godfather of surgery

Chapter 634 General Surgery?

Everyone watched anxiously as the great professors from the Imperial Capital and the Demon Capital spoke. After all, most people still like to watch the excitement.

In addition to Professor Wang and Professor Pei, each of the Imperial Capital and the Demon Capital also came with a professor, and the numbers were evenly matched.

"Actually, I think this operation is still needed, and the risk is worth it. As long as the infection is avoided after the operation and the rejection is well controlled, 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, we sit here and discuss the problem What's the use? Discuss for a long time, the last sentence: send it home?" Another professor in Modu's tone was calm, as if the teacher was reprimanding the students in a gentle tone.

This made Professor Didu feel uncomfortable. The doctor did something and didn't do something. Why did he send the patient home? He said it as if he was incompetent.

Another professor in the imperial capital couldn't help it, and immediately took over the words: "Doctors can do something, and they can't do something. Medical skills are not omnipotent. Many things we can't do, we have to face them objectively and scientifically, and we can't force them. Just like some patients with advanced tumors, if they don’t struggle, they may live for a few years after doing some symptomatic treatment. Some doctors just don’t give up. Chemotherapy and radiotherapy are overwhelming. In the end, the patient ran out of money and no one kept it. Of course, the doctor’s paper was successfully published. There are some things that we must calm down and not make medical skills too mythical.”

What do you mean? It seems to say that our medical ethics are not good, and we are torturing patients.

The professor in Shanghai's capital tilted his neck, and immediately counterattacked, his voice was a little louder: "If you can't do it yourself, don't think that others can't do it, and treat incompetence as a virtue."

"It's all these operations, who can't do it? Is there any new technology? Treat tossing as a level? Who can't toss." The professor in the imperial capital sneered in turn.

In this way, the conservative faction and the surgical faction began to enter the fighting state again. To be precise, it was the factions of Professor Wang and Professor Pei.

Director Zhao smiled, took a sip of mineral water, and let them develop freely. This is what it should be like to discuss cases with more than a dozen experts from other hospitals.

"Record, record!"

Director Zhao immediately asked the doctor in charge of recording to work harder and write down the contents of the discussion, especially the big-name experts in the imperial capital and magic capital, what a wonderful speech.

After the exchange of fire, there was another pause. The two sides were very combat-ready and able to control the rhythm.

Now Professor Wang and Professor Pei are both blushing and neck red, and they drink water non-stop to cool themselves down.

"The opinions of several professors are correct. It is nothing more than that one side pays more attention to the patient's immediate safety and is more conservative; the other side pays more attention to the patient's long-term benefits and is more positive. Therefore, we can combine the opinions of both sides and learn from each other. Can we take both sides into account? Under the condition of ensuring the patient's safety at the moment, can the operation be completed smoothly?" Professor Yao from the First Attached to the Southern Metropolis came out to be a peacemaker.

Director Zhao was quite dissatisfied. The fire just started, but you put it out again.

"Qin Xiaowei went to the operating table with an artificial liver. Li Jun will be re-connected to ECMO after the operation. As long as the postoperative infection can be avoided and there is no excessive rejection, the operation will be considered successful. Take this risk, and they will benefit for the rest of their lives. , I think it is still possible to take risks." Professor Pei from Modu said calmly again.

Everyone is a scholar, and Professor Wang from the imperial capital is not ready to make trouble: "Explain clearly to the patient, the current state of these two people is far worse than what you know, and they are both on the verge of collapse at any time. If you must do it now , the two of them should prepare to use ECMO to save their lives, once multiple organ failure is triggered, it will be very difficult to save them.”

In fact, Professor Wang is not alarmist, but a summary of many years of experience. At this time, this kind of patient is undergoing organ transplantation, or double transplantation. The risk is very high, and if it is not done well, two lives will be lost.

Professor Teng from Huaxi saw that the battle had come to an end, and it was time to speak: "Qin Xiaowei's main problem is actually the liver. If the liver transplant is performed in time to solve the liver problem and prevent triggering multiple organ failure, the overall condition will improve. He has to face risks such as postoperative infection and rejection, so these are not problems. However, Li Jun’s main conflict at present is that if he does not perform kidney transplantation in time, he will no longer be able to find a suitable fistula site, and his blood coagulation function will also be disordered, which is easy. If it causes bleeding or embolism, if the kidney is replaced in time, these problems can be solved, and I still support the operation.”

It's not that Professor Fuji intends to support which side, this is his true opinion. In fact, even if the academic circles are noisy, they are based on academics. Everyone presents cases and talks about data. Arguments without foundation will make people despise.

It seems that those who advocate surgery have the upper hand, and Professor Wang in the imperial capital is naturally not happy.

Director Liu and Director Li of Sanbo naturally like the professor who advocates surgery, because they both advocate active surgery, which was already planned. The experts said that they should give up the operation, and they are not good at forcing the operation. If there is any accident, it will be blamed by thousands of people.

Now that the surgical school has the upper hand, the two directors are naturally happy.

"Professor Yang, where is Professor Yang, are you there?"

Director Zhao named Yang Ping.

"To!"

Yang Ping raised his hand in response.

"What are you doing sitting so far away? Come here and say something." Director Zhao beckoned.

This is the pillar of Sanbo Hospital. At this time, there are so many experts outside the hospital. This kind of talent must come out to show the strength of Sanbo Hospital.

The secretary moved a chair and set it up next to Director Zhao for Yang Ping to sit on.

Yang Ping had no choice but to sit down. These experts were all specialized in organ transplantation. He didn't know any orthopedic Golden Knife Award winners. They were all surprised by such a young professor.

Director Zhao introduced: "This is Professor Yang from our general surgery department. Recently, he developed a technology of external fixation for scoliosis. The third phase of clinical trials went to the United States, Germany and Japan. Why is the Affiliated Hospital of Tokyo University trying to grab this clinical trial?" I feel annoyed by the opportunity to send people and write letters, so I’m sorry, but I’m making a fuss, Professor Yang, please say a few words.”

I've seen someone showing off before, but I've never seen someone so showing off. Director Zhao's face was not red and his heart was beating, and he had an expression of disgust for the University of Tokyo Hospital.

General surgery?

The professors just didn't understand, what does this general surgery do?What surgery?
Professor Wang from the imperial capital had no choice but to ask Director Zhao: "Director Zhao, we have never heard of this general surgery? What kind of operation is it?"

Professor Pei in Shanghai also has the same problem. In terms of the level of the hospital, his hospital is also the top in the country. I haven't heard of general surgery.

"Oh, this is the characteristic of our hospital. The so-called comprehensive surgery is to have the operation authority of all surgeries. Their patients can do any kind of surgery regardless of specialties. Of course, they still don't have access to surgeries such as organ transplantation. If they don’t have the qualifications for surgery, we will help them obtain surgery qualifications in the future.”

"Ha ha---"

After listening to Director Zhao's introduction, Professor Wang from the imperial capital couldn't help laughing out loud.

This is the first time he heard that there is such a department. It seems that only township hospitals have this kind of department. There is only one department for surgery in township hospitals, collectively referred to as "surgery". They perform operations in all departments, but they all do some basic operations. , Orthopedic department does debridement and suture, general excision of the appendix, and closed drainage of the chest is enough.

Sanbo Hospital, a majestic provincial hospital, actually has such a non-disciplined surgery. Is it a problem left over from history, or is there something else.

However, some hospitals have VIP wards, and there is only one surgery for VIP. No matter what kind of surgery, they all receive VIP surgery, but the surgery is performed by experts from various departments. Therefore, VIP surgery is actually a ward, and there is no special surgery. The team, not to mention the entire surgical team.

Experts from other hospitals were immediately interested in this comprehensive surgery.

"What operations can general surgery perform now?" Professor Wang from the imperial capital asked curiously, even the anger that had gathered in his heart just now dissipated.

This is what Director Zhao wanted, so he puffed his chest out, and as the director of the Medical Affairs Department of Sanbo Hospital, he cleared his throat and said: "Current conditions are limited, and it is still in its infancy. There are not many types of surgeries. There are these surgeries: brainstem tumor resection, scoliosis correction surgery, and occasionally heart deformity correction surgery. Not long ago, Professor Yang performed an operation in which he cut out the heart and put it upside down on the operating table to cut off the tumor. , correct the deformity, and then put the heart back in, anyway, I don’t understand, so it’s not accurate.”

The professors of the Imperial Capital and the Modular Capital were still at war just now, but now they exchanged glances like brothers.

This lightly mentioned surgery, which one is not the top surgery in the profession?

Brain stem tumor?

Brain surgery top surgery OK!
Scoliosis Correction?

Spine surgery is the most difficult and risky operation, not one of them.

The heart surgery 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 thought it was funny just now, now they don’t think it’s funny at all. Which of these surgeries is not top-notch, but was performed by this young man?

Interdisciplinary surgery, or all the top-notch surgeries?

"Do you do lateral spinal correction in comprehensive surgery?"

Professor Wang didn't laugh this time, but asked seriously.

"Not only did this type of operation be carried out, but also a new technology of spinal external fixation was invented. This new technology is not unique in the world, but it is true that the third phase of clinical trials was carried out simultaneously in the United States, Germany and Japan." 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 importance of scoliosis correction surgery.

Moreover, he knows more about the importance of carrying out the Phase III clinical trials on Virtue Day at the same time.

Not to mention other countries, developed countries like the United States, 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 he checked the patient, the teacher who taught him would ask the patient: "Hello, this is a Chinese doctor who studied with me. Do you mind if he checks you?"

If the patient says No, the teaching teacher will definitely not allow foreign students to examine the patient.

It is almost impossible to go on stage to participate in surgery as an assistant, and it is almost impossible to go through multiple approvals.

Now a new technology of Sanbo Hospital is being tested in the United States, and 90.00% of the knowledgeable doctors will not believe it.

"Are you sure it's an implantable medical device, not a non-invasive medical product for external use?" Professor Pei didn't believe it either.

Everyone has studied in the United States, and they are all experts in studying abroad. They know all these things clearly.

In fact, even medical supplies, this possibility is very small.

Americans' own medical devices are subject to clinical trials, and most of them are placed in foreign countries. How can it be possible for this new device to carry out clinical trials.

"Of course, implantable medical devices are doing clinical trials at a special surgeon in New York, USA. All kinds of international procedures have made me 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 unwilling to do this, and he suffered a big loss by putting the medical equipment in the United States for experimentation.

Professor Wang, Professor Pei, and all the experts from the outer courtyard felt a little dizzy after listening.

"Your General Surgery also performs heart surgery?"

Professor Wang asked again, he had already struggled with this matter, so he had to figure it out.

"Open!"

Director Zhao is very sure.

Professor Wang and Professor Pei exchanged glances again. This cross-discipline is a bit big. I have done both liver transplantation and kidney transplantation. In the field of organ transplantation, I can be regarded as a rare all-rounder, attracting countless admiration.

This guy has gone from spinal surgery to cardiac surgery, looking through the history of surgery, it seems that he can't find a few.

"Didn't you do neurosurgery for liver and brain tumors? General surgery?"

Huaxi's professor is also very curious.

Director Zhao said calmly: "Both neurosurgery and general surgery are done, but some difficult and high-risk cases are generally handled by general surgery."

I understand, general surgery is all high-tech surgery.

If it is a mixed team composed of capable experts drawn from various disciplines, everyone can understand that it is really difficult for a doctor to perform these operations across disciplines, and it is really difficult to accept.

Everyone wants to see what kind of guy this Yang Ping is.

Since he is so good, as for the issue of liver and kidney transplantation, he can know the depth of it by asking him a few questions.

"Professor Yang, regarding these two cases, what do you -- cough cough -- general surgery -- have any opinions?"

Professor Wang felt that this was a mouthful, coughing a few times before turning the corner.

"Professor Yang, everyone is so enthusiastic, why don't you tell me your opinion?"

Director Zhao promptly returned the topic to the topic of case discussion.

"Yes, Professor Yang, tell me."

"Professor Yang must have a good opinion."

Many experts were dubious about Director Zhao's words, and some experts urged Yang Ping to speak with the mentality of watching a joke.

I want to see how much this living treasure weighs.

(End of this chapter)