Great Medical System in a Veterinarian-Chapter 463 - 208: Emergency! Contact the Vascular Surgery Department—Uncle Niu Is Blown Away!
After opening the chest cavity, they surprisingly didn’t see the fish bone.
This was simply unimaginable.
This matter was beyond what their Emergency and Thoracic Surgery departments could handle. They needed to first explain the situation to the family and seek consent to suture the opened aorta, then close the abdomen, and subsequently invite relevant experts for a consultation to carry out the follow-up surgery.
"Okay!"
Only this moment was seen.
The crowd nodded their heads.
The doors of the Provincial Hospital’s operating room opened at this moment.
Two women in their thirties were anxiously waiting at the door.
They were Uncle Niu’s eldest daughter Niu Caicai and youngest daughter Niu Haiyun.
Both were originally busy with affairs in their respective homes, but they suddenly received a message from their cousin saying that their mother needed to undergo chest surgery.
They were so frightened that their souls almost flew out.
They didn’t understand what was happening. Why did their mother need chest surgery for no apparent reason?
Afterward, they learned that their mother had swallowed a fish bone, which, after being swallowed down with a big piece of steamed bun, had actually pierced through the esophagus and reached the thoracic aorta.
It could cause massive bleeding at any time.
Surgery was required.
Moreover, it couldn’t be done locally; going to a big hospital in the province was the best option.
The cousin recommended two hospitals: Jida Affiliated Hospital and the Provincial Hospital.
They chose the Provincial Hospital here.
They really didn’t expect one small fish bone to cause such a problem.
"Who is a relative of Zhong Dalan?"
The emergency room doors opened, and Huang Xiangning came out and called aloud.
"We are, Dean Huang, we are. How is the surgery going now? Has the fish bone been removed?"
Niu Caicai and Niu Haiyun stood up directly.
Then the eldest daughter, Niu Caicai, asked.
After all, only this doctor came out now, and their mother hadn’t been pushed out yet, so they didn’t know how their mother’s condition was.
"You are the relatives of Zhong Dalan, right? There is a bit of an accident with the surgery now, and there is something we need to discuss with you, and you need to make a decision quickly."
Closing the abdomen and then receiving treatment requires family consent.
Now Huang Xiangning came to ask the family members for their opinion.
"Vice Director Huang, is there an accident with my mother?"
"Ah! What accident? Vice Director Huang, what do you want to discuss with us!"
The two daughters’ faces turned white all of a sudden.
Because they had asked their cousin before.
The question was why the surgery couldn’t be done at the local County Hospital and had to be done at a provincial hospital, and why these two best hospitals were recommended.
Then their cousin very seriously told them.
Chest surgery, with the fish bone stuck in the aorta, is a very dangerous surgery.
It could be done locally.
But it was not recommended.
Because the emergency mechanism and the doctors’ level are limited.
The Provincial Hospital has a relatively good emergency mechanism, and the experts are of a higher standard.
Could it be that this time it really happened as their cousin said, an accident occurred?
The more they thought about it, the colder they felt!
How could one small fish bone be life-threatening!
"You two, don’t be agitated for now. Currently, the patient’s vital signs are stable; there has been no accident. It’s just that we didn’t find the fish bone after opening the chest, so now we want to discuss with you whether we should close the abdomen first, and then conduct examinations. After determining where the fish bone is, we will perform a secondary surgery to remove it."
Huang Xiangning said.
She also felt very troubled with this kind of accident.
"But Vice Director Huang, didn’t you confirm the fish bone’s location before the operation? Why couldn’t you find it after opening the chest!"
Niu Caicai breathed a sigh of relief when she heard her mother was fine.
At the same time, she asked curiously.
"Yes! Could it be that this fish bone can move!!"
The younger daughter, Niu Haiyun, also inquired.
Before the surgery, the doctor clearly had also done a CT scan and carried out the surgery after confirming the location.
Now you open my mother’s chest cavity, and you say you didn’t find the fish bone. Isn’t this absurd!
Moreover, the patient is also old now.
You’ve opened the chest cavity once; later, you might need to open it a second time.
What’s going on here?
"It’s like this, ladies: I fully understand your frustration right now, and during the surgery, we certainly confirmed the area of the fish bone. As for why it still can’t be found, the main reason is that the fish bone is on the thoracic aorta. The aorta will move, and there is a high likelihood that the fish bone traveled with the flow of the thoracic aorta to other places, so now we need to contact the vascular surgery team from Jida, which is the most professional vascular surgery team in our entire province, to assist!"
Every hospital has its own strong disciplines; the Provincial Hospital’s Emergency and Thoracic Surgery departments are relatively strong.
But their vascular surgery team is not as good as Jida Affiliated Hospital’s.
For such a complex case, she needs to immediately invite the vascular surgery team from Jida Affiliated Hospital.
"This..."
The two daughters of the Niu family looked at each other.
"Then, can we make a phone call?"
Then the eldest daughter asked.
"You can make a phone call to ask for an opinion, but I suggest you hurry because the patient’s condition is developing towards a worsening state, and we need to quickly evaluate the fish bone’s location!"
The fish bone is now wandering unfixed, which could lead to various possibilities. If it re-enters the esophagus through the aorta and falls into the digestive tract, that is the more optimistic situation.
But if it falls into a blood vessel through the aorta and travels with the blood flow to other parts of the body, it might penetrate another local artery, causing local arterial vessel damage, resulting in active bleeding or forming a pseudoaneurysm and even damaging surrounding tissue or organs near the blood vessel, further causing massive bleeding that could be life-threatening.
