Surgical artist
Chapter 8 You pick people on the spot
Chapter 8 You pick people on the spot
in the conference room.
Xiang Tan dialed the provincial Huakang Hospital.
Tell me about the patient's condition.
The other end of the phone quickly said: "Old Xiang, the patient has to consider partial liver resection or even liver transplantation in this situation!"
"Send the patient here as soon as possible, the sooner the better! I will also arrange to set up an expert group as soon as possible."
Obviously, the patients over there also attach great importance to this kind of patients with multiple diseases.
Just as he hung up the phone, there was a knock on the door.
"Come in." Xiang Tan said.
Everyone looked towards the door.
Zhao Peiru?
"Doctor Zhao, what's the matter?"
Didn't Zhao Peiru come to this meeting?
Zhao Peiru smiled and said, "Didn't you let me use my remaining heat? I have selected patients."
He put the medical records of bed No. 12 on the table.
"It's bed 12."
After hearing this, Ma Lin, the director of the department, was dumbfounded.
You are asked to choose a patient, and you are asked to choose what you are good at, and it is best to choose a liver abscess puncture patient.
Why did you pick the hardest one?Or a patient who has already held a meeting and decided to transfer?
Everyone was also a little surprised, bed number 12?
Isn't it the patient they were talking about transferring to another hospital just now? What does Dr. Zhao mean?
Director Ma kindly reminded: "Doctor Zhao, we just had a meeting for this patient, and we have decided to transfer him to Provincial Huakang Hospital."
Zhao Peiru: "There is no need to transfer the patient, just leave the patient to me, and I will organize the operation."
Everyone's complexion has changed.
It looks like Dr. Zhao is joking?
Is he serious?
What's going on with Dr. Zhao? He knew the patient was going to be transferred, but he wanted to take over the patient. Where did he have the confidence?
Director Ma was also a little confused at the moment.
Although Zhao Peiru's previous puncture skills were good, this patient's puncture skills are not just good.
This patient is much more complicated!
Compared with the one made by Zhao Peiru before, the difficulty is several levels higher in terms of technical difficulty!
This Dr. Zhao...could it be swelling?
Several deputy directors in the room looked even weirder.
They didn't even know about Zhao Peiru's previous puncture surgery.So the way he looked at Zhao Peiru at this moment was even more wrong.
This old doctor Zhao...is average, but his tone is loud!
And isn't he usually avoiding things?Why do you still take the initiative to ask for a patient today, and take the initiative to take responsibility.
"Ahem! Doctor Zhao..."
Gong Zihou found Zhao Peiru a step down: "We all thank you for coming forward, but this patient is very special and difficult to treat! Even the Provincial Huakang Hospital attaches great importance to it!"
"is it?"
Zhao Peiru turned his head to look at the chief director, Xiang Tan.In the situation at the scene, it was obvious that Xiang Tan was in charge.
Xiang Tan had to be persuaded about this matter today.
"Director Xiang, I have read the medical records."
"I dare to assert that partial hepatectomy is not an appropriate operation, and it may even be counterproductive."
Xiang Tan was slightly taken aback: "Why?"
Zhao Peiru said slowly: "This patient has pleural effusion and abnormal liver function. At the same time, no obvious regional cystic changes are seen."
"If partial liver resection is used forcibly, these symptoms may be aggravated."
After thinking about it carefully, Xiang Tan nodded slightly.
At the same time, my heart skipped a beat!
He may not have considered it well before!
This kind of patients with multiple diseases must be considered comprehensively and comprehensively!
Just considering one of the diseases may have a counterproductive effect on other combined diseases!
Hearing Zhao Peiru's analysis, it seems that partial hepatectomy is indeed not suitable.
Xiang Tan looked at Zhao Peiru again, a little more appreciatively.
Brother Zhao's level is fine!
He even thought of things that he couldn't think of!
Seeing that this old doctor usually doesn't show his mountains and dews, but he has quietly accumulated a very brilliant vision!
Zhao Peiru continued to talk eloquently:
"Puncture alone cannot effectively and comprehensively remove bacterial infection."
"So I think that the overall use of laparoscopic fenestration and local drainage with tubes will have a stronger curative effect than liver resection, and the burden on patients will be lower."
After Zhao Peiru finished speaking, everyone in the conference room had mixed reactions.
Several deputy directors were a little dubious about this. With this laparoscopic fenestration, can the curative effect be better?
Ma Lin, the director of the department, was lost in thought, his mind spinning rapidly, trying to analyze the feasibility of what Zhao Peiru said.
Director Xiang Tan's heart was full of ups and downs, and finally, he nodded secretly, and took a deep look at Zhao Peiru.
This old Zhao, the surprise for him was too great!
"The plan that Lao Zhao said is indeed feasible..."
"And it should be better than partial hepatectomy!"
"I didn't even think of such a plan before."
Xiang Tan rubbed his chin with his hand, thinking: "If this is added to this, plus Lao Zhao's superb tube placement skills..."
If others watched Zhao Peiru's video, they noticed his superb piercing skills.
But what Xiang Tan noticed was the tube placement technique after the puncture!The operation of catheterization seems to be basic, but it is more a test of basic skills and can better reflect the comprehensive level of a doctor.
The most important thing is that the skill of placing the catheter will play a vital role in the next operation!
With Zhao Peiru's solid tube placement technique, it is equivalent to adding an extra layer of protection to this operation!
Xiang Tan's spirit lifted!
It seems that this plan is feasible!
Thinking of this, Xiang Tan asked:
"Do you have a mature surgical plan in mind?"
Zhao Peiru: "Yes."
Xiang Tan thought for a while, and said, "Then you choose someone on the spot, and we will temporarily form a surgical team, hold a small meeting, and study and discuss the specific surgical plan."
As soon as these words were said, everyone couldn't help but turn pale with shock!
This shows that Xiang Tan really listened to Zhao Peiru's words in his heart!Seriously!
If this research is really passed, wouldn't it really be an operation?
However, it is useless for them to be surprised.Now that the chief director has made a decision, they only have to obey.
Zhao Peiru looked around in the crowd: "You, Director Ma, and a little Meng are enough."
The other two were fine, but Meng Xiang, who was named, was taken aback!
For a meeting of this level, he actually came here to make up the numbers.After the whole meeting just now, he had no part to speak, so it can be said that he had no sense of presence.
Now Mr. Zhao directly called his name and asked him to join the surgery team...
To put it bluntly, what strength can he have to be favored?This is clearly Zhao Peiru giving him a chance to learn!
Although Meng Xiang still doesn't understand why Mr. Zhao treats him so well...
In short, this kindness is remembered!
Meng Xiang was also nervous, afraid, apprehensive, and really curious!He also wanted to know what kind of surgical plan to deal with this complicated condition.
Xiang Tan made a decision directly: "Okay, that's it, the others go out first."
(End of this chapter)
in the conference room.
Xiang Tan dialed the provincial Huakang Hospital.
Tell me about the patient's condition.
The other end of the phone quickly said: "Old Xiang, the patient has to consider partial liver resection or even liver transplantation in this situation!"
"Send the patient here as soon as possible, the sooner the better! I will also arrange to set up an expert group as soon as possible."
Obviously, the patients over there also attach great importance to this kind of patients with multiple diseases.
Just as he hung up the phone, there was a knock on the door.
"Come in." Xiang Tan said.
Everyone looked towards the door.
Zhao Peiru?
"Doctor Zhao, what's the matter?"
Didn't Zhao Peiru come to this meeting?
Zhao Peiru smiled and said, "Didn't you let me use my remaining heat? I have selected patients."
He put the medical records of bed No. 12 on the table.
"It's bed 12."
After hearing this, Ma Lin, the director of the department, was dumbfounded.
You are asked to choose a patient, and you are asked to choose what you are good at, and it is best to choose a liver abscess puncture patient.
Why did you pick the hardest one?Or a patient who has already held a meeting and decided to transfer?
Everyone was also a little surprised, bed number 12?
Isn't it the patient they were talking about transferring to another hospital just now? What does Dr. Zhao mean?
Director Ma kindly reminded: "Doctor Zhao, we just had a meeting for this patient, and we have decided to transfer him to Provincial Huakang Hospital."
Zhao Peiru: "There is no need to transfer the patient, just leave the patient to me, and I will organize the operation."
Everyone's complexion has changed.
It looks like Dr. Zhao is joking?
Is he serious?
What's going on with Dr. Zhao? He knew the patient was going to be transferred, but he wanted to take over the patient. Where did he have the confidence?
Director Ma was also a little confused at the moment.
Although Zhao Peiru's previous puncture skills were good, this patient's puncture skills are not just good.
This patient is much more complicated!
Compared with the one made by Zhao Peiru before, the difficulty is several levels higher in terms of technical difficulty!
This Dr. Zhao...could it be swelling?
Several deputy directors in the room looked even weirder.
They didn't even know about Zhao Peiru's previous puncture surgery.So the way he looked at Zhao Peiru at this moment was even more wrong.
This old doctor Zhao...is average, but his tone is loud!
And isn't he usually avoiding things?Why do you still take the initiative to ask for a patient today, and take the initiative to take responsibility.
"Ahem! Doctor Zhao..."
Gong Zihou found Zhao Peiru a step down: "We all thank you for coming forward, but this patient is very special and difficult to treat! Even the Provincial Huakang Hospital attaches great importance to it!"
"is it?"
Zhao Peiru turned his head to look at the chief director, Xiang Tan.In the situation at the scene, it was obvious that Xiang Tan was in charge.
Xiang Tan had to be persuaded about this matter today.
"Director Xiang, I have read the medical records."
"I dare to assert that partial hepatectomy is not an appropriate operation, and it may even be counterproductive."
Xiang Tan was slightly taken aback: "Why?"
Zhao Peiru said slowly: "This patient has pleural effusion and abnormal liver function. At the same time, no obvious regional cystic changes are seen."
"If partial liver resection is used forcibly, these symptoms may be aggravated."
After thinking about it carefully, Xiang Tan nodded slightly.
At the same time, my heart skipped a beat!
He may not have considered it well before!
This kind of patients with multiple diseases must be considered comprehensively and comprehensively!
Just considering one of the diseases may have a counterproductive effect on other combined diseases!
Hearing Zhao Peiru's analysis, it seems that partial hepatectomy is indeed not suitable.
Xiang Tan looked at Zhao Peiru again, a little more appreciatively.
Brother Zhao's level is fine!
He even thought of things that he couldn't think of!
Seeing that this old doctor usually doesn't show his mountains and dews, but he has quietly accumulated a very brilliant vision!
Zhao Peiru continued to talk eloquently:
"Puncture alone cannot effectively and comprehensively remove bacterial infection."
"So I think that the overall use of laparoscopic fenestration and local drainage with tubes will have a stronger curative effect than liver resection, and the burden on patients will be lower."
After Zhao Peiru finished speaking, everyone in the conference room had mixed reactions.
Several deputy directors were a little dubious about this. With this laparoscopic fenestration, can the curative effect be better?
Ma Lin, the director of the department, was lost in thought, his mind spinning rapidly, trying to analyze the feasibility of what Zhao Peiru said.
Director Xiang Tan's heart was full of ups and downs, and finally, he nodded secretly, and took a deep look at Zhao Peiru.
This old Zhao, the surprise for him was too great!
"The plan that Lao Zhao said is indeed feasible..."
"And it should be better than partial hepatectomy!"
"I didn't even think of such a plan before."
Xiang Tan rubbed his chin with his hand, thinking: "If this is added to this, plus Lao Zhao's superb tube placement skills..."
If others watched Zhao Peiru's video, they noticed his superb piercing skills.
But what Xiang Tan noticed was the tube placement technique after the puncture!The operation of catheterization seems to be basic, but it is more a test of basic skills and can better reflect the comprehensive level of a doctor.
The most important thing is that the skill of placing the catheter will play a vital role in the next operation!
With Zhao Peiru's solid tube placement technique, it is equivalent to adding an extra layer of protection to this operation!
Xiang Tan's spirit lifted!
It seems that this plan is feasible!
Thinking of this, Xiang Tan asked:
"Do you have a mature surgical plan in mind?"
Zhao Peiru: "Yes."
Xiang Tan thought for a while, and said, "Then you choose someone on the spot, and we will temporarily form a surgical team, hold a small meeting, and study and discuss the specific surgical plan."
As soon as these words were said, everyone couldn't help but turn pale with shock!
This shows that Xiang Tan really listened to Zhao Peiru's words in his heart!Seriously!
If this research is really passed, wouldn't it really be an operation?
However, it is useless for them to be surprised.Now that the chief director has made a decision, they only have to obey.
Zhao Peiru looked around in the crowd: "You, Director Ma, and a little Meng are enough."
The other two were fine, but Meng Xiang, who was named, was taken aback!
For a meeting of this level, he actually came here to make up the numbers.After the whole meeting just now, he had no part to speak, so it can be said that he had no sense of presence.
Now Mr. Zhao directly called his name and asked him to join the surgery team...
To put it bluntly, what strength can he have to be favored?This is clearly Zhao Peiru giving him a chance to learn!
Although Meng Xiang still doesn't understand why Mr. Zhao treats him so well...
In short, this kindness is remembered!
Meng Xiang was also nervous, afraid, apprehensive, and really curious!He also wanted to know what kind of surgical plan to deal with this complicated condition.
Xiang Tan made a decision directly: "Okay, that's it, the others go out first."
(End of this chapter)
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