1986: Old Stories in Northeast China

"Old Fang, why are so many doctors still joining in the fun?" Chen Tiezhu asked helplessly.

"That's not joining in the fun, but some people do have room for improvement in their operations during the surgery." Fang Zhiyong said seriously.

"In fact, this is also because the number of patients in the county hospital was a little small before, so there was a shortage of surgical resources, and many people did not accumulate enough experience in surgery."

"Some comrades only perform a few operations a year, which is also a job that practice makes perfect. The situation is better now, so we have also made adjustments internally."

"Just now I accompanied the comrade from the general surgery department to the stage, combining my experience and referring to his operation, while doing and discussing."

"And now before each operation, we will go to the conference room to seriously discuss the surgical plan. Although we discussed it before, it was basically carried out according to the established process."

"Now our discussion will be solid to every step. And what kind of problems may be encountered in the operation of this step, and how to give a response Yes. "

"It's not just us doctors who are discussing, the interns also have the right to speak. For what they don't understand, we will also answer based on the knowledge we have now. "

"This is also mentioned in your training materials. Anyway, we all think the effect is very good. For many comrades who have not been on the stage or have less experience on the stage, it is really helpful. "

"Even if it's just a discussion, it's equivalent to going through this operation in your mind. When you watch the surgical video again, it can also deepen your impression. "

"Later, we plan to organize a basic skills competition within the department. We also want to deepen everyone's basic training through this activity. "

"Consultant Chen, what I said is right? We are also very serious now. "Ma Guoming said with a smile.

Chen Tiezhu opened his mouth and didn't know what to say.

He really didn't expect that the flapping of his wings would bring such a big change to the county hospital.

"Although I don't know much about your profession as a doctor, just listening to you, I also think that the county hospital will develop very well in the future." Gao Xiaoguang nodded with satisfaction.

"Diligence makes one proficient, while laziness makes one lose. Anyway, coming here this time, I feel that the atmosphere in our hospital has changed a lot."

"This is really good, and it is a blessing for the people of our county. If we can get perfect treatment in our county, why bother running to the city or the province?"

"Teacher Chen, I also talked to Dean Ma a few days ago about whether we should strengthen the construction of our hospital's anorectal department." Fang Zhiyong said.

"Through my conversations with some patients, I found that they actually felt the colorectal tumors in their daily lives before they broke out."

"It's just that they don't know much about this aspect, and the county hospital hasn't strengthened publicity in this regard. So when they really feel bad, many of them are in the middle and late stages, and there are very few benign ones."

"Currently, colon tumors are easier to deal with, and rectal tumors are basically treated with anal excavation. Because the tumor is too large and the invasion is also large, this is the only way to be safer."

"This matter really needs you to grasp it yourself." Chen Tiezhu thought for a while and said.

"To strengthen the construction in this area, we must add new testing equipment, which requires financial support. And you also need to train surgeons in this area. For this disease, except for hemorrhoids, which can be treated conservatively, the rest need surgery."

"There are definitely a lot of benefits, especially for some patients with a family history of genetic diseases, they can prevent in advance. When something is wrong, surgical intervention can be performed as soon as possible."

"But there is still the old problem here. Only when the people recognize this will they be willing to spend money for examination. Otherwise, it's nonsense. Let's see how you operate."

"Are there many patients in this area?" Gao Xiaoguang asked.

Ma Guoming nodded, "Except for some patients with financial difficulties who choose to have surgery in our hospital, most patients will go to the province."

"Because our current surgical technology is not up to standard, for some patients, if they want to save their anus, our technology is really not enough to support it."

"And there are many other operations involved here, such as pathological examination during surgery. At present, our hospital does not have the strength to do so."

"I understand. This is not only a problem of strengthening the construction of anorectal department, but also a problem of improving the overall level of the hospital, right?" Gao Xiaoguang asked.

"Yeah, it is indeedIn this way. And we need to hire very experienced laboratory technicians, so that we can detect it quickly and accurately. "Ma Guoming nodded seriously.

Gao Xiaoguang didn't say anything, but turned his head to look at Chen Tiezhu.

"What are you looking at me for? I don't know anything about this." Chen Tiezhu said with a wry smile.

"If you replace me to do the operation, it will be the same as Lao Fang now. Because if the tumor spreads, you can't see how far it spreads with the naked eye."

"Under obvious invasion, there will definitely be cell escape. Then you need to do intraoperative pathology, so that you can determine the boundary."

"In theory, it should be two to three centimeters away from the obvious invasion of the tumor, but that is only in theory, and it still depends on the actual situation of the tumor."

"And even if that's the case, we still need to take samples at the upper and lower boundaries, and then do pathology. If it is checked again, the patient needs to continue surgery."

"So, curing diseases and saving lives is really not a simple matter. However, Lao Fang has this idea. If the hospital or the county can raise some funds, it can indeed be managed. "

"But these equipments are easy to get, but the key is that it is difficult to find talents. This requires a real master, and that experience cannot be achieved by ordinary richness."

His words made Gao Xiaoguang scratch his head.

In his original idea, he only needed to increase investment and buy equipment to really improve. It seems that this is only one aspect.

"I will think of a way to see if I can squeeze out some funds after I go back." Gao Xiaoguang spoke after thinking for a while.

"But don't have too much hope for me. The current hole in the county is really big, and all places need to spend money. It would be better if you can overcome it by yourselves."

In fact, the root of this problem is still in funds.

If there is sufficient funds, you can buy equipment and hire experts.

But for the current county and county hospital, it is really short of money.