, and he was still such a difficult patient to deal with, and it would be tiring to change anyone. Zheng Ren smiled and said, "Can't get it out?"

"Well, if I force it, I'm afraid that the cardia of the esophageal mucous membrane will be torn a few centimeters all the way to the uppermost part." He shook his head, "If it doesn't go down, it will go directly to the stomach."

"This is also a way, but it can't get out of the stomach." Zheng Ren said.

The main component of fishbone is calcium carbonate, and the gastric acid in gastric juice has a pH of 0.9-1.5. Fishbone will only soften in the stomach, but will not be broken down.

There are many ingredients that make up the fishbone, and the phosphate in it can be dissolved in acid, and the fishbone that has been stripped of these minerals will naturally become soft. However, fishbone also contains a large amount of collagen, which wraps many other macromolecular proteins and polymeric sugars, and these macromolecular structures need to be further broken down to be digested.

Although the pH of the gastric juice is very low, once it enters the small intestine, the pH will rise to about 7-8. Some proteases that can effectively act on fishbone protein, such as collagenase and pancreatin, can only work under this acid-base condition to further decompose food.

In short, it is said that even if the fish bone with 6 fish bones is pushed into the stomach, it will not be digested. Everyone present knows these things.

If the fish bone gets stuck on the pylorus with gastric peristalsis, causing obstruction or tearing, a larger surgical treatment is required.

Even stomach cutting and intestinal anastomosis are no joke.

Director Luo was also forced to be helpless, he just talked casually.

Zheng Ren put on a pair of sterile gloves, took over the gastroscope equipment from Director Luo, and began to observe the position of the fish bones.

Just like what the little doctor just described, the fish bones are bigger and harder. Zheng Ren didn't think about whether it was a freshwater fish or a sea fish. He didn't try to pull the fish bone out, but looked around.

There was slight damage to the mucous membrane of the esophageal wall, which was caused by a fishbone, and part of it was secondary damage caused by Director Luo's operation just now. It is obvious that Director Luo was more careful and did not use brute force to pull out the fish bones.

what should I do?

Zheng Ren is also a little bit waxy.

You can't go up, you can't go down, and you can't stay in this position.

"Ding dong~"

There was a crisp sound, and the task reminder sounded. Hearing the task reminder, Zheng Ren was not happy, but rather distressed.

This matter is difficult to solve, what kind of mess is the big pig's trotters here to fill in at this time.

[Emergency task: up and down.

Task content: Take out the fish bones in the esophagus.

Task reward: 3000 skill points and 10000 experience points.

Task time: 3 hours. 】

Zheng Ren looked helplessly at the task that appeared in the upper right corner of his field of vision. Is the big pig's trotter playing with himself? It doesn't issue missions for surgery as big as a small stone, but this fish bone does.

And the task rewards are not proportional to its difficulty at all.

Looking at the task panel, Zheng Ren's heart suddenly moved. According to his understanding of the big pig's trotters, taking out the fish bones should be a very simple matter, otherwise there would not be such a meager reward.

where is the problem? There should be a blind spot in your own thinking.

Countless thoughts appeared in Zheng Ren's mind. Holding the gastroscope tube in his hand, he stared at the screen motionlessly. Afterwards, he entered the operating room of the system and began to try various ways to remove the fish bones.

Director Luo waited for nearly 10 seconds, feeling more and more uneasy. It wasn't the fishbone that made him uneasy, the biggest uneasiness and apprehension was caused by Boss Zheng's immobility.

A bad thought came to my mind—could it be that I hurt something when I pulled out the fishbone just now?

Looking carefully at the screen, Director Luo was sure there was nothing wrong. Thinking carefully about the actions just now, he still felt that nothing happened.

"Boss Zheng... Could it be some damage?" Director Luo didn't think about it, but asked tentatively.

"Your operation was very gentle and did not cause too much secondary damage. I was thinking about how to take out the fish bones." Zheng Ren smiled and comforted Director Luo.

"Boss, you're too focused on your thinking, which frightens Director Luo." Su Yun smiled and said, "Have you figured it out now?"

"Well, there is a way, you can try it." Zheng Ren said.

Director Luo was overjoyed, as long as there is a way, as long as there is a way!