Gou is practicing medicine in the clinic

This patient's condition is also not particularly complicated, and he has been clearly diagnosed as early-stage gastric cancer.

But the location of the cancer is in the cardia, which is quite special.

The cardia is located at the junction of the esophagus and the stomach and is a buffer zone for the stomach.

It is also often jokingly called the entrance door to the stomach by doctors.

The patient's tumor was very large, nearly five centimeters, and the cardiac cardia needed to be removed during routine surgery. Endoscopic surgery is difficult to treat tumors larger than 2cm in diameter.

"Such a large tumor can be solved through gastrointestinal endoscopy. I am more worried about recurrence."

Li Jingsheng told the truth.

Endoscopy has developed rapidly in recent years. After many patients understand the advantages of this new technology, no matter what the disease is, as long as the doctor tells them that surgery is needed. The patient will ask whether endoscopic surgery can be performed.

Of course, from the patient's perspective, there is nothing wrong with making such a request.

Because traditional major surgery requires thoracotomy and abdominal dissection, the wound is large, the recovery time is long, and the risk is particularly high.

Endoscopic surgery is less invasive, has a shorter recovery time, and is relatively less risky.

It is especially friendly to some patients who have underlying diseases and are in poor condition.

When endoscopy first came out, endoscopist Dr. Niu B coaxedly told traditional surgeons at an academic exchange conference that endoscopic surgery could turn the contraindications of traditional surgery into indications.

It did cause some commotion at the time.

Endoscopy is not a boast. It has really brought many patients who only received interest rate treatment out of despair and helped them regain their health.

It cannot be said that there are countless living people, but at least he has made great achievements in human medicine.

Just because it is a new medical skill, there are naturally many technical immaturities, and there are still many places worth exploring.

For example, endoscopic surgery is very weak when dealing with tumors larger than 2cm in diameter.

It requires segmental resection instead of removing the entire tumor in one go, which makes it difficult to remove cleanly and makes recurrence very easy.

Therefore, when a doctor insists on a patient undergoing traditional surgery, the patient should not blindly pursue efficiency and safety.

If the tumor is not completely removed, the tumor will recur, and another operation will be necessary.

And the more times there are recurrences, theoretically, the risk of spread and metastasis increases geometrically.

"You have also seen the age of the patient, it is too old. Also, the patient's physical condition is not good. No doctor dares to accept traditional surgery. I have asked the patient's family to go to the surgery to inquire, even if it is A particularly stubborn chief physician shook his head after looking at the patient's condition.

The advice given is to let the patient buy some Chinese medicine and drink it, eat whatever he wants, and go out and see more. "

This basically advises patients to stop taking treatment and wait for death.

Director Tian showed a hint of sadness at this moment.

It can be seen that he is worried about the patient from the bottom of his heart.

Other doctors could tell the patient to take some Chinese medicine and eat, drink and have fun to spend the remaining time, but he did not do this.

As long as the patient requests it, he must try his best to treat the patient.

"The patient is seventy-five years old, which is considered a long life. Does he have a particularly strong desire for treatment?"

Li Jingsheng asked.

"The patient is open-minded and takes life and death very lightly. But the patient's wife insists on treating the patient. Even if the house where the couple lives is sold, she still wants to treat her husband. The couple is very loving, and the husband and wife We are almost inseparable. The patient's wife even came to me privately and said that if her husband is no longer alive, she would like to go with him.

After the old man's children learned about their mother's thoughts, they also expressed that they would treat their father's stomach cancer no matter what the cost. "

Early gastric cancer itself has great hope of being cured.

Because the patient's body could not tolerate the surgery, no doctor dared to perform the surgery.

This is basically a death sentence for the patient.

The patient's wife has a deep relationship with him and has been in love for decades. She made it clear that she no longer wants to live alone after her husband dies.

This is equivalent to a death sentence for both the old couple.

After hearing this, Li Jingsheng began to study the patient's condition carefully.

"Director Tian, ​​I don't have a particularly good method right now. Give me some time and I'll go back and study it again. Try to help this patient find a surgical treatment."

Human life is at stake. Li Jingsheng doesn't have that ability, so he naturally doesn't dare to act blindly.

He decided to check the information after returning to the clinic and learn from the successful surgeries performed by other doctors.

Learning and innovating is a process he must go through after reaching his current height.

Any doctor or scientist needs to innovate as long as his level reaches a certain level.

Otherwise, if you just blindly follow the path of your predecessors, you will have no way to go when you reach the end.

Only then can innovation continue to progress.

After returning to the clinic, Li Jingsheng looked at his medical skill attribute panel.

The doctor's level has reached the director level. If he wants to advance to the next level, he needs 10,000 experience points.

The current accumulated medical health points are 8729 points.

This was something he kept intentionally.

He did not continue to upgrade some medical skills that were temporarily unused or had reached a very high level.

His original intention of keeping these health points was to meet emergencies.

Now as his fame grows, he must prevent being slapped in the face.

Especially when competitors are slapped in the face.

Because as long as he is defeated by his competitors, his reputation will plummet immediately.

To be prepared for danger in times of peace, he must accumulate as much health as possible to ensure that he can always explode when a crisis strikes.

After looking at the medical skill attribute panel, he decided not to upgrade any medical skills for the time being.

As for the doctor level, it is enough after reaching the chief physician level.

Although he is only a third-level chief physician now.

With this level, it is basically enough.                                            After saving more health points, consider continuing to upgrade the level.

He turned on his computer and started to search the Internet for some relevant information about endoscopic technology.

Although doctors in major hospitals have published their own research results to gain status in the medical community. But there aren’t many that we can learn from.

There are even some who, in his opinion, are just trying to gain fame and reputation.

Endoscopic surgery first originated abroad. It stands to reason that it must be the most advanced countries abroad and the technology in this area is the most mature.

He entered the medical website and searched for relevant foreign endoscopic literature.

He found a lot of useful information, but he had already studied it all.

It seems that after endoscopic technology has developed to a certain level, the whole world has fallen into a state of near stagnation.

Li Jingsheng frowned.

Chinese people are particularly hard-working and are one of the two smartest races in the world.

Let’s look at the innovations of domestic doctors.

He began to search for useful knowledge for himself from a pile of "junk endoscopic technology articles".

Don't even say it.

After changing his mind, he obviously began to gain something.

One of the doctors from a county-level hospital proposed the benefits of electrocoagulation marking.

There are usually many methods for endoscopic surgery to treat lesions. Electrocoagulation and electroresection should be the most commonly used methods.

Radiofrequency ablation is also used more now.

Anyway, each has its own advantages and disadvantages.

The biggest advantage of electrocoagulation is that it can prevent bleeding.

Electrical resection is not friendly to patients with coagulation disorders.

When performing endoscopic surgery, it would be a good idea to use electrocoagulation for marking.

I have seen doctors mention it before, but the county doctor has not used it so profoundly.

Li Jingsheng pondered along this line of thinking.

Electrocoagulation to mark tumors is a good idea.

If we make a circle of electrocoagulation marks on the four to five millimeter edge of the tumor, wouldn't it be possible to ensure that the tumor is completely removed?

After Li Jingsheng opened his mind, his eyes became bright.

He is not a surgical genius, but his thinking has always been flexible.

"The problem of lesion marking has been solved, ensuring that the entire tumor can be resected cleanly during surgery, without over or under resection. But there is still another problem that has not been solved. It needs to be resected in pieces, which may still cause lesions. Residue.

Is there any way to completely peel off the entire tumor? "

Endoscopy has certain limitations.

It is not like traditional surgery because it is inherently smaller.

It's like holding a knife with a blade of only one centimeter and trying to cut a huge piece of pork in one go. It's simply impossible.

Li Jingsheng racked his brains and thought.

He no longer looked for literature on endoscopy, but for information on how to remove the tumor entirely.

It has to be said that human wisdom is infinite.

There are so many doctors in the world, and they have left behind many wonderful ideas that are amazing.

He also learned a little from the East and a little from the West.

Learn from the strengths of many experts.

At that time, many masters of traditional Chinese medicine, as well as Western medicine masters, used this method to completely transform their medical skills.

It can even be called a transformation.

Li Jingsheng naturally embarked on this path as if someone was guiding him.

"Boss, you are still busy studying so late!"

Wen Tianqi never works overtime very much.

I got off work very late today.

Sunshine Clinic has an overtime system for employees, and Li Jingsheng has always discouraged them from working overtime.

But when it's time to fight, employees are willing to fight.

Because the boss has never let them down.

For example, Xiao Gao, in order to start an offline drug sales business, hired N godmothers and godfathers, and made countless phone calls to potential customers after get off work.

Xiao Gao's efforts have been rewarded with high rewards.

The salary directly became the highest salary in the clinic.

But now it has been surpassed by Wen Tianqi.

There is nothing we can do about it. Whoever contributes more will get more.

When Wen Tianqi first joined Sunshine Clinic, he had an agreement with Li Jingsheng that he would get commission.

Sunshine Clinic's online business has been improving step by step because of Wen Tianqi's joining and the efforts of two customer service girls.

They all have high enough returns.

"I want to study endoscopic technology and see if I can innovate. Why haven't you gotten off work yet?"

Li Jingsheng asked with a smile.

"Didn't you give me a task? This is a detailed list of high-end medical businesses in this city that I found. Which hospital and which team are engaged in which high-end medical businesses are all written down. Maybe there are some missing Yes, we can only investigate slowly later."

Wen Tianqi is a very energetic person. (End of chapter)