Chapter 62: Your assistant is better than him
“Coax~”
The crowd at the meeting burst into loud noises.
Although Qin Chen didn't speak loudly, the microphone in front of him faithfully sent every word to people's ears.
No future!
Qin Chen was cursing, but he was not cursing.
The feeling of sadness for his misfortune and anger overflowing in his words.
Almost everyone turned around and looked at Luo Hao following Qin Chen's gaze.
Countless eyes fell on Luo Hao. Luo Hao's expression did not change. On the contrary, Chen Yong, who was sitting next to Luo Hao, couldn't bear it anymore and tried to bend his body to narrow the focus.
Chen Yong never expected that the big boss would reveal his health bar as soon as he came up and point the finger directly at Luo Hao.
What's the difference between this and opening a small supermarket in Donglian, and Brother Dongzi and Brother Xiaoma come directly to the door with their people?
"Director Qin is really very optimistic about him."
"Yes, it is a great thing to become Director Qin's disciple at such a young age! Why doesn't he do it? Could it be that Qin The director wants to recruit a son-in-law? "
"I don't understand, maybe I would rather have the head of a chicken than the tail of a phoenix? People who think like this are mentally ill. What's the point of being prestigious in the imperial capital? That’s really awesome!”
The whispers from the crowd reached Luo Hao’s ears, and he smiled lightly and didn’t care.
When Luo Hao left the imperial capital, the pressure he faced was dozens or hundreds of times greater than the pressure before him. Didn't he come back differently?
Qin Chen only said one sentence, stared at Luo Hao for 3 seconds, and then started teaching.
“Today, I am not going to talk about past cases, but I am going to talk to my colleagues about my views on the future of endoscopic surgery.”
“First of all, I will express my opinion— —In the next fifty years, through the efforts of two to three generations of gastroenterologists and gastroenteroscopists, most of the operations in gastrointestinal surgery will be replaced!"
"Replaced by us! ”
“Coax~~~”
Qin Chen’s words were like a stone dropped into a pond.
The doctors and experts who were whispering just now suddenly became excited.
Qin Chen’s momentum was so powerful that it even brought out the background music.
All this seemed to increase everyone's confidence.
His words also invisibly aroused the emotions of all the endoscopists present.
"Wow wow~"
The applause sounded again.
People’s eyes fell on Director Qin Chen and Qin again, and there was thunderous applause.
Chen Yong looked at Qin Chen with envy, a real man should be like Qin Chen. Looking at Luo Hao again, he immediately became timid after being scolded and remained silent.
"Luo Hao, Director Qin is so awesome! Why didn't you just stand there and say such exciting words?"
"Director Qin is very powerful in his own right, both in terms of technical level and status in the world. . If I say what he said, it’s called Dong Shi Xiaofeng.”
"You're not even willing to do a demonstration surgery. I think you're just a bastard. I usually say something to you or something about me, but why didn't I see you yelling at Qin Chen? Seeing how arrogant he was, my fists became hardened. ”
Luo Hao did not explain, just smiled and listened carefully to what Qin Chen said.
After Qin Chen waited for the applause to subside, he immediately began to explain the sentence just now, including Qin Chen's research on gastrointestinal endoscopic surgery in recent years and possible future development directions.
His speech was not limited to domestic topics, but was more about conjectures about new international trends and new research directions.
Every time Qin Chen reaches a climax, the thunder class will burst into applause in the auditorium.
The stars are holding the moon.
Director Qin really has something in his belly. This is the consensus of all the experts attending the meeting.
Gradually, someone remembered the young man behind him who rejected Director Qin.
They even began to pity Luo Hao. The young man was ignorant. If he could follow Director Qin, the smoke from his ancestral graves would be able to catch up with the Australian wildfires.
Time flies, and an hour flies by. Everyone, including Chen Yong, listened intoxicated, and no trace of sleepiness remained.
Finally, Qin Chen pressed his hands down to pause the applause.
"I will perform two demonstration surgeries today." Qin Chen said loudly.
His eyes fell on Luo Hao.
"Luo Hao."
"Be my assistant, and I will show you what it means to make one step further; I will show you what a pity you wasted for the two years!"
< br>Qin Chen’s words were a bit strange, but everyone knew their meaning.
Director Qin is already at the top level in the country, but he is still making further progress. But the young doctor returned to his hometown, and two years were wasted.
Local hospitals have limited software and hardware, especially in the Department of Gastroenterology.
A gastroenterology department in a small place is pretty good at performing painless gastrointestinal endoscopy, let alone a high-level minimally invasive surgery like ESD.
Luo Hao originally didn’t want to go on stage, but Director Qin ordered him on the spot and he couldn’t refuse.
Qin Chen didn't care about the looks of others, ignored them all, and strode to Luo Hao's side.
"Luo Hao, don't you already know what the assistant should do?"
"Don't worry, I'm just giving you a chance to go to the operating table to watch the operation. Know what surgery has become in the past two years.”
"No matter how bad your skills are, it won't affect the operation. Just watch it honestly."
Qin Chen and Luo Hao passed by, dropped a few cold words, and went straight to the operation. room.
Chen Yong didn't expect this to be the case. He imagined that Luo Hao should be able to keep showing off and start the highlight moment.
But nothing happened.
Luo Hao was ruthlessly crushed by Qin Chen like a little Karami, without any resistance left.
Even Chen Yong began to wonder if Luo Hao chose to return to Donglian City because he wanted to avoid the huge pressure in the imperial capital.
If this is the case, no wonder Director Qin Chen and Qin are so angry.
In the venue.
On the stage, the big screen slowly rose.
In the audience, the experts participating in the meeting started talking like crazy.
This is huge gossip!
Director Qin Chen, the top expert in gastroenteroscopy in China, came to participate in the provincial society in order to teach the disobedient students a lesson and use his own surgery as an objective fact to show that the students' choice was wrong. .
Love, hate, friendship between teachers and students, persistence to save, the prodigal son turning back.
A series of strong and bloody emotions appeared out of thin air, echoing in everyone's hearts.
Everyone was very restrained and didn't say much about Luo Hao.
After all, although Director Qin's words were cold, his sincerity was beyond words.
Don't be happy now, the master and the apprentice have made peace with each other afterwards, and the young doctor will soon embark on a prosperous road.
Every bad thing I say today is likely to be remembered by others, and will be revealed in a few years.
Half an hour later, a light and shadow appeared from the projector lens and hit the screen.
The operation has begun.
Live streaming of all minimally invasive surgeries is a hundred times more convenient than surgery.
The machine will automatically record, and if necessary, a copy of the data will be transmitted to the meeting site.
Surgery involves too many things and is very troublesome.
The field of view displayed on the screen after the operation starts is the surgeon's field of view, which is particularly easy to simulate.
The lens is pointed at the lesions in the esophagus, with a clear view.
The doctors attending the meeting had performed hundreds of gastrointestinal endoscopy examinations and could tell at a glance that they were precancerous lesions.
Esd surgery clinically refers to endoscopic mucosal dissection, which is a minimally invasive technique that completely peels off the diseased mucosa from the submucosa under an endoscope.
Endoscopic mucosal dissection is an elective diagnostic surgery or a radical surgery. The trauma is quite small and the patient's quality of life after recovery is very high.
Just like the patient in front of me, the diagnosis was precancerous lesions of esophageal cancer.
Before the emergence of esd surgery, one could either observe conservatively, wait for the cancer cells to grow, and then perform radical esophagectomy after half a year to one year.
Either do a radical esophageal cancer surgery now.
In short, no matter what treatment method is chosen, part of the patient's esophagus cannot be preserved; part of the stomach must also be cut off, and the remaining stomach is brought up to the chest and anastomosed with the esophagus.
After the operation, the patient's cardia was removed, and gastric juice reflux became the norm.
Even if the cancer is cured, reflux esophagitis will plague the patient for life.
This is only the simplest and most basic complication. There are many other more serious complications.
Submucosal dissection under ESD provides radical treatment for precancerous lesions diagnosed early, and postoperative complications are almost negligible compared with radical esophagectomy.
After finding the location of the precancerous lesions, the surgeon begins to mark the range of resection.
The surgeon's technique is skillful and every step is clean and neat.
Just like Qin Chen’s hair, which is covered with hair wax, every step of the operation is meticulous, almost the same as what is written in the textbook.
Typical textbook surgery.
Beautifully done!
Then the surgeon began to inject saline to float the cut part.
This step is quite a test of the skill of the practitioner.
If it is too deep, it won’t work. If you cut too much, an esophageal fistula will occur.
If it is shallow, it won’t work. If it is cut too little, cancer cells will remain and grow, and they will relapse after surgery.
Only when it is neither deep nor shallow, but just right, can the operation be said to be successful.
Almost all the doctors who are watching the live broadcast of the surgery have performed ESD surgeries. There are more surgeries on the stomach than on the esophagus, because even if a little more mucosa is cut in the stomach, there will not be too serious consequences.
But no matter what, be cautious when doing this step.
Every time I use a syringe to inject saline, I am afraid that the position is wrong. Even a slight difference in strength can lead to surgical failure.
It can be said that this step is the perspective step of surgery, and it is extremely difficult.
Although Director Qin's movements were not very fast, they were the same as before, giving people the "illusion" of being at ease.
No, it’s not an illusion! !
Qin Chen’s surgery was indeed performed with ease.
Even with this kind of embroidery skills, you can't see any hesitation in him.
The cook is like a cow.
Then the endoscopic scalpel made a cutting line, and the lens was instantly covered in bright red.
Suction with suction device and electric cautery to stop bleeding.
Those who watched the operation were stunned by the deft movements.
Qin Chen’s surgery is awesome, and so is his assistant.
In the scene just now, everyone present asked themselves, there are only a handful of people who can help the surgeon to stop the bleeding immediately.
No wonder Director Qin would condescend to attend a provincial annual meeting, and even pointed at his nose and scolded a young doctor.
With deep love comes deep responsibility.
This is inevitable.
The cancerous lesion was then peeled off and taken out from the patient's mouth for intraoperative frozen biopsy.
Local hemostasis and irrigation were performed, and the operation was concluded.
A difficult ESD operation for early-stage esophageal cancer was completed in less than 20 minutes.
Awesome!
Although Qin Chen was not there, there was applause in the conference room.
The surgery was beautifully done! This is a demonstration surgery! !
Many doctors applauded while thinking thoughtfully.
Just watching the surgery touched them.
Many times, doing surgery without any communication will cause people’s thinking to fall into a blind spot. After communication and collision, cognition will break through and become enlightened.
This is also one of the meanings of the existence of society.
Qin Chen’s surgery has benefited many experts a lot. They are pondering the details of the surgery in their minds, and they can’t wait to go home and do an ESD surgery now to confirm it.
The surgeon found no active bleeding and the operation was concluded. But the next operation did not start directly. The surgeon was waiting for the results of intraoperative freezing.
Nearly half an hour later, the result was reported - there were no cancer cells at the edge of the resected lesion.
The surgery was perfect.
This proves that Qin Chen’s surgery is beyond the understanding of ordinary experts and has reached the state of transformation.
The rewards of intraoperative freezing appeared simultaneously on the big screen, and all the participating experts were amazed, emotional, envious, and admired.
In 20 minutes, an ESD operation for early-stage esophageal cancer was completed in an orderly manner. Intraoperative freezing showed that the operation was performed extremely well and left no consequences.
The more knowledgeable people are, the more aware they are of the difficulty involved.
Qin Chen, Director Qin, truly deserves to be the top magician in the country! He is worthy of being a man with his own BGM! !
A man sitting in the corner walked out of the auditorium after seeing the results of intraoperative freezing. No one noticed his presence.
The second operation began immediately.
Colonoscopy is a retrograde appendectomy. The first expert to perform this surgery was from the Second Hospital of the Provincial Medical University. Later, he was poached by the largest hospital in the world to the central region.
Qin Chen performed this operation in Bingcheng with a hint of provocation.
But the experts present, including those from the Second Hospital of the Medical University, didn’t think there was anything wrong.
Even if you don’t know Qin Chen, you will recognize his technical level after seeing his surgery.
The top domestic players cannot accurately describe Qin Chen’s level.
The second operation was also performed cleanly. In about half an hour, the appendix was cut out and no active bleeding was found, so the operation was over.
In the operating room.
Qin Chen first looked at the appendix and then at the surgical area.
After the operation was completely completed, Qin Chen turned around and stepped off the stage.
"Luo Hao, I didn't expect that you haven't been completely abandoned in the past two years." Qin Chen said something.
Although he wanted to kick Luo Hao's butt hard to wake up this little guy who rejected his boss, Luo Hao assigned him two surgeries. Qin Chen knew that Luo Hao's skills were far deeper than he imagined.
It turns out that Luo Hao has been a bit serious in the past two years and has not completely settled down.
"Director Qin, you have made great progress." Luo Hao also had something to say.
"Of course." Qin Chen said proudly, "Doctors' operations are all based on patient volume. You think you are talented and can have an epiphany on your own. Without surgery, your epiphany is nothing. "
"That's not necessarily the case." Luo Hao smiled and began to move the patient.
Just as Qin Chen was about to lecture Luo Hao, the door of the operating room opened and Director Shi walked in.
"Director Qin, this is our Dean Jin."
The man stretched out his hand and shook Qin Chen's hand.
"Director Qin, your surgery is really good." Dean Jin said sincerely.
"You're welcome." Qin Chen replied lightly, with a touch of arrogance in his words.
He has pride, as evidenced by the surgery he just performed.
"Director Qin, my father is not in very good condition recently." Dean Jin didn't go around too much and got to the point in the second sentence.
"Your father?" Qin Chen, Director Qin, was slightly startled.
Then he wanted to find out what happened.
The old man must be old and in poor health, and it would be difficult for surgical treatment to intervene.
At this time, minimally invasive treatment such as gastroenteroscopy is definitely needed.
But Director Shi Zhongjian’s skills are not up to par and he cannot do it. Dean Jin still doesn’t believe in his own skills and wants to see what he sees.
After seeing the operation, he rushed over to see him for consultation.
Although Qin Chen is arrogant and hard-spoken, he is also exquisite.
In just a moment, Qin Chen understood all the details.
He did not agree immediately, but subconsciously raised his hand to comb his hair.
"Director Qin, this is my father. The old man is 84 years old and has had major surgery before."
Qin Chen instantly understood what was going on.
The most difficult part of endoscopic surgery is definitely not appendectomy. That surgery was Qin Chen’s first show of skill in the provincial capital city where endoscopic appendectomy was first used in China. It was a small personal vice.
The most difficult surgery - patients after gastrointestinal surgery need ercp.
Ercp itself is a level four surgery, which is extremely difficult. Doctors in prefecture-level hospitals can count on one hand the simplest surgeries they can perform.
Patients after various digestive tract organ diversion surgeries need to undergo ERCP, and the difficulty increases exponentially because the original anatomical structure will change.
So this type of surgery is hailed as the crown jewel of endoscopic diagnosis and treatment in the industry.
"Roux-en-Y surgery or another surgery?" Qin Chen pondered in his mind and asked calmly.
The hospital leader’s eyes suddenly lit up, extremely bright.
Qin Chen, Director Qin is indeed a big shot in the industry!
Awesome! !
As soon as he started speaking, he guessed that his father had done Roux-en-Y before.
"Director Qin, it's Roux-en-Y."
Qin Chen remained calm, but his head was buzzing.
Roux-en-Y surgery—including choledochal jejunostomy, choledochojejunostomy, and choledochal jejunostomy.
To put it simply, the patient's digestive tract organs have been changed into a mess, and the normal physiological anatomical structure has been lost.
“Who are you looking for?” Qin Chen asked.
"Modu, Professor Zheng. He said that the surgery is very complicated, and there may be various problems in our hospital, including insufficient equipment, poor equipment in the operating room, etc." Dean Jin looked bitter, " In addition, the power of postoperative intensive care may not be able to do it. Therefore, Professor Zheng suggested that I take my father to Magic City.”
“I am 84 years old. Angry.”
"Director Qin, people in the industry say Southern Zheng and Northern Qin..." When the hospital leader said this, he paused and awkwardly began to press the soles of his shoes with his toes.
The reason why he did not go to Qin Chen but to Professor Zheng from Shanghai was because he believed that the northern surgery was rougher and the minimally invasive surgery would definitely be worse than the southern surgery.
If Northern Qin left the imperial capital and went to Nanzheng instead, there would be no way it could be solved no matter what.
We are all sensible people. The more you explain, the more wrong you will be. It is better to speak less.
"I'll take a break and go see the patient." Qin Chen said calmly, then turned around and scolded Luo Hao, "It's so slow to lift a patient! Hurry up and accompany me to change clothes."
Director Shi looked at Qin Chen blankly.
When Qin Chen met Luo Hao twice before, he was extremely mean to Luo Hao and even called Luo Hao "worthless" in front of the experts attending the meeting.
But Qin Chen called Luo Hao even when changing clothes, but the relationship was extremely close.
"Okay." Luo Hao helped carry the patient onto the flat car and accompanied Qin Chen to the dressing room.
"You go and wait for me somewhere else." Qin Chen said coldly when entering the locker room.
After saying that, he got into the locker room.
"Director Qin is here..." Luo Hao pointed and explained in a low voice, "The surgical cap flattens the hair so that outsiders cannot see it. Director Qin has to clear the place after every operation."
“!!!”
“!!!”
A hobby is a hobby, clearing the place but only asking Luo Hao to come in, what does this mean?
Luo Hao smiled, bowed slightly, apologized for Qin Chen, turned around and followed him into the dressing room.
"Director Qin, have a cigarette." Luo Hao took out a cigarette and gave one to Director Qin.
Qin Chen sat under the [No Smoking] sign with a cigarette in his mouth, waited for Luo Hao to light it for himself, and took a deep breath.
"Luo Hao, you didn't abandon the operation, how do you want me to kick you?" Qin Chen squinted at Luo Hao.
“I will definitely not give it up, and my surgery has made great progress in the past two years.”
"Exactly." Qin Chen scorned.
"Really, I just cooperated with the operation. I believe Director Qin feels it."
Qin Chen suddenly became distracted and stopped talking.
Luo Hao knew that Qin Chen was thinking about the patient.
"Director Qin, even the experts from the Magic City are unwilling to accept it. It is estimated to be extremely difficult."
Professor Zheng from the Magic City did not come to fly the knife. The person who invited him was a certain dean of the First Hospital of the Medical University. It is said that there should be inextricable connections between the two.
That’s all, I refused without hesitation.
With this as a background board, the difficulty of the operation suddenly increased.
"It's not like I can't do it." Qin Chen wanted to show off and would not say no in front of Luo Hao.
"Try it, what else can you do? And with me as your assistant, the success rate is always higher than Teacher Zheng. He is not as good an assistant as you." Luo Hao said softly. .
Qin Chen suddenly raised his head and looked at Luo Hao with burning eyes.
Luo Hao and Qin Chen looked at each other, and countless invisible cremations splashed out.
"The old people are spoiling you, but I am not an old man."
"Don't doubt the eyesight of the old people." Luo Hao dismissed Qin Chen's words.
Qin Chen was silent.
It’s not easy to push this aside.
Nan Zheng and Bei Qin is a joking joke in the endoscopic profession, coming from Nan Murong and Bei Qiao Feng.
The deeper core is that there is a high probability that the endoscopy profession will have an academician of the Academy of Engineering within 5 years.
In order to become an academician, Qin Chen spent all his resources and energy over the years.
In the end, Nanzheng and Northern Qin stood out.
Qin Chen's heart began to throb when he thought of undergoing the surgery that Professor Zheng did not dare to undergo.
What if it’s a mess?
As for Luo Hao...
Qin Chen could clearly feel that Luo Hao's surgical skills had improved by leaps and bounds compared to when he was in school.
Even if he did not leave the Imperial Capital and stay with his boss, and had been undergoing surgeries with him for the past two years, he would not have made such a big progress.
What an unreasonable guy.
Now, Luo Hao takes the initiative to ask for help.
Qin Chen said nothing and stood up to take a shower.
After changing clothes, he took out a mirror, comb, and hair wax from his backpack, and carefully took care of his bald hair bit by bit.
Every hair is carefully managed and flawless, just like his surgery.
"Can I believe you?"
Rebirth in 1986, in this country where guns are not prohibited, hunting is not prohibited, wild animals are not protected, and even black bears and wild boars harm the fruits of the people's hard work. The superior departments encouraged and called on the villages to The time when the village was active in hunting.
As a soldier in the Yong'an Tun militia platoon and a member of the hunter brigade, Zhao Jun walked to the mountains with a gun on his back and lived a life of hunting with dogs.
This story is purely true. If there are any similarities, it is true! ! !
(End of this chapter)