Surgical artist

Chapter 350 Does Anyone Have Questions?

"This Zhao Peiru still doesn't give up."

Xiang Xinrong shook his head: "It's really beyond my control."

"He still plans to use a new method to try treatment?"

"This is no turning back until you hit the south wall."

Xiang Xinrong got up and walked back.

But in his heart, he also vaguely buried a trace of worry.This new method, shouldn't it really work?

Xiang Xinrong stopped and took out his small notebook.

Relying on his profound theoretical knowledge of the pancreas, he wrote and drew while trying to deduce it.

As for "incomplete pancreas divisum", he also dabbled in it when he was working in Haishi University Hospital.Whether Zhao Peiru's method can work or not can be known after a while.

In the end, Xiang Xinrong sneered and closed the notebook directly.

"How arrogant."

"This direction of improvement, although it makes the viewing angle clearer and makes the surgical trauma look smaller, it also increases the difficulty of the operation, and it also makes the operation time longer and increases the probability of accidents during the operation. Endoscopic proficiency."

Xiang Xinrong shook his head: "It is said that it is a technical improvement, but if these problems are not solved, these so-called improvements are meaningless at all."

He felt much more at ease.

This Zhao Peiru chose a way to play himself to death.

Just let him go.

……

By the afternoon.

In the small conference room of the Second People's Hospital of Los Angeles.

Many experts in Zhao Peiru's team are discussing in full swing.

Even during lunch time, they compressed it to a few minutes, ate in a hurry, and continued their discussion.

Because the patient's condition is urgent, acute pancreatitis must be treated as soon as possible.

And Zhao Peiru proposed a new treatment plan, the feasibility of this plan, the rich details, the evaluation of medical principles, etc...

These all need more time, and they are not allowed to rest.

At this time, Zhao Peiru was not around, so everyone could only rely on their own knowledge to enrich and perfect the plan.

Jing Jidong, a Los Angeles expert in the group, said: "Chairman Zhao's new treatment plan looks very promising, but there are several fatal problems."

"One is that it is very easy to cut the pancreatic duct when going in and out of the guide wire."

"The other is that if the guide wire enters the main and accessory pancreatic ducts, if the operation is not good, once the guide wire slips off, it will be very difficult to re-intubate."

"In short, President Zhao's plan is more convenient because of the improvement, but there are more problems that have not been considered."

"The traditional technique, though complicated and troublesome, is the safest. President Zhao's new technique, if it slips and cuts the pancreatic duct, it will be troublesome."

When everyone heard this, they couldn't help frowning.

Indeed, this is the biggest problem with all new technologies and solutions.Many problems are hidden and difficult to expose without the test of the actual operation, but once exposed, it will become an accident in the operation.

Another Los Angeles expert also said: "Let's not talk about the advantages and benefits of President Zhao's new treatment plan. Let's solve these fatal problems first and then do the rest."

Everyone discussed for a while.

But for a while, there was no effective way to come up with it.

Because Zhao Peiru's new method is too "handy", once some "restricted operations" are forcibly added to it to try to solve these fatal problems, it will weaken the superiority of the new technology and make it "obliterated by everyone". Instead, it becomes as complicated as the traditional method.

That would not be worth the candle.

It is too difficult to come up with a simple and ingenious yet safe and reliable detailed technology that also conforms to the characteristics of the new technology.

For a long time, everyone failed to discuss why.

"Then how about... let's change the plan?"

Some people are withdrawn.

Just then, there was a knock on the door.

Director Hao Xihua, who was frowning, said: "Come in."

Outside the door, Director Zhen Weichen of the Second People's Hospital came in with a stack of documents.

"Experts, this is the latest examination data of the patient this afternoon, and there have been some slight changes in his condition."

"If you have already made a treatment plan, I am afraid you will have to make some minor adjustments based on these data."

Jing Jidong from Luo Province in the expert group said with a pale face: "There is no treatment plan, the plan has not been finalized yet."

Director Zhen Weichen was taken aback for a moment: "Didn't Chairman Zhao already give the treatment direction this morning?"

Luo Province Jing Jidong shook his head: "The direction of treatment has been given, but many details in it have not been perfected, and what is lacking are some fatal details. If these details cannot be penetrated, the feasibility of the entire treatment plan will not pass."

Director Zhen Weichen looked around the small meeting room, but there was no sign of Zhao Peiru.

The backbone is absent.

What about this?
If, as the experts said, even the basic plan has not been finalized, the personalized fine-tuning plan will be delayed even more.

But the patient's condition did not allow them to delay any longer.

"Everyone, isn't Chairman Zhao Peiru here this afternoon?" Zhen Weichen asked.

He also saw that without Zhao Peiru, these experts probably couldn't advance the new plan, and only that one had that level of strength.

Director Hao Xihua hesitated and said: "President Zhao... I guess he will come here later?"

Obviously, he didn't know Zhao Peiru's movements either.

Director Zhen Weichen felt a little anxious, procrastinating like this is not an option.

Experts can wait.

Even to put it bluntly, the expert group will pat their ass and leave at that time, and will continue to work on the subject if they change to another case.

But this patient couldn't wait any longer, and neither could the Los Angeles No. [-] People's Hospital. The responsibility was all on their hospital and on him, Zhen Weichen.

Zhen Weichen even began to hesitate in his heart, if the members of this expert group can't decide on a treatment plan for a long time...

Or, ask the famous doctor in the province to use the traditional endoscopic retrograde cholangiopancreatography to treat the patient?

Just then.

Zhao Peiru's figure appeared at the door.

He was fishing and relaxing in the independent office assigned to him just now.After calculating that it was almost time, I got up.

In particular, my health has gradually improved recently, and I have regained a little youthful state. I couldn't help but stroll for a while while walking on the road, looking at the beautiful scenery along the way.

"What happened to Director Zhen? Has the patient's condition changed?"

As soon as Zhao Peiru came in, he saw Director Zhen Weichen with a worried expression on his face.

Zhen Weichen hurriedly said: "President Zhao, the patient's condition has deteriorated again. I'm afraid we won't be able to wait long. Besides, this is the latest data of the patient. I'm afraid the treatment plan needs to be adjusted. What do you think?"

Zhen Weichen looked at Zhao Peiru's face, wondering whether Zhao Peiru was sure, and also wanted to know whether the new treatment plan was a castle in the sky, or whether it could really be implemented.

The patient's condition deteriorated again?

Zhao Peiru took the patient's checklist and read it over.

That's it, is it worse?
Such a slight change in value is completely a change trend of acute pancreatitis.In the eyes of a "master-level" doctor like him, these changes are just very normal numerical trends.

But in the eyes of an uncertain doctor like Zhen Weichen, these changes are uncontrollable and continuous deterioration.

Zhao Peiru gave Zhen Weichen a stable look.

"Don't worry, the treatment plan is almost done, and the condition will not be delayed. Didn't I ask you to prepare the patient for surgery yesterday?"

Zhen Weichen nodded subconsciously.

"You let people arrange it, and three hours later, the operation will be performed on time."

Zhen Weichen was slightly taken aback, Zhao Peiru is so confident?

The members of the expert group just now were still saying that the plan hadn't been finalized yet, but when they arrived at Zhao Peiru's place, the operation would take three hours?
"President Zhao, are you sure?" Zhen Weichen couldn't help asking.

Zhao Peiru nodded: "Send someone to arrange it."

"You have to stay and participate in the next meeting. At that time, the patient's postoperative recovery observation, medication adjustment, etc. will all depend on you. Knowing more about the plan will benefit your postoperative management."

Zhen Weichen nodded, he called a doctor outside, and after a few instructions, he also sat in the small meeting room.

To be honest, in his heart, he was also very curious at this moment.Especially seeing that the expert group and Zhao Peiru were not on the same page, he also urgently wanted to know the specific treatment plan, and wanted to use his own judgment to see if it was feasible.

After closing the door.

Zhao Peiru said: "When I was at the door just now, I heard that you still have many questions about this plan?"

"There are still three hours before the operation time, and there is still enough time. Let's brainstorm and talk about it together."

Among the expert members, several Los Angeles experts rolled their eyes inwardly.

There are only three hours left, and you still say there is enough time?
Those fatal problems, let alone three hours, might not be solved in three weeks.

Several people in Jiangnan Province were full of anxiety.

Especially Director Hao Xihua, seeing the urgency of the time, did not dare to delay at all, and quickly repeated the several fatal issues discussed by everyone just now.

Zhao Peiru smiled when he heard this.

"I want to ask, who raised these questions?"

Everyone looks at each other, you don't solve the problem, but ask who raised it?
What is this for?
Zhen Weichen, director of the Second Provincial People's Hospital next to him, also frowned at this moment.

After a few seconds of silence in the conference room, Jing Jidong, the Los Angeles expert, took the initiative to speak, "President Zhao, I mentioned it."

Zhao Peiru smiled: "That's a good idea. It seems that you have really gone through this plan carefully."

"Who else sees these problems except him?"

He looked around.

Among the four people who found Luo Province, besides Jing Jidong, one person raised his hand.Zhao Peiru remembered that the two who could see the problem were both Xiang Xinrong's students, and it seemed that Xinrong's teaching was really good.

Among the four people in Jiangnan Province, only Hao Xihua raised his hand.

Zhao Peiru secretly wrote down the names of these people.

After that, you can focus on training and act as your own "powerful little brother".

Jing Jidong and the others did not expect that Zhao Peiru wanted to praise them.

Zhao Peiru smiled and said, "If you can see these problems, it means that you have a better understanding of the plan than others."

"It's not difficult to solve these problems. It only takes a few tricks."

"First of all, strictly select the guide wire for puncture, and choose a super-smooth guide wire with good material, so that the "intuitive" feature of the new technology can be brought into play, and the entry and exit of the guide wire can be better controlled."

"When going in and out of the accessory pancreatic duct, you should choose a double soft-tip guide wire and a loach guide wire, which can assist the deep insertion and cutting of the cutter."

"Besides, you are worried about easily cutting the main and auxiliary pancreatic ducts..."

This time, Zhao Peiru revealed all the details of his plan.I also took this opportunity to choose and train two surgical assistants.

Zhao Peiru: "Auxiliary cutters and snares are needed to control the force of the guide wire, control the force in a balanced manner, and cut the auxiliary tube to prevent the risk of guide wire slipping..."

Zhao Peiru dispelled everyone's doubts step by step.

In his eyes, these are just small tricks.

But in the eyes of everyone, it is a key step to solve the big problem!
After Zhao Peiru finished explaining everything, he gave everyone enough time to digest.Then he glanced at everyone with his eyes.

"Who else has questions?"

Everyone in the audience was silent.In everyone's mind, there is only excitement and wonder.

What amazes me is that each of these skills and techniques really hit the pain points of those problems, and solved all those seemingly fatal problems!

Moreover, what Zhao Peiru just said was simple and profound, using the most straightforward words to cut through their layers of doubts, explaining in detail, clearly and clearly.At this moment, even the least understanding people can understand...

Zhao Peiru's technical skills can really make this improved "endoscopic retrograde cholangiopancreatography" possible!
Next to him, Director Zhen Weichen of the Los Angeles Second People's Hospital, was also very emotional when he heard it!

Call out a good way in my heart!
Originally, he was not qualified to enter the expert group and listen to the details of these plans.

But Zhao Peiru gave him the opportunity to listen, and gave him the honor to be able to hear such a profound technique in the first place.

He is now very eager to participate in this expert group, eager to participate in the formulation of such a mysterious plan.

"Everyone, do you have any questions?"

Zhao Peiru asked again, and looked specifically at Jing Jidong, an expert from Los Angeles Province who asked the question just now: "Director Jing, do you have any questions?"

At this moment, Jing Jidong was filled with admiration in his heart.

The reason why he brought such a fatal problem to the meeting was because he couldn't think of a way to solve it.In the end, Zhao Peiru used several techniques to solve all the problems.

"I'm fine." Jing Jidong shook his head.

Zhao Peiru: "Okay, if this is the case, then you will be my first assistant in surgery. Director Hao Xihua will be my second assistant, okay?"

Hao Xihua is still psychologically prepared, after all, he has cooperated with Zhao Peiru once before, and they cooperated quite comfortably.

But Jing Jidong was shocked!
President Zhao Peiru is willing to use him, a person from Luo Province?

"President Zhao, are you sure you want to use me?"

(End of this chapter)