Surgical artist
Chapter 154 Every time a case is diagnosed, it depends on Director Zhao's wink
Chapter 154 Every time a case is diagnosed, it depends on Director Zhao's wink
Chief He saw that everyone had arrived.
Start hosting.
"This week's consultation, the number of medical cases is slightly less, there are six in total."
"Everyone is already familiar with the process, let's start discussions within each hospital team first."
Everyone opened the medical records on the table, discussed and diagnosed.
Zhao Peiru also started to look through.
He quickly flipped through it first, looking for the most serious and complicated diseases, and thinking about whether he could use "the new joint technology that has never been used in the whole province".
After watching it again, it really paid off.
"This case of 'liver cancer with portal vein tumor thrombus' and this case of 'diffuse multiple hepatocellular carcinoma' are both acceptable."
This time, he found two patients who met his conditions.
"Which case to choose?"
Zhao Peiru had to perform this operation by himself in order to complete [Task [-]].
This meant that the hospitals had to be persuaded to let him be the chief surgeon.
Then the easiest way...
It was the "Xinlianhe Technology" proposed by Zhao Peiru at that time, which was the only "feasible" technology, and made other hospitals have no confidence to win it, so they could only ask Zhao Peiru to operate it.
After a little thought.
Zhao Peiru had an idea in his heart.
Feeling at ease, he leaned back on the chair again.
Hold on.
Let's wait for everyone to read these medical records slowly.
Chief He has been observing the expressions on everyone's faces.
Just like last time, many hospitals have been "working hard" and thinking hard about "solving problems".
Compared with other hospitals, Jiren Hospital with a higher level, or Huakang Hospital last time, solved problems faster.
But only Zhao Peiru.
Twice in a row, it only took about ten minutes for the opening, and after quickly flipping through all the medical records, he lay back on the back of the chair comfortably.
If it was the last time, Section Chief He probably would have doubted Zhao Peiru's level of strength, thinking that he would not know it, and simply "lie down".
But this time, Chief He will not be so "naive".
"Director Zhao Peiru probably knows everything in his head, and already has a diagnosis idea."
"Last time, he was in the same state. I thought he had given up completely. In the end, he was just too lazy to talk."
Chief He has also reacted now.Zhao Peiru didn't take the initiative to say last time, not because he couldn't, but because he wanted to see if other hospitals could "get the right answer".
If other hospitals can answer it, then he doesn't need to waste his time talking.
And if other hospitals "can't solve it" or "get it wrong", he will help to answer it.
This level is obviously much higher than other hospitals!
"I don't know how far Director Zhao's level has reached."
"But to be valued by Director Yu, and also by Professor Feng and Professor Shu in the province, maybe it's already very high!"
"Anyway, at the very least, it must be higher than the deputy director level of a first-class hospital."
Section Chief He is now full of curiosity about Zhao Peiru's specific level.
Finally, everyone read the six medical records.
But this time, everyone had a smile on their faces.
Apparently, they seemed pretty confident.
Chief He smiled and said: "Then enter the next stage, discuss among the hospital team and give a diagnosis opinion."
Case by case, start discussing...
Every hospital expresses its own opinion.
It didn't take long for the discussion to identify the "correct answer" and give a diagnostic opinion.
And every time a case is finally diagnosed, Section Chief He will subconsciously glance at Zhao Peiru.
Look at Zhao Peiru, if he didn't mean to correct everyone, Section Chief He would be relieved!
Explanation, diagnostic opinion, most of them are right!
Zhao Peiru listened for a while, and nodded secretly in his heart.
"These hospitals are of good standard, and their performance is evenly matched."
Jia Yanjun from Jiren Hospital, Du Rong from Port No. [-] Hospital, and Yue Qianyi from Tumor Hospital, all the diagnostic suggestions given today are all okay!The deduction of the development of the disease is also good!
Until the last medical record...
There was only one case of "liver cancer combined with portal vein tumor thrombus".
Yue Qianyi, the deputy director of the Cancer Hospital, said, "This patient belongs to our Cancer Hospital."
"It was brought up for discussion today, not for the purpose of confirming a diagnosis."
"We have basically confirmed the diagnosis. This case is liver cancer combined with portal vein tumor thrombus."
"I took it out today because I want to invite experts to give me some advice on treatment."
Director Du Rong of Port No. [-] Hospital asked curiously: "This kind of patients usually undergo portal vein fenestration to remove tumor thrombus? Why, can't it?"
Director Yue shook his head helplessly: "This patient has been suffering from cancer for many years. His long-term illness has caused him to be weak and impatient, thin, weak, and accompanied by liver cirrhosis."
"I'm only 58 years old, but my body already looks like 80 years old."
Zhao Peiru's heart skipped a beat.
58 years old?
Isn't it the same as me?
However, compared with his body function, it is a heaven and an underground.
Yue Qianyi said: "Especially the patient also suffers from cirrhosis of the liver, which makes it unnecessary for him to open the portal vein to remove the tumor thrombus."
"As long as the porta hepatis is blocked for a longer period of time, the patient is very likely to suffer from liver failure, or hepatorenal syndrome, and even...death."
Everyone nodded.
This patient is a bit tricky!
"How about using palliative care?" said Du Rong from the Port No. [-] Hospital.
Yue Qianyi shook his head: "We also recommend the patient to continue palliative care, but he has endured the pain for several years and said that it is enough. Let us perform an operation on him if possible. He accepted his fate. His family also supported him."
Everyone sighed.
The patient who has been tortured by cancer for many years is indeed very poor. Not to mention the low quality of life, he has to endure the pain every day. The whole person is thin and weak, and the torture is very uncomfortable.
Chief He also sighed: "Does anyone else have any suggestions?"
Those two inferior hospitals shook their heads.
Their level is not as good as that of the Cancer Hospital and Port No. [-] Hospital. They can propose the most suitable treatment method, that is, palliative care, and they can only choose slow chemotherapy.
"Where's Director Jia?"
Chief He looked at Jia Yanjun at Jiren Hospital.
Among the people present, Jia Yanjun was born in the first-class Jiren Hospital affiliated to Jiangda University. He must have seen a lot of knowledge and seen all kinds of patients, and he may have encountered similar situations.
Jia Yanjun frowned, shook his head and said, "I can't think of a suitable healing technique either."
"For the time being, one is portal vein fenestration to remove tumor thrombus, one is bypass surgery, and the other is end-to-end anastomosis."
As expected from a first-class hospital, he proposed three surgical methods in one breath.
"but……"
He smiled wryly and shook his head: "These types of operations, without exception, will block the portal of the liver for a long time during the operation, and this is precisely what this frail and impatient patient cannot accept."
Everyone also sighed in their hearts.
If this patient can get cancer in the early stage, he can make up his mind to have surgery.
At that time, there were many choices, and one could choose the most suitable one from the above three surgical methods.
but now……
Everyone sighed in their hearts.
Zhao Peiru listened beside him, and his mind moved.
The opportunity has come.
Seeing that you are not confident that you can take it down, then I am relieved!
(End of this chapter)
Chief He saw that everyone had arrived.
Start hosting.
"This week's consultation, the number of medical cases is slightly less, there are six in total."
"Everyone is already familiar with the process, let's start discussions within each hospital team first."
Everyone opened the medical records on the table, discussed and diagnosed.
Zhao Peiru also started to look through.
He quickly flipped through it first, looking for the most serious and complicated diseases, and thinking about whether he could use "the new joint technology that has never been used in the whole province".
After watching it again, it really paid off.
"This case of 'liver cancer with portal vein tumor thrombus' and this case of 'diffuse multiple hepatocellular carcinoma' are both acceptable."
This time, he found two patients who met his conditions.
"Which case to choose?"
Zhao Peiru had to perform this operation by himself in order to complete [Task [-]].
This meant that the hospitals had to be persuaded to let him be the chief surgeon.
Then the easiest way...
It was the "Xinlianhe Technology" proposed by Zhao Peiru at that time, which was the only "feasible" technology, and made other hospitals have no confidence to win it, so they could only ask Zhao Peiru to operate it.
After a little thought.
Zhao Peiru had an idea in his heart.
Feeling at ease, he leaned back on the chair again.
Hold on.
Let's wait for everyone to read these medical records slowly.
Chief He has been observing the expressions on everyone's faces.
Just like last time, many hospitals have been "working hard" and thinking hard about "solving problems".
Compared with other hospitals, Jiren Hospital with a higher level, or Huakang Hospital last time, solved problems faster.
But only Zhao Peiru.
Twice in a row, it only took about ten minutes for the opening, and after quickly flipping through all the medical records, he lay back on the back of the chair comfortably.
If it was the last time, Section Chief He probably would have doubted Zhao Peiru's level of strength, thinking that he would not know it, and simply "lie down".
But this time, Chief He will not be so "naive".
"Director Zhao Peiru probably knows everything in his head, and already has a diagnosis idea."
"Last time, he was in the same state. I thought he had given up completely. In the end, he was just too lazy to talk."
Chief He has also reacted now.Zhao Peiru didn't take the initiative to say last time, not because he couldn't, but because he wanted to see if other hospitals could "get the right answer".
If other hospitals can answer it, then he doesn't need to waste his time talking.
And if other hospitals "can't solve it" or "get it wrong", he will help to answer it.
This level is obviously much higher than other hospitals!
"I don't know how far Director Zhao's level has reached."
"But to be valued by Director Yu, and also by Professor Feng and Professor Shu in the province, maybe it's already very high!"
"Anyway, at the very least, it must be higher than the deputy director level of a first-class hospital."
Section Chief He is now full of curiosity about Zhao Peiru's specific level.
Finally, everyone read the six medical records.
But this time, everyone had a smile on their faces.
Apparently, they seemed pretty confident.
Chief He smiled and said: "Then enter the next stage, discuss among the hospital team and give a diagnosis opinion."
Case by case, start discussing...
Every hospital expresses its own opinion.
It didn't take long for the discussion to identify the "correct answer" and give a diagnostic opinion.
And every time a case is finally diagnosed, Section Chief He will subconsciously glance at Zhao Peiru.
Look at Zhao Peiru, if he didn't mean to correct everyone, Section Chief He would be relieved!
Explanation, diagnostic opinion, most of them are right!
Zhao Peiru listened for a while, and nodded secretly in his heart.
"These hospitals are of good standard, and their performance is evenly matched."
Jia Yanjun from Jiren Hospital, Du Rong from Port No. [-] Hospital, and Yue Qianyi from Tumor Hospital, all the diagnostic suggestions given today are all okay!The deduction of the development of the disease is also good!
Until the last medical record...
There was only one case of "liver cancer combined with portal vein tumor thrombus".
Yue Qianyi, the deputy director of the Cancer Hospital, said, "This patient belongs to our Cancer Hospital."
"It was brought up for discussion today, not for the purpose of confirming a diagnosis."
"We have basically confirmed the diagnosis. This case is liver cancer combined with portal vein tumor thrombus."
"I took it out today because I want to invite experts to give me some advice on treatment."
Director Du Rong of Port No. [-] Hospital asked curiously: "This kind of patients usually undergo portal vein fenestration to remove tumor thrombus? Why, can't it?"
Director Yue shook his head helplessly: "This patient has been suffering from cancer for many years. His long-term illness has caused him to be weak and impatient, thin, weak, and accompanied by liver cirrhosis."
"I'm only 58 years old, but my body already looks like 80 years old."
Zhao Peiru's heart skipped a beat.
58 years old?
Isn't it the same as me?
However, compared with his body function, it is a heaven and an underground.
Yue Qianyi said: "Especially the patient also suffers from cirrhosis of the liver, which makes it unnecessary for him to open the portal vein to remove the tumor thrombus."
"As long as the porta hepatis is blocked for a longer period of time, the patient is very likely to suffer from liver failure, or hepatorenal syndrome, and even...death."
Everyone nodded.
This patient is a bit tricky!
"How about using palliative care?" said Du Rong from the Port No. [-] Hospital.
Yue Qianyi shook his head: "We also recommend the patient to continue palliative care, but he has endured the pain for several years and said that it is enough. Let us perform an operation on him if possible. He accepted his fate. His family also supported him."
Everyone sighed.
The patient who has been tortured by cancer for many years is indeed very poor. Not to mention the low quality of life, he has to endure the pain every day. The whole person is thin and weak, and the torture is very uncomfortable.
Chief He also sighed: "Does anyone else have any suggestions?"
Those two inferior hospitals shook their heads.
Their level is not as good as that of the Cancer Hospital and Port No. [-] Hospital. They can propose the most suitable treatment method, that is, palliative care, and they can only choose slow chemotherapy.
"Where's Director Jia?"
Chief He looked at Jia Yanjun at Jiren Hospital.
Among the people present, Jia Yanjun was born in the first-class Jiren Hospital affiliated to Jiangda University. He must have seen a lot of knowledge and seen all kinds of patients, and he may have encountered similar situations.
Jia Yanjun frowned, shook his head and said, "I can't think of a suitable healing technique either."
"For the time being, one is portal vein fenestration to remove tumor thrombus, one is bypass surgery, and the other is end-to-end anastomosis."
As expected from a first-class hospital, he proposed three surgical methods in one breath.
"but……"
He smiled wryly and shook his head: "These types of operations, without exception, will block the portal of the liver for a long time during the operation, and this is precisely what this frail and impatient patient cannot accept."
Everyone also sighed in their hearts.
If this patient can get cancer in the early stage, he can make up his mind to have surgery.
At that time, there were many choices, and one could choose the most suitable one from the above three surgical methods.
but now……
Everyone sighed in their hearts.
Zhao Peiru listened beside him, and his mind moved.
The opportunity has come.
Seeing that you are not confident that you can take it down, then I am relieved!
(End of this chapter)
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