Compared with endoscopy, ultrasound started relatively late. In 1967, the advent of the real-time B-ultrasound imager was a major advancement in B-type imaging technology. It is used in medical institutions at all levels with real-time dynamics, accuracy, and economy.
From its inception to the present, B-ultrasound has gone through a development process of two-dimensional B-ultrasound, three-dimensional B-ultrasound, and four-dimensional B-ultrasound, and has also developed from black-and-white B-ultrasound to color ultrasound.
The development of domestic ultrasound technology is also extremely rapid. From 1983 to 2003, it was the era of black and white ultrasound technology. Color ultrasound began in 1997, and the ultrasound currently in use began in 2000.
From the original black and white two-dimensional ultrasound to the current four-dimensional color ultrasound, ultrasound technology has developed rapidly, and ultrasound equipment has become increasingly miniaturized, such as bedside B-ultrasound, portable B-ultrasound, etc., making ultrasonic examinations more and more convenient.
At this time, B-ultrasound machines are still very cumbersome. At Xijing Hospital, whether it is B-ultrasound or CT examination, you have to go to a special examination department, which is staffed 24 hours a day.
When Fang Le came all the way, Huang Xiaolong was already accompanying the child's parents and the ultrasound doctor who was preparing to examine the child.
There was a female doctor on duty in the ultrasound department in the evening. She was about 25 or 26 years old. When she saw Fang Le coming in, the female doctor smiled and said hello: "Ah, isn't this Dr. Fang who tried Aconite this afternoon? It looks like something really good."
nothing."
"I still have something to do. I didn't even eat in the afternoon."
Fang Le said with a smile.
"Sister, will I treat you to dinner later?"
The female doctor smiled.
Female doctors in their mid-twenties are already considered senior doctors these days. Like Fang Le, who is 21 years old this year and graduated in the first half of this year. If she is in her mid-twenties, it will take her four or five years to enter the hospital after graduating from a bachelor's degree.
Already.
One thing I have to admit is that people in this era do mature earlier and mature psychologically earlier. Fang Le, who was born again, is born in the 1970s. Like those born in the 1985s, many people mature psychologically later.
I am in my twenties and still a baby.
The female doctor in the ultrasound room was obviously more courageous and even joked with Fang Le.
"Okay, it's a good thing if someone invites you to dinner."
Fang Le said with a smile.
"Okay, let's make a deal then, sister will treat you to dinner later."
As she spoke, the female doctor glanced at Fang Le again and asked with a smile: "You won't forget me, will you?"
"forget?"
Fang Le himself was stunned for a moment, why did his words sound so resentful, as if he was a scumbag?
"It seems that Dr. Fang has really forgotten about me."
The female doctor smiled and said: "The time you brought people here last year, I performed the examination."
"Look at me."
Fang Le said hurriedly: "It's been a long time, and I didn't think about it for a while."
While talking, the child was put down and his clothes were untied. The female doctor applied coupling agent to the child's body and began to examine it with a probe.
The child's parents were nearby, watching through the black and white screen, their faces extremely nervous.
Black and white B-ultrasound, even if it’s not a professional, can’t be understood by ordinary people. The B-ultrasound image at this time is even less clear. Two people stared closely, but they couldn’t see anything.
The probe kept moving and the female doctor kept operating.
"Here, do you see it? It's bright."
"This has already passed the cardia."
Fang Le also watched carefully and said while watching.
After passing the Cardia Gate, we were very lucky. Previously, Fang Le was really worried about the coins being blocked near the Cardia Gate.
"Does Doctor Fang also understand?"
The female doctor was a little surprised.
The female doctor has been working in the B-ultrasound room for several years. Young doctors in some departments cannot understand the pictures simply by looking at the screen.
"I can barely understand it."
Fang Le nodded slightly.
"It's past the cardia, and the situation is relatively good. The coins don't have sharp edges, and they didn't cause any damage to the esophagus."
The female doctor said, put away the probe, wiped the coupling agent on the child, and then started to print the results.
"Doctor, what should I do in this case? Is it necessary to take it out?"
The child's mother worriedly said: "If this is always in the body, who knows what will happen?"
"You have to ask a specialist about this."
The female doctor smiled and said: "I am just a B-ultrasound doctor, only responsible for examinations."
"When you get the results, go back to the department first."
Huang Xiaolong was not in a hurry to tell him what to do.
No doctor is omnipotent, especially as the division of departments becomes more and more detailed, most doctors' paths become narrower and narrower. Although they go deeper and deeper in their own fields, they actually know less and less.
You are like a dentist. Only if there is a problem with the tooth, he will know what to do. If it is not a problem with the tooth, he will definitely not know.
Even in cardiothoracic surgery or cardiothoracic medicine, there are detailed divisions. Some doctors are good at valve repair, and some doctors are good at blood vessel expansion. It is beyond their own scope. Who knows what the hell is going on?
The benefits of such a detailed division are obvious, as it allows specialist doctors to go further and focus more on senior fields, but there are also many disadvantages.
After all, most diseases are not independent and dependent. When encountering slightly complex diseases, multi-department joint consultation is often required.
This era was a little better. Before Fang Le was reborn, patients often had to go to several departments for examinations to see a doctor. If they got one today, they would wait a day and then go to another one tomorrow.
Just now Fang Le told Cheng Yunxing that Cheng Yunxing didn't understand the esophagoscope, and Cheng Yunxing didn't understand the surgery either. Let Cheng Yunxing think in the direction he is good at.
Similarly, for Huang Xiaolong, he can only think in his own direction at the moment.
Is it an esophagoscope or an operation?
Either of these two options is more troublesome and has certain risks. Which option should be adopted and whether it is necessary to contact the relevant departments? Huang Xiaolong has to go back and report to Dr. Lin to listen to Dr. Lin’s opinions.
"Fang Le, Fang Le."
As soon as Fang Le walked out of the B-ultrasound room, Cheng Yunxing came up to him excitedly: "I thought of using sesame oil, lard and other intestinal moisturizers to help lubricate the excretion."
"Well, I still have some ideas, keep thinking."
Fang Le nodded.
"Isn't this enough?"
Cheng Yunxing said: "We can only try it first, what if it comes out?"
"Lard and sesame oil?"
Huang Xiaolong, who had just come out, heard the conversation between Fang Le and Cheng Yunxing and stepped forward and asked: "Doctor Fang, can you give it a try?"
"Can."
Fang Le nodded and said: "If the child is small, you can add some honey."
"Honey, why didn't I think of that?"
Cheng Yunxing slapped his forehead.
"You didn't expect more."
Fang Le glared at Cheng Yunxing.
...
"It has already passed the cardia and basically reached the intestines and stomach."
In the duty room, Dr. Lin looked at the B-ultrasound results: "Fortunately, it's a coin. It didn't cause any harm to the esophagus. Don't try to take it out, it will be troublesome."
While looking at it, Dr. Lin muttered: "Contact the Department of Gastroenterology and ask someone to come over. Such professional matters should be handled by specialized departments."
"Dr. Lin, Dr. Fang just said a plan, I think you can give it a try."
Huang Xiaolong said softly.
"Fang...Fang Le?"
Dr. Lin asked.
"Um."
Huang Xiaolong nodded.
"tell me the story."
Dr. Lin became interested: "I heard about the light bulb thing last time. Xiao Fang really has some ideas on some things."
"Doctor Fang said you can mix sesame oil, lard and honey and let the child eat some to see if it can be excreted through defecation."
"Sesame oil, lard, honey?"
Dr. Lin repeated softly: "They all have the effect of laxative and intestinal laxative, so you can give it a try."
"Then let me try this plan first?"
Huang Xiaolong asked.
"Well, let's give it a try. If there is a safer way, we will definitely give priority to the gastroenterology department. I guess it will either be an endoscope to try to remove it, or an operation for such an older child.
"
Dr. Lin nodded: "Communicate with the child's parents in advance and communicate well."
"I understand, Dr. Lin."
Huang Xiaolong nodded and then left the duty room. The child's parents were waiting in the observation room nearby.
"doctor!"
Seeing Huang Xiaolong come in, the child's parents quickly stood up.
"Let me tell you the situation first..."
Huang Xiaolong explained the situation: "Originally, in your case, you would have been transferred to the gastroenterology department. It is very likely that you would need an operation. The coin has already reached the intestines and stomach, and it is difficult to remove it with conventional means..."
"ah......"
"How can this be done? Our child is only over two years old."
The child's parents immediately became anxious.
"There's nothing we can do about it."
Huang Xiaolong said: "But Dr. Fang, who went with us just now, gave a plan. Mix lard, sesame oil and honey, let the child eat some, and see if it can be excreted through defecation. If it can, that is naturally very good.
Yes, if it doesn’t work, I’ll transfer him to the gastroenterology department, what do you think?”
"If it can be done without surgery, we are naturally willing to give it a try."
The child's parents said hurriedly.
"Okay, for safety reasons, you still have to be hospitalized for observation. You go through the hospitalization procedures, and we will make preparations here. There are some things that our department really doesn't have."
Huang Xiaolong warned again.
"Doctor Fang!"
Huang Xiaolong came out of the observation room, and Fang Le and Cheng Yunxing were talking not far away.
"Did we discuss it?"
Fang Le asked.
"It's settled, let's try it out according to your plan first."
Huang Xiaolong nodded.
"No, I came up with it."
Xingxing’s classmate immediately expressed his dissatisfaction: “Why does it become Fang Le’s? If he adds honey, it becomes his.”
Huang Xiaolong smiled, ignored Cheng Yunxing, and continued to ask Fang Le: "Doctor Fang, is there anything else you want to explain?"
"Children may have difficulty defecating when they are young. Add a bottle of Kaisel to the child's parents and use it when defecating."
Fang Le thought for a while and reminded.
"Oh, I have difficulty defecating."
Cheng Yunxing said hurriedly.
Huang Xiaolong glanced at Cheng Yunxing and asked Fang Le: "Dr. Fang, what is Kaiselu?"
"Yes, what is Kaiselu?"
Cheng Yunxing also reacted.
Fang Le: "......"
Okay, I forgot, the name Kaiselu doesn’t exist yet, or not many people know about it.