Doctor of Healing
Page 178
Since he became the chief of the medical affairs department, those old cronies have less and less contact with each other, and their official authority has become more and more serious.
Not too serious, every medical dispute is like a rescue.
If Director Bai didn't yell, no one would pay attention.
Director Bai wanted to capture why there was that weird feeling in his heart, so he changed his clothes silently.But after a few seconds, he realized that the atmosphere in the locker room was a little dignified.
"You continue to chat, what did you say before I came in?"
"The old money in the kidney has been battered recently, dealing with the school and the woman's parents."
"Huh? Qian Xuebin? How old is his son?"
"Senior year." The professor of surgery suppressed a smile and replied.
"In the third year of high school... yes, the children today are different from when we were young. I got married at the first love, and now I think it's a loss. But Qian Xuebin is also the same, telling the children to pay attention to safety, and not just because they are boys."
"Director Bai, measures have been taken. But..."
The professor of surgery finally couldn't bear it anymore and laughed.
"I'm sorry, I couldn't hold it back." The surgery professor explained, "It is true that the method was used, the condom was worn, but it is said that in the second scene, the condom was turned over and used again.
You said that the old habit of saving money can be inherited. The key is that no matter how you save, you can’t use it again. "
"..." Director Bai was also speechless.
Now education can't keep up at all, and even the official website of the Royal College of Obstetricians and Gynecologists is defined as yellow, fearing that it will become more and more unbearable in the future.
But Director Bai couldn't solve this kind of thing, and he wasn't bothered about things he couldn't do anything about, so he just thought about it.
"That's right, young people these days love to cook and play." Another professor smiled, "A few days ago, during the gynecology consultation, I heard that there was a girl with irregular menstruation, which was caused by excessive contraceptive pills. The gynecologist Ask if the instruction manual says the dosage, guess what she said."
"One pill at a time, according to the number of times, the result will be excessive." Director Bai said lightly.
"Ah, it's all in the dispute office?"
"There are too many disputes and such things, so you don't have to think about it." Director Bai smiled, "We have a patient with serious problems, a tooth extraction in the Department of Stomatology, do you know?"
Everyone shook their heads.
Everyone was very surprised. According to Director Bai, what he said should be very serious, but the Department of Stomatology has never heard of any large-scale medical disputes.
"After the tooth was pulled out, it must be said that it was wrongly pulled out, and you have to pay for it. The CT scans before and after the operation are all there, but you just don't admit it." Director Bai said, "Also said that my family is poor, and I have no money to see a doctor after the wrong tooth is pulled out. play self pity."
"How much did you lose?"
"No compensation." Director Bai said, "When I first went there, I arranged for a support doctor to talk to him. I didn't believe that the CT was there, the objective evidence was clear, and there was no sequelae. Why should I lose money?"
Director Bai is from a clinical background after all, it is very difficult for clinicians to fool him.But if the clinician is unreasonable, Director Bai will also take care of him.
People who work in clinical practice are somewhat screwed up, and even director Bai can't get rid of this.
"I have observed that he should not be from a poor family. Later, I found someone to take a look. He came to the hospital by bicycle and changed cars by bicycle when he left."
"Oh, it's driving."
"Driving a BMW X5."
"I'll go! You can drive an X5, and you still think about this little money?!" A professor was surprised.
"People, there are all kinds of people." Director Bai said, "Aren't there people who drive a good car to steal watermelons in the fields? The most outrageous thing is that I know a daughter of the president's family. She went to the bank next door and ended up Cash every time."
"!!!"
"It's not much money, only 1200 yuan from beginning to end, and the surveillance video was discovered. After being discovered, she said plausibly-I did what everyone wanted to do but didn't dare to do."
"That makes sense," one said.
The person next to him kicked him quickly, and the person immediately shut up.
"You guys are chatting, I'm leaving first." Director Bai said after changing his clothes.
He knew that as long as he was in the locker room, the atmosphere would definitely be wrong. Instead of everyone being depressed, he might as well go out and do his own business earlier.
As soon as the words came out of his mouth, he suddenly remembered something, "I have a question for you."
"Director Bai, tell me." Everyone said in unison.
"What is the most powerful surgeon you have ever seen?"
After a brief silence, one of them smiled, "When I was studying in Shanghai, I had a surgical operation with severe adhesions to the pleura. The director's close student really has a high EQ. He knew the director would lose his temper, and immediately returned to the hospital. He opened one, and he freed the mediastinal tumor with his own hands, and then went up and fired a single shot and it was over."
Director Bai smiled, this kind of surgery was indeed done perfectly.
"Then he told the director, Master, I can't do it on that side, let's change it? The director went to shoot off the tumor and finished it in 10 minutes. When they came back, they were refreshed and the two performed the surgery for pleural adhesions. Take it down."
"How long did it take?"
"4 hours." The chest professor said, "I can't see anything with the thoracoscope, and there is bleeding everywhere, that is, the director's level is high, and the anatomical structure can't be seen with the thoracoscopic operation. A little bit of dissociation, just like that, the operation was successfully taken off!"
Anatomy!
A bolt of lightning flashed across Chief Bai's mind.
During the operation, he felt that Jixiang's surgical anatomical structure was clear, but it was only a flash of thought, leaving an impression on his subconscious mind.
The anatomical structure of Ji Xiang's operation is not clear, but it is like a teacher in the school's teaching and research section doing local anatomy specimens!
It turns out that my anxiety lies here!
Director Bai's hands were a little cold, and the blood oxygen saturation dropped rapidly.
Ji Xiang!
The anatomical structure in his hand is as clear as if he was taking an anatomy class! !
Chapter 225 Congratulations
Doctors who have undergone surgery, or even doctors, know that surgery is actually not difficult.
There is a standard surgical procedure in a thick, equal-height surgery book, as long as you follow the instructions in the book.
If the anatomical structure of each patient is as standard as that drawn in the book, the difficulty is indeed not high.
However, what is written in the book cannot be presented perfectly every time.
Even the internal anatomy of most patients undergoing surgery is more or less different from what is written in the book.
Whether the operation process is smooth or not depends on whether the anatomical structure variation is serious or not.
Among all operations, neonatal surgery for congenital heart disease is the most difficult.
It is because some strange anatomical structures have never been seen by the surgeon no matter how rich his experience is, so he can only perform the operation with his own clinical experience and knowledge of anatomy and physiology.
Once upon a time, the boss of Huaxi was unable to perform complicated congenital heart disease surgery, so he could only find another boss from the imperial capital to fly over, and the two stood on the operating table to discuss it.
This is the most extreme case.
Ordinary doctors are faced with abnormally proliferating blood vessels and nerves. Once the blood vessels are cut, the vision will become a mess.
But seeing Ji Xiang undergoing surgery just now is a different concept.
The anatomical structure is clear, simple, and clear, like the general teacher taught by the local anatomy teacher in the school days.
Although there are also mutations, the positions of some mutations do not exist under Ji Xiang's hands.
Paodingjieniu!A few words floated out of Director Bai's mind.
He finally understood what his vague uneasiness was.
Ji Xiang's surgery is much better than he imagined, even far beyond his peak level.
Back in the office, Director Bai opened the mailbox and looked for the email sent to him by Director Liu of the Department of Urology.
Sending emails to report recent academic conferences on the intranet of the academy is a regulation in the academy, and Director Bai usually doesn't care about it at all, just glance at the past.
I can't say that they are not allowed to participate in the society, and many societies have become part of social networking, expanding the network of directors in the medical circle, adding a title to their names, and so on.
I vaguely remember Director Liu sent an email.
Director Bai suddenly became very interested in this little Pearson from the Department of Urology.
Click on the email, Director Bai carefully read it word by word.
A surgical competition was going to be held in the province, and Director Bai's eyes were full of clean surgical fields.
He weighed it carefully, a smile appeared on the corner of his mouth.
Pick up the phone and call the pathology department.
"Director Chi, I, Bai Mo."
"Director Bai, hello, what can you tell me?" Director Chi of the pathology department said.
"Have the specimens been sent for the cancer surgery just completed in the Department of Urology? Thank you so much, hurry up and do it."
"The specimen needs to be fixed. I will try to get it out as soon as possible, but it will be at midnight at the earliest."
"Okay, I'll wait for your news."
Clean surgery is one aspect, but whether the resected tumor has metastasized is another issue.
It can't just look good, the margins must be negative to prove that the tumor was cut cleanly, and then the final conclusion on Ji Xiang's operation can be made.
Director Bai was patient, he waited quietly.
More than ten hours later, Director Chi called.
"Director Bai, are you an outsourced urology specialist today?" Director Chi asked in a little surprise.
As soon as he asked this sentence, Director Bai knew the result.
Just as I thought.
"No, they did it themselves." Director Bai replied.
"Squamous cell carcinoma with negative resection margins, and no metastases in the inguinal lymph nodes on both sides. The operation was quite clean. I think the surgeon is Professor Mo Chenggui Mo. When did he become so high?"
"Fortunately, it's just a small cancer operation, and Professor Mo will definitely be able to get it off."
"No, no, Director Bai, I know that Professor Mo can perform a partial resection. But the specimens were sent a little early, so... as long as there is nothing to do, do you have any other instructions?" Director Chi said half of the sentence, and suddenly And stop.
"Thanks for your hard work."
After hanging up the phone, Chief Bai heaved a sigh of relief.
It seems that Jixiang's operation was indeed perfect, partial resection of Ding cancer + lengthening operation, very thoughtful consideration of the patient's postoperative psychological construction.
I have to worry about the surgery competition myself, Director Bai thought.
……
……
In the urology ward, Ji Xiang was chatting with patients.
He also didn't expect that the pathology department would work overtime, and the director would personally do the pathology overnight.
So Jixiang has been waiting for the result.
Generally, pathology takes 2-3 days, and there is no way to talk about it before the results come out.
Ji Xiang was also very happy holding the printed and steaming medical bill.
"The pathological results came out, and everything that needed to be cut was removed. Moreover, it is squamous cell carcinoma with a relatively low degree of malignancy, and it is in an early stage. It is expected that the postoperative recovery will be very good."
"Doctor, please make it simpler." The patient was a little happy, but he didn't dare to confirm it.
Along the way, he felt like he was dreaming.
"Let's put it this way, because it's in the early stage, there is no delay in treatment, the possibility of tumor metastasis is extremely low, and it can be regarded as a cure. And the partial resection... emmm, the length is not affected, not only that, but the angle is wrong 3.2cm longer than before operation."
"All the previous living habits are also unaffected, such as standing up to pee and the like."
"!!!"
"Congratulations." Ji Xiang said sincerely.
The patient was a little confused while being happy.
The reality is not like a TV series, with no such intense conflicts and emotional evolution.
Although the result can be said to be extremely perfect for the patient, he is not happy yet, and more confused.
When he figured it out, it would probably be 2-3 days later, and he would not be happy until he opened the bandage and saw the length of the congestion with his own eyes.
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