Chapter 462 What? Or braised noodles?
"It looks like it's a broad-knotted tapeworm." Luo Hao explained, "It shouldn't be noodles soaked in formaldehyde."
"It seems so." Chen Yan has researched this. He looked at the laparoscopic screen eagerly and started to move his index finger.
It's not that I'm greedy, but I've unintentionally started simulating surgery and getting ready to go on stage.
"Director Chen, do you want to open the abdomen?" Luo Hao asked.
"Ronald, if you don't hurry, just brush your hands and come together. This thing is easy to say, but if it is difficult..." Chen Yan did not continue.
"What situations have you encountered?"
"Laparoscopically, I removed the tapeworm bit by bit, and there was a perforation. I was careless at the time and didn't detect it. The tapeworm blocked the perforation. After the operation... something happened, 2 Enter the palace.”
"Now that you see this thing, just go for surgery." Chen Yan said without hesitation.
If you still need to use a mirror like this, the probability of something happening is too high.
Chen Yan was also surprised to encounter two patients undergoing medical surgery in one night.
But he didn't encounter anything in the hospital, so he didn't think much about it, "Ronaldo, brush your hands, let's do it together."
Luo Hao and Chen Yan went to wash hands, while Feng Zixuan silently watched "Lasagna" on TV.
Is this thing a broad-headed tapeworm? Why does it look exactly like lasagna? How can I go to the noodle shop opposite to eat noodles in the future?
No wonder Chen Yan rarely goes to the noodle shop opposite, but this kind of thing still happens.
I guess it's because of looking at the diaphragm, and when I eat noodles, I think of broad-jointed tapeworms that look like lasagna.
"Director Feng, you are still here at such a late hour." The professor in charge kicked the doctors off, began to withdraw the laparoscopic equipment, sutured the incision, and switched to laparotomy.
The hospital manager ran out to explain to the patient's family. Before leaving, he checked his cell phone. He probably took a photo just now and could not see whether it was clear or not.
In this case, the patient's family will generally agree.
Whoever sees such a big lump of "lasagne noodles" in the intestines, even if the intestines are blocked, is not worried.
It is also necessary to switch from laparoscopy to laparotomy.
It is estimated that the patient's family members were confused when they heard the doctor explain the condition. What they were wondering was whether they might also have worms in their stomachs when they were eating together.
"There is a patient. Let me take a look." Feng Zixuan said calmly.
"What are the formaldehyde noodles you are talking about?" The professor leading the group started gossiping and followed Feng Zixuan's words.
"Didn't you read the news some time ago?"
"I am in the hospital every day, waking up early and working late at night. I have no time. I occasionally watch short videos, but I feel that I am out of touch with society."
"Didn't Ronaldinho just say that he added formalin to the noodles? Emmm, that may be alarmist, but that's what it means. It makes the noodles look fresh and prevents them from spoiling and throwing away."
"Fuck you! This person is so evil?!"
"No way, the food safety problem is there and no one is taking care of it." Feng Zixuan spread his hands.
"Director Feng, how much formaldehyde is added to it? I like to eat noodles, but I have never eaten them."
"I don't know the specifics, but I read reports that although the formaldehyde dose of such noodles is low, eating a small amount will not cause immediate discomfort.
However, long-term intake of low-dose formaldehyde can cause chronic poisoning. In mild cases, respiratory lesions may occur, causing throat edema, eye tingling, headaches and other symptoms; in severe cases, it may cause leukemia, colon cancer, nasopharyngeal cancer, miscarriage in pregnant women, etc. Condition. ”
"!!!"
"!!!"
"It is said that ordinary noodles can be stored in the refrigerator for two or three days, but formaldehyde noodles can be stored at room temperature for a week without any problem. They are also very tough and not boiled to pieces, and they are still strong."
"The good noodles contain formaldehyde?!" The anesthesiologist "refined" Feng Zixuan's words and seemed to have changed his meaning.
But he believed it himself.
"Who knows, it's just a matter of course." Feng Zixuan was helpless and sighed, "Bad money drives out good money. Conscientious merchants have high costs and are gradually driven out of the market. As for me, it's better. Eat less takeout.”
Just as she was talking, the traveling nurse's cell phone rang.
"Yes, please put it outside." said the traveling nurse.
“Order takeout?”
"Hey, night shift, you're hungry, let's have a late night snack." The traveling nurse said intermittently as she thought of "lasagne" and her face didn't look very good.
"Actually, it's not necessarily that formaldehyde was added." Luo Hao came back from washing his hands and began to lay out the sheets quickly, chatting while doing so, "Nowadays, it's all self-media, and it's easy to get hit by boomerangs. No matter what the source of information, it seems to be unreliable. Spectrum.
Another day, I went to the noodle shop across the street to ask for a bowl of noodles, and then took it to the laboratory of the Agricultural University for testing. ”
"Huh?!" Feng Zixuan was startled.
"I always ate like this when I was in school, but I had to get tested on any delicious takeout. Half of them, half of them had something wrong. Lao Cui didn't like me for being so careful, and always ridiculed me. Later he ate crayfish. It hurt my feet," Luo Hao said.
! ! !
! ! !
"I'm used to it." Luo Hao said with a smile, "It's not troublesome to test."
"Are you... so luxurious?" Feng Zixuan was envious in his heart.
"It's not a luxury. The juniors and juniors from the Agricultural University or Food Department want to practice their skills, and they can also provide a source of clean takeaways." Luo Hao smiled.
"How much?" asked the traveling nurse.
Although Luo Hao said that less than half of the takeaways had problems, the traveling nurse still asked again.
"Not too many, but there are always some. Lao Cui's silly... son, the silly son of a landlord, is thin-skinned and refuses to ask for help."
While chatting, Luo Hao had finished disinfecting and was standing in the assistant's position.
The professor who led the team was very polite and asked him to stand in the first assistant position.
"I guess it was eaten raw." Chen Yan began to disinfect again, and then stretched out his hand, "Why did you eat it raw when you said it was okay?"
"When I was in Xia Laona, I knew that eating our wicker seeds raw would definitely lead to liver fluke infection."
"Huh? No one eats wicker seeds alive, right?"
"There were animals to eat, and then I got sick." Luo Hao explained, "At first when Mr. Xia mentioned the wheat ear fish, I didn't know what the disease was. Later, when I saw the specimen, I found that it was actually a wicker fish."
"You like it?" Feng Zixuan asked.
"My mother is willing to cook it, either fried or stewed in sauce, both are delicious."
"Veterinarians are also quite interesting."
"The types of diseases we face are different from those of us. Mr. Xia's side... By the way, there is a gossip, I wonder if Director Feng and Director Chen have heard of it."
"What gossip?"
"In 2019 or 2018, more than a dozen big names in the imperial medical circle went to Tokyo for a meeting. Within half a year after returning, they all fell ill and had two liver abscesses."
"Is it related to nuclear wastewater? It was secretly discharged at that time? I just said there is no good person in this book!" the anesthesiologist reprimanded indignantly.
Luo Hao laughed, and began to help Chen Yan pull open the skin and enter his abdomen layer by layer.
"No, no one knows, but after research, they all say it has something to do with eating sashimi. Eat it raw? Seafood contains high levels of parasites," Luo Hao said.
"Huh?"
"Really or not? Didn't you say that the sashimi of sea fish is clean?"
"Yes, I all eat sashimi from sea fish, and so do the Japanese restaurants here."
"The incidence rate of colon cancer in this book is almost the highest in the world, and it's because of eating raw fish." Luo Hao explained.
"!!!"
"!!!"
"Their research on colon cancer resection surgery is also world-leading. Boss Chai even went to learn it back then."
"Speaking of bugs, when I first learned that salmon were artificially fed by Hai Qing, my jaw almost dropped to my feet."
"At that time, they said that deep-sea salmon were clean. In fact, deep-sea salmon are the main host of Anisakis. The cycle of this nematode is relatively complex. It usually accumulates at the top of the food chain in the ocean, such as dolphins and sharks. After being excreted in feces, the eggs continue to exist in the ocean. Looking for the next unlucky host in the ocean ”
No matter what you say, Luo Hao can pick it up.
"Put the raw seafood under a microscope and take a look, and I'm sure you won't want to take a second bite."
"What can you see under the microscope?" the anesthesiologist asked.
"There are a lot of parasites that are mobile. It's okay to eat them once in a while. If you eat them like this all year round, you'll get some kind of immortality. The intestines are probably full of parasites, and it's not surprising that you don't get colon cancer."
But Chen Yan stopped talking. He opened the peritoneum and reached out to take out a section of the colon.
Chen Yan's hands and eyes are really accurate, and Luo Hao also admires him very much.
He didn't hesitate at all. Others thought he was leading a group of professors to suture the intestines when closing the abdomen, and found the position according to this marked point.
But Luo Hao knew it wasn't.
What others just saw was "lasagne" and they expressed surprise. But what Chen Yan saw in his eyes was the meticulous anatomical structure, and he knew exactly where it was.
Holding the intestines, Chen Yan stretched out his hand and slapped a sharp knife into his palm.
He didn't act handsome, but he was very handsome. Under the shadowless light, a sword appeared and cut off the sutures.
As the cut appears, white "lasagne" pours out.
A large piece of gauze was immediately spread underneath. Chen Yan raised his head with satisfaction and glanced at Luo Hao.
"Ronaldo, have you done this?"
"I have done it before. Director Qian is very good at parasitic surgery." Luo Hao smiled, "Boss Chai took Director Qian to a hospital in Inner Mongolia and squatted in the operating room for two months. He said he did it in one go. Hundreds of units.”
"!!!" Chen Yan fell silent.
The little pride I felt just now disappeared.
Chen Yan went to a hospital in Inner Mongolia for two months and underwent 1-2 liver hydatid surgeries every day. Chen Yan probably couldn't afford it even when he was young.
Boss Chai is so awesome and so energetic that he was able to stay in Inner Mongolia for such a long time.
"There is an up on the short video platform. He is quite beautiful. When he opens his mouth, bugs come out of his mouth. Professor Luo, have you seen it?" the anesthesiologist asked Luo Hao.
Luo Hao shook his head, helped Chen Yan clamp the "lasagne" and began to "pull" it out bit by bit.
"Spitting worms? Real or fake?"
"I definitely thought it was post-production, but every time I see it, I think of that person...what's his name?"
"Blue Phoenix?" Luo Hao reminded.
"Yes, that's right." The anesthesiologist nodded repeatedly, "It's like Miao Jiang's poison. If you dare to kill her, she will plant a love poison for you. The poison will kill you."
"It's terrible, people are afraid that you will get involved with them. Just you? What are you thinking about forever? Stop dreaming." The traveling nurse said with a smile.
"Pathology Basin."
Luo Hao stretched out his hand.
The instrument nurse was in a hurry and started looking for the pathology basin.
Luo Hao scratched his head. He didn't have many surgeries. Most of them were done at Xiehe and 912 with Boss Chai and Boss Zhou. For every operation, the operating room is fully prepared, and the equipment nurses and circulating nurses are also very capable.
Where would the current situation occur.
After waiting for 20 seconds, Luo Hao took the pathology basin just taken out of the sterile bag and began to assist Chen Yan in the operation seriously, no longer chatting.
Chen Yan's tweezers clamped the broad-headed tapeworm and pulled it out little by little. His technique was delicate and he didn't use too much force, for fear of breaking it or causing other problems.
The reason for being so careful is based on clinical experience. Who knows what unbearable surgical experience is hidden behind a seemingly awkward movement.
In the awkward surgical movements, the "lasagne" was pulled out bit by bit, but Feng Zixuan didn't understand it yet.
Even though Luo Hao and Chen Yan told him that this was a broad-knotted tapeworm and not lasagna, after pulling it out bit by bit, it still looked like noodles.
It's moving!
Feng Zixuan suddenly saw the "lasagne" move on his own.
Bugs, alive!
It’s really a bug! !
This broad-headed tapeworm looked too much like noodles, Feng Zixuan was shocked.
6◇9◇Book◇Bar
"Who, help me get a footstool." Feng Zixuan said.
"Okay, Director Feng."
The anesthesiologist and the circulating nurse went out together. The anesthesiologist took one look and stepped back in a dignified manner.
Standing on the footstool, Feng Zixuan has a better view.
About 40cm of the broad-jointed Sparganum tapeworm has been "taken out", and more than half of it has been filled in the pathology pot.
There was still a piece of white stuff in the patient's intestines.
"Be careful, Director Chen." Luo Hao warned.
"Ah?" Chen Yan was startled.
"I think the pressure in the intestines is wrong. The patient seems to be passing gas."
"!!!"
Chen Yan immediately raised his head, and at the same time, the gauze pad held in Luo Hao's hand covered it.
"Bang~"
There was a muffled sound under the gauze pad, and then a pungent smell spread.
"Damn it, luckily Xiao Luoli reminded me that I was too busy pulling out tapeworms." Chen Yan's face turned pale with fright.
The patient had an operation for acute intestinal obstruction, and the Sparganus broad-sectioned tapeworm was "taken out" by himself. After the intestinal obstruction was resolved, there must have been various intestinal contents accumulated on it.
Coupled with the stimulation of the broad-knotted Spargocephalus tapeworm, it is not unthinkable to spray it out.
Luo Hao did not chat with Chen Yan. He took away the gauze pad and saw that the surgical area was contaminated, and the white broad-headed tapeworms were covered with yellow feces.
"Is this braised noodles for lasagna?" the anesthesiologist asked.
"Don't say such disgusting words, how will you face having noodles in the future?" the circulating nurse scolded, and she immediately started to prepare.
"Hate, do you think you can face it without me telling you? I'm kidding. After this operation, I don't want to eat noodles in my life. I won't eat longevity noodles on my birthdays in the future. Let's just go there."
Although it is normal for gastrointestinal surgery to contaminate the surgical area, there is a lot to do.
Feng Zixuan glared at the anesthesiologist fiercely.
For no other reason than because it’s so apt. The white “lasagne” has a yellowish color on it. It doesn’t look like braised noodles.
The beaten eggs are still marinated.
"Let me feel how long it is." Chen Yan started to touch the upper intestine, "Come on, this guy is getting quite big."
"It's quite big. It's 80cm when straightened." Luo Hao compounded and continued to cooperate with Chen Yan to "take out" the tapeworm.
After more than ten seconds, the pathology basin was filled with Sparganus broad-sectioned tapeworms, and Chen Yan's movements stopped.
"This is a big basin!" Chen Yan marveled, "This is the biggest one I have ever seen."
"Ronaldo, did you see any intestinal rupture?"
"I didn't see it, Director Chen. Let's rinse it first and check again later."
"Yeah."
"Find a bucket." Luo Hao said.
The circulating nurse was busy, and the anesthesiologist got up, put on gloves, took the red bucket and put it aside.
The instrument nurse poured the broad-sectioned tapeworm in the pathology basin into the red bucket.
"Oh, it's really hard not to think about it. This bucket looks like the sketch "Eating Noodles" performed by Chen Peisi and Zhu Shimao back then." The anesthesiologist whispered to himself.
Feng Zixuan was startled, and then felt that what the anesthesiologist said made sense.
This is too similar.
But when I think of Chen Xiaoer squatting down and putting the broad-headed tapeworm into his mouth...vomit~~~
"Director Feng, can I take a picture?" the anesthesiologist asked in a low voice as he looked at the broad-jointed tapeworm squirming in the red bucket.
"Shoot, I'll take the photo for you."
The anesthesiologist carefully looked at Feng Zixuan's expression, and seeing that he was not yin and yang, he happily went to get the oval forceps, "Director Feng, the phone is on the table, the password is 200329."
"What day is this?"
"Hehe." The anesthesiologist just chuckled, bent down and picked up the tapeworm with oval forceps, and then straightened up.
She pulled the lasagna up, her hands shaking, and shook off the egg sauce on the lasagna.
The anesthesiologist stood up, narrowed his eyes, and made a pose.
Feng Zixuan was in good spirits and changed several angles to take pictures of the anesthesiologist.
"That's enough for you to show off to the forum." Feng Zixuan smiled.
"Thank you, thank you, Director Feng." The anesthesiologist held the tapeworm in his arms and began to observe it himself.
"I've never seen it."
"Generally, people from the south are willing to get it. They eat snails, water chestnuts, wild rice and the like, and eat the eggs." Chen Yan began to show off.
After the inspection, there was no intestinal damage. Chen Yan's heart dropped. He felt at ease and his mood improved a lot.
A good mood washes away the pungent smell of feces.
"Our job is not suitable for girls. We have to dig out feces and connect it to the sewer. By the way, Ronaldinho, how is the paraquat poisoning patient you treated a few days ago?"
"Discharged."
Chen Yan obviously slipped up and wanted to say that the patient was fed fecal soup to induce vomiting, but he suddenly thought of Zhuang Yan and swallowed his words.
However, Chen Yan did not expect that Luo Hao would answer "discharged".
In Chen Yan's understanding, paraquat poisoning is a terminal disease!
"Paraquat... Actually, I think treatment is one thing. The most important thing is that the current paraquat is expired and the toxicity is much worse." Luo Hao explained.
This explanation was quite consistent with Chen Yan's knowledge, and his tight muscles became relaxed.
Feng Zixuan took a deep look at Luo Hao. He actually said this, which made Feng Zixuan confused.
At that time, when the patient's condition was stable, the publicity outlet approached me and said that he wanted to promote the first paraquat patient who was discharged alive from the First Hospital of the Medical University.
Feng Zixuan also thought it was a good thing. Moreover, a helicopter was used for emergency first aid, and there were many high-end elements in the publicity.
But Luo Hao was not interested at all and simply refused.
He really doesn't want to be in the limelight.
What's more likely is that Luo Hao would rather sit by the patient's bed night after night and look at all kinds of boring numerical values than accept publicity.
Publicity doesn't matter to Luo Hao.
"This matter needs to be publicized!" Chen Yan sighed.
"Propaganda? Director Chen, forget it." Luo Hao said helplessly, "Originally, paraquat is no longer produced, and now we drink all the leftovers from the past, and there wasn't much medicine in the past. Promote it, and believe it or not, it will be done soon. Someone is live broadcasting.”
"Damn, I don't believe it. Qi Lu also does propaganda."
"Haha, what if." Luo Hao laughed and said, "Forget it, I have two projects I'm working on. It's the end of the year, and there's also the Ice and Snow Festival and the annual conferences of various disciplines. By the way, Director Chen, Boss Chai It is said that the annual meeting of general surgery will be held in Chengdu this year, did you know? ”
Chen Yan suddenly fell into silence, haunted by sadness.
He is one of the few experts in Bac Giang Province and the chairman of the General Surgery Department of Bac Giang Province, with a series of titles behind him.
Why is it that when the national annual meeting is held, a doctor from the interventional department knows about it earlier than me?
Chen Yan knew the reason, but he just felt a little stuck in his heart.
"Director Chen, go pet the cat when you have time. I have prepared some gadgets recently."
"Gadget?!" Chen Yan's attention was attracted.
Feng Zixuan thought of the deck chairs in the panda pavilion. Today, he was lying in the sun and drinking tea. The bamboo was beside him, being held by him.
To say that the years have been quiet is an understatement.
As for Chen Yan, he got the advantage. Luo Hao has a good relationship with Chen Yan and will definitely take Chen Yan to play.
The exploration showed no active bleeding and no perforation or rupture in the gastrointestinal tract. Chen Yan turned around and stepped off the stage, followed by Luo Hao.
The remaining surgical steps are completed by the teaching team.
"Tsk, tsk, such a big broad-headed tapeworm. Xiaoluo, do you think you can write a paper?"
"It doesn't seem possible. I read relevant case reports in magazines. The tapeworms are at least 2 meters long."
"I'll go! So big?"
"Yes, the Sparganus broad-jointed tapeworm taken out from the intestines of a female patient was more than 3 meters long. It seems to be the largest Spargan-headed tapeworm in the world? Maybe there will be bigger ones in the deep sea. This is a big deal. It’s hard to say.”
Luo Hao glanced at the "Lasagna" and was not interested, and chatted briefly with Feng Zixuan.
After getting off the stage and asking Chen Yan to pet the cat, Luo Hao sent Feng Zixuan to the door.
"Aren't you going to find Da Nizi?" Feng Zixuan asked.
"It's a bit late, I won't go." Luo Hao said, "I want to write something about scientific research, but my memory is not good right now. If I don't write today, I'm afraid I will forget it soon."
"Hahaha, you can really joke." Feng Zixuan smiled and walked away.
But before he took a few steps, Feng Zixuan's cell phone rang.
He picked up the phone, glanced at it, and smiled.
"Hello, Dean Zhuang."
“I’ve finished that note and pressed my fingerprints, but there’s nothing I can do.”
Luo Hao raised his eyebrows.
(End of chapter)