v3 Chapter 2509： Up and down

"Trouble."

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

It seems simple, but the fishbone is stuck in the esophagus. If the ordinary person thinks it must be taken out.

But Zheng Ren and Su Yun didn't think so, and Director Luo who called for help from relatives and friends did not think so. If it was simple, Director Luo would not call.

That section of fishbone is like a barbed arrow, inlaid on the wall of the esophagus. Once pulled out with brute force, it must be a tragedy.

1% probability will succeed, but 99% probability will lead to emergency rescue, and the patient is very likely to die in the end.

On the way, Zheng Ren called Gao Shaojie and asked him to wait for the patient for surgery. He had to see the situation on his own.

"Boss, your temper will be exhausting." Su Yun said headlessly.

Zheng Ren knew that he was going to slap himself in the air.

I don't have to worry about other things. For such things as surgery, I must rest assured that I can see them for myself.

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

Even if Lin Yuan can already start an independent operation, even Gu Xiaoran can come to the stage and try to be an assistant.

Everyone else in the medical team is growing, but Zheng Ren is still as restless as having OCD. Su Yun was disdainful of his boss, and his words were full of disdain.

However, Zheng Ren did not refute Su Yun's words, he walked to the endoscope chamber silently.

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

He was not hesitant, and after a brief greeting, he began to report the condition directly.

Well, the patient's condition is more serious than imagined! Zheng Ren looked dignified.

"Director Luo tried, but the fishbone rushed up when pulled out, causing the mucosa of the esophagus wall to rupture slightly. The director didn't dare to move, you looked at it." The doctor continued.

"Well, see the situation." Zheng Ren strode in.

Entering Director Luo's endoscope room, Zheng Rendao said, "Director Luo, I'm here."

"Boss Zheng, give me a hand and you can't get it out." Director Luo's sterile hat has been penetrated by sweat, and he looked a little tired.

Xiao Chen was called from home, still such a difficult patient to deal with, and everyone was tired. Zheng Ren smiled and said, "Can't get out?"

"Well, if it is reluctant, I'm afraid that the esophageal mucosa will be torn up to a few centimeters." He shook his head. "If not, go straight to the stomach."

"This is also a way, but it can't be drained from the stomach." Zheng Ren said.

The main component of fishbone is calcium carbonate. The pH of the stomach acid in the gastric juice is 0.9 ~ 1.5. When the fishbone is in the stomach, it will only become soft, but it will not be broken down.

There are many ingredients that make up fishbone. The phosphate can be dissolved in acid. The fishbone that removes these minerals will naturally become soft. However, fishbone also contains a large amount of collagen, which encloses many other macromolecular proteins and polymeric sugars. These macromolecular structures need to be further broken down to digest.

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

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

If the fish bones become stuck on the pylorus with peristalsis of the stomach, causing obstruction or tearing, a larger surgical treatment is needed.

Even big stomach cuts and intestinal anastomosis are not jokes.

Director Luo was also forced to do nothing, he just talked casually.

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

As the little doctor just described, the fish bones are bigger and harder. Whether it is a freshwater fish or a marine fish, Zheng Ren didn't think about it. He did not try to pull the fishbone out, but looked at the surroundings.

The mucosa of the esophagus wall was slightly damaged, which was punctured by fishbone, and part of it was a secondary injury caused by Director Luo's operation. Obviously, Director Luo was more careful and did not use force to pull out the fish bones.

what should I do?

Zheng Ren also had some sitting wax.

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

"Ding Dong ~"

A crisp sound and the task prompt sounded. Hearing the task reminder, Zheng Ren was not happy, but was a bit upset.

It's difficult to solve this problem. What's wrong with the big pig's hoof?

[Emergency task: Difficult to get up and down.

Task: Remove fish bones from the esophagus.

Mission rewards: 3000 skill points and 10,000 experience points.

Mission time: 3 hours. 】

Zheng Ren looked at the task appearing at the upper right of the field of view ~ www.novelhall.com ~ a bit helpless. Big pig's hoof. Is this for yourself? For a surgery as large as a small stone, it does not issue a mission, but this fish bone has a mission.

And the task reward is not directly proportional to its difficulty.

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

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

Countless thoughts appeared in Zheng Ren's mind. He held the gastroscope tube in his hand and looked at the screen motionlessly. He then entered the system operating room and began experimenting with various methods of removing fish bones.

Director Luo waited for nearly 10 seconds, and the feeling of uneasiness in his heart grew stronger. It wasn't the fishbone that disturbed him. The biggest anxiety and unrest was brought by Mr. Zheng's motionlessness.

A bad idea came to mind-did you hurt yourself when you just pulled out the fishbone?

Looking closely at the screen, Director Luo was sure nothing was wrong. Thinking carefully again, he still felt fine.

"Boss Zheng ... Isn't it the damage?" Director Luo didn't think about it, but asked tentatively.

"Your operation is very gentle, without causing too much side damage. I was thinking how to take out the fish bones." Zheng Ren smiled and comforted Director Luo.

"Boss, you are too focused, and frightened Director Luo." Su Yun smiled. "Do you want to understand now?"

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

Director Luo is overjoyed. There is a way, just a way!