Gao Shaojie's call was to a classmate in the United States.
At that time, my classmate stayed in the United States and successfully obtained medical qualifications a few years later. Many classmates were envious of him.
Doctors are considered a very good profession in the United States, a hundred times better than in China. Even though Gao Shaojie is the deputy director of the team at the Affiliated Hospital of the Provincial Medical University, he is still envious.
It was still early at that time, but Gao Shaojie was so curious about this matter that he had no choice but to disturb his classmates' clear dreams.
Soon, after a few words and understanding the situation, Gao Shaojie hung up the phone.
tips surgery, there is no breakthrough at all. Even the Mayo Clinic in the United States uses well-known surgical methods.
The worst case scenario is to put a tube made of special material into the hepatic vein as a marker.
Even so, it can only solve part of the puncture problem, and tip surgery is still extremely difficult.
It can be said that this is just an improved surgical technique and does not fundamentally change tip surgery.
Gao Shaojie’s classmate said that he had just been to the Mayo Clinic a while ago, and the tip surgery there required at least 3-5 needle punctures. There was no breakthrough, and he even laughed at Gao Shaojie. With the domestic medical standards, it is impossible to be better than the Mayo Clinic.
It's just an idiot's dream.
He put down the phone. Although he was a little unhappy, he was very restrained and did not refute the little doctor's statement.
Human beings, if you can believe what you say, it would be good.
However, the people in Haicheng are really unreliable when it comes to what they say. I will try to come here as little as possible in the future.
Tips surgery at the Mayo Clinic requires 3-5 needle punctures, but a little doctor from Haicheng can actually succeed with just one needle
How can it be! Isn't this the legendary miracle doctor
It's just spreading rumors, Gao Shaojie thought to himself.
The car soon arrived at the hotel. Gao Shaojie went to rest, while Wang Qiang went to the Second Hospital to see patients.
This night passed quietly.
Early the next morning, Gao Shaojie got up early and had breakfast.
We don't eat much, the main thing is to eat a medium-boiled egg.
Gao Shaojie eats one of these eggs before every tips operation, whether he is at home or out for a flying knife.
It seemed that the god of surgery, whether it existed or not, would make today's surgery go smoother because of this medium-boiled fried egg.
It's the same concept as the Night God, and fried eggs are just a good wish.
As for whether it can be done, that's a matter of two people.
At half past seven, Wang Qiang drove to pick up Gao Shaojie.
On the way, Wang Qiang showed Gao Shaojie the laboratory report of the patient's last emergency test yesterday. Although it is not necessarily related to surgery, it is always good to know more about the situation.
This is also Gao Shaojie's habit.
At 7:50, the two of them arrived at the Municipal Second Hospital.
Gao Shaojie participated in the morning handover of the Interventional Department of the Second Hospital and took a look at the patients undergoing surgery today.
Later, Wang Qiang's junior doctors took the patient to the operating room. Gao Shaojie took Wang Qiang and sat in the office chatting for a few minutes.
According to Gao Shaojie's temper, under normal circumstances, he would go to the operating room with the patient.
When preparing for surgery, take a look at the model of the machine, whether it fits the hand, and how to operate it.
Each manufacturer's consumables will be more or less different. For general surgery, the difference is not big. But for tips surgery, it’s better to be more familiar with it.
Because Wang Qiang was assigned relatively few beds, Gao Shaojie only saw patients in 2 or 3 wards.
There is also another group of patients.
During the ward rounds, Gao Shaojie saw several "abnormal" patients.
Their bedside tags all read decompensated liver cirrhosis, and most of them also have a diagnosis of ascites.
But looking at his face and belly, he doesn't look like a patient with decompensated cirrhosis.
A thought crossed his mind. Could it be that these patients were all post-operative patients from tip surgery a few days ago
So he didn't rush to the operating room and went to the doctor's office with Wang Qiang to check the operation records and other examination results.
Theoretically speaking, patients after tips surgery cannot recover so well.
Gao Shaojie was full of doubts and asked Wang Qiang to find the cases of those patients and started to check them himself.
The surgical record does not record the number of puncture needles. It can only prove that the patient underwent tip surgery.
However, the preoperative and postoperative laboratory tests are objective evidence and can indicate the recovery of the patient's condition.
It was indeed a tip surgery, and the patient recovered extremely well after the operation. The ascites subsided day by day, but the blood ammonia did not increase significantly.
The vast majority of patients did not have obvious hepatic encephalopathy, and only one patient developed hepatic encephalopathy transiently after surgery. But under the influence of the medicine, it only took 1 or 2 days to recover.
The surgery was done very well, Gao Shaojie praised.
Even the patients who underwent tip surgery at the Medical University Affiliated Hospital did not recover so well. Especially hepatic encephalopathy is like a demon, entangled around the patient and difficult to get rid of.
Especially patients who have undergone tip surgery are more likely to develop hepatic encephalopathy after surgery. After all, the venous blood does not travel through the liver, and there is no filtering process, resulting in extremely high ammonia levels in the blood.
Many patients would rather give up the chance of tip surgery than suffer from hepatic encephalopathy and lose their last dignity in life.
Gao Shaojie once performed tip surgery on a 70-year-old teacher. Due to severe hepatic encephalopathy after the operation, the teacher who used to look like an old scholar seemed to have changed. He urinated and defecated everywhere, which was very embarrassing.
Secondly, the embarrassment is also great, and the patient's quality of life has been greatly affected.
The benefits that patients gain from tip surgery are outweighed by the side effects. Gao Shaojie has reflected on this many times and is actively researching new developments in tip surgery.
However, after so many years, there is still nothing.
The data is in front of us. The patients who underwent tip surgery in batches a few days ago at the Second City Hospital recovered extremely well.
Could it be that what Wang Qiang's little doctor said last night was true
Gao Shaojie pondered.
He couldn't figure out the reason until Wang Qiang's cell phone rang. The junior doctor said that the operating room had made preoperative preparations and was waiting for Gao Shaojie to come on stage.
"Teacher Gao, it's ready." Wang Qiang reminded him in a low voice.
"Oh." Gao Shaojie said apologetically, "I'm sorry, I'm so lost in thought."
How could Wang Qiang not know what Gao Shaojie was thinking, but he had never seen the legendary "great man" from the No. 1 Hospital perform tip surgery, and to be honest, he didn't really believe it.
Even patients who have had tips surgery recover well after surgery.
…
…
At 7:55, Professor Rudolf Wagner arrived at the emergency building of the First Hospital of Haicheng City. Before entering, Zheng Ren asked him to get into Feng Xuhui's car and went straight to the Second Hospital of Haicheng City.
Zheng Ren is looking forward to today's surgery.
It's not the tips operation itself, but the second stage of tasks given by the system.
Zheng Ren is not looking forward to the experience of 3,000 cases of radiofrequency ablation. Although with the experience of these 3,000 surgeries, Zheng Yunxia's success rate of radiofrequency ablation can be greatly improved.
Zheng Ren’s focus is still on the success rate of interventional surgery +2.
Curiosity killed the cat.
Zheng Ren was just curious, and he didn't know if the big pig's hooves of the system would give him a reward that would make him laugh even in his dreams.
At 8:30, Feng Xuhui drove to the Municipal Second Hospital.
Last time, Dean Zhang led people to greet Zheng Ren at the entrance of the inpatient department. But this time...
Zheng Ren saw a crowd of people gathered around the entrance to the inpatient department from a distance, wondering what the trouble was.
Feng Xuhui carefully parked the car a little further away, and then several people walked over.
"You bastards, I'm sitting here today and you can do whatever you want!"
From a distance, I heard an old, yet energetic voice.
Is it a medical incident? It seems not.
Can't a doctor cry, make trouble, and hang himself? And when there is trouble, a large number of people gather at the entrance of the hospital.
Zheng Ren has never seen a person's medical trouble.
Is this a hospital employee
Is it because the second hospital can't pay wages? The family is waiting for the rice to be cooked, so they start asking for money from various channels
Hospitals are no longer iron rice bowls.
There is control from the Medical Insurance Bureau above, and there is pressure from patients below. Not to mention the doctors, the hospital itself is also struggling.
And in recent years, many consortiums have begun to focus on public hospitals.
It's not like a certain field department, renting a clinic in a public hospital and making a little money, it's just minced meat. Now large consortiums are beginning to swallow up large public tertiary hospitals.
This situation is mainly in the Northeast.
After swallowing the whale, Zheng Ren didn't know the specific means of profit. Anyway, the large public tertiary-A hospital that was well-known before it was acquired began to become moribund, and doctors died and fled.
However, I haven’t heard that the Second Hospital of the City has been sold.
Full of doubts, Zheng Ren walked towards the door of the inpatient department of the Second Hospital.
Dean Zhang saw Zheng Ren from a distance and left the crowd to greet him.
"Mr. Zheng, you are here." Dean Zhang was as enthusiastic as ever.
"Well, what's going on?" Zheng Ren asked.
"Alas." Dean Zhang sighed sadly, looked back, and said cautiously, "This is not 5 or 6 years ago, when a homeless man dying of tuberculosis fainted in the courtyard of the Second Hospital. At that time, Out of kindness, he was admitted to the hospital. Dean Ren sent someone to the Civil Affairs Bureau, and several families jointly spent some money to cure him of tuberculosis."
"Isn't this good?" Zheng Ren was confused.
Saving lives and healing the wounded should be a good thing.
"Yes, this is indeed a good thing. But after he was cured, he refused to be discharged from the hospital no matter what, and stayed in our second hospital for life and death." Dean Zhang smiled bitterly, "We also thought of many ways, both soft and hard. Later he was When he got desperate, he once climbed up to the rooftop and said he would jump down if he wasn't allowed to stay."
Dean Zhang looked sad and a little embarrassed.
After all, this is a family scandal and a failure of the leadership team of the hospital. However, they attach great importance to Zheng Ren and do not want to embarrass themselves in front of Zheng Ren.
However, the more you are afraid of something, the more you become afraid of it.