Back to 1988: I became the world's number one surgeon
Chapter 64 Preoperative Discussion
Three people walked into the general surgery department.
Qi Jin, who was in the lead, had a calm expression, Su Wanqiu also looked indifferent, but Qin Ming had a little excitement in his eyes, as this was his first time coming to the department of the Municipal Hospital.
For Su Wanqiu, everything here was not unfamiliar. In her previous life, after leaving the township hospital, Su Wanqiu came to the general surgery department of the municipal hospital, where she stayed for five years.
"Here we come, people are here!"
Figures came out of the doctor's office one after another. When they saw Qi Jin, there was surprise in everyone's eyes. This man, who was once the mainstay of the general surgery department of the municipal hospital, had come.
"Director Qi!"
"Director Qi!"
……
Seeing Qi Jin coming, the medical staff of the general surgery department greeted him quickly. After he entered the doctor's office, a doctor immediately made room for Qi Jin.
"Wanqiu, sit down!"
Qi Jin said to Su Wanqiu.
"Thank you!"
Su Wanqiu was not polite at all and sat down directly. When the doctor next to her saw this, he quickly made room for Qi Jin again, and Qin Ming stood behind Su Wanqiu.
If Qi Jin hadn't given up his position to Su Wanqiu.
Then Su Wanqiu definitely had no seat either. There were only so many seats in the doctor's office. Whoever gave up his seat would have to stand. Qi Jin was originally the deputy director of the municipal hospital.
The general surgery doctors were happy to give him a seat.
But Su Wanqiu and Qin Ming.
They were just two doctors from the township hospital, and judging by their age, they had only graduated not long ago and came to the general surgery department of the municipal hospital. It was good enough that they didn't look down on them.
Give you a seat?
"Director Qi, why are you so slow?"
After sitting down, Dean Han said in a deep voice.
His face looked a little ugly.
The doctors in the entire department waited for the whole morning and didn’t even have lunch.
"Something's delayed!"
Qi Jin said lightly.
Come to the general surgery department earlier? He also thought that he was not delaying the time intentionally just because Dean Han asked him to take the blame. After all, for this kind of operation, preoperative discussion is very important.
However, Su Wanqiu had to accompany Tuanzi to see the doctor.
He also wanted Su Wanqiu to participate in the preoperative discussion, so he accompanied Su Wanqiu. In this way, the examination of Tuanzi would be much faster. He and Su Wanqiu came together.
Su Wanqiu would not miss this pre-operative discussion.
"President Han, Director Qi is here, let's start the preoperative discussion!"
Director Zhao spoke.
"Row!"
Dean Han nodded, then took out a medical record and put it on the table, saying, "This is the patient's medical record. The basic information is all on it. Doctor Cao, please tell us about it!"
"it is good!"
Doctor Cao nodded, then picked up the medical record and opened it.
"Patient: Yu Dewen, 65 years old, a native of Nanyang City. Three days ago, the patient was admitted to the hospital with difficulty breathing for three hours. After admission, a complete examination was conducted and the diagnosis was 1. Coronary heart disease. 2. Chronic obstructive pulmonary disease (late stage). 3. Hyperglycemia. 4. Liver cancer. 5. Essential hypertension."
"The patient has no history of infectious diseases. He was shot multiple times in the abdomen, waist, and legs. There are seven shrapnel remaining in the abdomen. A puncture was performed yesterday and pathological diagnosis was confirmed to be liver cancer. Cardiac B-ultrasound showed left ventricular hypertrophy..."
"patient……"
……
Doctor Cao began to talk about the basic situation. The entire doctor's office was very quiet at this moment, and everyone was listening. The liver cancer patient was in his sixties and had many underlying diseases.
Patient's condition.
Very complicated.
"The patient is currently in a special ward. His condition is stable, his high blood sugar is under control, his systolic blood pressure is basically controlled at around 130, and his diastolic blood pressure is controlled at around 80..."
A full ten minutes.
Doctor Cao then explained the situation clearly.
"Yu Dewen? It's him!"
Su Wanqiu's heart moved, and she finally understood why Qi Jin had to come to the city hospital for surgery. He had multiple gunshot wounds on his body, and this man must have returned from the army. Combining her memory, a person appeared in Su Wanqiu's mind.
To the teacher.
The former retired commander of the 17th Division was from Nanyang City, where he retired. His son Yu Junpeng is now the deputy commander of the 6th Army of the Southern Forces.
The Southern Military Region is built at the foot of Lingnan Mountain.
It is only about forty or fifty kilometers away from Xiangyang Village.
in memory.
Qi Jin had left the township hospital for a few days in his previous life. Apparently, he came to the municipal hospital to perform surgery on Commander Yu. However, Qi Jin's complexion did not look very good after he came back.
I'm afraid the results of the surgery won't be ideal.
When Su Wanqiu arrived at the general surgery department, she also heard the doctors in the department mention Teacher Yu. The initial operation results were average. Three months later, Teacher Yu's cancer spread and he passed away.
"Director Qi, this is the basic situation!"
Director Zhao said quickly.
"The patient's condition is somewhat complicated, with many underlying diseases. There is a high possibility of crisis during the operation. Has the anesthesiologist in the operating room come to assess him?"
Director Qi spoke.
"Anesthesia has been assessed!"
Dean Han said.
"Take out the CT scan and have a look!"
Qi Jin said.
"Doctor Cao, CT!"
Dean Han gave orders quickly.
"Director Qi, this is the patient's CT scan, take a look!"
Doctor Cao handed a film to Qi Jin, who took it and began to examine it. After a moment, Qi Jin's face darkened and the entire doctor's office was filled with silence.
"Late Autumn, look at this!"
Qi Jin handed the film to Su Wanqiu. After reading it, Su Wanqiu raised her eyebrows. No wonder Qi Jin looked unhappy after seeing the film. The difficulty of the operation had changed a little.
"If I ask a rural hospital to look at the film, can he understand it?"
When Zhang Zhengming saw this scene, he couldn't help but sneer. He had not forgotten what happened at the township hospital. Now that he was in the municipal hospital, which was his territory, his courage naturally returned.
"Why can't my brother Wanqiu understand?"
Qin Ming couldn't help but say.
"Haha... The township hospital doesn't even have a CT scan. Has he seen the film?"
Zhang Zhengming sneered.
"All right!"
Dean Han glanced at Zhang Zhengming, and Zhang Zhengming lowered his head and said nothing more. At this moment, Su Wanqiu also gently placed the film on the table.
"The tumor is located at the junction of the lower segment of the left lateral lobe and the left internal lobe, and is also close to the liver hilum, where the common bile duct, hepatic vein, and hepatic artery converge. From the film, the tumor border is unclear and has burrs. There is a high possibility of invading surrounding tissues, and there may even be... metastasis!"
Su Wanqiu's voice rang out.
Zhang Zhengming: “…”
The doctors present at the scene could not help but shudder. Reading X-rays is a basic skill for a surgeon, but even in the municipal hospital, there are not many surgeons who can read X-rays thoroughly.
Su Wanqiu is a rural doctor.
But at a glance, I saw the key.
"Is this kid really from the countryside?"
The general surgery doctor glanced at Su Wanqiu with some suspicion in his eyes, and Zhang Zhengming also became quiet at this moment.
Qin Ming's face showed a little excitement. Who said that the doctors in our township hospital can't understand it?
"You're right!"
Qi Jin nodded and said, "The tumor is located in the lower segment of the left outer lobe, so it must be removed. However, it has also invaded the left inner lobe and may even have invaded the structures in the common hepatic duct!"
Qi Jin said in a deep voice.
"Qi Jin, how do you think this operation should be planned?"
Dean Han spoke.
Following Dean Han's words.
All the doctors present were looking at Qi Jin. Qi Jin was best at hepatobiliary surgery. His suggestions were extremely important to the outcome of the entire operation and the patient's prognosis.
"Late Autumn, what suggestions do you have?"
Qi Jin didn't say anything, but looked at Su Wanqiu.
Dean Han: “…”
"Director Qi, the surgery is less than half an hour away. If you want to lead a student, you have to choose the right time. It's good enough for a doctor from a rural hospital to understand the film, but how much opinion can he have on a surgery like this?"
Dean Han said in a deep voice.
Qi Jin, that’s a bit too much.
Su Wanqiu understood the film, which was indeed beyond his expectations. However, for this kind of partial liver resection surgery, not to mention Su Wanqiu, even the doctors in the general surgery department of the Municipal Hospital could not handle it.
Very few have seen it.
Su Wanqiu, impossible to contact.
Ask Su Wanqiu.
It's just a waste of time asking!
"Dean Han, what is the purpose of the preoperative discussion?"
Qi Jin frowned and said coldly.
"The purpose of preoperative discussion is to develop the best surgical plan, avoid as much risk as possible, and improve the patient's prognosis!"
Dean Han spoke.
"Since Dean Han knows about this, then you general surgery department shouldn't hold any preoperative discussions in the future. Just let Dean Han make the decision. Anyway, they are not qualified to express their opinions in front of Dean Han!"
Qi Jin said.
"you……"
Dean Han had a gloomy expression on his face. All the doctors in the doctor's office lowered their heads at this moment. Normally, even if they had opinions during the preoperative discussion, they would not dare to speak up.
They miss the time when Qi Jin was there. As long as Qi Jin conducted preoperative discussions, all general surgery doctors could participate and express their suggestions in the discussion to improve the surgical plan.
"If Dean Han has any good surgical plan, please tell me!"
Qi Jin said again.
"Let him speak!"
Dean Han said coldly that although he had performed liver and gallbladder surgeries, they were all ordinary operations. If he could perform the operation today, he would not have asked Qi to come in.
"Today, during the preoperative discussion, not just Wanqiu, everyone can voice out their suggestions. As long as they are good suggestions, they should be adopted. A good surgical plan is progress for the entire surgical department!"
Qi Jin said in a deep voice.
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