Chapter 505: Divergence (3rd Update)
In the operating room, Chen Peizhong washed his hands without saying a word, and was quite dissatisfied with the arrangement of Jiangzhou Provincial Hospital.
It is simply ridiculous that the Jiangzhou Provincial Hospital arranged for a young man in his twenties to be an assistant, and Chen Peizhong even suspected that the Jiangzhong Provincial Hospital did not sincerely invite him to make the flying knife this time, but in fact dug a hole for himself, waiting for his reputation to be ruined.
The profession of a doctor is accumulated step by step by relying on the symptoms, and successful doctors have reached the peak step by step by relying on countless successful medical records.
Successful doctors are often like lending money to others, and the status accumulated by ninety-nine successful cases often makes the doctor ruined and his value falls, just like if you lend money to others ninety-nine times, and once you don't lend it to the other party, the first ninety-nine times are instantly wasted, in exchange for not the other party's understanding, but complaining.
The little doctor makes small mistakes, the new doctors make old mistakes, and the old doctors make new mistakes, but the authorities and experts cannot tolerate making mistakes.
The more successful the expert, the more authoritative, the more people are staring, one mistake, can be attacked for nothing, successful surgery is the shining point of the doctor's resume, but the failed operation is a stain on the doctor's life, if a patient dies, it will be even more terrible and serious.
Liao Yunsheng is a living example.
Originally, Liao Yunsheng was the only doctor in the Department of Internal Medicine of Jiangzhong Hospital who could be compared with Qin Weihua, and Jiangzhong Hospital even planned to open a second department of internal medicine because of Liao Yunsheng, but last year, Liao Yunsheng instantly lost his qualification to compete with Qin Weihua.
This time, Qin Dazhu's condition was already very complicated, even Chen Peizhong was not too sure, and now Jiangzhou Provincial Hospital actually gave him a stumbling block.
For a successful operation, the level of the surgeon is naturally the most critical, but the level of the team is also crucial, especially the first assistant, as the direct assistant of the chief surgeon, the responsibility and task are quite heavy, if the first assistant is not strong, the chief surgeon will have to spend more energy.
With a complicated condition and an unreliable help, Chen Peizhong has a lot of reason to suspect the ulterior motives of Jiangzhou Provincial Hospital.
It's just that the matter has come to this point, Chen Peizhong can only bite the bullet, whether it is Pan Kelong or Tian Yitao, they are praising Fang Han, and even Qin Jianming also hopes that Fang Han will participate.
Everyone on the side agreed with Fang Han's participation in the operation, and Chen Peizhong couldn't just go his own way, so as not to laugh at people.
After all, whether Fang Han is reliable or not is just Chen Peizhong's personal guess, he can't turn around and leave because of this, when the matter spreads, it may be him Chen Peizhong who is embarrassed.
Chen Peizhong swore that after he had this operation in Jiangzhou Provincial Hospital this time, he would never come to Jiangzhou Province again to do flying knives in this life.
"Doctor Fang, I'll help you get dressed. ”
The instrument nurse in the operating room was very enthusiastic when she saw Fang Han, and the two nurses stepped forward to personally help put on Fang Han's surgical gown.
"Thank you. Fang Han gave the two nurses a polite smile, which made the two nurses even more excited.
Chen Peizhong was even more angry when he saw this scene, the nurse who helped him when he changed his surgical gown seemed to be a little reluctant, but now he was so enthusiastic about a young man.
Chen Peizhong, as an authority in the field of liver disease and a leader in the liver field of Yanjing Hospital, usually receives this kind of treatment, and he is not hugged wherever he goes.
"Prepare quickly, operate right away. ”
Chen Peizhong said with a straight face, raised his hand and walked into the operating room, Fang Han also hurriedly washed his hands and changed his gloves, raised his hand and followed in, Tian Yitao also followed.
The anesthesiologist confirmed the patient's identity and put the laryngeal mask on.
Chen Peizhong stepped up to the main surgical position, and the instrument nurse on the side hurriedly handed over the scalpel, and Chen Peizhong took the scalpel and quickly opened his abdomen.
As an authority in the field of liver, Chen Peizhong naturally knows the patient's situation, with Qin Dazhu's situation, the surgical tolerance is naturally not as good as that of young people, so as to speed up as much as possible in the early stage, so as to leave enough time to deal with accidents at critical times, and precious time should be reserved for liver tissue with cancer cell disease.
Although Chen Peizhong was not very comfortable in his heart, he was not ambiguous at all when he did the operation, and he was worthy of the authority of Yanjing Hospital, and the early laparotomy was very proficient and very fast.
The reason why Chen Peizhong sped up his speed and caught up with the schedule as much as possible was to avoid wasting time in the early stage, and the other was to take the opportunity to reprimand Fang Han.
As a helper, on the operating table, any mistake, the surgeon has a reason and interface to reprimand.
In Chen Peizhong's opinion, Fang Han was arranged by Jiangzhou Provincial Hospital to be an assistant at such a young age, and he must have some background, either a relative of the dean or a relative of the director.
Promoting his relatives to his own surgery, Chen Peizhong was naturally very unhappy.
Before the operation, Pan Kelong and Tian Yitao praised Fang Han like a flower, Chen Peizhong couldn't say anything, as long as Fang Han couldn't keep up with the rhythm when the operation was over, then he could go crazy openly, in case there was any omission in the operation, he could even completely push the responsibility for the operation to Jiangzhou Provincial Hospital.
Just doing it, Chen Peizhong was a little surprised, no matter how fast his pace was, Fang Han could keep up with his rhythm, and even at some point, Fang Han could still be one step ahead of him and do a good job in advance.
Generally speaking, what kind of surgery has a corresponding process, what to do next, what to do next, what to do next, are all particular, for example, when it is time to suction, without waiting for Chen Peizhong to speak, Fang Han will quickly suction, and when it is time to dissect the artery, Fang Han will often dissect the artery first.
Once or twice, it's okay once or twice, but the rhythm of the whole operation has always been like this, which makes Chen Peizhong very surprised.
This is like Chen Peizhong planning to eat, Fang Han quickly put the dishes and chopsticks on the table, Chen Peizhong planned to sleep, Fang Han quickly handed over the pillow.
The whole process of surgery gave Chen Peizhong an indescribable sense of comfort.
What kind of surgery is the most comfortable, it is the most comfortable to do this kind of surgery, the chief surgeon does not need to be distracted and worry about the rest, he only needs to complete what he should do, and the other work assistants have done it perfectly.
"Now deal with liver tissue. ”
Chen Peizhong took the scalpel, hesitated a little and was about to start, when Fang Han, who had been silent on the side, spoke.
"Director Chen, if you can't completely remove the tissue infected by the cancer cells, then the patient will need to do many times of chemotherapy or radiotherapy, and the patient may not be able to bear it at that time. ”
After the operation reached this step, Fang Han had already roughly guessed Chen Peizhong's thoughts.
Chen Peizhong is not too sure about this operation, and his knife is actually a bit of luck.
If you can cut it clean, then everything will be fine, and if you can't cut it clean, then it will depend on the postoperative chemotherapy.
Perhaps Chen Peizhong's initial operation was to pay attention to this, even if the cancer infected tissue is not clean, try to ensure that the patient walks off the operating table smoothly.
As for whether the liver tissue infected by cancer cells has been cut clean, this question is actually very easy to explain, after all, the doctor cannot clearly determine the boundary during the operation, either more or less, and the probability of cutting just right is very low.
Relatively speaking, the risk of incision is much greater than the risk of incision, the older the patient, the more liver tissue is retained, the less danger is lost, if the liver tissue is resected too much, the patient's tolerance reaches the limit, and it is very likely that he will not be able to get off the operating table.
As the saying goes, the lesser of two evils.
If you choose between the patient not being able to get off the operating table and the liver tissue infected by cancer cells not being clean, everyone will choose the latter.
After all, if the latter is chosen, the patient still has the opportunity to undergo chemotherapy, and whether the patient can withstand chemotherapy is another question.
Hearing Fang Han's words, Chen Peizhong paused slightly and said, "The patient's situation is special, it is still necessary to retain as much liver tissue as possible, and preserving the liver tissue as much as possible is conducive to the patient's postoperative recovery." ”
If it was based on Chen Peizhong's attitude towards Fang Han before the operation, he was too lazy to explain it to Fang Han, a young man, can you understand the explanation?
But with the operation going to this point, Chen Peizhong has already seen that this young man is indeed not simple, and the level is very high, and it is precisely because of this that Chen Peizhong explained two more sentences.
"But if the cut is not clean, the section is closed and the risk is higher for the patient. ”
Chen Peizhong frowned slightly: "This is also a matter of no choice, the risk of liver ischemia for more than an hour is too great." ”
"Since Director Chen has decided to do this surgery, doesn't he have a stomach plan in mind before the operation?"
Fang Han's voice was calm, but this sentence was a little uncomfortable in Chen Peizhong's ears.
When was he questioned when he had surgery, and now Fang Han actually asked him if he didn't have a stomach case before the operation?
What does this mean, is it questioning your own level?
"What's going on, Director Chen and Dr. Fang seem to have a disagreement. ”
In the observation room, several doctors from Pankelongjiang Provincial Hospital and Qin Jianming were watching the operation video.
Originally, the operation was going relatively smoothly, everything was in order, why suddenly Fang Han and Chen Peizhong seemed to have a contradiction?
Qin Jianming didn't understand a little, and he was even more puzzled in his heart, as far as he knew, isn't this kind of surgery all the final say, what does Fang Han mean by this, could it be that Chen Peizhong's surgery is problematic?
A deputy director of the liver on the side said slowly: "Chen Peizhong is not sure that he will distinguish the boundary with a knife, if this knife is not clean, he may need a second operation." ”
"What do you mean?" Qin Jianming frowned, the old man is in his seventies, second surgery, just kidding, if that's the case, then what's the point of him inviting Chen Peizhong over?
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