Surgeons who decide not to operate can save lives, too.

A woman just 30 years old.

Ovarian cancer surgery three weeks ago.

That day... the patient came back.

With "the most abdominal pain in my life."

No shooting, no farting, the stomach grew into balloons.

Deep, round eyes...

The condition indicates that the body is dehydrated to the point of shock.

Your patient is thin from the same disease.

But the intestines... swollen until palpated from the outside

The CT scan found

More likely to have bowel obstruction from "fibrosis" than a progressive cancer.

That means... there's a chance "no dissection."

Just put in the drain line, something clogged out is enough.

But... the patient's small intestine grows to 5 cm.

It's big enough to be an indication for "emergency surgery" without much thought.

And if the doctor estimates "miss,"

Surgery is too slow. The intestines may be ischemic. Rotten.

And worst of all... we could lose a patient.

Only...

The patient just had major surgery. The original wound hasn't healed.

And more importantly, he's going back to cancer treatment.

If the surgery is repeated now, the wound may be larger.

Recovery longer than before

And it could mean "cancer treatment" has to be postponed.

So the doctor had to answer the more difficult question.

"Cut it... or just put the drain on first."

Finally,

The doctor decided to remain "non-surgical."

In the meantime, the patient must wear a nasal vent.

Suck out the digestive fluid and the blockage.

Doctors will need to check and evaluate the symptoms closely.

Check if the line drains.

Are your stomachs getting worse?

If anything happens, the doctor must be the first to know!!

And must not let complications arise.

Absolutely!

The patient was standing in a thin line.

Between better and worse.

12 hours passed.

There's still pain... the X-ray's a little better.

Can see the shadow of the wind starting to pass through the intestines

But the doctor still doesn't dare to be glad

Night falls... the patient farts a little.

Doctors and patients became more hopeful.

The next day,

Morning. Start shooting.

The pain has been reduced to 50%.

Everyone's getting more comfortable.

But that afternoon, everything turned back.

The nurse called to say,

"Patients with abdominal pain score 10 / 10, doctor."

Which means the patient is back in the most pain of his life.

The symptoms seem to be getting better, they have to start over.

At that time, I accepted it. My heart fell.

And I thought if I couldn't, I'd need surgery to save my patient's life.

But then, the doctor sent an X-ray for another round of evaluation.

Fortunately... the intestines haven't swollen to the point of emergency dissection.

But in my heart I thought

"If tomorrow doesn't improve... you'll need surgery."

The next morning,

The drain line started working. It came out almost "1 liter."

Patient pain began to decrease markedly.

But still not shooting, not farting

From patients who sleep still and can rest.

It's a small sign that it's enough.

The next day, before entering the room...

The drain line also leaves about 500 ml.

Before opening the door to see the patient, the heart is still waiting.

But when the door was opened, the patient started sitting.

"Last night, fart, doctor... no more pain."

That rhythm... it's really relieved.

But the game isn't over yet. Because

"Eating" is the last stage.

If eating and then come back to clog again

Everything will start counting one again.

We must start slowly and carefully.

The next day,

Almost no drained water

The intestines began to work more on their own.

Remove the nose cord. Start sipping water.

And then gradually add food the next day.

Finally...

The patient can go home without resurgery.

Sometimes it's harder to "do nothing" than to act.

Because it comes at the expense of uncertainty.

And pressure every hour.

And another equally important thing.

Thank you to the nursing team.

That watch the drainage line every 1-2 hours.

As I commanded (very dark style)

Because of a case like this

Doctor alone... really can't take

Finally,

Best treatment

Not the best surgery.

But the "choose the right beat."

And the surgeon who decided not to operate.

It can save lives, too.