"No, no!" He Guangyou was so anxious that his throat was hoarse. Looking at Song Xuelin's unhurried face, he couldn't help but glared at the young junior, "Who told you it was like this?"
"It's good that everyone thinks it's not the case." Song Xuelin opened his mouth and spoke slowly, as if setting the pace for everyone to think about it slowly.
After hearing what he said, the group of seniors remained silent for a while.
In silence, everyone realized what the problem was: the jaundice had not subsided, and there was no other conservative treatment except injections. Surgery might be the only option. The two newcomers were right, and the results were in front of them.
"Maybe, we can try ERCP on him?" Qiu Ruiyun pinched his chin, and after thinking hard, he mentioned a new method that could avoid surgical operation.
ERCP refers to endoscopic retrograde pancreatocholangiopancreatography, which involves inserting a duodenoscope into the descending duodenum and then entering the common bile duct from the first opening of the duodenum to remove stones. The examination method is similar to gastroscopy, and the scope is inserted from the patient's mouth without the need to make an incision on the patient's body surface with a scalpel. Therefore, in the National Association, it is performed by an internist who is good at laparoscopy.
"Should we contact Neiwu?" several doctors discussed.
Xie Wanying became anxious when she heard this and said to her seniors, "No. If you want to remove the stone through ERCP, you need to do a duodenal sphincterotomy (EST), which will damage the sphincter."
Wait, has she been to the Internal Medicine Department 5? Why does she seem to be familiar with this examination? Has the person in the General Surgery Department 2 told her about it? The doctors were surprised to hear her talk about the key points of ERCP.
...
...
"Do you know what a sphincter is?" Gong Xiangbin asked her doubtfully.
"The duodenal sphincter is a one-way valve that controls bile from entering the intestines while preventing intestinal contents from entering the bile duct. If the sphincter is damaged, it is equivalent to the loss of this natural barrier. He has symptoms of gallstones, and after surgery, intestinal contents will easily reflux and contaminate the bile duct, which will make bile duct infection even worse in the future." Xie Wanying did not miss a word and was concise.
Gong Xiangbin shut his mouth and didn't dare to ask her, the intern, any more questions.
He is a real academic master.
"Laparoscopy allows for a thorough examination and avoids damaging the sphincter by opening the common bile duct and inserting a choledochoscope. This is quicker and more convenient. We are surgeons and have a greater advantage in direct visual examination of the patient's body. There is no need to let an internist do it, right?" Xie Wanying said to her predecessors.
Yes, why let the internists do this? Isn't it throwing their jobs to them? What are these surgeons doing? The seniors at the table couldn't help laughing and almost burst into laughter.
A slight ripple appeared on Song Xuelin's delicate lips.
“Yingying.”
Seeing Tao Zhijie speak, the others stopped talking for a while.
When Senior Brother Tao called her by her nickname, Xie Wanying turned around and waited for him to ask more academic questions.
"What kind of person do you think your senior brother Cao is?" Tao Zhijie asked her, suddenly asking a question that was not academic.
Xie Wanying was stunned for a moment, then replied, "Senior Brother Cao is a gentleman."
There are so many handsome guys. Brother Cao may not be the most handsome, but he is definitely a very cultured gentleman.
After hearing her answer, the others realized that Tao Zhijie was asking her what Cao Yong did. It turned out that what she said before was very similar to Cao Yong.
What all his peers admire most about Cao Yong is that he dares to do it!
When others were hesitant, Cao bravely stood up and said he would do it. This is the confidence of a super famous doctor, which makes people admire him.
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