Rebirth 90: I opened a hospital in Shencheng
Chapter 232 Vascular tumor recurring after surgery!
Chapter 232 Vascular tumor recurring after surgery!
"The teaching materials and models of nose reconstruction in medical school are here!"
The honest Marian took out the latest Cambridge Medical School textbook in her schoolbag and turned to the page of total nose reconstruction.
On the color page of the Cambridge textbook on total rhinoplasty, the technical guidance on total rhinoplasty is still stuck at the stage of directly using thigh skin or forehead skin flaps for skin grafting.
As for a nose like Qi Yurou's who had been cut off from the bridge of the nose, only the dark hole in the nose was left.
For the case where all the main body of the nose is missing, the suggestion given in the Cambridge Medical School textbook is that there is no need for surgery, and a silicone nose that simulates the nasal cavity can be installed.
This textbook also directly explains that once the main body of the nose is missing, even the latest textbook of Cambridge Medical School, an old medical school that always uses surgical ideas to solve medical problems, still gives up treatment.
But it was Nie Chen who gave the treatment plan directly and asked the patient to prepare for the operation with confidence.
"If Dr. Nie only knows what is in the textbook, then why did we travel thousands of miles from England to the mainland to conduct standardized training and practice in this simple outpatient clinic?"
Professor Ma Dongqing was amused by the startled tone of his student Marian Froude.
He took the initiative to put away the textbooks of the Cambridge Medical School in Marianne’s hands, and then said to the students with a cheerful face, “Whether it is total nose reconstruction, flow velocity judgment and treatment of vascular malformations, or the oral and maxillofacial technology we cooperate with , as long as you can learn one of Dr. Nie's skills, you will have a much brighter future than others when you return to England, whether it is in medical school or in London or Edinburgh."
Professor Ma Dongqing is used to making cakes for the younger generation, but regarding Nie Chen's technology, Professor Ma Dongqing speaks resolutely and decisively.
"Hello Dr. Nie, we meet again."
Manager Li, the technical representative of Xinde Pharmaceutical Technology Department from Wanwan, personally wore a fat man with a big gauze mask, a black hat, and loose slacks and big-toed shoes, which are more popular in Hong Kong and Taiwan at this time. The woman walked into the Aihua clinic.
Manager Li, about 45 years old, has gray hair and gold glasses, a gold ring on the ring finger of his left hand, and a huge jasper ring on the middle finger.
And when he smiled, there was a shining gold tooth on his lower jaw.
Manager Li generously greeted the dozen or so people gathered in the Aihua Clinic.
Then let the female patient who came with him sit on the side of the couch, and introduced to Nie Chen:
"Liao Sifei, a native of Kaohsiung, my hometown! She heard that our clinic can definitely perform vascular tumor resection, so she made a special trip from Kaohsiung to Shencheng, and now she is temporarily staying in the Xinde Pharmaceutical dormitory."
"It has been removed once, and this is the second recurrence."
In the lighting area behind the short sofa, Nie Chen checked the facial artery under the left ear for Liao Sifei, who came from Kaohsiung, and found a vascular malformation, tangled into a hump-shaped vascular tumor.
Explain the diagnosis result to the silent Liao Sifei.
Nie Chen sat back on the short sofa, lowered his head and brushed the preliminary diagnosis, "Operation is possible, but there are certain risks."
Just kidding, there was a second recurrence caused by a surgical resection, and the lesion became bigger, a huge fleshy tumor that almost completely affected the two blood vessels of the left facial artery and facial vein.
If a second resection is performed, even with rapamycin, a vascular malformation-targeted drug, it is impossible to be as confident as usual and give the patient full confidence.
"Is it really possible to operate?" Manager Li and Liao Sifei blurted out at the same time.
"There is no problem with the operation, but before the operation, we need to observe the drug reaction for at least three days."
Nie Chen finished writing the diagnosis form and handed it to Li Dayong, who was sitting behind the short sofa and recording the real-time data of vascular malformations of Kuang Fuliang and Lin Xueyang, who were doing home care this morning.
"Professor Li, I will entrust you with the preoperative drug monitoring of this patient."
Professor Li, who was familiar with the art and was very comfortable in reflecting variables in various tables and experimental data, said "Okay," and took Nie Chen's diagnostic form.
Then Professor Li lowered his head and brushed the diagnostic form in his hand, and filled in the detailed information about Liao Sifei in the test subject form.
"So, how much is the approximate cost of our operation? If the operation can really be performed, then I will have my family come from Kaohsiung to Shenzhen to accompany me."
Liao Sifei sat upright, holding the steaming teacup in both hands without any water dripping from it. She blinked her clear eyes and met Nie Chen's eyes. She asked softly, "Before I came to Shencheng, I asked Uncle Li to find out more about the clinic." As well as Dr. Nie’s ability. My company also reported a three-month surgical holiday in advance. I am very confident in Dr. Nie’s skills.”
"Thank you Ms. Liao and Manager Li for trusting my technology."
Nie Chen finished writing the various items for Liao Sifei to go to the regular outpatient clinic for a full-body examination, and handed the list of items to Liao Sifei, "The cost of this operation is about 30 RMB. After completing the preoperative drug reaction observation, then come here soon." In the outpatient clinic, consult Ms. Zhong about the specific operation schedule, and Ms. Zhong will arrange the operation time."
"Hello, Miss Liao, I'm Zhong Lanlan."
Zhong Lanlan smiled softly, took out a small card from the small box in front of her and handed it to Liao Sifei.
"The "South China Daily", "Ming Pao", and "Sing Tao Daily", which had a confrontation with Li Chaoren, all reported why Li Chaoren was holding plastic The reason frogs are in the newspaper."
Zhou De and Chen Jimmy came to the Aihua Clinic at 09:30 after the patient left, holding a stack of today's Hong Kong Island newspapers.
Zhou De laughed boldly, with an open heart, and a big gold chain dangling.
He pressed the palm of his hand full of gold rings on the "Oriental Daily" that published Li Chaoren's smiling face, "I heard from Secretary Chen that this incident made our side pay attention to all the resources that should have been tilted towards Li Chaoren. All sent back for retrial! Even if this incident is unintentional, it is enough for Li Chaoren and his family to drink a pot."
Compared with Zhou De, who was full of red face.
Jimmy Chen sat on a small stool, lowered his head and sipped the tea made by Zhong Lanlan.
After drinking a cup of tea, Chen Jimi and Nie Chen said: "The three nails of Little Superman in Aihua Village have already been raised. We have no obstacles to the commercial land for the hospital upgrade this time."
"Lawyer Chen is paying attention." Nie Chen nodded.
Zhou De had nothing to say about the rules on the table and the joint aspect. Just like Nie Chen wanted to file a lawsuit against the knitting factory last Thursday, Zhou De was able to organize a massive press conference in less than a morning. Carry out pre-litigation justice mobilization.
Of course, when it comes to keeping a low profile, it still depends on Jimmy Chen.
This guy was silent, and when he made a move, it was big news, and he could be called a black face.
Chen Jimmy also mentioned the smuggling case of his parents with himself last Friday, and has appealed for innocence.
Various materials have been prepared, and Chen Jimmy will also take care of the prosecutors and judges who will be tried.
The court date is July 25.
The news of Jimmy Chen came from last Friday when China World Trade Center successfully negotiated with Professor Ma Dongqing and won the investment and construction of Smith & Nephew Medical Devices Company in Longhua. In the evening of this extra surprise, Jimmy Chen made a special trip from the law firm to the outpatient clinic. , to convey this message to myself.
At this time, I heard that Chen Jimmy personally nailed Li Chaoren, the real estate developer of Changjiang Industrial, in Aihua Village, and three Aihua Village bosses with different surnames were all cleared away.
It is equivalent to clearing the last obstacle for Aihua Clinic to upgrade to a hospital.
No matter how much Superman Li and Superman's father and son jumped, it was impossible for them to extend their hands to the commercial land of Aihua Road.
Ten twenty in the morning.
Secretary Chen's boss and Secretary Chen, the two leaders of the municipal party committee came to Aihua Clinic in a red flag car.
Then he parked the car in front of the Aihua Clinic, walked with Nie Chen, and went to the Tongzilou compound first.
Take a tour of the outpatient clinic upgrade hospital transition period, Nie Chen rented and remodeled the laboratory, inpatient area, and dormitory area.
"The functions of the living area and the inpatient area are very different, so the stairways on both sides are separated separately. The stairway on the east is for the living area, and the stairway on the west is for the inpatient area."
Nie Chen and Secretary Chen introduced the mixed inpatient area and dormitory area.
After renting the Tongzilou courtyard, the decision to transform the first to third floors into an inpatient area was a helpless move for Nie Chen.
Originally, the original intention of Nie Chen to rent and renovate this five-story tube building was to use it as a staff dormitory.
In any case, it was a bit hasty to arrange the patient's nursing ward on the first to third floors of the Tongzi Building.
But if it is not arranged in this way, there is actually no suitable place to build wards and renovate wards around the Aihua Outpatient Clinic, except for the squatter shed that has been decided to become an outpatient upgrade site.
Even with the six wards and nurse stations currently being used in the outpatient clinic, this row of bungalows is relatively close to the market and people’s homes. In terms of medical waste, environmental control, air control, etc., it cannot meet the standards of Nie. morning request.
(End of this chapter)
"The teaching materials and models of nose reconstruction in medical school are here!"
The honest Marian took out the latest Cambridge Medical School textbook in her schoolbag and turned to the page of total nose reconstruction.
On the color page of the Cambridge textbook on total rhinoplasty, the technical guidance on total rhinoplasty is still stuck at the stage of directly using thigh skin or forehead skin flaps for skin grafting.
As for a nose like Qi Yurou's who had been cut off from the bridge of the nose, only the dark hole in the nose was left.
For the case where all the main body of the nose is missing, the suggestion given in the Cambridge Medical School textbook is that there is no need for surgery, and a silicone nose that simulates the nasal cavity can be installed.
This textbook also directly explains that once the main body of the nose is missing, even the latest textbook of Cambridge Medical School, an old medical school that always uses surgical ideas to solve medical problems, still gives up treatment.
But it was Nie Chen who gave the treatment plan directly and asked the patient to prepare for the operation with confidence.
"If Dr. Nie only knows what is in the textbook, then why did we travel thousands of miles from England to the mainland to conduct standardized training and practice in this simple outpatient clinic?"
Professor Ma Dongqing was amused by the startled tone of his student Marian Froude.
He took the initiative to put away the textbooks of the Cambridge Medical School in Marianne’s hands, and then said to the students with a cheerful face, “Whether it is total nose reconstruction, flow velocity judgment and treatment of vascular malformations, or the oral and maxillofacial technology we cooperate with , as long as you can learn one of Dr. Nie's skills, you will have a much brighter future than others when you return to England, whether it is in medical school or in London or Edinburgh."
Professor Ma Dongqing is used to making cakes for the younger generation, but regarding Nie Chen's technology, Professor Ma Dongqing speaks resolutely and decisively.
"Hello Dr. Nie, we meet again."
Manager Li, the technical representative of Xinde Pharmaceutical Technology Department from Wanwan, personally wore a fat man with a big gauze mask, a black hat, and loose slacks and big-toed shoes, which are more popular in Hong Kong and Taiwan at this time. The woman walked into the Aihua clinic.
Manager Li, about 45 years old, has gray hair and gold glasses, a gold ring on the ring finger of his left hand, and a huge jasper ring on the middle finger.
And when he smiled, there was a shining gold tooth on his lower jaw.
Manager Li generously greeted the dozen or so people gathered in the Aihua Clinic.
Then let the female patient who came with him sit on the side of the couch, and introduced to Nie Chen:
"Liao Sifei, a native of Kaohsiung, my hometown! She heard that our clinic can definitely perform vascular tumor resection, so she made a special trip from Kaohsiung to Shencheng, and now she is temporarily staying in the Xinde Pharmaceutical dormitory."
"It has been removed once, and this is the second recurrence."
In the lighting area behind the short sofa, Nie Chen checked the facial artery under the left ear for Liao Sifei, who came from Kaohsiung, and found a vascular malformation, tangled into a hump-shaped vascular tumor.
Explain the diagnosis result to the silent Liao Sifei.
Nie Chen sat back on the short sofa, lowered his head and brushed the preliminary diagnosis, "Operation is possible, but there are certain risks."
Just kidding, there was a second recurrence caused by a surgical resection, and the lesion became bigger, a huge fleshy tumor that almost completely affected the two blood vessels of the left facial artery and facial vein.
If a second resection is performed, even with rapamycin, a vascular malformation-targeted drug, it is impossible to be as confident as usual and give the patient full confidence.
"Is it really possible to operate?" Manager Li and Liao Sifei blurted out at the same time.
"There is no problem with the operation, but before the operation, we need to observe the drug reaction for at least three days."
Nie Chen finished writing the diagnosis form and handed it to Li Dayong, who was sitting behind the short sofa and recording the real-time data of vascular malformations of Kuang Fuliang and Lin Xueyang, who were doing home care this morning.
"Professor Li, I will entrust you with the preoperative drug monitoring of this patient."
Professor Li, who was familiar with the art and was very comfortable in reflecting variables in various tables and experimental data, said "Okay," and took Nie Chen's diagnostic form.
Then Professor Li lowered his head and brushed the diagnostic form in his hand, and filled in the detailed information about Liao Sifei in the test subject form.
"So, how much is the approximate cost of our operation? If the operation can really be performed, then I will have my family come from Kaohsiung to Shenzhen to accompany me."
Liao Sifei sat upright, holding the steaming teacup in both hands without any water dripping from it. She blinked her clear eyes and met Nie Chen's eyes. She asked softly, "Before I came to Shencheng, I asked Uncle Li to find out more about the clinic." As well as Dr. Nie’s ability. My company also reported a three-month surgical holiday in advance. I am very confident in Dr. Nie’s skills.”
"Thank you Ms. Liao and Manager Li for trusting my technology."
Nie Chen finished writing the various items for Liao Sifei to go to the regular outpatient clinic for a full-body examination, and handed the list of items to Liao Sifei, "The cost of this operation is about 30 RMB. After completing the preoperative drug reaction observation, then come here soon." In the outpatient clinic, consult Ms. Zhong about the specific operation schedule, and Ms. Zhong will arrange the operation time."
"Hello, Miss Liao, I'm Zhong Lanlan."
Zhong Lanlan smiled softly, took out a small card from the small box in front of her and handed it to Liao Sifei.
"The "South China Daily", "Ming Pao", and "Sing Tao Daily", which had a confrontation with Li Chaoren, all reported why Li Chaoren was holding plastic The reason frogs are in the newspaper."
Zhou De and Chen Jimmy came to the Aihua Clinic at 09:30 after the patient left, holding a stack of today's Hong Kong Island newspapers.
Zhou De laughed boldly, with an open heart, and a big gold chain dangling.
He pressed the palm of his hand full of gold rings on the "Oriental Daily" that published Li Chaoren's smiling face, "I heard from Secretary Chen that this incident made our side pay attention to all the resources that should have been tilted towards Li Chaoren. All sent back for retrial! Even if this incident is unintentional, it is enough for Li Chaoren and his family to drink a pot."
Compared with Zhou De, who was full of red face.
Jimmy Chen sat on a small stool, lowered his head and sipped the tea made by Zhong Lanlan.
After drinking a cup of tea, Chen Jimi and Nie Chen said: "The three nails of Little Superman in Aihua Village have already been raised. We have no obstacles to the commercial land for the hospital upgrade this time."
"Lawyer Chen is paying attention." Nie Chen nodded.
Zhou De had nothing to say about the rules on the table and the joint aspect. Just like Nie Chen wanted to file a lawsuit against the knitting factory last Thursday, Zhou De was able to organize a massive press conference in less than a morning. Carry out pre-litigation justice mobilization.
Of course, when it comes to keeping a low profile, it still depends on Jimmy Chen.
This guy was silent, and when he made a move, it was big news, and he could be called a black face.
Chen Jimmy also mentioned the smuggling case of his parents with himself last Friday, and has appealed for innocence.
Various materials have been prepared, and Chen Jimmy will also take care of the prosecutors and judges who will be tried.
The court date is July 25.
The news of Jimmy Chen came from last Friday when China World Trade Center successfully negotiated with Professor Ma Dongqing and won the investment and construction of Smith & Nephew Medical Devices Company in Longhua. In the evening of this extra surprise, Jimmy Chen made a special trip from the law firm to the outpatient clinic. , to convey this message to myself.
At this time, I heard that Chen Jimmy personally nailed Li Chaoren, the real estate developer of Changjiang Industrial, in Aihua Village, and three Aihua Village bosses with different surnames were all cleared away.
It is equivalent to clearing the last obstacle for Aihua Clinic to upgrade to a hospital.
No matter how much Superman Li and Superman's father and son jumped, it was impossible for them to extend their hands to the commercial land of Aihua Road.
Ten twenty in the morning.
Secretary Chen's boss and Secretary Chen, the two leaders of the municipal party committee came to Aihua Clinic in a red flag car.
Then he parked the car in front of the Aihua Clinic, walked with Nie Chen, and went to the Tongzilou compound first.
Take a tour of the outpatient clinic upgrade hospital transition period, Nie Chen rented and remodeled the laboratory, inpatient area, and dormitory area.
"The functions of the living area and the inpatient area are very different, so the stairways on both sides are separated separately. The stairway on the east is for the living area, and the stairway on the west is for the inpatient area."
Nie Chen and Secretary Chen introduced the mixed inpatient area and dormitory area.
After renting the Tongzilou courtyard, the decision to transform the first to third floors into an inpatient area was a helpless move for Nie Chen.
Originally, the original intention of Nie Chen to rent and renovate this five-story tube building was to use it as a staff dormitory.
In any case, it was a bit hasty to arrange the patient's nursing ward on the first to third floors of the Tongzi Building.
But if it is not arranged in this way, there is actually no suitable place to build wards and renovate wards around the Aihua Outpatient Clinic, except for the squatter shed that has been decided to become an outpatient upgrade site.
Even with the six wards and nurse stations currently being used in the outpatient clinic, this row of bungalows is relatively close to the market and people’s homes. In terms of medical waste, environmental control, air control, etc., it cannot meet the standards of Nie. morning request.
(End of this chapter)
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