Gou in the operating room to add some upgrades

Chapter 221

Professor Hu's name is Hu Qizheng. He is in his fifties, and his voice has a hint of Jiangsu Province, a bit soft.

There was no anger in his tone, but a genuine inquiry. It was obvious that he had discussed this issue in depth with Professor Lin Jiemo before.

Fang Xian definitely needed to organize his words, so Lin Jiemo spoke in advance: "Professor Hu, we have also mentioned before that mutilated lesions are a new disease in our surgery."

"Our hospital has not yet implemented it regularly. The ability to implement it this time depends on Professor Xu Fengnian, the subject leader of our trauma surgery department at West China Hospital." Speaking of this, Lin Jiemo slightly handed over.

"Professor Xu, when he came to the trauma center for exchange and study, slowly started doing it with people from our hospital. So far, it has only been about four months."

"The 7-bed patients in our department were operated on a month ago. At that time, Professor Xu Fengnian had just left, and our hospital had just officially promoted the new type of trauma from the trauma center to our trauma surgery department. Becoming a sub-emergency.”

"Professor Hu, you should know that the treatment plan for a new disease is actually advanced very slowly. If it is too fast and everything is done in one step, it will definitely not be in line with the laws of medical development."

"Fortunately, Dr. Fang was involved in the damage this time. Dr. Fang Xian from our department has good basic medical skills and talents. Then he was accepted by the former professor of our trauma center at Changshi No. 1 People's Hospital. Professor Yun’s teachings have allowed me to obtain some of the true information related to neurological function and anatomical reconstruction.”

"That's when the concept of reconstruction of fecal function came into being. When I was in West China Hospital, I learned the ideas of reconstruction of urinary function from there. In the middle of last month, I started to use it on patients with mutilated injuries depending on the situation. To reconstruct the functions of defecation and defecation..."

"It's definitely not about choosing what to eat."

"If you say you have to watch people prepare the dishes, then no matter what, Professor Hu and your relatives will not be able to enjoy the best technology."

Lin Jiemo shook his head: "Then this is impossible."

Lin Jiemo's long speech is of a summary nature.

Hu Qizheng is a professional professor, so he made some preparations before coming: "So, Professor Lin, the reconstruction of the urinary and fecal function of this damaged patient is currently only done in the first phase. Whether it can be done in the second phase, it still remains to be seen." In the process of exploring?”

One issue is to solve all problems at once.

Second-stage surgery is performed after a period of time between the first surgery and the second surgery.

"Yes, Professor Hu."

Lin Jiemo did not hide it: "Actually, the hospital arranged for Dr. Fang Xian to leave the trauma center at the core of our hospital's mission and go to the comprehensive surgical ward of the emergency surgery department in order to explore and build a second-stage functional reconstruction specialty. "

"Otherwise, the hospital's first priority is to save lives, and then to treat diseases. Dr. Fang Xian will never be allowed to change from a life-saving doctor to a doctor who treats diseases at will."

"But you also know that although medical technology is advanced nowadays, the level of diagnosis and treatment has been improved."

"There are countless patients who suffer from incontinence, even after surgery for cerebral infarction, cerebral hemorrhage, colon cancer, neurological tumors, and bladder cancer."

"The largest proportion is cerebrovascular disease."

"Currently, no hospital has said that it has made a breakthrough in this area. If it can make some achievements in this specialty, then the functional reconstruction department our hospital plans to open will be the first department in the country."

"Of course, this takes a certain amount of time to accumulate."

Hu Qizheng said after hearing this: "I know this. The hospital's weekly surgical meeting has discussed this issue more than once. That is whether Dr. Fang of the Department of Surgery should be a professor leading a team or the director of a ward. , should I be a leader in an existing discipline, or should I be a leader in a new discipline?”

"I don't know how many times we had quarrels. The director of our department said that his ears were about to get calloused. I wish those directors would just fight."

The professor who leads the team is just like Professor Lin Jiemo before. He becomes the professor who leads the team in a specialty and completes the development of mature surgical procedures for existing diseases.

When the director of a ward is to be the head of a subspecialty, he is responsible for developing existing mature surgeries while exploring new treatment technologies or drugs for existing diseases, and then developing new treatments for the department. Treatable disease tasks.

As for the subject leaders of mature disciplines, their positioning is higher. They are the subject leaders of a large discipline. They need to work hard towards new diseases, new treatment techniques, and new treatment concepts within the discipline, and even stipulate the treatment within the discipline. Standards guide direction development.

The leader of a new discipline is that at present, there is no corresponding discipline direction to explore. For example, the functional reconstruction department is a new discipline direction that has not been developed in any hospital.

Hu Qizheng is the professor who leads the team and has a relatively low position. He couldn't help but smile at this moment: "It seems that the expectations of the other doctors in the hospital are very high."

Lin Jiemo nodded.

Before Professor Zheng, the former director of the department, resigned as director of trauma surgery, he told Lin Jiemo that Fang Xian in the hospital was expected to be at least the leader of the discipline, and then to create a new discipline.

For example, new disciplines like trauma centers.

"Professor Hu, the hospital's arrangements are like this, but we still have to wait and see how far Xiao Fang can go in the end. People have to live, and they can't hang their lives because of work."

"Speaking of which, Professor Hu, our Dr. Fang is still single." Lin Jiemo immediately changed his attitude.

"Oh?" Professor Hu was surprised.

"Doctor Fang is still single?"

"yes……"

The topic suddenly changed.

After a full ten minutes, it returned to the normal discussion topic.

"Dr. Fang, this 9-bed bed currently belongs to my wife's brother, so I have to call him brother. Do you think it will be too late for him to reconstruct the function of his bladder and bowels in his current situation?" "

"Actually, our requirements are not high. If we can give it a try, then it will be no problem."

"As long as he can feel something after the operation, as long as he can control it, or call out, and don't let him act like a child. He can only know when he smells it or feels the 'energy', then it's good."

"real."

"I thank you too."

"To be honest, it's not easy for my brother-in-law. He was a soldier before. After he was discharged, he has been selling goods. Life is not easy. Of course, although his children have grown up now, it is not easy for him to calm down for a while. age."

"But he has lost his most basic personality functions, which makes me feel quite uncomfortable."

"If there is no precedent in this area or the treatment level cannot be met, there is no way..." Hu Qizheng is really a person in the industry, so the requirements are not particularly high.

When Lin Jiemo heard this, he looked at Fang Xian, and then at Hu Qizheng: "Professor Hu, the main thing is that this aspect has not been explored yet, so this question needs to be answered by Xiao Fang."

"Fang Xian, just tell the truth, we respect the facts."

"If you can't do it, then you should do your duty. There is no shame in admitting that your subject development is insufficient in front of professors from other departments."

"If you can still look forward to it, you can also tell me the direction and location of what you can look forward to, and let Professor Hu and his relatives discuss it carefully."

Fang Xian hasn't replied yet.Hu Qizheng licked his lips with his tongue and said, "Doctor Fang, let me give you an honest answer. You don't have to worry about the cost of the surgery at all."

"If I didn't have this ability, I wouldn't come here personally to embarrass Professor Lin. That is, the worst-case scenario, wouldn't it be worse than now?"

Fang Xian thought for a while and nodded: "Professor Hu, the complete loss of neurological function actually takes a period of time. Nervous necrosis is not something that can happen just in a day or two."

"Whether it is the reconstruction of sensory or motor functions, it is actually possible based on the characteristics of nerve cells and nerves themselves."

"It can't be said that it's absolutely impossible to do worse. For example, post-operative infection?"

"You also know that the surgeries in these two places are all type three incisions. There are more bacteria in them."

"Intestinal bacteria, the urethra, and the perineum have a lot of residual bacteria, so the chance of infection is very high."

"Furthermore, we have indeed not performed similar elective surgeries at present, so if you ask me to make a prediction, I can't even find a reference plan or even a case."

"So I can't answer. At present, we should only choose to perform similar surgeries routinely during emergency surgeries."

"But as long as there is no secondary infection, even if the motor and sensory functions are lost, it probably won't get worse."

It was precisely because the person sitting across from him was a professor from our college that Fang Xian did not dare to speak out.

If there are too many guarantees, if the procedure is not successful, medical disputes may occur within the hospital.

Why bother?

Of course, Fang Xian believed that Hu Qizheng also understood what he meant.

If you want to treat a dead horse as a live doctor, then give it a try and take this first bite of crab.

If you don't want to, then you can only wait slowly. If you can't wait for a month, just wait for two months or even one or two years. If you think about the second-stage surgery at that time, Fang Xian can't say whether the time for the surgery will still exist. .

The development of medicine is inherently uncertain.

The emergence of new and complex diseases is always more rapid and turbulent than the development of medical technology.

"Then let's do it, Doctor Fang, thank you for your hard work." Professor Hu Qizheng hesitated for a moment, and then he held his fist casually.

Lin Jiemo looked at Hu Qizheng in surprise and didn't say anything more.

After clearly explaining the risks, etc., and the patient still has such a request to take a gamble, there is nothing to say.

The patient's pre-operative conversation and signature must go to the Medical Safety Office. The video witness will be informed and archived. Staff from the Safety Office and staff from the medical department will also be there to witness.

If you agree, you agree, and a third party will witness and sign it.

Then you can't cheat.

"Professor Hu, thank you for your trust, but if the operation can continue, we should wait until we read the examination results before discussing."

"Speaking of which, I don't know what the situation of this 9th bed is yet." Fang Xian said truthfully.

Although Fang Xian may have participated in this operation, he has participated in more than one injured patient. Who knows who Hu Qizheng's brother-in-law is?

There was no name written on his forehead.

Lin Jiemo immediately retrieved his medical records, including medical records, laboratory test data, medical imaging test data, etc., all of which were extremely comprehensive.

While Fang Xian was reading the medical records, Hu Qizheng was still honest: "Actually, I have consulted professors of general surgery and professors of urology for these medical records. They both said that it is very difficult to handle at the moment."

"After all, the function has been lost. If you want to recover it, you can only look forward to it through neurotrophic drugs. After half a year, some recovery may be possible."

After reading these medical records, Fang Xian frowned: "It's indeed a bit difficult to handle."

"At that time, during the operation, I only wanted to save the patient's life, so after the bleeding was completely stopped, anatomical reconstruction was done quickly. There was not much preparation for functional reconstruction."

"This nerve ending was hooked by the suture. Of course, there may have been an anatomical break during the operation and was not noticed. In the case of damage, any structure may be severed. We can only Guaranteed more tissue residue.”

"For functional reconstruction, these scars need to be incised, and the muscles around the rectum need to be rebuilt. Nerve transposition and sutures need to be done, and nerve endings must even be buried. We hope to establish a relationship between the nerve endings and the muscles. connect."

"It's really difficult."

"Compared with the intact nerve ending network that existed in the first-stage surgery, the expectations are not high."

"Professor Hu, let's do this. We don't have to worry about this surgery arrangement for a day or two. I'll grind it out first and see if I can find a better solution."

"If I can find it, I will give you a reply then."

"Thank you for your hard work, Doctor Fang." Hu Qizheng had nothing to do.

A dead horse is a living horse doctor.

In fact, it is quite a miracle that my uncle can survive. Now, if he still has the function of urinating and defecating, he needs another miracle on top of the miracle.

Doctors are only human beings, and if they want to create more miracles, it is simply impossible.

……

When Fang Xian came out of the office, he found that there were many family members of patients in the department discussing there.

"I heard that the 14th bed was also damaged. Can I relieve myself after the operation? That's great."

"Bed 14 also had a urine tube inserted and a fecal tube connected, which proved to be damaged. Under such circumstances, I am really lucky that I still feel like I need to relieve myself after removing the tube."

"I don't know what's going on. The one in my house just doesn't feel anything at all. She pooped in her pants, but she doesn't feel it yet. Her butt has lost its sensory function and she can only smell it."

"Oh, I just realized, it happened." A middle-aged man was complaining, but it was not mocking, his face was full of bitterness.

"It's good to relieve myself. It's so good. My husband has secretly cried so many times. Even though I never disliked it." Someone nodded, wiped his face as he spoke, and his tone was full of bitterness.

"..."

(End of this chapter)