In the observation room on the second floor, more than 20 experts sat inside, gathering together in twos and threes and whispering exchanges, and more than 30 people and more than 10 people who came to Shanghai Hospital were not present at this time, and it was obvious that they would enter the operating room at that time.

Fang Han and Kuang Mingzhuo sat together, and a middle-aged doctor in his early fifties next to him smiled and accosted: "Director Kuang of the Jiang Intermediate Hospital, Doctor Fang?"

"I'm Kuang Mingzhuo. Kuang Mingzhuo smiled slightly, took the opportunity to look at the other party's badge, and said with a smile: "It turned out to be Director Gao of Fengzhou." ”

The advantage of carrying a badge is that it is very convenient for both parties to understand each other's identities and avoid some embarrassment.

There are a lot of experts who came this time, and some of them meet for the first time, even if they have met once, they often forget their names and identities, and with a badge, they can quickly understand who the person in front of them is.

The person who accosted him was Gao Ruilin, the director of the liver department of Fengzhou Provincial Hospital, and the medical level of Fengzhou is relatively low in the country, and this director Gao is also one of the few big names in Fengzhou Province.

This time, Gao Ruilin came from Fengzhou alone, and Gao Ruilin's fame is not very big, at best, he is at the same level as Kuang Mingzhuo, there are not many people who know him at the scene, he seems a little withdrawn, he has always been alone, he just entered the door and saw Fang Han and Kuang Mingzhuo, and deliberately came over.

Fengzhou and Jiangzhou are close neighbors, because the medical level of Fengzhou is not as good as that of Jiangzhou Province, so many hospitals in Fengzhou Province have cooperation with hospitals in Jiangzhou Province, and some surgical experts in Jiangzhou Province often go to Fengzhou Province to do flying knives.

Knowing the identities of Kuang Mingzhuo and Fang Han, Gao Ruilin naturally didn't mind making friends, Kuang Mingzhuo's name Gao Ruilin knew, and Fang Han was a student of Guo Wenyuan and Chen Guozhong.

"Hello Director Gao. Fang Han also greeted Gao Ruilin very politely.

"Doctor Fang is polite. Gao Ruilin said with a smile: "I've heard of Dr. Fang's name a long time ago, but I haven't had the opportunity to meet, but I didn't expect to meet Dr. Shang in Shanghai this time." ”

In comparison, Gao Ruilin was indeed more polite to Fang Han, which made Fang Han a little puzzled.

"Director Gao said that he laughed, and there are people in Fengzhou who know about me?"

"Doctor Fang forgot that Sun Hall is now in our Fengzhou. Gao Ruilin said with a smile.

As soon as Gao Ruilin said this, Fang Han instantly understood that it was Sun Qiubai's reason.

Sun Qiubai is now the deputy director of the Fengzhou Provincial Health Department, and at the same time the director of the Fengzhou Provincial Health Bureau, the health doctor of the provincial high-ranking officials, he is definitely a powerful figure in Fengzhou Province, and the provincial hospital is a hospital directly under the provincial department, not to mention that Gao Ruilin is just a director, even the director of the provincial hospital must be cautious when he sees Sun Qiubai.

"I've heard of Director Kuang's name a long time ago, and I've come back from Massachusetts General Hospital in the United States, I don't know if Director Kuang and Dr. Jon know each other?"

"Recognize. Kuang Mingzhuo nodded.

Fang Han glanced at Kuang Mingzhuo in surprise, Kuang Mingzhuo knew Jon.

After being stunned for a while, Fang Han also understood, Kuang Mingzhuo's level is not low, even in the United States, Massachusetts General Hospital is definitely not a small role, Jon is also a master outside the liver of Massachusetts General Hospital, and it is also outside the liver, Kuang Mingzhuo knows Jon It is normal.

"Jon and I both followed James, but Jon was admitted to the hospital earlier than me, and when I entered the Massachusetts General Hospital, Jon was James's assistant, and then he became the chief ...... outside the liver."

Kuang Mingzhuo said a few words simply, and Fang Han understood why Kuang Mingzhuo didn't mention his relationship with Jon.

The two of them are brought out by a master, James is the last chief before Jon, he is in his sixties this year, and now he is no longer operating on himself, Jon is a student of James, and Kuang Mingzhuo is also James's medical team after entering Massachusetts General Hospital, roughly by analogy, it is equivalent to Kuang Mingzhuo when he was only a resident, Jon was already a deputy high, Kuang Mingzhuo is only the attending at Massachusetts General Hospital in the United States, and Jon is now the director.

Here is an explanation that the professional title of doctors in China is unique and completely different from that in foreign countries.

In China, the doctor's title from low to high is the intern, resident, attending physician, deputy chief physician and chief physician, intern and resident physician are not required to carry out the physician title assessment, the internship stage after graduation is the intern, the clinical work after the internship is the resident, the resident meets the conditions to participate in the physician title assessment, and after passing the test, the attending physician.

The attending physician is an intermediate title, which is the most critical step in the career of a physician.

In China, whether you are a resident doctor or not is not directly related to whether you have a medical practitioner's certificate, but only when you get a medical practitioner's certificate can you have the right to prescribe independently, and if you want to become an attending physician, you must get a medical practitioner's certificate.

In foreign countries, there is no such detailed division, and in the United States, there is only a distinction between resident doctors and attending doctors. The attending physician is equivalent to the chief physician in China. There is also a temporary status between the resident doctor and the attending doctor: fellow, which is equivalent to the attending doctor in China.

A resident is a doctor who is in training and is not qualified to practice medicine independently. The attending doctor refers to the doctor who has completed the training and can practice medicine independently, and there is no process of evaluating the title.

Kuang Mingzhuo went to training and study when he first entered Massachusetts General Hospital in the United States, which was equivalent to a resident doctor, and Jon was already the attending doctor at that time, but James was still there at that time, and Jon was also a member of James's treatment team.

At the end of Kuang Mingzhuo's training and study, James retired, and Jon was in charge of the treatment team, and Kuang Mingzhuo was all the doctors in Jon's treatment team.

It's just that at the Massachusetts General Hospital in the United States, there are still several doctors whose level is similar to or above Kuang Mingzhuo, and Kuang Mingzhuo feels that he has no possibility of becoming the head of the treatment team in a short period of time, and the promotion space is limited, plus some things in China, so he resigned and returned to China.

When he returned to China, he didn't have a very pleasant quarrel with Jon, so Kuang Mingzhuo never mentioned what he and Jon knew.

"The operation is about to begin. ”

As Fang Han and the three of them spoke, the patients in the operating room below had already been sent in, and then a group of doctors walked into the operating room.

Because they are wearing masks and dust-free hats in the operating room, it is difficult to distinguish who is who at first glance, and Fang Han only judged from his body size and some external features, and the middle-aged doctor who walked in front of him with a height of about 1.85 meters should be Chris Jon.

Kuang Mingzhuo also whispered to Fang Han and said, "The one in front is Jon. ”

At this time, Jon just raised his head and glanced at it, although he couldn't see it at all, but Fang Han and the others still saw Jon's eyes, it was indeed a foreigner.

A group of doctors stayed outside the observation line, and Jon and several of the doctors who were involved in the operation walked to the operating table.

"The first assistant seems to be Sun Ming, the second assistant and the third assistant don't know each other, it seems that the whole team is from Shanghai Hospital. Gao Ruilin also said in a low voice.

Chris walked onto the operating table, and after getting confirmation from the anesthesiologist, the operation began, starting with an open abdomen.

Since it is to observe the operation, it is natural to introduce the patient's situation, and when Chris is in charge of the laparotomy, there is an explanation to explain the patient's situation.

According to the examination, the diameter of the tumor is about 8cm, which is a primary tumor, but the cancer cells have also spread, and the location of the tumor is relatively special, so the difficulty of surgery is quite large.

The difficulty and risk of the operation are high, and this kind of operation is not very willing to be done by many experts in China, even if Jon does such an operation, it is quite challenging.

The benefit is that the patient is older.......

Many people may be stunned, why is it still an advantage to be older?

Elderly patients have disadvantages and advantages of elderly patients, as an elderly patient, they have poor physical condition, many diseases, and low tolerance for surgery, which is a disadvantage.

The advantage is that for elderly patients, the prognosis expectation is also low, similar to the one that Chen Peizhong did in the provincial hospital.

The patient is already 73 years old, and it is earned to live an extra year after surgery, which is not as good as that of young patients, and for young patients, they live five years longer after surgery, and they are not satisfied with such an operation.

This is like an after-sales evaluation, if you are not satisfied, you will naturally have a bad review, and if you are satisfied, you will have a five-star praise.

For elderly patients, the doctors on the scene are also aware of the situation, and everyone knows what the difficulties are in doing such an operation, and the requirements for doctors will not be too harsh.

"Jon is worthy of being a world-class hepatic expert, and he has his own style of opening his abdomen, and the journey is very smooth, and he can save a lot of time just by opening his abdomen. Gao Ruilin commented in a low voice.

"Well, Jon's level is undoubted, he has his own independent extrahepatic specialist. Kuang Mingzhuo nodded.

As a surgeon, hands-on ability is one thing, thinking ability and prediction ability are another, and the level of surgeons is not simply judged by hands-on ability.

Before going to the operating table, the surgeon has to judge the patient's condition, and after getting on the operating table, he is also making a choice in continuous judgment, how to operate this step, what will be the impact after the operation, how to operate the next step, and what impact will it have.

The more powerful the surgeon's judgment, the more accurate the judgment, and only the novice is to do one step at a time, in the face of complex surgery is not enough to have strong hands-on ability, can not make a good judgment, any mistake or any accident can make the doctors scramble, resulting in the failure of the operation.

The so-called surgical procedure is a kind of surgical procedure that has been formed, and most doctors follow the surgical procedures of their predecessors to judge that the surgeon who can create his own surgical procedure is the best among them.