The operation begins.
Liu Muqiao could not open his belly with three cuts.
The cutting edge of the surgical blade is only two centimeters, and the patient's abdominal wall is at least one foot thick, which is 33 centimeters. Without dozens of knives, the abdominal cavity cannot be reached at all.
The surgical design took Liu Miqiao an hour. He decided not to look for the lesion first, but to remove fat first and cut off a large amount of fat from the abdominal wall. Otherwise, the surgical organ would really not be found.
Division of labor and cooperation.
Liu Maqiao, Hua Bucheng, and Hu Yidao are each responsible for several parts of the work - cutting fat.
Pieces of fat were cut off and thrown into metal plates. It took a full hour to fill a metal plate and two garbage buckets, which was roughly estimated to be more than 100 kilograms.
Let’s just say it’s 100 pounds.
He is still a fat man, minus 100 from 350, there is still 250 pounds.
Part of the 100 kilograms of fat that was cut off was the fat on the abdominal wall, and part of it was the suet on the greater omentum. After cutting off the 100 kilograms of fat, the vision became clear.
The key is that the abdominal cavity is decompressed.
Next, start looking for the diseased organ.
Liu Muqiao's judgment was correct, it was a bile duct problem.
Because the pressure was too high, the bile duct was compressed, forming a huge gallbladder, and finally perforated.
The operation is relatively difficult, but in front of the three giants Liu Miqiao, Hua Bucheng and Hu Yidao, this kind of operation can only be regarded as a piece of cake.
The operation time is slightly longer than expected. The key is that the fat removal time is longer than expected.
Then there is the inability to pull the hook.
Although 100 pounds of abdominal fat have been removed, the overall tissue is still very thick and requires several people to pull the hooks evenly.
Although pulling trenches is a physical job, it is actually a technical job. It is definitely not possible to use extreme force. Five people, five hooks, and too much force will be divided into pieces.
Hu Yidao spent a lot of time directing the hook pullers. He had to adjust the strength of who was pulling the hook lightly and who was heavy.
It took a total of 3 hours to remove the gallbladder, repair the biliary tract, and insert a drainage tube.
When I came here, I weighed 350 pounds, and when I returned, I weighed 250 pounds. I felt much lighter.
The patient stayed in the surgery department for 7 days and then was transferred to the pediatric department.
Now the pediatric department has opened 30 beds specifically to treat super fat people. The beds are temporarily designed and made of stainless steel. They are made very solid and cannot be crushed even if they weigh 1,000 pounds.
This kind of bed does not have much technical content and only has three functions: one is to resist pressure, the other is to turn over, and the third is to serve as a toilet and bathroom.
Turning over is a big problem for obese people. Normally turning over requires 5 or 6 people, pulling and pushing. But after the bed is designed with the turning function, the problem of turning over is solved.
These 30 beds were designed and manufactured by Liuxu. Each one costs 18,000, of which more than 6,000 are for steel, processing fees, shared design fees, transportation, and taxes, which add up to a lot of money.
There are some other fees.
Catkins are sold for 30,000 yuan, which is considered a reasonable price - the key is that the quantity is small, and it is impossible to form a large-scale production. There will be maintenance problems in the future, and the three-year warranty is stressful.
The fat man sleeps on this kind of bed and turns over every two hours. It is much more comfortable. This is something he never even thought about in the past.
Yuan Shan took over on the 7th day. Now she has developed a set of experience. She no longer makes ointments, but directly boils Chinese medicine and drinks two meals a day.
It is difficult for naughty children to take Chinese medicine, but Yuan Shan didn't pay too much attention to it. If she didn't take it, she would fall down. There were so many people who wanted to lose weight.
The obesity clinic opened by Yuan Shan lasts two and a half days a week. The fat ones go home to take medicine and receive outpatient treatment, while the fat ones receive hospitalization.
The first fat man who was hospitalized stayed in the hospital for a month and lost 179 pounds, with about 200 pounds left. Yuan Shan urged him to leave the hospital because he could not always occupy the bed.
30 beds are too few.
The key turnover rate is not good.
Hospital management pays attention to the bed turnover rate, and the hospital's efficiency also needs to increase the bed turnover rate, which is inversely proportional to the average length of stay.
The so-called length of stay is the average length of stay for each patient. The turnover rate is the average length of stay for each patient per bed. The higher the turnover rate, the higher the efficiency.
Why do you say that?
From the time a patient enters the hospital to the time he is discharged, the expenses are unbalanced. The most money is spent in the first few days, and the money is significantly reduced in the later period. Therefore, the longer the hospital stay, the less revenue will be generated from the bed.
If a hospital has 100 beds and the average length of stay is 10 days, then it can only admit 10 patients to the hospital every day.
If the length of stay is shortened to an average of 5 days, the hospital can treat 20 patients every day.
The longer the hospitalization time, the lower the efficiency.
There are currently only 30 pediatric obesity beds. If a patient stays for a long time, it will affect the treatment of other patients, and the efficiency will definitely be low.
Director Yuan stipulates the maximum length of stay for each patient.
The first fat man has been given the green light to stay. He stayed for a whole month, while others could only stay for 7 days at most before changing to outpatient treatment.
He is already special.
In one month, I lost 179 pounds, which was a bit fast. Yuan Shan was also a little worried. Will there be any side effects?
She then made a new plan, slowed down the speed of drug administration, and planned to reduce it to normal levels in half a year.
The patient's mother had no choice but to accept the request to be discharged from the hospital, and they stayed outside the hospital. Because their weight had dropped to about 250 pounds, they were able to enter the hotel.
The waiter gently reminded that the beds and toilets need to be used with care. If the hotel items are damaged, compensation will be required.
It is true that the waiter's worry is not unfounded. With a mountain of fat, the possibility of the bed collapsing and deforming is certain.
The beds in the hotel are all made of Simmons, and the springs are over-compressed and may not be able to return to their original shape.
Next is the toilet. The ceramic toilet is very rigid, but not very pressure-resistant. Its design does not consider people who can bear such a weight.
Don't sit still!
What should I do if I break down or get injured?
The waiter’s reminder was not unnecessary. Something happened 10 minutes later.
When the patient went to the toilet, he had to sit on the toilet. "Boom!" The toilet exploded.
It's easy to say that it was just an explosion. The key is that the sharp ceramic pieces made two deep cuts on the patient's buttocks and legs.
Blood is flowing!
The ambulance drove to the door of the hotel.
When the medical staff came in and took a look, they were dumbfounded and couldn't bear it!
It’s important to help.
Doctors and nurses bandaged up urgently, but the knowledge they learned in the past was not used.
Emergency doctors generally have strong on-site handling capabilities. They have experienced many battles and can generally handle different situations they encounter.
Not today.
The gauze and bandages were not long enough, and the past compression methods to stop bleeding no longer worked. The key problem was that I couldn't turn over, and I didn't know how many wounds there were.
There were only three emergency personnel, including the driver, and three hotel security guards were hired to get the patient to the ambulance. The patient was already in shock.
The ambulance drove quickly while calling the emergency center to quickly prepare for the operation. It would be best to invite Liu Maqiao over. A patient with severe bleeding is very dangerous.
Liu Muqiao received the notice.
This chapter has been completed!