Chapter 634 Comprehensive surgery?
Everyone watched eagerly as the great professors from the Imperial and Magic Capitals spoke. After all, most people still liked to watch the excitement.
In addition to Professor Wang and Professor Pei, there was also a professor from the Imperial Capital and the Magic Capital, and they were evenly matched in terms of numbers.
"Actually, I think I still have to do this surgery. The risk is worth it. As long as we avoid infection and control the rejection reaction well after the surgery, I don't think it's a big problem. We doctors just want to solve the problem for the patient. If we don't solve the problem, there is no point in sitting here to discuss it." What's the use? After a long discussion, the last sentence is: Send him home?" Another professor from the city said calmly, as if a teacher was reprimanding the students in a gentle tone.
This made Professor Didu feel uncomfortable. There were things the doctor did and things he didn't do, such as sending the patient home, as if he was very incompetent.
Another professor in the imperial capital couldn't help it and immediately took over: "Doctors do and don't do something. Medical skills are not omnipotent. Many times we cannot do things that we must face objectively and scientifically. We cannot force it. Just like some patients with advanced tumors, if they don't bother and do some symptomatic treatment, they may still live for a few years. The doctor just refused to give up. He tried a few waves of chemotherapy and radiotherapy, and then cut off another wave with surgery, regardless of whether the patient could resist it. In the end, the patient ran out of money and lost his life. Of course, the doctor's paper was also successfully published. There was something We must be calm and not take medical skills too seriously. ”
What do you mean? It seems that our medical ethics are not good enough and we are tormenting patients.
The professor from the Magic City tilted his neck and immediately counterattacked, his voice a bit louder: "If you can't do something yourself, don't think that others can't do it too, and treat incompetence as a virtue."
"It's all these surgeries, and who doesn't know how to do them? Is there any new technology? Taking the tossing as a skill? Who doesn't know how to do it?" The professor from the Imperial Capital sneered in turn.
In this way, the conservatives and the surgical factions began to enter a state of fighting again. To be precise, it was the factions of Professor Wang and Professor Pei. After the big bosses clashed, the younger brothers brought by the big boss began to strangle them to death.
Director Zhao smiled, took a sip of mineral water, and allowed them to express themselves freely. This was how a case discussion with more than a dozen experts from outside hospitals should look like.
"Record, record!"
Director Zhao immediately asked the doctor in charge of recording to work harder and write down all the discussion contents, especially the speeches made by famous experts from the Imperial Capital and Magic City. What wonderful speeches they made.
After the exchange of fire, there was another pause. Both sides were very combat-savvy and able to control the rhythm.
Now Professor Wang and Professor Pei are both blushing and have red necks. They keep drinking water to cool themselves down.
"The opinions of several professors are all right. One side is more concerned about the patient's immediate safety and should be more conservative; the other side is more concerned about the patient's long-term benefits and should be more proactive. So, let's combine the opinions of both sides and learn from each other's strengths. Can we take into account both sides? Can the operation be completed successfully while ensuring the immediate safety of the patient?" Professor Yao from Nandu Affiliated One came out to act as peacemaker again.
Director Zhao was quite dissatisfied. The fire had just started and you put it out again.
"Qin Xiaowei brought the artificial liver to the operating table, and Li Jun was most likely to be reconnected to ECMO after the operation. As long as the postoperative infection can be avoided and there is no excessive rejection reaction, the operation is considered a success. If they take this risk, they will benefit from it for the rest of their lives." , I think it’s still okay to take the risk,” Professor Pei from the Magic City said calmly again.
Everyone is a scholar, and Professor Wang from the Imperial Capital would not hesitate to attack again: "Explain it clearly to the patient. The current state of these two people is far worse than you know, and they are both on the verge of collapse at any time. If you must do it now, , the two must prepare to use ECMO to save lives. Once multiple organ failure is triggered, it will be difficult to save her.”
In fact, Professor Wang is not an alarmist. He is a summary of many years of experience. Organ transplantation or bidirectional transplantation for this kind of patient at this time is very risky, and it may cost two lives.
Professor Teng from West China saw that the battle had come to an end, and it was time to speak: "In fact, Qin Xiaowei's main problem lies in his liver. If liver transplantation is performed in time to solve the liver problem and prevent the triggering of multiple organ failure, the overall condition will improve, and every organ transplant patient will be better." There are risks such as postoperative infection and rejection, so So, these are not problems. However, Li Jun's current main problem is that if the kidney transplant is not performed in time, a suitable fistula site will no longer be found, and the coagulation function will also be disordered, which can easily cause bleeding or embolism. If a kidney transplant is performed in time, it can be done. To solve these problems, I still support surgery.”
It’s not that Professor Teng intends to support any side, this is his true opinion. In fact, even the noisy academic circles are based on academics. Everyone presents cases and talks about data. Groundless quarrels will make people look down upon.
It seems that those who advocate surgery have the upper hand, and Professor Wang of the Imperial Capital is naturally displeased.
Director Liu and Director Li of Sanbo naturally like professors who advocate surgery, because they advocate active surgery. They had already planned it, but when the company Surface Warriors interfered and brought in so many experts, the plan was disrupted. The experts all said to give up the operation, and they would not force the operation. If there was an accident, it would be a disaster.
Now that the surgical faction has the upper hand, the two directors are naturally happy.
"Professor Yang, where is Professor Yang, are you here?"
Director Zhao named Yang Ping.
"Arrived!"
Yang Ping raised his hand in response.
"Why are you sitting so far away? Come here and say a few words." Director Zhao waved.
This is the pillar of Sanbo Hospital. At this time, there are so many experts outside the hospital. Such talents must come forward to show the strength of Sanbo Hospital.
The clerk brought a chair and placed it next to Director Zhao for Yang Ping to sit.
Yang Ping had no choice but to sit over. These experts were all majoring in organ transplantation. He didn't know anyone who had won the Golden Knife Award in orthopedics. They were all surprised by such a young professor.
Director Zhao introduced: "This is Professor Yang from our Department of General Surgery. He has recently developed a technology for spinal external fixation to treat scoliosis. The third phase of clinical trials has been carried out in the United States, Germany and Japan. Why is the University of Tokyo Hospital trying to grab this clinical trial?" I’m tired of sending people and writing letters when it comes to experimental opportunities. I’m sorry that I got off track. Professor Yang, please say a few words.”
I have seen people show off, but I have never seen someone show off like this. Director Zhao's face was not red, and his heart was not beating, and he looked disgusted with the University of Tokyo Hospital.
General surgery?
The professors just didn’t understand. What does this general surgery department do? What kind of surgery?
Professor Wang from Imperial Capital had no choice but to ask Director Zhao: "Director Zhao, we have never heard of this comprehensive surgery? What kind of surgery is it?"
Professor Pei from the Magic City also has the same problem. In terms of hospital level, his hospital is probably among the best in the country. I have never heard of a general surgery department.
"Oh, this is a feature of our hospital. The so-called comprehensive surgery department has the authority to operate in all surgeries. Their patients are not divided into specialties and can perform any operation. Of course, they still have high thresholds for operations such as organ transplantation. If they do not have surgical qualifications, we will help them obtain surgical qualifications in the future.”
"Haha-——"
After listening to Director Zhao's introduction, Professor Wang from Imperial Capital couldn't help laughing.
It was the first time he heard that there was such a department. It seemed that only rural hospitals had such departments. There was only one department of surgery in township hospitals, collectively called "surgery". All surgeries were performed, but they were all basic surgeries. , the orthopedics department can perform debridement and suturing, general excision of the appendix, and external closed drainage of the chest. Some brave people may also perform craniotomy to remove the hematoma.
Sanbo Hospital, a dignified provincial hospital, actually has such a non-disciplined surgery department. Is this a problem left over from history or is there something else going on?
However, some hospitals have VIP wards. VIP surgery only has one surgery. No matter what kind of surgery, all operations are done by the VIP surgery. However, the surgery is still performed by experts from various disciplines, so the VIP surgery is actually a ward and there is no specialized surgery. There is no one-size-fits-all surgical team.
The experts from other hospitals were immediately interested in this comprehensive surgery.
"What surgeries can the general surgery department perform now?" Professor Wang from the Imperial Capital asked curiously, even the anger that had just been building up in his heart disappeared.
Director Zhao wanted this kind of effect. He puffed up his chest and, as the director of the medical department of Sanbo Hospital, cleared his throat and said: "The current conditions are limited and it is still in the initial stage. There are not many types of surgeries. The current ones are The surgeries include: brainstem tumor resection, scoliosis correction surgery, and occasionally heart deformity correction surgery. Not long ago, Professor Yang performed an operation. He cut out the heart, took it out, put it on the operating table and turned it upside down to cut out the tumor. , correct the deformity, and then put the heart back in. Anyway, I don’t understand it, so I can’t say it accurately.”
The professors from the Imperial Capital and the Magic Capital were at war with each other just now, but now they exchanged glances like brothers. Which of the surgeries mentioned so easily are not the top surgeries in the profession?
Brainstem tumors?
Top brain surgery!
Scoliosis correction?
Spine surgery is one of the most difficult and risky surgeries.
The heart surgery I just mentioned already includes several top heart surgeries, one of which is heart transplantation.
Where is this Sanbo Hospital?
Not only the professors in the imperial capital, but also all the professors who just found it funny now find it not funny at all. Which of these surgeries are not top-notch surgeries, all performed by this young man?
Cross-disciplinary surgeries, all top-notch surgeries?
"Does your general surgery department perform lateral spinal correction?"
Professor Wang did not laugh this time, but asked seriously.
"Not only did we carry out this type of surgery, but we also invented a new technology for spinal external fixation. This new technology is far from unique in the world, but it is true that phase three clinical trials were carried out simultaneously in Germany, Japan and China." Director Zhao said slowly, You must not be humble in front of a madman like Professor Wang.
Although Professor Wang is an expert in liver and kidney transplantation, he still knows the magnitude of scoliosis correction surgery.
Moreover, he knew more about the importance of conducting Phase III clinical trials at the same time as Germany and Japan.
Not to mention other countries, such as the United States, developed countries, other countries use medical equipment to do clinical trials in their countries, and use their people to do clinical trials.
Don’t even think about it!
When Professor Wang was studying in the United States, when examining a patient, the teacher would ask the patient: "Hello, this is a Chinese doctor who is studying with me. Do you mind if he examines you?"
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If the patient says No, the teaching teacher will definitely not let foreign students examine the patient.
To participate in an operation as an assistant on stage, you have to go through layers of approvals, and it is almost impossible to be the surgeon.
Nowadays, a new technology from Sanbo Hospital is undergoing clinical trials in the United States. Ninety-nine percent of knowledgeable doctors will not believe it.
"Are you sure that it is an implantable medical device and not a non-invasive medical product for external use?" Professor Pei also didn't believe it.
Everyone has studied in the United States and is an expert in studying abroad. They all know all these things clearly.
In fact, even for medical supplies, this possibility is very small.
Americans' own medical devices are subject to clinical trials, and most of them are placed abroad. How can we allow this new device to undergo clinical trials?
"Of course, implantable medical devices, clinical trials by special surgeons in New York, USA, and various international procedures have made my head dizzy. Fortunately, we have established an international medical department and recruited some translators who are proficient in medicine, otherwise we would really Can’t play.”
Director Zhao seemed very relaxed, as if he was reluctant to do this and put the medical equipment in the United States for experiments, and he suffered a big loss.
Professor Wang, Professor Pei, and all the experts from other colleges felt a little dizzy after listening.
"Does your General Surgery Department also perform cardiac surgery?"
Professor Wang asked again. He had already struggled with this matter and had to find out more about it.
"Carry on!"
Director Zhao is very sure.
Professor Wang and Professor Pei exchanged glances again. This cross-disciplinary gap is a bit big. He has done both liver transplantation and kidney transplantation. He is also a rare generalist in the field of organ transplantation and has attracted countless admiration.
This guy went from spinal surgery to cardiac surgery. If you look through the history of surgery, you can't seem to find a few.
"Aren't you doing liver and brain tumor surgery by neurosurgery? Are you doing it by general surgery?"
Professors from West China are also very curious.
Director Zhao said steadily: "Both neurosurgery and general surgery are performed, but some difficult and high-risk cases are generally left to general surgery."
I understand, general surgery is all about high-precision surgeries.
If it were a mixed team composed of capable experts drawn from various disciplines, everyone can understand that it is really difficult to understand and accept that one doctor performs these surgeries across disciplines.
Everyone wants to see what Yang Ping is.
Since he is so awesome, as for the issue of liver and kidney transplantation, just ask him a few questions and you will know the depth. Once an expert takes action, you will know whether it is there or not.
"Professor Yang, now regarding these two cases, what do you - ahem - general surgery - have any opinions on?"
Professor Wang felt that this was a difficult thing to say, and he coughed several times before turning the corner.
"Professor Yang, everyone is so enthusiastic, can you tell me what you think?"
Director Zhao promptly returned the topic to the topic of case discussion.
"Yes, Professor Yang, tell me."
"Professor Yang must have great ideas."
Many experts were dubious about Director Zhao's words, and some experts urged Yang Ping to speak with the mentality of seeing a joke.
I want to see how much this living treasure weighs.
(End of chapter)