Back to 1999: From operating surgeons to becoming a top doctor

About half an hour ago, a major earthquake occurred in the leadership of the Second Hospital of the Provincial Capital.

All the middle and senior leaders, only those who worked in the hospital, rushed to the hospital from their homes in the middle of the night.

The VIP suite of the senior cadre ward was full of people at this moment. The dean, secretary, and directors in charge of relevant majors were participating in the discussion inside. More people could only stand in the corridor outside and wait quietly.

Although such scenes often appear in the senior cadre ward, it is the first time to see such a big scene so late at night.

The doctors and nurses on duty tonight were trembling and dared not say a word. Almost everyone present was several times higher than them.

They could only pray silently in their hearts that nothing would happen, and the patients inside must not have any accidents in their class.

Otherwise, everything they did would be wrong, and they would not be able to do nothing.

As for the patient, he was also a frequent visitor to the senior cadre ward.

At first, he came to the hospital for chronic obstructive pulmonary disease, which was commonly known as "old chronic bronchitis" in the past.

When I was young, I smoked a lot, repeatedly irritating the airway, and gradually developed tracheitis.

I usually cough when I get up, cough when the weather turns cold, and cough when I do heavy physical labor. I often wake up at night and sweat profusely, as if I will die if I can't breathe.

This is all related to COPD.

Because the disease is irreversible, the development speed can only be slowed down. When the old man comes to the hospital, he can only be given some simple low-flow and low-concentration continuous oxygen therapy.

There is no other good way.

But this time in the hospital, the situation has obviously worsened a lot.

He was panting badly, and breathing oxygen did not relieve it. He tossed and turned for half a night. Just now, the old man felt uncomfortable in his stomach and wanted to go to the toilet, but he accidentally fell off the bed. Then he had symptoms of abdominal distension and abdominal pain, which scared the doctor on duty.

Because it was from the province, he didn't dare to delay. After reporting to the director, he immediately took the old man to the emergency room for a CT scan.

The diagnosis was beyond everyone's expectations.

The old man did not have obvious trauma, but there was a pseudocyst in the abdominal aorta, accompanied by the possibility of rupture and bleeding.

Now, the leadership was furious.

The patient fell and fell out of bed, which was 100% the hospital's responsibility. Although the old man's condition this time was not caused by a fall, no one knew whether the person in the province would think so.

The most important thing was that the old man was diagnosed with pseudo-rupture of abdominal aortic aneurysm, which was a time bomb hidden in the blood vessels. Now the old man has symptoms and blood and fluid accumulation in the abdominal cavity have been extracted.

Although 50ml is not much, it is also a full needle tube of blood. The blood routine and coagulation four items were checked urgently. The hemoglobin was only more than 6g, which was moderate anemia.

The old man's face was also a little pale, his lips were no longer rosy, and the values ​​on the ECG monitor were not good.

Although red blood cells and plasma were urgently requested from the blood transfusion department, considering the old man's underlying disease, everyone agreed that it must be handled immediately, otherwise no one present could bear the responsibility.

That’s why there was an emergency meeting of the whole hospital.

In the ward, Shen Yiwei stood in the corner, trying to shrink to the point where no one could see him.

But the ward was so small. In addition to administrative staff such as the dean, secretary, and director of the medical department, there were only a few directors of related departments, and no one could escape.

The patient was guarded by the doctors and nurses on duty in the inner ward, and they never left.

Outside sat the family members and the secretary general standing next to the family members.

Everyone had a serious expression, the whole room was quiet, and the atmosphere was extremely depressing.

The hospital was at fault first, so the dean did not dare to express his opinion easily, and the person sitting there was not good to speak in person about some things.

All the communication tasks were placed on the secretary next to him.

“Dean Zhang, do you mean that the old man was diagnosed with abdominal pain and bloating after falling down? It was because the abdominal aortic aneurysm had ruptured and bled, and now he needs emergency surgery?”

Hearing the word “fall”, the dean’s face turned pale, but he still nodded.

"Director Shen, you said that the old man is too old and has a history of chronic obstructive pulmonary disease. If we open the abdomen for surgery, the risks are difficult to control and it is very likely that we will not be able to get off the stage. Is that what you mean?"

Shen Yiwei, who was huddled in the corner, sighed in his heart when he heard his name being called. It seems that he can't hide this time.

He stood up and didn't say anything, but bowed to the man who was bowing respectfully, as if to apologize.

"The old man's basic condition is not good, and abdominal aortic aneurysm is a very dangerous disease. I am not sure. I just consulted the authority of the capital about this matter, but the answer given by the other party..."

Speaking of this, Shen Yiwei laughed, looked up at the secretary, and found that the latter frowned, and said while speeding up.

"They said that given the patient's current condition, if the abdomen is opened for exploration, it is likely that the patient will be in danger. CanThere are not many chances to step down peacefully, and the best way is to do laparoscopic surgery. "

Shen Yiwei made up his mind and took advantage of Xu Guoqiang's absence to seize the opportunity and put the blame on him first.

After all, the old man's condition was already very bad, and it was unrealistic to travel a long distance to the capital for treatment.

Even if someone from there was asked to perform the surgery, it would take at least three or four hours, but abdominal aortic aneurysm rupture is just a matter of minutes.

There are too many variables, and it is impossible to wait.

He couldn't do it himself, and the patient couldn't wait, so he asked the authority in the capital for instructions and asked about the abdominal aortic aneurysm. How about laparoscopic surgery.

When the other party replied that the chance was not great, but he could try, Shen Yiwei had instinctively omitted the sentence before the authority.

Well, if you try, you can do it. The authority of the capital said that abdominal aortic aneurysm can be treated laparoscopically, so this matter is easy to handle.

Anyway, it is a dead end. If you don't work for yourself, you will be punished by heaven and earth. Shen Yiwei didn't want to be the golden cicada, but chose the yellow eyebrow.

As for whether there are big fish or small fish in the pond, who cares so much.

"Laparoscopic surgery?"

The one who had not spoken suddenly sat up straight, and a glimmer of light flashed in his eyes.

Shen Yiwei bit his back teeth, and said firmly even in front of the directors.

"Laparoscopy is a kind of minimally invasive surgery. Compared with traditional laparotomy, it does not require a more than ten-centimeter incision, but only a few holes to complete the operation. ”

“The elderly are in poor physical condition and cannot bear a major operation. Laparoscopy is a new technology invented in recent years to take into account the elderly and weak patients.”

“And this new technology is the first to be developed and put into use in our hospital nationwide.”

“Our deputy director, Professor Xu Guoqiang, is a leader in this field. Last week, he performed a laparoscopic radical resection of gallbladder cancer, which was well received by the patient’s family and the hospital. The patient’s recovery was faster than that of traditional surgery. In two years, he will be the director of minimally invasive surgery…”

Shen Yiwei made up his mind and praised Xu Guoqiang in front of everyone, as if no one could help this patient except him.

As for the previous suppression and restriction of surgery, Shen Yiwei had forgotten it completely.