Surgical artist
Chapter 456 Is there such a way?
Chapter 456 Is there such a way?
Jiangxin Hospital.
In the team, the busiest one after the surgery changed from Mu Sisi alone to three.
Zheng Yuan and Lu Yaoyao joined Mu Sisi to do postoperative data collection, data recording and analysis.
"The results of this project, if written as papers, will definitely be published in core journals."
Zheng Yuan is a good writer of papers, and even Academician Qin Minghui's many papers, in fact, he is responsible for the specific drafting, editing, and shaping of many papers.
In the end, the three of them finished writing the article, showed it to Zhao Peiru, and sent it to the top medical journal in the country, "Clinical Medicine".
……
The Affiliated Hospital of the Provincial University of Medical Sciences and Huakang Hospital held a "colon field exchange meeting".
More than a dozen top doctors in the colon field gathered together.This meeting is held once a year.
But this year, the atmosphere is a bit weird.
At the meeting, all the doctors were whispering to each other.
"Why didn't you invite Dean Zhao Peiru?"
"Yes, Dean Zhao is now a bigwig in our colon field, and our exchange meeting is meaningless without him."
"That's right, Zhao Peiru is already the spiritual leader in the field of colon in our Jiangnan Province. If he wasn't invited, I always feel that this is not the case."
It is normal that there was no Zhao Peiru in previous years.But this year, Zhao Peiru has made several cutting-edge research results in the field of colon. Even in the whole country, he is a rising colon star.
Lu Guangxuan, the vice president of the Medical Association, who was in charge of hosting, explained to everyone: "I understand everyone's doubts. Of course, I invited President Zhao Peiru from the Medical Research Headquarters for this year's exchange meeting."
"But everyone also knows that Director Zhao has been busy with the 'four batches' of national funds recently, and is now at the final stage of intense competition."
Everyone was stunned, and they all voiced their understanding.
Compared with this exchange meeting, that matter is obviously more important.
"Our Dean Zhao, the recent results of the 'improving the curative effect' project, simply hung up the teams in Kyoto and Haishi."
"Dean Zhao Peiru is really powerful!"
Everyone was very proud in their words.As a member of the doctor team of Jiangnan Province, Zhao Peiru's performance became more and more radiant, and they felt more and more radiant on their faces.
The host, Lu Guangxuan, looked at the situation below and smiled helplessly.
It was said to be an exchange meeting, but in the end, these people's minds were all focused on "Zhao Peiru" and the competition for the "four batches" of national funds.
Change the exchange meeting into a study seminar.
"I see that many of the recent medical news, newspapers, magazines, and electronic pages are reporting on the field of megacolon."
"Yeah, the most popular recently is the competition for four batches of fund projects. Especially for such a huge breakthrough, it is even more worthy of reporting."
"In addition, the common people in our country attach great importance to children. The breakthrough technology proposed by Director Zhao has saved hundreds of thousands of children with congenital diseases across the country. Of course, it has attracted attention."
Everyone nodded, and they were extremely envious of Zhao Peiru.
When will I be able to make such a huge contribution like Zhao Peiru?Be the pioneer in a niche that everyone envies?
"Look!"
A person suddenly exclaimed, took out his mobile phone, and pointed to the screen of the mobile phone.
"Dean Zhao's paper has been published, in the latest issue of "Clinical Medicine"."
Many people have subscribed to the electronic journal of "Clinical Medicine", and immediately took out their mobile phones and tablets to read them. "
"Sure enough, it's released! Haha, I can finally see it quickly!"
"I've been hearing about this surgery before, and I really want to observe it, but unfortunately I didn't get the qualifications. Now I can finally see the paper."
Through the thesis, they finally knew what the method and technique Zhao Peiru used was.
All of a sudden, everyone was quiet, and they didn't even hold the exchange meeting.
And some who did not subscribe to the "Clinical Medicine" magazine regretted it now, why should they save hundreds of dollars a year?It is impossible to see such advanced and excellent technology now.
They can only be cheeky, go to the mobile phones of those who have subscribed, and take a look together.
At the host's seat, the staff smiled helplessly: "President Lu, it seems that our exchange meeting cannot be held."
Lu Guangxuan smiled and said: "The ultimate goal of the exchange meeting is to improve the overall level of the industry. Now, everyone is learning Dean Zhao's new paper and new technology. This is also improving the level and does not violate the spirit of the exchange meeting. .”
……
In the past few days, the Jiangnan Provincial Medical Association has been busy with one thing.
The doctors most popular with patients were selected, and a satisfaction survey follow-up was carried out for nearly a year.
All hospitals in the province are required to conduct "telephone follow-up" on current patients and patients who have been discharged in the past year, and let patients rate each doctor's satisfaction.
After the scoring results come out...
The Provincial Medical Association published a list of the top 50 doctors on its official website.
Zhao Peiru's name topped the list.
And it has a lot more points than No.2.
Voted "The Province's Most Popular Doctor."
This is not a subject of hepatobiliary and pancreatic surgery, but a list of all doctors including orthopedics, ophthalmology, neurosurgery, cardiothoracic surgery, etc.
As soon as the news came out, all the doctors showed envy to Zhao Peiru, who was at the top of the list.
In the orthopedics department of a certain hospital, the doctors couldn't help but sigh: "This is what the people want."
"This form actually represents which doctor has the highest reputation and is most well-known by the general public, and whose cure rate is high and operation failure rate is low."
"This Dean Zhao has achieved his current aura through repeated super-high success rates of operations, many "pleading for the people"-style technical improvements, and repeated news exposures."
Everyone had to be convinced.
With so many advantages gathered in Zhao Peiru alone, they couldn't even envy them.
It can be said that Zhao Peiru is now the best doctor in Jiangnan Province in the eyes of ordinary people.
……
Jiangxin Hospital, West Campus.
Mu Sisi, who had just started work, saw a mother and daughter in the dusty world when she passed by the lobby. The daughter was holding a child in her arms.The two looked eagerly at everyone who came to work, with a look in their eyes that seemed to be asking for help.
Mu Sisi quietly came to the nurse's desk and asked Yu Jiajia, a nurse who just came to work here.
"Xiao Yu, what happened to the mother and daughter?"
Yu Jiajia glanced over there, and said in a low voice, "I was attracted by Dean Zhao's fame. The child has megacolon."
Mu Sisi asked suspiciously, "Then why wasn't he admitted?"
She knew that a series of Hirschsprung's projects that Dean Zhao was working on recently all needed this kind of children, and if one came, the coordination would be less.
Yu Jiajia shook her head: "Professor Shu Yun has already seen it, and said that this case is a full-colon megacolon."
Whole colon Hirschsprung?
Hearing this term, Mu Sisi was startled!
This is the most difficult and tricky type of patient in the field of megacolon!
none of them!
This disease is extremely harmful to the body of the children, and even many children died while waiting for the second-stage operation.
It's hard to make it through.
The mortality rate is extremely high.
In other words, the child in the hall is very likely to die suddenly at a certain moment in the future.
Yu Jiajia said in a low voice: "After Professor Shu Yun saw it, he didn't dare to make the decision to admit it."
Mu Sisi nodded, fully understanding Professor Shu Yun's considerations.
This kind of troublesome patient may have been to many hospitals across the country before being attracted by Zhao Peiru's fame.
It is estimated that no hospital dares to treat this child for a long time.That's why I finally had no choice but to inquire about the recent popular information on the Internet, so I made my way here.
Meanwhile, in the next doctor's office.
Professor Shu Yun is also talking about this situation with Zheng Yuan.
"I have seen the situation of that child, and the situation is quite difficult."
"The child had delayed passage of meconium, intestinal obstruction, abdominal distension, and distension of the anal canal."
"Before, the provincial hospital where the patient was located had already undergone the first-stage operation. The normal ganglion cells in the ileum were double-barreled. The original plan was to perform the second-stage operation after an interval of three months."
"But during this period, the child suffered from malnutrition, hypoalbuminemia, and abnormal electrolytes. He needed constant intravenous high oxygen to maintain his life..."
"This situation has already shown that the child may not survive the second-stage operation."
Professor Shu Yun let out a long sigh.
This child has a high probability of dying early like other children of the same type.
Fortunately, the incidence rate of this kind of pan-colon megacolon is very low. Even among children with megacolon, the incidence rate is only [-]%, and among normal children, the incidence rate is less than [-]/[-].
Zheng Yuan fell silent after hearing Professor Shu Yun's analysis.
This kind of difficult patient is too rare. I am afraid that even if he is admitted for treatment, he will only use intravenous high oxygen to maintain his vitality for a few more days.Maybe at some point, the life monitor monitoring him will suddenly call the police, and then the child's vital signs will disappear completely.
……
Outside, Director Du Rong, who had just started work, also saw the mother and daughter staying in the hall, as well as the child in their arms. He found that the child was wearing a portable medical oxygen mask on his mouth and nose.
When he came to the doctor's office, Professor Shu Yun and Zheng Yuan looked at it immediately.
"Director Du, I'm just waiting for you."
"Look at the patient at the door, can we admit it?"
Du Rong's talent in the field of Hirschsprung's is high, and Zhao Peiru has given him many small talks. He is already faintly recognized as the highest level of strength in the team, except for Zhao Peiru.
Shu Yun and Zheng Yuan didn't dare to decide on such a difficult case, so they could only wait for Du Rong or Zhao Peiru to come in person.
Du Rong looked at it again, and his eyebrows were tightly twisted like a rope.
"According to the time, it is still far from the date of the second-stage surgery. The body of the child is also far from ready."
"But his life may not last until that time."
In the office, there was a sudden silence.
Even Du Rong, who is so talented, can't do anything?
Du Rong suddenly thought of something, pulled out the computer, and clicked on the browsing history from last night.
Shu Yun and Zheng Yuan also gathered around, and when they saw this, they immediately clicked their tongues.
The above records show that Du Rong browsed more than 30 domestic and foreign papers on Hirschsprung's disease last night.
It seems that Director Du Rong is not only talented, but also hardworking.
Du Rong flipped through for a while, found an article, and said: "There was an experiment abroad, where the side-to-side anastomosis of the ileum and descending colon could relieve the patient's symptoms to a certain extent."
He looked at the two of them: "Although this method can't cure the patient, it can prolong the patient's life, improve his physique, and improve his surgical tolerance. Perhaps, it can last until the day of the second-stage surgery."
After hearing this, Professor Shu Yun and Zheng Yuan fell into deep thought and didn't speak for a while.
This method is more risky.
Even if it was successful, it would be an extra surgical operation after all, which would inevitably cause the six-month-old baby, who was already malnourished and intolerant of surgery, to suffer one more devastating blow.
No one dared to say whether Ying'er, who had undergone frequent operations, would survive the second stage of surgery again.
It's too risky.
Just at this moment, a hearty voice came from the door.
"Director Du Rong is good and deserves praise."
When everyone heard Zhao Peiru's voice, they immediately stood up, as if they had found their backbone.The dull and worrying atmosphere just now also disappeared.
It seemed that as long as Zhao Peiru appeared, things would start to turn around.This is Zhao Peiru's long-standing "omnipotence", which has built up confidence in everyone's hearts time and time again.
Du Rong was pleasantly surprised: "Do you also think my method is feasible?"
Zhao Peiru said: "Your method has certain merits, but it is not the optimal solution."
Everyone looked over suspiciously.
Zhao Peiru said slowly: "The current method of treating Hirschsprung's disease is divided into two stages of surgery at intervals..."
"In the final analysis, it is still because the child's body is underdeveloped, and many organs and intestinal tissues are too immature to be operated on. The essence of the second-stage operation is to use a method to hang the child's life first, and then wait for the child to recover. Three months of development, in order to meet the surgical conditions."
Everyone nodded.
But now, the problem with this patient is that he may not survive the three months and may die at any time.
Zhao Peiru: "I have a method. There is no requirement for the development of the intestinal tract of the child, and the operation can be performed immediately. In this case, the child does not have to wait for the opportunity to save his life in vain."
Everyone's breathing suddenly froze.
There is such a good way?
Without waiting for the development of the intestinal tube of the child, can the radical operation be performed directly now?
Doesn't this directly overthrow the previous treatment concept?
Everyone's hearts beat uncontrollably and quickly!
If there is such a way, it will make the waiting period die, and this helpless and embarrassing situation will never happen again!
Zhao Peiru took out a transparent box from his backpack, which contained a "linear cutting stapler".
(End of this chapter)
Jiangxin Hospital.
In the team, the busiest one after the surgery changed from Mu Sisi alone to three.
Zheng Yuan and Lu Yaoyao joined Mu Sisi to do postoperative data collection, data recording and analysis.
"The results of this project, if written as papers, will definitely be published in core journals."
Zheng Yuan is a good writer of papers, and even Academician Qin Minghui's many papers, in fact, he is responsible for the specific drafting, editing, and shaping of many papers.
In the end, the three of them finished writing the article, showed it to Zhao Peiru, and sent it to the top medical journal in the country, "Clinical Medicine".
……
The Affiliated Hospital of the Provincial University of Medical Sciences and Huakang Hospital held a "colon field exchange meeting".
More than a dozen top doctors in the colon field gathered together.This meeting is held once a year.
But this year, the atmosphere is a bit weird.
At the meeting, all the doctors were whispering to each other.
"Why didn't you invite Dean Zhao Peiru?"
"Yes, Dean Zhao is now a bigwig in our colon field, and our exchange meeting is meaningless without him."
"That's right, Zhao Peiru is already the spiritual leader in the field of colon in our Jiangnan Province. If he wasn't invited, I always feel that this is not the case."
It is normal that there was no Zhao Peiru in previous years.But this year, Zhao Peiru has made several cutting-edge research results in the field of colon. Even in the whole country, he is a rising colon star.
Lu Guangxuan, the vice president of the Medical Association, who was in charge of hosting, explained to everyone: "I understand everyone's doubts. Of course, I invited President Zhao Peiru from the Medical Research Headquarters for this year's exchange meeting."
"But everyone also knows that Director Zhao has been busy with the 'four batches' of national funds recently, and is now at the final stage of intense competition."
Everyone was stunned, and they all voiced their understanding.
Compared with this exchange meeting, that matter is obviously more important.
"Our Dean Zhao, the recent results of the 'improving the curative effect' project, simply hung up the teams in Kyoto and Haishi."
"Dean Zhao Peiru is really powerful!"
Everyone was very proud in their words.As a member of the doctor team of Jiangnan Province, Zhao Peiru's performance became more and more radiant, and they felt more and more radiant on their faces.
The host, Lu Guangxuan, looked at the situation below and smiled helplessly.
It was said to be an exchange meeting, but in the end, these people's minds were all focused on "Zhao Peiru" and the competition for the "four batches" of national funds.
Change the exchange meeting into a study seminar.
"I see that many of the recent medical news, newspapers, magazines, and electronic pages are reporting on the field of megacolon."
"Yeah, the most popular recently is the competition for four batches of fund projects. Especially for such a huge breakthrough, it is even more worthy of reporting."
"In addition, the common people in our country attach great importance to children. The breakthrough technology proposed by Director Zhao has saved hundreds of thousands of children with congenital diseases across the country. Of course, it has attracted attention."
Everyone nodded, and they were extremely envious of Zhao Peiru.
When will I be able to make such a huge contribution like Zhao Peiru?Be the pioneer in a niche that everyone envies?
"Look!"
A person suddenly exclaimed, took out his mobile phone, and pointed to the screen of the mobile phone.
"Dean Zhao's paper has been published, in the latest issue of "Clinical Medicine"."
Many people have subscribed to the electronic journal of "Clinical Medicine", and immediately took out their mobile phones and tablets to read them. "
"Sure enough, it's released! Haha, I can finally see it quickly!"
"I've been hearing about this surgery before, and I really want to observe it, but unfortunately I didn't get the qualifications. Now I can finally see the paper."
Through the thesis, they finally knew what the method and technique Zhao Peiru used was.
All of a sudden, everyone was quiet, and they didn't even hold the exchange meeting.
And some who did not subscribe to the "Clinical Medicine" magazine regretted it now, why should they save hundreds of dollars a year?It is impossible to see such advanced and excellent technology now.
They can only be cheeky, go to the mobile phones of those who have subscribed, and take a look together.
At the host's seat, the staff smiled helplessly: "President Lu, it seems that our exchange meeting cannot be held."
Lu Guangxuan smiled and said: "The ultimate goal of the exchange meeting is to improve the overall level of the industry. Now, everyone is learning Dean Zhao's new paper and new technology. This is also improving the level and does not violate the spirit of the exchange meeting. .”
……
In the past few days, the Jiangnan Provincial Medical Association has been busy with one thing.
The doctors most popular with patients were selected, and a satisfaction survey follow-up was carried out for nearly a year.
All hospitals in the province are required to conduct "telephone follow-up" on current patients and patients who have been discharged in the past year, and let patients rate each doctor's satisfaction.
After the scoring results come out...
The Provincial Medical Association published a list of the top 50 doctors on its official website.
Zhao Peiru's name topped the list.
And it has a lot more points than No.2.
Voted "The Province's Most Popular Doctor."
This is not a subject of hepatobiliary and pancreatic surgery, but a list of all doctors including orthopedics, ophthalmology, neurosurgery, cardiothoracic surgery, etc.
As soon as the news came out, all the doctors showed envy to Zhao Peiru, who was at the top of the list.
In the orthopedics department of a certain hospital, the doctors couldn't help but sigh: "This is what the people want."
"This form actually represents which doctor has the highest reputation and is most well-known by the general public, and whose cure rate is high and operation failure rate is low."
"This Dean Zhao has achieved his current aura through repeated super-high success rates of operations, many "pleading for the people"-style technical improvements, and repeated news exposures."
Everyone had to be convinced.
With so many advantages gathered in Zhao Peiru alone, they couldn't even envy them.
It can be said that Zhao Peiru is now the best doctor in Jiangnan Province in the eyes of ordinary people.
……
Jiangxin Hospital, West Campus.
Mu Sisi, who had just started work, saw a mother and daughter in the dusty world when she passed by the lobby. The daughter was holding a child in her arms.The two looked eagerly at everyone who came to work, with a look in their eyes that seemed to be asking for help.
Mu Sisi quietly came to the nurse's desk and asked Yu Jiajia, a nurse who just came to work here.
"Xiao Yu, what happened to the mother and daughter?"
Yu Jiajia glanced over there, and said in a low voice, "I was attracted by Dean Zhao's fame. The child has megacolon."
Mu Sisi asked suspiciously, "Then why wasn't he admitted?"
She knew that a series of Hirschsprung's projects that Dean Zhao was working on recently all needed this kind of children, and if one came, the coordination would be less.
Yu Jiajia shook her head: "Professor Shu Yun has already seen it, and said that this case is a full-colon megacolon."
Whole colon Hirschsprung?
Hearing this term, Mu Sisi was startled!
This is the most difficult and tricky type of patient in the field of megacolon!
none of them!
This disease is extremely harmful to the body of the children, and even many children died while waiting for the second-stage operation.
It's hard to make it through.
The mortality rate is extremely high.
In other words, the child in the hall is very likely to die suddenly at a certain moment in the future.
Yu Jiajia said in a low voice: "After Professor Shu Yun saw it, he didn't dare to make the decision to admit it."
Mu Sisi nodded, fully understanding Professor Shu Yun's considerations.
This kind of troublesome patient may have been to many hospitals across the country before being attracted by Zhao Peiru's fame.
It is estimated that no hospital dares to treat this child for a long time.That's why I finally had no choice but to inquire about the recent popular information on the Internet, so I made my way here.
Meanwhile, in the next doctor's office.
Professor Shu Yun is also talking about this situation with Zheng Yuan.
"I have seen the situation of that child, and the situation is quite difficult."
"The child had delayed passage of meconium, intestinal obstruction, abdominal distension, and distension of the anal canal."
"Before, the provincial hospital where the patient was located had already undergone the first-stage operation. The normal ganglion cells in the ileum were double-barreled. The original plan was to perform the second-stage operation after an interval of three months."
"But during this period, the child suffered from malnutrition, hypoalbuminemia, and abnormal electrolytes. He needed constant intravenous high oxygen to maintain his life..."
"This situation has already shown that the child may not survive the second-stage operation."
Professor Shu Yun let out a long sigh.
This child has a high probability of dying early like other children of the same type.
Fortunately, the incidence rate of this kind of pan-colon megacolon is very low. Even among children with megacolon, the incidence rate is only [-]%, and among normal children, the incidence rate is less than [-]/[-].
Zheng Yuan fell silent after hearing Professor Shu Yun's analysis.
This kind of difficult patient is too rare. I am afraid that even if he is admitted for treatment, he will only use intravenous high oxygen to maintain his vitality for a few more days.Maybe at some point, the life monitor monitoring him will suddenly call the police, and then the child's vital signs will disappear completely.
……
Outside, Director Du Rong, who had just started work, also saw the mother and daughter staying in the hall, as well as the child in their arms. He found that the child was wearing a portable medical oxygen mask on his mouth and nose.
When he came to the doctor's office, Professor Shu Yun and Zheng Yuan looked at it immediately.
"Director Du, I'm just waiting for you."
"Look at the patient at the door, can we admit it?"
Du Rong's talent in the field of Hirschsprung's is high, and Zhao Peiru has given him many small talks. He is already faintly recognized as the highest level of strength in the team, except for Zhao Peiru.
Shu Yun and Zheng Yuan didn't dare to decide on such a difficult case, so they could only wait for Du Rong or Zhao Peiru to come in person.
Du Rong looked at it again, and his eyebrows were tightly twisted like a rope.
"According to the time, it is still far from the date of the second-stage surgery. The body of the child is also far from ready."
"But his life may not last until that time."
In the office, there was a sudden silence.
Even Du Rong, who is so talented, can't do anything?
Du Rong suddenly thought of something, pulled out the computer, and clicked on the browsing history from last night.
Shu Yun and Zheng Yuan also gathered around, and when they saw this, they immediately clicked their tongues.
The above records show that Du Rong browsed more than 30 domestic and foreign papers on Hirschsprung's disease last night.
It seems that Director Du Rong is not only talented, but also hardworking.
Du Rong flipped through for a while, found an article, and said: "There was an experiment abroad, where the side-to-side anastomosis of the ileum and descending colon could relieve the patient's symptoms to a certain extent."
He looked at the two of them: "Although this method can't cure the patient, it can prolong the patient's life, improve his physique, and improve his surgical tolerance. Perhaps, it can last until the day of the second-stage surgery."
After hearing this, Professor Shu Yun and Zheng Yuan fell into deep thought and didn't speak for a while.
This method is more risky.
Even if it was successful, it would be an extra surgical operation after all, which would inevitably cause the six-month-old baby, who was already malnourished and intolerant of surgery, to suffer one more devastating blow.
No one dared to say whether Ying'er, who had undergone frequent operations, would survive the second stage of surgery again.
It's too risky.
Just at this moment, a hearty voice came from the door.
"Director Du Rong is good and deserves praise."
When everyone heard Zhao Peiru's voice, they immediately stood up, as if they had found their backbone.The dull and worrying atmosphere just now also disappeared.
It seemed that as long as Zhao Peiru appeared, things would start to turn around.This is Zhao Peiru's long-standing "omnipotence", which has built up confidence in everyone's hearts time and time again.
Du Rong was pleasantly surprised: "Do you also think my method is feasible?"
Zhao Peiru said: "Your method has certain merits, but it is not the optimal solution."
Everyone looked over suspiciously.
Zhao Peiru said slowly: "The current method of treating Hirschsprung's disease is divided into two stages of surgery at intervals..."
"In the final analysis, it is still because the child's body is underdeveloped, and many organs and intestinal tissues are too immature to be operated on. The essence of the second-stage operation is to use a method to hang the child's life first, and then wait for the child to recover. Three months of development, in order to meet the surgical conditions."
Everyone nodded.
But now, the problem with this patient is that he may not survive the three months and may die at any time.
Zhao Peiru: "I have a method. There is no requirement for the development of the intestinal tract of the child, and the operation can be performed immediately. In this case, the child does not have to wait for the opportunity to save his life in vain."
Everyone's breathing suddenly froze.
There is such a good way?
Without waiting for the development of the intestinal tube of the child, can the radical operation be performed directly now?
Doesn't this directly overthrow the previous treatment concept?
Everyone's hearts beat uncontrollably and quickly!
If there is such a way, it will make the waiting period die, and this helpless and embarrassing situation will never happen again!
Zhao Peiru took out a transparent box from his backpack, which contained a "linear cutting stapler".
(End of this chapter)
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