I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 208 Open-chest surgery, no fish bones, what's going on!

"Yes, our county hospital is definitely not up to the task. We have to transfer patients to a larger hospital, such as the Provincial People's Hospital or its affiliated hospital."

Niu Hai, the nephew on the other end of the phone, began to speak.

In front of him were freshly produced CT images.

The image above shows a tiny, needle-like object near the aorta in my aunt's chest.

According to the other party's previous confession, he had previously experienced getting a fish bone stuck in his throat while eating fish, and then drinking some vinegar and eating a large bite of steamed bun to swallow it.

At the time, I felt the fishbone had gone down and there was no foreign body sensation in my esophagus, but the next day I started to feel some pain in my sternum.

Based on this initial analysis, it is likely a fish bone.

The steamed bun squeezed and punctured the esophagus, entering the aorta and forming an aortoesophageal fistula.

Fortunately, there has been no infection or major bleeding so far.

Otherwise, the person might have died.

This complex condition is beyond the capabilities of their county hospital.

He insisted on being taken to a large, top-tier hospital, and as his nephew, he directly recommended the Provincial People's Hospital and the First Affiliated Hospital of Jilin University, the two best hospitals.

"Huh? The county hospital can't even remove a fishbone? You'd have to go to the provincial hospital or the First Affiliated Hospital of Chongqing Medical University!!"

After hearing his nephew Niu Hai say these words, the old Party Secretary asked incredulously.

The county hospital is also a place for treating and saving lives.

Many hospitals can perform the surgery, but to my surprise, my nephew recommended the two best hospitals.

This left Grandpa Niu completely bewildered and confused.

Is my spouse's condition that serious?

"Uncle, this isn't as simple as just taking out a fishbone with tweezers. It's no longer in the esophagus, but in the chest, you know? So we need to have open-chest surgery to remove it. To be honest, our county hospital can actually do this kind of surgery, but it's not safe because the doctors at the county hospital are nowhere near as skilled as the doctors at the top hospitals in the province."

Niu Hai, Grandpa Niu's nephew, spoke earnestly at this moment.

Everyone works in the same unit, so he knows everything about everyone.

Therefore, he does not recommend that his family members undergo such a high-risk surgery at this hospital, as it could be fatal if it is not done properly.

It's better to be on the safe side and send them directly to a top-tier hospital, where the facilities are more comprehensive.

There are also contingency plans in place in case of an accident.

"Open up, open up their chest!!"

When Grandpa Niu heard this, his eyes widened in disbelief. Was he kidding?

Just because of a fishbone, they have to have their chest opened!!

Did you make a mistake!
“Uncle, it’s no longer in the esophagus, so we definitely need to open the chest. We can’t get it out without opening the chest. If we don’t get it out, what I told you before will happen: Auntie will die from infection or internal bleeding.”

When a fishbone is first stuck in the esophagus, it can be easily removed with tweezers.

But if it punctures the esophagus and goes somewhere else, like it has now reached the aorta in the chest, then that won't work.

It must be removed by opening the chest; otherwise, infection or massive bleeding could lead to death.

It can be said to be extremely dangerous.

"hiss--"

Grandpa Niu gasped.

"Uncle, I've already contacted my sister and her family, and I've also found professors and experts at the provincial hospital for you. If you want to transfer to another hospital, we can send you there by ambulance. It's not far anyway, and it'll be safer with medical staff accompanying you."

Niu Hai said from the other end.

Given that his aunt had encountered such a situation, he must have contacted his two cousins via WeChat.

After all, my uncle is quite old.

It's better for young people to accompany patients to medical appointments.

"Okay, then I'll deliver it. Thank you for your trouble, kid."

Grandpa Niu nodded slightly, his mood becoming extremely heavy, after all, who could have imagined it would develop like this.

At first, he even joked that it wasn't the fish on the table.

This plate of fish is the death knell for us now.

"Oh dear! How could this happen! I've always handled fish bones this way before, and I've never had any problems!!"

The two hung up the phone quickly; the nephew had already told Aunt Pang about it.

Now, when she hears the other person repeating it to her old man, Aunt Pang's heart aches.

Having eaten fish for so many years, I've had fish bones stuck in my throat before, but who would have thought it would turn out like this, requiring open-chest surgery?

"Auntie, I've told you before, don't try to push a fishbone down with food if it gets stuck in your throat. If you're lucky, you'll be fine, but if you keep walking by the river, you're bound to get your shoes wet. The best thing to do is come to the hospital and spend some money to have it removed. It's not expensive, just a few dozen yuan, maybe a hundred or two at most."

The young doctor, Niu Hai, who looked to be in his thirties and was wearing a white coat, said helplessly to his aunt.

Many of the older generation have some stubborn ideas.

They thought that since they had always done things this way, the problem was solved.

Therefore, I disregard what you say.

This is often the beginning of suffering.

For example, something that could have been solved for a few dozen or a hundred yuan now costs at least ten or twenty thousand yuan, and could even cost fifty or sixty thousand yuan.

After all, a joint consultation is definitely necessary for open-chest surgery like hers.

"Ugh--"

Aunt Pang let out a heavy sigh.

Fortunately, it was veterinarian Xiao Zhang who reminded me.

Otherwise, she would have thought the fishbone was already in her stomach, but who would have thought it was stuck in her chest.

Meanwhile, on the other side is Niuzhuang.

Zhang Lingchuan had arrived at the home of cattle farmer Niu Qiqiang and was walking towards the cattle shed at the back.

"Everyone, when examining a cow, you definitely need to wear a stethoscope. This thing can help us determine the specific condition inside the cow's body."

He took out his stethoscope and began speaking to the viewers in the live stream.

"Veterinarian Zhang, how is it?"

Seeing Zhang Lingchuan squat down and listen intently, Niu Qiwen asked him curiously.

Don't know why.

This cow isn't eating, drinking, or defecating; it's incredibly strange!
"Based on preliminary assessment, this ox is likely refining an elixir."

Zhang Lingchuan put away the stethoscope and then said something half-jokingly.

"Good heavens! Alchemy?"

"What alchemical elixir? Could there be something inside the cow's stomach?"

"It might be pica. Generally speaking, calves defecate very little for a period of time after birth, and then suddenly die. It is possible that the calf itself has pica caused by insufficient bodily stimulation. We don't know what it ate, and eventually blocked its intestines."

"The person upstairs is obviously in the same line of work; I'm pretty sure it's him."

Some viewers were curious.

Of course, there are also experienced veterinarians who can basically deduce something from the calf's current appearance.

"Huh? Alchemy pills? Veterinarian Zhang, your youthful talk leaves me speechless. Is there some foreign object in my belly, you little calf?"

Niu Qiwen and his wife asked him curiously.

After all, this was the first time I'd ever heard of this disease.

Oxen can also refine elixirs.

What's wrong? Has the cow become a spirit and is about to ascend to heaven?

"You guessed right. I think this calf must have eaten something it shouldn't have, and it blocked its intestines."

Zhang Lingchuan nodded.

[Host detected to be undergoing medical consultation; system-assisted scanning in progress...]

[Accurate detection... 2 tests remaining.]

[Regular testing... 1 test remaining for the day.]

[Initiating standard detection, please wait...]

He started a regular scan just as he squatted down to examine the patient with his stethoscope.

Because the calf had a red tag on its head.

This means that if the other party doesn't look at it, there's basically no way out but death.

System scan complete.

Patient's name: Unknown.

[Patient's gender: Male.]

[Patient Status: The patient is currently emaciated, in extremely poor spirits, and experiencing constipation.]

[Patient Diagnosis: Severe intestinal obstruction, pica.]

[System notification: The current patient is detected to be young, likely a child, who inexplicably enjoys consuming hair-like objects, resulting in hairballs forming in the stomach and severe intestinal obstruction. The host must immediately transport the patient to a large, top-tier hospital for treatment. A reward will be issued upon the patient's vital signs returning to normal.]

This is a system scan.

To his delight, the system task was activated this time.

Random daily tasks are being distributed.

[Mission Description: The current host has discovered a child suffering from pica. Please take the child to the hospital immediately for treatment.]

[Mission Title: Treating Pica in Children.]

[Mission Requirement: Transport the patient to the hospital for treatment and restore vital signs.]

[Task time: 1 days. 】

[Task Rewards: Rewards will be distributed based on the rating.]

[Task Progress: In Progress.]

[Mission Penalty: No reward for failure.]

The long-awaited daily tasks have finally appeared.

Auntie Pang also had a red tag before, but the task wasn't activated.

Now, on a calf with a red tag, he saw the mission activated once again.

This proves that scanning more red tags does indeed help activate the task.

"But it's only two or three months old, and we haven't given it much to eat. Veterinarian, what should we do now? Should we prescribe some medicine to help it pass through?"

Upon hearing that he might have ingested something else, Niu Qiqiang asked with a haggard expression.

"Prescribing medicine won't work; surgery is definitely necessary. Uncle Qiang, first lay out a mat for the calf so it can lie down on it."

Zhang Lingchuan gave the order.

"Okay, okay." The cattle farmer couple immediately got to work.

Just as they were preparing the cow for surgery, Grandpa Niu walked in looking somewhat lost and dejected.

"Old Party Secretary, what's wrong? Was that Aunt Pang calling just now? Have the test results come out?"

Mi Tao was the first to notice Grandpa Niu's unusual behavior and immediately asked him about it.

Because after receiving this phone call, Grandpa Niu suddenly seemed to have lost his soul.

Could it be the test results?
"Oh?"

"Have Auntie Pang's test results come back yet?"

"No way! Don't tell me Dr. Zhang guessed right again, and there really really is a fish bone stuck in my stomach?"

"I think that's very likely, otherwise why would Grandpa Niu have that kind of expression?"

Studio.

After being questioned by Secretary Mi Tao, Song Wanqing briefly focused the camera on Grandpa Niu who had just entered, and immediately a group of viewers also asked him questions out of curiosity.

After all, everyone is curious about Aunt Pang's illness, whether it's a fish bone or not.

If that's the case, then Veterinarian Zhang will truly be hailed as a god.

If not, then the other side is so scared that their house has collapsed.

"Sigh... Secretary Mi, you were right about me."

Grandpa Niu shook his head and sighed.

"Huh? What did I just say!"

Mi Tao was stunned; she couldn't remember what she had said.

It seems like they didn't say anything at all.

"Little Zhang, you've helped my wife and me a lot. She's going to the provincial hospital for surgery and can't come to thank you in person, so she can only ask me to express her gratitude on her behalf."

Grandpa Niu walked up to Zhang Lingchuan, who had just given the ox anesthesia, and began to speak.

"Uncle Niu, have your test results come back?"

Giving anesthesia, shaving and preparing the skin, performing surgery on a cow is not such a simple matter.

He started asking questions while he was busy working.

"Yes, my nephew just called and said that the fish bone has indeed entered the area of the thoracic artery, which is very dangerous and could kill him at any time. So now he has to go to the Provincial People's Hospital for open-chest surgery to remove the fish bone. Just like what Secretary Mi said before, we can't come to you for treatment. If we come to you, it's either a critical illness or a serious condition."

Grandpa Niu nodded and said.

Then, whether it was a joke or a wry smile, he said something.

"Forehead……"

Mi Tao now understood what Grandpa Niu was talking about.

So it turns out he had previously copied and pasted comments from netizens.

"6~"

"666~"

"I don't know what to say right now, except to say that Veterinarian Zhang is awesome!"

"See? You really can't question Dr. Zhang. Look how embarrassed he is now."

"Zhang the veterinarian, you're just repeating the same old routine! Can't you come up with something different? Do you enjoy constantly contradicting us viewers?!"

"Cough cough cough, what do you mean Zhang the veterinarian slapped you in the face? You guys just didn't believe it yourselves. (True fans)"

"Open-chest surgery? Oh my god! Luckily I didn't swallow a big mouthful of food because I got a fishbone stuck in my throat. It really was a gamble with my life."

"I said at the time, if Veterinarian Zhang is willing to see patients, Aunt Pang must have a serious illness. You guys said Veterinarian Zhang was being forced to do it, but I asked him, if he really didn't want to see patients, who could force him to do it? It's a typical case of him being interested."

The answer is revealed.

As expected, nothing unexpected happened to Zhang Lingchuan.

In an instant, one by one, the viewers eagerly began to speak.

"If it gets into your chest, you know, it's really dangerous, so everyone should be careful when eating fish. If you get it stuck, be sure to go to the hospital."

Zhang Lingchuan spoke in front of the camera at that moment.

[System notification: The system has detected that the host is preparing to perform a gastrectomy. You are not currently qualified to perform gastrectomy. Please do not take any risks for the sake of system rewards.]

Chatted for a while.

The operation has begun.

Sure enough, the long-absent system started giving notifications again.

Zhang Lingchuan, of course, ignored the other party.

An hour passed.

The number of viewers in the live stream reached a peak of 2.6 million.

He successfully cut open the cow's stomach and poured out a black liquid that looked like soy sauce, the taste of which was incredibly sour and refreshing.

After the water was cleared, Zhang Lingchuan put on gloves and began to scoop it out.

Six or seven ping-pong ball-like objects were successfully removed from the cow's stomach.

"My God, look what this veterinarian Zhang pulled out of the cow's stomach."

The female owner of the cattle farm spoke to the neighbors who had gathered around.

"How come there are these things in the cow's belly?"

Everyone asked curiously.

After all, this style is quite rare.

"Actually, this is pica caused by malnutrition in the calf."

Zhang Lingchuan began to explain.

This situation usually occurs because the trace elements, protein, vitamins, and other nutrients in the cow's feed are far below what the calf needs for growth, causing the calf to develop pica, which in turn leads to the ingestion of cow hair, which accumulates in the intestines or stomach to form hairballs.

If these objects are not detected and removed in time, they can eventually block the stomach or intestines, causing the calf to stop eating, stop defecating, and even die.

[The host's skillful hands have brought the child back to life; the child's vital signs are gradually recovering. Congratulations, host, you have gained +1000 professional reputation, +500 medical points, and a one-week system simulation space card.]

The system rewards have also been distributed.

But this time it's not a treasure chest.

Instead, the rewards were distributed directly.

The following day, Zhang Lingchuan was busy from a little after 11 a.m. until a little after 5 p.m.

And this is now his last cow.

The highest number of viewers in the live stream reached an astonishing 3.2 million.

It surpassed the original number one veterinarian by nearly one million.

Many of the contestants were stunned.

But Grandpa Niu was a little absent-minded that day.

After all, my wife went to the provincial hospital for surgery.

Although he couldn't be by her side, his two daughters were with him, but he was still worried.

After all, it's open-chest surgery.

That sounds incredibly creepy.

"Dududu-"

Half past five.

Grandpa Niu's phone rang again.

[My eldest daughter called...]

The image shown above is of his eldest daughter.

"Hey, my dear daughter, how's your mom doing now? Has the surgery started?"

Grandpa Niu asked his daughter.

"Dad, don't worry, Mom has just been taken into the operating room. It's an emergency department expert, Professor Huang Xiangning, the vice president of the provincial hospital, who is consulting with the thoracic surgery and general surgery departments."

Grandpa Niu's eldest daughter started talking at this moment.

Because they were sent directly to the emergency department.

"Good good."

Hearing this, Grandpa Niu felt relieved. After all, the vice president of the provincial hospital shouldn't have any major problems.

In the operating room, Aunt Pang was already anesthetized and undergoing open-chest surgery. The joint medical team was searching for the fishbone that had entered the aorta.

"this?"

"what's the situation!!"

However, just as they opened the chest cavity to remove the fish bone, an accident occurred.

To their astonishment, the fish bones were gone!

"Deputy Director Huang! What do we do?!"

The chest was opened, but the fishbone couldn't be found.

In an instant, everyone looked at Huang Xiangning, not knowing what to do.

After all, the other party is the highest-ranking expert in terms of both administrative rank and seniority here.

"It shouldn't be like this! It was right here! How could it just vanish into thin air?!"

Huang Xiangning was also completely baffled.

Compare with the image.

It's located at the location of the aorta in the thoracic cavity.