Read Novel Full Chapter 1176 - 465: Poorly Performed Surgery—The Huge Gap Between People
Chapter 1176: Chapter 465: Poorly Performed Surgery—The Huge Gap Between People
"There’s really not much to say. I just looked at the patient’s pre-operative images and the barium swallow test. I estimate you performed a total gastrectomy on her."
Zhou Can explained with a smile.
The barium swallow test checks the esophageal cardia and digestive tract, typically by having the patient ingest barium, commonly referred to in medical terms as a barium meal.
Some patients are very concerned when consuming it, but there’s no need to worry, it’s generally harmless.
The barium meal used for digestive tract exams is a suspension of medicinal barium sulfate, insoluble in water and lipids, so it won’t be absorbed by the gastrointestinal mucosa and is generally non-toxic.
If you claim it’s completely non-toxic, that’s not something that can be guaranteed.
After all, it’s a chemical agent.
However, the additives in vegetables, fruits, and various processed foods we eat daily are much more than imagined.
The toxicity of a single barium meal exam may be less than eating a spicy strip or chewing a betel nut.
This exam isn’t done frequently, only when necessary, so there’s really no need to worry excessively.
The human body’s detoxification ability, resistance, self-cleansing ability, and recovery capacity far exceed our imagination. Many toxic and harmful substances that enter the body are swiftly broken down by our liver.
If the liver can’t handle it, the kidneys assist in expelling the harmful substances from the body.
At the same time, our sweat glands also have detoxification functions.
If what is ingested is highly toxic, don’t panic, the body will immediately activate a dual protection mechanism of vomiting and diarrhea, ejecting the toxic substances in the stomach and quickly expelling those entering the intestines through diarrhea.
From this, you can see that our bodies care for themselves more than we do.
"Correct, I indeed performed a total gastrectomy on her. My thought is, losing a stomach organ is better than losing life. Even if it only helps her extend life by five years, the significance of this surgery is immense. If no recurrence happens, her life might be extended by ten, twenty years, or even longer."
Director Le is a veteran in Cardiothoracic Surgery.
In terms of surgical skills, he is quite excellent.
Any surgery inevitably imposes some harm on the patient’s body. After evaluation, if the attending doctor believes that through surgery, the benefits to the patient far exceed the harm, then it’s worthwhile.
Losing the stomach as a digestive organ certainly impacts the body negatively.
In the future, food basically needs to be liquid.
It will also bring many inconveniences. Without gastric storage, eating will require small portions but frequent meals, and food reflux will make the patient suffer greatly.
Losing the stomach reduces not just digestive ability and food storage ability; it’s also akin to losing a vital protective barrier when eating orally. The stomach contains gastric acid, capable of eliminating most bacteria and viruses.
Without it, the barrier is gone.
Therefore, every organ in the body must be cared for. Discovering issues, timely medical intervention is crucial.
If neglected, the optimal treatment time can easily be missed.
The body is akin to a house. When a fire source appears in a room, extinguishing it promptly means damage to the items inside the room will be minimal. For the entire house, there is almost no impact.
If you wait until the fire is larger, and the items inside the room are all burned before extinguishing it, at least the entire room is lost.
Each organ in the body is like a room, each with its unique function.
Other rooms cannot readily replace its role.
For instance, if the kitchen is burned down, cooking becomes impossible, leaving only the option of daily takeout.
"After removing the stomach, did you pull the jejunum to the diaphragm and perform an end-to-side anastomosis with the esophagus?"
Everyone here is practically from Hu Kan’s line of thought, so guessing the surgical method isn’t too difficult.
"Impressive! That’s exactly how it was done."
Director Le nodded in agreement.
"Did you place the nutrition tube into the distal jejunum?"
Zhou Can asked again.
"Correct." Director Le was truly impressed by Zhou Can, able to deduce the surgical plan accurately just by glancing at the images. "Dr. Zhou must have already figured out the patient’s diagnosis; don’t keep me in suspense! As you know, I’m impatient."
Director Le couldn’t help but urge.
Based on his understanding of Zhou Can, he could be certain Zhou Can already had a diagnosis.
However, Zhou Can is always low-key and won’t speak lightly without absolute confidence.
"Hehe, to be honest, I do have a preliminary diagnosis. However, whether it’s as I think needs further testing to be sure." Zhou Can laughed, first not giving an answer, but emphasizing that only after examining the patient can a treatment plan be determined.
Administering medication and treatment are serious matters.
No matter how extensive the doctor’s experience, unless it’s an emergency lifesaving situation, treatment must not be based solely on the doctor’s subjective assumptions.
Even in emergencies, some necessary exams are still required.
If you ask what to do if facing chest pain or cerebral hemorrhage, such acute and severe conditions?
Even for these acute and severe conditions, it’s only feasible to first perform basic emergency measures like CPR, followed by urgent relevant exams. Before exam results come out, no doctor would dare to claim they will use fibrinolytic drugs or operate.
If a harsh rescue condition must be set, when a patient arrives unconscious, the attending doctor’s experience might recognize a cardiovascular blockage. Even based on exceptional skills and extensive experience, the attending doctor might deduce which coronary artery is blocked.