Although this high school student had many twists and turns, he finally completed the operation successfully. As long as there are no accidents after the operation, his neurological symptoms will be improved to a certain extent.
"Li Guodong, how does Wen Ruzheng decalcify and remove acid?"
Song Zimo asked Li Guodong, who had returned, that now that the operation was over, he had time to think about the frozen section of bone tissue.
Li Guodong was a little embarrassed: "He closed the door and worked alone inside. I was not allowed to peek. I waited outside and saw nothing."
This guy is so arrogant that he doesn't even allow our people to see it, and it's so mysterious to get a pathological biopsy, Song Zimo cursed.
This is a big breakthrough in making frozen sections of bone tissue. In the past, bone tissue took a long time to decalcify and deacidify, especially the deacidification, which took at least 24 hours. Therefore, it was impossible to make frozen sections like soft tissue, and frozen sections are quick and easy to perform intraoperatively.
Commonly used methods for pathological diagnosis.
Therefore, most bone tumors require preoperative puncture or other methods to extract specimens for pathological examination. After confirming the pathological diagnosis, a surgical plan is formulated. However, the specimens obtained by puncture cannot be as high-quality as those obtained by tumor resection.
If there is no difference in quality between Dr. Wen's bone tissue frozen sections and ordinary paraffin sections, then intraoperative frozen pathology of bone tumors can be performed in the future.
"Zhang Lin, Xiaowu, Li Guodong, you guys are sending the patient to the ICU, and we're going to the pathology department to take a look at Wen Ruzheng's frozen sections?" Yang Ping quickly arranged the work.
Now Lu Jiangbei's skull base and upper cervical vertebra are fixed very firmly, and the combined front and back fixation increases the reliability. You can rest assured when turning over and carrying her, and you don't have to walk on thin ice like before the operation, so there will be no problem in leaving these people to escort her.
"How is Wen Ruzheng's level? Should I ask him to help with the pathology slides?" asked Fatty Liang, who was undergoing anesthesia and resuscitation.
An acquaintance of Fatty Liang wanted to find a pathologist to review the slides. He knew that Wen Ruzheng was highly skilled, but he was an anesthesiologist and did not have as deep an understanding as a clinician, so he had better consult a few colleagues.
"Now Director Guan and Director Shi of the Pathology Department have stopped taking orders. I want to find an acquaintance to look at the pathology slides, but I don't know who to call." Fatty Liang continued, without stopping the suction tube in his hand, inserting it through his nostrils.
Throat and enter the trachea to suck sputum.
The pharynx was just the surgical area, and there were still sutures. Fatty Liang's skillful technique allowed the suction tube to easily avoid the surgical area and enter the trachea against the other side.
"Why don't Director Guan and Director Shi help look at the slices?" Zhou Can asked.
Zhang Lin said: "It's not the 500 yuan incident that happened before."
"500 yuan incident? What do you mean?" Zhou Can asked curiously.
"In the past, a friend of Director Shi brought a family member of a patient to Director Shi to help him see the pathological slides. Director Shi helped to see the pathology slides, and the family members gave him 500 yuan as a hard-earned fee, which Director Shi also accepted. Director Shi originally helped see the slides from other hospitals in private, or went out to see the pathology slides.
A 500 RMB hard-earned fee was charged for the consultation and biopsy. As a result, the patient's family turned around and complained to the hospital's disciplinary inspection committee, saying that Director Shi had secretly received red envelopes and asked for a refund. This hurt Director Shi's heart, and Director Shi never wanted to return the money again.
He doesn't help with the slides, and he no longer goes out for consultations. He only looks at the slides for normal work in the hospital and the slides outside of work. No matter who, he doesn't help. The last time a county hospital asked him to go to a consultation, he refused. Close
The director is probably also affected by this incident, and now he refuses requests from any acquaintances. He will never look at biopsies outside the hospital, and will never go out for consultation." Zhang Lin is proficient in information science, and he knows everything about the hospital, big and small.<
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"You can check with Wen Ruzheng. His level is definitely fine. I heard it is higher than the two directors, but he also charges 500 yuan in consulting fees." Zhang Lin reminded Fatty Liang.
Fatty Liang finished suctioning: "I will go see him one day. Director Guan and Director Shi have already rejected the external order. How can he still dare to collect money? Aren't you afraid of being sued?"
"A sue? What to sue? No matter who comes to Wen Ruzheng to see the biopsy, as long as it is a private order outside of work, he has a set of procedures, requiring the patient to sign and fingerprint. Not only that, he also takes a statement and takes a video, claiming that this is a voluntary decision.
He paid the consultation fee and completed a set of procedures before he looked at the slices. A trainee in our department brought an acquaintance to him to see the slices, and he followed this process. Unless he is an employee in the hospital, everyone else will follow the process," Zhang Lin said.
It’s clear and logical.
"But I'm afraid 500 won't work now. I heard that he has already raised the price. He said that the price increase has been huge. He is now pricing 600 per order. He is an honest man and will not bargain." Zhang Lin added.
"Old Wen - now - he's awesome, and he's raising prices? He's not afraid - others will sue him - and he's very brave to receive red envelopes." Xu Zhiliang knew that Wen Ru was doing a side job, but he didn't expect that the price had already gone up.
Price.
"What is he afraid of? People who are not even afraid of running naked are still afraid of being sued. He said that knowledge has a price, and a gentleman loves money, so he should get it wisely. Moreover, he said that this is called consulting fees. He has checked all the legal provisions.
Various medical and health regulations, agreements and statements were all written by lawyers. I heard that his high school classmate, a doctor from China University of Political Science and Law, helped write them, and they are watertight." Zhang Lin considers himself an insider.
"Great guy!" Song Zimo had to admire him.
"That's not all. Except for immediate family members and hospital employees, he will never accept any pathology consultation outside of work. Anyone who comes to him to see pathology slides or wants to consult pathology, no matter who it is, must go to him.
process of paid consultation. I heard that his uncle asked him to help an acquaintance with pathological slides. He refused and told his uncle that he could either go through the paid consultation process or go to the outpatient clinic of Sanbo Hospital and go through the normal medical process.
As for the process, there is no guarantee that he will be the one to read the pathological slides, or it may be a colleague. If he is asked to see it by name, I'm sorry, it's a paid consultation. His uncle is so angry that he is fuming and scolds him for not recognizing his relatives. When he sees money, he will criticize him.
My uncle couldn't answer the question: I've been studying medicine for more than ten years, why should I give him free consultation?"
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"Awesome!"
Everyone in the operating room admires him, he is simply a masterpiece.
Yang Ping knew that although this Dr. Wen was eccentric, he was indeed capable and a pathological madman. In the last radiation injury, he made an accurate diagnosis based on the pathological sections of the damaged tissue. To be honest, his skills were far higher than those of Director Guan and Director Guan.
Above Director Shi.
"I think Dr. Wen is mentally ill?" a graduate student interjected.
"She has a high IQ---a personality, what---a brain disease---" Xu Zhiliang said, wishing he could scold this Guipei student and his whole family as having a brain disease.
Wen Ruzheng and Xu Zhiliang have a very good relationship, and there is also a doctor of spinal surgery named Wen Zhong. The three of them are privately called the "Three Brains" by the employees of Sanbo Hospital, just like the "Three Macho Men", "The Three Brains"
” is also a well-known title.
This ignorant trainee actually said that they are mentally ill. Isn’t this because they don’t want to open the pot? I’m scolded!
"Well - what's your name - take out all the medical records this afternoon and I'll check them!" Xu Zhiliang said to the graduate student.
Sweat immediately broke out on Guipei's forehead. As an orthodox Guipei student, what he fears most is random checks of medical records. He couldn't figure out why Teacher Xu suddenly checked medical records.
PS: Regarding the surgeries in the previous chapters, let me explain here: cervical spine surgery above the skull base is very dangerous, and there are very few hospitals and doctors that can do it. There are definitely people who can do the surgeries described in the surgery. Wang from Peking University Third Hospital
Super Chief Physician specializes in upper skull base cervical spine surgery. He not only created new surgical techniques, but also invented new instruments to greatly improve the safety and effectiveness of upper skull base cervical spine surgery. It is no exaggeration to say that he represents the upper skull base cervical spine.
The world's top level of surgery. Professor Yin Qingshui of the Southern War Zone General Hospital is also a top expert in this field. He pioneered the transoral anterior decompression atlantoaxial instant reduction and internal fixation with steel plate, which enters through the mouth and incises the posterior pharyngeal wall.
He is the pioneer in this field after completing upper cervical spine surgery. Most of the surgical procedures in this book are real-life surgeries, a few are experimental techniques, and sometimes they are just exaggerated interpretations. Thank you everyone!