Auto chess in the operating room

Chapter 114 New Task: Propose an Improved Plan

In the general surgery office, Qingping personally came to prepare for the consultation.

"Ma En, Tang Lou, Tian Linsheng, come here to help with the layout and prepare for the projection. Director Cheng will have a very important consultation in a while. All the attending physicians of the General Surgery Department will attend the meeting, and Deputy Director Shen Bingbing will also participate."

Qingping's face was very serious, even he could feel the aura of storm coming.

"What's the situation with Doctor Qing? The department hasn't held such a large-scale consultation for a long time."

Ma En has been in the general surgery department for so many years. The last time it was the popular Xiaosheng Gu Yue's facial surgery in a car accident, so many experts were gathered together to formulate a plan.

Ma En naturally smelled something unusual. The patient this time was either rich or noble, or his symptoms were very strange, so Director Cheng paid such attention to him.

"An old leader in the patient's city is very influential in Hecheng. Originally, the family members suggested that experts from Hangzhou should be operated on, but the old leader insisted on performing surgery in Hecheng No. [-] Hospital. The will of the old leader , the juniors in the family naturally dare not disobey."

Ma En whispered secretly, no wonder so many medical resources were used.

"Speaking of which, the patient itself is only acute appendicitis, but after all, he is old, already 94 years old, so the operation must be very cautious. This is also the reason for this consultation. Of course, there is also the purpose of determining the surgeon."

Qingping also had a lot of psychological pressure on this patient. He, who studies acute abdomen, is likely to perform this operation. After all, he is the most experienced in appendicitis surgery in the entire general surgery department.

Thinking of the patient's 94-year-old age, Qingping felt another headache. It was obvious that the patient's organ function had declined significantly, and the body's function had declined severely. Even if the operation was successful, unexpected accidents may still occur in the later recovery and healing.

In short, the pressure is great!
Soon the consultation personnel arrived one after another. In addition to Qing Ping, several other attending surgeons from the general surgery department, Song Yang, and Yan Ruoyun, who specialized in tumors in the duodenum and liver regions, studied the flight path of minimally invasive treatment of inguinal hernia. Cuishan is attending, and Li Xiang, who is quite accomplished in open radical gastrectomy under ultrasonic knife, is attending.

And the only female deputy chief physician of the general surgery department, Shen Bingbing, the deputy director who specializes in the field of pediatric surgery and is unique in general surgery diagnosis.If she was a few years younger, Shen Bingbing would be a goddess-level figure in the medical field of Hecheng.

Seeing Shen Bingbing coming in, all the attendings raised their heads and focused their eyes. Shen Bingbing has an elegant aura like Zhao Yazhi, giving people affinity, trust, and calmness. This is also a great advantage for her to achieve success in the field of children.

After everyone was seated, Director Cheng Jian walked in with a serious face.

When all the attendings were about to start, a handsome young doctor sat at the end of the entire consultation seat.

Naturally, it is a tenement building.

The complexions of the several attending doctors changed. Yan Ruoyun, who had some silver-white hair, was standing next to the Tanglou, and gave him a wink: "Whose intern is so ignorant? Go down."

Shen Bingbing sat next to Cheng Jian. As a woman, even at an advanced age, she still has no resistance to handsome guys. After admiring them for a while, she joked, "Young man, don't make a point of pulling him up." The average face value of this group of old men, ours is an academic conference, don't rely on face."

Hang Cuishan licked the dog from the side: "With Director Shen, the average appearance can also be beaten."

"Director Shen, this is Tanglou. The new trainee doctor, Qingping and Song Yang, have known each other before. I think he has some accomplishments in appendicitis surgery, so I make an exception and let him attend the meeting."

Cheng Jian turned his attention to Qingping and Song Yang.

"Director Shen, Physician Yan, all attending physicians, I also agree with Tang Lou's participation in this consultation. In the simple operation of appendicitis, Tang Lou's level is not much worse than mine to some extent."

Song Yang spoke aside, although looking at Tang Lou's youthful appearance, he still felt unreal.

"I also agree with Director Cheng and Dr. Song's opinion. Tang Lou has done some research on traditional laparotomy and laparoscopic techniques. Maybe it can play a role in this consultation."

Qingping has a rigorous style of study and has a good reputation in general surgery.

After hearing the three people's guarantees, Shen Bingbing and others were obviously very surprised, and they all looked at the tenement building curiously.

So young, so handsome, how powerful is it really?

"That's really scary for young people, so let's start the consultation."

Shen Bingbing looked at Tang Lou who was still calm and calm, and nodded. Since Director Cheng had already spoken, she would naturally not insult him.

Of course, to be honest, she didn't think that Tang Lou could put forward any opinions on such a weighty consultation at such a young age.

Yan Ruoyun and Hang Cuishan were not convinced as much as Shen Bingbing. They looked at the tenement building with a somewhat rude look. For such a young training doctor, unless he showed his true ability, he would only The kind words of Director Cheng and others are still not enough.

In fact, these old foxes already have their own conjectures. The appearance of Tang Lou is really good. Cheng Jian naturally intends to train him, and improve his quality by participating in various operations and consultations of various weights. curriculum vitae.

When the time was right, the general surgery department launched Tang Lou, who had been packaged as a handsome man with an unreal resume, in an academic forum, creating an effect of a top star doctor.

Just like today's traffic niche, Internet celebrities, and high-value star doctors, the persona is very capable of gaining favor and popularity for the general surgery department of the city's first hospital.

Moreover, as a senior attending of general surgery, he naturally knows that Cheng Jian is focusing on creating a provincial-level discipline of acute abdomen, and the best way is to introduce influential star doctors.

And this consultation and the particularity of the patients can gild the Tanglou, even if it is just soy sauce, but when it is packaged, it will be legendary enough if it is exaggerated.

After figuring this out, the several attendings also tacitly said that they can only feel that it is good to be young, have good looks and have a background.

The only thing that made them unhappy was that Qingping, who was always known for his fairness and rigor, also began to participate in the fraudulent creation of a star doctor without blushing.

It seems that the pressure of the provincial key discipline of acute abdomen really makes them do whatever they can.

The young man lamented his good luck, and several attending doctors automatically ignored Tanglou and began to study this case.

After all, their advanced age and special status still made them feel deeply pressured.

Qingping has already done the preliminary work and projected the patient's data.

Cheng Jian began to introduce the patient's situation: "This patient has a special situation and a special status. President Yang personally called me and told me that this operation can only be successful."

Cheng Jian first set the tone for this consultation.

"Patient: Chai Long, 94 years old, clinically diagnosed with acute appendicitis"

Listening to Cheng Jian's introduction, the several rulers also feel the pressure. Chai Long is still very influential in Hecheng, and his disciples and former officials are all over the upper class of Hecheng. Location.

For Chai Long to be able to come to their city's first hospital for surgery, they are deeply honored and slightly apprehensive. If it is done well, it will be a good thing for both fame and fortune in the medical circle of Hecheng, but it is also a mess, and the consequences are also unaffordable. of.

"Old patients have obvious decline in organ function, severe decline in body function, and are in a compensatory state. When acute appendicitis is complicated, the clinical symptoms are often not obvious, the disease progresses rapidly, and perforation is prone to occur, leading to diffuse peritonitis. Therefore, it is necessary to make a clear diagnosis as soon as possible. Surgery. Therefore, we are not given much time, and I hope that the plan and the candidate for the surgeon will be clarified at this consultation."

Cheng Jian clarified the difficulty of the operation and the purpose of this consultation, and then looked at Qingping, who studies acute abdomen.

Qingping organized the language to explain his point of view: "For appendicitis resection, the traditional method is to open OA, but with the development of laparoscopic technology, LA has become the gold standard, with small trauma, quick recovery, and pain. Light, short hospital stay and low incidence of postoperative complications. Therefore, I think it is unquestionable to use laparoscopic technique, just because the patient is too old."

Qingping frowned, and continued to express his concerns: "However, in order to ensure the exposure of the operative field and facilitate the operation in the operating room, LA needs to establish and maintain a CO13 pneumoperitoneum pressure of 15-2 mmHg, but everyone knows from experience that, Pneumoperitoneum will affect the physiological functions of the body, such as increased heart rate, increased blood pressure, decreased cardiac output, increased airway pressure, decreased SPO2, and restrictive ventilatory dysfunction. Therefore, there is still a big difference in performing LA. deterministic."

Cheng Jian nodded: "Doctor Qing's concern is not unreasonable, but this time, accidents are absolutely not allowed, so do you have any better suggestions?"

Several senior attending physicians frowned, it was really tricky, the patient was too old.

【Ding!New mission: Art improvement!During the departmental consultation, the host proposed a modified laparoscopic appendectomy with a success rate of more than 5%, and at the same time persuaded all the bosses to be qualified as the chief surgeon.Mission reward: [-] gold coins, card library is refreshed once]

(End of this chapter)