Doctor's Life Simulator

Chapter 237 Doctor Qin is the best choice, cure or not?

Li Ming thought about it, and the risk was too great. If it was a normal patient, he would still be willing to take this risk, but of course he was not willing to operate on this kind of patient.

Such patients and their families are not worth it.

However, he is a doctor after all, Li Ming thought about it:
"It's just that the patient's condition is relatively critical now. He has just been rescued. If the time is delayed because of the transfer, it may cause irreparable consequences. It would be great if there is a risk-controllable surgical plan."

In terms of self-protection, the two doctors reached an agreement, but from a doctor's point of view, the patient's life is always the first priority, so if there is a better controllable plan, Dr. Li will still operate.

"Dr. Li, it's not easy to find a better surgical plan. Moreover, performing an operation that you don't understand is a risk in itself. The attitude of the patient and his family will cause hidden dangers of medical disputes in the future. I think we should not Consider it, let them transfer to another hospital."

After all, something really happened later, and when this kind of family made a fuss, mud fell out of the crotch, not shit, but shit.

Qin Lang agrees with the rational considerations of the two doctors. In the final analysis, there is still a lack of a confident plan. It just so happens that Qin Lang has:

"In fact, the main contradiction now is that the risk of surgery is too high. Laparoscopic cholecystectomy alone does have some limitations. However, we can improve the success rate of the operation by improving the operation. This operation is not impossible. Can try."

"As long as the operation is successful and successful, this matter will be resolved."

The two senior attendings looked at Qin Lang who was speaking.

Chen Feng was a little surprised, because he had never participated in a consultation with Qin Lang before, so in his concept, such a moment for a young doctor with low seniority is just to attend the meeting, listen to suggestions, and gain insights.

How could he put forward his own opinions so boldly like him, and what's more, it was an improved technique from the very beginning?

On the contrary, Li Ming wasn't too surprised. He didn't stop or question Qin Lang's words.

Instead, I listened to his explanation with some anticipation.

When Chen Feng saw Li Ming's attitude, his heart sank. He was also curious about what Qin Lang could say?

"In this patient, I would recommend endoscopic retrograde cholangiopancreatography (ERCP), endoscopic RT sphincterotomy (EST), and laparoscopic cholecystectomy (LC)."

In the simulated world, Qin Lang has obtained the best treatment plan, and put forward a brand new idea straight to the point.

Li Ming and Chen Feng, after hearing Qin Lang's plan, fell into deep thought, and then quickly figured out the reason behind it. These three techniques are very commonly used in the liver and gallbladder field alone, but when combined, they can be used together. Not many, but not without precedent.

When you think about it, it's really very feasible.

Taken apart, Li Ming and Chen Feng have done all three techniques with their qualifications, especially ERCP and LC, which can be said to be very proficient.

But the combination of the three techniques has never been tried.

Ignoring the expressions of the two, Qin Lang continued to explain why he suggested this comprehensive technique:
"The reason why we think that Hu Jie's laparoscopic cholecystectomy is risky. The biggest hidden danger is that we can't clearly understand the distribution of stones and the stenosis of the patient before operation. At the same time, the conventional cholecystectomy has a lot of blood loss during the operation. The recovery time will also be longer, and Hu Jie has just been rescued, so there are too many uncertainties."

"However, if ERCP+EST+LC is used, the incision is smaller, there is no need to destroy the sphincter of Oddi, and stones can be removed under direct vision of the choledochoscope."

"On the other hand, ERCP can clearly understand the distribution of stones and the narrow position of the patient before operation. The operation is convenient during the operation, and the occurrence and infection of residual abdominal stones can be avoided. During the operation, ERCP water injection can be used to observe whether there is bile leakage, etc., so as to prevent Complications occur."

"In addition, postoperative patients do not need to use T-tubes, which is conducive to the recovery of the patient's digestive function. It is very suitable for patients like Hu Jie."

"To sum up, I think that ERCP+EST+LC for Hu Jie in the treatment of gallbladder stones combined with extrahepatic bile duct stones has a very high success rate, and can significantly reduce intraoperative blood loss, shorten postoperative recovery time, and have high safety. Can try."

After Qin Lang finished expressing his opinions, he closed his small notebook and waited for the responses of the two attending physicians.

Li Ming was present, the one with the most research on cholecystectomy and the one with the most practical experience. After listening to Qin Lang's analysis, he began to simulate the operation in his mind. The more he thought about it, the more feasible he felt, and he quickly came up with the answer. .

Chen Feng didn't express his position directly, but wanted to see Dr. Li's attitude: "Doctor Li, what do you think?"

After thinking about it, Dr. Li said decisively:

"I support Qin Lang's opinion. If endoscopic retrograde cholangiopancreatography (ERCP), endoscopic RT sphincterotomy (EST) combined with laparoscopic cholecystectomy (LC), the success rate of this operation has already Within the controllable range, this risk is still acceptable. Of course, before the operation, we still need to communicate with the patient carefully."

After listening to Li Ming's opinion, Chen Feng nodded.The two reached a consensus:
"The operation can be performed. Since the success rate can be controlled, as long as the operation is successful, the so-called entanglement between patients and their families will disappear."

Li Ming, as the main surgeon, made a final decision and was ready to take on this responsibility, but he hadn't made a statement yet.

"If the two doctors agree, I am willing to give it a try, and I will be the chief surgeon."

Qin Lang expressed his willingness to be the surgeon in a full-fledged manner.

The two attending doctors obviously did not expect that Qin Lang would jump into the fire pit with such bravery, such a difficult operation, and such a difficult family member.

"Qin Lang, this is not a joke. Even I dare not say that I can do it satisfactorily. After all, this operation is very complicated and requires high requirements for the surgeon. Can you do it? If you can't, don't force it."

Li Ming sincerely persuaded, if you can't do it, try to be brave, and then you have a medical accident, and the family members and patients are obviously not a fuel-efficient lamp, and you are not making yourself uncomfortable.

"I can."

Qin Lang looked at Li Ming seriously, and then at Chen Feng.

Master-level cholecystectomy, plus various talents, ten times the surgical field, perfect basic surgical skills, and the results of the simulated world, of course Qin Lang is doing his part.

"I agree."

"I agree."

Li Ming and Chen Feng finally came to a conclusion, and the small consultation ended.

After deciding on the operation, the most important thing is naturally the pre-operative communication and the signature of the family members.

Qin Lang and Li Ming went to the patients and their families together.

When Hu Jie's husband saw Qin Lang, his complexion changed, and some didn't think of it: "Why are you! What are you doing here?"

"Doctor Qin is the chief surgeon of your wife's operation. What do you think he is here for?"

Li Ming had some resistance to this family member in his heart, so he said very sharply.

"You said, this young doctor will be my wife's chief surgeon? No, absolutely not. At such a young age, he can't do it just by looking at his level. I don't agree."

Hu Jie's husband directly refused, his face full of resistance and doubt.

"I hope you calm down. Dr. Qin is a very capable doctor in our department. Please sit down first and let's talk slowly."

Li Ming waved his hand to signal the patient to sit down.

"I do not believe."

Hu Jie's husband took a few glances at Qin Lang. He was so young, and had a verbal conflict with Qin Lang before, so he naturally had a lump in his heart.

"I asked a doctor with more senior qualifications to operate on my wife, preferably the chief physician."

Hu Jie's husband looked at Li Ming and ignored Qin Lang directly, his eyes were full of resentment.

(End of this chapter)