Auto chess in the operating room

Chapter 127

Wen Dalong's second Weibo naturally pointed out that it is impossible for a young doctor like Tang Lou to complete such a difficult endoscopic retrograde appendicitis treatment ERAT, thinking that he is just a package "Little Fresh Meat".

This kind of argument has naturally been recognized by many people, and they are not optimistic about the endoscopic retrograde appendicitis treatment of ERAT in the First Hospital of Hecheng City. The prefecture-level city hospital has no stable source of disease at all, so it should do routine laparoscopy. Appendectomy, which is difficult, should be concentrated in first-tier cities like Hangzhou. First, the number of patients is more concentrated, and the number of disease sources is sufficient and stable. Second, patients who can come to the provincial capital for treatment are not bad.

In this way, several physicians who are responsible for developing ERAT are invested, and the concept of regional concentration and independent departments is adopted.

As the director of Weibo Big V Wen Dalong, he naturally participated in the Acute Abdominal Symposium held in Hangzhou.

His argument for the concept of an independent ERAT department was quickly brought into academic conferences.

Several experts gathered together to discuss Wen Dalong's extremely controversial remarks.

Professor Liu Pingguo from Zijingang Hospital was of course present.

Professor Liu looked at the crowd and said directly: "Actually, I personally disagree with Director Wen's remarks. I personally support Hecheng No. [-] Hospital to carry out endoscopic retrograde appendicitis treatment ERAT surgery."

"Oh, I wonder what Professor Liu has to say? Do you really think that the little guy in Jiang Shu's Weibo post is the chief surgeon? Do you really naively think that Hecheng City No. [-] Hospital has the ability to launch ERAT?"

Wen Dalong's aura is astonishing. In this kind of academic conference, everyone insists on their own opinions and criticizes each other. If there is no quarrel, it will be a waste of time.

Moreover, they are both authoritative experts in the field of acute abdomen in Jiangxia Province. It is not a day or two that they put forward different arguments.

After all, peers are inferior, and everyone wants to dominate the other. This kind of once-in-a-lifetime opportunity naturally requires a fight.

Professor Liu took out his long thermos cup and took a big sip to ensure that he would have enough saliva to supply:

"Professor Wen has a saying that without investigation, there is no right to speak. Just because Dr. Tang Lou is young, he arbitrarily believes that he is not capable of carrying out ERAT, which is simply ridiculous."

"In addition, Professor Wen's knowledge of ERAT is too superficial. Who told you that ERAT is limited to those patients with special requirements."

As soon as Professor Liu uttered these two sentences, the conference room suddenly became tense, and Wen Dalong's face was already ugly.

However, the participants had already been mentally prepared. If Professor Liu didn't fire the gun, they would have seen the devil.

Immediately afterwards, Professor Liu explained his own views:

Some studies have pointed out that the incidence of intestinal flora imbalance in patients with appendix removal is significantly higher than that of people without appendectomy. Existence is reasonable. Although surgery has been developed for so many years, we need to explore the mysteries of the human body There are many more. Therefore, if the organs can be preserved, try to preserve them as much as possible, not one size fits all.

After listening to Professor Liu's remarks, many participating experts nodded slightly: What Professor Liu said is very reasonable. Are there really useless organs in the human body?Is it really possible to cut across the board at will?

Now Huaguo has set up the "Cholesterol Preservation Group", advocating the preservation of the gallbladder as much as possible; gynecology is also advocating the preservation of the uterus as much as possible. Although they can't say clearly what the effect of preserving the uterus is, they believe that preserving the uterus can delay aging. , endocrine stabilization, etc.

Seeing that everyone accepted his opening, Professor Liu continued to analyze: In addition, ERAT is a very good solution for many children and elderly infirm patients, as well as patients who cannot be operated on for various reasons, except for those who have special needs for beauty treatment. way.Therefore, the popularization of ERAT in prefecture-level city hospitals will not lack a stable source of disease as Director Wen thinks.

In addition, the core part of this operation is endoscopic retrograde angiography (ERA), which can make the diagnosis of acute appendicitis, and it can even be called the gold standard for diagnosis after several years.

If leakage of contrast medium is found under ERA, gangrene and perforation can be judged, and it is enough to transfer to general surgery for surgery. For mild appendicitis, ERAT is currently the best indication.

As mentioned earlier, some patients can achieve results through conservative treatment, but if the obstruction is not relieved, it is easy to relapse.However, ERAT itself is very minimally invasive, and it can immediately contact the obstruction and relieve abdominal pain immediately.To put it bluntly, it is just a colonoscopy.

There was an 8-year-old boy who had appendicitis in a child, and the pain was excruciating.We did ERAT for him. After getting off the stage, he ran all over the gastroscopy room. The pain was gone, and the family members including us were very relieved.

Just imagine, if this kind of operation can be promoted in municipal hospitals, patients will have such a good choice, and not everyone has the ability to come to the capital to see a doctor!

After talking a lot, Professor Liu looked at Wen Dalong: "So I think that the Hecheng First Hospital's ERAT operation this time has important experimental significance for our Provincial Medical Association."

In the conference room, most of the doctors were convinced by the picture drawn by Professor Liu. Compared with Director Wen's independent ERAT department in the concentrated area, Professor Liu's plan can naturally benefit more patients in need.

Seeing everyone's reaction, Wen Dalong frowned slightly, but soon found the place of attack, which was Tang Lou:
"It's just Professor Liu's wishful thinking to say so much. I don't believe that the First Hospital of Hecheng City can carry out this kind of operation, and it is such a young doctor."

"Of course, we have said so much. The most important thing is how the Hecheng First Hospital is doing in terms of ERAT surgery. Facts speak louder than words. Why don't we form a research team and go to the Hecheng First Hospital to investigate the difference? It's clear."

Professor Liu interlocked his hands and looked at Wen Dalong.

"However, the No. [-] Hospital of Hecheng City has just begun to carry out this technique. The sample size is too small to be convincing."

If it was just an operation, even a flying knife would be fine, and the medical records he saw were countless, so Wen Dalong was naturally thoughtful.

"This is very simple. I can contact Director Cheng of the First Hospital of Hecheng City and ask him to focus on the ERAT surgery in the next week. After a week, our expert team will go to the field for field inspection. Maybe you will see other surprises .”

Professor Liu recalled the two medical records given to him by Ma Shuya before, one was ERAT, and the other was naturally a genius-like modified procedure: suspended airless laparoscopic appendectomy.

Of course, one of the reasons for this investigation was naturally his interest in Tanglou itself; Step on Wen Dalong.

"Tang Lou, don't let me down."

Although Professor Liu has never seen Tang Lou, it does not affect his appreciation of Tang Lou.

"Then it's a word."

Wen Dalong naturally believes in his own experience. He just can't understand Tang Lou, a small fresh meat. Through false packaging and establishment of people, how can he have any thoughts on specializing in technology, so that this kind of person can be popular in the academic circle? It's an insult to the older generation of doctors who are rich and poor.

After the academic conference in Hangzhou ended and before the delegation took off, Cheng Jian received a call from Professor Liu Pingguo.

Of course he was looking forward to and anxious. This was a huge opportunity for Hecheng No. [-] Hospital to show his face, but it might also directly lead to the death of his provincial-level subject plan.

Cheng Jian directly called Tang Lou, who was the cause of the incident, and Qing Ping, the person in charge of the construction of the discipline point, to the office.

Storm is coming!

(End of this chapter)