My Medical Skills Give Me Experience Points Chapter 1281: 505: Solution to Side Effects and Innovative Surgical Approach

Anesthesiologist Zi Qu along with anesthetic nurse Qin Yue stepped into the operating room.

Even though the anesthesiology department's reform remains in its trial period, these two have basically joined forces with Zhou Can.

Put another way, whenever there's surgery requiring anesthesia in the Emergency Department, they make it their top priority.

In the Emergency Department's operating room, Dr. Xu holds the reins.

Dr. Xu views Zhou Can as his heir, so he centers nearly everything around him.

Zhou Can and Zi Qu have forged an agreement and teamed up, with Dr. Xu quietly endorsing and backing this arrangement. For any anesthetic procedures, he calls on Zi Qu right away.

“What’s wrong with this patient?”

Zhou Can inquired of Zi Qu.

The anesthesiologist would have already grasped the patient’s condition in detail, including physical state, drug allergies, and more. Prior to surgery, they still chat with the family and get the anesthesia consent signed.

Typically, the anesthesiologist confers with the lead surgeon about the patient to settle on the operation strategy.

Zhou Can faced a packed schedule today.

Dr. Xu probably stepped in to work out the surgical strategy alongside Zi Qu.

“She suffers from a stubborn duodenal ulcer with excessively high gastric acid levels, bringing her intense misery. Plus, she’s allergic to proton pump inhibitors overall, possesses a unique body makeup, and surgery is her sole option.”

Too much gastric acid scorches the mucosa and walls of the stomach and duodenum. Typical signs include heartburn, belly aches, unease, queasiness, and poor appetite, to name a few.

Barring unusual factors, duodenal ulcers prove straightforward to heal.

Yet a handful of cases feature ulcers that relapse and resist treatment.

Here, deeper probing uncovers the root of the duodenal ulcer.

Western medicine shines here, targeting issues head-on.

Hypertension? Antihypertensives bring pressure down fast. Breathing collapse? Ventilator to the rescue. Vessel rupture? Surgery seals the bleed and mends it.

In essence, pinpoint the cause, and Western medicine delivers a fix.

Even cancers, once fatal, see many beaten back. Advances keep surging.

With modern tech, early-detected cancer yields excellent outcomes.

“Excessive gastric acid ties to overactive secretion. So, we’re cutting her acid production surgically now?”

“Exactly!”

Dr. Xu entered the room.

“What surgery plan do you favor most?”

Dr. Xu wasn’t just quizzing him; he genuinely wanted Zhou Can’s take on the procedure.

Lately, Zhou Can brings fresh perspectives to numerous operations, even pioneering new approaches.

“Well… For a tough duodenal ulcer from hyperacidity, cutting the vagus nerve seems ideal.”

After thorough thought and matching the patient’s specifics, he shared his procedure view.

“Impressive—your skills and reasoning sharpen daily.”

Dr. Xu showed approval.

His own plan matches Zhou Can’s likely.

This ranks among the top choices for tackling such conditions.

Naturally, apply it flexibly to fit the patient’s reality.

Cutting the vagus nerve trunk aims to halt acid secretion driven by the nerve, slashing acid volume and healing the ulcer.

Note that vagus trunk severance stands as a final measure, triggering multiple side effects post-cut.

For instance, the vagus nerve governs stomach wall muscle acidity.

Severed, it loses grip on stomach wall actions like contracting, dilating, and peristalsis.

The stomach serves as a vital digestion and storage hub in the body.

Its role is crucial, akin to a ‘granary.’

Losing those functions sparks all sorts of troubles.

Patients face major gastric emptying issues and food buildup.

Given the heavy side effects, clinicians use this surgery sparingly, only in dire need.

Now, excess acid gets managed mainly via acid suppressants. Proton pump inhibitors and H2 blockers lead the pack.

Drugs like Omeprazole, Rabeprazole, Lansoprazole shine in curbing acid output.

They work powerfully against secretion.

But for those allergic or with odd absorption issues, alternatives arise.

Gastric vagus nerve severance fits this patient perfectly.

After general anesthesia and catheter insertion, the operation kicked off.

As a significant procedure, Dr. Xu felt wary and assisted Zhou Can.

He seldom dictates steps now, purely aiding while Zhou Can takes the lead as much as possible.

With the abdomen opened, an auto-retractor spread the walls.

Next, they probed the ulcer site.

Only then could they advance to the nerve-cutting phase.

The patient’s duodenal ulcer looked gravely advanced.

Small wonder she groaned nonstop on arrival for surgery.

Human agony isn’t just from childbirth.

Take trigeminal neuralgia, medicine’s peak pain benchmark. Or airway blockage over a third, delivering suffocating torment.