Doctor of Healing

So he was careful, always careful.

After gaining a firm foothold in Yongcheng in the past year, Director Sui cautiously went out to hold a study session.

The Intervention Department of Tiannan Province is preparing to adapt to the trend of the times and hold a provincial surgical competition.

Director Sui belongs to the younger brother of the supporters. He has never integrated into the academic circle of Tiannan Province, nor does he want to integrate into it.Just come to hold a show, and take a look at the high-level surgery by the way, and learn from each other's strengths.

Today is the last day. Director Sui has seen some surgeries before, and the level is not bad.

After all, the surgery recording was excerpted on the machine, and the clips where the blood vessels were super-selected were all cut off, and it seemed to be quite smooth.

The main thing to look at is still an idea.

On the finale day, Ding Yifan, the head of the Interventional Department of Tiannan Province, performed interventional embolization for liver cancer.

The technique is very common, but not so common.

If it passes through the hepatic artery, it is a tumor. If you directly put iodized oil on the tube, you will always be hospitalized, and it will not be on the table.

What Ding Yifan did was a small tumor of 3 cm, and the grade 3 artery supported by the tumor was super-selected. The whole operation was quite stable.

"Director Ding's level is really high, look at his super selection, it's really slippery!"

"Usually I can't do it when I super-select a grade 2 artery. If I have to super-select a grade 3 artery, the operation takes more than 4 hours. Not only the patient can't stand it, but I can't stand it myself."

"When watching the operation recording, I edited a section in the middle, about 10 minutes. I guess Mr. Ding failed twice. With such a thin blood vessel, he succeeded in super selection three times, amazing!"

Director Sui listened to the discussions of the allies around him, and he also agreed in his heart.

It is true that the superselection of grade 3 blood vessels is never necessary, but the damage to patients will be much smaller after superselection to this position.

Some interventional surgeons who play the banner of the top domestic hospitals do not over-select the catheter at all, and start to spray medicine on a large area after passing the hepatic artery. Don't be fooled.

For example, the hospital where Director Ding was born.

The phone rang, and Director Sui answered the call.

"Xiao Sui, I, Lao Zhao."

"Brother Zhao, what's the matter?" Director Sui said in a low voice while holding the phone.

"Yesterday... I had an operation, take a look."

"Okay." Director Sui smiled. Director Zhao on the other side of the phone is still old-fashioned, but he has long been used to it.

But what exactly is the surgery that made Director Zhao so proud that he even called to show off?

"Yesterday's operation...Let's put it this way, Xiao Sui, my hand feeling is about to break through recently, and I have performed a few movements, but I don't understand how to do it. Do you understand me?"

"Understood, there is no theoretical basis, you can't try everything, and you can't explain why, but it's done.

Congratulations, let me watch the video and learn from Zhao Ge. Director Sui laughed.

Chapter 113

Ding Yifan sat in the front row, watching his operation, even he himself found it pleasing to the eye.

It is very difficult to super-select the third-grade arteries. Many years ago, 3 explored a new surgical method to do prostate embolization for the treatment of benign prostatic hyperplasia. Because it is difficult to super-select blood vessels that are similar in thickness to third- and fourth-grade arteries, this project ended without a problem after many years.

Now that the technical level has improved, I didn't expect that I would catch up with the 912.

Satisfied in his heart, Ding Yifan thought that if he used this operation recording to participate in the Shanghai competition, he should at least be in the top five.

The top five in China, hey!

Ding Yifan was proud of himself.

Suddenly there was a commotion behind him, the sound was not loud, but Ding Yifan could hear the suppressed exclamation.

Yes, that's the effect.

If it's true, it's a bit fake if you shout it out loud.After watching the recording of his surgery, the directors of the lower-level hospitals wanted to exclaim but felt embarrassed. They shouted out in a suppressed state, and the effect was full and vivid.

Ding Yifan's face showed an expression of refreshment to the bone.

But after a few seconds, he realized something was wrong.

Looking back, I saw a few people surrounded by an unnamed young director in Yongcheng. They were watching something on their laptops, not watching their own surgery.

Ding Yifan suddenly became annoyed.

"Who is that, what are you doing?" Ding Yifan asked in a cold voice as he got up and put his hands behind his back.

"what!"

A director knew Ding Yifan, and he could feel that Ding Yifan was unhappy, and he also knew that it would be impolite to be distracted on such an occasion.

He wanted to leave, but his eyes were unknowingly "hooked" away by the video on Director Sui's computer.

The little goblin was so enchanting that it made him linger.As for Ding Yifan...

"Director Ding, I'm sorry, but Director Sui has a surgical unit here, let me take a look." The man explained indiscriminately.

Ding Yifan frowned, feeling extremely unhappy.

What is this, what a mess!

A second-level hospital in Yongcheng did not have an interventional department before. It seems that a doctor from the north created the interventional department.

In Ding Yifan's world, doctors like this who have no inheritance are the most looked down upon.

Let alone a grassroots school, in Xiehe Hospital, postgraduates and doctors who graduated from Huaxi were regarded as having impure blood and were despised.

What are you doing.

Ding Yifan cursed in his heart, but a gentle smile appeared on his face.

He learned this from his own boss. Although the appearance is similar but the spirit is different, Ding Yifan thinks it is very cool.

He walked over with his hands behind his back, and when the people around the computer saw this scene, they all got out of the way knowingly.But Ding Yifan noticed that their eyes were fixed on the computer screen all the time, and they refused to leave for a second.

Ding Yifan decided to show him some amazing tricks for a doctor who had no food in the north and could only go to the second-level hospital in Yongcheng for surgery.

"This is... that... I met once, you are Director Sui, right?" Ding Yifan finally remembered Director Sui's name.

"Director Ding, I'm sorry, I'm really sorry." Director Sui quickly apologized.

"If you have an operation, let it go." Ding Yifan said lightly, holding back the unhappiness in his heart, "The organizing committee sent you an invitation letter. Although we are a competition, the main purpose is to communicate with each other, learn from each other, and promote ,improve."

"It's not good for you to have a small meeting by yourself in the audience."

Director Sui had no choice but to blame himself for being cheap. After the competition was over, the judges would come next, so he was anxious to see what Lao Zhao was showing off to him.

As a result, Ding Yifan was attracted.

"Director Ding, it's not..."

"What is it? Let us watch it together." Ding Yifan smiled, "It must be surgery."

"Yes, hemostatic embolization for bleeding after partial nephrectomy."

"Let go!" Ding Yifan waved his hand, "How can you see clearly with a laptop?"

"Director Ding, I didn't mean that..."

Director Sui wanted to explain, but under Ding Yifan's stern gaze, he stopped talking embarrassingly.

"Let's release it and let's watch it together." Ding Yifan pretended to be magnanimous, but he was thinking about how to find fault with the operation.

Since you dare to come to play, you must be prepared to be smashed to pieces.

At least this ignorant guy must be abolished in the academic circle.

The struggle in the academic circle has always been cruel, and Ding Yifan didn't think there was anything wrong with it.My boss is such a domineering person, Ding Yifan has one thing to learn.

Director Sui was helpless, and the staff came to get the notebook. He also felt that the screen of the notebook was a bit small, and some technical details could not be seen clearly, and it was better to use high-definition projection.

So Director Sui helped out without knowing it.

In Ding Yifan's eyes, this scene became Director Sui's careful preparation of a surgery video, but he did not upload it through formal channels, but used tricks to attract the attention of others.

In Ding Yifan's view, this kind of behavior can be said to be despicable and despicable.

Soon, no one introduced the doctor who was selected for the operation, and the operation video began to be played.

"what?"

At the very beginning, Ding Yifan suddenly let out a "huh".

Ding Yifan is familiar with the emergency treatment of hemorrhage after partial nephrectomy, and he often cooperates with the urology department to wipe their buttocks.

The familiar micro-guide wire walks in the blood vessel, the front is the bifurcation point, and the renal artery is branched out.

However, the micro-guide wire was not prepared in advance, and it seemed that it was going directly to the liver.

Ding Yifan thought this was simply funny.

What to do, the simplest operation of the abdominal aorta entering the renal artery can't be done well, that's it?

So he snorted.

But a few seconds later, Ding Yifan was stunned.

The microguide wire ignored the surging blood flow of the abdominal aorta, and did not prepare in advance. When it was turning, it flicked and entered the renal artery on the affected side.

I go!

Knowing the details, Ding Yifan became serious with this hand alone.

The micro-guide wire continues to advance, the catheter is placed, angiography is performed, and the micro-guide wire moves forward again after finding the bleeding blood vessel.

The superselection from the renal artery to the renal segmental artery is still not difficult for the operator, and it can be done overnight, as if driving on a six-row lane, unimpeded.

Most of the doctors at the meeting didn't know what happened, and there was thunderous applause after seeing such a wonderful operation.

A similar super-selection can be done at one time, which means that the level of the operator is quite high.

Some doctors have even begun to speculate that this should be an easter egg operation secretly left by the main committee for everyone.

The best one was put at the end, even surpassing Director Ding Yifanding's operation.

The operation should be over here, and a coil is used to embolize the bleeding artery.Although at least 20% of kidney function will be lost, it is better than death.

but!

The operation is still going on.

The micro guide wire continues to go down.

Ding Yifan seemed to be looking directly at the sun, and his pupils suddenly shrank, as if he had received an excessive amount of barbiturates intravenously.

Still going down?What is he going to do?

Further down is the grade 4 blood vessel, which is about the same diameter as the guide wire at point [-].

Ding Yifan couldn't figure out what the surgeon would continue to do, if it was him who performed the operation, it would be fine here, it has already reached perfection.

The hall fell silent.

Everyone felt that there was something wrong with their eyesight.

All the surgeons here are mature surgeons, even if they have never done similar operations, they have seen them before.

This step of super-selection is not impossible, but while the patient's blood vessels are bleeding like the faucet is turned on, they must keep improving.

This is irresponsible to patients!

Which is more important, the loss of 20% of renal function, hemorrhagic shock, or the death of the patient?

It takes at least 3-5 times for a similar ultra-long distance to succeed, and "waste" 20-30 minutes.

Patients are most likely to die from bleeding during this period.

However, the operator manipulated the micro-guide wire to continue downward, and smoothly entered the next-level blood vessel at the branch vessel of the renal segmental artery, without any difficulty at all.

I go!

This is a recording of a surgery, and the surgery that can be sent is carefully selected, not a video full of surprises like a live broadcast.

Everyone can guess that it will be successful, but no one expects it to be a one-time success.

The venue was silent, but someone quickly realized that the operation recording must have been edited, and they hadn't noticed the time just now.

Ding Yifan thought the same way, and his gaze shifted to the time in the upper left corner.

Another injection of barbiturates was injected into the vein, and the drug diffused rapidly, inhibiting Ding Yifan's polysynaptic response, weakening facilitation and enhancing inhibition.