Healing Doctor

Chapter 476 Destructive Surgery

With Director Li Ming present, the patient's family quickly accepted the reality.

Director Fan acted swiftly and decisively, dispelling the patient's last remaining doubts and getting the contract signed with the family as quickly as possible.

The moment the signature was made, the patient was already on a stretcher, ready to go to the operating room for surgery.

Ji Xiang breathed a sigh of relief.

This was a "task" that he completed independently. Although there was no reward, Ji Xiang was still very happy.

"Dr. Xiao Ji, not bad at all," Director Li Ming praised. "I was stunned at the time; I never expected that a film crew could be used."

Ji Xiang smiled and quickly walked with Director Li to the operating room.

……

In the comments section.

The bald-headed host asked, "Professor Shen, how common are these situations in hospitals?"

"Many." Professor Shen didn't mince words; he had gradually figured out the production crew's routines.

There are some things you can say in casual conversation that you can say yourself, but the production team will still cut them out during the post-production editing, no matter how interesting they are.

You don't need to worry about that.

Just chat casually, as long as you don't say anything too inappropriate. As for what to include or exclude, that's the production team's business, not yours.

"Similar situations can be divided into two stages," Professor Shen began to explain. "Before the New Rural Cooperative Medical Scheme, many elderly people in rural areas simply didn't go to the hospital for treatment. Think about it, their annual income of a thousand yuan or so would be gone after just two check-ups at the hospital, so they might as well stay home and endure it."

Almost none of the guests present could understand the statement that an income of only a thousand yuan a year was acceptable.

People's joys and sorrows are not shared.

"Later, with the introduction of the New Rural Cooperative Medical Scheme, a portion of medical expenses could be reimbursed, and the number of people seeking medical treatment at grassroots hospitals gradually increased."

"Putting aside the severity of the patient's condition, postoperative high nutrition is a very troublesome matter and requires a lot of money... To put it simply, the surgery requires removing at least 50cm of the intestine. After the surgery, the patient is not allowed to eat or drink, and still needs nutrition, which can only be given intravenously."

"Fat emulsions, amino acids, ionic liquids, etc., cost more than a thousand a day, and that's a conservative estimate. This amount of money may not seem like much to us, but it's unaffordable for many people."

"We also need to add blood transfusions," Mao Mao added.

"Professor Shen." The bald host saw Professor Shen pause for a moment, and he groaned inwardly. Whether these words were true or not was another matter, but even if they were true, they could not be broadcast on the program.

"The patient has been experiencing rectal bleeding. What's going on, and why is interventional radiology necessary?" The bald host changed the subject.

"For patients like this, if the bleeding cannot be stopped, there is only one treatment option—removal of the bleeding intestine," Professor Shen explained. "However, when we open the abdomen, what we doctors can see is the peritoneum and the intestines. The patient's bleeding is not due to external trauma, but rather bleeding from a ruptured small artery in the inner wall of the intestine."

"In this situation, no one knows exactly which part of the intestine is bleeding."

"A long time ago, when similar situations occurred, doctors would discuss with the patient's family and then go on stage to make the incision without proper consultation."

"!!!" The bald host was stunned. "Did you cut it badly?!"

"If we don't do it, the patient will definitely die; if we do it, the patient has a glimmer of hope. Some patients' families will want to give it a try, and the success rate isn't low," Professor Shen said.

"A long time ago, when was that?" Momo asked.

When it comes to such highly specialized knowledge, Mao Mao can no longer get a word in edgewise.

"More than 30 years ago, when I first started working, I would remove as much of the intestine as possible, removing anything outside the threshold for dumping syndrome." Professor Shen smiled.

"What syndrome?"

"A guest asked."

Professor Shen wanted to explain, but hesitated. An explanation might be better, but the topic had strayed too far, and he would have to spend a lot of time explaining.

If I wanted to explain this disease clearly, I'd probably have to teach medical novices for days and nights.

No need.

"At the time, we removed as much of the intestine as possible; if the bleeding point was in there, that would be the best outcome."

"What if they're not here?"

"The patient will die soon," Professor Shen said.

"..."

"..."

"..."

The guests remained silent.

The bald-headed host asked, "What are Director Li's plans now?"

"There are two methods. One is contrast imaging," Professor Shen said. "Intraoperative contrast imaging can locate the bleeding site. However, because the intestines are coiled together, it is basically impossible to see clearly and can only play an auxiliary role."

As he spoke, Professor Shen asked for a straw, coiled it into a circle, and explained it to everyone.

Some guests understood Professor Shen's meaning, while others were still confused.

Even when being a guest, one should consider one's character.

"The second method, which is also the most commonly used, is interventional embolization."

"It involves finding the blood supply vessel and blocking the bleeding vessel with a coil or gel sponge."

"Teacher Shen, if I understand correctly, the artery is blocked? What about the blood supply after that?" the bald host asked in confusion.

Professor Shen nodded. The bald host had a clear mind. Although he didn't understand medicine, his questions were indeed on point.

No wonder she's a popular host who's been famous for so many years; her basic qualities are just that high.

"Yes, similar surgeries are also called destructive surgeries. They involve interventional embolization, causing intestinal necrosis, but not complete necrosis; this depends on the surgeon's experience. The location of the necrotic intestinal segment is determined during the procedure, and then it is removed."

"!!!"

"!!!"

The guests were shocked by Professor Shen's words.

"If the surgeon's skill level is slightly inferior and they are unable to identify necrotic intestines, the patient is also at great risk."

"Necsis should be easy to spot, right?"

Professor Shen smiled but remained silent.

He wasn't a gastrointestinal surgeon, and he couldn't explain the specific details, so I could only smile and remain silent during this part.

"That's dangerous."

"There's no other way; this is the best solution right now," Professor Shen said.

"Professor Shen, how many centimeters of intestine are typically removed when using interventional embolization?"

"Around 50cm, depending on the surgeon's skill level. By surgeon, I mean both interventional and surgical procedures."

Professor Shen said.

While everyone was chatting in the comments section, the film crew's cameras had already entered the operating room.

This was an extremely valuable opportunity; at least the cameras could get into the operating room. Although it was unknown how much of the footage would ultimately be shown, the guests watched with wide eyes.

The operating room is extremely mysterious in the minds of ordinary people, but now a layer of veil is slowly being lifted.

The film crew members were putting on lead aprons; they were preparing to enter the operating room for on-site filming.

The bald host understood their relentless spirit.

The ratings for the first two episodes had already reached a previous high, and the bald host knew that Director Fan and everyone in the production team hoped to go even further.

Since we've had another opportunity, let's give it our all.

(End of this chapter)