I really don't want to be a doctor

Chapter 154

Although he has an impression of this disease, but the impression is very shallow. He hurriedly searched the previous journals of JAMA, and finally saw two reports on congenital absence of the appendix.

The number of cases is terribly small,
One of them even had only one case,
The other reported cases were slightly more, but also seven.

This is an extremely rare case!

Gu Jianjun was startled,
such a rare disease,
Met by Deng Liming? ?

Gu Jianjun couldn't believe it.

The reason why case reports of rare diseases rarely appear in primary hospitals is that even if such a case occurs, it is impossible for primary hospitals to recognize it.

Thinking of this, Gu Jianjun smiled,
This Deng Liming,

I'm afraid he was confused by his subordinate Yu Wenxing.

Too,

If there is a doctor under him, and he writes a paper on a new technique in a while, and a paper on a new technique in a while, I am afraid that I will have to write difficult cases in a hurry.

It's been a long time since I sent this message, and I haven't gotten a response.
Deng Liming was so anxious!

Although he is 56,
Not far from retirement,
But he also hopes to write a good article.

And this disease,
He had never heard of it before, and if he wrote it, it would be the first report in China.

But Gu Jianjun didn't reply to the message for a long time,

He didn't dare to ask.

Okay,

Without telling him to wait, Gu Jianjun replied.

"Are you sure it's congenital absence of appendix?"

Gu Jianjun asked.

"Sure!"

Deng Liming used an exclamation point to express his affirmation in his heart, "This patient has never had surgery before, and we didn't find the appendix after we went in. It is definitely congenital absence of appendix."

Gu Jianjun smiled even wider,

"Corresponding to congenital absence of appendix is ​​acquired absence of appendix, have you read any reports about it?"

???

And acquired absent appendix? ?

Deng Liming hurriedly sharpened his gun before the battle and searched again.

Okay,

There are reports of acquired absent appendix,
such as a tiny appendix,

Such as the appendix package,

Such as postoperative appendix.

"Seen."

After scanning it, Deng Liming checked it back.

"Then how do you judge whether this patient has congenital absence of appendix or acquired absence of appendix?"

Gu Jianjun asked.

"This patient does not have any surgical scars on the surface,"

"The absence of surgical scars means that there is a congenital absence of appendix?"

"At least it shows that he has never had any surgery."

"Ha ha."

Gu Jianjun smiled, "I can't explain it."

"How is it possible! He really doesn't have any incision scars on his body surface. After surgery, how could there be no scars?"

Deng Liming almost didn't jump up,
If it wasn't for the fact that the other party was Gu Jianjun, Deng Liming would have been spitting out his mouth.

How to do surgery without incision?
Although I don't study much, don't lie to me, okay?
"Didn't the single-port laparoscopic appendectomy created by Dr. Yu Wenxingyu in your hospital leave almost no scars?"

???

???

Deng Liming was stunned on the spot.
It took me a long time to react,
special,
It seems true.

The single-hole method of opening a hole from the navel can indeed leave almost no traces.

Because the navel is a natural scar on the human body, if an operation is performed on this scar, it is indeed possible to leave no scars.

Can.
Can.
Deng Liming really wanted to say that Yu Wenxing had only created this technique a few days ago, and no one would know how to do it. Besides, if Yu Wenxing really performed an appendectomy on that patient, how could he discuss it with himself for a long time?
But that's just an excuse,

Deng Liming knew that this defense was weak, so he sent a sentence: Professor Gu, we also performed a laparotomy on the patient, carefully and repeatedly explored under the colon band, but all found abnormalities, and no small appendix or appendix package was found. There are no postoperative marks either.

"You did a laparotomy??"

Gu Jianjun was really shocked,

According to Gu Jianjun's understanding,
A patient with right lower quadrant pain,
If the appendix cannot be found,
Can you do 3D laparoscopy?

even if not,

That can also do the whole bowel contrast!
even if not,
Do colonoscopy, enteroscopy, ERCP, MRCP.

Doing an exploratory laparotomy just because you can't find your appendix?

How much courage does it take to dare to do this?
That's a laparotomy.
That is an operation that leaves a scar of more than 20cm to the patient.

That was a wound that would only be used for really large-scale surgeries!
Gu Jianjun didn't wake up from the shock for a long time,

He did not understand the difficulties of a small hospital,
There are few examination equipment in small hospitals, and many things that are not clear can only be seen by opening the stomach. Exploratory laparotomy is rare in large hospitals, but in small hospitals, this is a very routine operation.

"Correct!"

Deng Liming replied confidently.

quite a while,

After Gu Jianjun came to his senses, he quietly replied,
"Even if you can prove that he is indeed congenitally absent, you can't publish this article."

"why!?"

Deng Liming was stunned.

"Do you think people will believe you?"

Gu Jianjun replied unceremoniously.

Deng Liming understood instantly,

A disease that has never been seen in China was discovered by a county-level hospital.

indeed,

Others have reasons not to believe it.

This is a disease diagnosis, not a surgical procedure.

surgery,

That is real, there is a video, there is an operation process, and no one can refute it.

But the disease diagnosis,

And it is the diagnosis of congenital absence of appendix,
Indeed, there is no definite thing to prove it.

Just like immobile cilia syndrome requires gene sequencing as the gold standard,
Congenital absence of appendix, in the whole world, there is no gold standard for diagnosis.

This,
Only by talking.

Depending on what he said, if the great professor said it, others might be skeptical.

And if a doctor at a county-level hospital says it, others will probably spray you in the face.

think of this,
Deng Liming shook his head with a wry smile, unable to say a word for a while.

"Don't be discouraged. You can bring out a doctor like Dr. Yu, which also reflects your level. After Dr. Yu becomes famous, he will write about this operation, and maybe it will be published in a domestic journal."

Gu Jianjun said a word of comfort.

"Thank you Professor Gu."

Deng Liming had mixed feelings,
"Oh, by the way, you asked Dr. Yu to send me his two articles earlier. There is a meeting in Europe in the past few days, and I plan to take it there."

"Two articles?"

Deng Liming was a little unresponsive.

"Eh. A paper on the one-hole method, and a case study of Mirizzi syndrome."

"Row."

Deng Liming was really speechless.
There is no way for me to publish a top journal in China. Yu Wenxing has already written three articles that can impact SCI.

I also thought that Yu Wenxing said that he would not have to go to work in a hospital of the same level as the Jihe Township Health Center in the future.

Deng Liming suddenly had the idea of ​​going to Taiguo for surgery.
Crazy scratched the scalp a few times,
dandruff flying,
Gu Jianjun was really irritated.

(End of this chapter)