This doctor has a system

Chapter 487 551. I can do it too

God obviously would not do such a thing. After all, this is China.

It’s not that God is not merciful, but this involves the issue of exceeding the scope of practice, and people don’t deal with this in their business.

What if the operation goes wrong and the patient dies, and he is unethical and uses this as an excuse, and insists on going to heaven?
The number of staff positions is so tight now, and it would be a real pain to lose one for no reason.

Even God is afraid of being blackmailed!

"You have to think of a solution," said Director Hua. "You always boasted about how great your radiofrequency ablation was. Now that I'm letting you do it, are you scared?"

"How can it be the same? Who would dare to take on a patient like you?" Director Ge was not at all impressed by his provocation. "I don't want him to die in my hands."

"Why don't you try?" Director Hua requested, "I have communicated with the family and the patient. If something goes wrong, you won't be held responsible."

Director Ge was somewhat tempted when he heard this. It seemed that it would be okay to give it a try if he didn't have to take any responsibility.

If you work hard, you will gain both fame and fortune. If you fail, just consider it as gaining experience.

But he thought about it again and decided to give up. The probability of success was too low.

"Don't worry, I'll find someone for you." Director Ge said, "My teacher, he is definitely better than me."

The teacher Director Ge was referring to is his doctoral supervisor, Professor Lin Shen from the Ninth Hospital of Shanghai University of Science and Technology.

Professor Lin Shen's attainments in radiofrequency ablation must be far beyond his disciples. Director Hua's eyes lit up when he heard this.

Director Ge called Professor Lin and explained the patient's condition in detail. The latter was very interested and asked him to send the detailed medical records.

Everyone is looking forward to it.

About half an hour later, Professor Lin Shen called.

"No, it's too difficult!" Professor Lin said, "In his case, there are at least 20 parts that need radiofrequency ablation, and the risk of each part is very high. How is this different from dancing on the edge of a knife?"

"I'm old and I don't want to lose my dignity before I retire."

"What's your intention in introducing such a patient to me?" Professor Lin suspected that his disciple was trying to trick him. "What's the matter? You want to get rid of me so that you can be the organizing committee member?"

Director Ge was stunned for a moment. He had never expected this.

But if the old man really retires, then he does have hope.

"Oh, come on." Director Ge urged earnestly, "I've praised you here, saying that your radiofrequency ablation is the best in China. We can't lose face!"

"And given the patient's condition, you can imagine the pain he's going through."

"Come here, I'll give you a hand, and if we work together as a master and disciple, we'll definitely be able to accomplish something."

"Let me think about it." Professor Lin Shen was persuaded by him.

Excellent surgeons love to take on difficult operations. When he was young, Professor Lin was very motivated and liked to face challenges.

As I get older, my skills become more sophisticated, but my energy is gone and my drive slowly disappears.

But this patient was indeed very challenging. In all his years of practice, Professor Lin had never seen an arteriovenous fistula of such a wide range, and all of a sudden the shock came out again.

"Okay, I'll go and take a look." He finally made a decision.

Soon, the news that Xiao Liu was going to undergo radiofrequency ablation spread. Like many doctors, Gao Feng was also looking forward to it.

Gao Feng is no stranger to radiofrequency ablation technology, and its principle is very simple.

When radio frequency current flows through human tissue, the rapid change of the electromagnetic field causes the polar water molecules in the tissue to move at high speed, generating heat, causing the water inside and outside the cells to evaporate, dry, shrink and fall off, resulting in aseptic necrosis, thereby achieving the purpose of treatment.

This technology is currently also used in the Department of Respiratory Medicine, mainly for elderly patients with malignant nodules in their lungs.

Most of these patients have underlying diseases, and surgical treatment is risky. The use of radiofrequency ablation needles greatly reduces the probability of being unable to get off the operating table.

Generally speaking, however, the diameter of a lung nodule should not exceed 3 cm. Larger tumors will not be completely destroyed. Even if the tumor is destroyed at multiple points with a monopolar needle, it cannot be completely covered, and the patient's normal lung tissue will also be greatly damaged.

Gao Feng had performed this operation several times. Thanks to his strong mental strength, he was able to control the details such as the time and angle of the ablation very well and did not find it difficult.

"Every profession has its own expertise." He sighed, "I never thought of using this method." He was a little dissatisfied with his performance.

"You're not a medical genius," Li Youliang said quickly to comfort him, "How can you possibly know everything about every disease?"

"What you said makes a lot of sense." Professor Gao accepted it readily.

The two chatted as they walked and soon arrived at the operating room. Looking at the huge crowd of onlookers, Gao Feng and Li Youliang looked at each other and felt something was not right.

They all arrived half an hour early, but looking at the current situation, it's difficult to squeeze in.

If only he could take action, Gao Feng thought, he could handle all these directors in front of him by himself.

"Director Hua! Please think of a solution!" someone shouted, "I can't see anything here!"

Director Hua had noticed this situation a long time ago, but he had no good solution.

"Why don't you go back first, I'll find someone to record the video and send it to you later," he said.

Since everyone had come, they were unwilling to leave and they all asked him to find a way to solve the problem.

Director Hua was so angry that he laughed, "Everyone, I can't hang you from the ceiling, right?"

"Can we do a live broadcast?" A director of the cardiology department came up with a good idea. "Our hospital has ready-made equipment, and the people in the information department know how to operate it."

"OK?"

Everyone thought it was feasible, except the people in the Information Technology Department.

"You didn't apply for this in advance, and we are still busy." Chief Zhou, the head of the Information Department, was not happy to work overtime for no reason.

"What are you busy with?" Someone was very dissatisfied with his perfunctory attitude, "Sitting in front of the computer every day, who is as comfortable as you!"

"That's right! All the money we earn is used to support these idle people!" A director was very angry.

"Of course not! The broken system is stuck every day! I'll ask it to restart as soon as I call!"

"They are just a bunch of trash, useless!"

"I suggest that this Zhou guy be fired!"

Section Chief Zhou's face turned green. He didn't expect so many people to be here, otherwise he wouldn't have dared to refuse at the beginning.

"Please calm down, directors. The way I expressed it just now may not be right." He said with a smile, "I mean that although we are very busy, the directors' work is definitely more important."

"We will definitely work hard to cooperate, everyone wait a moment!"

He decided to debug the equipment himself, trying his best to satisfy these difficult-to-talk-to uncles.

"Xiao Wang, how long will it take to get better?"

"Half an hour."

"Can the time be shorter?" Chief Zhou asked, "Look at this group of people, they are very arrogant!" "Sure." Xiao Wang said, "As long as you stand aside and don't say anything."

"Who are you looking down on?" Section Chief Zhou was furious. He was going to take action today and let this ignorant young man know that he, Zhou, had more than just leadership skills.

My business ability is not inferior to you young people!

10 minutes later

"Ahem, well, I have something else to do. You take charge here. Call me if you have anything." Section Chief Zhou decided to go back to the office to have tea.

By the time everything was ready, Director Hua was getting a little impatient.

"Is it complicated? Isn't it just pulling a power cord?! It's really useless!"

Xiao Wang, who was fully responsible, was speechless, but he knew it was better not to argue at this time.

"Okay, Director, I'll send you the link. All you have to do is click on it and use your phone to see the real-time footage of the surgery."

It has to be said that Xiao Wang's professional level is unquestionable. He used three cameras to shoot without affecting the surgical operation.

Two of them are used to directly record the surgical scene, and the last one is used to take panoramic views.

Looking at the clear images on the big screen outside the corridor, everyone felt very satisfied.

Gao Feng was also amazed. The Provincial Hospital had done live broadcasts before, but the pictures always looked a bit blurry and were completely incomparable with what is happening now.

It is most likely an equipment problem. He plans to go back and consult the Provincial Medical Information Department to introduce a set.

Today's chief surgeon is Professor Lin Shen, his first assistant is Director Ge, and his second assistant is also recognized as a quick surgeon in the hospital.

The Department of Anesthesiology was led by the director, with three experienced chief physicians standing behind him, and they didn't even have a stool to sit on.

The two nurses setting up the stage were brought over from the Ninth Hospital by Professor Lin Shen. One of them looked a little fat, but she was very nimble and her movements were extremely skillful.

"Don't be nervous, you will fall asleep soon." The director of the Anesthesiology Department comforted Xiao Liu.

"Okay." Xiao Liu took a deep breath and tried to calm himself down, but his hands were still shaking uncontrollably.

No one meant to laugh at him. Today's operation was a life-threatening one. Not only was the patient nervous, but the doctor on the stage was also trying hard to adjust his state.

"Teacher? Let's start?" Director Ge said in a low voice.

"Okay!" Professor Lin took a deep breath and said.

As the anesthesiologist pushed a shot of "milk" into Xiao Liu, he fell asleep easily.

Although Professor Lin had prepared himself mentally for the complexity of today's operation, he still gasped when he actually saw the arteriovenous malformation lesions.

"Is the blood ready?"

"It's ready, don't worry." Director Hua on the side said quickly.

Reassured? Professor Lin looked up at him. How could he be assured?
He suddenly regretted agreeing to broadcast the operation live. Now, his colleagues across the country might see that he, Old Lin, had lost his integrity in his later years.

But things had come to this point, and there was no point in saying more. Professor Lin forced himself to calm down and began to ablate the first lesion.

Radiofrequency ablation was a relatively new technology 20 years ago. He studied it systematically abroad at that time. When he just came back, it was rarely used in China. Not to mention patients, even many doctors didn't know about this technology.

Professor Lin Shen was very motivated and talented. He used radiofrequency ablation to solve many difficult problems that were difficult for surgeons to solve at the time, and he quickly promoted this technology.

It can be said that although he is not the first doctor to perform radiofrequency ablation in China, Professor Lin Shen has made great contributions to the widespread application of radiofrequency ablation technology in China.

"It seems to be very difficult indeed." A director sighed, "I saw Professor Lin doing this last time, and it was as easy as chopping melons and vegetables."

It's not like now. Not only do I have to be very cautious, but in less than five minutes the handyman next to me has already wiped my sweat twice.

"I believe in Professor Lin. I think he is the only one who can do it." someone said.

I wonder what Professor Lin would think if he knew that the other party trusted him so much. But the situation on the stage made him walk on thin ice. It took nearly 15 minutes for the first lesion to be finally ablated.

"No, the blood flow is too fast, and the sacral plexus and sciatic nerve are all wrapped up in it!"

Professor Lin Shen broke out in a cold sweat. If he had taken one more second to perform the ablation just now, the sciatic nerve would have been affected.

"Or." Director Ge also backed down. He was also scared just now. It was just a thin layer away!
If the teacher had not stopped in time, the operation might have been declared over early.

"Let's try another one. Maybe the next lesion won't be as difficult to deal with as this one." Professor Lin said after hesitating for a moment. He also meant to comfort himself by saying this.

The main reason is that it would be too embarrassing to leave the stage now, with so many people watching. To be honest, he has the baggage of being an idol.

The ablation needle slowly extended to the second lesion, and after further evaluation, Professor Lin carefully stepped on the pedal.

"The melting is a little shallow." Gao Feng said softly.

"Too shallow?" asked Director Fan, who was staring at the screen intently. After all, he was not a professional in this field, so he could not tell.

"The ablation is a little shallow." Professor Lin's clear voice came from the live broadcast, "But the situation below is too complicated. This is already the best result."

The advantage of shallow ablation is that it is not easy to damage nerves and important tissues, but the disadvantage is also obvious. There are still many connections under the lesion, and recurrence may occur later.
"You go next." Professor Lin Shen said to his student Director Ge, "I'm old, and my hands are shaking a little bit right now."

It’s time to come clean. I don’t want to give up!
This is too difficult!

"Ah?" Director Ge was stunned.

"Stop it. I'll help you. Do one for me." Professor Lin exchanged places with him. "If it works, we'll continue. If not, let's end it!"

Director Ge is also an experienced doctor. Hearing this, he no longer hesitated and reached for the third lesion with the ablation needle.

"Stop!" Professor Lin shouted suddenly.

Director Ge was startled. He quickly took his foot off the pedal and took a closer look. He found that there was a string of nerve tissue right below the lesion.

If it's any later, it will definitely damage the nerves.

"No, his plan is too complicated, it's just a hodgepodge!" Professor Lin Shen said to Director Hua, "Let's stop here today, and think of other solutions."

Director Hua was very hesitant. What other solution was there? This was the best solution they could think of.

If radiofrequency ablation does not work, then Xiao Liu will only face chronic death or lower body amputation.

"How about you try again?"

"No, the difficulty of the operation exceeds my highest psychological expectations." Professor Lin shook his head, "Stop it."

His words were clearly heard by every doctor watching the live broadcast. Everyone was disappointed. Even Professor Lin said so. It seemed that this was indeed the patient's fate.

Gao Feng was a little hesitant. He was wondering whether he should speak out.

Isn't this simple enough? he thought.

Isn't it just a matter of pressing the ablation pedal when you see a lesion, and stopping when you encounter important tissues such as nerves or sacral plexus?

(End of this chapter)