Great Medical System in a Veterinarian
Chapter 686 - 288: A Rare Case of Intussusception in Human History—Shock Death Within One Week, Gaining a Special Treasure Chest to Unlock New Skills!
This disease is a severe acute abdomen in cattle, and if misdiagnosed or improperly treated, it often leads to death.
In the early stages of intussusception, when the intussusception is incomplete, a high-pressure warm water enema can be attempted for repositioning.
However, due to varying degrees of congestion and edema in the intussuscepted intestinal segments, the warm water enema method often fails, and surgical intervention is necessary.
Originally, this kind of surgery wasn't considered very complicated.
About one or two hours.
For someone like him, it's estimated to take at most an hour to complete.
But this particular cow's surgery was extremely complex; the intussusception caused severe intestinal ischemia, necrosis, and perforation. Typically, a veterinarian might take five or six hours for an entire surgery, and even at his speed, it would take over two hours.
To be honest.
When he saw the symptoms of this cow, he initially wanted to give up.
For a general veterinarian to perform such a surgery, even in Qing County, asking Old Zhang to do it would cost at least over two thousand as a base price.
For cattle farmers, spending an extra two thousand is less preferable than quickly taking the cow to market while it's still fresh.
[Detected the host is diagnosing a red-labeled case, system-assisted scanning is starting.]
[Precise scan complete.]
[Patient name: Unknown.]
[Patient gender: Female.]
[Patient age: Unknown.]
[Patient status: Agitated, abdominal pain, even bowing stance? Repeated lying down and getting up, other abnormal human postures? Also accompanied by constipation, bloody diarrhea, dehydration, pale mucous membranes, accelerated heart rate.]
[Patient diagnosis: Extremely severe intussusception, causing ischemia, necrosis, and perforation, accompanied by toxemia, highly likely to shock and die within a week.]
[System reminder: The current patient's condition is complex, an extremely rare severe intussusception with survival case in human history. The host may recommend specialized proctological or gastrointestinal hospital treatment, or send to the emergency department if conditions are lacking. Completing the task and improving the patient's vital signs can earn a special treasure chest, ordinary treasure chest, professional reputation +5000, or a mysterious artifact of choice.]
[Note, although the host is deemed a resident physician by the system, they do not have the relevant surgical skills and are unfamiliar with such diseases. Do not perform surgery alone for system rewards, to avoid causing patient death. If the patient ultimately dies, the system will close daily task and random task activation opportunities, not opening for at least five years.]
But coincidentally, he activated a system task.
This was the prompt that just popped up.
A familiar sensation indeed.
An extremely rare survival case of severe intussusception in human history.
And do not blindly perform surgery.
To be honest, the system's evaluation is not wrong at all.
Upon opening the abdominal cavity, he reflected, fortunately, it was a cow.
If it were a person, they probably would have been buried long ago.
This intussusception led to necrosis, perforation, and even toxemia, pushing even a cow towards shock.
Imagine how severe this must be.
If there truly was a person in the world who could survive such severe intussusception, he wondered if the proctological and gastrointestinal surgical experts could save them.
But if it's not a person, but an animal, like a cow.
He felt he could still save it.
It's just a matter of time.
So he began preparing for surgery, while Wanqing stepped forward as his instrument nurse.
After all, there were staff from the Integrated Media Center responsible for filming.
With Wanqing assisting as the instrument nurse, his pace quickened considerably.
[System reminder: Medical ethics cannot be compromised, protect the dignity of life! Please, host, send the patient to a large tertiary hospital for treatment, do not practice medicine illegally out of selfishness, which will ultimately harm others and yourself!!]
Indeed.
The familiar prompt appeared again.
Giving him a reminder from time to time.
However, the surgery was already coming to a close.
An iron tray shaped like a grilled fish was filled with segments of bovine intestine.
But these intestines looked different from normal ones; they were bluish-purple, dark red, and even grayish-white.
At a glance, they were the unhealthy type of intestines.
"Everyone, the anastomosis is complete. We will flush the intestinal tract with saline, then continuously suture the mesentery, finally flush the anastomosed intestinal tract with penicillin-containing saline, apply erythromycin ointment to the intestinal wall, and return the intestines to the abdominal cavity."
In front of the camera, Zhang Lingchuan began to speak.
"Amazing."
"Wow, the surgery only took two hours."
"Such a surgery, if done by myself, I estimate it would really take over five hours."
"As a veterinary student, I've just had another detailed surgical lesson, with explanations being the key."
"I've already been taking notes, from incising the skin, dermal-fat, external oblique muscles at the surgical site, to bluntly separating the internal oblique and transverse abdominal muscles, cutting open the peritoneum to reveal the abdominal cavity, and first conducting a left abdominal cavity exploration to check for any abnormalities; if a smooth, fleshy intestine segment, arm-thick, is found in the omental recess, it can be determined as the intussusception segment..."
The viewers in the livestream room were saying one after another.
Especially many were viewers related to veterinary.
Each one was taking notes.
"This cattle farmer is really lucky. Our cow previously had intussusception, but compared to this, it was far less severe. At that time, the veterinarian even used water to hot separate a portion, while the rest was separated bluntly, and the final charge was two thousand three."