Chapter 417： Unbelievable
Gao Shaojie’s phone call was sent to a classmate in the United States.
When the students stayed in the United States and successfully obtained the qualifications of doctors in a few years, many students envied.
Doctors are a very good profession in the United States, and they are a hundred times stronger than in the country. Even if Gao Shaojie is the deputy director of the Provincial Medical University Affiliated Hospital, he is still very envious.
It was still early, but Gao Shaojie was so curious about this matter and had to disturb his classmates' dreams.
Soon, after a few words, after learning about the situation, Gao Shaojie hung up the phone.
There is no breakthrough in the surgery of tips. Even the Mayo Clinic in the United States uses well-known surgical procedures.
The big deal is to put a special material in the hepatic vein as a marker.
Even so, it can only solve a part of the puncture problem, the difficulty of tips surgery is still very great.
It can be said that this is just an improved procedure, and it has not fundamentally changed the tips surgery.
Gao Shaojie’s classmates said that they had just been to the Mayo Clinic a while ago, and that they had a tip surgery, and at least 3-5 needles were needed. Without any breakthrough progress, he also laughed at Gao Shaojie by the way. With domestic medical standards, it is impossible to be stronger than the Mayo Clinic.
Ignorant people say dreams.
He put down the phone, although he was somewhat unhappy, but he did not convince him to refute the little doctor.
People, if you say it, it would be nice to be able to believe in three points.
However, the people in Haicheng’s place are really unreliable, and they will try to come less in the future.
The Mayo Clinic has to perform 3-5 needle punctures for tips surgery. Can a small doctor in Haicheng succeed in one shot?
How can it be! This is not the legendary doctor.
It’s a rumor that Gao Shaojie thought of it.
The car quickly arrived at the hotel, Gao Shaojie went to rest, and Wang Qiang went to the second hospital to see the patient.
This night, quietly passed.
Early the next morning, Gao Shaojie got up early and ate breakfast.
Not much to eat, the focus is to eat a fried seven-point cooked eggs.
Before each tip surgery, Gao Shaojie should eat one of these eggs, whether at home or out.
As if in the midst of it, the **** of surgery that exists or does not exist will make today's surgery a little smoother because of this seven-point cooked fried egg.
The concept of the night shift **** is the same, fried eggs are just a good wish.
As for whether it can be done, then the two said.
At 7:30, Wang Qiang drove to pick up Gao Shaojie.
On the way, Wang Qiang gave the report of the last emergency investigation of the patient yesterday to Gao Shaojie. Although there is no necessary connection with surgery, it is always good to have more information.
This is also the habit of Gao Shaojie.
At 7:50, the two went to the city's second hospital.
Gao Shaojie attended the early shift of the interventional department of the Second Hospital and looked at the patients who had surgery today.
Later, Wang Qiang's lower-level doctor sent the patient to the operating room. Gao Shaojie took Wang Qiang and sat in the office for a few minutes.
According to Gao Shaojie's temper, in general, he is going to the operating room with the patient.
When preparing for surgery, take a look at the model of the machine, whether it is with the hand, how to operate.
Every manufacturer's consumables will have more or less difference. For general surgery, the difference is not big. But for tips surgery, it's a bit more familiar.
Because Wang Qiang has fewer beds, Gao Shaojie only saw patients in 2 or 3 wards.
There are also patients in another group.
At the time of the rounds, Gao Shaojie saw several "abnormal" patients.
Their bedside signs all read the words of cirrhosis decompensation, and basically have the diagnosis of ascites.
But looking at the face and looking at the stomach is not like a patient with cirrhosis who is decompensated.
His heart is moving, is these patients a postoperative patient with tips surgery a few days ago?
So he was not in a hurry to go to the operating room, and Wang Qiang came to the doctor's office to check the surgical records and other inspection results.
If the patients after the tips surgery, in theory, can not be restored so well.
Gao Shaojie was full of doubts, let Wang Qiang find the cases of those patients and start to look at himself.
Surgical records, and will not write a few needles, can only prove that the patient is doing tips surgery.
However, pre- and post-operative test sheets are objective proofs that indicate the recovery of the patient's condition.
What is done is the tip surgery. The patient recovers very well after the operation. The ascites subsides day by day, but the blood ammonia does not increase significantly.
Most patients have no obvious hepatic encephalopathy, and only one patient has a transient hepatic encephalopathy after surgery. However, under the action of the drug, it took only one or two days to recover.
This operation is very good, Gao Shaojie admired.
Even after his patients who had surgery at the Medical University Hospital, the recovery was not so good. In particular, hepatic encephalopathy is like a demon, entangled in the patient's side, difficult to get rid of.
Especially in patients who have undergone tips surgery, there is a high probability of hepatic encephalopathy after surgery. After all, venous blood is not in the liver, and a filtration procedure is missing, resulting in extremely high levels of blood ammonia in the blood.
Many patients prefer to give up the opportunity for tips surgery, and are not willing to have hepatic encephalopathy, losing the last dignity of life.
Gao Shaojie once gave a tip surgery to a 70-year-old teacher. After the operation, because of severe hepatic encephalopathy, an old-fashioned teacher like a person has become a person, and it is very embarrassing to urinate.
The embarrassment is still second, the quality of life of patients has been greatly affected.
The benefits that patients receive in tips surgery are more than side effects. Gao Shaojie has done many reflections on this and is actively studying new developments in tips surgery.
However, after so many years have passed, nothing has been achieved.
The data is in front of the eyes, and the patients who have done the batch surgery in the first few days of the second hospital have recovered very well.
Is it true that the little doctor under Wang Qiang said last night?
Gao Shaojie is addicted.
He didn't understand the reason. Until Wang Qiang's cell phone rang, the lower-level doctor said that the operating room had already prepared for the operation, and he waited for Gao Shaojie to come on stage.
"High teacher, I am ready." Wang Qiang reminded me very quietly.
“Oh oh.” Gao Shaojie said with apologetic comments: “Sorry, I want to think about what I want.”
How could Wang Qiang not know what Gao Shaojie was thinking, but he did not see the "bovine man" in the legendary city hospital doing the tips surgery. To be honest, he did not believe it.
Even patients who had a tip surgery recovered well after surgery.
......
......
At 7:55, Professor Rudolf Wagner came to the emergency building of Haicheng No.1 Hospital. When he didn't wait, Zheng Ren called Feng Xuhui's car and went straight to the city's second hospital.
Zheng Ren has some expectations for today's surgery.
It is not the tips surgery itself, but the second phase of the task given by the system.
Zheng Ren is not very excited about the experience of 3000 cases of radiofrequency ablation. Although with the experience of these 3,000 operations, Zheng Yunxia's success rate of radiofrequency ablation can be greatly improved.
Zheng Ren’s concern is still the success rate of interventional surgery +2.
Curiosity, killing cats.
Zheng Ren is curious, and I don't know if the big pig's hoof will be a reward for giving me a dream.
At 8:30, Feng Xuhui drove to the city's second hospital.
Last time, President Zhang took the person to meet Zheng Ren at the hospitalization department. But this time...
Zheng Ren far away saw a bunch of people in the inpatient department, and did not know what was wrong.
Feng Xuhui carefully stopped the car to a little further, and then several people walked over.
"You guys are bastard, Laozi is sitting here today, you look at it!"
Far away, I heard an old, but full of voice.
Is it medical? It seems that it is not.
Can't a doctor cry and hang on three? And when it is necessary to make trouble, it is a crowd of people gathered in the crowd, blocking the door of the hospital.
Zheng Ren’s medical troubles have never been seen.
Is this a staff member in the hospital?
Is the second hospital unable to pay the wages, and the family waits for the rice to go to the pot, and this begins to ask for money from various sources?
The hospital is not an iron rice bowl.
There is medical insurance control above, there is pressure from patients, not to mention the doctor, the hospital itself is also struggling.
And in recent years, many consortia have begun to focus on the fat of public hospitals.
Unlike a certain field system, renting an outpatient clinic in a public hospital and earning a small amount of money is all broken meat. Now large consortia are starting to whale up the large public top three hospitals.
This situation is mainly based on the Northeast.
After the whale swallowed, the specific profit-making means, Zheng Ren did not know. Anyway, before the acquisition, the famous large-scale public top three hospitals began to become dying, and the doctor died and died.
However, I have not heard that the Second House of the City has been sold.
Zheng Ren was full of doubts and went to the door of the inpatient department of the Second Hospital.
Dean Zhang saw Zheng Ren far away and separated the crowd.
"Zheng Zong, you are here." Dean Zhang is still as passionate as ever.
"Well What's wrong with this?" Zheng Ren asked.
"Hey." Dean Zhang sighed with a sigh of relief, looked back and said carefully, "This is not 5 or 6 years ago, a tramp who had died of tuberculosis fainted in the courtyard of the Second Hospital. It was also kind, and he was given to the hospital. The dean sent someone to find the Civil Affairs Bureau. Several of them had some money together and he was cured of tuberculosis."
"Is this not very good?" Zheng Ren confused.
It is a good thing to save the wounded and help the wounded.
"Yeah, this is indeed a good thing. But after healed, he said that he would not leave the hospital and live in our second hospital." Dean Zhang smiled. "We also thought a lot of ways, both hard and soft. Later he was I was in a hurry. Once, I climbed onto the rooftop and said that I would not let him stay. He would jump down."
Dean Zhang’s face was a bit embarrassing.
After all, this is a ugly family, and it is unfavorable for the leadership of the hospital to do things. However, they attach great importance to Zheng Ren and do not want to lose face in front of Zheng Ren.
However, the more you are afraid of anything, the more you come.
When the students stayed in the United States and successfully obtained the qualifications of doctors in a few years, many students envied.
Doctors are a very good profession in the United States, and they are a hundred times stronger than in the country. Even if Gao Shaojie is the deputy director of the Provincial Medical University Affiliated Hospital, he is still very envious.
It was still early, but Gao Shaojie was so curious about this matter and had to disturb his classmates' dreams.
Soon, after a few words, after learning about the situation, Gao Shaojie hung up the phone.
There is no breakthrough in the surgery of tips. Even the Mayo Clinic in the United States uses well-known surgical procedures.
The big deal is to put a special material in the hepatic vein as a marker.
Even so, it can only solve a part of the puncture problem, the difficulty of tips surgery is still very great.
It can be said that this is just an improved procedure, and it has not fundamentally changed the tips surgery.
Gao Shaojie’s classmates said that they had just been to the Mayo Clinic a while ago, and that they had a tip surgery, and at least 3-5 needles were needed. Without any breakthrough progress, he also laughed at Gao Shaojie by the way. With domestic medical standards, it is impossible to be stronger than the Mayo Clinic.
Ignorant people say dreams.
He put down the phone, although he was somewhat unhappy, but he did not convince him to refute the little doctor.
People, if you say it, it would be nice to be able to believe in three points.
However, the people in Haicheng’s place are really unreliable, and they will try to come less in the future.
The Mayo Clinic has to perform 3-5 needle punctures for tips surgery. Can a small doctor in Haicheng succeed in one shot?
How can it be! This is not the legendary doctor.
It’s a rumor that Gao Shaojie thought of it.
The car quickly arrived at the hotel, Gao Shaojie went to rest, and Wang Qiang went to the second hospital to see the patient.
This night, quietly passed.
Early the next morning, Gao Shaojie got up early and ate breakfast.
Not much to eat, the focus is to eat a fried seven-point cooked eggs.
Before each tip surgery, Gao Shaojie should eat one of these eggs, whether at home or out.
As if in the midst of it, the **** of surgery that exists or does not exist will make today's surgery a little smoother because of this seven-point cooked fried egg.
The concept of the night shift **** is the same, fried eggs are just a good wish.
As for whether it can be done, then the two said.
At 7:30, Wang Qiang drove to pick up Gao Shaojie.
On the way, Wang Qiang gave the report of the last emergency investigation of the patient yesterday to Gao Shaojie. Although there is no necessary connection with surgery, it is always good to have more information.
This is also the habit of Gao Shaojie.
At 7:50, the two went to the city's second hospital.
Gao Shaojie attended the early shift of the interventional department of the Second Hospital and looked at the patients who had surgery today.
Later, Wang Qiang's lower-level doctor sent the patient to the operating room. Gao Shaojie took Wang Qiang and sat in the office for a few minutes.
According to Gao Shaojie's temper, in general, he is going to the operating room with the patient.
When preparing for surgery, take a look at the model of the machine, whether it is with the hand, how to operate.
Every manufacturer's consumables will have more or less difference. For general surgery, the difference is not big. But for tips surgery, it's a bit more familiar.
Because Wang Qiang has fewer beds, Gao Shaojie only saw patients in 2 or 3 wards.
There are also patients in another group.
At the time of the rounds, Gao Shaojie saw several "abnormal" patients.
Their bedside signs all read the words of cirrhosis decompensation, and basically have the diagnosis of ascites.
But looking at the face and looking at the stomach is not like a patient with cirrhosis who is decompensated.
His heart is moving, is these patients a postoperative patient with tips surgery a few days ago?
So he was not in a hurry to go to the operating room, and Wang Qiang came to the doctor's office to check the surgical records and other inspection results.
If the patients after the tips surgery, in theory, can not be restored so well.
Gao Shaojie was full of doubts, let Wang Qiang find the cases of those patients and start to look at himself.
Surgical records, and will not write a few needles, can only prove that the patient is doing tips surgery.
However, pre- and post-operative test sheets are objective proofs that indicate the recovery of the patient's condition.
What is done is the tip surgery. The patient recovers very well after the operation. The ascites subsides day by day, but the blood ammonia does not increase significantly.
Most patients have no obvious hepatic encephalopathy, and only one patient has a transient hepatic encephalopathy after surgery. However, under the action of the drug, it took only one or two days to recover.
This operation is very good, Gao Shaojie admired.
Even after his patients who had surgery at the Medical University Hospital, the recovery was not so good. In particular, hepatic encephalopathy is like a demon, entangled in the patient's side, difficult to get rid of.
Especially in patients who have undergone tips surgery, there is a high probability of hepatic encephalopathy after surgery. After all, venous blood is not in the liver, and a filtration procedure is missing, resulting in extremely high levels of blood ammonia in the blood.
Many patients prefer to give up the opportunity for tips surgery, and are not willing to have hepatic encephalopathy, losing the last dignity of life.
Gao Shaojie once gave a tip surgery to a 70-year-old teacher. After the operation, because of severe hepatic encephalopathy, an old-fashioned teacher like a person has become a person, and it is very embarrassing to urinate.
The embarrassment is still second, the quality of life of patients has been greatly affected.
The benefits that patients receive in tips surgery are more than side effects. Gao Shaojie has done many reflections on this and is actively studying new developments in tips surgery.
However, after so many years have passed, nothing has been achieved.
The data is in front of the eyes, and the patients who have done the batch surgery in the first few days of the second hospital have recovered very well.
Is it true that the little doctor under Wang Qiang said last night?
Gao Shaojie is addicted.
He didn't understand the reason. Until Wang Qiang's cell phone rang, the lower-level doctor said that the operating room had already prepared for the operation, and he waited for Gao Shaojie to come on stage.
"High teacher, I am ready." Wang Qiang reminded me very quietly.
“Oh oh.” Gao Shaojie said with apologetic comments: “Sorry, I want to think about what I want.”
How could Wang Qiang not know what Gao Shaojie was thinking, but he did not see the "bovine man" in the legendary city hospital doing the tips surgery. To be honest, he did not believe it.
Even patients who had a tip surgery recovered well after surgery.
......
......
At 7:55, Professor Rudolf Wagner came to the emergency building of Haicheng No.1 Hospital. When he didn't wait, Zheng Ren called Feng Xuhui's car and went straight to the city's second hospital.
Zheng Ren has some expectations for today's surgery.
It is not the tips surgery itself, but the second phase of the task given by the system.
Zheng Ren is not very excited about the experience of 3000 cases of radiofrequency ablation. Although with the experience of these 3,000 operations, Zheng Yunxia's success rate of radiofrequency ablation can be greatly improved.
Zheng Ren’s concern is still the success rate of interventional surgery +2.
Curiosity, killing cats.
Zheng Ren is curious, and I don't know if the big pig's hoof will be a reward for giving me a dream.
At 8:30, Feng Xuhui drove to the city's second hospital.
Last time, President Zhang took the person to meet Zheng Ren at the hospitalization department. But this time...
Zheng Ren far away saw a bunch of people in the inpatient department, and did not know what was wrong.
Feng Xuhui carefully stopped the car to a little further, and then several people walked over.
"You guys are bastard, Laozi is sitting here today, you look at it!"
Far away, I heard an old, but full of voice.
Is it medical? It seems that it is not.
Can't a doctor cry and hang on three? And when it is necessary to make trouble, it is a crowd of people gathered in the crowd, blocking the door of the hospital.
Zheng Ren’s medical troubles have never been seen.
Is this a staff member in the hospital?
Is the second hospital unable to pay the wages, and the family waits for the rice to go to the pot, and this begins to ask for money from various sources?
The hospital is not an iron rice bowl.
There is medical insurance control above, there is pressure from patients, not to mention the doctor, the hospital itself is also struggling.
And in recent years, many consortia have begun to focus on the fat of public hospitals.
Unlike a certain field system, renting an outpatient clinic in a public hospital and earning a small amount of money is all broken meat. Now large consortia are starting to whale up the large public top three hospitals.
This situation is mainly based on the Northeast.
After the whale swallowed, the specific profit-making means, Zheng Ren did not know. Anyway, before the acquisition, the famous large-scale public top three hospitals began to become dying, and the doctor died and died.
However, I have not heard that the Second House of the City has been sold.
Zheng Ren was full of doubts and went to the door of the inpatient department of the Second Hospital.
Dean Zhang saw Zheng Ren far away and separated the crowd.
"Zheng Zong, you are here." Dean Zhang is still as passionate as ever.
"Well What's wrong with this?" Zheng Ren asked.
"Hey." Dean Zhang sighed with a sigh of relief, looked back and said carefully, "This is not 5 or 6 years ago, a tramp who had died of tuberculosis fainted in the courtyard of the Second Hospital. It was also kind, and he was given to the hospital. The dean sent someone to find the Civil Affairs Bureau. Several of them had some money together and he was cured of tuberculosis."
"Is this not very good?" Zheng Ren confused.
It is a good thing to save the wounded and help the wounded.
"Yeah, this is indeed a good thing. But after healed, he said that he would not leave the hospital and live in our second hospital." Dean Zhang smiled. "We also thought a lot of ways, both hard and soft. Later he was I was in a hurry. Once, I climbed onto the rooftop and said that I would not let him stay. He would jump down."
Dean Zhang’s face was a bit embarrassing.
After all, this is a ugly family, and it is unfavorable for the leadership of the hospital to do things. However, they attach great importance to Zheng Ren and do not want to lose face in front of Zheng Ren.
However, the more you are afraid of anything, the more you come.
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