"Fang Lejun completed another case, the first of its kind in China?"
Ariro Tanabe was also scorched by Lei Deli.
Ariro Tanabe, who is in his forties this year, has been practicing medicine for more than 20 years. As the top liver surgery expert in country R, Ariro Tanabe has been exposed to quite talented doctors in these years.
But Tanabe Yuro has never met anyone like Fang Le. Doing the first case is like eating and drinking.
That was the first surgery.
There is no precedent, at least for China, but Fang Le has done it one after another.
"Yes, laparoscopic pancreaticoduodenectomy."
Wu Leyang nodded: "It can be considered a liver and gallbladder surgery."
Xiao Conglin glared at Wu Leyang, "Go to your sister's liver and gallbladder surgery."
Although pancreaticoduodenectomy is also a hepatobiliary tract surgery, even if it is open, it is very different from liver surgery, let alone laparoscopy.
The biggest difficulty in laparoscopic surgery is actually the calculation by the surgeon. When operating through an endoscope, he must calculate the exact position and be extra careful during resection.
If the role of assistants in laparotomy surgery can relatively account for 30 to 40%, then in laparoscopic surgery, the role of assistants can only account for 10 to 20%.
Laparoscopic surgery requires relatively few doctors, the wounds are relatively small, and the recovery is relatively fast, but the requirements for the surgeon are quite high, which also makes some elderly doctors prefer to continue doing laparotomy instead of doing laparoscopic surgery.
Reasons why I am willing to take the time to learn laparoscopy again.
"It's my lack of foresight."
Xiao Conglin couldn't help but sigh.
When Wu Leyang was joking last night, Xiao Conglin thought it was impossible, but when she woke up after sleeping all night, Professor Fang had another first case.
No, Professor Fang's surgery was performed last night. According to the time, it was very likely that Professor Fang was performing the surgery when Wu Leyang was joking, almost at the same time.
...
After dinner in the morning, Fang Lecai came to the Medical Affiliated Hospital.
"Professor Fang."
Zhou Qiwen and An Xiaobo were both there, obviously waiting for Fang Le.
"How is the patient's condition?"
Fang Le asked politely.
“It’s pretty stable so far.”
An Xiaobo said: "Because it is a laparoscopic surgery, the incision is small, there is less bleeding, and the risk is much smaller."
"Go and see the patient."
Fang Le nodded, and the three of them headed to the ICU together.
While walking, Fang Le couldn't help but feel a little speechless.
When he returned from the central hospital yesterday, Fang Le was still thinking that he would stop being busy for the time being and spend time with his wife. He never thought that he would encounter emergency patients even after having a meal in the afternoon, and it would be quite difficult.
Really Conan's physique.
In fact, from a common sense point of view, when you are a doctor, you will inevitably encounter more patients. This does not mean that there are too many patients, but that ordinary people will not pay attention to these, and they will just watch the excitement when they encounter them. But when you are
When a doctor, and a good one at that, encounters it, he inevitably cannot stand idly by.
In addition to people who meet by chance, there are also people who come to your doorstep and rely on connections, which makes it seem like you won’t be able to take any time off all day long.
...
City Center Hospital.
Orthopedics and traumatology, rehabilitation room.
Classmate Xingxing prepared the decoction and fumigated Wang Zhuqiang, while Huang Qiupeng watched and asked questions.
"Dr. Cheng, is this medicine fixed or does it change?"
The prognosis of Fang Le's patients is very good, which Huang Qiupeng has heard for a long time. In addition to the issue of Fang Le's level, there are also differences in postoperative rehabilitation methods. For surgical patients, postoperative rehabilitation is very critical.
So Huang Qiupeng was very interested in Cheng Yunxing's medicine.
"Basically not much has changed."
Cheng Yunxing said: "The main thing is to activate blood circulation, remove blood stasis and unblock meridians, but depending on the specific situation of the patient, the dosage of some medicinal materials can be adjusted appropriately."
"Is this adjustment difficult?"
Huang Qiupeng asked.
"I will leave a prescription for Director Huang later. The dosage is the minimum standard. Basically, most people can use it, but the effect is relatively less effective."
Cheng Yunxing said.
In traditional Chinese medicine, there are many commonly used prescriptions. In specific clinical situations, doctors mostly add or subtract changes according to the patient's condition. For example, when applying medicines for external application, the changes are relatively small. If they are not targeted at special patients,
, the lowest dose, the effect is still there.
"Thank you Dr. Cheng."
Huang Qiupeng quickly thanked him.
As long as it works.
What Cheng Yunxing said about promoting blood circulation, removing blood stasis and dredging meridians is a major problem that needs to be solved after surgery. Post-operative blood circulation obstruction and re-necrosis are very common and most likely to occur clinically. If this probability can be reduced, in
To a certain extent, it is quite remarkable.
"In fact, Director Huang can ask the doctors in the Department of Traditional Chinese Medicine for specific details."
Cheng Yunxing said: "In terms of specific use, the difference lies in the patient's age, physical condition and other aspects."
"Okay, thank you."
Huang Qiupeng nodded again.
"Fang Le attaches great importance to traditional Chinese medicine in postoperative treatment, not only for surgical surgery, but also for extrahepatic patients. In many cases, the effect of traditional Chinese medicine is very good."
Cheng Yunxing continued.
"That's true."
Wang Zhuqiang yawned slightly while saying: "Some prescriptions of traditional Chinese medicine are at least stronger than some antibiotics and hormones, and they cause less damage to the organs."
Director Wang yawned again and again as he spoke, and tears flowed from the corners of his eyes.
On the one hand, Director Wang didn't sleep well last night, and more importantly, Director Wang was addicted to smoking.
I have been a smoker for so many years, usually starting with at least two packs, but suddenly I can't smoke at all. Who knows how uncomfortable it is.
Some people have tried to quit smoking. At first, they were fine, but then they stopped smoking. For someone like Wang Zhuqiang, it was really hard.
This is because Wang Zhuqiang himself is a doctor and is not too old. If it were anyone else, Fang Le would not be willing to do this surgery. It is too difficult to quit smoking.
How many people verbally agree and make good pre-operative promises, but after the operation they always take chances and secretly smoke. One puff of cigarette can undo all the work of the operation, and may result in amputation in the end.
The leg is going to be amputated anyway, so why not suffer more than just amputation in the first place?
"Old Wang, you look like a smoker."
Huang Qiupeng looked funny.
"almost."
Wang Zhuqiang yawned again: "They say this thing is difficult, but I finally experienced it."
"Don't tell me, I'm a bit addicted to cigarettes right now. After Dr. Cheng finishes, I'll go out and have a good time."
Huang Qiupeng smiled.
Wang Zhuqiang: "..."
"Director Huang, you are a hand surgeon after all, but this is not good."
Classmate Xingxing said seriously: "Seducing patients can have serious consequences. If Director Wang really couldn't bear it and secretly smoked, you are to blame. Some jokes cannot be made."
"Yes, that's what Dr. Cheng said."
Huang Qiupeng said hurriedly: "I didn't think well and made a joke with Lao Wang, forgetting that Lao Wang is a patient."
Cheng Yunxing's words are not alarmist. It is inherently difficult for smokers to quit smoking. No one is tempted and they want to take a few puffs secretly. If someone is tempted, something may happen.
Wang Zhuqiang is a doctor at the Central Hospital, which is a little better. Fortunately, there is no one else in the rehabilitation room at the moment. If other patients smoke because of this, they will inevitably have trouble finding Director Huang afterwards.
"Old Huang, I advise you to quit."
Wang Zhuqiang smiled and said: "Before entering the rehabilitation room, you must not smell of cigarette smoke. The same goes for surgery."
"Quiet, quit."
Huang Qiupeng nodded and said seriously: "What Dr. Cheng said just now, I have already figured out. As a doctor, you must first set an example and not cause temptation to the patient. If you don't pay attention and have an impact on the patient, then I will
The sin is huge."
Wang Zhuqiang: "..."
This guy Huang Qiupeng really goes out of his way to flatter me.
Wang Zhuqiang knew that Huang Qiupeng's performance was to prove himself in front of Cheng Yunxing. If this matter reached Fang Le's ears, maybe Director Huang could still leave a good impression in front of Professor Fang.
They say quitting smoking is difficult, but it depends on what you are going through.
Many patients cannot quit. On the one hand, there is a sense of luck, and on the other hand, the impact is not great. Director Wang, for example, would never dare to take the risk.
The same goes for Director Huang. If you can gain Professor Fang's favor by quitting smoking, and you can have the opportunity to learn from Professor Fang in the future, what's the point of quitting smoking?
The reason why many things cannot be done is simply because the price is not enough. If the price is enough, even the most difficult things can be done.
"Ouch!"
While they were talking, Yang Xingxue and Pang Jianye walked in.
“As soon as I entered the door, I smelled the smell of Chinese medicine.”
Pang Jianye smiled and said: "Dr. Cheng, is this medicine specially prepared for surgical prognosis?"
"yes."
Cheng Yunxing responded. Xingxing actually didn't like to talk very much. He just said that out of consideration for the patient. Huang Qiupeng's joke just now was really over.
Some jokes can be made, and some jokes cannot be made.
Although Fang Le sometimes likes to joke and makes all kinds of jokes, but when facing patients, Fang Le is always very serious.
"Why are Director Yang and Director Pang here?"
Wang Zhuqiang wiped his tears and asked.
"Come and take a look if you have nothing to do."
Yang Xingxue said: "Professor Fang completed the first laparoscopic pancreaticoduodenectomy in the country last night at the Medical Affiliated Hospital. Director Pang and I were talking about coming to see Director Wang's condition."
Huang Qiupeng was stunned and opened his mouth half-open: "Professor Fang did the first case again?"
"you do not say."
Pang Jianye smiled bitterly and said: "Professor Fang's first case was really like a common practice."
"It's really..."
Wang Zhuqiang also opened his mouth and couldn't believe it.
Cheng Yunxing, on the other hand, remained expressionless and carefully fumigated Wang Zhuqiang, as if he didn't hear what a few people said.
"Dr. Cheng must have known about it a long time ago, and he didn't say anything just now," Director Wang said.
"No, I didn't know that until I was with Fang Le last night." Cheng Yunxing said calmly.
"Dr. Cheng doesn't look surprised at all. The other professor knows him too well." Huang Qiupeng said with a smile.
"Fang Le..."
Cheng Yunxing said expressionlessly: "I know everything, I'm used to it."