Surgical artist

Chapter 235 No, the condition is not complicated at all

"President Lu."

Zhao Peiru called Lu Guangxuan, vice president of the Provincial Medical Association.

"Do you know about the 'Science and Technology Meritorious Award'?"

Lu Guangxuan smiled and said, "Of course I understand! This is my counterpart business!"

"This award is not the 'turf' of our Medical Association, but the 'turf' of the Science and Technology Association. I have no management rights, only the right to apply. Why do you ask this?"

Zhao Peiru smiled and said, "I just want to ask, what are the requirements for this award, what is the process, and how to apply."

Chairman Lu said everything he knew.

In addition to the pile of "award selection purposes" that Zhao Peiru found.

Lu Guangxuan also said: "Too many people have applied for this award, and all practitioners in the industry involved in science and technology can participate in the application."

"There are many industries participating in the election, and the competition is huge!"

"Even many awards, our medical field will be completely absent, and we will not get a single award. This is also a normal phenomenon."

Zhao Peiru nodded slightly.

What Chairman Lu said was similar to what he expected.

This award, in terms of weight alone, is actually not as important as a "discipline leader".But because any industry can apply, the competition is huge.

Lu Guangxuan's heart skipped a beat, Director Zhao Peiru is usually not a random person.

Suddenly asking this question...

"Director Zhao, do you want to apply for this award?"

"If it were you... Although this award is difficult to get, you can try it with the new spiral water knife, and the chance is not small!"

"The improvement of your new device technology is in line with the purpose of the award, improving the efficiency of the discipline and reducing the social cost."

Lu Guangxuan said enthusiastically, "Why don't I apply for you?"

Lu Guangxuan is very enthusiastic and proactive when dealing with core talents like Zhao Peiru.

Zhao Peiru quickly said: "No."

His requirement in [task chain] is to "receive the Science and Technology Meritorious Award in this field".

That is the "new field" he chose in "Biliary Pancreatic Duodenum".

The previous achievements in the field of liver are naturally not enough.

After hanging up the phone, Lu Guangxuan still felt a little strange.

"Director Zhao, do you want to apply for this award?"

I made a special call to ask about it, but I didn't apply?
Lu Guangxuan checked the application time.

If you want to apply, it is the last few days.

If you miss it, you will have to wait for the next quarter.

……

liver surgery.

Chang Lifang said embarrassedly: "Director Ma, Director Chai, I'm here again."

"This time is also a complicated and difficult patient with intrahepatic bile duct stones."

"And this case is more complicated than the previous ones."

When Ma Lin and Chai Baorong heard this, their hearts sank.

They couldn't handle the patient with complex intrahepatic bile duct stones last time.

In the end, the patient had no choice but to be transferred to another hospital.

This time the condition is more complicated, more difficult and serious?
"Go, let's go and have a look first."

The two came to the general surgery department.

Director Hao of the General Surgery Department smiled and greeted casually: "Director Ma, Director Chai."

Obviously, they come here often recently, Director Hao is used to it.

"Since Director Zhao's reputation has become more and more famous, the number of patients with intrahepatic gallstones in our hospital has exploded!"

"And many of the patients who come here have relatively serious problems."

"If we can't cure it, we have to transfer the patient to another hospital."

"The amount of hospital transfers is too large every day, so it's not a problem."

Several people also have some headaches.

The patient trusted the Fourth Hospital, so he went to the Fourth Hospital to see a doctor.

As a result, one after another was not good, and one after another was transferred.

Chai Baorong came up with an idea: "Director Hao, why don't you mention it to the higher-ups to see if we can introduce and hire a few intrahepatic cholelithiasis experts to improve the average level of our general surgery department and at least meet the needs of most patients. gone."

Director Hao smiled wryly and shook his head.

"I've thought about it a long time ago."

"Unfortunately, we are in general surgery, not liver surgery!"

"Our general surgery is not attractive, and there is no key support."

"Even if the hospital is willing to pay the price for us, few experts are willing to come! The attraction of the general surgery department of our fourth hospital is still too weak."

"The level of gallstone doctors that can be attracted is far inferior to the current level."

to be honest……

Patients with intrahepatic gallstones due to the golden signboard of "Zhao Peiru" often have a relatively high degree of complexity.

The patient is rushing to "provincial outstanding expert Zhao Peiru" to see the "difficult disease"!

This requires that there must be a high-level provincial expert-level gallstone doctor to be competent!
The Fourth Hospital cannot attract such high-level gallstone doctors.

"Forget it, let's take a look at the patient's condition. If it doesn't work, just transfer the patient to another hospital."

People are helpless.

See the patient first.

Chang Lifang took out the medical records.

"Director Ma, Director Chai, this patient is the most complicated case we have received recently."

"Multiple bile duct stones in the liver, combined with common bile duct stones..."

Upon hearing this, Marin and Chai Baorong frowned.

The most complicated case?
Chang Lifang: "I haven't finished talking about the difficulties. The patient still has the problem of biliary stenosis, and the stenosis is too long."

Chai Baorong and Ma Lin took over the medical records and looked through them carefully.

The more I look at it, the deeper my heart sinks.

Looking at the medical record, Chai Baorong frowned and then twisted up.

"I'm afraid that this case won't get better even if it's transferred to another hospital..."

Their cholelithiasis patients in general surgery are transferred to counterpart hospitals, usually central hospitals, or some provincial hospitals.

However, the situation of this patient is complicated, and I am afraid that these often transferred counterpart hospitals will not be able to get it!

"Go and see the patient."

People came to inspect the ward.

When the patient saw a group of white coats coming in, he quickly smiled.

"Excuse me, is Director Zhao Peiru treating me?"

This patient obviously came for Zhao Peiru.

Chai Baorong shook his head: "Director Zhao is in charge of the liver field, you have gallstones, and he is not in charge."

The patient and his family immediately expressed great disappointment.

"My disease, our county hospital said it is very serious, we have to find a provincial expert."

"My relatives said that Zhao Peiru from the Fourth Academy is very good at this aspect, and our whole family came to the provincial capital..."

"So, doesn't he see this disease?"

Patients had great expectations.

As a result, I feel aggrieved and depressed now, and I have entered the mode of chattering and thinking.

The mood of the patients and their families became very bad.The hope that was finally raised was shattered.

Next, they don't know where to go to see a doctor, which hospital to find again, which doctor...

Come out of the ward.

Chai Baorong, Ma Lin and the others also looked uneasy.

Patients are disappointed with their four hospitals, it can only show...

Their level is not enough!
This is the most painful time for a doctor.

Chai Baorong thought for a while and said, "Xiao Zhang, go and invite Director Wei Xiaobin over."

"Let's discuss together to see what should be done for this patient."

The condition of this patient is a bit too difficult, and there are stones in multiple bile ducts, and it is too difficult to remove the stones.

Even if you are transferred, you have to carefully consider which hospital to transfer to.

Wei Xiaobin came over quickly, and everyone sat down in the small conference room.

"The patient's main problem, Director Chang has already said. The main problem is the multiple bile duct stones in the liver. Not only the left bile duct and the right bile duct have stones, but also the common bile duct stones. In addition, the biliary stricture is too long, And the problem of not being able to expand."

Wei Xiaobin frowned after listening to the introduction of the disease: "If you use laparoscopy or fiber-optic choledochoscopy to remove stones, there should be no narrow areas."

"It doesn't dilate narrow areas, which makes many methods useless."

The stenosis cannot be expanded, this is the most deadly problem!
Everyone nodded.

For this patient, the "more illnesses" are secondary, and the biggest trouble is the inaccessibility of the treatment "channel"!

Director Hao of the General Surgery Department picked up another checklist and said, "Look, the patient's biliary tract should be the best place to enter the country."

"But in the next section, the angle of the gallbladder is too large, and it looks like mud. It's too dangerous to enter the scene rashly!"

If you want to remove stones with minimal invasiveness, you have to go into the mirror.

However, the body of this patient has almost "blocked" all channels of access to the mirror.

Either the angle of the biliary tract is large, or it becomes muddy.Either the biliary tract is narrowed or the narrowing is too long.

It can be said that in the medical record, every step is a problem!

Everyone sighed in their hearts.

"Or, consider surgical laparotomy? Cut off this section of liver and bile duct?"

As soon as Chang Lifang put forward her suggestion, the others shook their heads and rejected it.

"no."

"There are too many stones in the patient. Once the abdomen is opened, there are too many places that need to be removed."

"In addition, the patient has undergone partial liver resection before, and it is better not to undergo surgery again if he can avoid surgery."

The discussion among the people reached a deadlock.

Obviously, there is nothing anyone can do.

"How about this."

Chai Baorong and Marin finally negotiated and reached a decision.

"Ask for assistance from the Gallstone Disease Research Institute, a subsidiary unit of the Provincial Academy of Sciences."

The Institute of Cholelithiasis is the medical institution with the highest achievements in the field of cholelithiasis in the whole province.

The top cholelithiasis doctors in many large provincial hospitals are part-time names in the "Cholelithiasis Research Institute".

As long as you ask for help there, it is actually equivalent to asking for help from top experts in multiple hospitals at the same time.

After contacting the "Cholelithiasis Research Institute", the General Surgery Department of the Fourth Hospital faxed the patient's medical records.

……

Zhao Peiru's office.

After learning about the "Science and Technology Merit Award", Zhao Peiru stood up.

Next, he will not only work hard in the field of "intrahepatic gallstones", but also take into account the requirements of the "Science and Technology Merit Award".

"Go to general surgery."

"See if there are any suitable patients with intrahepatic bile duct stones."

Zhao Peiru is now well-known, and when he came to the general surgery department, he received a warm welcome immediately.

"Director Zhao, are you here?"

"Director Zhao is here to check our work? Shall I call Director Hao?"

The doctors and nurses in the department all surrounded Zhao Peiru, proud of "being able to have a word with Zhao Peiru".

Moreover, Zhao Peiru has another identity, he is the "Director of the General Surgery Department", and he can come to the General Surgery Department for examination.

Zhao Peiru didn't say anything yet.

In the small conference room, Director Hao, who heard the commotion outside, took a look outside.

When I saw that it was Zhao Peiru coming, I was shocked!Hastily greeted with a smile.

"Director Zhao, rare visitor! Why are you here?"

Zhao Peiru has been in the field of general surgery for half a year, right?

When he said this, Chai Baorong, Ma Lin, Wei Xiaobin and others in the conference room couldn't sit still when they heard that Zhao Peiru was coming, and they all stood up to greet him.

"Are they all there?" Zhao Peiru smiled at the crowd.

Chai Baorong said: "Director Hao asked us to come and see a patient with intrahepatic bile duct stones."

Zhao Peiru looked at such a big battle.

"So many of you are here? Why, the patient's condition is complicated?"

Chai Baorong nodded: "The condition is too complicated, we have already asked for help from the 'Scholar Gallbladder Research Institute'. "

Zhao Peiru nodded slightly.

The condition is complicated.

If it is not complicated, it is not suitable to show his comprehensive strength.

Wait for Zhao Peiru to take over the medical record and have a look.

Multi-vessel bile duct stones, a total of four stones, two of which are in the intrahepatic bile duct, and the biliary stricture is too long, muddy, and angled, which is not suitable for entry...

Zhao Peiru understood all these situations with a glance.

"This case is quite suitable for me to complete [Task [-]]."

His "mission one" is to "improve the surgical technique in the field of intrahepatic bile duct stones" and demonstrate comprehensive strength."

Since we want to improve.

It is also necessary to take into account the purpose and requirements of "conforming to the Science and Technology Meritorious Award".

Zhao Peiru soon had an idea in his mind.

"Using the blank skill card, on 'Rigid choledochoscope percutaneous hepatic cholangiostomy for intrahepatic bile duct stones'."

"Use the specialization level card to increase its level."

With the vast amount of experience, poured into his mind.

Zhao Peiru's experience, level, and technology in "treatment of intrahepatic bile duct stones" are steadily increasing!

In just an instant, he surpassed Chai Baorong, Ma Lin, Wei Xiaobin and others in front of him.

From the perspective of diagnosis, the identification of the disease, the idea of ​​the plan, the surgical technique... all aspects have reached a new height.

"Come on, everyone, come in."

As soon as Zhao Peiru spoke, everyone dared not listen, and they all came in obediently.

"In this case, a rigid choledochoscope is suitable, right?"

Chai Baorong frowned and shook his head and said: "The hard choledochoscope is not easy to turn. The patient's biliary tract is too angled, and he can't use it when he goes in. He is afraid that if he goes in forcibly, he will pierce the biliary tract, which will be even more troublesome."

Director Hao of the general surgery department also nodded.

Zhao Peiru smiled easily.

"Since the angle of the biliary tract is large, then don't make a turn, isn't that all right?"

Everyone was a little dazed.

No turning?How to get in?
Zhao Peiru smiled and said, "Don't go through the path of courage."

"Have you considered draining a fistula?"

As soon as he said this, everyone became curious.

Ma Lin also seemed to have caught something vaguely, and sat up straight all of a sudden: "Mr. Zhao, you mean..."

Zhao Peiru: "You can make a fistula first, and create a channel connecting the intrahepatic bile duct with the outside world."

"Enter the sheath from the canal, and then enter the rigid choledochoscope through the sheath to crush and remove stones."

"In this way, the angle of the biliary tract you mentioned is too large, the narrow section of the biliary tract is too long, and the biliary tract becomes muddy..."

"It's not a problem at all."

Everyone looked at each other.

"This……"

"Directly build a path to connect with the outside world?"

"A sheath to support the canal?"

Everyone's brains are running fast!

This angle of thinking of Zhao Peiru is simply another way!

They are still here, thinking about many problems of the biliary tract, trying to overcome one after another.

But on Zhao Peiru's side, a new tunnel was built directly, completely avoiding all these problems!
Chang Lifang asked curiously, "Director Zhao, how safe is it to do this? Compared with the original laparoscopy and choledochoscopy, is it more traumatic?"

Zhao Peiru smiled and said, "No, it will be smaller."

(End of this chapter)