Chapter 570: Please Yang Xi come back and take the lead
At the same time, President Jiang, who had just taken office for less than two weeks, presided over a truly hospital-wide consultation.
The clinical departments participating in the consultation were mainly general surgery, supplemented by oncology surgery, gastroenterology, radiotherapy, medical oncology, interventional medicine, radiology, pathology and nuclear medicine.
The condition of the consulted case was not complicated, the lower abdomen often had vague pain, the stool was bloody and there were changes in character, CT examination showed a space-occupying lesion in the lower rectum, and an ulcerative lesion of about 3*3cm in size was found at five centimeters of the anal margin line on colonoscopy, and the biopsy was taken for pathological diagnosis of poorly differentiated adenocarcinoma.
Obviously, the diagnosis of this case is clear, and the main purpose of the consultation is to discuss the treatment plan.
"How else can it be treated? Either cut or release, or then transform, anyway, it is not appropriate to intervene. Liu Jian from the interventional department took the lead in taking himself out.
The background of the patients who can organize and personally preside over the consultation of the whole hospital in the big courtyard is naturally not simple, if they do it well, they will leave a lot of resources, and if they don't do it well, I am afraid that they will have to cause a commotion, he Liu Jian will not take this risk, and it is not fragrant to live happily every day? Why do you have to make yourself uncomfortable?
The guy in the radiotherapy department had the same thoughts as Liu Jian, and then spoke: "Radiotherapy is not suitable, and it is okay to consider taking a dose after surgery." ”
The eldest sister who came to participate in the consultation on behalf of the Department of Gastroenterology was even more straightforward and said: "The diagnosis of rectal cancer is clear, and the Department of Gastroenterology is not even qualified to do chemotherapy, I really don't know what role calling me over can play, you continue to discuss, I still have something to do, go first." ”
Jiang Shan's face was not good, but he couldn't attack.
The director of the Department of Medical Oncology smiled, broke the awkward atmosphere, and said: "In principle, chemotherapy can be considered first, and surgery can be considered after the tumor has shrunk, but the patient has made it clear that he will not accept chemotherapy." ”
Then there was only one option left for surgery, and Dean Jiang's eyes first fell on Qin Gewei, and then turned to Lu Haoming.
After Gao Yong flashed people, Lu Haoming picked up a bargain and served as the acting director of the surgical department of oncology at the level of attending doctor.
Lu Haoming met Jiang Shan's gaze, smiled indifferently, and said, "My level is not enough, so I can't take it." ”
Qin Gewei couldn't help but sneer in his heart, even if you still have self-knowledge, can your oncology surgery still be called a department?
Lu Haoming is also calm.
Don't think that I, Lu Lao Tu, guarding a department, is like eating and waiting for death, that is to fulfill the instructions of the high boss, okay, when all the patients in the department are discharged, Ben Lao Rabbit will also pat his ass and resign and leave.
Made, even if you go over there and eat steamed buns with pickles, it's better than staying here to eat fish and meat.
Lu Haoming raised the white flag, so he could only rely on general surgery.
Jiang Shan looked at Qin Gewei with a little flattery, and Qin Gewei looked at Guo Keyuan on the side. To be honest, although he is quite sure of rectal cancer surgery, he lacks some experience compared to Guo Keyuan.
The last to speak, always the most important, Guo Keyuan coughed dryly twice, and said quite confidently: "The operation can be done, but this position is ...... If you want to keep the steel door, I'm afraid there is no chance. ”
Jiang Shan couldn't help but look embarrassed.
The identity of this patient is extraordinary, it is a retired municipal leader in the next city.
It is said that the leader has retired, just like a phoenix falling to the ground, and this phoenix that has fallen to the ground is not on his own territory, so Dean Jiang should not have made such a difficulty.
But who would have thought that for such a patient, a member of the Municipal Veteran Cadres Bureau came to the hospital in person and brought a gift to him, the dean, and then, the secretary of the second boss in the city called him. After inquiring again, I learned that this retired veteran cadre has a good son-in-law who works in the state's commission, and it is said that he is still a full-time director.
How can you not serve well?
Otherwise, what should we do if the second phase of the subway project is stopped? Who will be responsible for the bottleneck in Jiangbei's development in the future?
The leaders above didn't ask for anything, just said that they would do their best to give the best treatment, and the cost could not be considered, and everything would be arranged by someone.
But is this a matter of cost?
For rectal cancer, if you can't do anus-preserving surgery, I really don't know if the patient and his family will be satisfied with such a result.
At this moment, Zhang Yingchun, the director of the pathology department, said leisurely: "Isn't there a procedure called TaTme? As long as the lesion is 3 cm away from the anal margin, the anus can be preserved, and the surgical effect is quite good." ”
Qin Gewei's face suddenly changed.
Early Thursday morning, Yang Xi's bastard thing was live broadcast of the TaTme surgery for rectal cancer, and later, he found time to watch Yang Xi's surgery again, and he didn't dare to say that it was flawless, but the result of the operation was obviously successful.
This Zhang Yingchun, when it comes to TaTme surgery at this moment, I'm afraid it's not unintentional.
Guo Keyuan never went to Xinglin Garden, and Qin Gewei deliberately blocked the news, so Director Guo at this moment didn't know that Yang Xi could complete the TaTme operation with his bare hands without the escort of the surgical robot.
"Director Zhang doesn't know that the TaTme surgery does relax the conditions for anus-preserving surgery a lot, but if there is no surgical robot for this operation, the intraoperative risks and postoperative complications are almost uncontrollable. Even with surgical robots, it is not so simple to do TaTme surgery, the most typical example is the provincial doctors, their surgical robots have been put into use, but until now, I have not heard of the news that they are about to carry out TaTme surgery. ”
Zhang Yingchun smiled slightly, let out an "oh", and then looked at Lu Haoming.
Qin Gewei's heart was suddenly cold.
I really can't understand that the bastard surnamed Yang has left the municipal hospital, and it is impossible for him to set foot in the door of the municipal hospital again in his life, why can't these people recognize the situation?
Sure enough, Qin Gewei's heart was not cold.
After receiving Zhang Yingchun's eyes, Lu Haoming smiled, and whispered to Guo Keyuan: "Not necessarily, Director Guo, early Thursday morning, Yang Xi broadcast a TaTme operation on Xinglin Garden, he did it with his bare hands, and it was very successful, if you don't believe it, you can go to Xinglin Garden to find his surgery video to watch." ”
Guo Keyuan's face changed.
This is not true!
This is Lu Haoming talking in his sleep!
Guo Keyuan was furious, and was about to go further when he heard Qin Gewei cough lightly and said, "Director Guo, what Dr. Lu said is the truth. ”
Then he said to Jiang Shan: "Dean Jiang, if you insist on performing anus-preserving surgery for the patient, there are two ways, one is to transfer to the hospital, and the other is to ask Yang Xi to come back to be the chief surgeon." ”