Gou is practicing medicine in the clinic

The advantage of traditional surgery is a broad field of vision and the pursuit of the best surgical results.

Endoscopic surgery pursues minimally invasive, low-risk, short operation time, and short recovery time. It tends to be less traumatic for the patient.

But endoscopic surgery often has limitations.

The lesion is too large for it to handle.

The surgical site is special and it still cannot handle it.

Endoscopic surgery also has problems such as naturally narrow operating space and limited field of view.

Li Jingsheng made bold improvements to endoscopic surgery and cleverly used cheap saline to assist the surgery. The effect is also surprisingly good.

This surgical technique effectively solves some of the pain points and shortcomings of endoscopic surgery.

Compared with the new technique he invented last time, this time it can be called his unique skill.

However, during the operation, he also found that there were still many things worth summarizing and improving.

……

On the second postoperative day, the patient was able to take liquid food.

The amount of bleeding is also very small.

Under normal circumstances, after abdominal surgery, most of the drainage fluid is bloody fluid. A day or two after surgery, there is often a lot of drainage.

But the surgery performed by Li Jingsheng resulted in very little blood loss.

What’s even more amazing is that there is also very little drainage after surgery.

On the third day, the patient was able to ambulate. Eating has also increased, gas and defecation are normal.

Li Jingsheng's hanging heart finally fell to the ground.

In intestinal tumor resection surgery, in addition to worrying about recurrence, we must also prevent postoperative infection.

Whether it is abdominal infection, peritonitis caused by untimely treatment, or wound suppuration, it is enough to pose a fatal threat to the patient.

The success of this operation also gave him greater confidence in the new technique.

Within two days, I received another intestinal tumor surgery.

This time it occurred in the jejunum segment.

The operation was also very difficult, and the patient was 89 years old. He is an old professor.

Li Jingsheng also had some hesitations when he underwent the operation.

The old professor's virtual age is already 90 years old.

Many people simply don't live to this age. The old professor's body has many underlying diseases and is extremely poorly tolerated.

For this reason, Li Jingsheng specially invited the anesthesiologist Yani over.

Ask her to do an assessment.

"If the operation can be completed within 40 minutes and is minimally invasive endoscopically, the patient's safety should be guaranteed."

Yani said bluntly.

A traditional surgery like this would take at least three to four hours.

I have to pray that nothing goes wrong during the operation.

Any accident may cause the operation to take longer.

For example, the most common form of abdominal adhesions is severe abdominal adhesions.

This makes the surgery more difficult.

There are also bleeding abnormalities, which can also cause huge trouble.

"It will be quite difficult to finish it in forty minutes, but you can try it. As long as our team works well together, it shouldn't be a big problem."

Li Jingsheng decided to challenge it.

After the last operation for early-stage intestinal cancer, he made a lot of conclusions and believed that the operation time could be greatly shortened.

The last time was because for the first time, he used saline to open a channel under the intestinal mucosa for the passage of the endoscopic scalpel. He was very worried about breaking the patient's intestines. So every step is done carefully.

This time he would perform a similar operation again. He had some experience and could speed up the operation much faster.

Also, the tumor that needs to be dissected this time is slightly smaller, and the time can be shortened.

After careful consideration, Li Jingsheng accepted the operation.

The patient's condition is relatively serious, and all necessary examinations have been completed. Preoperative preparation rarely takes a long time. At the strong request of the family, Li Jingsheng led his team to perform the surgery on the patient that day.

The entire operation was smoother than he expected.

It took 31 minutes.

If it were a traditional surgery, it would take at least more than three hours to remove the tumor in the jejunum, even for a very skilled veteran chief physician.

He completed the operation in less than one-sixth of the time.

It must be said that this is another major improvement in his endoscopic surgery.

The operation time has been greatly shortened, but the quality of the operation has actually improved.

The patient was already on a liquid diet twelve hours after the operation.

According to Lian Tao's reaction, the patient praised Li Jingsheng for doing a good job in the surgery. Before the operation, the old professor would easily vomit after eating.

And I always feel bloated.

If food is stuck in the jejunum and cannot go down, the patient will naturally feel distension in the left upper quadrant.

Now that the tumor has been removed and the jejunum has returned to normal, the old professor can eat more comfortably than ever before.

In the evening, after get off work, Li Jingsheng went to the People's Hospital to perform a colonoscopy on the patient.

By the way, I visited two patients who had undergone his surgery.

The patient with early-stage intestinal cancer was already actively preparing for radiotherapy and chemotherapy, while the old professor was sitting on the bedside, reading the newspaper.

"Professor Yu, how are you feeling today? Are you feeling better?"

As soon as Li Jingsheng entered the ward, the old professor's family immediately stood up to show respect.

"It's not better, but it's very good. Before the surgery, I felt uncomfortable even if I drank just two sips of water. I couldn't put it into words, I just felt distension and pain in my stomach. Now I don't have this problem anymore.

I've had two bowls of porridge and a piece of bread, and I don't feel any bloating at all.

Boy, it was so wise to choose you for surgery. "

The old professor put down the newspaper and talked to Li Jingsheng with a smile.

The old man has an optimistic and cheerful personality and is engaged in journalism. He has been teaching in schools for many years and is said to have students all over the world and has a high reputation in the industry.

"Dr. Li, this is the Nth time my dad has praised you for your good surgery. He always talks about your superb medical skills when meeting everyone, and says that today's young doctors are better than those experienced old doctors."

The old professor's daughter pushed up the black-rimmed glasses on her nose and praised him with a smile.

As long as the operation is successful. This is usually a happy situation.

If the operation is not done well and is messed up, it will be a different story.

"If you think the surgery is well done, then help me publicize it more and let more people know about endoscopic surgery. When they are unable to undergo traditional surgery, it will be equivalent to an extra life-saving channel."

Li Jingsheng used to smile and give in humbly.

But a while ago, he was receiving fewer and fewer high-end colonoscopy clients, which made him realize that reputation is also important.

Letting patients help with publicity is also the most persuasive way of publicity.

"No problem! I will definitely spread the word to my friends, classmates, and colleagues." The patient's daughter readily agreed.

"My dad has helped you promote it. One of his students came to the hospital to see him, and he praised you for doing a good job and saved his life. He also talked about the many advantages of endoscopic surgery. Some of them also Did an interview with my dad and will probably write a press release or two about it.”

Li Jingsheng was also particularly touched when he heard that the old professor was working so hard to help him with publicity.

"Thank you, thank you! My medical skills are not very good, but it is a good thing that you help to promote endoscopic technology. It can let more people know about endoscopy and know that it can not only perform various examinations and explorations, but also cure diseases." sick."

It takes time for people to accept emerging technologies.

More media publicity is needed.

When doctors carry out publicity, because of their status, they can easily be regarded by the common people as a pedant and a boaster.

This would significantly reduce credibility.

The media promotes these new technologies and has real cases, which makes it easy for people to accept them.

……

Three days later, some relevant reports appeared on the self-media platform.

"Dr. Li Jingsheng led the Sunshine Medical Team to cure an elderly professor suffering from jejunal cancer and will take you to experience different endoscopic surgeries."

"The operation that originally took more than three hours took Dr. Li Jingsheng only 31 minutes."

"A major breakthrough has been made in endoscopic surgery. Dr. Li Jingsheng changed the contraindications to indications."

Various reports began to ferment rapidly on self-media platforms.

In this era of highly developed Internet information, people can browse all kinds of news and important news on the Internet to increase their knowledge.

Medicine itself is a topic of great concern.

Gastrointestinal tumors account for more than 30% of tumors.

Everything from oral cancer to rectal cancer.

Moreover, with the continuous improvement of people's living standards, digestive tract cancer has been rising sharply year after year.

The popularization of gastrointestinal endoscopy has also allowed many unfortunate patients to detect cancer at an early stage.

Endoscopic surgery is nothing new.

It has a history of many years abroad, and it has a history of decades in the countries where it is introduced.

In the early 1980s, it was introduced from abroad and gradually used in clinical fields.

From the earliest days, only some exploration could be done, and later it developed into examinations of gastroscopy, colonoscopy, esophagus and other parts. Nowadays, surgery is performed directly through endoscopic surgery to remove lesions or intervene in diseases.

It’s just that endoscopic surgery has always been known to be expensive.

The therapeutic effect has been widely criticized. And there are many surgeries that are not suitable for endoscopic surgery.

The most famous one is definitely appendicectomy.

In the past, a laparotomy was required, and an incision was made at McBurney's point. This can leave a long, ugly scar on the tummy.

Endoscopic surgery to solve appendicitis turns this operation into a minor operation.

It can be treated as you go, and you don’t even need to be hospitalized.

This wave of overwhelming publicity directly made Li Jingsheng and the Sunshine Medical team known to many people.

At the same time, the popularity of Sunshine Clinic has increased again.

After becoming famous, Li Jingsheng received more and more high-end jobs.

Some patients from outside the province even began to fly in to see him.

The high-end medical market in Jiangli City is only so big. Li Jingsheng's high-end medical business volume continues to increase, which also causes Jiupeng International Hospital to start to fall off a cliff.

In the office of the director of Jiupeng International Hospital, a half-hundred-year-old man with yellow hair and blue eyes was breathing heavily.

There were torn newspapers on the ground and office supplies scattered all over the floor.

Even the office computer monitor was smashed by him.

"I'm so angry. I'm really angry. Our Jiupeng International Hospital spent so much money on advertising. Not only did it fail to stop the rise of the Sunshine Medical Team, it actually made this small clinic team bigger and bigger.

You see, there are a large number of media people helping him with advertising without spending any money.

The new endoscopic surgery invented by a young man under thirty years old has now become the new standard of endoscopic surgery.

You are all experts in endoscopy, why are you not as good as a young guy?

Don’t forget, I helped you find a way to get your beautiful green card. I can give you the opportunity to obtain our nationality, and I can also make you lose it. "

This extremely angry dean should be the foreign justice.

It seems that Li Jingsheng has become a benchmark in the field of endoscopic surgery without spending a penny.

The innovative endoscopic mucosal dissection has become an industry standard.

This wave made the boy make a lot of money.

Even if Jiupeng International Hospital spends 100 million on advertising, it will not achieve such a good publicity effect.

Facts have proven that when the strength is strong enough, anything can be broken.

"Dean, please calm down the thunder and anger. Our hospital's bone setting techniques have developed very well. In terms of endoscopic surgery, can we also follow suit?"

An endoscopist, forty-seven or eighteen years old, wiped the sweat from his forehead.

After finally obtaining a green card, it would give their family the opportunity to immigrate to the most advanced countries, and they were not willing to lose it.

Moreover, the treatment at Jiupeng International Hospital is quite good. If they leave here, it will be too difficult to find such a superior job.

"Are they all pig brains? Manual bone setting is free, is endoscopic surgery also free? How do you get your monthly salary? For such a large hospital, the expenses in all aspects are beyond your imagination.

Endoscopy business is one of the most important incomes of our hospital.

If endoscopy services were made free, the hospital would go bankrupt within two months. "

The director scolded several doctors and the hospital's operating officer.

Private hospitals are usually chaotic in their management, and everyone works together just to make more money.

"I mean endoscopic examinations are free, endoscopic surgeries are charged."

The doctor lowered his head and explained.

"We charge a minimum of more than a thousand for an endoscopy. If you give it to one patient for free, you have to give it to all patients. Otherwise, other patients will feel psychologically unbalanced and run away. No, no, your idea is very bad .”

The director rejected the doctor's proposal.

The doctor did not give up, but looked at the other three people.

They are the four gold medal endoscopists at Jiupeng International Hospital. They have some skills, but they are not particularly superb.

Now everyone is just a grasshopper in the same boat. No one can live a good life unless the current crisis is solved.

"Director, maybe we can try free examinations, and then regardless of whether they are sick or not, as long as there are some symptoms, we can immediately tell the patient that it is best to have surgery immediately.

Otherwise, life may be in danger.

As long as you scare them a few words, you won't be afraid that they won't obediently pay the money and receive treatment. "

Another doctor came up with a modified approach to soliciting clients.

"There are a lot of people who are just looking for cheap money. We can definitely attract a lot of potential patients by providing free endoscopy. This is much better than advertising. And it can easily cause the Sunshine Medical Group to lose a large number of high-end customers."

The richer a person is, the more stingy they may be.

There is a free inspection, which can save them two to three thousand, and they are not afraid of not being tempted. (End of chapter)