In recent years, after decades of rapid technological development, today’s doctors can be a lot more lazy. In the past, doctors examined patients by looking, touching, tapping, and listening, and a complete physical examination took 15 minutes to half an hour.
But now, CT, MRI, B-ultrasound, X-ray, electrocardiogram, etc., there is a set of examinations, everything is available, and there is no need for the kind of looking, touching, tapping and listening in the past.
But it's different today. The patient is too big and transportation is a big problem.
There is no such cart, nor such a strong stretcher. Besides, he seems to be unable to get through the holes in CT and MRI.
Besides, the B-ultrasound bed and the bed in the radiology department definitely cannot bear the weight of 350 kilograms, so Liu Miqiao can only use the standard physical examination.
Liu Muqiao also worked hard to do a set of examinations. He had to touch the intestines, liver, spleen and other organs under a hundred pounds of fat, which was not only laborious, but also drained of energy.
Listening to the heart and lungs is equally difficult. A foot-thick chest wall separates the heart and lungs. Fortunately, Liu Miqiao has sensitive hearing. Otherwise, it would be difficult to hear the rales of the lungs and the murmur of the heart using an amplifier.
As for the examination of the thyroid gland, it is really not an easy task to find a soft thyroid gland the size of a broad bean in a bucket-like neck.
As for the jugular vein, it is covered with several inches of fat. Where is the shadow of the jugular vein? Even the carotid artery seems to have tiny fluctuations in the horizon when touched.
Checking abdominal surgery is even more difficult.
The key to abdominal examination is to check for abdominal muscle tension, tenderness, and rebound tenderness.
More than a hundred pounds of fat cover the abdominal muscles, and it is difficult to feel the tension. It is a soft mass of fat that feels soft to the touch.
As for tenderness, this test is the only one that is easier, but who knows if it is a false positive?
If the pressure on the abdominal wall is light, the patient will not feel pain due to the buffering effect of fat. If the pressure is heavy, even normal people will feel pain.
As for the key rebound pain, this is an important item to check whether there is abdominal infection. Even if there is, can you feel it with such thick fat?
All I feel is fat fluctuation.
There are still many checks.
Liu Muqiao was so exhausted that he was sweating all over, and the inspection was finally over.
"How is it?" Director Yuan was helpless. With such a mountain of fat, the location of human organs is a mystery, let alone checking.
"The abdominal pressure is too high, and the internal organs are damaged. The specific organ cannot be determined yet, but what is clear is that the bile duct must be damaged. The bile duct is compressed and the bile cannot flow out. It is estimated that the bile duct is ruptured."
This is Liu Muqiao’s preliminary judgment.
"Isn't that a big operation?" Director Yuan said.
"Yes, this operation will be a very special operation. Firstly, it will be very difficult. The key is that after the white fat is cut open, where to find the surgical field? The operator can't even find the surgical field if he buries it himself.
The place for surgery. Secondly, abdominal suturing is a big problem, so we have to do an additional operation to decompress the abdominal cavity."
The abdominal decompression Liu Miqiao talks about means cutting off as much fat as possible in the abdominal cavity.
The abdominal cavity is a place where fat is stored. If you look at a fat pig, you will know that in addition to the thick fat on the abdominal wall, there are also large chunks of suet inside.
This is the way the Creator provides living things to store energy.
When the Creator designed living things, he mainly considered what to do when there was a lack of energy, so he designed fat storage.
Who knows, with the development of human brains, energy shortage is no longer the main contradiction, but energy excess is the main contradiction.
The Creator has given less thought to excess energy, so the disease of wealth now faced has become the main cause of disease and death for human beings.
Nowadays, few people die due to malnutrition, but a large number of people die every day from diseases caused by overnutrition.
High blood pressure, heart disease, cerebral hemorrhage, cerebral infarction, diabetic complications, nephropathy, cardiovascular and cerebrovascular diseases, etc., are all caused by excess nutrition.
The Creator created fat storage to resist hunger and malnutrition to survive famine. He never imagined that there would be so many fat people in the world.
"Is there such a big operating table?" Yuan Shan thought about it, how could this huge body be moved onto the operating table? Will it collapse the operating table?
The operating tables at Antai Hospital each cost hundreds of thousands, are composed of thousands of parts, are fully automatic, and have more than a dozen chips. The structure is more complex than a luxury car.
"It can only be two operating tables put together." Liu Maqiao said.
There is no room for him on an operating table. At least, the fat on both sides of his body will hang down, and there is no room for his hands. One of his feet takes up an operating table.
This is not difficult. What is difficult is how to enter the abdominal cavity for surgery.
The operating room was temporarily renovated, another operating table was spliced in, and two floor-standing shadowless lamps were also moved in.
The shadowless lamp fixed on the top of the head will definitely not illuminate the inside of the abdominal cavity. Four lighting engineers were temporarily arranged to adjust the lighting from four angles at any time.
Eight young people from the security department finally placed the patient on the operating table. The moment they put him down, everyone was shocked and their hearts rose to their throats.
Obviously, the operating table "squeaked" and groaned in pain.
There are a lot of people operating, the chief surgeon is Liu Miqiao, the first assistant, Hua Bucheng, the second assistant is another chief doctor, his surname is Hu, known as Hu Yidao.
Hu Yidao is another expert in hepatobiliary surgery. He came here from the flower market.
Changing jobs from the flower market to Qingjiang City can be said to be a typical retrograde person. After so many years of reform, the peacock flew southeast to the Pearl River Delta and the Yangtze River Delta to make a fortune.
Except for Antai Hospital, there are very few people flying to Qingjiang.
Hu Yidao is a good person. If hepatobiliary surgery performs transplants, he is the best leader. In Huacheng, Hu Yidao has already become famous.
Hu Yidao came to Antai Hospital determined. He has two houses in the flower market, one to live in and the other to be vacant. He plans to invest or live in it for his son in the future.
Before coming to Qingjiang City, his annual income was already over one million, and he didn't care about money at all.
Huacheng is a place full of talents. It can be said to be a talent depression. In recent decades, a large number of talents have poured in, and a surplus of talents is inevitable. This will make it difficult for many talents to have a chance to get ahead.
Hu Yidao belongs to the young group. He is in his 40s and has top-notch skills. What he needs is not money but a platform.
Fortunately, Antai Hospital has a platform for him.
Of course, money is also a factor. Here you can earn two or three times the salary in the flower market. Now that he has a career platform and money, why does he have to stay in the flower market?
He defected to Liu Miqiao the year before last.
Hua Bucheng and Hu Yidao are the two giants in hepatobiliary surgery, and they are both here today.
Liu Miqiao is the chief surgeon, Hua Bucheng is the first assistant, Hu Yidao is the second assistant, and the third, fourth, fifth, sixth and seventh assistants are all deputy chief physicians.
Starting from the third assistant, the main job is to pull the hook.
There are 5 retractors, this is the first of its kind.
There is no other way. A 350-pound fat man might not be able to do it without a few people pulling the hook.
This chapter has been completed!