"The surgery at the boss's side is also quite tricky. He asked us to do the surgery first and wait until he comes back for the critical step of lithotripsy," said the doctor on duty at the Department of Urology.

"Well, speed up while the patient's blood pressure is still stable." Li Minghui urged, looking at the red blood pressure on the monitor.

Surgery begins.

General anesthesia takes effect, lithotomy position.

Although the doctor on duty at the Department of Urology was a little panicked before, he became calmer on the familiar operating table.

The rigid ureteroscope first enters the bladder through the urethra, and the doctor on duty at the Department of Urology first inserts a 0.035-inch zebra guidewire into the affected side.

The slender guidewire looked particularly nimble under the nimble fingers of the doctor on duty at the Department of Urology, and slid smoothly into the depths of the ureter.

After the guide wire is in place, the advancement of the rigid scope is guided. The doctor on duty at the urology department slowly pushes the mirror again and inserts it deep into the affected ureter.

On the screen, a large amount of liquid was constantly stirring the lens. This was a completely different viewing experience from laparoscopy. Su Jie even felt a sense of motion sickness and vomiting after watching it for a long time.

But soon, the doctor on duty at the Department of Urology stopped vigorously stirring the camera in the urine.

Because just inside the lens, a large number of floating yellow stones have appeared at this moment.

They are like meteorite fragments floating in space, following irregular routes, dragging downstream under the prying eyes of the rigid ureteroscope.

The mission of hard mirrors to keep moving forward has been completed.

Next, a softer lens is needed to enter the inside of the ureter. Only with this soft body, which can make amazing twists and turns, can it accurately capture every piece of unsupported material inside the winding ureter.

stone.

The advantage of hard lenses is moving forward, while the advantage of soft lenses is turning.

The zebra guide wire was left near the stone, and the doctor on duty at the Department of Urology quickly withdrew from the hard scope and instead sent a softer scope along the guide wire.

At this point, the flexible ureteroscopic holmium laser lithotripsy has been completed halfway.

Just at this moment, the electric door of the operating room opened, and the CEO of the Department of Urology walked in in a hurry.

"How's it going? Is the mirror put away?"

As soon as he entered the operating room, the manager of the Department of Urology didn't even look at the operating table. He picked up the sterile gloves on the table and put them on. He looked very anxious.

"They were just sent in. Dr. Liao, you came just in time!" the doctor on duty at the Department of Urology said happily.

"What the hell is happening every day!"

Faced with the joy of the doctor on duty at the Department of Urology, the boss seemed very angry.

"Although I am the boss, I deserve to work hard and milk the cows, but you should at least be a little considerate of me. Starting from this morning, I have been doing one operation after another, and I am endlessly busy. I am not finished yet.

You want me to come here again!"

"Yes, yes, yes." The doctor on duty at the Department of Urology quickly lowered his head and admitted his mistake with a skill that made people feel distressed.

Quickly putting on the surgical gown and sterile gloves, the boss stepped into the surgeon's position in one step. He glared at the two doctors in the emergency department. He slightly relaxed his brows, which was considered a greeting.

"What's going on with this patient? Please tell me more in detail!"

The boss took over the flexible ureteroscope, looked at the floating stones in the camera, and asked the doctor on duty.

"Oh, this patient was admitted to the emergency room this afternoon. He was diagnosed with urinary tract stones and septic shock. He has been rescued once in the ward. His blood pressure dropped below 60/38mmHg when it was at its lowest..."

The doctor on duty quickly explained the patient's condition, while the boss listened silently, with an expression of "I'm very unhappy right now" on his face.

It wasn't until the doctor on duty finished speaking that the boss hummed, "That's it?"

"Well, that's probably the situation. Since this is my first emergency surgery for urinary tract stones, I thought twice about it and invited you over to guide the surgery."

"Next time this happens again, the soft lens has already been sent in, so don't call me again. At least try to remove the stone yourself first. If you really can't figure it out, call me again!"

"Yes, yes, yes, yes." The doctor on duty was almost dizzy. Fortunately, he was a thick man with hard tear ducts. If it had been a female doctor, he would have burst into tears by now.

The boss was in a very unhappy mood after a busy day, but after a wave of treatment from the doctor on duty, his depressed mood was relieved a lot.

After the emotions are vented, work must continue. Although emergency surgery for urinary tract stones is not as serious as car accident injuries or falling from high altitudes like general surgery, if it is not done well, it can still kill people.

But just as the boss adjusted himself and was about to start holmium laser lithotripsy, Su Jie suddenly said:

"Wait a moment."

"Huh?" The boss stopped what he was doing and raised his head in confusion.

"There is one more thing that the doctor in your department may have forgotten to mention." Su Jie reminded.

"What's the matter, you can't finish it all at once?" The boss turned to look at the doctor on duty and asked impatiently.

There is still an operation waiting for him in the operating room next door. If he doesn't do it quickly here, he will delay it for a long time, and if something happens again in the department... the boss feels that he is really going to explode.

"Is there anything else you haven't said?"

The doctor on duty was stunned and looked at Su Jie in confusion. The patient's condition he just told the boss had been repeated in his mind countless times. Everything was explained clearly in detail.

Is there anything I forgot to say?

"Have you forgotten? We just discussed that the patient was obviously in septic shock caused by urinary tract stones, but the patient's family said that the patient's symptoms of urinary tract stones only appeared after ten o'clock last night, which is obviously inconsistent with normal conditions.

"Su Jie stood on the other side of the operating table and stated slowly.

"This...didn't I say it? The patient's family may have remembered it wrong, or they may not have paid much attention to the patient's physical condition," the doctor on duty said.

Compared with the hasty judgment of the doctor on duty, the boss obviously has richer clinical experience. The doctor cannot believe everything the patient's family says, but he cannot not believe it either.

Especially when a patient's family member tells an obviously ridiculous situation, the doctor must analyze and judge carefully.

Because these seemingly absurd situations are often the truth hidden under the fog. The patient's family members do not understand the nature of the disease development, so they can only express what they see and feel in the most straightforward way.

As a clinician with professional knowledge, he must see through the phenomenon to see the essence, and find the truth from the absurdity spoken by the patient's family members.

"What specifically did the patient's family say?"

The boss stopped preparing for gravel, turned to look at the doctor on duty very seriously and asked.

The doctor on duty did not dare to continue to deal with the matter in a hasty manner, and could only answer seriously:

"The patient's wife said that the patient was getting ready to go to bed around ten o'clock last night, and then he felt some pain in his lower abdomen. They didn't pay attention at the time and just thought it was due to a bad meal at night."

"Then, the patient's cramping feeling in the lower abdomen became more and more obvious. It could only be relieved slightly by lying on his side and curling up. He also had frequent nocturia that night and had to get up at least seven or eight times a night."

"These are obvious symptoms of urinary tract stones, but if it is true that these symptoms appeared for the first time last night according to what she said, there is no reason why the patient would develop infection so quickly in less than 24 hours.

Sex shock!"

This is unreasonable.

This is ridiculous.

The doctor on duty at the Department of Urology believed that his judgment was absolutely correct.

But when he looked up confidently and looked at the expressions of the other three doctors on the operating table...

Um?

You all look like you are thinking seriously. What the hell are you talking about?
Chapter completed!