When the Doctor Uses A Hack-Chapter 904 - 905 I Have an Idea (Add 2 more for

Chapter 904 -905: I Have an Idea! (Add 2 more for Alliance Hierarch hushengayi)

Chapter 904 -905: I Have an Idea! (Add 2 more for Alliance Hierarch hushengayi)

The involvement of relevant departments turned a significant matter even more sensational!

More and more people began to pay attention to Che Zhehua’s condition, concerned about the outcome of this matter, the situation of the logistics company, the conditions of the hundreds of victims, and also began caring about Che Zhehua’s family!

Che Zhehua’s medical expenses had been reimbursed by the relevant departments, but this seemed in no way to lessen his suffering!

After ingesting sulfuric acid, the damage to the tissues became increasingly severe, and Che Zhehua had underestimated this pain!

What is called unbearable pain? Pethidine is useful now, but one can’t always use it, right?

As more and more people paid attention, the pressure on the medical staff suddenly increased.

The senior department demanded that the Capital Emergency Center Hospital must do well in this rescue operation and ensure Che Zhehua’s recovery, hoping this matter would not cause too severe repercussions and consequences.

This was a good thing, but now the pressure had suddenly fallen onto the medical staff.

After all, everyone knew the condition of Che Zhehua’s body. If he were to fully recover, the possibility was too slim.

After two days of recovery, Che Zhehua’s condition had basically stabilized, still painful but not life-threatening due to timely rescue and dialysis treatment. Yet, a very important issue had now come to the forefront.

On Friday afternoon, in the emergency case discussion room at the Capital Emergency Center Hospital, seven or eight directors from the General Surgery department gathered, along with Yu Yonggang, Ma Yuehui, Li Yue, and Chen Cang.

Yu Yonggang frowned and said, “Director He, what are your thoughts?”

He Zhiqian looked at the endoscopic images on the big screen, and it really was troubling!

“Once the esophagus heals, the narrowing will exceed seventy percent, maybe even more, not to mention the reparations of later perforations on the esophagus. Even using external reparative measures, the chances of preserving this esophagus are very small. It might be better to remove it completely and use an artificial replacement.”

“But with this artificial replacement, there’s another issue. The stomach and duodenum would both need replacements, so it would only preserve the structural function, not satisfy the physiological needs.”

Being the chief director of General Surgery, He Zhiqian’s words held considerable authority.

“Look here, the entire gastric wall won’t last more than a few days before it perforates. Now the gastric acid secretion is suppressed, but once the secretion increases, the serous layer is definitely going to perforate.”

“We can’t delay the surgery any longer; it must be done today, or even if postponed till tomorrow, gastrointestinal function will be very difficult to restore!”

Everyone sighed, this was a problem.

He Zhiqian looked at the chief director of Thoracic Surgery, Zhang Chahai, “Director Zhang, how do you think the esophagus should be handled?”

Zhang Chahai couldn’t help but say, “I have a question now, which is, if I perform jejunum interposition with a pedicle, after you guys perform a gastrectomy, can you successfully anastomose it?”

When he said this, the room was suddenly taken aback!

Zhang Chahai continued, “It’s already very clear now. The severe narrowing of the esophagus has rendered dilation treatment ineffective, it must be removed, but I’m concerned about handling the gastrectomy afterward.”

Upon these words, silence fell upon the room again.

This was no longer just a single surgery. From the esophagus to the stomach, duodenum, and jejunum, all needed consideration.

It was not just a matter of resolving an issue with the esophagus!

The esophagus definitely needed surgery, but with the gastric mucosa having so many ulcers and obvious pyloric obstruction, a major gastrectomy was a necessity.

How to effectively reconstruct the digestive system had become a major issue!

Everyone was pondering and discussing; both the Thoracic and General Surgery departments were contemplating.

While the esophagus is part of the digestive system, most surgeries were performed by the Thoracic Surgery department, and the General Surgery department’s handling of esophageal surgeries was quite ordinary.

And Thoracic Surgery couldn’t adequately cover the duties of General Surgery either.

Everyone had been discussing for a whole two hours.

There was no clear consensus yet.

At this time, Chen Cang took the initiative and said, “Actually, I think we can use esophagocolic interposition.”

Chen Cang’s words broke the silence of the moment!

Everyone turned to look at this young man, full of doubts.

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All of you here are directors, what would a young person know?

Hadn’t we heard of esophagocolic interposition?

The crucial point is, how productive is the esophagus? After its removal, it’s not as simple as just dealing with narrowing by using the colon…

How long is the colon exactly?

The effective length of the colon is limited, hence everyone had initially thought of the jejunum.

The jejunum is part of the small intestine, longer than the colon, enough to replace the esophagus without an issue.

But could your colon work?

Everyone glanced at Chen Cang, unheeding.

They continued contemplating the large screen, but then Yu Yonggang, seeing this, said, “Chen Cang, what are your thoughts? Please explain to the directors.”

Upon hearing the name Chen Cang, everyone instantly perked up.

They were all familiar with the name Chen Cang.

After all, Chen Cang had been involved in many matters in the hospital, back and forth. It’s normal if you haven’t seen him in person, but you’d be remiss not to have heard of him.

The Cardiac Surgery department was vigorously organizing the non-stop cardiac pacing technology and the building of the new Non-stop Heartbeat Medical Research Center—everyone envied and desired this.

And Chen Cang was the initiator of it all.

For a moment, everyone looked sideways.

This was Chen Cang?

At that moment, everyone also paid him more respect.

This is how people are; words carry light weight when coming from the lesser known, but once someone has achieved something, naturally others will regard them with admiration!

“Dr. Chen, what is your view?” Thoracic Surgery’s Zhang Chahai was the first to ask; since it was Chen Cang speaking, everyone didn’t think he was shooting in the dark.

Chen Cang stood up and walked forward: “This esophagus does not need to be completely removed, a complete removal would be wasteful, and reconstructing the digestive tract would be very troublesome. Instead of a complete removal, it’s better to choose a combination: esophageal repair surgery + stenotic removal + esophagocolic interposition.”

Correct!

Chen Cang was planning to use three types of surgery to reconstruct the esophagus.

“This way, it wouldn’t interfere with the major gastrectomy and also wouldn’t affect esophageal reconstruction.”

Director of Gastroenterology, He Zhiqian, directly asked, “How much of the colon are you planning to remove?”

Truth be told, He Zhiqian had reservations about Chen Cang!

Because Chen Cang had also signed up for the summit on digestive functions hosted by the Mayo Medical Center. The hospital, considering Chen Cang’s status in Cardiac Surgery, certainly wouldn’t want to discredit him.

But He Zhiqian thought, you who deal with emergency and cardiac surgery, why are you attending a gastroenterology conference?

Isn’t that typically holding up a toilet without using it?