My medical skills add experience

Chapter 212 The biggest hero is revealed, no one in the world knows the king
Vice President Ye whetted everyone's appetites, and then continued to announce the final results of Old Liu's team.

"Liu Qingzhi's team diagnosed a total of 13 cases of intractable diseases last month, and 13 cases were obviously effective or cured after treatment."

As soon as this remark came out, there was another uproar in the audience.

Even the extremely powerful Director Xiao's team has only worked in the field of gastrointestinal tract for many years, and only diagnosed 11 cases of intractable diseases in the field of gastrointestinal tract.There were only 7 cases of cure or obvious effect.

That is to say, 11 cases were diagnosed on the surface, but in terms of the treatment effect, only 7 cases were actually diagnosed.

Moisture was present in the other 4 cases.

For example, one thinks that the cause of the disease has been diagnosed and the pathological mechanism has been differentiated, but in fact the cause or focus of the disease has not been found out.

If the real cause is not found, the treatment effect will naturally not be satisfactory.

Of course, it is not ruled out that luck is a bit bad, and the cause has indeed been found out, but there is currently no specific medicine for this.Surgery cannot cure all diseases, it can only solve some diseases.

Virtually all surgery is harmful.

It's just that when its damage to the body is far lower than the benefits the body can gain after surgery.

For example, there is a tumor in the pancreas, which is one of the cancer kings with a very low survival rate.

Many doctors in the oncology department talk about pancreatic discoloration.

It can be seen how dangerous pancreatic cancer is.

The patient can live by cutting off the pancreas, otherwise, if it spreads, he can only wait for death.

May not live half a year.

To cut or not to cut at this time?

Cut out the pancreas, which is an important digestive organ.Although it is small, it is a gland with both endocrine and exocrine functions.

Several digestive enzymes in the pancreatic juice secreted by the pancreas play the role of "protagonist" in the process of food digestion, especially the digestion of fat.

It can secrete many well-known important hormones such as glucagon, insulin, gastrin, and motilin.

Regardless of Chinese medicine or Western medicine, this "little man" is regarded as the central hub for regulating the balance of human physiological functions.

Just like the brainstem is the nerve center.

Such an important organ, after it is cut off, will definitely have a bad effect on the body.But cutting it out can save your life.

Ten patients guarantee that ten patients are willing to cut it off.

For what is an organ compared with life?
"The number of difficult cases diagnosed by Director Liu's group is not only large, but the cure rate is as high as 100%, which is really unbelievable. Can you publish the thirteen difficult cases diagnosed by his group?"

Director Yang Qing was shocked by this data.

Not to mention him, which of the doctors present was not shocked?
Intractable diseases have always been regarded as the ceiling of the medical field.Diagnosing one case is enough to prove that the doctor has a very high attainment and level in related fields.

All the difficult and miscellaneous diseases diagnosed were cured, and I dare not even think about it.

I really don't know how Mr. Liu's team did it?
"Of course it can be publicized! Every diagnosis idea, treatment method, and pathological mechanism of this difficult case is worthy of everyone's study and research."

Vice President Ye signaled slightly, and someone immediately projected the thirteen cases diagnosed by Mr. Liu's group on the big screen.

The first case, a 22-year-old female patient, had an obvious mass in the left breast and armpit, accompanied by pus, and yellow liquid oozing from the nipple.Diagnosis and treatment in many hospitals in the province, even after surgery, the curative effect is not obvious.Recurrence occurs.Visited our hospital last month.First of all, the expert account of Director Yang Qing was registered. After diagnosis, it was suspected of malignant tumor, and the patient was suggested to remove the entire left breast.

The family members hesitated considering that the patient was not yet married and had children, and was still very young.

It happened that there were no inpatient beds in the general surgery department, and while the patient was waiting for the operation, some patients recommended to see Liu Qingzhi, the deputy chief physician.

Later, Director Liu's team consulted with the patient. After repeated syndrome differentiation, Dr. Zhou Can determined that it was a ductal fistula hidden behind the nipple.

The previous hospitals did not remove the hidden lesions when performing operations on patients, which led to recurrent attacks.

Suspected malignant tumor is actually pain, swelling, and inflammatory response caused by abscess.

Under the guidance of Director Liu, Dr. Zhou Can performed the operation on the patient.

After the operation, the patient recovered well. He came to the hospital for a re-examination yesterday and has completely returned to normal.

The patient also made a special phone call to the hospital department, saying that she had undergone surgery in other hospitals before and left ugly scars. During the operation, Dr. Zhou Can repaired the wound and sutured her in a humane manner.

Currently, scars are barely visible on the surface.

The chronic disease that had plagued the patient for many days was relieved, and the unsightly scars disappeared. The patient and his family were very satisfied.

When the family made a pennant and sent it over, they kept asking whether Dr. Zhou Can had a girlfriend or married!
In a word, the audience roared with laughter.

Zhou Can also scratched his head in embarrassment.The female patient admired his superb medical skills very much, and he himself is more handsome, and the female patient is about the same age as him, so it is understandable to feel admiration for him.

But he has a top-notch girlfriend like Su Qianqian, even if he doesn't have a calm heart towards other girls, he won't have the idea of ​​hooking up.

In this medical case, Zhou Can entered the room for the first time and was mentioned emphatically.

In addition to his indisputable contribution to this medical case, the hospital's attitude towards him has also undergone a fundamental change.

In the past, Zhou Can hadn't passed the double certificate test, no matter how good he was, only the leadership of the hospital knew.

Now that Zhou Can has a license, it is a license to practice medicine, which is reasonable and legal.

It never happens overnight that a hospital builds a famous doctor.Instead, it constantly promotes the achievements of young doctors with outstanding potential.

For example, some achievements in the academic field, published influential papers, participated in important research projects, made outstanding scientific research contributions in a certain medical field, etc.

These things are advertised.

There is also the outstanding performance of this doctor in the diagnosis and treatment work.For example, when participating in the consultation of major cases or difficult cases, he gave constructive diagnostic opinions.Or when performing some difficult operations, the doctor is highly involved and even completes the core operation and so on.

A glorious deed may not be able to set up a famous doctor.

But with multiple stellar stories and constant publicity for the doctor, the packaging will work really well.

That doctor's fame would snowball.

Until it finally became a signboard in a certain field of the hospital.If they were close, they could become the backbone of a certain medical field in the hospital.

In this medical case, Zhou Can's contribution is emphatically reflected from the diagnosis of the cause to the operation.

It is an important signal released by the hospital.

Start packaging Zhou Can and do promotion.

Let him go from the unknown behind the scenes to the front line.

"This female patient actually had a catheter fistula. I really didn't expect it! From the beginning, I was misled by the malignant tumor, and I believe other doctors are the same as me."

After reading the first case, Director Yang Qing suddenly realized, but also felt extremely complicated.

This difficult case was registered on his account at first, but the real cause of the disease was not revealed to others.According to his diagnosis and treatment experience at that time, he felt that removing the entire left breast could cure the disease.

And I was worried that it was a malignant tumor, and the female patient was so young, it would be a pity if the cancer cells spread and metastasized.

Out of consideration for the patient's life safety, he gave the treatment plan of removing the left breast to save his life.

Ductal fistula is relatively common in breast disease.

But it was the first time he knew about the ductal fistula hidden in the nipple.

Breast duct fistula is the rupture of the duct due to the long-term accumulation of material in the breast duct, leading to infection of the breast duct, resulting in the formation of an abscess under the areola.When the abscess is too large and ruptures, a small amount of pus will flow out.

There is a sinus tract next to the areola or nipple. When the mammary duct is infected, it will spread to the sinus tract. After the sinus opening is closed, the sinus tract will be infected again, and the sinus tract will repeatedly rupture and bleed pus.

This is the reason why catheter fistula is difficult to cure.

Only by cleaning up the sinus can it prevent its recurrence.

Otherwise, it will recur.

The catheter fistula of this female patient is different from ordinary people, and there is no way to remove it according to conventional surgical methods.

As a result, even chief physicians at the level of Director Yang Qing also stumbled.

Surgical treatment of breast diseases is a dilemma. It is difficult to distinguish the lesion from normal tissue, and it is difficult to remove the lesion accurately.

Many irresponsible doctors, because the level is limited.

After the patient underwent surgical treatment, he began to suspect that the patient might have malignant breast cancer because the patient had recurrent attacks. In addition, his family members and patients questioned his medical skills.In the end, I chose the one-and-done approach, and directly cut off the entire breast for the patient.

In doing so, although it is possible to cure the patient's disease, it will have a huge impact on the patient's future life.

Because many breast disease patients are women.

How ugly would it be to have a breast cut off?They will have a huge sense of inferiority and feel that they are no longer a complete woman.More likely to be rejected by the husband.

Therefore, responsible doctors generally consider life after surgery for patients.

"In the second difficult case, the patient always felt uncomfortable in the stomach. After examination, it was diagnosed as gastroptosis induced by pyloric obstruction. A well-known hospital performed pyloric obstruction surgery on the patient. After the operation, the patient still felt uncomfortable in the stomach, and it seemed that it was worse than the operation. It was aggravated before, and after examination, it was diagnosed as bile reflux, and then the patient underwent a second operation to remove part of the stomach."

"After two operations, the patient still felt uncomfortable in his stomach and began to have trouble eating. The patient was worried that he would die in that hospital if he continued the treatment, so he chose to go to another big hospital for treatment. After the doctor's examination, he found that he had passed two After the first operation, serious adhesions appeared in the abdominal cavity, so I dare not perform another operation on him.”

"The patient's family heard that Tuya Hospital's treatment of gastrointestinal diseases was okay, so they brought the patient to seek treatment. Director Xiao from the Department of Digestive Surgery failed to find out the cause of the patient. He asked Director Jia Qingfeng from the Department of Digestive Surgery to consult with him, but there was still no cure. At the suggestion of Director Jia, Liu Qingzhi, Deputy Chief Physician of the Department of General Surgery, was recommended to the patient... After arduous consultations, Director Liu, Dr. Zhou Can, and attending physician He Hansheng worked together to find out the cause of the disease. The real cause of the patient was a recessive esophageal hernia. Under the guidance of Deputy Chief Physician Liu, Dr. Zhou Can performed endoscopic surgery on the patient. The patient has recovered and been discharged from the hospital, and the stubborn disease that has plagued him for nearly three years has finally been cured. "

In this difficult case, Zhou Can, the name of Gui Peisheng, was mentioned many times again.

From diagnosis to surgery, there is Zhou Can.

While the doctors present were amazed by it, they began to whisper about Zhou Can.

The focus of eyes is also cast on Zhou Can from time to time.

Careful people will find that "Director Liu, Dr. Zhou Can, and Dr. He Hansheng jointly thought of many ways, and finally found out the cause of the disease." in front of.

What does this mean?
It shows that Zhou Can's contribution is much higher than He Hansheng's contribution in diagnosis.

This kind of operation usually occurs, and it may also be that He Hansheng, the attending physician in the group, is gilded.

Just like the publication of a paper, the difference between the first author and the second author is actually very big.

Whoever ranks higher will contribute more.

Why did Director Jia suggest that Director Xiao recommend Deputy Chief Physician Liu, who has a lower reputation and rank than him, to patients?

There is also a mystery here.

Because Zhou Can had been with Director Jia for three months, Director Jia was very aware of Zhou Can's unique way of diagnosis.

The person who thinks this intractable disease is most likely to be diagnosed is Zhou Can.

Facts proved that Director Jia's idea was correct. Director Liu and Zhou Can worked together to diagnose the cause.

"This endoscopic surgery is at least a third-level surgery, right? Zhou Can completed the operation under the guidance of Deputy Chief Physician Liu. What does that mean? It means that Zhou Can has the ability to complete a third-level endoscopic surgery. This child is extremely evil, if he can How great it would be to come to our group!"

While Yang Qing sighed, he glanced at Du Leng intentionally or unintentionally.

I thought that with the help of this overseas doctor, he would be able to kill the Quartet and win the championship in one fell swoop.

Unexpectedly, although Du Leng's reputation is great, his real ability is not as good as that of Zhou Can, who is less famous.

It's okay not to compare, but after comparing, Yang Qing feels that Du Leng is even worse.

Whether it is surgical ability or diagnostic ability, they are completely defeated by Zhou Can.

He learned through Song Ze that Zhou Can completed 80% of Liu Lao's group's operations.

Let's look at Du Leng in his group for a month. In addition to giving advice, he also participated in simple operations in some major operations with his fists and legs.It can be said that it has achieved nothing.

In terms of diagnosis, Du Leng's medical knowledge is not only profound, but also very advanced and advanced in many aspects.

It is true that they have made a lot of contributions to their group.

But people are most afraid of competition.

Look at Zhou Can, who diagnosed one case and cured one case.Looking at Du Leng again, although he also helped diagnose several difficult and miscellaneous diseases, the cure rate was not high.

A diagnosis that cannot be cured or is obviously effective can basically be regarded as an invalid diagnosis.

The symbolic meaning is greater than the actual meaning.

……

After checking the 13 cases of intractable diseases diagnosed by Liu Qingzhi's team, they found that Zhou Can was mentioned 8 times.Surgery participation is as high as 11 times.

This also makes Zhou Can unintentionally a rising star in general surgery.

If Zhou Can stays in the general surgery department, he is likely to become the leader of the general surgery department in the future.

"Who still has doubts about the victory of Liu Qingzhi's team in the two sub-specialties of medicine?"

Vice President Ye likes to see these arrogant doctors look deflated.

Director Yang Qing, who was the most skeptical, also lowered his head and stopped talking at the moment.

Like a defeated rooster.

Du Leng's complexion was very ugly, and it was faintly blue.

The three doctors who betrayed Director Liu and joined other groups were so regretful that their intestines were green.

Especially Song Ze, who was originally the second assistant in Director Liu's team, second only to He Hansheng.

Being smart enough to jump to the powerful Yang Qing team, not to mention being left out in the cold, it is still hard to say whether Yang Qing's team can get the qualification to build a sub-department.

Sometimes it's nice to be 'stupid'.

If you are too shrewd, it is easy to be misled by cleverness.

And even if Yang Qing's team obtained the qualification to build a sub-department, his future as an outsider is also worrying.

It would be different if he stayed in Liu Lao's team.

The future looks bright.

"Dr. Zhou Can's performance is good! Keep going, the hospital will try its best to provide you with a bigger stage and room for development." Vice President Ye publicly expressed his opinion to Zhou Can in front of so many people.

This is a very good sign.

It shows that the top management of Tuya Hospital has reached a certain degree of consensus, and they are going to increase the training of Zhou Can.

Usually, the vice president expresses his opinion in public, as long as he doesn't risk his life, he basically trains him as a famous doctor and doesn't run away.

From an "abandoned son" who was disliked by the directors of various departments, Zhou Can finally relied on his own efforts step by step, from obscurity to today's world where no one knows the king.

Only he himself knows the hardships, sweat and hard work in this process.

The harder, the more fortunate.

He successfully practiced these six words and became the lucky one among all the doctors present today.

(End of this chapter)