Surgical artist

Chapter 328 Breaking the Medical Consensus
I heard Zhao Peiru ask "treatment method".

The responsible physician had no choice but to explain several methods of their internal medicine treatment.

It is nothing more than water suspension, medication, peritoneal dialysis, inhibition of pancreatic enzyme activity, and prevention of further infection.

After listening, Zhao Peiru shook his head.

"This acute hemorrhagic necrotizing pancreatitis has an acute onset, severe condition, difficult treatment and high mortality."

"In my opinion, this kind of patient should undergo surgery as early as possible, and the earlier the surgery, the better for the patient. It is best to operate within three days of severe abdominal pain."

As soon as he said this, no one in the audience answered.

The responsible doctor murmured, surgical intervention?

This disease has always been treated conservatively.

If the patient improves, he is discharged,

This is also the case for most patients.

If the patient does not improve and continues to deteriorate, surgical intervention is necessary.

In addition, convincing patients is also a big problem.Because patients have a natural resistance to surgery.

Those who can not use the knife, try not to use the knife, can be cured by hanging water, why do you have to have surgery?Is your hospital trying to make money from me in a different way?
Besides, even from a medical point of view...

Is it really necessary to use a knife for this acute hemorrhagic and necrotizing pancreatitis?Is surgery really necessary?

Even the responsible doctor has doubts in his heart.

At this moment, a sentence popped up in his mind.

In the liver and gallbladder field, you Director Zhao Peiru, you are a boss, I have to respect you.

But in this field of pancreas, I still know better?I specialize in the field of pancreas, and what I have learned is that it should be treated with internal medicine.

And you, Director Zhao, made such remarks rashly, if I listened to you and led to bad results, would you be responsible for it?

Although the doctor in charge didn't explicitly reject Zhao Peiru, his face was filled with an expression of not wanting to hear it.

Zhao Peiru glanced at the crowd behind him.

"Director Gao."

Among the people present, the one who could really make the decision was the director of the Department of Hepatobiliary and Pancreatic Surgery, and he had to be persuaded.

"Director Gao, you also have in-depth research on the pancreas. Let me ask you, what is the main cause of death from acute hemorrhagic necrotizing pancreatitis?"

Director Gao immediately said, "It's a complication."

Zhao Peiru: "Yes."

"Pancreatitis itself is not fatal and not serious, so it has not been taken seriously. Most doctors will only take conservative medical treatment."

"But the complications brought about by this will make the disease start to deteriorate rapidly and become uncontrollable."

Director Gao nodded deeply.

"You are right, this kind of pancreatitis is likely to be complicated by renal failure, respiratory failure, hypotension, poor coagulation, sepsis, and abdominal compartment syndrome."

"Many patients with pancreatitis suddenly deteriorated and developed various complications during conservative medical treatment, so they were urgently sent to surgery for surgical treatment."

"But at this time, it is very likely that the death of the patient will be caused due to the delay in delivery."

Zhao Peiru silently praised Director Gao in his heart.

I thought it would take a while.

After all, it is not easy to use surgical methods to break the "treatment routine" formed by many doctors over the years.

In the end, Director Gao seemed to be quite up-to-date.

I figured out the twists and turns inside, the stakes and interests.

Zhao Peiru said: "Surgical interventional treatment is just a minor operation of less than an hour, just to drain the effusion and place a drainage tube."

"For the patient, a one-hour operation can directly rule out future problems. Even if the time for post-hospital care is included, it will only take about five days."

"Compared to conservative medical treatment, it takes at least 7 days, or even 14 days before being discharged."

Follow Zhao Peiru to talk freely.

Director Gao's mood softened a bit.

But soon, his heart became stronger again.

The treatment method of "mainly medical treatment" is the consensus of the entire medical community.

It is also the essence summed up by countless senior masters.

What Zhao Peiru said, although it sounds reasonable, but because it is a new way of thinking, there are more uncertainties in it.

It's like, there was an old road, although it was tortuous, but countless people have walked it, and it has been proven countless times that it can go!
At this moment, Zhao Peiru suddenly pointed to a new road. The entrance of the new road looks quite spacious, but will this road be able to pass through in the end, whether it will go smoothly, and whether there will be a blockage at the back...

Everything is unknown, and no one can guarantee it.

In this case, there is no doubt that stability is the main priority.

As a doctor, it is the best thing to be able to stabilize the patient's condition without taking risks.

Thinking of this, Director Gao rolled his eyes.

"What Director Zhao said makes sense!"

Director Gao smiled and said, "The early surgical intervention method mentioned by Director Zhao is indeed a direction worth exploring."

"Maybe, one day in the future, acute hemorrhagic and necrotizing pancreatitis will change from medical treatment to early surgical intervention. At that time, we will all be the first witnesses!"

Everyone smiled a little.

What he said, praised Zhao Peiru, and saved enough face for others.

Zhao Peiru couldn't help but look at Director Gao a few more times.Presumably, this person can sit in his current position, not only because of his business ability is still "fair", but also because of his emotional intelligence in handling things, which also plays a big role.

This kind of person is also an indispensable existence in the unit.

However, Zhao Peiru did not follow this route.

He has a simpler, more direct, and more violent way: "break all laws with force".

Use tyrannical hard power to break through all old methods and old rules.

Zhao Peiru said: "No, what I said is not just a direction."

"The patient's condition is already very serious, and even started to show the trend of hypotension and abdominal compartment syndrome."

"This is the last chance for surgical intervention."

"Besides, the patient still has biliary pancreatitis, and it is urgent to relieve the obstruction, remove the necrotic tissue, and drain the effusion."

"Now, only timely surgical intervention can further tissue deterioration and complications occur."

What he said was rather harsh.

It was simply saying that the patient in the ward must be treated surgically, and that he must not be treated conservatively with medical methods.

For a moment, everyone hesitated.

If the patients inside were liver and gallbladder patients, they would definitely follow Zhao Peiru's suggestion and arrangement to perform surgery on the patients without saying a word.

Because Zhao Peiru has been proven to be a master of medicine in these two fields!Very high level!

But now this patient...is a patient with pancreatitis.

Zhao Peiru did not have any good performance in the field of pancreas before.

Do you want to listen?

Everyone didn't want to offend Zhao Peiru, and they didn't want to rashly break the "treatment routine" for many years and follow Zhao Peiru's new thinking.

Zhao Peiru smiled secretly.

In fact, he fully understands the psychological entanglement of everyone at the moment.

Seeking stability is the nature of many people, and it is also the principle that clinicians have always followed.

He did this on purpose today, in fact, he planned to do [Task [-]] in the simplest way.

Zhao Peiru suddenly stopped keeping a straight face, but said with a smile:

"Today, isn't Professor Bi Huiwen from the southwest region here?"

He finally revealed his true purpose.

"He has a very high attainment in the field of pancreas and duodenum, and it can even be said that he has taken the lead in the country in certain subdivisions."

"Why don't you invite him over and ask him what he said? Does he support conservative medical treatment or surgical intervention?"

According to his grasp of Bi Huiwen's information, Zhao Peiru can roughly guess...

Bi Huiwen, an old expert, even if he has not formally started to study "surgical interventional pancreatitis", he probably has this idea in his mind.

This is the only way for the development of pancreatic medicine.

An old expert like Bi Huiwen should have reached this point.

This is Zhao Peiru's judgment based on the massive "pancreas" experience in his mind and the "leading information" he has mastered.

Of course, if Bi Huiwen has not reached this point, he is still in a relatively backward conceptual position...

Then Zhao Peiru has no choice but to be disappointed, give up this opportunity, and look for other opportunities to complete [Task [-]].

"This... to find Professor Bi?"

Director Gao was in a dilemma.

I dare not look for it!
Bi Huiwen is a first-class expert from a first-class hospital in the country. He has a very high status in the field of pancreas, duodenum and lower gastrointestinal tract, and is one of the big names in China.

For such a person, time is extremely precious.

The reason why I was able to come to their Port General Institute to do guidance work today is because of the previous "exchange and negotiation project between the two places".

Today's itinerary, I already have a fixed arrangement, if I go over to disturb others, not to mention the leaders of their academy, even the accompanying provincial leaders and the leaders of the joint organizing committee, I guess they will be scolded bloody!

Director Gao smiled awkwardly: "Director Zhao, this is not appropriate, or should we forget about it?"

At this moment, at the end of the opposite corridor, there was a commotion at the elevator entrance.

The dean of the Port General Institute led the way in the front, and Professor Bi Huiwen followed. Behind, the leaders of the Joint Organizing Committee, the provincial leaders, and the leaders of the institute all followed.

A large group of people walked quickly towards this side.

Arrived in front of Zhao Peiru.

Du Rong, the dean of the Port General Institute, introduced with a smile: "Professor Bi, this is our Director Zhao."

"Director Zhao, this is Professor Bi Huiwen from Xijing Hospital."

When Bi Huiwen saw Zhao Peiru, his eyes lit up!
Quickly walked a few steps, came forward to shake hands: "Director Zhao Peiru!"

"This is the second time we've met!"

Zhao Peiru also came forward to shake hands with a smile, and said with a smile, "Yes, the last time was at the exchange meeting between the two places."

Zhao Peiru was also a little curious.

Originally, he was planning to find Bi Huiwen, but he didn't expect that the other party came over on his own initiative, and it seemed that he was here specifically for him?
Bi Huiwen smiled all over his face: "I just heard that you also came to this hospital today as a teaching guide. I will come to visit you immediately!"

"I watched the live broadcast of your surgery a few days ago for 15 hours!"

"It's just amazing!"

Bi Huiwen admired Zhao Peiru from the bottom of his heart!
When they met for the first time, he was only slightly surprised that Zhao Peiru was able to win the head of the 863 project.

And the live broadcast of the operation a few days ago directly shocked Zhao Peiru!

The technology inside is so wonderful, and the operation is so exquisite!He was amazed by the handling of several details!

From the bottom of my heart, Bi Huiwen already recognized Zhao Peiru's medical skills.

"Director Zhao, your whole organ cluster transplant operation has found another way to survive for our 'multi-organ critically ill' patients!"

As an expert in the field of "pancreas and duodenum", Bi Huiwen is so gratified to see the birth of this "whole organ cluster" transplantation technology!
Because, he has seen too many pancreatic cancer patients in the late stage, when the malignant tumor infection erodes all nearby organs...

Bi Huiwen could only watch these patients despair, give up, and go home to die.

Because of his great reputation, many of the patients who found him were critically ill patients who came from all over the country to see him in the last hope.

But now, with this kind of whole organ cluster transplantation technology, when Bi Huiwen encounters this kind of patients again in the future, he no longer needs to shake his head at them, and no longer needs to tell them that the "doomed" that made them despair.

After hearing this, Zhao Peiru also understood why Bi Huiwen respected him so much, and decided to come and visit him on his own initiative.

He smiled and said a few words politely.

By the way, he proposed his purpose.

He said to Director Gao of the Department of Hepatobiliary and Pancreatic Surgery of the Port General Hospital next to him:

"By the way, it just so happens that Professor Bi is here too. Director Gao, please tell him about the situation of this patient."

Bi Huiwen became curious.

A case that Zhao Peiru, the person in charge of the 863 project, can pay attention to?

Is the case very typical?
Or is it a special condition?

Bi Huiwen also became a little interested.

Yes, wait until Director Gao finishes explaining.

In the depths of Bi Huiwen's eyes, a well-hidden disappointment flashed across.

It turned out to be just a case of acute hemorrhagic necrotizing pancreatitis.

I thought it was some special condition, or some complicated and serious medical case.

On the surface, Bi Huiwen said politely: "Director Zhao, what do you mean?"

Zhao Peiru talked about his "surgical intervention theory".

"Surgical intervention?"

Upon hearing Zhao Peiru's theory, Bi Huiwen's heart trembled!
I thought it was just a case that was so common that it couldn't be any more common, without the slightest possibility of discussion.

But as soon as Zhao Peiru uttered the words "surgical intervention", it immediately hit his heart!

Recently, Bi Huiwen is making preparations for relevant exploration and research!

Because he also gradually discovered that surgical intervention may be a better treatment for acute hemorrhagic necrotizing pancreatitis.

"Director Zhao, what you said just now is correct!"

"Surgical intervention is indeed a very beneficial method for the condition!"

As soon as he said this, the responsible doctor next to him and Director Gao of the Port General Hospital were stunned.

Why do experts from Xijing Hospital say this?

Bi Huiwen seemed to have found a confidant all of a sudden.

"Especially the theory you mentioned just now, the drainage of vasoactive substances and harmful pancreatic toxins in the abdominal cavity in the early stage of the disease can reduce the inflammatory response and prevent the damage to the function of the organs of the whole body..."

As soon as Bi Huiwen opened his mouth, he couldn't stop the car.

Zhao Peiru's "surgical intervention" theory suits his taste too much!
(End of this chapter)