Surgical artist

Chapter 556 Is there something wrong with this case?
Zhao Peiru arrived in Kyoto by plane.

Come to the research and development department of a medical device company.

Here, people from the National Gastric Tumor Research Institute, and people from the R&D Department of the Medical Research Corporation.People from both sides cooperated in one place, with a total of more than [-] R&D personnel working together on research.

In the middle of this research period, Zhao Peiru needs to sit here in person, constantly giving the research team new ideas and revising the team's research direction.

After several meetings, someone from the research team whispered:
"Academician Zhao's control over the details is amazing."

"Yeah, it's amazing. His mastery of details is unparalleled. Every small point on the closer and stapler must be integrated with his multiple technical points."

"This is much stricter than our supervisor's requirements."

"I heard that the operation he performed on Mr. Deng Guangxing last time was full of details. This time, I finally felt Academician Zhao's precision in the details."

Holding hands, everyone summed up "Zhao Peiru's requirements for equipment", and said with emotion: "As long as one-tenth of these technical points can be integrated into the equipment, it will have a huge promotion effect on the industry."

……

As time progresses day by day.

Zhao Peiru also constantly gave the research team new inspirations and ideas, allowing the things in their hands to slowly carve out the things in their minds.

The researchers feel that so many "technical points" are gradually integrated into the device step by step, and they are reflected in the closer and stapler, and they are getting more and more excited.

In the end, after meeting Zhao Peiru's 50% requirement, Zhao Peiru was relatively satisfied.

The remaining requirements cannot be met by "material science" at this stage. We can only wait for the further development of material technology in the future before further improving the two types of closers and staplers in hand.

So far, the two types of closers and staplers have entered the experimental stage and the simulation stage.

Zhao Peiru handed over this part of the work to several commissioners of the Stomach Tumor Research Institute.

……

"It will take some time for the simulation stage and the clinical trial stage."

Zhao Peiru thought, taking advantage of this time, he can complete other tasks first.

Zhao Peiru's gaze fell on "Task [-]".

"Distinguishing a misdiagnosed case of complex gastric cancer".

To distinguish misdiagnosed cases, it seems that we have to go to a hospital.

Zhao Peiru is most familiar with Shenshuitan Hospital in this capital.

He found his old friend Lei Rong.

After the two exchanged a few words, Lei Rong said strangely: "Academician Zhao, I heard that you are not in a medical device company, busy developing new staplers and closers? Why come here when you are free?"

Zhao Peiru smiled and said, "I'm here to bother you, can I go to your gastroenterology department to see the case?"

Lei Rong felt strange, but he still said, "Okay."

He thought to himself, maybe what Zhao Peiru is going to do next is related to making staplers and closers?

The two came to the gastroenterology department.

This is not the first time for Zhao Peiru to check the medical records. He familiarly checked the diagnosis and treatment files of all inpatients.

After looking around, Zhao Peiru shook his head slightly in his heart.

There was not a single case of misdiagnosis.

"The medical skills of the doctors in Shenshuitan Hospital are still superb. It is not easy to find a case of misdiagnosis."

In fact, the patients who can come to Shenshuitan Hospital in Kyoto are often those who have been transferred from two or more hospitals and have undergone multiple and multi-level consultations. In this case, the probability of misdiagnosis is still extremely low.

"Shenshuitan Hospital, a well-known large hospital in the country, shouldn't be chosen."

"Should choose a small hospital."

The level of doctors in small hospitals is slightly lower, and they have seen fewer patients and diseases. The probability of misdiagnosis is naturally slightly higher than that of large hospitals.

Zhao Peiru asked Lei Rong, "Are there any small county-level hospitals around here? Which one are you familiar with? Let's go and investigate."

Lei Rong: "Shall we go to a small hospital?"

He thought for a while, "I'm an old classmate with the dean of Dongyuan East District Hospital, why don't you go and see him?"

Zhao Peiru nodded: "OK."

This kind of misdiagnosed case is just luck, it doesn't matter which one you go to.

After an hour's drive, the two came to the suburban counties around Kyoto.

The director of Dongyuan East District Hospital heard that Lei Rong brought academician Zhao to visit, so he hurriedly took the vice director and other members of the hospital committee to greet him.

"Academician Zhao, hello, hello!" The director of the hospital never dreamed that a boss of Zhao Peiru's level would suddenly come to their hospital.

Lei Rong instructed: "Academician Zhao is currently working on a medical device research and development project, and needs to do research. We may need to transfer the files of the gastroenterology department of your hospital to cooperate."

The dean of Dongyuan East District smiled all over his face: "All right, all right, we will definitely cooperate with all our strength!"

Zhao Peiru followed several people into the hospital and looked around.

"The county-level and district-level hospitals in Kyoto have such good facilities, and they are even comparable to some of the poorer provincial-level hospitals in Jiangnan Province."

When he came to the Department of Gastroenterology in the inpatient ward, Zhao Peiru looked through the files.

An interesting case was found out by him.

"What is the treatment for this patient now?"

As soon as Zhao Peiru asked the question, the director of the hospital immediately winked at the director of the gastroenterology department.

The director of the Gastroenterology Department glanced at him, stepped forward cautiously, and said, "This is a patient with gastric cancer. Let's give him nutrition and immune-boosting symptomatic treatment first. After the patient's physical condition is adjusted, we plan to choose a surgical operation for him."

Zhao Peiru: "Tell me how to consider it."

The director of the gastroenterology department hurriedly said: "The patient felt nauseous and vomited. Multiple gastroscope examinations showed that there were suspected space-occupying lesions and ulcers in the bottom of the cardia and stomach. In addition, CT showed that the arm of the fundus of the stomach was thickened. We consider gastric cancer with mediastinum Lymph node metastasis."

The deputy director next to him also stood up and added: "I was in charge of this case. Enhanced CT showed that the patient's cardia and stomach wall were thickened and the metabolism was active. It was considered that the lymph nodes were enlarged and the metabolism was active, and gastric cancer metastasis was considered."

Zhao Peiru said casually, "Have you never considered tuberculosis?"

The director of the Gastroenterology Department stared, but in the end, he shook his head slightly:

"Unlike tuberculosis, tuberculosis generally has symptoms of tuberculosis poisoning such as low-grade fever in the afternoon, night sweats, weight loss, and fatigue, but this patient has high fever and no night sweats. And under the gastroscope, you can directly see a lump at the bottom of the stomach. If it is tuberculosis , generally occur in the pylorus, the prepyloric region, and the lesser curvature of the stomach."

Zhao Peiru nodded slightly.

The doctors in this hospital are of good quality.

Although it was a case of misdiagnosis, the doctor had already considered a lot.

In fact, this case is too complicated and has already "beyond the outline". Even if such a complicated patient goes to a large hospital, the real cause of the disease is often not found.

At this moment, Lei Rong and the dean of the hospital heard Zhao Peiru repeatedly asking questions about the case, and they also noticed something was wrong.

Academician Zhao seized this case and repeatedly asked, is there something wrong with this case?

(End of this chapter)