Chapter 302 A sudden case (please vote)
It’s not all because of you!
They suddenly discovered that Wu Xiaofu also had such profound attainments in stimulating potential.
After all, if Wu Xiaofu had not set this precedent, the style of this game would not have deviated like this.
Well now, those doctors who thought they had good scores before are now in complete despair, and their rankings are only a dozen or so below.
It's not just Chu Jingming and the others who are depressed, no, many doctors, including the doctor from country J, are looking at Wu Xiaofu with a bit of resentment. The previous ones were just ranked lower, and they were directly seduced. Yes, you got a big zero.
What a big zero!
Their world surgery competition has come to an end.
On this night, it can be said that some people are happy and some are sad, but Wu Xiaofu doesn't care about that. He only knows that Huaguo's performance has really improved.
The fifth day is the orthopedics competition.
In the medical field, there has always been such a jingle, golden ophthalmology, silver surgery, open and close BMW dental department, exhausting obstetrics and gynecology, tired and waiwai internal medicine, eating and drinking together in the nutrition department, noisy pediatrics, getting beaten The psychiatry department has no choice but to go to the infectious disease department, and even the emergency department will not go to the hospital.
Although this jingle cannot fully cover the characteristics of the hospital's departments, it is generally correct.
If you look at the order of making money, ophthalmology is undoubtedly the first. When you go to the operating room, you can see that there are a lot of patients in ophthalmology every day, and the treatment does not need to be too complicated, just one Cataracts are enough to push the income of the ophthalmology department to the peak of the hospital.
Yin Surgery refers to the earning power of surgery, second only to ophthalmology, because surgery fees also need to be added to the income of surgery. As long as you are not afraid of death and hardship, you will really have money. earn.
In surgery, the most profitable is orthopedics.
Because orthopedics has the most medical equipment, whether it is steel plates for trauma surgery, metal joints for joint surgery, or nail rods for spine, no matter which one, tens of thousands of them are used.
The operating fees charged by orthopedic surgeons are naturally not low.
Compared to orthopedics, general surgery and urology are really hard-earned jobs.
Of course, the situation was very different now.
After the New Year, the country began to carry out medical reform and introduced a centralized purchasing system. Whether it is drugs or medical equipment, they are all purchased centrally, and the prices have been directly reduced to 20 to 30%, or even lower.
This is naturally a good thing for patients. After all, after the implementation of the policy, surgeries that once cost tens of thousands of dollars can now be done in just a few thousand. Of course, we don’t know how good the quality of the instruments is.
Wu Xiaofu usually doesn’t pay attention to orthopedics. However, I heard that his income has shrunk greatly and he has begun to trade quantity for performance. It can be seen that the life of orthopedics is not easy.
The original silver hammer has now become a real carpenter.
As we all know, the Department of Orthopedics is all about knocking and banging. You can walk around the operating room without going in. As long as you hear the sound of clanging, it must be in the Department of Orthopedics. After all, there are other departments. Surgery in the department usually doesn't make such a big noise.
The competition is no exception.
No, the tinkling sound from the screen has already come out, and it sounds real.
To be honest, that operation gave even a doctor a toothache.
It’s really banging and banging.
Dong dong dong!
Some strange voice seemed to appear in Wu Xiaofu's mind, eighty, eighty.
Orthopedics in China is pretty good.
In terms of difficulty, the most difficult surgery in orthopedics is undoubtedly the surgery involving the spine, and the spine is the most important. Basically, only top orthopedic hospitals can carry out it smoothly, followed by the lumbar spine.
Most of these cases are caused by traumatic car accidents.
Therefore, spinal injuries are usually accompanied by other fractures and trauma. Therefore, the duration of orthopedic surgery is generally not too short and is measured in hours.
Especially the spinal cord removal and lumbar spine surgeries chosen by these outstanding young doctors, the time will not be short.
Don’t think that orthopedic surgeons can only do menial work and be carpenters.
This operation on the spinal cord and spine is really delicate work, and it is thrilling to watch. After all, if the force is not used correctly, it may cause these patients to be paralyzed for the rest of their lives.
This time, the six-member team from Donghai No. 1 Affiliated Hospital did not have any orthopedic surgeons. Wu Xiaofu and the others were in a relaxed mood. It was also a coincidence that the three orthopedic surgeons from Huaguo, two from group A and one from group B, arrived early. It's over.
And the scores are not low, basically above 140 points. The highest one still has 154 points. Maybe we can book a place in the top 30.
Wu Xiaofu and the others left early after watching the ab group match.
It has to be said that orthopedic surgeries are, after all, much less enjoyable and less popular. When Wu Xiaofu and the others left, many people had left the observation room.
As the game entered the later stages, it was really halftime for Orthopedics.
The next neurosurgery and hepatobiliary surgery are the real highlights.
The sixth day started with neurosurgery. In terms of technical content, it really has to be neurosurgery.
The treatment is good, and the number of days for neurosurgery is just three days.
The same six groups were performed directly over three days. This was a treatment that other majors did not have, and everyone would envy it. However, the operation time of neurosurgery is indeed not comparable to other majors.
Neurosurgery is usually divided into four levels: level one, level two, level three, and level four from easy to difficult and from small to large risks. The specifics depend on the instruments used in the surgery. and the ease of operation.
Level 1 and 2 surgeries are more common, such as suturing scalp lacerations, scalp debridement and suturing, and some surgeries for skull fractures. Level III surgeries include skull repairs and operations for some superficial brain tumors, while Level IV surgeries are relatively difficult and risky surgeries.
The surgeries that appear on the world surgical competition stage today are basically level four surgeries.
After all, if this was not a level 4 operation, I might not even be able to get 120 points on this stage.
In fact, most neurosurgery is a fourth-level surgery, including intracranial tumors, brainstem tumors, and some surgeries for cerebrovascular diseases, such as aneurysm clipping and vascular anastomosis. These surgeries require careful manipulation by the surgeon, especially under a microscope.
Well, looking at it this way, modern neurosurgery is actually divided into two categories, those requiring intervention and surgery under a microscope.
In the competition, microscopic surgery was the main focus.
The patient, a 23-year-old male, was diagnosed with a rare cranial sarcoma. After surgery and multiple rounds of chemotherapy, he unfortunately found a recurrence in January this year. He came to the hospital for further diagnosis and treatment.
This is the case chosen by Dr. Huang Feng of the Chinese team.
Cranial sarcoma is also a rare case in neurosurgery. This time Huang Feng was obviously very excited and wanted to challenge it.
It’s really a challenge. No one thinks that Huang Feng has done this kind of surgery in our hospital. At most, they have seen it. After all, this kind of surgery is usually discussed by the entire neurosurgery team together. The final decision The candidate for the chief surgeon must be at the director level. Everyone looked at Wu Xiaofu, it was really harmful. Look, this is another one who dares to take risks.
Wu Xiaofu just pretended not to see it and continued to look at Huang Feng's cases.
In February last year, the patient accidentally discovered a bulge on his right forehead. At first it was only the size of a peanut and had a hard texture, so he didn't take it to heart.
A few days later, the patient's family immediately took him to the hospital for further examination when the swelling on his forehead continued to grow and was accompanied by pain. An MRI revealed a shadow on the skull, and the doctor highly suspected it to be a rare cranial sarcoma.
Well, this is basically the common course of skull sarcoma. Generally, osteosarcoma is basically treated by orthopedics. There is a specialized bone oncology department in orthopedics. However, when it comes to the skull, orthopedics will also take the initiative to hand it over to neurosurgery. Come.
Wu Xiaofu thought, fortunately he did not study orthopedics, otherwise, he would have to compete with neurosurgery for this job.
The diagnosis of osteosarcoma requires a combination of clinical, imaging, other auxiliary and pathological examinations. After osteosarcoma is highly suspected, the nature of the tumor in the patient's skull must be further determined, and the space-occupying lesions are usually surgically removed. Then, send the pathology to the doctor.
The same is true for the patient in this case, and the results indicate osteosarcoma grade 2-3.
Grade II to III osteosarcoma is basically in the middle and late stages. Among tumors, osteosarcoma is highly malignant. Simple resection cannot inhibit its development at all, and adjuvant radiotherapy and chemotherapy are necessary.
In this case, the patient underwent radiotherapy 30 times after the diagnosis. Fortunately, osteosarcoma has good specificity for radiotherapy, and the patient has been followed up for follow-up and no abnormalities were found.
However, this disease is a time bomb. Everyone knows that it is impossible to cure it. The only difference is how long it will take to relapse.
One year later, the patient's head 3D-CT was reviewed in the outpatient clinic, which showed that there was local skull and intracranial space occupation, and the possibility of recurrence was high. This actually means recurrence. The imaging showed that the possibility was high. In fact, It's just because they are not a clinical department and have no right to diagnose.
But when it comes to watching movies, the imaging department is more professional than the clinical department.
Cranial sarcoma is very difficult to operate for the first time, and it is undoubtedly extremely difficult to perform surgery again after recurrence. If Huang Feng can succeed in the operation, he will at least have 150 points.
Moreover, cranial sarcoma is very rare, and the case support is not enough. If I am not a senior director, I really don’t dare to get started.
So Wu Xiaofu tolerated the looks from Chu Jingming and the others. After all, Huang Feng was really taking a risk. However, since Huang Feng dared to do it, he should have a certain degree of confidence.
Osteosarcoma, as a malignant bone tumor, has a low incidence rate. According to data, about 4 to 5 people per million people develop the disease every year. Cranial sarcomas that occur within the brain like this case are even more rare.
Well, there is a one-in-a-million chance. If it were Wu Xiaofu, he would not miss it.
“Due to the small surgical space in the brain and the complex nerve nuclei, it is extremely difficult to remove all the tumors while identifying and protecting these important structures.”
……< br>
As the operation began, there were more voices discussing it. In Group A, the case Huang Feng chose was rare enough, which also led to more voices discussing it.
Supratentorial craniotomy for space-occupying lesion resection and cranioplasty under general anesthesia.
Huang Feng has decided on the surgical method. After everyone saw it, they all nodded. This surgical method is not controversial.
Under the microscope, the patient's lesions are very clear. A doctor's confidence in a surgery cannot be hidden from other professional doctors.
The surgical thinking, surgical operation ability, and stability can all be seen at a glance.
Seeing Huang Feng's steady operation, Wu Xiaofu and the others immediately felt relieved. Huang Feng was confident.
Wu Xiaofu is very interested in neurosurgery. After all, for the body, this field is the ultimate fantasy of doctors. If there is an opportunity, Wu Xiaofu might as well get involved.
There is also intervention.
Wu Xiaofu was not only watching Huang Feng's surgery, but also other doctors' surgeries, including some interventional surgeries.
Interventional methods are really becoming more and more popular now. They are used in interventional departments, general surgery, oncology, cardiology, and neurosurgery.
Because this is still an area not covered by the medical reform, for many departments, seizing intervention means seizing performance, so that many departments in the same hospital are competing for patients from each other, such as some now Doctors perform interventional ablation of a brain tumor.
Small means can accomplish big things, which means intervention.
Interventional ablation of liver lesions, especially tumors around blood vessels, can really play a big role. Nowadays, Wu Xiaofu basically lacks this area in hepatobiliary surgery.
After returning home, Wu Xiaofu was ready to pick up this piece.
"Dr. Wu, there is a case. Take a look."
Hmm!
While Wu Xiaofu was concentrating on watching the operation, a figure came to Wu Xiaofu. Wu Xiaofu subconsciously took the medical record. Only then did he realize that the person in front of him turned out to be a hospital director from Stortford. Wu Xiaofu Others call him Professor James, who is also a leader in general surgery.
"Professor James!"
Wu Xiaofu stood up to say hello. Although this person is not the director of Stortford Hospital, his status in China is second only to Rongqiao. What's more, in terms of international influence, Professor James is probably even greater than Rongqiao. .
However, for such a great professor to ask him to help read medical records, he must be looking down upon him too much.
Wen Xinhan and the others were also a little surprised, had Wu Xiaofu reached this level? Moreover, even if Wu Xiaofu was really capable, with the pride of the M country people, they would not let Wu Xiaofu help.
Gallbladder cancer involves bile ducts and metastasizes to the pancreas, liver, and stomach. It is also a type that progresses rapidly. It only took three months from onset to progress to this level.
This is basically a period of waiting for death. After all, for such terminally ill patients, the chance of surgery is basically gone.
"Originally, we advised patients to cherish this short period of time in the future, but the patient didn't know where he heard about the surgery you performed in the competition, Wu, and then he found me and asked you to do it at a high cost. Radical surgery, and then use Kohli No. 2”
That’s it!
Wu Xiaofu understood something, and he said why Professor James came to him. It turned out to be because of his ability, and his status would not be low.
As for Keli No. 2, it costs one million yuan a tube. It has a price but no market. It can effectively curb the development of tumors. Of course, with the rapid progress of this pathological type, unless a radical operation is performed, it will The lesions are temporarily cleared, otherwise, I am afraid that no matter how many injections are given, it will be useless.
It’s just that it’s really troublesome to operate on this kind of people. It’s not impossible for James to try to perform the same operation, but James didn’t do it and instead found Wu Xiaofu. This in itself shows that kind of problem.
He came to Country M to compete, so forget about simulating patients. It would be better to avoid getting involved in such cases.
"Wu, the patient said that as long as you are willing to operate on him, the consultation fee will be so much, and the operation will be successful, it will be doubled ten times."
Hiss!
Wu Xiaofu was shocked, what a huge man!
(End of this chapter)