After eating, a group of people went to the hepatobiliary department of the Third Hospital of Linhai City.

"Director Kuang, do we want to have a preoperative discussion?" Qian Xiaojiang asked politely.

"Let's talk about it. Kuang Mingzhuo nodded.

The Third Hospital of Linhai City invited the flying knife to come, and it also had its own needs, and learning as many things as possible was something that doctors in major hospitals cared about.

Surgery for hepatobiliary stones is simpler than resection of the left and right hemiliver, and the risk is correspondingly smaller, but it also depends on the situation, if the location of the stone is not good, it is possible to remove part of the liver.

As a tertiary hospital, the Third Hospital of Linhai City still has several chief physicians in the Department of Hepatobiliary Medicine, and this time they can ask for a flying knife to prove that the patient's condition is more complicated, and the risk of surgery in their own hospital is relatively large.

Generally speaking, smaller hospitals ask for flying knives more, while large hospitals don't ask for flying knives much.

Big hospitals also have the pride of big hospitals, and if there is no need or the patient's family forcibly requests, the hospital itself will not easily ask for a flying knife.

For example, Jiangzhou Provincial Hospital, looking at the whole country, there are many experts whose level is better than that of provincial hospital experts, but as long as the experts of the provincial hospital can hold it, they are not very willing to ask for flying knives, and asking for flying knives often means that they are insufficient.

The Third Hospital can invite Kuang Mingzhuo to come, one is that Kuang Mingzhuo is indeed famous, a returnee doctor, a great expert returned from Massachusetts General Hospital, and a senior apprentice of Chen Guozhong, president of Jiangzhou Provincial Medical University, no matter which title can bring Kuang Mingzhuo a halo.

At the same time, this operation was also requested by the patient, and the patient's family found Kuang Mingzhuo through a relationship, thus reaching a consensus with the hospital.

Kuang Mingzhuo naturally understood the canals, so he didn't hide them.

A group of people entered the consultation room, and the large screen displayed various information about the patient, as well as various images of the lesion site.

Kuang Mingzhuo stood in front of the wide display screen, stared at the display screen, looked at it in detail for a while, and then said: "The patient's stone site is indeed more troublesome, and the number of stones is large and the volume is large, so a part of the liver needs to be removed." ”

Saying that, Kuang Mingzhuo stretched out his hand and pointed: "Here, and here." ”

The doctors at the Third Hospital were all standing on the sidelines and listening, this was a rare learning opportunity.

Kuang Mingzhuo said a few points, and then looked at Fang Han: "Does Doctor Fang have any different opinions?"

Fang Han also looked at the display screen carefully, heard Kuang Mingzhuo's inquiry, and slowly stepped forward and said, "Basically, there is no problem, this one ...... Like a scar?"

Fang Han stretched out his hand and pointed: "Has the patient's gallbladder had a problem before?"

Fang Han's words fell, and several people hurriedly came up, Kuang Mingzhuo also looked at it carefully, and then his face gradually became ugly.

Qian Xiaojiang's face on the side also became a little unsightly, which was abnormal They didn't even notice it before, and what made Qian Xiaojiang angry the most was that the patient actually concealed his medical history.

This is not only the reason why Qian Xiaojiang is angry, but also the reason why Kuang Mingzhuo is angry.

As a doctor, the last thing I like is for patients to hide their illness, especially for a major operation like this one, and it will be a big mess to conceal the condition.

In case something goes wrong during the operation, it will be a human life, and not only Kuang Mingzhuo, who is flying the knife, will be unlucky, but the hospital will also be responsible.

At the same time, Qian Xiaojiang also glanced at Fang Han, this Doctor Fang is really not simple, his eyesight is very powerful, this problem Kuang Mingzhuo didn't find just now.

"Director Gao, to ask the patient and the patient's family, it's just nonsense, and it's dead. ”

Qian Xiaojiang's face was pale.

Gao Wanli glared at Yang Xuechao on the side, Yang Xuechao hurriedly walked out, and came back after a while to muttered a few words in Yang Wanli's ear.

Yang Wanli said in a low voice: "The patient had a car accident three years ago, when the gallbladder was ruptured, but he did not have surgery to remove it. ”

"Why didn't you investigate it before?" Qian Xiaojiang was still very angry.

This is no small matter.

The gallbladder, located behind the liver under the ribs on the right side, has the function of concentrating and storing bile. At the same time, the cystic duct connects the gallbladder, hepatic bile duct and common bile duct, and the gallbladder is connected to the common bile duct through the bile duct.

The condition that the patient concealed was closely related to the liver and gallstone surgery that he had to do this time.

Kuang Mingzhuo looked at Fang Han: "Doctor Fang, does this situation have a big impact on the operation?"

"I need to do a check-up on the patient myself. Fang Han slowly exited.

Kuang Mingzhuo looked at Qian Xiaojiang.

Qian Xiaojiang hurriedly said: "This is naturally no problem. ”

There has been a situation of concealing medical history, and now the Third Hospital of Linhai City can be said to be very passive.

Although Kuang Mingzhuo came to the patient's family this time and had private contact, Kuang Mingzhuo was always invited by the Third Hospital of Linhai City, and the patient lived in the Third Hospital of Linhai City, and his condition was negligent, which was the problem of the Third Hospital.

At this time, the patient has already prepared for the operation, and has not eaten until now in the morning, just waiting for the operation. Qian Xiaojiang walked in with a large group of people.

The patient was in his fifties, male, and was accompanied by several people at the bedside at this time.

One of them, a young man in his thirties, saw the crowd walking in, and hurriedly got up and greeted: "Dean Qian, Director Gao......"

As he spoke, he looked at Kuang Mingzhuo again: "Old classmate!"

Kuang Mingzhuo's face was not very good-looking, and he didn't pay attention to the other party at all.

Today, this is Kuang Mingzhuo, very annoyed.

When they set off in the morning, Chen Yuan and the others were still talking about Gaowu County Hospital in the duty room of the Bone Injury Division, saying that Ma Yinliang, the deputy director of the chest of the Affiliated Hospital, had a problem with the flying knife, and he never thought that there was also a situation on his side in the blink of an eye.

The most interesting thing is that Ma Yinliang was invited by his old classmates, and this time Kuang Mingzhuo actually came over for the sake of his old classmates.

The young man also knew that he had offended his old classmate this time, so he hurriedly laughed with him: "Old classmate, I only found out about this situation just now, if I had known earlier, I would never have hidden it from you." ”

While laughing, the young man was also helpless, he knew that he wouldn't help him, but this is good, he offended Kuang Mingzhuo.

There are so many classmates in their class, and there are only a few people who really deserve his attention, Kuang Mingzhuo is the most worthy of his attention, but now he is good.

"Dean Qian, I didn't mean to hide it. The patient was also a little embarrassed at this time, and laughed with him: "I thought the two had nothing to do with each other, if I had known, I would have said it a long time ago." ”

"We didn't ask about your past medical history?" Yang Xuechao said angrily.

He just couldn't understand what kind of logic and ideas these patients who concealed their medical history, and they really lived enough?

The patient was silent, and several other people next to the patient were embarrassed to speak, after all, this matter was more reasonable.

Kuang Mingzhuo's old classmate was full of bitterness: "Dean Qian, old classmate, I am also studying medicine, I know some things, I have already said my brother-in-law just now." ”

Kuang Mingzhuo still didn't say anything, looking at Fang Han, and at the same time feeling happy and grateful in his heart.

Fortunately, this time he came with Fang Han, if he came alone, he might not be able to find the abnormality, if something happened during the operation, he would really be ruined in his life.

Fortunately, the surgery hasn't been done yet, the problem is really complicated, and they can go home.

Fang Han stepped forward, the person next to him hurriedly gave up his seat, Fang Han sat down on the round stool made by someone just now, and looked at the patient: "Arm outstretched." ”

The patient stretched out his arm, and Fang Han's fingers rested on the patient's wrist and began to check the pulse.

After listening for more than a minute, Fang Han got up and went around to the other side, checked the other hand, and then checked the patient's tongue and eyes.

"Let's go out and talk. As he spoke, Fang Han strode out.

Qian Xiaojiang and the others hurriedly followed, and a group of people returned to the consultation room again, and Kuang Mingzhuo asked: "Doctor Fang, how is the situation, can the operation still be done?"

Everyone else also looked at Fang Han with blank eyes, even Qian Xiaojiang didn't dare to despise Fang Han at this time, if it weren't for Fang Han today, they would be unlucky.

"The patient is deficient in qi and yin, and has hot and dry ...... in the body"

Fang Han said two words, and then changed his words: "Do you know that the patient still has diabetes?"

Director Gao nodded: "We know this, but it's not serious, the blood sugar is only slightly exceeded, and it can be operated." ”

Kuang Mingzhuo frowned, he knew that Fang Han would not ask this question casually, and asked with some uncertainty: "You mean that the patient has a problem with his gallbladder?"

Fang Han nodded, then shook his head again, and said slowly: "The patient is a yin deficiency physique, qi and yin deficiency, the gallbladder was traumatized three years ago, although it has recovered, it has led to a loss of vitality, although the blood sugar is not high, but it is not a small trouble." ”

Kuang Mingzhuo understood a little, but he was still not sure, and asked, "Similar to Leng Chen's situation?"

"It's more troublesome than Leng Chen's case, and the probability of wound healing after surgery is lower. Fang Han came to a conclusion.

Kuang Mingzhuo's face became gloomy again.

Surgery for liver gallstones is not small, coupled with the complexity of the patient's condition, and the removal of part of the liver, it is even more troublesome, and now with this situation, the risk of surgery is even greater.

"Made!"

Kuang Mingzhuo, who has always been a gentleman, couldn't help but burst into a foul language.

Fortunately, what a blessing, if Fang Han hadn't come with him, he would have done this operation, but after he did it.

Flying knives are inherently risky, and it is naturally nothing if the patient does not have an accident, even if he is reported to Ma Yinliang this time, at most he will return the money, and the hospital will punish it in a superficial sense, and at the level of Ma Yinliang, the hospital is generally reluctant to expel him, and it is too late to maintain it.

Kuang Mingzhuo is not much worse than Ma Yinliang, if there is really any accident, Jiang Zhongyuan is naturally willing to cover it, but the premise is that he is not dead.

If the patient dies, and it is a flying knife, it is not just a medical accident, and the matter is really going to be big, and it is really difficult to end.

: Ask for a wave of weixi

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