207. I think the risks of surgery still have to be explained to the monthly pass
After doing a set of physical examinations, Jiang Lai was really relieved. "At present, the possibility of upper gastrointestinal bleeding is high. How is the feces going on these days? What color is it?"
"It's...very normal." Gu Tongen thought about it, and it seemed normal.
Jiang Lai sighed, forget it, sometimes, the patient cannot express his symptoms at all. With this blood pressure and heart rate, the possibility of acute blood loss is extremely high.
Now hemostatic medicine is used, fluid is injected, and blood is being matched. If it is just upper gastrointestinal bleeding... then this person will not be in danger of life.
"Push to the custody room, and the operating room is ready." Jiang Lai ordered.
Yu Wen nodded and asked someone to prepare. Today... He and his subordinates were on duty in the emergency department, so he took a patient back from the car, but he didn't expect that it was Jiang Yunting who came with the patient.
While surprised him, he also felt that Shanghai was really small.
"I'll go change my white coat, Dr. Yu, come with me." Jiang Lai called Yu Wen.
...
"Why are you calling me here?" Yu Wen was puzzled.
"Do you remember the cardiac angiography mentioned in the information I gave you?" Jiang Lai changed out of his coat, put on a white coat, and asked with a smile.
"Yeah, remember." Yu Wen nodded.
"In fact, angiography can be used not only in the heart blood vessels."
"good."
"So, I want to rule out other diseases for this person."
"For example?"
"Liver cancer, cirrhosis." Jiang Lai said seriously.
He remembered that Gu Tongen, one of the major shareholders of Paramount, inherited a large amount of inheritance and company from his biological father and his successor, but he died a few years later. The cause of his death is not recorded in history.
So, he was curious.
Either this person is sick and dead, or this person is killed by him.
But based on current speculation, he felt that Gu Tongen was still very likely to die. In this era, ordinary rich young men never took good care of themselves. They were both drunk and sweet, and their bodies were empty. Since the other party had neither liver palm nor spider nevus, no varicose veins, nor ascites, even if there was cirrhosis or something, it must have been before it was lost.
"How to check?"
"Travel through the inguinal artery to the abdominal aorta, then from the common hepatic artery to the intrinsic liver, then contrast agent enters the liver to observe the condition of the blood vessels, but the risk is relatively high, and I need someone to help me." Jiang said his plan, "When our hospital, during the operation, I hope to do this test together."
"The diameter of the left and right liver..."
"Yes, it's relatively thin, so I don't plan to go in. When the liver is inherent, I will create contrast agents and wait for the blood to bring them in for a look." Jiang Lai nodded.
In this era, when the examination method is only X-ray, angiography is the most accurate examination that can diagnose some organic diseases.
He speculated that Gu Tongen was likely to be pushed to the surgery, and this time, it is likely that it was just an acute bleeding in the upper gastrointestinal tract, and the ulcer surface may be large. Since you have to go for surgery, it is better to do a test by the way.
"It's so happy." Yu Wen nodded with a smile, "But I have no experience."
"Help me get the X-ray machine disinfected and move it to the operating room."
"You kid, just let me be a coolie?" Yu Wen couldn't laugh or cry.
Jiang Lai smiled and nodded. He planned to ask for a more detailed medical history.
...
"Why are you crying?" Gu Tongen looked at the woman beside him with an impatient look on his face, "I'm not dead yet!"
"master……"
"Get home!" Gu Tongen became even more angry.
On the side, Jiang Yunting looked funny.
Next to Jiang Yunting, a woman with exquisite makeup was carrying a shoulder bag, and her face was full of amused, and she couldn't help but say, "Gu Tong'en, I really think you're gone."
"Sheng Qi, what are you talking about?" Gu Tongen couldn't help but sighed, and said to his wife, "Okay, I'm fine, the doctor will come later."
"Is it Mr. Jiang's young master? I heard that he can even do heart surgery. Master, you must be fine." Gu's wife looked at Jiang Yunting.
Jiang Yunting shook his head, "The doctor is not a god, and he cannot guarantee that everyone will be saved."
"But...Doctor Jiang has pulled Mengli back from the gate of hell. Mengli, don't you?" Gu's wife asked for help from Pu Mengli, who came later than her. This person is rumored to be the person next to the little boy of the Jiang family.
Pu Mengli frowned, "Mr. Jiang is right, the doctor is not a god."
"you……"
Jiang Lai stood at the door and watched a good show. No matter how good Mr. Gu is, he is always hard to stop doing housework. Mrs. Gu’s tricks are quite low-level. "Okay, please be quiet first for irrelevant personnel. I need to ask for a detailed medical history and the patient’s current situation."
It was not the first time Xia Yu has seen someone with such a big show, but she felt that she was on duty with the rest of the warmth, which seemed to be quite unlucky. This family seemed to be difficult to mess with, but she still measured her blood pressure and heart rate first, "Blood pressure 86/51mmHg, heart rate 128 times per minute."
Jiang Lai frowned, and while replenishing fluid, he stopped bleeding, and his blood pressure did not rise. "I will test it later, but now, I'll help prepare the operating room together."
"Okay, President Jiang." Xia Yu of course responded without distraction.
She was not in a good mood these days because the news that Jiang Lai had a girlfriend had spread in the hospital, and that the daughter of Dr. Lin, the senior Chinese medicine doctor, was Mr. Lin Wanlin.
I saw Jiang Lai again today... I didn't feel much.
Well, it turns out that she just admires Dr. Jiang.
After all, Jiang Lai never paid much attention to her!
"Mr. Gu Tongen, is there only Mrs. Gu in the family?" Jiang Lai asked Gu Tongen. He once had a memory of the various commentary of the tour guide when he visited Paramount. Therefore, he knew Gu Tongen's identity and the identity of the middle-aged woman next to his father, Miss Sheng Qi.
"Yes, there are no children." Gu Tongen responded, his voice weak.
"Okay, then I will explain your condition to you. I recommend timely surgery." Jiang Lai said, "It should have been half an hour since you were admitted to the hospital. Although you have not vomited blood again, your blood pressure has not yet risen, which means there is active bleeding in your body. We need surgery to investigate. If it is bleeding from gastric ulcer, then most of your stomach may need to be cut off. In addition, given your long-term drinking history, I also hope to give you a test."
"What?"
"Hepatic angiography, check if there is something wrong with your liver."
"good."
"Don't you ask how you checked?" Jiang Lai smiled and shook his head.
"You are Yun Ting's son, you can't cheat me, right?" Gu Tongen knew very well.
Jiang Lai:...
He suddenly felt that his father was a little cheating on his child.
Chapter completed!