Chapter 992 The most modern township hospital
The operation was completed smoothly, and the patient's blood pressure was stable after the operation. If Li Min were not present today, Director Zhang and Director Peng would definitely be in trouble. How could they not get their shoes wet when they often stand by the river? At this time, the two directors deeply realized this In other words, even after the operation was completed, the two directors still had lingering fears.
During the patient's recovery from anesthesia after surgery, Director Zhang pulled Li Min to the reading light and asked Li Min frankly: "Tell me how to look at this CT film. I usually can only clearly see the tumor and a few adjacent areas." It’s such a big organ that you can’t see any details at all.”
The reading lamp is a bit old, and some of the light bulbs inside are broken, so the light is not very bright. The CT films are originally pictures taken by second-hand decommissioned machines, and the patient's family members are not allowed to keep them legally, so the quality of the pictures is indeed a bit bad, no It's so beautiful, but it doesn't bother Li Min. After all, he has gone through countless trainings in reading pictures and is very skilled. Even if the parts are not clear, he can deduce them based on the clear parts.
In clinical practice, how is it possible that every image picture is the best quality picture taken by the latest machine and the best technician? We must make full use of the data at hand.
"These are adhesions. You see, the density is different from that of normal organs and tumors. These are the blood supply vessels of tumors. The continuous layers must be viewed together, and the brain must have a complete anatomical structure image-" Li Min had to use Explain what you have learned.
Director Peng can still understand a lot and can ask some reliable questions, but Director Zhang doesn’t quite understand and can only nod in agreement. Director Zhang’s foundation is still not solid, so he doesn’t understand what’s going on at once. He is now I don’t read many books or papers, and rarely go out for meetings. My clinical knowledge and skills are all accumulated from practical experience.
"Look at this place. If you look carefully, an inconspicuous aneurysm has formed. This is caused by the invasion of the tumor. Therefore, if you are not careful during the separation, it may cause the tear of the large blood vessel. The mechanism is similar to the tear of aortic dissection -—— "Li Min continued to explain.
Director Peng and Director Zhang listened attentively. One was really memorizing it, and the other wanted to memorize it, but he couldn't understand it or how to read it.
In fact, Lao Zhang can still see something when looking at the CT film. If it is an MRI film, his eyes will be blinded. He usually pretends to be in front of patients, and his mind is based on the description and diagnosis in the report.
One time, Lao Zhang's friend came to Lao Zhang with a knee MRI to see what was wrong. However, the friend did not bring a report. Lao Zhang was completely confused. Lao Zhang originally practiced general surgery and did not know much about orthopedics. Now there is no report. What to do, so I looked at the MRI film and asked: "You are indeed injured. What did the doctor tell you at the time?"
"What did the doctor say about cruciate ligament damage?" the friend replied.
Lao Zhang was wondering whether it was an anterior cruciate or a posterior cruciate, and he couldn't tell at all, so he told his friend: "Well, since the cruciate ligament is injured, the specialty is still very high, I will find an orthopedic surgeon to help you look at it. ”
But when the orthopedic brother came over, he directly asked about the MRI report?
Without a report, the orthopedic brothers are blind. In fact, many orthopedic surgeons don't know how to read MRI. The market situation is like this, and there is nothing we can do.
However, the orthopedic surgeon was very smart and immediately examined the patient. The basic physical examination was still very effective. The orthopedic brothers also had experience and could get a general idea based on the physical examination, so he said: "Your anterior cruciate ligament is obviously damaged, but the posterior cruciate is not very obvious. But there is also damage." This statement is relatively complete and has no flaws.
The patient continued to ask: "What about the meniscus, collateral ligament, and patellofemoral joint?"
The orthopedic brother was confused, but he was very honest: "You'd better go to the city to find the doctor who originally treated you and ask. He knows your condition better. We haven't seen many MRI films and we don't have enough experience."
After a discussion in front of the reading light, they then branched out to talk about other surgeries. Whether it was theory or surgery, Li Min was already an expert in the minds of Director Zhang and Director Peng. From now on, Li Yidao would sit in the Nanqiao position. It’s settled.
The operation that Li Min performed when he returned to Guandu Hospital was undoubtedly an important turning point in his career. This operation not only tested his skills, but also won him a valuable reputation. Li Yidao's name is as good as A shining new star will rise in the medical community of Nanqiao.
Director Peng and Director Zhang invited Li Min and the old director to go to the farmhouse in the reservoir to eat fish. Director Peng and Director Zhang chatted happily with Li Min during the dinner, and they regarded themselves as brothers. Although Li Min is a little younger, Director Peng and Director Zhang don't care. They were impressed by Li Min's skills and believed that the medical community in the entire region could work together among the three brothers.
During the following vacation, Li Min performed many operations, each time showing amazing skills and calm judgment. His performance shocked the doctors in the entire hospital, and they began to get to know Dr. Li Min again. .
Of course, the old dean is the happiest. He can really retire with peace of mind now. He knows that with doctors like Li Min, the future of Guandu Hospital will be infinitely bright, and Li Min is not like other doctors. Even if he learns skills, I will not run away and will stay in Guandu Hospital to serve the people in mountainous areas. In the future, under the leadership of Li Min, Guandu Hospital will definitely develop beyond everyone’s imagination. With Li Min’s technology, if it can be matched with certain With the advanced hardware and software conditions, Guandu Hospital may become a medical center in the surrounding mountainous areas.
The old dean is now thinking about how to establish a strong poverty alleviation relationship with Sanbo Hospital. However, when the old dean was hospitalized in Sanbo Hospital, dean Xia and the old dean discussed this matter, but many details have not been finalized. , after all, the hospital stay was only for a few days.
This time, the old director solemnly wrote a power of attorney, giving Li Min full authority to go to Sanbo Hospital to discuss poverty alleviation matters. He hoped that Li Min could try his best to obtain more high-quality resources.
Yang Ping was very satisfied with Li Min's learning results during this period. Although Li Min's foundation is relatively poor and he is considered an underachiever in the surgical institute, his efforts and progress are obvious to all.
Regarding Yang Ping's training requirements, Li Min is generally able to work hard to pass. Yang Ping knows that hard work can make up for many things, and Li Min has proved this with his efforts. Although the training period was not long, only one year, Yang Ping devoted a lot of effort to training Li Min. He developed a personalized training plan for Li Min and personally attended to the entire process. Song Zimo and Xu Zhiliang also assisted in teaching. Their experience and guidance played a vital role in Li Min's growth.
Sanbo Hospital’s teaching resources can be said to be the strongest in the country. It has a dedicated animal surgery laboratory to train doctors’ surgical skills. A large number of experimental pigs provide surgeons with valuable practical opportunities, allowing them to practice in real situations. Continuously hone their skills in the surgical environment. If the virtual surgical training system is successfully developed, Sanbo Hospital's three-stage rocket training method will be officially established, and doctors will grow faster by then.
A week of vacation is neither long nor short.
A week later, everyone returned to normal work, but their hearts were still immersed in the joy and harvest of the holiday, and they couldn't take it back for a while.
Xu Zhiliang's honeymoon journey is also completed. Their wedding method is simple and novel. They follow a new style of simplicity. There is no wedding gift or large banquet. They just simply let their parents, brothers and sisters sit together to have a meal. , and then they embarked on a sweet honeymoon trip without any cumbersome burdens. It is said that this was the idea proposed by the woman, which made it impossible for Xu Zhiliang to use the gift money that he had prepared for a long time.
Tang Shun's big family tour group also ended their journey. His American son is going back to the United States. Although they have only been together for a week, his son is reluctant to leave Tang Shun. American girlfriends also kissed and hugged each other when they parted, and several of the Japanese girlfriends also had tears in their eyes. Fukunaga Masako told Tang Shun that she was pregnant and decided to give birth to the child. In this way, Tang Shun will soon add a Japanese son.
After Li Min returned to Sanbo Hospital from Guandu Hospital, he told Yang Ping about the old director's ideas. In fact, Yang Ping had noticed the counterpart poverty alleviation for a long time. Even if there was no counterpart poverty alleviation, Guandu Hospital would receive a lot of assistance.
Because Yang Ping's emphasis on Li Min also attracted the attention of Yang Ping's group of friends, they began to plan to donate equipment to Guandu Hospital. CT, magnetic resonance imaging, color ultrasound, etc. were all on the donation list.
Some friends began to plan to donate funds, and some simply expressed their willingness to build a new campus for Guandu Hospital, and they did not just talk about it, but have already started taking action.
If the spontaneous donations from these friends are combined into a plan, the entire support plan will not only include cultivating talents, providing financial and hardware support, etc., but also include the construction of new campuses. They plan to build Guandu Hospital into a small modern hospital. "A sparrow may be small but has all its internal organs", and all kinds of inspection equipment will be included in the support list.
Nowadays, the practice of forming a medical group is popular in the medical field. The so-called medical group is a medical group that is led by a large hospital and incorporates some grassroots hospitals into its own management scope.
In a sense, this can help grassroots hospitals improve their medical technology and promote their development. However, in practice, things often change.
The original intention was good, but as time goes by and various problems arise during actual operations, medical groups often become channels for large hospitals to attract patients from small hospitals; while grassroots hospitals lose their own technical systems and Completely dependent on the help and support of major hospitals. As a result, grassroots hospitals have not only failed to achieve real development and improvement; on the contrary, they have also lost their original positioning.
Maybe before joining the group, the small hospital had its own technical system. After joining, it completely lost its own technical system and relied entirely on the help of the big hospital. Deans, department directors, etc. are all sent by large hospitals, and these deans and department directors are temporary residents. It is impossible to work here for a long time, and some of them are even here to practice. The opportunities that were originally given to grassroots hospitals were all taken by doctors parachuted in from these large hospitals. The doctors in our hospitals only helped manage the patients and did some auxiliary work.
In fact, the expansion of this kind of large hospitals does not add anything new. It just takes away the resources that originally belonged to grassroots hospitals. In fact, it is a way to use its already monopolized position to expand its monopoly.
The goals of large hospitals and grassroots hospitals are inconsistent. What large hospitals want is the source of the disease, while small hospitals hope that large hospitals can help them. However, in actual situations, powerful large hospitals are often able to achieve their goals, while small hospitals find it difficult to truly achieve their goals.
However, Yang Ping did not want to do this. He sincerely wanted to help Guandu Hospital. Supporting Guandu Hospital was not a financial problem. At the same time, with the technical strength of Sanbo Hospital, there is no problem in technology. Therefore, there is no problem in all aspects, and things can be said to be a matter of course. They have the confidence and ability to build Guandu Hospital into a modern, efficient and distinctive primary medical institution and provide better medical services to local residents.
Li Min fed back this news to the old dean. The old dean was smiling from ear to ear even in his sleep. He imagined what the new hospital would look like after it was completed: Although the hospital is not big, it has basic equipment, and it is also a new hospital. . What a happy thing! It would be best to have an ambulance!
In this way, Guandu Hospital will be the most modern township hospital in the future.
Li Min compiled the information about the surgeries he had done at Guandu Hospital and brought them to Yang Ping to see, especially the abdominal tumor surgery that saved Director Zhang and Director Peng. The information was even more detailed.
He hoped to find out his own shortcomings and make improvements through Yang Ping's guidance. Since there was no intraoperative video material for reference, Li Min could only rely on his own detailed records written truthfully and pre- and post-operative imaging pictures to help him. Yang Ping demonstrated the surgical process and asked for guidance.
Yang Ping gave some pointers after carefully studying the information provided by Li Min. He believed that Li Min handled the situation well in general and did not miss any important steps, but some details still need further improvement and perfection.
Seeing that Li Min has mastered basic surgeries well, Yang Ping felt that it was time for him to get exposed to robotic surgery. Although grassroots hospitals currently do not have robotic surgery equipment, Yang Ping still hopes that Li Min can master these cutting-edge technologies.
Yang Ping believes that surgical robots, like endoscopes, belong to the category of tools. Regardless of whether it can be used in actual work, you must master how to use it.
Therefore, the training plan formulated for Li Min also included training on surgical robots. Although the requirements are not high and only require him to be proficient in the operation of surgical robots and be able to perform some typical simple general surgeries, this is undoubtedly another improvement and challenge to Li Min's technical ability.