This doctor has a system

Chapter 278 267. Let me treat you to spicy hotpot

There were quite a lot of people at noon, and the energetic college students were in groups. Seeing this situation, Gao Feng couldn't help but think of his own college career. The restaurant at Xxiang Medical College was very shabby, but the chefs were pretty good at it. The key was that it was cheap. At that time, 300 yuan a month to eat in a restaurant was definitely enough.

Prices have risen dramatically in recent years, and now a bowl of braised noodles costs 10 yuan.

As soon as we had sex, someone called, and it was an unknown number.

"Hi, hello, who is it?"

"Is this Mr. Gao Feng? I am Du Gen, a spinal surgeon, and I would like to ask you for a consultation."

"Invite me for consultation? I'm not on the second line today." Gao Feng was a little puzzled, "Why would you call me?"

"There is a very complicated patient who may need a bronchoscopy. Dr. Liang from the bronchoscopy room said he would like to take a look at it first." Spine Surgery Department explained.

"Okay, I'll go over and take a look this afternoon." Gao Feng asked the patient's name and bed number, then hung up the phone.

Spine Surgery is located in Building 1. It is a relatively low-key department of the Provincial Hospital. In H South, the most famous orthopedics department is not the First Affiliated Hospital nor the Provincial People's Hospital, but L Yang Orthopedics Hospital.

Zzhou Orthopedic Hospital is also very good. In the early years, many orthopedic experts from the First Affiliated Hospital and Provincial Hospital came from here.

"The patient suffered from lumbar spinal trauma and has just undergone surgery. His current condition is normal." Du Jinggen said, "When I did a chest CT two days ago, I found a shadow in the left lung, which doesn't feel good."

Gao Feng looked at the chest CT on the computer. The patient had a mass in the left hilar and was accompanied by enlarged mediastinal lymph nodes. From the imaging point of view, it was indeed very malignant.

Taking into account the smoking history of more than 30 years, it is likely to be squamous cell carcinoma.

"Let's do an ultrasonic bronchoscopy. His lymph nodes need to be punctured and biopsied to be sent to pathology for examination." He suggested.

"The patient is allergic to anesthetics." Du Changgen was a little embarrassed, "Can ultrasound bronchoscopy be done under local anesthesia?"

"Allergic to anesthetics?" Gao Feng was surprised, "Then how was his spinal surgery performed?"

"After the treatment, I was diagnosed with severe disease. I had a large rash all over my body and my blood pressure dropped wildly. I stayed in severe disease for 5 days and I just got out of the hospital."

No wonder Liang Congyue asked him to come and take a look. Patients who are allergic to anesthetics are not easy to deal with.

As the name suggests, ultrasonic bronchoscopy is a bronchoscopy performed under ultrasound guidance. There is a small ultrasound probe at the tip of this bronchoscope, and the operating physician can perform puncture and other operations based on the guidance of the ultrasound image.

Ultrasound of the bronchus generally takes a long time, and provincial hospitals almost always do it under general anesthesia. Patients do not tolerate it well under local anesthesia, which may lead to dissatisfaction with the materials obtained.

Moreover, the risk is high. When using a puncture needle to collect materials, if the patient suddenly coughs, it may accidentally penetrate into a large blood vessel, causing a risk of bleeding.

Thinking of this, Gao Feng hesitated and said, "No, you can let the patient recover for another 2 days. When his basic condition is better, you can contact me and we can try it under local anesthesia."

After communicating with the family, the latter had no objection.

Gao Feng was about to leave when Du Jinggen called out to him again, "Teacher Gao, you're all here, please help us see another patient."

The patient is a melancholy aunt with yellow hair. Her lumbar spine was burst and she is currently bedridden. There are two killer-looking uncles sitting next to her. The style of painting surprised Gao Feng.

Yu Hongdou, female, 57 years old, unemployed.

The patient has two daughters, both of whom are currently married and have children. Because she has a fiery personality and is impatient, her daughter did not ask her to help take care of the children.

Yu Hongdou was bored, so he organized a motorcycle team with a group of middle-aged and elderly people and rode Harleys around.

"Motorcycles are really too dangerous. Don't challenge it when you're old." Gao Feng said to Yu Hongdou who was lying on the bed, "Look at how well you fell."

"You can pull it off!" The patient looked helpless. "We rode a motorcycle all the way from Hangzhou to Tianjin and it was fine. But then we took a car from Tianjin to Henan and got a flat tire on the highway."

"If I had known it would be fine if I kept riding a motorcycle..."

"She has had a lung infection in the past two days. The antibiotics used were cefuroxime sodium, but the effect was not good." Dujing Genhui reported, "Do you think the antibiotics need to be adjusted?"

"She has nosocomial pneumonia. Cefuroxime sodium is probably not suitable. She should switch to cefoperazone sodium and sulbactam sodium."

Pneumonia can be divided into two categories based on the location of onset: 1. Community-acquired pneumonia 2. Hospital-acquired pneumonia.

Hospital-acquired pneumonia refers to pneumonia caused by nosocomial pathogen infection 48 hours after hospitalization in patients who did not suffer from pneumonia before admission and were not in the incubation period of pneumonia infection.

Compared with community-acquired pneumonia, the causative bacteria of hospital-acquired pneumonia are mainly Gram-negative bacteria, such as Acinetobacter baumannii, Pseudomonas aeruginosa, Klebsiella pneumoniae, and Escherichia coli wait.

Cefoperazone sodium and sulbactam sodium with enzyme inhibitors will be more effective in this regard.

When Gao Feng returned home, he told everyone what happened to Aunt Huangmao, which aroused heated discussion among everyone.

"My second aunt is unlucky!" Dong Qianqian said.

Her second aunt was too fat before, and the orthopedic doctor told her that she must exercise and lose weight, otherwise she will have to come to the hospital sooner or later to have her joints replaced!

The second aunt was a persuasive person and decided to start exercising. However, she felt that doing exercise was too boring, so she bought a Chow~ and walked the dog in the park near her home every day.
As a result, one day the Chow saw a bitch, and he rushed out selflessly, taking his second aunt down. He fractured his femoral neck on the spot, and went straight to the hospital to have his joint replaced...
"Same bad luck!"
-
"Everyone has watched the video! Do you have any thoughts?" Director Zha Xuefeng of the Department of Cardiology at Beijing Anzhen Hospital asked, and there were a lot of doctors sitting in the audience.

No one said anything below, everyone could see that Director Zha was not very happy.

"Two years ago, we here proposed simple ultrasound-guided foramen ovale repair!" Zha Xuefeng felt very angry. "I remember it was Zhou Jianhua. He even wrote a feasibility report at that time."

"But what's the result? Many people are dismissive! Everyone takes this as a joke."

"I think the current surgical methods are very mature, but ultrasound guidance has a lot of uncertainties and intraoperative positioning is inaccurate. The result is that this technology was abandoned before it could be tested on a trial basis!"

"Are all of you here blushing?"

"Did you see the video clearly? Do you need me to play it again?!" Zha Xuefeng slammed the table.

"Some people get old when they get old. I don't object if you want to lie down. After all, you are old and have low energy. I don't ask you to keep up with the development of the times."

"But I always have a hatred for new technologies, and even maliciously prevent the development of new technologies. Then I will have to talk to you in the future!" He stared at the few people in the audience with a hateful look and announced that the meeting was adjourned.

"Director Zha's words were a bit too harsh." A director whispered, "We all discussed it collectively at the time and said that ultrasound guidance alone was not yet mature, but he didn't say anything at the time."

"I'm really excited now."

"Stop talking, he is the director of the department, and I heard that he was nominated as an academician candidate this year." Someone whispered.

"Hey, no wonder you've been talking so loudly lately. It turns out you've got a tougher back."

"Stop talking, stop talking." Some people felt that such a private discussion was not good, "If there is anything, you can discuss it later."

Zha Xuefeng regretted it so much. When Zhou Jianhua proposed this concept, he was busy with other things and didn't pay much attention to it.The latter approached him several times at that time, but he ignored her.

As a member of the returnee group, Zhou Jianhua was very uncomfortable with the domestic ecological environment, and his business was not going well. After careful consideration, he finally resigned from his job at Anzhen Hospital and now seems to be engaged in radiofrequency ablation in Australia.

After thinking for a while, Zha Xuefeng found out Zhou Jianhua's contact information.Zhou Jianhua, who was on vacation, expressed surprise at the call. His experience at Anzhen Hospital was very unpleasant for him. The rejection and sarcastic comments from department staff made him suffer every day.

The director of the department, Zha Xuefeng, did not lend a helping hand to his original situation, which made him feel very dissatisfied with him.

But that was all in the past. Zhou Jianhua feels that he is living a good life now. Different from the situation in China where the patient volume is huge and the salary is extremely low, he lives a very comfortable life in Australia. He only needs to see a few patients every day and has a lot of rest time. Guaranteed.

He is also very satisfied with the salary package. His annual income alone is enough for his family to live a decent life and he can also save a considerable amount of money.

"Director Cha, what do you want from me?"

"Jianhua, how are you doing in Australia?"

"It's okay. The medical environment here is much better than at home." Zhou Jianhua replied casually, "What do you want? I have to go out soon."

"Actually, it's not a big deal. I have a surgical video here that I want you to watch," Zha Xuefeng said.

"What video? No need!" Zhou Jianhua showed little interest, "I only do radiofrequency ablation now, and I have left behind all other surgeries."

"It's a simple ultrasound-guided foramen ovale repair." Zha Xuefeng's voice came from a distance on the phone, "I told you at the beginning."

There was no sound for a while.
"Jianhua, are you listening?"

"Send it to my email." Zhou Jianhua said.

Looking at the video on the computer, Zhou Jianhua felt very complicated. Isn't this the surgical method he originally envisioned?
The difference was that no one supported him at the beginning. He looked for Xuefeng several times, but the other party just kept asking him to perfect this and that. He almost resigned and couldn't even apply for the demonstration surgery.
Fortunately, everything is over and he has already let go of the past.Besides, if he really became famous at Anzhen Hospital, he might be busy all day long, and he wouldn't be able to live a comfortable life now.

Thinking of this, he gratefully replied to Zha Xuefeng's email, which contained only seven short letters: wqnmlgb!

"I'll treat you to spicy hot pot." Director Zha Xuefeng was stunned for a moment. Is that what you meant?But I can’t eat it so far away.

Besides, I can’t eat spicy food. Thinking of this, he took out his mobile phone and searched Baidu.

"wqnmlgb! Why is this Zhou Jianhua still swearing!"

"Isn't it normal for you, a newcomer, to sit on the bench for a few years after you come in? I'm going to get through it step by step too!"

"Besides, I didn't target you specifically at the beginning. It's none of my business if you don't get along with your colleagues."

Having said that, he still regretted it. Once the simple ultrasound-guided foramen ovale repair is launched, the original surgical method will be quickly eliminated in most hospitals.

No doctor is willing to take rays unless he has been mentally retarded by the rays.

It would be great if the first surgery could take place in their hospital, and even better if he leads it!The old rival Fuwai Hospital has expanded its power in recent years, which has put great pressure on them.

At the same time, Zha Xuefeng became more and more curious about the Cardiology Department of Hnan Provincial People's Hospital. The previous transcatheter aortic valve replacement surgery had impressed him, and now the other party quietly created a simple ultrasound-guided patent foramen ovale. Repair combined patent ductus arteriosus repair.

In his impression, H Nan's medical level is only average. There are a few people who are indeed good at it, but how can I say that?
Gao Feng is currently examining the patient with Director Qu Mengqi. Today, they will carefully record the simple ultrasound-guided patent foramen ovale repair from scratch.

Director Liu in the color ultrasound room was standing aside with a depressed look on her face. She was always dissatisfied.

As for why you are dissatisfied?Would you be satisfied if I record a video with you as the main actor and your face not shown later?

Director Liu felt that he was doing well even if he didn't curse.

"Write your name at the end of the video." Director Qu reassured, "You are showing off your skills, not your face, right?"

"Besides, you don't have much to photograph with your old face. There are quite a few wrinkles."

"I'll give you a bottle of SKII."

The furious Director Liu almost smashed the ultrasound probe into his face. He stopped when he heard this, "Really?"

"When you move the camera later." Director Qu turned around and transformed into a master of photography. "Just shoot like this! While grasping the overall situation, you must highlight the key points!"

"Professor Gao is in better condition. This will save you a lot of trouble. Try to make me look taller and more handsome."

"understand?"

The photographer holding the camera is a little confused. After all, he is not a professional. He can't figure out what the key points are, and it is impossible to talk about what to highlight when recording.

"I'll do it." Director Xin Guoyu said.

"Director, are you okay?" Qu Mengqi expressed doubts.

"Then why don't you come!" Xin Guoyu glared at him, "I'll be Professor Gao's assistant."

"Come on, come on." Qu Mengqi didn't dare to question anymore, and turned to talk to the photographer about the lighting problem, "I think we should add some light, what do you think?"

photographer.

"Who are you looking down on! I even won the second prize when taking photos." Xin Guoyu said while asking the photographer for instructions.

"Director Xin is awesome!" Gao Feng praised, "What photography competition did you participate in?"

"Oh, for last year's Maple Leaf Elementary School photography exhibition, my son couldn't take the photos well. The pictures were always blurry. In the end, I was the one who took the photos." Xin Guoyu said, "I have a steady hand."

At that time, there was 1 special prize, 5 first prizes, and 11 second prizes.

Are you wondering why there is no third prize?

There are only 17 students in the class.

Before the operation started, Director Xin asked everyone to stand together and take a video of the overall layout of the cath lab.

"We will also publicize it in front of our peers."

Everyone was very happy to show their faces and laughed with joy.

The operation went smoothly, which was expected. The only thing Qu Mengqi was worried about now was the poor quality of the video recording. He had already thought about it. If it didn't work, he would look for another patient and find a master to record it again.

"Come and take a look, I feel pretty good." Xin Guoyu was very proud, "Look, the picture doesn't shake at all."

Director Xin did not brag. His hands were indeed very stable, and his recording skills were indeed worthy of the second prize.

The advantage of recording by a professional is that he can accurately grasp the needs of target customers and grasp the pain points reliably.

"Although it looks ordinary, it seems that everything that should be shown is there. Professionals can understand it at a glance." Director Qu Mengqi examined it carefully and said, "Well, let's send this over first and see what they say. It really doesn't work. Let’s record it again.”

(End of this chapter)