In the general surgery office, Qingping came personally to prepare for the consultation.

"Ma En, Tang Lou, Tian Linsheng, come over to help set up and prepare for the projection. Director Cheng will have a very important consultation soon. All the attending physicians from the General Surgery Department will attend the meeting, as will Deputy Director Shen Bingbing."

Qing Ping's expression was very serious, and even he could feel the momentum of a storm coming.

"What's going on with Dr. Qing? The department hasn't held such a large-scale consultation for a long time."

Ma Endu has been in general surgery for so many years. The last time he had facial surgery was when Gu Yuege, a popular niche student, had a car accident, so he gathered so many experts to formulate a plan.

Ma En naturally smelled something unusual. The patient this time was either rich or noble, or his symptoms were very strange, so Director Cheng paid such attention to him.

"The patient's old leader in the city is very influential in Hecheng. Originally, the family suggested that experts from Hangzhou perform the surgery, but the old leader himself insisted on having the surgery at Hecheng First Hospital. The will of the old leader

, the younger members of the family naturally don’t dare to disobey.”

Ma En secretly wondered, no wonder so many medical resources were used.

"Speaking of it, the patient itself only has acute appendicitis, but after all, he is old, already 94 years old, so the operation must be very cautious. This is also the reason for this consultation. Of course, it also has the purpose of determining the surgeon."

Qingping was also under a lot of psychological pressure on this patient. There was a high probability that this operation would be performed by him who studied acute abdomen. After all, he was the most experienced person in the general surgery department in appendicitis surgery.

Thinking of the patient's 94-year-old age, Qingping felt another headache. It was obvious that the patient's organ function had declined significantly and his body function had seriously declined. Even if the operation was successful, there may still be unpredictable surprises in the later recovery and healing.

All in all, it’s a lot of pressure!

Soon the consultation staff arrived one after another. In addition to Qingping, several other attending surgeons from the general surgery department, including Song Yang, attending surgeon Yan Ruoyun who specializes in tumors of various segments of the duodenum and liver, and Hangzhou, who specializes in minimally invasive treatment of inguinal hernia.

Cuishan was in charge, and Li Xiang, who was accomplished in radical gastrectomy under ultrasonic scalpel, was in charge.

As well as the only female deputy chief physician of the General Surgery Department, Deputy Director Shen Bingbing specializes in the field of pediatric surgery and is unique in the diagnosis of general surgery. If she were a few years younger, Shen Bingbing would be a goddess-level figure in the entire Hecheng medical field.

Seeing Shen Bingbing come in, all the attending doctors raised their heads and focused their gazes. Shen Bingbing has an elegant aura like Zhao Yazhi's, giving people affinity, trust and calmness. This is also a great advantage for her to achieve success in the field of pediatrics.

After everyone sat down, Director Cheng Jian walked in with a serious face.

When all the attending doctors were about to start, a young and handsome doctor sat at the end of the consultation table.

Naturally, it is a tenement building.

The faces of several attending doctors changed. Yan Ruoyun, who had some silver hair, was standing next to the tenement building and gave him a look: "Whose intern is so ignorant? Get off."

Shen Bingbing sat next to Cheng Jian. As a woman, even in her old age, she still had no resistance to handsome men. After admiring it for a few times, she calmly joked: "Young man, you don't have to go out of your way to make yourself taller."

These old guys have average looks. Ours is an academic conference, so we don’t need to rely on our looks.”

Hang Cuishan looked at him and said: "With Director Shen, even average looks can be beaten."

"Director Shen, this is Tanglou. The new training doctor, Qing Ping, has known Song Yang before. I think he has certain attainments in appendicectomy, so I made an exception to allow him to attend the meeting."

Cheng Jian glanced at Qingping and Song Yang.

"Director Shen, Dr. Yan, all the attending doctors, I agree with Tanglou's participation in this consultation. In terms of a simple surgical procedure for appendicitis, Tanglou's level is not much worse than mine to some extent."

Song Yang spoke from the side, even though looking at Tang Lou's young appearance, he still felt a little unreal.

"I also agree with the opinions of Director Cheng and Dr. Song. Tanglou has done research on traditional laparotomy and laparoscopy techniques, and it may be able to play some role in this consultation."

Qingping has a rigorous academic style and has a good reputation in general surgery.

After hearing the three people's guarantees, Shen Bingbing and others were obviously very surprised, and they all looked at the tenement building curiously.

So young and handsome, how powerful is he really?

"That's really scary. Let's start the consultation."

Shen Bingbing looked at Tanglou, who was still calm and collected, and nodded. Since Director Cheng had spoken, she would naturally not offend him.

Of course, to be honest, she didn't think that Tanglou, who was so young, could offer any opinions on such an important consultation.

Yan Ruoyun and Hang Cuishan were not convinced as much as Shen Bingbing. They looked at the tenement building with a somewhat rude look. For such a young training doctor, unless he showed his true ability, he would only The kind words of Director Cheng and others are still not enough.

In fact, these old foxes have already made their own speculations. The appearance of Tanglou is really great. Cheng Jian naturally intends to train him and improve his skills by participating in various surgeries and consultations of various magnitudes. Resume.

When the time is right, the general surgery department will promote the handsome and unreal resume of the general surgery department at an academic forum, creating an effect of leading a star doctor.

Just like today's traffic niche, Internet celebrities, and good-looking celebrity doctors, the persona is very capable of gaining favor and popularity for the general surgery department of the city's first hospital.

Moreover, as a senior attending general surgeon, he naturally knew that Cheng Jian was working hard to build a provincial-level discipline for acute abdomen, and the best way was to introduce influential star doctors.

This consultation and the patient's particularity can gild Tanglou. Even if it is just soy sauce, it can be legendary enough when it is packaged and exaggerated.

After thinking about this, several attending doctors also tacitly agreed, and they could only lament that it is good to be young, good-looking and have a good background.

The only thing that made them unhappy was that Qingping, a guy who was always known for his impartiality and strictness, also started to participate in the fraud to create a star doctor without a blush or heart.

It seems that the pressure on the provincial key acute abdomen discipline really makes them use any means.

The young man lamented his good luck, and several attending doctors automatically ignored Tanglou and began to study this case.

After all, their advanced age and special status still make them feel deeply stressed.

Qingping has already done the preliminary work and projected the patient information.

Cheng Jian began to introduce the patient's condition: "This patient's situation is special and his identity is special. Dean Yang personally called me and told me that this operation can only be successful."

Cheng Jian first set the tone for this consultation.

"Patient: Chai Long, 94 years old, clinically diagnosed as acute appendicitis..."

Listening to Cheng Jian's introduction, several chiefs also felt a lot of pressure. Chai Long was still very influential in Hecheng. His disciples and former officials were all over the upper class society in Hecheng. His nephew now also controlled several very important people.

Location.

They were both deeply honored and slightly frightened that Chai Long could come to their city's No. 1 Hospital for surgery. If they did well, it would be a good thing to gain both fame and fortune in the Hecheng medical circle, but if they messed up, they couldn't afford the consequences.

of.

"Elderly patients have obvious organ function decline, serious decline in body function, and are in a compensatory state. When acute appendicitis is complicated, the clinical symptoms are often not obvious, the disease progresses rapidly, and perforation is prone to occur, leading to diffuse peritonitis. Therefore, it is necessary to make a clear diagnosis as early as possible and timely

Surgery... Therefore, we are not given much time, and we hope to clarify the plan and candidate for the surgeon during this consultation."

Cheng Jian explained clearly the difficulty of the operation and the purpose of this consultation. After speaking, he looked at Qing Ping, who studied acute abdomen.

Qingping organized some words to explain his point of view: "For appendicitis resection, the traditional method is to open OA, but with the development of laparoscopic technology, LA has become the gold standard, with less trauma, faster recovery, and less pain.

It has the advantages of light treatment, short hospitalization time and low postoperative complication rate. Therefore, I think there is no doubt about the use of laparoscopic technology, but because the patient is too old..."

Qingping frowned and continued to express his concerns: "But in order to ensure the exposure of the surgical field and facilitate the operation in the operating room, LA needs to establish and maintain a CO2 pneumoperitoneum pressure of 13 to 15 mmHg. However, everyone knows from experience that

Pneumoperitoneum will have an impact on the body's physiological functions, such as increased heart rate, increased blood pressure, decreased cardiac output, increased airway pressure, decreased SPO2, restrictive ventilatory dysfunction, etc. Therefore, there are still great disadvantages to LA.

Certainty.”

Cheng Jian nodded: "Dr. Qing's concerns are not unreasonable, but in this operation, accidents are absolutely not allowed, so do you have any better suggestions?"

Several senior attending doctors frowned. It was really difficult because the patient was too old.

[Ding! New mission: Surgical improvement! The host proposed an improved laparoscopic appendectomy plan with a success rate of over 90% during the department consultation, and at the same time convinced the bosses to obtain the qualifications to be the surgeon. Mission reward: 5 gold coins, card library refreshed
Chapter completed!