Chen Xia was not thinking well. Is there something I overlooked? Otherwise, Lao Qiu would not have been overturned with an intestinal obstruction surgery, right?

So he personally had a physical examination and found that the old man's abdomen was extremely bloated, even more exaggerated than when he was admitted to the hospital 4 days ago. This should be the reason for the full-layer crack in the incision.

In addition, obvious intestinal shape can be seen on the surface of the abdomen, severe hyperactivity of auscultation intestinal rumbling, accompanied by the sound of air passing through water.

Chen Xia could easily tell that the old man still had mechanical obstruction in his abdominal cavity, and the operation did not solve the problem. It seems that Director Qiu was really in a mess this time.

Either his surgery is not good, or he has not understood the real obstruction site before the operation, and it is a failed surgery in any aspect.

The problem now is no longer a bloody ethical drama like the old man or his grandfather, but a complex medical problem. Doctors have a natural interest in difficult and complicated diseases.

There was no need to say much in the ward. Chen Xia came to the office of the Department of Surgery and asked Xie Liping to take out all the examination reports and surgical records for him to see.

"Xiao Xie, you participated in the entire operation at that time. Are there any special circumstances during the operation?"

"In-operative? Special circumstances?"

He thought about it carefully and then said uncertainly: "At that time, Director Qiu found that the entire cecum to sigmoid colon was also expanded. He also touched it, but no abnormality was found. Does this count?"

Chen Xia slapped her forehead and was completely speechless, "Hurry up, take the abdominal X-ray."

Xie Liping knew that something must have happened. Although Chen Laoshi was not old, he could find any problems that others could not find out every time. The patient was still his grandfather and the pressure increased greatly.

Chen Xia looked at the film in front of the window for a long time and said to the doctors surrounding the office of the Department of Surgery:

"Look at it, you can see that the ascending and transverse colons are developed by just the abdomen. Do you understand what this means? Don't you explore the distal sigmoid colon and rectum? Alas..."

He suddenly realized that the doctor's level in the 1980s was really not good. Even Qiu Fangjue, who was the director, watched the film and saw the operation with his own eyes, but he still didn't know the true meaning of the expansion of the cecum to sigmoid colon in intestinal obstruction.

It means that the lesion is not in the upper and middle sections at all, but in the lower section, the lower section is the rectum and anus section.

It’s like the rectum is a highway toll station. An accident occurred here, causing the road to blockage and cars were blocked at the exit, which indirectly led to the entire highway being blocked.

As a result, the traffic police saw that the expressway was blocked and they tried hard to direct traffic on the expressway, but they didn't know that the problem was at the source. If you don't clear the "toll station", you will only command vehicles on the expressway, which is useful?

"Hurry up, prepare your gloves, I'm going to do anal test."

Xie Liping went to the treatment room at a rapid speed to get a pair of rubber gloves and some lubricants. He could only hold his legs and followed Chen Xia happily. Behind him, a group of doctors from the department of surgery were also followed.

As soon as he entered the ward, Yang Guanshan saw so many doctors following in and immediately became nervous, "Dragon, what's wrong? Don't scare me."

"I want to do a checkup. You put his body on your side and your butt out. You guys will come and help."

After preparing his position, Chen Xia quietly put on gloves and did an anal fingerprint examination. He touched a cauliflower lump 6cm away from the anus, and his fingertips could not pass through.

The reason for the obstruction is it - rectal cancer!

Xie Liping and other young doctors, when they saw Chen Laoshi's face becoming more gloomy, their hearts were stuttering. Everyone was an expert and knew what this meant.

Qiu Fangjue rushed back that afternoon and was very ashamed when he arrived in the office.

"Xiao Xia, ah, this time the responsibility lies with me. I am the surgeon. I didn't watch the film carefully before the operation, and I didn't find any problems carefully during the operation. I'm ashamed."

Chen Xiaxin thought that in a few decades, if such medical accidents occur, will you give you a chance to be ashamed of the patient's family? However, although he is brainless, he still understands the basic human relationships and worldly styles.

"Old Qiu, no one could have thought of this. Let's talk about how to treat this case in the future, and this also sounded a wake-up call for us."

It is rare for everyone to see Chen Xia so serious, so they all remain silent and dare not show up, and sit on their chairs in a proper manner.

"Intestinal obstruction and anal fingerprinting are necessary items. It is not only for the purpose of detecting rectal cancer, but also for the presence of blood stains on the fingertips, whether there is intestinal insufficiency, etc. In addition, whether there is stenosis of the anastomosis after the operation of rectal cancer can sometimes be touched.

Therefore, it is necessary to have anal marker for patients with intestinal obstruction. Secondly, check the inguinal hernia in the inguinal area, which is the basic skill.

Auxiliary examination is important, but the most basic thing cannot be lost. Now some doctors rely too much on examination and forget about visual touch and hearing. To be honest, some doctors can't even distinguish between male prostate or female cervix and tumors, right?"

The young doctors sitting there all quickly lowered their heads. Although Chen Laoshi did not name a name, they felt guilty, as if they were talking about themselves, and had made up their minds to practice basic skills diligently.

Chen Xia is still continuing to make a review:

"So you should be skeptical about what you encounter in your future work. You cannot fully believe in the diagnosis of other doctors, including auxiliary examinations. You must have your own ideas, and you cannot bury your own ideas in other people's ideas, and you cannot follow the crowd."

After he finished saying this, he suddenly realized that he had said the wrong thing. The surgeon was Director Qiu. He said this as if he was accusing Director Qiu. Such an old intellectual could turn against each other faster than turning a book.

His strong desire to survive immediately made him add: "So, don't assist the examination department in the future to give any report. You just listen to it and believe it. After getting the report, you must think more and have your own judgment."

Sure enough, Qiu Fangjue's face relaxed after hearing this explanation. Chen Xia glanced at him and was so scared that he wanted to pat his little breasts.

"Finally, I think we have overlooked one thing: the patient has only 74 hemoglobin and only 21 albumin. So have you considered the possibility of a chronic wasting disease in advance? Looking back now, thinking about my grandfather's clinical manifestations, do you think this is very typical, very obvious, almost the same as the bonus question?"

The young doctors nodded wildly, thinking that it was Chen Laoshi who was unhappy because his grandfather had cancer, so he criticized everyone.

In fact, they didn't know that Chen Xia didn't care about Old Man Yang's life or death. This kind of ruthless old guy died early and was reincarnated early, so he simply wanted to teach these young people a lesson.
Chapter completed!