Doctor of Healing

……

In the review room.

The bald host asked, "Mr. Shen, how is the situation in the hospital?"

"Many." Professor Shen did not deny that he gradually figured out the routines of the film crew.

Some things that can be said in normal chats can be said by oneself, but the program team will still cut them out during post-editing, no matter how exciting.

Don't worry about this.

You can chat casually by yourself, as long as you don't say too inappropriate words.As for the choice, that is the program team's business, and it has nothing to do with me.

"Similar situations can be divided into two stages." Professor Shen began to describe, "Before the emergence of the new rural cooperative medical system, many elderly people in rural areas did not go to the hospital at all. Think about it, with an income of thousands of yuan a year, it is enough to go to the hospital for two checks. It's gone, it's better to stay at home."

The income of thousands of dollars a year, almost no one in the audience could understand this sentence.

The joys and sorrows of people are not the same.

"Later, with the emergence of the new rural cooperative medical system, part of the medical expenses can be reimbursed, and the number of talents in grass-roots hospitals has gradually increased."

"The patient in the First Affiliated Hospital just now put aside the severity of his condition. High nutrition after surgery is very troublesome and requires a lot of money...Let's put it this way, at least 50cm of the intestine must be cut in the operation. Food and water are fasted after the operation, and the patient still needs nutrition, which can only be given intravenously."

"Liquids such as fat emulsions, amino acids, ions, etc. cost more than 1000 a day, which is still less. The money is nothing to us, but it is unbearable to many people."

"Blood transfusion is also added." Maomao added.

"Ms. Shen." The bald host saw Professor Shen pause, and he complained in his heart. Let's not say whether these words are true, even if they are true, it is impossible to show them in the show.

"The patient keeps having blood in his stool. What's going on? Why does the interventional department need to be involved?" The bald host changed the topic.

"Similar patients are unable to stop bleeding, so there is only one way to treat it—resect the bleeding intestine." Professor Shen explained, "But when we open the stomach, what our doctors can see is the peritoneum and intestinal tube. The patient is not bleeding from trauma, but Bleeding from a ruptured arteriole lining the bowel."

"In this case, no one knows exactly which part of the gut is bleeding."

"A long time ago, when a similar situation occurred, the doctor would discuss it with the patient's family and take the risk to cut it on stage."

"!!!" The bald host was taken aback, "Cut it out? Did it break?"

"Anyway, if you don't do it, the patient will definitely die. If you do it, the patient still has a chance. Some family members of the patient want to try it, and the success rate is not low." Professor Shen said.

"A long time ago, when was that?" Maomao asked.

When it comes to this kind of extreme professional knowledge, Maomao is already speechless.

"I just went to work more than 30 years ago." Professor Shen said with a smile, "Extend the resection as much as possible, and resect the intestine beyond the critical value of dumping syndrome."

"What syndrome?"

a guest asked.

Professor Shen wanted to explain, but hesitated.An explanation might be better, but the topic deviates too far, and it takes a lot of talking.

If I want to explain this disease clearly, I guess I have to teach medical novices for several days and nights.

No need.

"At that time, try to cut as much intestine as possible. If the bleeding point is in it, that's the best."

"What if it's not here?"

"The patient will die soon." Professor Shen said.

"..."

"..."

"..."

The guests were silent.

The bald host asked, "What is Director Li of the First Affiliated Hospital going to do now?"

"There are two ways, one is radiography." Professor Shen said, "Intraoperative radiography can find the location of bleeding. But because the intestines are coiled together, it is basically not clear, so it can only play an auxiliary role."

Then, Professor Shen asked for a straw, coiled it into a circle, and explained it to everyone.

Some guests understood what Professor Shen meant, while others were still confused.

Being a guest also depends on quality.

"The second method is also the most done, interventional embolization."

"It is to find blood vessels and block the bleeding vessels with coils or gel sponges."

"Mr. Shen, if I understand correctly, the artery is blocked? What about the blood supply after that?" the bald host asked doubtfully.

Professor Shen nodded. The bald host had a clear mind. Although he didn't understand medical treatment, the question he asked was indeed on point.

No wonder he is a popular host. After being popular for so many years, his basic quality is high.

"Yes, similar operations are also called destructive operations. Interventional embolization, intestinal necrosis, but not particularly complete necrosis, it depends on the experience of the surgeon. During the operation, the position of the necrotic intestine is judged, and then the resection is performed."

"!!!"

"!!!"

The guests were shocked by Professor Shen's words.

"If the level of surgery is slightly poor, and the necrotic intestine cannot be identified, the patient is also at great risk."

"Necrosis should be easy to see."

Professor Shen smiled without saying a word.

He is not a doctor in gastrointestinal surgery, and he can't explain the details clearly, so he can only smile and say nothing in this paragraph.

"That's dangerous."

"No way, this is the best solution now." Professor Shen said.

"Mr. Shen, how many centimeters of the intestine do you usually need to remove with interventional embolization?"

"About 50cm depends on the level of the operator. The operator I am talking about includes interventional surgery and surgery."

Professor Shen said.

In the comment room, everyone was chatting, and the camera of the film crew had already entered the operating room.

This is an extremely rare opportunity, at least the camera can enter the operating room.Although I don't know how many pictures that can be released will be left in the end, the guests all watched with wide eyes.

The operating room is extremely mysterious in the hearts of ordinary people, and now a layer of veil is slowly lifted.

The film crew is wearing lead suits, and they are preparing to enter the operating room to record live.

The bald host understands their desperate spirit.

The data of the first two episodes of the program has reached the previous high point, and the bald host knows that Director Fan and everyone in the film crew hope to make further progress.

If you catch up with such an opportunity again, then go all out.

Chapter 475 Stillness During Operation

The operation begins.

Ji Xiang cooperated with Director Li and everything went well.

After superselection and then superselection, the guide wire enters the external iliac artery along the femoral artery, and then finds the superior mesenteric artery.

This operation is extremely delicate, otherwise the patient will suffer from large areas of intestinal necrosis.

Angiography, seeing the "smoke" area, Director Li continued to walk down the guide wire, and continued to perform super-selection.

"Mr. Shen, what does the smoke mean?" a guest asked.

"That's a contrast agent." Professor Shen replied, "Normally, the contrast agent will go in the blood vessel, but there is a small artery rupture in that place, that is, the bleeding point, and the contrast agent 'leaks' out of the blood vessel during the imaging , we can see the smoke and find the bleeding point.”

What Professor Shen said was a little vague, and he didn't know the details very well.

Being able to tell so many things, it can be said that Professor Shen's basic clinical knowledge is extremely solid.After all, at least 90% of the doctors in the hospital can't tell what interventional surgery is, which is an unpopular subject.

"The next step is to find the branches of blood vessels at all levels. This section is the time to test the ability of the surgeon." Professor Shen continued to explain, "The most perfect embolization is at the end branch of the small artery. The less, the less traumatic, less traumatic the patient will be.”

"Then..." A guest was about to ask Na why he didn't do this, but as soon as he said the words, he realized that it wasn't that the practitioner didn't want to do it, but that the practitioner couldn't do it at all.

Although he didn't know how to do the operation, the reason should be like this.

"Director Li's level is very high, and he has super-selected grade 4 blood vessels." Professor Shen looked at the operation screen and made his own judgment. "The embolization is estimated to start next, and the scope of surgical resection will be about 40cm."

He paused, then glanced at the guests present.

"This is already the top level in the country. Director Li's level is similar to that of our hospital's interventional department, and even slightly higher."

Professor Shen immediately gave a definite answer.

Domestic top level!

As for what he said was slightly higher, it was probably a commercial bragging. The guests blocked this passage, and no one took it seriously.

The problem is that this explanation is too professional, and everyone in the comment room, including Maomao, half understands it.

The other guests couldn't get in the conversation at all, and even the bald host didn't know what to say next. After all, this was the most professional operation, so there was no point in asking casually, as it didn't make sense.

Seeing the deserted scene, the bald host bit the bullet and asked, "Mr. Shen, from what you said just now, your hospital can perform similar operations. How many such operations are there?"

"It can be done. The level of the director of our interventional department is about the same as that of Director Li." Professor Shen smiled, "I have seen him perform this kind of surgery, so I know a little about it. There are not many similar surgeries, and they are destructive surgeries after all. "

"How many doctors in the country can perform similar operations?"

"Not much, or you can say very little." Professor Shen said.

He hesitated for a moment and didn't continue to say why.

The explanations are health reasons, physical reasons and income.

Given enough money, more dangerous things will be done.But now the hospital's performance appraisal... Although it is ironic that the words performance appraisal appear in the hospital itself, it cannot be avoided.

So don't explain it at all.

This is a variety show, positive energy is still necessary, even if Professor Shen looks down on the word positive energy.

"The level of the First Affiliated Hospital is still high." Although a guest couldn't understand it, he still praised it.

While chatting, the screen suddenly "stuck".

The signal had always been smooth, but the sudden lag made everyone startled.

In the picture, Director Liu is motionless, and Ji Xiang's head is tilted slightly, sticking to Director Liu's ear.

The two are still, like a painting, like a sculpture.

The screen has the "beauty" of a doctor's profession and the solemnity of curing diseases and saving lives.

The bald host was stunned for a moment, and wanted to find someone to check the situation, but the camera screen moved slightly, probably caused by the hand of the photographer carrying the camera on his shoulder shaking.

The photographer can move normally, and the picture will also move. Only Ji Xiang and Director Li are not moving.

How is this going……

The bald host looked at Professor Shen.

Professor Shen was also confused, wondering what exactly Director Li and Ji Xiang were doing on the operating table. Could it be that this was some kind of ritual of interventional surgery?

Most doctors believe in some metaphysics, but this kind of metaphysical action during the operation is a bit outrageous.

But before Professor Shen figured out what happened, the screen returned to normal.

Director Li moved to the side of the patient's head, and Ji Xiang stood in Director Li's position and continued to operate.

Professor Shen was dumbfounded.

This kind of action means one thing - the next operation is extremely difficult, Director Li can't do it, and Ji Xiang still wants to try.

Although this is the most reasonable explanation.

But Professor Shen couldn't believe it, so much so that the bald host's question about him was completely ignored.

Staring at the guide wire in a daze, an extremely slender right-angle bend appeared in front of his eyes.

The small artery branch in front is extremely narrow. This should be the point where Director Li gave up. Professor Shen watched intently, and had no time to think about the effect of the program.

In Professor Shen's cognition, this place is already the limit of the practitioner.

But Jixiang still wants to give it a try, which is a ridiculous thing, maybe it's also for the effect of the show.

If this is the case, Professor Shen does not agree.