Chapter 63 That’s it? The crown jewel? (Leader, I am a bastard.)
"Director Qin, you can't do it, so you can't just watch the patient die. Put other things aside, if you encounter it, you must give it a try."
Luo Hao only said one sentence, which was like a hammer, hitting Qin Chen's heart.
"Bang"
The nail was driven in.
"If the patient has a chance of survival, it lies with the two of us."
Qin Chen looked at Luo Hao, he hadn't seen the little guy in 2 years, how could he be so confident?
Zheng Zeyuan from Shanghai Municipality refused to accept patients, but he encouraged himself to come on stage and showed full confidence.
"Let's see the patient first. How about it, Director Qin." Luo Hao finally said.
Qin Chen has made up his mind.
After putting away the mirror and comb, Qin Chen didn't feel that he had too many things to do. Before going out, he raised his hands and put them on his head.
But this time the background music did not play.
Qin Chen knew that he was not completely sure of completing this operation.
If you really fail, you can guess what the other party will say even with your big toe.
"Director Qin, I was rude just now. As a family member of the patient, I didn't even introduce myself." The man from the First Hospital of the Medical University stood at the door. When he saw Qin Chen coming out, he immediately bowed his head and said.
"My surname is Jin. I am the vice president in charge of the clinical department of the First Hospital of the Medical University. I used to be a neurosurgeon."
"Dean Jin is so polite." Qin Chen said calmly, with a calm look on his face.
Dean Jin was extremely polite to Qin Chen, and Director Shi was a little numb.
There are still so many people waiting for the annual meeting in the auditorium, but Director Shi doesn’t want to do the demonstration surgery at all, at least not now.
Director Shi knows exactly what is going on with Dean Jin’s father.
Director Shi felt that ercp could not solve the problem at all and had to resort to surgery.
But after three days and five rounds of hospital-wide consultations, no one dared to perform surgery.
No matter what they said, they all used the reason that the patient was 84 years old, had a lot of geriatric diseases, had a history of major surgeries, and had a sticky mess in his stomach, so he couldn't do it at all. to ercp.
The thing is such that even Nan Zheng refused to accept it, and Dean Jin was also in a hurry and sought medical treatment.
Southern Zheng and Northern Qin are about the same level. Professor Zheng refuses to accept it. He is not sure. Qin Chen is sure?
Director Shi followed Qin Chen curiously and asked one of his doctors to inform the experts attending the meeting to wait.
When he arrived at the ward, Qin Chen changed into white clothes and began an extremely professional physical examination.
In the system panel in the upper right corner of Luo Hao's vision, the diagnostic assistant AI already has a diagnosis.
There are roughly several types of diseases. The patient in front of me is one whose diagnosis is clear but cannot be treated.
The role of diagnostic auxiliary AI is not great.
The patient was already jaundiced, probably because he had just taken analgesics and fell into a drowsy sleep.
The overall condition is extremely poor, and it should be difficult to survive the surgery.
Even if it is a general anesthesia, the anesthesiology department must weigh it again and again.
If it is an ordinary patient, the anesthesiology department can find 180 reasons to refuse anesthesia. But Dean Jin is here. If necessary, the director of the anesthesiology department will probably cry and go on stage to anesthetize himself.
Everyone knows that there is a high possibility that the patient will die on the stage.
After seeing the patient, Qin Chen went to the office to watch the film.
Sitting in front of the computer, Qin Chen placed his right hand on the mouse and looked at the patient's image data frame by frame, his hands and feet feeling a little numb.
The diversion surgery performed by the patient at that time was extremely large, and the entire local anatomy was in a mess.
No wonder Professor Zheng from Magic City didn’t dare to take it.
Whether it is surgery in Nanzheng or Beiqin, without going into details, there is at least a 50% chance that the operation will fail.
Seeing Qin Chen's increasingly serious expression, Dean Jin's heart gradually sank.
The top domestic experts all gave unanimous judgments.
Difficult.
When Qin Chen finished watching the film, Dean Jin immediately bowed slightly and said in a deep voice, "Director Qin, please excuse me. We are all in the medical field, and I know about my father's situation."< br>
“If you come to power, 99% will die; if you don’t come to power, 100% of you will die.”
"A dead horse is a living doctor. I beg you to come on stage and give it a try. The failure of the operation means that my father's life is bad. Don't worry, I will definitely have no complaints."
"Director Qin..."
< br>Dean Jin almost begged.
He understood that if the top ercp surgeons did not perform the surgery, even if the best medical resources were thrown in, it would be a bottomless pit.
The old man can survive in pain for half a month to a month at most.
There is no need to live without quality of life just to catch your breath.
While Director Qin Chen is here, let him give it a try. Whether he succeeds or not depends on his best efforts.
Dean Jin understands clearly that he is a surgeon, so he has no worries about doctors.
The saying that 99% of people die if they do surgery; 100% of people die if they don’t do surgery. This is what neurosurgeons say most often.
Now that it comes out of my own mouth, it is extremely weird. Is this considered a boomerang?
Qin Chen didn't say anything. Just as he was about to stand up, he raised his hands, clasped his head, sat down again, and read the film again.
Not only was Dean Jin not angry, he was overjoyed.
Director Qin agreed.
My sincere attitude dispelled all Director Qin's concerns.
Him!
Be willing to give it a try at the risk of failure! !
Dean Jin took a long breath and shed tears of gratitude.
Dean Jin is somewhat familiar with those things in the circle. It is absolutely impossible for Nan Zheng and Northern Qin to be elected as academicians of the Academy of Engineering.
In five years, it is unlikely to improve technology. What they all have to do is publish more and more important papers.
And the more important thing is not to make mistakes.
Director Qin took a huge risk and agreed to the operation. This was a kindness.
"Director Qin, don't worry, it doesn't matter even if the operation fails. I guarantee that no more people will know." Dean Jin said cautiously.
Qin Chen still said nothing.
It’s just that his movement of flipping through the video data was a little slower.
Every frame is viewed extremely carefully.
However!
The more carefully I watched the film, the darker Qin Chen’s face became.
Dean Jin did not dare to say a word of nonsense, for fear of saying something wrong, so Qin Chen walked away.
He winked at Shi Zhongjian.
"Director Qin, the operation must be very difficult. I will be your assistant, not even a nurse."
"You?" Qin Chen sneered.
“…”
“…”
“You are not good enough.” Qin Chen said lightly, “There is Luo Hao, so I don’t need you.”< br>
Director Shi almost spit out blood.
This time he really understood that he was really not as good as Luo Hao in the eyes of Director Qin Chen.
"I'm going to do your demonstration surgery. Let's do it in the emergency department." Qin Chen called up the patient's test sheet after watching the movie.
“Various indicators are declining rapidly. If we don’t do anything today, we will have even less certainty tomorrow.”
Dean Jin kept bowing in silence, expressing his gratitude with actions.
Even if there is only a 1% possibility, that is hope. It is better than being sentenced to death and watching the old man die.
"I didn't bring anyone here, the difficulty of the operation..."
"Director Qin, don't worry, I know everything. To put it bluntly, if I really can't get off stage, it will be my father's fate. I If I say anything bad about you, I will be struck by lightning!" Dean Jin swore.
"I've said it before." Qin Chen said lightly, "I'll do my best."
"Thank you, Director Qin!"
Dean Jin bowed deeply.
Arriving at the ercp room, Qin Chen sighed in the dressing room.
"Director Qin, are you worried?" Luo Hao asked with a smile.
“I just finished my hair.” Qin Chen was helpless.
Luo Hao knew that Qin Chen only entered the operating room once a day and would not leave the house until all operations were completed.
The reason is that the hairstyle is not messy.
Qin Chen Director Qin's action was full of ritual and full of the flavor of that era.
"Director Qin, I will do the preliminary steps first."
Qin Chen nodded and changed clothes silently.
Just like soldiers about to go to the battlefield, they move quietly but quickly.
This world is a grass-roots team, so any little bit of professionalism can stand out.
Qin Chen and Luo Hao came to the ercp room.
Dean Jin is already waiting in the operation room. He is wearing a lead suit and looks like he is ready to go in together.
"Director Qin, I have arranged the person. This is a technician. When I did the interventional surgery for the middle cerebral artery aneurysm, he has been cooperating with me. The nurse inside is the nurse I used back then. , I may not be familiar with some operations of ercp, please forgive me."
"It's okay." Qin Chen was very satisfied with Dean Jin's arrangement.
We have arranged for Dean Jin’s own people to minimize the impact on him if the operation fails.
No doctor is willing to perform a surgery that will fail 100% of the time.
When a top domestic expert was doing a new surgical technique, the door to the surgical room was always closed, and only fixed people were used.
Whoever breaks in will be scolded, and if the operation does not go well, it is possible that a bunch of hemostatic forceps will be thrown at him.
“This is the deputy director of our anesthesiology department. When I was doing neurosurgery, whenever possible, I would ask him to arrange the surgery. The technical level is not very high, but it is absolutely stable.”
< br>Dean Jin introduced the anesthesiologist to Qin Chen.
The entire team was the one Dean Jin was familiar with, had the best connections with, and was the most advantageous to.
On the weekend again, there are no surgeries in the ercp room.
The door is closed and empty.
After the head nurse of the ercp room who came to help find equipment prepared everything, she was immediately kicked out by Dean Jin.
At this moment, the ercp room becomes a confined space.
Wear lead clothes and brush your hands.
The outer layer of the lead coat in the First Hospital of the Medical University has small pink flowers, which Luo Hao doesn't like.
It is said that this color can relieve visual fatigue, but it seems a bit unserious to Luo Hao, and Chen Yong especially likes this kind of coquettish little pink flowers.
However, the weight of the lead clothes is much lighter than the equipment that his uncle Lin Yuming prepared for him. Luo Hao has no burden, which is good news.
Standing in the surgeon's position, Luo Hao began the operation.
Dean Jin was wearing a lead coat and was slightly startled when he saw that Qin Chen only changed clothes and did not undergo surgery.
But he didn't speak.
The preliminary steps are completed by lower-level doctors. This is an unspoken rule in the industry.
How can any expert explain step by step from disinfection to the last stitch?
For example, some time ago, 912 Director Gu Huaiming and his team went to Donglian Mine to fly knives. Director Gu did it all by himself from beginning to end. That was because there were special circumstances and it was definitely not a common phenomenon.
Luo Hao held his breath and concentrated on the operation, unaware of Dean Jin's emotional changes.
He did not use the [Flow] skill at the beginning, but took the prerequisite steps step by step.
The distance from the endoscope to the biliary-intestinal anastomosis is longer.
Due to changes in the anatomical structure, the cavity is more curved, making it extremely difficult.
After the surgery level was upgraded, the bends were nothing to Luo Hao. All bends, even bends that were almost right angles, were eliminated by Luo Hao in one go.
Dean Jin stared at the screen intently. The lead clothes on his body seemed to be heavier than ever before, weighing him down so much that he couldn't breathe. Although Dean Jin has never performed ERCP surgery, he still knows the most basic common sense.
The level of the young doctor who was doing the preliminary steps was so high that Dean Jin could not believe it.
No wonder Director Qin Chen personally ordered the general, and he knew with just a few glances that the young doctor's level was at least as good as Director Shi's.
But don’t they have conflicts?
As soon as the distracting thoughts came up, Dean Jin suppressed them again.
None of this matters!
Director Qin’s young assistants have such high standards, so wouldn’t Director Qin’s level be higher than imagined? !
A little spark of hope burned in Dean Jin's heart.
The mirror came to the duodenal loop, which was like a maze due to the surgery decades ago.
It was a mess, with no normal anatomical structure visible at all.
Luo Hao stretched out his hand.
“Short enteroscope.”
The nurse immediately started searching.
Her movements were a bit unfamiliar.
"The third one from the left." Qin Chen reminded.
The nurse's face suddenly turned red. She quickly opened the sterile package and handed the short enteroscope to Luo Hao.
Dean Jin glanced at Qin Chen.
Director Qin still sat firmly on Diaoyutai with his hands behind his back.
"Director Qin, you..."
"Don't be in a hurry." Qin Chen said lightly.
Dean Jin did not dare to urge me too much.
After all, he is asking for surgery. Director Qin has no control over when he wants to do it.
Even if you are a family member of a patient.
But Dean Jin understands that he is not a patient's family member in the typical sense.
But Director Qin Chen and Qin were too trusting. He put on clothes and stood on the operating table, which was more soothing than standing underneath.
I’ve already put on my lead clothes, but that’s all?
Dean Jin is confused, puzzled and confused.
The one who had the same sentiment as him was Director Qin Chen.
Originally, Qin Chen thought that Luo Hao's level was not bad and he was more than enough to be an assistant.
However!
As soon as the expert reaches out his hand, he will know whether it is there or not.
After Luo Hao stood in the position of the magician, his aura changed. The pre-steps were simple, straightforward and smooth. Even Qin Chen felt that if he replaced himself, he could probably do it. This point.
When did this bitch become so powerful? Qin Chen was confused.
He wanted to see more.
Luo Hao successfully passed several right-angled bends using the gastrointestinal endoscope. Dean Jin could not understand the technical details, but Qin Chen could see them clearly.
Luo Hao’s level is comparable to his own!
Qin Chen made an accurate assessment of Luo Hao.
Even a day ago, Qin Chen thought this was nonsense.
But when faced with Luo Hao's surgery, Luo Hao's effortless movements and technical details, even Qin Chen could only admit this.
Ordinarily Qin Chen should go up at this stage of the operation, but he did not move.
Qin Chen wanted to continue to see how strong Luo Hao was.
The position of the patient's duodenal input loop has countless bends, like a maze.
When Qin Chen evaluated the difficulty before the operation, he determined that this was the most difficult place, and the probability that he could make the mirror pass was no more than 50%.
I guess Professor Zheng from Shanghai Magic City thinks so too.
But Luo Hao made no move to let himself go on stage, as if he was full of confidence.
Could he really do it?
Qin Chen became more and more curious. He was waiting for Luo Hao to fail once before he would try it himself.
Luo Hao sent the enteroscope to the position of the duodenal input loop, stabilized his mind, and clicked the [Flow] skill on the system panel.
For a moment.
The world in front of Luo Hao has changed.
Time seems to slow down, and the twisted duodenal input loop seems to become transparent. I have a clear perception in my mind of how to pass each position and how to use the strength of my hands.
This is the first time Luo Hao has officially used the [Flow] skill.
It’s very useful, and it’s even better than what I estimated when I first got the skill!
Luo Hao had no time to rejoice. He was immersed in a state of flow and had briefly broken through the level 6 level of surgery, even reaching the peak level of level 6 that even Qin Chen had never touched.
The enteroscope moves forward slowly in the duodenal input loop. As the cannula is pulled and retracted, the mirror turns a corner lightly.
Nine twists and turns, rapids and rapids.
But the enteroscope in Luo Hao's hand was like a small boat, sailing smoothly through the duodenal input loop in less than 3 minutes.
The enteroscope lens passes through the duodenal input loop and finally reaches the biliary-enteric anastomosis without any danger.
It can be seen that the opening of the bile duct of one left hepatic branch is narrow, with purulent coating and stones embedded in the opening. Dean Jin is fine. He is just wondering when Director Qin Chen will go to the hospital.
And Qin Chen has been completely petrified.
The curvature, complexity, and adhesions of the patient’s duodenal input loop are several times more complicated than what appears on the film.
If you do it yourself, there is not even half a chance of success.
The pre-operative evaluation was 50-50, but looking at it now, that was an overestimation.
Qin Chen watched the operation process and the patient's local anatomy.
He has a clear judgment - if you do it yourself, there is a 30% chance of success at most.
However!
In less than 3 minutes, without a single mistake, Luo Hao easily passed the enteroscope through the duodenal input loop and saw the biliary-enteric anastomosis.
The moment he saw the biliary-enteric anastomosis, Qin Chen almost went crazy.
Luo Hao!
Go back to your hometown directly after graduation.
ESD surgery has not even been carried out, and ERCP has only recently performed a few surgeries in a small local hospital. The number of patients and the complexity of the disease can be imagined.
Doctors need a platform.
Only on a higher platform can progress be possible.
Not only the connections, but also the massive and difficult patients.
But what about Luo Hao?
Back in my humble hometown, my skills improved even faster than myself! !
How is this possible! !
Qin Chen was inexplicably surprised and had already turned to stone. He had forgotten that he was about to go on stage after seeing the biliary-enteric anastomosis.
There is only one thought in his mind now - Luo Hao can definitely perform this operation!
Dean Jin saw the biliary-enteric anastomosis, purulent fur, and faint stones on the screen. He was a little anxious.
"Director Qin, come on." Dean Jin reminded tentatively.
"How about you go ahead?" Qin Chen's train of thought was interrupted by Dean Jin, who didn't tolerate him at all and directly fought back.
“!!!”
In the Ercp room, the anesthesiologist, equipment nurse, and technician were all dumbfounded.
"What nonsense are you talking about? Come on if you can, and I will turn around and leave. If you don't come, I'll just watch." Qin Chen scolded angrily.
Dean Jin was shaking all over and burst into tears.
He couldn't figure out the situation. What the hell was going on?
"Intubate and prepare for angiography." Luo Hao's voice interrupted the awkwardness in the ercp room.
The equipment nurse quickly handed Luo Hao what he wanted, the airtight lead door slowly closed, and the imaging started.
"The ball bag needs to be 6 millimeters."
"Take the stone net."
"No, the net needs three petals. On your right The second one, just open it to me."
In the Ercp room, only Luo Hao's gentle voice came out slowly.
The steps such as intubation, angiography, balloon dilatation, basket-net stone removal, and drainage stent placement were all carried out smoothly.
The operation duration was 42′22″.
The operation was completed.
Luo Hao entered the [flow] state at 31′11″ and had to rest for more than 5 hours.
But Luo Hao noticed that he was not that weak.
The weakness time marked by the system has not changed, but my own feeling is very obvious. After the actual operation and using the [flow] state, the weakness is much stronger than when I tested it myself.
Maybe it’s the reason for [energy conversion], Luo Hao guessed.
"The operation is done, Director Qin." Luo Hao turned around and tore off the lead clothes.
The previously "light and fluttery" lead coat was now extremely heavy, so Luo Hao threw the lead coat directly to the ground.
“Boom~”
There was a muffled sound.
“Is the operation completed?!” Dean Jin was confused.
Is this done?
A student performed the surgery?
Is this still a difficult surgery that even Professor Zheng in Shanghai dare not accept?
Is this still the brightest pearl in the ercp crown as Director Shi Zhongjian said? !
In Luo Hao's hands, the pearl turned into a fish eye, and Luo Hao didn't even encounter any difficulties.
The operation was completed in just 40 minutes.
In an instant, Dean Jin felt like he was dreaming.
He felt like he had been deceived by the whole world.
"I'm done. I'm so tired." Luo Hao sighed, "Dean Jin, please help me find a rest room. I want to sleep for a while."
"You are young and your body is so weak." Qin Chen habitually said contemptuously, "I told you not to have so many girlfriends."
"..." Luo Hao did not refute, he was too lazy to explain.
Although the feeling of weakness after using the skill is greatly diluted by the [Energy Transformation], it is still a bit weak.
Skills are really easy to use, but the weakness after using them is really uncomfortable.
Luo Hao knew that he had entered the sage's moment and urgently needed a rest.
"Dean Jin, please arrange a rest room to keep it warm. Don't let Dr. Luo catch a cold." Qin Chen said in a deep voice.
"Okay, okay, okay." Dean Jin hurriedly went to arrange a place to rest.
After Luo Hao went to rest, Dean Jin asked someone to carry the old man onto a flat car and take him back to the ward.
Dean Jin held the stone that almost killed his father and asked doubtfully, "Director Qin, didn't you say that my father had a narrow escape from death?"
"Didn't your hospital say that when explaining the condition to the patient's family?" Qin Chen asked disdainfully.
“…”
Dean Jin’s eyes were filled with tears.
"Director Qin, I heard Director Shi Zhongjian said that this similar operation is the crown jewel of ercp surgery."
"There are so many pearls, in my opinion, it is just a general surgery It’s a common minor surgery. As you saw just now, I don’t even need this kind of simple surgery.”
After Qin Chen finished speaking, he shrank his neck and looked back.
Luo Hao, not here.
That’s good. Qin Chen raised his hands and folded his head, and music played in the background.
……
……
Note: I won’t write a single chapter. I’ll tell the adults who are pursuing my studies to attend academic conferences on the weekends. I have been struggling for a long time, but I am still ready to listen to gossip and see the latest developments in academia. Return on Sunday night or Monday, and continue with the leader’s update on Tuesday.
Sorry, sorry~~~Group call everyone.
(End of this chapter)