Chapter 145 In the eyes of interventional doctors, it is as wide as the sea
“Xiaoluohao, your level is good.”
Boss Chai praised Luo Hao when he walked out of the surgery room.
“It’s okay, mainly because these patients are suitable for PTCD.” Luo Hao smiled.
"Dr. Xiao Luo, you said before that ERCP can indwell double drainage. Are you kidding me. Is it really possible?" Zheng Siyuan asked calmly.
"No kidding, if there are suitable patients, I can try to make one."
Try, make one.
Zheng Siyuan could hear full confidence in Luo Hao's words.
The teaching surgery is easy to learn, and there is no ambiguity at all, just like an ordinary gastrointestinal endoscopy.
How confident do you have to be to say such a thing? Zheng Siyuan fell into deep thought.
The patient was sent away, and Luo Hao felt refreshed.
After Chen Yong Kekan uses it, his burden is much lighter. As long as the [Flow] mode is turned on and the time is controlled well, it will not have long-lasting negative effects.
"Boss, it's time to take you home." Luo Hao said.
“Let’s go and take a look at the post-operative patients, then go home and sleep.” Boss Chai’s eyes were full of joy, which was beyond words.
“Xiaoluohao, I didn’t expect that your ptcd skills are really good. You are the best among the similar surgeries I have seen.”
"Boss, I still have room for improvement. Let me think about it more and show it to you."
Luo Hao was not polite, but drew a big pie for Boss Chai.
Boss Chai just did this, with a big smile on his face. He was happier than fishing at night to catch a 13-pound big carp.
The patient was in good condition after the operation, and there were slight signs of peritonitis on abdominal examination, but this was expected.
After all, the patient's bile duct was punctured before, and bile entered the abdominal cavity, and the bile stimulated signs of peritonitis.
After Ptcd surgery, the bile duct and tumor were supported by covered stents, and the "loopholes" have been repaired.
In the short term, the patient's condition should improve.
Because the patient is already "terminal" and is a terminal cancer patient, improving the quality of life in the final period is the key point.
In terms of never seeking recovery, but only seeking to improve the quality of life, it can be said that the purpose of the surgery has been achieved, almost perfectly.
After seeing the patient, Luo Hao sent Boss Chai home, and then he and Chen Yong went to the hotel.
"Luo Hao, am I awesome?" Chen Yong finally calmed down and asked arrogantly. The previous nervousness was gone.
"Of course, I have already said that you are great." Luo Hao praised sincerely.
“I’m telling you, if you have time, go to Station B and have a look. You’ll find everything you need!”
“Okay, I’ll take a look when I have time.”
“Luo Hao, when do you think I can do the main steps?" Chen Yong asked.
Luo Hao pondered, "Looking at your rapid progress, I estimate that in a while, liver cancer...you will be able to master complex liver cancer surgeries, and you can also perform simple ptcd."
"This is not possible today. "
"No." Luo Hao said, "Today, all hospitals in the country are unwilling to accept this kind of patient. If Teacher Zheng hadn't come to Director Qin to complete a technical breakthrough, Union Medical College would not be able to accept it. It’s hard to accept, so I can only go to the hospice ward.”
“The cancer is late, there is no other way.” Chen Yong sighed.
Although he was sighing, Luo Hao noticed that Chen Yong's fingers were twirling, his eyebrows were dancing, and he was not frustrated at all.
When was your first successful surgery? Luo Hao recalled while driving.
It must have been 8 years ago that the teacher and I went on stage for the first time to perform an appendectomy. I completed the laparoscopic appendectomy myself, and I seemed to be ecstatic.
Back at the hotel, Luo Hao finished washing and lay down on the bed, looking at the system panel carefully.
[Emergency Mission: The trouble caused by Forge ahead has been completed.
Task content: Emergency surgery to treat patients with hilar bile duct fistula.
Mission time: 5 hours.
Task reward: free attribute point +1, random attribute point +2. 】
Random attribute points were added to the spirit by the system, and Luo Hao randomly added free attribute points to luck.
78+4.
There are benefits to improving mental power, but Luo Hao hasn't adapted yet, and he always feels that he can hear more sounds.
After nearly an hour of drowsiness brewing, Luo Hao fell asleep.
......
"Zheng Siyuan, can you do it?" Qin Chen frowned and looked at the screen.
His sterile cap has been rubbed into a mess, and the big back of his head below is probably out of shape.
Qin Chen, whose head can be broken and blood can be shed, but whose hairstyle cannot be messed up, finally got messy.
"I definitely can't do it, and neither can you. You're not as good as me." Although Zheng Siyuan looked calm as usual, there were bloodshot eyes in his eyes, and he looked a little haggard.
“Years ago, I heard you bragging about what your assistant could do. I knew it was a lie, so I went to Donglian City to take a look at Luo Hao.”
“What do you mean by bragging! Which of my words is a lie? Besides, I am not as good as you?" Qin Chen said unhappily.
"Each sentence is true, but together they are lies. Not to mention this, Luo Hao told me about the operation process at that time. I have studied it in the past few months and have benefited a lot. "
Qin Chen took a deep look at Zheng Siyuan.
His mental journey was exactly the same as mine.
Damn it, how great would it be if they weren’t fighting in a narrow alley to compete for a seat as an academician? If such people were friends, they should have a lot in common.
"At that time, I thought that Ronaldinho's surgical skills should be a little higher than mine. Now, he should be much higher than me."
Zheng Siyuan said what he had been holding in his heart, Chang He was angry and felt lost in his heart.
“Ercp is installed with double-tube drainage. I guess Luo Hao also wants to do the same as South Korea and the United States, first remove one side, and then the other side. The stents are superimposed and flattened with a balloon.” Qin Chen He gave up the feeling of sympathy with Zheng Siyuan and began to study surgery.
"It is indeed inappropriate to do this, but now there is no better way, we can only adopt this method."
Zheng Siyuan added.
"Luo Hao probably did the same thing. Professor Zheng, what do you think is Luo Hao's chance of successful surgery when a large tumor compresses and blocks it?"
"Let's give it a 50-50 chance." Zheng Siyuan thought for a while and gave a very cautious number.
“Are you sure?”
"I'm in Shanghai and have a lot of exchanges with the Korean side. I've also witnessed the whole process of them doing related projects."
"Which project is it?"
"Yes, it's that project. "Zheng Siyuan knew that Qin Chen understood what he meant, so he didn't hesitate, "The research they did was very interesting. Patients with failed surgeries were not counted. Only patients with successful surgeries were counted."
"No wonder, I said South Korea. No matter how small the place is, there shouldn’t be so many relevant patients.”
“55% off is their data, even lower than 50% off for this kind of surgery. I think it’s better to keep the order. Lateral drainage, or it would be better to do ptcd.”
"Professor Zheng, what you said is wrong." Qin Chen retorted, "The tumor is big, and ptcd can't do it."
"Luo Hao did it." Zheng Siyuan stretched out the middle finger of his right hand and raised his glasses.
I couldn't talk a word that day. Qin Chen didn't like Zheng Siyuan, especially when he extended his right middle finger to hold up his glasses in front of him, as if he was gesturing with his middle finger.
"Luo Hao, I did it by chance." Qin Chen retorted while holding back his nausea.
The relationship between the two is subtle, and while they cherish each other, they also have the fiercest competition. The two master-level surgeons from the north and the south have a heated discussion about subject survival and pioneering.
"By the way, is the Korean issue still going on?" Qin Chen suddenly asked.
“No, I went on strike and went to serve in the military.” Zheng Siyuan said.
......
Luo Hao didn't know that Qin Chen and Zheng Siyuan had hardly slept all night. Even if they knew, it would never affect Luo Hao's sleep.
The next morning, Luo Hao woke up, opened the curtains and saw the busy traffic outside, and felt that this is what the world should be like.
India should be forgotten as soon as possible, Luo Hao thought.
But that side is indeed a paradise for new techniques and medicines, so Qin Chen and Zheng Siyuan have to be cautious when they want to do some research.
Director Qin Chen should be advised to go to India. Luo Hao smiled after this idea came to his mind.
After taking a hot shower, Luo Hao felt comfortable to the core.
Going to have breakfast in high spirits, Luo Hao saw Chen Yong.
Chen Yong was full of energy and his eyes were shining brightly. It was obvious that yesterday he stretched out his hand to do ptcd for the first time and completed it perfectly, which greatly encouraged Chen Yong.
"Luo Hao, you're up too."
"Well, Director Qin is going to take me to visit the judges today." Luo Hao said, "Follow the procedure."
< br>“Are you qualified?”
Chen Yong asked.
"Generally, a score of 90 depends on the relationship with the judges. My score should be 99, as long as it does not leave an unruly impression on the judges.
Even if the impression is not good, the hard standard is enough , it’s difficult to take it off. It’s probably because the old minister was afraid of an accident and urged Director Qin to take me to have my face cleaned.”
“Why is it still one point behind?” Chen Yong asked.
"There is no perfect score option. If the moon is full, it will lose. It is an old Chinese tradition." Luo Hao started to pick up the food.
He didn't eat much, just two poached eggs, a bowl of porridge, and two plates of pickles.
"Just go through a process? That doesn't require Qin Chen to brush his face. You don't know, every time I see his big back, there will be background music in my mind. The God of Gamblers is in and out, but Qin Chen..."
"Director Qin likes it. Doctors are in good spirits and have a higher level of trust among patients. I have met some sloppy doctors. Their skills are quite high, but their senses are not good. , the patient has little trust.”
“Look, I just say that everything depends on appearance.”
Luo Hao glanced at Chen Yong.
Chen Yong did not look proud, and seemed to be just telling the most ordinary thing.
This concept has been engraved in Chen Yong's bones.
Luo Hao smiled, "How was your blind date?"
"Blind date?" Chen Yong was surprised, "Why do you still care about this."
"Look It depends on how much money you make." Luo Hao said with a smile, "Some time ago, a classmate of mine took an old man on a trip. He had a minor knee joint problem, but it was not central. He wanted to fight Speite."
" I went to a major tertiary hospital, and the orthopedic clinic doctor directly prescribed a shot of medicine costing 6,000 yuan.”
"Crazy!"
"My classmate said that since I am from Xiehe University, I just want to take a shot of Spectra. So, it is better to have some money than no money."
" The blind date was also very chaotic. There was a buddy who was a liar." Chen Yong looked disdainful.
Luo Hao understands that Chen Yong does not need to lie, he is the one who is being cheated.
“I was fooled once and rented a Mercedes-Benz. It turned out that the woman was connected with the car rental company and earned commission. She was not allowed to touch it. After calculation inside and outside, I lost more than 4,000. Who is a good person getting married nowadays? , you say so.”
"Then you..."
"Me? I'm a Taoist priest." Chen Yong said naturally, "If you don't believe me, I will let you die and go to hell! Believe me, The benefits are great."
"You guys?"
"Believe it or not, don't delay my ascension to immortality."
That's right, Luo Hao. There's really no way to argue with that.
Before he finished eating, Qin Chen called and asked for emergency surgery.
Luo Hao glanced at the system panel and saw that the system did not issue any tasks.
A bit of a pity.
Luo Hao knew that Qin Chen was because of what he said yesterday, so he found a similar patient to see how he did it. Luo Hao has already studied the relevant surgeries repeatedly in the system operating room. With the completion of the long-term main task and the improvement of the surgical level, Luo Hao is very confident.
It's a pity that my surgical level is already very high, and the long-term main task promulgated by the system will no longer directly improve the surgery one level after another.
But it’s enough.
"Luo Hao, are you still going to do ptcd surgery today? Can you let me give it a try?" Chen Yong was already eager to try.
"No, we will use endoscopy today."
"Endoscopy? Is it the same surgery that Qin Chen and Zheng Siyuan tried yesterday, but failed and pierced the bile duct?"
"Yeah."
Chen Yong's body glowed with light.
Chen Yong likes this kind of pretense and slap in the face the most.
"Luo Hao, you must complete the operation easily this time!"
"Ham, the operation is difficult. But, that is only for endoscopists."
Chen Yong's eyes lit up. Although Luo Hao said politely, he was limited to the first half of his sentence.
"You think, you can occasionally operate a point 18 guidewire into a blood vessel and super-select grade 3 or 4 capillaries."
"Yeah." Chen Yong nodded.
What Luo Hao said about being able to do it occasionally is just an objective description, and it is a fact. He can indeed only super-select level 3 blood vessels, and he has to try his luck with level 4 blood vessels.
“Gastroscopes and colonoscopes are so thick that they can be inserted directly into them. The esophagus, intestinal tubes, and capillaries are incomparable. In our opinion, the surgery is actually not that difficult.”
"Luo Hao, I just appreciate the way you punch hard when you pretend to be cool in front of me, and the way you are submissive in front of others." Chen Yong said sarcastically.
“Oh, I said this to Director Qin and Professor Zheng yesterday.”
“!!!”
Chen Yong’s eyes were bright and sharp. .
“That’s why Director Qin is so interested. Take the time to find a relevant patient and let me show you.”
That's right.
Chen Yong has some things that are difficult to distinguish between true and false.
But it doesn’t matter what you say, the main thing is the surgery.
The people in the audience are talking wildly, but the people on the stage are dumbfounded. This kind of people is not uncommon, and it is not very rare.
After dinner, we came to the hospital and went straight to Qin Chen’s office.
Luo Hao wants to see the patient first.
Advanced stage of cholangiocarcinoma, yellow stems, liver failure.
Without surgery, the patient would not survive a week. I talk a lot a week, and I can last about 3 days at most.
Moreover, Luo Hao noticed something. This patient's attempt to undergo PTCD in an interventional department outside the country failed. The patient's family was unwilling to do so, so they came to the Imperial Capital to seek medical advice.
There are countless similar patients in Imperial City. After all, this is the last stop for medical treatment in the country.
"Ronald, are you sure? Don't just brag." Qin Chen was still the same.
"It's okay." Luo Hao replied with a smile, "Get ready for the surgery."
"You blocked the bile duct when you removed the stent."
< br>"Don't worry, Director Qin, I have a good idea."
Qin Chen knows Luo Hao's temper. He is gentle and gentle. No matter what he says, he will definitely not be angry.
The key is that Luo Hao won't be soft when he takes action.
It was just like the surgery done in the First Hospital of the Medical University years ago.
Qin Chu had a clear idea of what was going on at that time.
Look.
The patient was sent to the endoscopy room, and a set of procedures took nearly 2 hours.
Among them, the pre-operative explanation took up most of the time. Luo Hao was a little helpless about this and even began to miss his life in India.
If you really want to increase the number of surgeries, India is the best place, bar none.
Luo Hao did not think about it. With that kind of effort, it would be better to do a few more surgeries to get more benefits.
Brush your hands and go on stage.
Through the leaded glass, Qin Chen looked at Luo Hao silently.
"Director Qin, do you think Dr. Xiao Luo will do the left side first or the right side first?" Zheng Siyuan asked.
He pulled up a chair and sat in front of the screen in the operation room, seizing the best seat.
Even on Qin Chen’s home court, Zheng Siyuan would not give in at all.
Qin Chen did not fight like a child. He stood behind Zheng Siyuan with his arms folded and looked at the screen.
“I think the left side should be done first, because from a surgical perspective...”
Qin Chen explained his understanding.
Zheng Siyuan smiled slightly, "Director Qin, you still don't know Dr. Ronaldinho. From what I know about him, the right side should be done first. The advantage is that the impact on the biliary tract will be less when the stent is inserted."
"It's impossible. It would be too difficult to do the right side first."
"It's difficult, just what you think is difficult."
"You don't think it's difficult?"< br>
Before the operation started, the two had already started arguing.
The technicians and nurses in the operating room lowered their heads and were silent and busy.
Although Director Qin Chen and Qin are his immediate boss, no one else can participate in this kind of quarrel.
It’s noisy.
A voice came from the surgery room next door.
"You were not allowed to eat! Didn't the nurse tell you?" a professor said angrily as he walked out.
Then he opened the door and called the patient's family.
"I told you so clearly yesterday, don't feed the patient, and don't eat water! Who fed the egg custard this morning!"
"I fed it, what's wrong!" A family member of a patient shouted confidently, "My dad is so sick. He gives him laxatives and refuses to eat. Even a good person will starve to death!!"
"What's wrong with eating?" , I just ate a bowl of egg custard and you can’t see it!”
"Quack doctor!"
Zheng Siyuan glanced at Qin Chen.
Qin Chen walked out of the operation room and said, "Xiao Liu, please be discharged automatically."
After saying that, Qin Chen came back, closed the door, and was separated from the hustle and bustle outside into two worlds.
"Director Qin, your place is quite chaotic."
"Nonsense, you are talking as if there is no chaos." Qin Chen curled his lips, "Such unreasonable patients' families are everywhere, which proves the diversity of species."
"When I was young I met a patient who was a nurse in our department. The director wanted to perform a gastroscopy on her. Because she was an undergraduate nurse, he didn't explain much. When the time came, the director went to the nurse's duty room to call her to the stage, and he saw the nurse holding a cup of milk. "The food is delicious."
"Are you a nurse?" Qin Chen asked in confusion.
"Haha, I can't believe it." Zheng Siyuan said with a smile, "I didn't understand it at the time. Later, I guess the nurse was afraid and didn't dare to say anything, so she made an extremely stupid choice."
"You're so stupid!" Qin Chen scolded.
If that's the case... Zheng Siyuan was a little unhappy. He was about to turn around and argue with Qin Chen, but as soon as the screen lit up, Luo Hao had already completed the preparatory steps and started imaging.
Zheng Siyuan forgot about the quarrel with Qin Chen and looked at the screen intently.
The surgery was indeed done very skillfully. If I hadn’t known that Luo Hao was the surgeon, just looking at the surgical procedure, I would have thought that some big shot in his prime was doing it.
Should Luo Hao remove the bracket from the left side first or from the right side?
Zheng Siyuan fell into deep thought and looked at the screen in trance.
Suddenly, Qin Chen touched him behind him.
“What for?” Zheng Siyuan asked.
“Look up.”
Zheng Siyuan was about to say something, but when he raised his head, he was stunned.
Luo Hao's assistant is installing two covered stents into the ercp catheter.
Taking a glance through the leaded glass, Zheng Siyuan concluded that Luo Hao had chosen a 10F conduit.
Diameter 3.3mm!
Two membrane-covered stents are stuffed inside? !
It can be stuffed in, but how does Luo Hao do it?
Are you trying to save trouble or is it because of something else?
Zheng Siyuan was stunned for a moment. The same person as him was Qin Chen.
Watching Luo Hao's assistant install the two membrane-covered stents, Qin Chen fell into chaos and couldn't extricate himself.
This kind of operation has never been seen before!
Putting a stent into a 10F catheter requires a test of the surgeon's technique, which is quite rare.
Those who can do this are top technicians in China.
But why did Luo Hao install two membrane-covered stents? !
The operation room was so quiet that you could hear a pin drop. Qin Chen and Zheng Siyuan could even faintly hear their own heartbeats.
Before the operation, the two of them were still guessing whether Luo Hao should open the left or right bile duct first.
But it turns out that Luo Hao should want to open both bile ducts at the same time!
What is this operation?
It must be a mistake, it must be, Qin Chen thought in his heart.
Perhaps Luo Hao's little assistant had never done a similar operation, so he hurriedly stuffed the two covered stents into the 10F catheter.
Thinking about it, Qin Chen’s hand fell on the button of the intercom.
But just as he was about to exert his strength, Qin Chen did not move, his hand hanging on the intercom without moving.
Did Luo Hao’s assistant make a mistake, or did he make a mistake?
"Click~"
Qin Chen pressed the intercom but said nothing.
"Luo Hao, the two membrane-covered stents are a bit tight, which may affect the operation." Chen Yong's voice came out.
“It’s not harmful.” Luo Hao said casually, “You will know in the future when you become proficient in using the point 18 guidewire to super select level 4 blood vessels. In fact, it is not difficult.”
Difficulty...
Not high...
After hearing Luo Hao's comments, Qin Chen almost kicked open the airtight lead door and went in to scold Luo Hao.
If he had not gone to the provincial capital for the annual meeting a few months ago, Qin Chen would have definitely done this.
But now, Qin Chen fell into deep thought.
Maybe, maybe, maybe, Luo Hao can really do it.
"Get ready, focus on it, don't think about it being useless. The main thing is to use the 10f catheter as a guide wire for point 18. You watch me do it first, and then when I finish it, you can try out the feel."
"..."
The two grandmasters from the north and the south fell silent.
(End of this chapter)