godfather of surgery

Chapter 949 Cruel Diagnosis Method

The bustle of the animal experiment building has given birth to a group of young people with excellent surgical skills. Even Li Min, a training doctor, is also a beneficiary. He has used experimental pigs to perform all basic surgeries. After gaining surgical experience on experimental pigs, he can Doing real surgery, it’s very quick to get started.

Using a "pig farm" to boost the surgical level of the entire Sanbo Hospital was something Yang Ping never thought of, and neither did Dean Xia.

Dean Xia began to miss the old farm in Nandu Affiliated One. It would be great if Sanbo Hospital also had such a farm and such a piece of land in the suburbs. These pigs could be raised on the farm and then a pig farm could be established on the farm. hospital, so that all doctors in Sanbo Hospital can have free hands and use pigs to conduct surgical experiments.

When establishing this kind of animal laboratory in a hospital, no matter how beautiful the sound insulation and air filtration are, the scale must be controlled and caution must be exercised. A hospital is a hospital and cannot be turned into a pig farm.

But times have changed now. Every inch of land is precious, and building a farm is simply a fantasy. The housing prices around the hospital are rising every month, which shows how unrealistic it is to own a whole piece of land.

The change of the hospital's affiliation has been put on the agenda, from a provincial hospital to a hospital directly under the imperial capital. The change in relationship means an improvement in status, resources, and voice. At the same time, the hospital's positioning will also change. The previous positioning of the hospital was oriented. Within the province, now it is for the whole country and the world.

But this has long been a fact. Looking at the sources of patients at the Institute of Surgery and Overseas Chinese Building, 60% are domestic and 40% are foreign. They are from various countries. This shows that the strength of the hospital has actually changed quietly.

Over the years, Director Xia has worked hard and worked hard to lead Sanbo Hospital forward. The difficulties can be imagined. In order to change the talent structure of the entire hospital and lay a good talent foundation for the development of the hospital, Director Xia recruited a group of In order to keep these outstanding young doctors, Dean Xia even gave up his welfare room to the young doctor. That young doctor is today Director Gao.

Director Gao is now bringing the Sports Medicine Center to the forefront of the country. In order to develop orthopedics, Dean Xia and Director Han introduced Tan Boyun, a second-year associate professor. Because Tan Boyun was domineering and strong, he was opposed by several directors of the orthopedics department, but Dean Xia Director He and Han fought against all odds to recruit Tan Boyun. Tan Boyun is ambitious, lofty and energetic. With the technical support behind Yang Ping, he is now leading the rapid development of orthopedics and building the trauma emergency center into the top two in the country. The trauma emergency center of the Sixth Hospital is located far away from each other, and the Department of Traumatology and Orthopedics is also the Department of Traumatology and Orthopedics of Moliu and Jishuitan.

Luo Jin's images were displayed on the electronic screen. Yang Ping studied these pictures carefully. The tumor was most likely a glioma, buried deep inside the brainstem. The tumor invaded the motor center. The human body's motor center is divided into high-level centers and low-level centers. The high-level center is located in areas 4 and 6 of the precentral gyrus of the cerebral cortex, while the low-level center is located in the brainstem and spinal cord. The current tumor invades the low-level motor center.

Yang Ping is studying Luo Jin's condition in his office. Luo Jin is currently playing in the Premier League in Europe and doing well.

Professor Cao's assistant graduate student hung the X-rays and CT films on the reading lamp. Professor Cao calmly adjusted his glasses, rested his chin with one hand, and carefully analyzed the images.

The high-level centers must rely on the low-level centers to function. If there is a problem with the low-level centers, the motor function will be severely damaged. Judging from the current scope of tumor invasion, if a knife is used, damage to the low-level centers is inevitable. Once these nerve centers are damaged, Will bring disastrous consequences.

Directors of several other subspecialties in the Department of Orthopedics now feel a huge sense of oppression, because Tan Boyun has already said that people should be replaced without changing ideas. A department director without the ideas and ambitions of a first-class hospital cannot lead the department to become a first-class hospital.

Judging from the practice during this period, systematic and standardized animal experiments have played a significant role in improving surgical skills. Compared with the previous piecemeal and unsystematic training, President Xia began to promote the training method of doctors at the Institute of Surgery to the entire hospital.

Professor Cao from the Department of Cardiac Surgery was busy. There were too many patients in the outpatient clinic. He didn't drink much water all afternoon. He took a sip of water during the busy period to moisten his smoking throat and asked the graduate student next to him to continue calling the next one.

Since Luo Jin has not replied yet, Yang Ping put this matter aside for the time being and started to deal with other things. The scientific research project is currently progressing slowly and has reached a bottleneck period. Yang Ping is thinking about whether there is something wrong with his thinking and repeats it in his mind. After reviewing my own thinking, I feel that there is nothing wrong with the general direction.

The brainstem has long been regarded as a "surgical forbidden area" and is still the most challenging operation in neurosurgery. Careful preoperative surgical evaluation, reasonable surgical plan, highly skilled surgeon, and well-coordinated team are all indispensable.

Only pure passion for science can last long, be undistracted, move forward alone, and move forward courageously.

However, breakthroughs in experiments are not easy to come by. Yang Ping has a system that can greatly compress the experimental time. According to the realistic time scale, this will be more than ten years or decades later, and whether it will succeed is still unknown.

The situation on Sisi's side is not optimistic either. Surgery is no longer possible, and Haifu knife and various particle knives cannot be used. The only option now is to wait for a breakthrough in medicine.

Yang Ping checked WeChat on his mobile phone, but Luo Jin did not respond. Was he planning to give up the surgery, or was he busy with competitions and did not have time to perform surgery at the moment? Yang Ping sent another WeChat message to remind him.

X-rays showed that there were a large number of round and irregular shadows in both lungs, which were basically symmetrical on both sides and more obvious on the outside. The lung apex was not involved, and some had gathered into large shadows.

If left untreated, as the tumor grows, it will definitely cause huge damage to other nerve nuclei, such as the respiratory and heartbeat centers. The strategy at this time is to remove the tumor to prevent or delay its invasion of the life centers. As for the damage The motor center is already secondary. It is worthwhile to damage the motor center in exchange for the continuation of life.

Nodules of different sizes and ground-glass opacity, interstitial pulmonary fibrosis, thickening of bronchial vascular bundles, etc. can be seen on CT.

He carried a thick bag of examination materials in a snakeskin bag. He bowed to Professor Cao when he came in, then sat down, took out the examination materials from the snakeskin bag, and placed them in stacks on Professor Cao's desk. , including X-rays, CT films, and various other examination results, such as examinations related to tuberculosis, infection, tumors, etc.

This patient is a middle-aged man in his thirties, very thin and handsome, with an unsightly face. He coughs a few times from time to time and is still a little breathless.

At this time, the outpatient clinic of the Institute of Surgery was still very busy, with patients sitting in the waiting area waiting patiently for their number to be called.

He is a rare good player in China. Yang Ping once performed an operation on him and had a lot of contact with him. He is a sunny, positive and progressive young man. He has had his own dream since he was a child, and he has persevered for this dream. , work hard to move forward.

Every scientist who has made a major contribution in the history of science is extremely great. Scientific research is difficult to persist without pure passion. Any utilitarianism can easily make researchers waver, give up and collapse in frustration.

This is an obvious imaging manifestation of pneumoconiosis. After reading it, Professor Cao looked at other examination data and asked the patient: "How many years have you been working in a dust environment?"

''Five years. "The patient replied.

Professor Cao stood up, and the graduate student took the patient to lie down on the examination bed. Professor Cao began to auscultate the patient's lungs and heart, and then did some other necessary physical examinations.

"You have pneumoconiosis. I think you have already done the examinations you should do. No more examinations are needed. Your pneumoconiosis is quite serious. At present, there is no good way to treat this kind of severe pneumoconiosis. The only way is lung transplantation. Just replace the lungs.”

Professor Cao quickly gave a clear diagnosis. The condition was very clear and there was not much suspense.

"What do you think? If you want to further confirm the diagnosis, it is no longer necessary. I see that you have visited many hospitals, all of which are well-known large hospitals. The treatment methods are probably told to you by the doctors in these hospitals - change Lungs." Professor Cao continued while washing his hands.

"Professor, that's it. Can you help me issue a diagnostic certificate to prove that this is pneumoconiosis?"

The patient had a cautious smile on his face, for fear of offending Professor Cao. This smile was obviously forced out.

Professor Cao waved his hand: "No, this disease is an occupational disease. Only a qualified occupational disease hospital can issue a diagnosis certificate. We don't have the qualifications. You can go to the local occupational disease prevention and control office to issue this certificate."

At this time, the bitter smile on the patient's face disappeared, and he naturally sighed helplessly: "I went to our local occupational disease prevention and treatment center, and they were unwilling to issue this certificate. They said that if they want to diagnose pneumoconiosis, they must get it from their original workplace. Provide documentation to prove that there is a lot of dust in my working environment, which can lead to pneumoconiosis, and that my current lung disease is directly related to my working environment.”

"I went to the factory where I used to work to get these documents. The factory refused to provide these certifications for treatment, saying that the environment here is very good and there is no dust exposure as you mentioned."

"The hospital requires a certificate from the factory before it can diagnose me. The factory refused to issue a certificate. I have no choice. I have been running around for many years. Now I am out of breath when I walk. I can't work at all. I can't support my family at all. If I had this certificate , I can get some compensation, so that I can be a little better financially.”

The patient's voice was hoarse and his expression was very tired. Professor Cao noticed tears in the corners of his eyes and a pair of old shoes that were so old that they were cracked.

"It's not that I won't help you. We really don't have the qualifications to diagnose occupational diseases. Even if we do it, others won't recognize it. Besides, we can't do it. Doing it would be against the rules." Professor Cao was very embarrassed.

The patient's tired eyes had lost any luster, and he was very disappointed: "What should I do? I have been to many hospitals and have been fighting for this matter for several years. I heard that Sanbo Hospital is very good, so I came here to ask if I can issue a certificate." "

"We have great medical skills, but your issue has nothing to do with medical skills. It's a matter of laws and regulations. I'm wondering, why does your local occupational disease prevention and control office still need this factory certificate? The factory will prove itself that there is a problem and compensate you for it?"

Professor Cao thought this was very strange.

"If the diagnosis is pneumoconiosis, it should be in the third stage. They will definitely have to pay compensation, at least hundreds of thousands, so how can they provide materials to make them lose money." Xiao Wu, a graduate student next to him, explained.

Professor Cao thought for a while: "Then this is not a deadlock? How could it be like this? These images are so obvious that they cannot be used as a basis?"

''It's not that it's impossible, but only the Occupational Disease Prevention and Control Center can make this diagnosis, and other hospitals don't have the qualifications. "Xiao Wu knows this better.

Professor Cao said angrily: "How can such an obvious thing be so complicated? The hospitals that can diagnose are not qualified, and the qualified ones are unwilling to diagnose. Is this what you mean?"

Xiao Wu nodded: "I think it involves interests and is very complicated. It is no longer a medical matter."

Xiao Wu sympathizes with this patient. He is only in his thirties now. If he is like this, he will not be able to live long without a lung transplant. What should he do? He cannot just watch the patient be so helpless.

Professor Cao couldn’t dwell on this matter for too long, so he said:

"Like this, you go outside and wait for a while, take a rest. I'll see the patients in the back first. They are all waiting. Our hospital does not have the qualifications to diagnose occupational diseases. Regardless of the size of the hospital, it has nothing to do with the size of the hospital. It is better than ours in the country." Large hospitals don’t have the qualifications. Generally, only the local occupational disease prevention and treatment center has this qualification. You wait outside and I’ll see if I can think of something.”

"Thank you, thank you. I'm very grateful for your help."

The patient always speaks cautiously, as if he is very timid, for fear of offending others and causing things to fail.

He got up knowingly and went to collect the examination materials. Graduate student Xiao Wu immediately helped pack the materials, and the patient went out carrying the bag.

"This film clearly shows pneumoconiosis. Why don't they diagnose it? Do they have to provide information from the factory?" Professor Cao took a sip of water and took a break.

Xiao Wu said: "This does not mean asking the suspect to provide proof of crime on his own. Without proof of crime, he cannot be convicted. No suspect can find proof of crime on his own."

"Then the doctor is a jobber. With such obvious symptoms, whether it's symptoms, medical history, X-rays, or CT pictures, why can't he make a diagnosis right here?" Professor Cao was so angry that he wanted to curse.

"My uncle is a doctor at our occupational disease prevention and control center. I have also heard some information. It is very complicated. How can I put it? In the final analysis, it is a matter of interest. As a manufacturer, he will definitely not be willing to compensate. Each person will pay hundreds of thousands. And there must be more than one patient like this. If a small place can open a factory, all aspects of the relationship have been sorted out very smoothly. Everyone knows what is going on. Professor Cao, I think this patient is really pitiful. Can you help him? Think of a way."

Xiao Wu is quite sympathetic.

Professor Cao paused and said, "Let's see the patient at the back first. We'll discuss how to deal with this later. Go out and talk to him, but don't leave."

When Xiao Wu heard that Professor Cao was willing to help, he immediately went out to greet the patient and told him not to wander around.

When he came back, Professor Cao frowned and said, "I just asked Director Wan of the Respiratory Department. Except for local hospitals with occupational disease qualifications that make diagnoses based on imaging pictures and medical history, ordinary hospitals can only remove the lung lobes for pathological diagnosis. Pathological diagnosis can only be made in two situations - autopsy and pathological examination after death, or pathological examination after lobectomy."

"If the factory doesn't provide proof and the occupational disease prevention and control office doesn't make this diagnosis, will he have to commit suicide or go to the operating table to get a diagnosis?"

Xiao Wu's eyes widened.

"That's it."

Xiao Wu shuddered in his heart when he thought about it, this was a bit cruel.