Chapter 376: 376: The Fishbone Disappeared?!
Chapter 376: Chapter 376: The Fishbone Disappeared?!
The patient was transferred to the intensive care unit for close monitoring that very same day, and vital signs had to be carefully watched!
Upon learning of the danger, the man and his wife became even more anxious and apprehensive!
For the past two days, they went about their usual activities, eating and drinking as normal, and they hadn’t missed out on their private marital life either.
But now, with the man sent to the intensive care unit and his wife unable to enter, all she could do was pray and feel a growing sense of regret.
If only she had brought her husband to seek medical attention earlier, perhaps it wouldn’t have been this dangerous.
Indeed!
If they had come earlier, definitely the fish bone wouldn’t have gone as deep, of that there was no doubt.
Many times, diseases worsen unnoticed!
…
…
The man’s condition immediately caught the attention and concern of the hospital authorities.
The hospital quickly organized emergency consultations involving the emergency department, cardiovascular surgery, general surgery, otolaryngology, endoscopy, interventional medicine, radiology, and anesthesiology based on the patient’s condition!
And it was Chen Cang’s first time presiding over a consultation!
Moreover, it was such a large-scale consultation.
The entire large conference room was extremely quiet, with everyone’s gaze fixed on Chen Cang and the image results on the big screen.
Seeing the dangerous image, everyone frowned slightly, their expressions grave.
The whole office was extremely quiet!
Seriousness and solemnity spread throughout the room.
This was no time for jokes.
Because the rescue work involved multidisciplinary cooperation and numerous departments, it was necessary to organize and coordinate the different sectors for the operation.
Moreover, a consensus had to be reached after discussion by all parties to systematically carry out the rescue work.
Tao Zi, Li Baoshan, Zhang Youfu, Xiao He, Liu Jian… everyone’s eyes were on Chen Cang!
Those seated were all influential figures, even the core power of the Second Provincial Hospital.
Only Chen Cang was the youngest.
Yet not a single person dared to underestimate or belittle him.
Because Chen Cang had time and again proven himself with his accomplishments, leaving them no room for criticism.
Directors and deputy directors from seven or eight departments were all watching Chen Cang.
Chen Cang took a deep breath, saying he wasn’t nervous would be a lie.
Initially, it was the spirit of Bai Qiuen that had enabled him to boldly organize the rescue operation for the previous rebar through-chest incident; this time, although it was just a fish bone, the damage caused and the potential consequences were no less severe than before!
So, it was impossible for Chen Cang to say he wasn’t nervous!
But!
Nervous as he might be, the work still had to proceed normally.
The discussion had already been going on for over ten minutes.
Everyone had voiced their opinions and their proposed surgical plans based on the patient’s condition.
Chen Cang looked at Tao Zi and directly asked, “Director Tao, under these circumstances, to remove the fish bone, we must ensure the safety of the thoracic aorta. What are your thoughts?”
Tao Zi nodded, speaking earnestly, “Actually, although the current imaging results do not show the condition outside the blood vessels, I’ll say this – based on my experience, since the fish bone has been embedded for two days, this signifies a grave issue, which means there could be infection and erosion at the rupture in the vessel, and by now, the rupture is definitely becoming more and more fragile. Therefore, the most urgent and critical priority is to ensure the safety of the vessel.”Nôv(el)B\\jnn
“In this situation, it is necessary to firmly plug the ruptured spot. Using an aortic stent would be quite suitable for this.”
Upon hearing this, Xiao He quickly spoke, “If the safety of the thoracic aorta can be ensured, the rest is simple. The bone can be removed via endoscopy.”
The anesthesiologist, Liu Jian, also nodded in agreement…
…
The consultation had clear outcomes, and everyone quickly reached a unified plan!
Thus, by five o’clock that afternoon, with everything prepared and under the protection of the anesthesiologist Liu Jian, the preparation for the surgery began!
As planned, the director of cardiovascular surgery, Tao Zi, took charge first and foremost.
After all, the core task of this operation was to ensure the safety of the thoracic aorta.
This time, Tao Zi had to treat the matter with utmost seriousness!
The surgery began, and if it were simply a matter of implanting an arterial stent, there would be no difficulty; with Tao Zi at the helm and the deputy director’s assistance, they swiftly and successfully implanted the stent!
This meant that the risk of the surgery had decreased somewhat.
The plan continued. At this moment, Director Xiao He, the head of the endoscopy room, stepped up to begin manipulating the gastrointestinal endoscope, delving deep into the esophagus to prepare for the removal of the fish bone!
But then!
Something that no one had anticipated happened all of a sudden.
After the endoscope was inserted.
They suddenly discovered that the fish bone had disappeared!
Was it some kind of trick?
Xiao He was instantly dumbfounded.
He repeatedly used the probe to search and searched several times at the originally targeted location, but in the end, he did not find the fish bone that should have been there!
Everyone present was flabbergasted.
Lu Xiaojun, who had personally performed the endoscopy on the patient, was also present and, of course, astounded.
“It was there just a moment ago. How could it just disappear?”
Xiao He immediately frowned.
When the fish bone could not be found, the hope of removing it through the endoscope was directly shattered!
At this time, the patient was still on the operating table!
And the fish bone had vanished!
What to do?
Everyone immediately began discussing!
“Could it be that the esophageal peristalsis before the surgery caused the fish bone to pierce into the chest cavity?” Zhang Youfu speculated thoughtfully.
And Tao Zi nodded, “Yeah, it’s possible. After all, look at this direction!”
During the conversation, Tao Zi pointed to the CT image on the wall and said, “Look, the fish bone entered the chest cavity at this angle, which is the same direction it would have entered the aorta. And the direction of the aortic blood flow is like this, as is the direction of esophageal peristalsis. If so, it explains everything!”
“The fish bone might have been propelled by the strong force of the aortic blood flow, in conjunction with the peristalsis of the esophagus, and already penetrated the esophagus, entered the chest cavity, and possibly even the aorta interior!”
After an exchange, the situation had once again become complicated.
At this point, there was no possibility of removing the fish bone with an endoscope!
What had to be done was to proceed with opening the chest for exploration, deciding on a new surgical plan.
With the assistance of the entire expert team, the surgical plan was immediately adjusted!
At this moment, Chen Cang became the core of the team!
Chen Cang was very skilled at open-chest surgeries.
This was something everyone knew.
At this moment, everyone’s gaze was fixed on Chen Cang, eyes filled with expectation.
The operating table was just like that.
Passing through five levels and slaying six generals, each person had their own responsibilities!
Just like Director Tao’s immediate implantation of a stent protected the aorta.
Chen Cang accepted the command in an emergency, unflinching and confidently nodding, he took the scalpel!
This moment marked the true beginning of the surgery!
Chen Cang selected the best location to make the incision based on the imaging results, and began the open-chest procedure.
Proficiently making the incision, Tao Zi helped with the responsibilities, assisting by the side, with the anesthesiologist Liu Jian making all sorts of preparations again, and the radiology department began pinpointing the precise location of the fish bone…
All medical workers were tensely carrying out their duties.
On the operating table, there are never lone warriors fighting the battles.
It is always a group of unified, exceptional teams!
After Chen Cang opened the chest, everyone involuntarily inhaled the uniquely chill air of the operating room.
Due to infection, the chest cavity was a mess, with significant adhesion already present, and secretions within the chest cavity.
After seeing this scene, everyone’s brows instantly furrowed.
It was fortunate that the chest had been opened; otherwise, the treatment and recovery afterwards would have been problematic!
But everyone knew that the burden had fallen squarely on Chen Cang’s shoulders!
Chen Cang… could he handle it?