The water in Qingjiang River has not receded yet.
However, floods are not likely to occur this season. Once the water exceeded the warning line, it did not continue to rise.
Liu Muqiao did not go to see the flood.
He has been working continuously for 18 hours today.
Zhao Yilin and Dr. Zou have already gone home to sleep.
Even Wang Yi slept soundly.
Wang Yi bought a second-hand house and lived alone in a 120-square-meter house. With the floor-to-ceiling curtains down, there was no sound at all in the dim environment and double-glazed windows.
Plus beautiful dreams.
So comfortable.
Liu Muqiao is currently undergoing his second surgery.
The last surgery was done with Du Xiaoping, which was an operation for advanced colon cancer and an ostomy was done.
The current surgery is for acute necrotizing pancreatitis.
Acute necrotizing pancreatitis has a very high mortality rate. A little hesitation or incomplete surgery can easily lead to death.
Liu Muqiao is a master of pancreatic surgery, including acute pancreatitis.
Today, he performed the surgery himself.
The patient's condition is relatively serious and the area of necrosis is relatively large. It is obvious that Hu Bolong is in difficulty.
Liu Muqiao carefully distinguished between necrotic tissue and normal pancreas.
This step is very important.
If the necrotic tissue is not completely removed, the operation will fail.
Excessive resection has an impact on prognosis and complications.
The pancreas has two main functions.
The first is the secretion of pancreatic juice - a highly alkaline digestive juice that has a strong corrosive effect. It digests whatever it encounters. As long as it leaves the pancreatic duct and intestine, it will digest tissue cells and destroy the internal structure of the abdominal cavity.<
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Therefore, pancreatic leakage is very scary.
Second, pancreatic beta cells secrete insulin and participate in glucose metabolism. Too little insulin secretion will cause secondary diabetes.
It won’t work if you cut too much, and it won’t work if you cut too little.
Liu Muqiao had to rely on his own eyes to determine how much pancreatic tissue was necrotic with the naked eye.
He did it very seriously.
If Liu Miqiao hadn't come on stage in person, Hu Bolong and the others would probably have had problems with such severe acute necrotizing pancreatitis, and they would have probably had to remove most of the pancreas.
In that case, the patient's quality of life will be very poor in the future.
If there is less digestive juice, it is definitely indigestion.
After food enters the human body, the first step is to enter the stomach in a strong acid environment for the first step of digestion. The second step is to enter the intestine, where there is a strong alkaline digestive juice secreted by the pancreas for the second digestion.
It then enters the large intestine, where lactobacilli and other beneficial bacteria carry out the third digestion.
Without enough pancreatic juice, digestion will be greatly reduced and stubborn diarrhea will occur.
With fewer beta cells and less insulin, secondary diabetes is equivalent to type 1 diabetes, and medicinal insulin must be used to maintain life.
Pancreatitis was quite common in the past, but has become less common in recent years. Hu Bolong has been practicing medicine for more than 30 years and has performed many pancreatitis surgeries, not to mention thousands, but two to three hundred.
The one he had seen today was the most severe case of acute necrotizing pancreatitis. As soon as he saw the CT scan, he called Liu Miqiao and asked him to perform the surgery.
The operation lasted 3 hours.
To be cautious, a drainage tube was inserted.
Liu Miqiao did not intend to intubate. He thought that the operation was very clean and there would be no leakage. However, his operation served as a demonstration and had to be done in a more standardized manner.
In teaching hospitals, standards are king.
After completing the main steps, the operation will enter the abdominal closing stage.
It's Jiang Weiwei's turn.
"Count the instruments and gauze." Jiang Weiwei walked over and stood at the surgeon's seat.
Liu Miqiao and Hu Bolong stepped off the operating table, washed their hands and took off their clothes.
It was already late at night, and Liu Muqiao went directly into the bathroom. The hot water in the operating room was sufficient, and it was easier to wash in than an ordinary shower.
Very comfortable.
The super thick hot water, no wonder many surgeons like to take a bath here.
After washing for a full 20 minutes, Liu Miqiao came out.
What, the operation hasn’t been completed yet?
Liu Muqiao asked.
"There is a piece of gauze missing." The nurse told Liu Miqiao.
He was shocked.
Missing a piece of gauze is no small matter. If you don’t find it, you can’t close your abdomen.
Liu Muqiao had no choice but to put on his hand-washing clothes again and walked in.
"There is a piece of gauze missing."
Jiang Weiwei said anxiously.
"I've counted it 7 times and searched my abdomen 3 times. What should I do?"
"Keep looking." Liu Maqiao was unceremonious.
If you don't find it, you can't close it. This is the rule.
This rule is rather overbearing. If there are no equipment or items, you must find them. If you can't find them, there is only one result - keep looking.
This is the "rule" summarized from many medical accidents.
Jiang Weiwei was anxious, and the equipment nurse, circulating nurse, and anesthesiologist were all anxious.
They once searched for a pair of pliers for two hours.
Today, they have searched 7 times.
"Look in the dirt bucket." Liu Maqiao reminded.
The circulating nurse said: "I have watched it five times."
"Look again, you can fish it out with your hands." Liu Maqiao added.
As a bystander, he first stared at the dirt bucket, which contained a lot of blood and dirt.
"Yeah, here!"
"Oh! My God!"
"Finally I can close my belly."
Jiang Weiwei glanced at Liu Miqiao gratefully.
"This is the wisdom of bystanders." Liu Maqiao said with a smile.
Just as I was about to go out, Hu Bolong came over.
"How is it?" he asked urgently.
"Found it." Liu Maqiao said.
"Oh, I was scared to death. I had already driven to Jiefang Road. I hurried back. I didn't know if there would be any penalty points. I turned a corner on the double yellow line." Hu Bolong said.
"It's okay, my brother-in-law is in the traffic police brigade, I'll help you resolve the issue," said roving nurse Xiao Lin.
"Really, please help me. I've deducted more than 20 points. Two certificates are not enough." The speaker was Dr. Qiu, the third assistant. He drove a Haval H6, which was fierce and wild.
Xiao Lin said: "That's not okay. The director is doing his job, so you should be punished."
Doctor Qiu said: "Just help me, I will give you a barrel of tea oil, authentic tea oil, which was squeezed by a patient from the countryside."
Liu Miqiao and Hu Bolong left the operating room and took the elevator down to the first floor.
As soon as I got out of the elevator, I saw a group of people surrounding two people, making a lot of noise.
Liu Muqiao stopped and took a look. It turned out that it was a man arguing with Aunt Zeng, who was selling rice porridge.
For 20 yuan.
The man is a family member of the patient. He took care of the patient here and bought two eggs and a bowl of porridge for a total of 4 yuan.
Unexpectedly, after the man left, Aunt Zeng discovered that the money was counterfeit. After going back and forth like this, she lost 24 yuan, so she hurriedly chased him out with a load.
How could that man admit it? Although he didn't mean it, he couldn't afford to be embarrassed.
The two started to quarrel.
Liu Muqiao touched his pocket and found nothing. Except for a piece of toilet paper, there was not even a dime.
Hu Bolong saw it and walked over, "Come, let me see your money."
Aunt Zeng hurriedly handed it over, "I know it's fake. It's definitely fake. I've received it three times."
Hu Bolong put the money into his bag and took another 20 yuan note, "Here, check if this one is fake."
Aunt Zeng knew it was true as soon as she touched it.
"This is yours, I can't have it."
"Forget it, Aunt Zeng, it's not easy. It's not easy for you, and it's not easy for him either. I'll be the host, let's reconcile." After Hu Bolong finished speaking, he turned around and walked out of the door.
This chapter has been completed!