Chapter 556: It Was Actually So Simple
Inner Mongolia, Keerqin right wing, center flag.
The Department of Digestive Medicine of a certain second-class a hospital was currently conducting a consultation for the entire hospital.
The directors, deputy directors, and chief residents of the relevant departments were sitting in their offices. They were bored as they flipped through the patient’s medical records and scans, but no one said anything.
The Deputy Director of the Medical Affairs Department, who was in charge of the consultation of the whole hospital, looked at the crowd and then at the time. He said, “Then let’s call it a day. ”
“Director, do you want to… ”
“The patient’s diagnosis is clear. He is in the advanced stage of cirrhosis. We can only suggest that the patient go to a higher hospital for treatment. In our hospital… ” as he spoke, he glanced at the many doctors who were silent and shook his head.
Then, he stood up and the Deputy Director of the medical department announced that the meeting was over.
The Doctor from the interventional department sat in a corner with his head hung low.
He did not think that the patient could not be treated, but it was not something that he could treat himself.
He had severe ascites, and his limbs were as thin as firewood. He looked like a four-legged spider lying on the bed, and even his breathing was not smooth.
Listening to the patient’s cool breathing sound, the doctor from the interventional department felt that his airway was starting to spasm.
He really wanted to learn from the operator in the surgery live broadcast room, but he knew that this was just an unrealistic idea.
He lowered his head and left the Department of Internal Medicine. He sighed. This second-class hospital in Kerqin seemed to be an incurable disease. Perhaps in the surgery live broadcast room, it was just an ordinary disease.
As he thought about all kinds of miscellaneous thoughts, he walked back to his own department.
Just as he was thinking about it, his cell phone rang with the sound of a 120 ambulance.
He immediately became alert, as if he had been injected with adrenaline.
He quickly ran to the duty room, took out the PAD from the locker, and used his fastest speed to go to a small room. He turned on his cell phone and PAD and began to watch the live broadcast of the surgery.
Subconsciously, the intervention doctor felt that today’s live broadcast was very important to him.
The PAD played the live broadcast of the patient’s surgery, and he used his cell phone to look at the patient’s information.
When the few words fell into his eyes, he was stunned.
His hunch was right!
Spider-man! Boot symptoms! These symptoms were completely consistent!
It turned out to be Budd’s syndrome, and not the stubborn ascites of the late stage of cirrhosis!
His hand trembled slightly, but it immediately quieted down.
The operator in the operating room had already begun the operation.
The camera had already been returned, and a wave of regret rose from the bottom of his heart. But he did not have time to regret, to think about the possibility of what if.
He was fully focused on the live broadcast of the operation on the PAD. He tried to remember every detail with his memory, which had already begun to decline because of his age.
Although he knew that it was impossible, he had to do something.
The guide wire entered the inferior vena cava. Something was wrong! The interventional doctor was stunned. The guide wire did not look right!
It was familiar, but it did not look right.
Could it be… the interventional doctor had a guess in his heart, but the operator in the live broadcast room did not explain it from the beginning. This time, he would not make an exception just because he did not understand it.
Countless thoughts gathered in the intervention doctor’s mind, spun, and turned into a huge vortex.
The operator did not use a micro-guide wire, but the most common guide wire. It was just that the shape was a little strange… it seemed to be upside down..
When the guide wire entered the inferior vena cava, it did not pay attention to the countless venous branches and came to the position where the contrast agent was blocked.
The intervention doctor’s right wrist moved slightly like a marionette.
He did not even realize that his wrist moved. This was a subconscious action. Subconsciously, when the guide wire came to this location, the problem should be solved next.
The intervention doctor did not know what the problem was. He only felt that the inferior vena cava was blocked by something, which was the source of the problem.
Sure enough, the strange-shaped guide wire moved slightly and directly penetrated the blockage.
Was the inferior vena cava opened?
Then, the stent entered along the guide wire.
The stent was opened, and the inferior vena cava was completely unblocked by the angiography.
After the surgery ended, the live broadcast room was closed.
So simple… the interventional doctor sighed in his heart, but then, an electric current flowed through his entire body.
This surgery, such a simple surgery, he could do it!
Thinking back to the “Spider-man” who was hospitalized in the Department of Internal Medicine, the intervention doctor seemed to have some understanding.
He began to search for all kinds of information about budd-chiari syndrome.
As for the surgery in the live broadcast room? Such a simple surgery, even if he wanted to forget it, there was nothing to forget.
It was just opening up, placing the stent, performing an angiogram, and the surgery was over.
It was even simpler than appendicitis. It was an order of magnitude simpler!
If he could do it, he could definitely do it!
The interventional surgeon realized this with excitement. However, he immediately suppressed his excitement and calmed down. He began to search for all kinds of literature related to budd-chiari syndrome.
He knew that it was not difficult to see whether a person was carrying a heavy burden or not. If he was carrying a heavy burden, his shoulder would be broken.
In TIPS surgery, the surgeon did it very simply. One needle was needed to complete the procedure. However, after many days of research, the interventional doctor had no choice but to give up.
The video of the surgery was definitely not enough.
He could not grasp the key to how the surgeon was able to determine the location of the needle.
He hoped that the treatment of Budd-chiari syndrome during the interventional surgery would not have such an important point that was easily overlooked by others!
After searching and pondering for a few hours, the intervention doctor excitedly walked around in the small storage room.
The library of the Second Class A hospital of the right-wing Zhongqi Hospital in Horqin, Inner Mongolia, did not have much information. He looked it up in the network of the provincial library.
The Provincial Library did not have too much information either, but he found more or less two documents about Budd-chiari syndrome.
By comparing the surgical procedures of the surgeons with those of the patients in the digestive department, the interventional physicians believed that they could do it!
It was just an extremely simple surgery!
Sometimes, it was just a window paper. Once it was poked open, there would be no secrets to speak of.
This was the case with tuberculosis more than a hundred years ago. More than twenty years ago, when there was no interventional surgery, Budd-chiari syndrome was an incurable disease. Even if surgery was performed, there would be a problem with the position of the second hilum of the liver, and the mortality rate would be extremely high.
And the condition of the disease… was also quite simple. There was a layer of membrane growing in the inferior vena cava. It was initially open, but it gradually closed as the patient grew older.
This closure was pathological.
When the inferior vena cava was completely closed in the youth, the venous blood circulation was blocked, so the venous return could only be completed through the collateral circulation. In order to establish the venous return channel, the patient’s abdominal skin would have twisted veins appearing on the surface of the skin, like reptiles.
Therefore, everything could be explained.
This was not the ascites caused by the portal hypertension in the advanced stage of cirrhosis, but the ascites caused by the obstruction of the inferior vena cava!
Moreover, after the interventional treatment, it could be cured!
The interventional doctor was excited. He simulated countless operations in his mind without any difficulty!
He went to the department of Digestive Medicine, looked for the director, and looked for the patient’s family members.
The Doctor of the Department of Interventional Medicine printed out the information that he had found. He went to the Department of Digestive Medicine with full confidence.