Chapter 636： Demonstration surgery
The Xie Yi did nothing, took the key of Zheng Ren and went to pick up the locker. If you hook or wash your utensils, you should buy them earlier. Save yourself if you are busy in the hospital all day, and you can't even brush your teeth.
This kind of thing is prepared.
"Zheng Boss, the project of small nodule liver cancer, has made progress, and I will take a look at the palm of my hand today?" Kong asked after finishing the trivial matter.
The following is also a good thing, the patients are just received, today surgery, can do tomorrow. Looking at the film is not anxious for a while, Zheng Ren will laugh and sigh.
Only Changyue and Su Yun are definitely not enough. Director Kong gave Dr. Zheng, the hospitalized general in the time of Emperor Zheng Renlai, to Zheng Ren and their group to help bring Changyue and get familiar with the operation mode as soon as possible.
And Su Yun...not a young man, but a grandfather.
The following kinds of miscellaneous activities are not counting on him.
Of course, no matter whether it is Confucius or Zheng Ren, I don’t want to let the goods do the chores. That should be considered a violent thing.
Zheng and the director of the hole are on the stage, Zheng Ren received a call, took it and saw it, it was a strange foreign number.
Professor?
Zheng Ren realized at this time that he forgot to pick up the professor in the morning.
Sweat...
"Fugui, where are you?" Zheng Ren picked up the phone and asked.
"Well, I let Su Yun pick you up, you can wait." Zheng Ren finished, did not give the professor a chance to complain, directly hung up the phone.
“Professor Rudolf?” Director Kong immediately guessed the truth of the matter and asked with a smile.
"Oh, forget, forget a clean." Zheng Ren smiled.
"64-row CT three-dimensional reconstruction, and the CT room reached a co-construction project. Now every small nodule liver cancer project must be reconstructed by the surgeon." Director Kong said to Zheng Ren: "The effect is really good, surgery After follow-up, the cure rate has been significantly improved."
“How many cases have you done?” Zheng Ren asked.
"338 cases, 92 cases were cured, and others were also controlled."
"That's good." Zheng Ren smiled.
"But some patients, because the blood vessels are too thin, even if the 64-row CT three-dimensional reconstruction was done, there is no way to embolize." Director Kong said.
"This is a technical level issue. As long as you notice, you can improve it if you study it well."
"There is another problem." Director Kong finally caught Zheng Ren. It is a wonderful thing to have enough time to exchange experience.
Try{mad1(\'gad2\');}catch(ex){} "What?"
"There are two patients with tumor branch vessels coming from the inner mammary artery. You also know that superselection is difficult. When multiple selections are made, the micro-guidewire is repeatedly over-selected, resulting in the adhesion of the inner mammary artery intima. The block fell."
"Uh……"
"There are symptoms of cerebral infarction in the two patients." Director Kong said: "But because of the timely detection, the patient was treated with thrombolytic therapy for the first time, and the postoperative recovery was very good, and no bigger problems occurred."
The meticulousness of the surgery is definitely beneficial, but some complications will increase. If you simply fooled, the patient's symptoms were alleviated and there were few complications, but the surgical effect... that's all.
This is a tactical problem, just like the second phase of TIPS. Take a look, everyone knows. But if you can say that you can do it, most doctors will not.
Even the young and middle-aged technical backbones such as Professor Rudolf Wagner and Gao Shaojie are unable to overcome technical barriers.
"Well, this problem can actually be solved." Zheng Ren, as Director Kong went to the operating room, said: "Is there a corresponding patient recently?"
"Yes." Director Kong said: "There are two patients, the tumor-fed blood vessels have the involvement of the internal mammary artery, and the age is relatively large, and there are a lot of plaques in the vascular intima. I counted that when you came back, it was pressed. No surgery."
Said, Director Kong took a look at Zheng Ren and smiled: "Zheng boss, do two demonstration operations today?"
"I can't count on the demonstration, I try to do it for your reference."
"Well." Director Kong should immediately come down, take out the mobile phone to call, tell the doctor below, let the patient fasting water, start surgery at noon.
Everything here is familiar and unfamiliar to Zheng Ren.
The operating room of each hospital is similar. The operating room here is bigger than Haicheng and there are more doctors.
The interventional catheterization room is a specialized operating room for vascular, neurological, and oncology interventional procedures.
As for the circulating interventional catheterization chamber, there is a separate operating room. After all, the number of patients with myocardial infarction is large, and the amount of surgery is large enough to support it.
After changing clothes, Zheng Ren followed the director of the hole and came to the operation room of the intervention room.
Director Kong’s four groups are administratively assigned to him for unified management. But technically, Director Kong doesn't have that much energy. It is enough for him to manage his own booth.
In the operating room, the patient has been sent, and the doctor is busy. Zheng Ren found the patient's 64-slice CT three-dimensional reconstruction and inserted it into the reader to study it carefully.
Try{mad1(\'gad2\');}catch(ex){} This is not the top three large hospitals in the country, the quality of 64-row CT three-dimensional reconstruction, Zheng Ren is impeccable.
In just a few months, I can do this step. Zheng Ren is also very emotional. I feel the basic qualities of the doctors here, and I feel the ability of the director to lead the team.
The patient's film is very typical, the liver cirrhosis nodules are transformed into liver cancer, and several small blood vessels are very thin, but Zheng Ren estimates that Director Kong should be able to over-select successfully.
Because it is only a small nodule transformation, the patient's alpha-fetoprotein has not even increased This is the benefit of daily physical examination, if it was a dozen or twenty years ago, then the physical examination was not universal. When the patient has symptoms and then checks, liver cancer, a highly malignant malignant tumor, is already difficult to treat.
Therefore, liver cancer is known as the king of cancer.
Zheng Ren looked at the film and had an understanding of the patient's condition. He sat down quietly and waited for the surgery to begin.
"Boss, you are here!" The voice of the professor came from outside the door.
"Small sound, there is surgery inside." Zheng Rendao.
The professor immediately lowered his voice and stood behind Zheng Ren. He whispered, "Is TIPS surgery?"
"No, it is the interventional treatment of liver cancer." Zheng Rendao.
"There is nothing to look at." The professor disdains, "Boss, you have to realize that our time is very urgent."
"Is the surgery list, or do you want to help Chang Yue?" Zheng Ren looked at the operating room, the director of the hole has begun to over-select, casually said.
"Boss, I am a foreigner. It is good to speak Chinese. Write a medical record... I have not done it for decades." Professor Rudolf Wagner was somewhat wronged.
Indeed, there are countless people under the professor, and he is only responsible for surgery.
But in Zheng Ren's side, his role seems to have become the role of Little Oliver inadvertently, and all kinds of things are indispensable.
Good is helpless.
......
......
Tomorrow, kick off the grand climax. One morning and five more, continue to write during the day, there is one more. Well, let me know in advance. Plus, you have to say something, of course, it is the monthly ticket for the next month.
This kind of thing is prepared.
"Zheng Boss, the project of small nodule liver cancer, has made progress, and I will take a look at the palm of my hand today?" Kong asked after finishing the trivial matter.
The following is also a good thing, the patients are just received, today surgery, can do tomorrow. Looking at the film is not anxious for a while, Zheng Ren will laugh and sigh.
Only Changyue and Su Yun are definitely not enough. Director Kong gave Dr. Zheng, the hospitalized general in the time of Emperor Zheng Renlai, to Zheng Ren and their group to help bring Changyue and get familiar with the operation mode as soon as possible.
And Su Yun...not a young man, but a grandfather.
The following kinds of miscellaneous activities are not counting on him.
Of course, no matter whether it is Confucius or Zheng Ren, I don’t want to let the goods do the chores. That should be considered a violent thing.
Zheng and the director of the hole are on the stage, Zheng Ren received a call, took it and saw it, it was a strange foreign number.
Professor?
Zheng Ren realized at this time that he forgot to pick up the professor in the morning.
Sweat...
"Fugui, where are you?" Zheng Ren picked up the phone and asked.
"Well, I let Su Yun pick you up, you can wait." Zheng Ren finished, did not give the professor a chance to complain, directly hung up the phone.
“Professor Rudolf?” Director Kong immediately guessed the truth of the matter and asked with a smile.
"Oh, forget, forget a clean." Zheng Ren smiled.
"64-row CT three-dimensional reconstruction, and the CT room reached a co-construction project. Now every small nodule liver cancer project must be reconstructed by the surgeon." Director Kong said to Zheng Ren: "The effect is really good, surgery After follow-up, the cure rate has been significantly improved."
“How many cases have you done?” Zheng Ren asked.
"338 cases, 92 cases were cured, and others were also controlled."
"That's good." Zheng Ren smiled.
"But some patients, because the blood vessels are too thin, even if the 64-row CT three-dimensional reconstruction was done, there is no way to embolize." Director Kong said.
"This is a technical level issue. As long as you notice, you can improve it if you study it well."
"There is another problem." Director Kong finally caught Zheng Ren. It is a wonderful thing to have enough time to exchange experience.
Try{mad1(\'gad2\');}catch(ex){} "What?"
"There are two patients with tumor branch vessels coming from the inner mammary artery. You also know that superselection is difficult. When multiple selections are made, the micro-guidewire is repeatedly over-selected, resulting in the adhesion of the inner mammary artery intima. The block fell."
"Uh……"
"There are symptoms of cerebral infarction in the two patients." Director Kong said: "But because of the timely detection, the patient was treated with thrombolytic therapy for the first time, and the postoperative recovery was very good, and no bigger problems occurred."
The meticulousness of the surgery is definitely beneficial, but some complications will increase. If you simply fooled, the patient's symptoms were alleviated and there were few complications, but the surgical effect... that's all.
This is a tactical problem, just like the second phase of TIPS. Take a look, everyone knows. But if you can say that you can do it, most doctors will not.
Even the young and middle-aged technical backbones such as Professor Rudolf Wagner and Gao Shaojie are unable to overcome technical barriers.
"Well, this problem can actually be solved." Zheng Ren, as Director Kong went to the operating room, said: "Is there a corresponding patient recently?"
"Yes." Director Kong said: "There are two patients, the tumor-fed blood vessels have the involvement of the internal mammary artery, and the age is relatively large, and there are a lot of plaques in the vascular intima. I counted that when you came back, it was pressed. No surgery."
Said, Director Kong took a look at Zheng Ren and smiled: "Zheng boss, do two demonstration operations today?"
"I can't count on the demonstration, I try to do it for your reference."
"Well." Director Kong should immediately come down, take out the mobile phone to call, tell the doctor below, let the patient fasting water, start surgery at noon.
Everything here is familiar and unfamiliar to Zheng Ren.
The operating room of each hospital is similar. The operating room here is bigger than Haicheng and there are more doctors.
The interventional catheterization room is a specialized operating room for vascular, neurological, and oncology interventional procedures.
As for the circulating interventional catheterization chamber, there is a separate operating room. After all, the number of patients with myocardial infarction is large, and the amount of surgery is large enough to support it.
After changing clothes, Zheng Ren followed the director of the hole and came to the operation room of the intervention room.
Director Kong’s four groups are administratively assigned to him for unified management. But technically, Director Kong doesn't have that much energy. It is enough for him to manage his own booth.
In the operating room, the patient has been sent, and the doctor is busy. Zheng Ren found the patient's 64-slice CT three-dimensional reconstruction and inserted it into the reader to study it carefully.
Try{mad1(\'gad2\');}catch(ex){} This is not the top three large hospitals in the country, the quality of 64-row CT three-dimensional reconstruction, Zheng Ren is impeccable.
In just a few months, I can do this step. Zheng Ren is also very emotional. I feel the basic qualities of the doctors here, and I feel the ability of the director to lead the team.
The patient's film is very typical, the liver cirrhosis nodules are transformed into liver cancer, and several small blood vessels are very thin, but Zheng Ren estimates that Director Kong should be able to over-select successfully.
Because it is only a small nodule transformation, the patient's alpha-fetoprotein has not even increased This is the benefit of daily physical examination, if it was a dozen or twenty years ago, then the physical examination was not universal. When the patient has symptoms and then checks, liver cancer, a highly malignant malignant tumor, is already difficult to treat.
Therefore, liver cancer is known as the king of cancer.
Zheng Ren looked at the film and had an understanding of the patient's condition. He sat down quietly and waited for the surgery to begin.
"Boss, you are here!" The voice of the professor came from outside the door.
"Small sound, there is surgery inside." Zheng Rendao.
The professor immediately lowered his voice and stood behind Zheng Ren. He whispered, "Is TIPS surgery?"
"No, it is the interventional treatment of liver cancer." Zheng Rendao.
"There is nothing to look at." The professor disdains, "Boss, you have to realize that our time is very urgent."
"Is the surgery list, or do you want to help Chang Yue?" Zheng Ren looked at the operating room, the director of the hole has begun to over-select, casually said.
"Boss, I am a foreigner. It is good to speak Chinese. Write a medical record... I have not done it for decades." Professor Rudolf Wagner was somewhat wronged.
Indeed, there are countless people under the professor, and he is only responsible for surgery.
But in Zheng Ren's side, his role seems to have become the role of Little Oliver inadvertently, and all kinds of things are indispensable.
Good is helpless.
......
......
Tomorrow, kick off the grand climax. One morning and five more, continue to write during the day, there is one more. Well, let me know in advance. Plus, you have to say something, of course, it is the monthly ticket for the next month.
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