White armor

Chapter 63 That’s it? The crown jewel? (Leader, I am a bastard, plus more updates)

"Director Qin, you can't do it. You can't just watch the patient die. Put other things aside. If you encounter it, you must give it a try."

Luo Hao only said one sentence, which was like a hammer, hitting Qin Chen's heart.

"boom"

The nails were driven in.

"If the patient has any chance of survival, it lies with both of us."

Qin Chen looked at Luo Hao, he hadn't seen the little guy for 2 years, how could he be so confident?

Even Zheng Zeyuan of Shanghai Municipality refused to accept patients, but he encouraged himself to come on stage and showed full confidence.

"Let's see the patient first. How about it, Director Qin." Luo Hao finally said.

Qin Chen has made up his mind.

After putting away the mirror and comb, Qin Chen didn't feel that he had much to do. Before going out, he raised his hands and put them on his head.

But this time the background music didn't sound.

Qin Chen knew that he was not completely sure of completing this operation.

If you really fail, you can guess what the other party will say even with your big toe.

"Director Qin, I was rude just now. As a family member of the patient, I didn't even introduce myself." The man from the First Hospital of the Medical University stood at the door. When he saw Qin Chen coming out, he immediately lowered his head and said.

"My surname is Jin, I am the vice president in charge of the clinical department of the First Hospital of the Medical University. I used to be a neurosurgeon."

"Dean Jin is so polite." Qin Chen said calmly, with a calm look on his face.

Dean Jin was extremely polite to Qin Chen, and Director Shi was a little numb.

There were still so many people waiting for the annual meeting in the auditorium, but Director Shi didn't want to do the demonstration surgery at all, at least not now.

Director Shi knew exactly what happened to Dean Jin's father.

Director Shi felt that ercp could not solve the problem at all and could only use surgery.

But after three days and five rounds of hospital-wide consultations, no one dared to perform surgery.

No matter what they say, they all blame the patient for ercp because he is 84 years old, has a lot of geriatric diseases, has a history of major surgeries, has a sticky mess in his stomach, and cannot do it at all.

The thing was such that even Nan Zheng refused to accept it, and Dean Jin was so sick that he sought medical treatment.

The levels of Southern Zheng and Northern Qin were about the same. Professor Zheng refused to accept the offer and was not sure. Qin Chen was sure?

Director Shi followed Qin Chen curiously and asked one of his doctors to inform the experts attending the meeting to wait.

Arriving at the ward, Qin Chen changed into white clothes and began an extremely professional physical examination.

In the system panel in the upper right corner of Luo Hao's field of vision, the diagnostic assistant AI has already made a diagnosis.

There are roughly several types of diseases, and the patient in front of me is one whose diagnosis is clear, but there is no way to treat it.

The role of diagnostic assistance AI is not great.

The patient was already jaundiced, probably because he had just taken analgesics and fell into a drowsy sleep.

The overall condition is extremely poor, and it should be difficult to survive surgery.

Even if it is a general anesthesia, the anesthesiology department must weigh it carefully.

If it is an ordinary patient, the anesthesiology department can find 180 reasons to refuse anesthesia. But Dean Jin is here. If necessary, the director of the anesthesiology department will probably cry and go on stage to anesthetize himself.

There is a high possibility that the patient will die on the stage, and everyone knows it.

After seeing the patient, Qin Chen went to the office to watch the film.

Sitting in front of the computer, Qin Chen put his right hand on the mouse and looked at the patient's image data frame by frame, his hands and feet feeling a little numb.

The diversion surgery performed by the patient at that time was extremely large, and the entire local anatomical structure was in a mess.

No wonder Professor Zheng from Magic City didn’t dare to take it.

Regardless of whether the operation is performed in Nanzheng or Beiqin, there is at least a 50% chance that the operation will fail.

Seeing Qin Chen's increasingly serious expression, Dean Jin's heart gradually sank.

The top experts in the country all gave unanimous judgments.

difficult.

When Qin Chen finished watching the film, Dean Jin immediately bowed slightly and said in a deep voice, "Director Qin, please excuse me. We are all in the medical field, and I know about my father's condition."

"If you come to power, you're 99% dead; if you don't come to power, you're 100% dead."

"A dead horse is a living doctor, please come on stage and try it. The failure of the operation means that my father's life is bad. Don't worry, I will definitely have no complaints."

"Director Qin..."

Dean Kim almost begged.

He understood that if the top ercp surgeons did not perform the surgery, even if the best medical resources were thrown in, it would be a bottomless pit.

The old man can survive in pain for at most half a month to a month.

There is no need to live without quality of life just to catch your breath.

While Director Qin Chen is here, let him give it a try. Whether he succeeds or not depends on his best efforts.

Dean Jin understood clearly that he was a surgeon and had no worries about doctors.

The saying that 99% of patients will die if they do surgery; 100% of patients will die if they don’t do surgery. This is what neurosurgeons say most often.

Now that it comes from his own mouth, it is extremely weird. Is this also a boomerang?

Qin Chen didn't say anything. Just as he was about to stand up, he raised his hands, clasped his head, sat down again, and read the film again.

Instead of being angry, Dean Jin was overjoyed.

Director Qin agreed.

His sincere attitude dispelled all Director Qin's concerns.

he!

Be willing to give it a try at the risk of failure! !

Dean Jin took a long breath and shed tears of gratitude.

Dean Jin knew something about those things in the circle. It was absolutely impossible for Nan Zheng and Bei Qin to be elected as academicians of the Academy of Engineering together.

Within five years, it is unlikely to improve technology. What they all have to do is publish more and more important papers.

And the more important thing is not to make mistakes.

Director Qin took a huge risk and agreed to the operation. This was a kindness.

"Director Qin, don't worry, it doesn't matter even if the operation fails. I guarantee that no more people will know." Dean Jin said cautiously.

Qin Chen still didn't speak.

It's just that his movement of flipping through the video data was a little slower.

Every frame is looked at extremely carefully.

however!

The more carefully he watched the film, the darker Qin Chen's face became.

Dean Jin didn't dare to say a word of nonsense, for fear of saying something wrong, so Qin Chen walked away.

He winked at Shi Zhongjian.

"Director Qin, the operation must be very difficult. I will be your assistant, not even a nurse."

"You?" Qin Chen sneered.

"..."

"..."

"You're not good enough." Qin Chen said lightly, "Luo Hao is here, so I don't need you."

Director Shi almost spit out blood.

This time he really understood that he was really not as good as Luo Hao in the eyes of Director Qin Chen.

"I'm going to do your demonstration surgery. Let's do the emergency surgery here." Qin Chen called up the patient's test sheet after watching the movie.

"Various indicators are declining rapidly. If we don't do anything today, we will have even less certainty tomorrow."

Dean Jin kept bowing in silence, expressing his gratitude with movements.

Even if there is only a 1% possibility, that is still hope. It is better than being sentenced to death and watching the old man die.

"I didn't bring anyone here, the difficulty of the operation..."

"Director Qin, don't worry, I know everything. To put it bluntly, if I really can't stand down, it will be my father's fate. If I say anything bad about you, I will be struck by lightning!" Dean Jin swore.

"I've said it before." Qin Chen said lightly, "Do your best."

"Thank you, Director Qin!"

Dean Jin bowed deeply.

Arriving at the ercp room, Qin Chen sighed in the dressing room.

"Director Qin, are you worried?" Luo Hao asked with a smile.

"I just got my hair done." Qin Chen was helpless.

Luo Hao knew that Qin Chen only entered the operating room once a day and would not leave the house until all operations were completed.

The reason is that the hairstyle is not messy.

Qin Chen Director Qin's action was full of ritual and full of the flavor of that era.

"Director Qin, I will do the preliminary steps first."

Qin Chen nodded and changed clothes silently.

Just like soldiers about to go to the battlefield, they move quietly but quickly.

This world is a grassroots team, so any little bit of professionalism can stand out.

Qin Chen and Luo Hao came to the ercp room.

Dean Jin was already waiting in the operation room. He was wearing a lead suit and seemed ready to go in together.

"Director Qin, I have arranged the person. This is a technician. When I did the interventional surgery for middle cerebral artery aneurysm, he has been cooperating with me. The nurse inside was the nurse I used back then. She may have some knowledge of ercp. I'm not skilled in operation, please forgive me."

"It's okay." Qin Chen was very satisfied with Dean Jin's arrangement.

They all arranged for Dean Jin's own people to minimize the impact on him if the operation failed.

No doctor is willing to perform a surgery that will fail 100% of the time.

When a top domestic expert was doing a new surgical technique, the door to the surgical room was always closed and only the same people were used.

Anyone who breaks in will be scolded, and if the operation doesn't go well, it's possible that a bunch of hemostatic forceps will be thrown at him.

"This is the deputy director of our anesthesiology department. When I was doing neurosurgery, whenever possible, I would ask him to arrange the operation. The technical level is not very high, but it is absolutely stable."

Dean Jin introduced the anesthesiologist to Qin Chen.

The entire team was the one Dean Jin was familiar with, had the best connections with, and was the most advantageous to.

It's the weekend and there are no surgeries in the ercp room.

The doors are closed and empty.

The head nurse of the ercp room who came to help find equipment prepared everything and was immediately kicked out by Dean Jin.

At this moment, the ercp room becomes a closed space.

Wear lead clothes and brush your hands.

The outer layer of the lead coat in the First Hospital of the Medical University has small pink flowers, which Luo Hao doesn't like.

It is said that this color can relieve visual fatigue, but it seems a bit unserious to Luo Hao, and Chen Yong especially likes this kind of saucy little pink flower.

However, the weight of the lead clothes was much lighter than the equipment that his uncle Lin Yuming had prepared for him. Luo Hao had no burden, which was good news.

Standing in the surgeon's position, Luo Hao began the operation.

Dean Jin was wearing a lead coat and was slightly startled when he saw that Qin Chen only changed clothes and did not undergo surgery.

But he didn't speak.

The preliminary steps are completed by lower-level doctors, which is an unspoken rule in the industry.

How can any expert explain step by step from disinfection to the last stitch?

For example, some time ago, 912 Director Gu Huaiming and his team went to Donglian Mine to fly knives. Director Gu did it all by himself from beginning to end. That was because there were special circumstances and it was definitely not a common phenomenon.

Luo Hao held his breath and concentrated on the operation, unaware of Dean Jin's emotional changes.

He didn't use the [Flow] skill at the beginning, but took the prerequisite steps step by step.

The distance from the endoscope to the biliary-intestinal anastomosis is longer.

Due to changes in the anatomical structure, the cavity is more curved, making it extremely difficult.

After the level of surgery was upgraded, these bends were nothing to Luo Hao. All bends, even bends that were almost right angles, were eliminated by Luo Hao in one go.

Dean Jin stared at the screen intently. The lead clothes on his body seemed to be heavier than ever before, weighing him down so much that he couldn't breathe.    Although Dr. Jin has never performed ERCP surgery, he still knows the most basic common sense.

Several right-angled bends were passed through "without any difficulty", the level of the young doctor who was doing the preliminary steps...

It was so high that Dean Jin could not believe it.

No wonder Qin Chen, Director Qin, personally ordered the general. After just a few glances, he knew that the young doctor's level was at least as good as Director Shi's.

But don’t they have conflicts?

As soon as the distracting thoughts came up, Dean Jin suppressed them again.

None of this matters!

Director Qin's young assistants are all so high-level, so wouldn't Director Qin's level be higher than imagined? !

A spark of hope burned in Dean Jin's heart.

The mirror came to the duodenal loop, which was like a maze due to the surgery decades ago.

It was a mess, with no normal anatomy visible at all.

Luo Hao stretched out his hand.

"Short enteroscopy."

The nurse immediately started searching.

Her movements were a bit unfamiliar.

"The third one from the left." Qin Chen reminded.

The nurse's face suddenly turned red. She quickly opened the sterile package and handed the short enteroscope to Luo Hao.

Dean Jin glanced at Qin Chen.

Director Qin put his hands behind his back and still sat firmly on the Diaoyutai.

"Director Qin, you..."

"Don't be in a hurry." Qin Chen said calmly.

Dean Jin didn’t dare to press too much.

After all, he was asking for surgery. It was out of his control when Director Qin wanted to perform surgery.

Even if you are a family member of a patient.

But Dean Jin understands that he is not a patient's family member in the typical sense.

But Director Qin Chen and Qin were too trusting. He put on clothes and stood on the operating table, which was more soothing than standing underneath.

I've already put on my lead clothes, but this is all that's missing?

Dean Jin was confused, puzzled, and confused.

Someone who had the same sentiment as him was Director Qin Chen.

Originally, Qin Chen thought that Luo Hao's level was not bad and he was more than enough to be an assistant.

however!

A connoisseur will know if it is there as soon as he reaches out his hand.

After Luo Hao stood in the position of the magician, his aura changed, and the pre-steps were simple, straightforward and smooth. Even Qin Chen felt that if he were in his place, he would be able to achieve this level.

When did this bitch become so powerful? Qin Chen was confused.

He wanted to take a few more glances.

Luo Hao successfully passed several right-angled bends using the gastrointestinal endoscope. Dean Jin could not understand the technical details, but Qin Chen could see them clearly.

Luo Hao's level is comparable to his own!

Qin Chen made an accurate assessment of Luo Hao.

Even a day ago, Qin Chen thought this was nonsense.

But when faced with Luo Hao's surgery, Luo Hao's effortless movements and technical details, even Qin Chen could only admit this.

It was supposed that Qin Chen should go up at this stage of the operation, but he didn't move.

Qin Chen wanted to continue to see how strong Luo Hao was.

The position of the patient's duodenal afferent loop has countless bends, like a maze.

When Qin Chen evaluated the difficulty before the operation, he determined that this was the most difficult place, and the possibility that he could make the mirror pass was no more than 50%.

I guess Professor Zheng from Shanghai Magic City thinks so too.

But Luo Hao made no move to let himself go on stage, as if he was full of confidence.

Could he really do it?

Qin Chen became more and more curious. He was waiting for Luo Hao to fail once before he would try it himself.

Luo Hao sent the enteroscope to the position of the duodenal input loop, stabilized his mind, and clicked the [Flow] skill on the system panel.

For an instant.

The world in front of Luo Hao changed.

Time seems to slow down, and the twisted duodenal input loop seems to become transparent. I have a clear perception in my mind of how to pass each position and how to use the strength of my hands.

This is the first time Luo Hao has officially used the [Flow] skill.

It’s very useful, and it’s even better than what I estimated when I first got the skill!

Luo Hao had no time to rejoice. He was immersed in a state of flow and had briefly broken through the level 6 level of surgery, even reaching the peak level of level 6 that even Qin Chen had never touched.

The enteroscope moves forward slowly in the duodenal input loop. As the cannula is pulled and retracted, the mirror turns a corner easily.

Nine twists and turns, rapids and rapids.

But the enteroscope in Luo Hao's hand was like a small boat, sailing smoothly through the duodenal input loop in less than 3 minutes.

The enteroscope lens passed through the duodenal input loop and finally reached the biliary-enteric anastomosis without any danger.

It can be seen that the opening of the bile duct of one left hepatic branch is narrow, with purulent coating and stones embedded in the opening. Dean Jin is fine. He is just wondering when Director Qin Chen will go to the hospital.

But Qin Chen has been completely petrified.

The patient's duodenal afferent loop is several times more tortuous, complex, and adhesions than what appears on the film.

If you do it yourself, there is not even half a chance of success.

The preoperative evaluation was 50/50, but looking back now, that was an overestimation.

Qin Chen watched the operation process and the patient's local anatomy.

He has a clear judgment - if you do it yourself, there is a 3% chance of success at most.

however!

In less than 3 minutes, without any mistakes, Luo Hao easily passed the enteroscope through the duodenal input loop and saw the biliary-enteric anastomosis.

The moment he saw the biliary-enteric anastomosis, Qin Chen almost went crazy.

Luo Hao!

After graduation, I went back to my hometown directly.

Even ESD surgery has not been performed, and ERCP is a small local hospital that has only performed a few surgeries recently. The number of patients and the complexity of the disease can be imagined.

Doctors need a platform.

Only on a higher platform can progress be possible.

Not only the connections, but also the massive and difficult patients.

But what about Luo Hao?

When I returned to my humble hometown, my level improved even faster than myself! !

how can that be! !

Qin Chen was inexplicably surprised. He had already turned to stone and had forgotten that he was about to go on stage after seeing the biliary-enteric anastomosis.

There is only one thought in his mind right now - Luo Hao can definitely perform this surgery!

Dean Jin saw the biliary-enteric anastomosis, purulent fur, and faint stones on the screen. He was a little anxious.

"Director Qin, come on." Dean Jin tentatively reminded.

"Why don't you go ahead?" Qin Chen's thoughts were interrupted by Dean Jin. He didn't tolerate him at all and directly fought back.

"!!!"

In the Ercp room, the anesthesiologist, equipment nurse, and technician were all dumbfounded.

"What nonsense are you talking about? Come on if you can, and I'll turn around and leave. If you don't come on, I'll just keep watching." Qin Chen scolded angrily.

Dean Jin was shaking all over and bursting into tears.

He couldn't figure out the situation, what the hell was going on?

"Intubate and prepare for imaging." Luo Hao's voice interrupted the awkwardness in the ercp room.

The equipment nurse quickly handed Luo Hao what he wanted, the airtight lead door slowly closed, and the imaging started.

"The balloon needs to be 6 millimeters."

"Get the Stone Net."

"That's not it. The Nets want the one with three petals. The second one on your right, just open it and give it to me."

In the Ercp room, only Luo Hao's gentle voice came out unhurriedly.

The steps such as intubation, angiography, balloon dilatation, basket stone removal, and drainage stent placement were all carried out smoothly.

The duration of surgery is 42′22″.

The technique is completed.

Luo Hao entered the [flow] state at 31′11″ and had to rest for more than 5 hours.

But Luo Hao noticed that he was not that weak.

The weakness time marked by the system has not changed, but my own feeling is very obvious. After the actual operation and using the [flow] state, the weakness is much stronger than when I tested it myself.

Perhaps it was due to [energy conversion], Luo Hao guessed.

"The operation is finished, Director Qin." Luo Hao turned around and tore off the lead coat.

The previously "light and fluttery" lead clothing was now extremely heavy, so Luo Hao threw the lead clothing directly to the ground.

"Boom~"

A muffled sound.

"Is the operation completed?!" Dean Jin was confused.

Is this done?

A student performed the surgery?

Is this still a difficult surgery that even Professor Zheng from Shanghai doesn’t dare to undergo?

Is this still the brightest pearl in the ercp crown as Director Shi Zhongjian said? !

In Luo Hao's hands, the pearl turned into a fish eye, and Luo Hao didn't even encounter any difficulties.

The operation was completed in just 40 minutes.

In an instant, Dean Jin felt like he was dreaming.

He had a feeling that the whole world had deceived him.

"I'm done. I'm so tired." Luo Hao sighed, "Dean Jin, please help me find a rest room. I want to take a nap."

"You are young and your body is so weak." Qin Chen habitually said with disdain, "I told you not to have so many girlfriends."

"..." Luo Hao did not refute, he was too lazy to explain.

Although the feeling of weakness after using the skill is greatly diluted by the [Energy Transformation], it is still a bit weak.

The skills are really easy to use, but the weakness after using them is really uncomfortable.

Luo Hao knew that he had entered the sage's moment and urgently needed a rest.

"Dean Jin, please arrange a rest room to keep it warm. Don't let Dr. Luo catch a cold." Qin Chen said in a deep voice.

"Okay, okay, okay." Dean Jin hurriedly went to arrange a place to rest.

After Luo Hao went to rest, Dean Jin asked someone to carry the old man onto a flat car and take him back to the ward.

Dean Jin held the stone that almost killed his father and asked doubtfully, "Director Qin, didn't you say that my father had a narrow escape from death?"

"Didn't your hospital say that when explaining the condition to the patient's family?" Qin Chen asked disdainfully.

"..."

Dean Jin's eyes were filled with tears.

"Director Qin, I heard Director Shi Zhongjian said that this similar operation is the crown jewel of ERCP surgery."

"There are so many pearls, but in my opinion, it is just an ordinary minor surgery. As you just saw, I don't even need such a simple surgery."

After Qin Chen finished speaking, he shrank his neck and looked back.

Luo Hao, not here.

That's good. Qin Chen raised his hands and folded his head, and music played in the background.

……

……

Note: I won’t write a single chapter. I’ll tell the adults who are pursuing my studies to attend academic conferences on the weekends. I have been struggling for a long time, but I am still ready to listen to gossip and see the latest developments in academia. Return on Sunday night or Monday, and continue with the leader’s update on Tuesday.

Sorry, sorry~~~Group touching everyone.

(End of this chapter)