Chapter 258

On the way, Xiao Chenguang contacted Xu Guoqiang again. After confirming the patient's condition and the specific arrival time at the Second Hospital of the Provincial City, they also called people to the hospital.

The car quickly got off the highway, and the inpatient building of the Second Hospital of the Provincial City, which stood out from the crowd, came into view.

Because it was midnight, the whole hospital was quiet. Compared with the bustling patients during the day, it felt a little more peaceful.

"I'm going to the emergency room to get a flatbed."

Xiao Chenguang got out of the passenger car. Because of the long journey, the patient lying half in the back car was out of breath.

Two empty oxygen bottles were placed at his feet. This was thanks to Gu Ting, who was in the emergency department, taking an extra oxygen bottle before leaving.

Otherwise, it will be a difficult journey.

When I first entered the emergency room, I found that Xu Guoqiang had greeted him in advance and that the flatbed truck and oxygen bottles were ready.

Even Xu Guoqiang himself had already pushed the flat cart over.

"Teacher Xu..."

Xiao Chenguang once again expressed his gratitude. After all, he asked for help. He stayed up late at night and waited in the emergency room, and even came to help in person.

These are all favors.

"Reporter Liao, this is Director Xu from the Second Hospital of the Provincial City."

After a brief introduction, Liao Changgong quickly stepped forward and bowed, and then everyone carried the old man onto the flat car together.

"I'll lead the way, follow me."

When Xu Guoqiang saw that the old man's condition was indeed a bit bad, he took the patient directly to the endoscopy room without saying a word.

"Director Huang, this is what I'm telling you, Director Xiao from Yingcheng."

"He was the one who helped with the last surgery."

In front of the door of the endoscopy room, a middle-aged man about forty years old stood there with his eyes closed and concentrating.

Upon hearing Xu Guoqiang's introduction, he glanced at Xiao Chenguang, with a hint of surprise in his expression.

This is the legendary Director Xiao who came to the provincial capital from Yingcheng to guide the work. So young?

The last hepatobiliary surgery caused quite a stir in the hospital, and even the deputy director of the imaging department went there to learn it himself.

This shocked Huang Shi. Originally, he didn't want to come tonight. After all, patients transferred from lower-level hospitals could just arrange for their people to come over and help.

But when Xu Guoqiang said that it was Xiao Chenguang from Yingcheng who brought the patient, he immediately changed his mind.

He wanted to know what kind of person he was that could cause a sensation in the Second Courtyard of the provincial capital.

But soon his attention was drawn away by the patient lying on the flat car.

The lips are cyanotic and the appearance is breathless. The old man's condition is not good.

Huang Shi used to be a doctor in the Department of Respiratory Medicine. He went out to study bronchoscopy and then moved to the endoscopy room.

I usually meet a lot of patients, but I don’t see many with the old man’s current breathing pattern.

"I heard Director Xu say before that the old man choked on a peanut while eating. Looking at the current situation, the tube may not even be able to be taken out."

Huang Shi has his own judgment. After all, he has seen many patients and can basically draw a conclusion at the first glance.

This patient is difficult to treat. Even if a tracheal intubation is inserted into the mouth and a metal guide wire is used to clamp it, it may not be possible to get it out.

After listening to Huang Shi's words, Liao Changgong felt a chill in his heart, and even a chill suddenly shot up his spine, making him shiver uncontrollably.

If there is no way to cure it in the provincial capital, the only option is surgery.

But with his father's current physical condition, could he bear the risk of surgery?

Xu Guoqiang on the side was also silent. He didn't know much about endoscopic technology, but he knew Huang Shi.

If Director Huang can't even say that it's not easy to do, then I guess others won't be able to do anything about it.

If it really comes to the stage of surgery, it is estimated that given the old man's condition, it will be difficult for him to survive.

But there was nothing that could be done about it. The old man had a cerebral infarction, and now his lungs were like this. Xu Guoqiang felt a little sad. He didn't expect that sometimes a peanut could kill someone.

Just when the atmosphere was gloomy and the silence was terrifying, Xiao Chenguang spoke.

"Director Huang, the patients are here, let's give it a try."

"Although he has a history of cerebral infarction, because of this, the patient's cough reflex is not good. Endotracheal intubation may cause airway spasm, leading to pulmonary edema, and the foreign body cannot be removed."

"But if you don't need intubation, it may be easier to do a nasotracheal fiberoptic bronchoscopy as long as the direction is correct and lidocaine is used to anesthetize the portal and airway."

Xiao Chenguang's words were like a spring breeze, blowing directly into Huang Shi's heart.

"Where did you learn how to do nasal tracheoscopy?"

Huang Shi suddenly raised his head and looked at Xiao Chenguang. Although the latter was young, he stood there giving off a sense of confidence and stability.

Especially the method he just mentioned, the more Huang Shi thought about it, the more feasible it became, and it even opened a new door for him in endoscopic technology.

"I studied with a teacher before and saw him do this."

Xiao Chenguang followed his usual practice and passed the blame to his mysterious teacher.

Then he handed the CT film in his hand to Huang Shi and said quickly: "I have seen the patient's film. The nasal cavity structure is intact, which provides conditions for transnasal fiberoptic bronchoscopy. Moreover, I have observed the patient's cough reflex on the way. During operation, it should be no problem."

In later generations, transnasal tracheoscopy has been a routine operation, but now, it is still in its infancy, and many operating details and precautions can only be explored little by little.

"Try then?"

Huangshi is ready to start a new business. If the transnasal bronchoscope can be built, a new business can be launched in the future.

He looked up at the family members on the side. As long as he agreed, preparations would begin.

"Director Xiao?"

Liao Changgong had no idea at this moment. Originally, this inspection was Xiao Chenguang's suggestion to him, otherwise he wouldn't have gone to the provincial capital so much.

But now even the director of the provincial capital has given up, which makes him don't know what to do.

"It's okay, I'm watching."

The indifferent response gave Liao Changgong great encouragement. Since he chose to listen to Xiao Chenguang, he must have 100% trust and should not have any doubts.

"Director Huang, let's do it."

"Okay, then I'll start preparing."

Huang Shi said, looking away from the patient, and silently glanced at Xiao Chenguang.

Even he was not completely sure about the nasal tracheoscopy. How could this young man be so confident?

It was as if he had undergone such an examination.

Huang Shi shook his head, eliminated the messy thoughts in his head, and concentrated on performing a bronchoscopy on the patient in front of him.

Seeing Director Huang starting to prepare the equipment, Xu Guoqiang also breathed a sigh of relief. At least he promised to do it, so it was not in vain to invite him from home so late for the operation.

The patient was carried to the bed in the endoscopy room, and the oxygen bottle was replaced with the hospital's unique oxygen supply system.

As the flow rate was turned on, the patient's nasal cannula made a squeaking sound, and his breathlessness was obviously much better than before.

At this time, Liao Changgong's nervous heart relaxed a little.

"Old man, I'm watching. You can go through the formalities first."

Before removing the foreign body, various hospital procedures must be completed.

Otherwise, there is no patient information, and there is no way to get lidocaine and anesthetics from the pharmacy.

"Okay, I know, I'm causing trouble to the directors."

Liao Changgong bowed deeply to everyone present again, and asked his sister to stay here with the old man, while he took his father's ID and started to go through various procedures.

After waiting for a while, Liao Changgong brought in the prescribed medicine, and then left consciously, not to disturb the people inside who were about to start the inspection.

"This man is of very high quality. When most people see their father like this, relying on their connections in the hospital, they would like to stay by the bedside and not go anywhere."

Regarding the scene where Liao Changgong exited, Huang Shi, who was about to put on an isolation gown, had a better impression of the family.

"Indeed, it is not difficult to find out by looking at the conversation and behavior."

Xu Guoqiang also nodded in agreement.

It seems that birds of a feather flock together, and people who can be friends with Xiao Chenguang are not of bad quality.

"Then let's get started, Director Xiao, help me keep an eye on it."

With Xiao Chenguang's previous guidance, Huang Shi had instinctively regarded him as a director of the same level.

Huang Shi simulated the angle of entering the mirror in his mind, and then carefully took out the fiberoptic scope from the thick iron box.

"no problem."

Nasal bronchoscopy does not have much technical content for Xiao Chenguang, as long as he has the skills.

If it weren't for the bronchoscope needed this time, which was not available in Yingcheng, there would be no need for such trouble.

He even wanted to wait until the operation was over, ask Qin Yong from Great Wall Medical if he had such equipment, and borrow two to put in the department in case of emergency.

Thinking of this, Xiao Chenguang suddenly remembered that Qin Yong was still working on his 300,000 electric drill grinding system during this time.

He didn't know how things were going. He couldn't wait until tomorrow to call and ask about the situation. If it was too difficult, he would think of other ways.

At this time, the patient suddenly coughed, disrupting Xiao Chenguang's thoughts.

Huang Shi, who was holding the mirror, looked a little ugly because he found that no matter how he adjusted the angle, he could not smoothly enter the patient's airway from the nasal cavity.

This is equivalent to not even opening the door, let alone removing the foreign objects deep inside.

As Huang Shi became more and more anxious, Xiao Chenguang's voice sounded in the endoscopy room.

"Director Huang, try raising the front end of the bronchoscope 30° and inserting it into the mirror at an angle. The effect may be better."