Chapter 117: Veteran Famous Doctor

I don't know which one of the good deeds.

The experiment log uploaded by Tian Sha to the academic network of the university was shared on the forum of the Medical Association.

This experiment log with subjective expectations only attracted the attention of a small number of people at first.

But the speech of a veteran doctor made this post enter everyone's field of vision. It was also placed on top of the hepatobiliary surgery plate.

The author of this subject is so taken for granted that he has no experience in clinical surgery. ”

"In the field of traditional medicine, distal splenic pancreatectomy is a forbidden area, and according to the statistical analysis of clinical experience, the rate of splenic vascular tear injury during distal pancreatectomy is more than 90%, and the probability of intraoperative hemorrhage and splenic infarction is also not low. ”

"What's more, the complications of reoperation in patients have a mortality rate of 23%-67%, which is a very scary number, which means that nearly half of the patients will have postoperative infection, abscess, severe bleeding, and even death because they have not removed their spleen. ”

This objective and blood-like figure tells us that spleen removal is the best way to ensure the quality of life and health of patients after surgery. Protecting the spleen will only kill more patients. ”

This post of several hundred words is written logically and progressively.

Very convincing.

What's more, the person who posted the post is still a veteran doctor.

Xun Xiangqian, vice president of the First Central Hospital of Liaoning Province, has won many national medical awards and provincial excellent titles.

As soon as Xun Xiangqian's post was posted, Tian Sha's log was immediately pushed to the forefront.

A lot of people joined the discussion.

Although there are some arguments in favor of "preserving the spleen", as more and more experienced old surgeons come forward......

They told the latecomers that it is more beneficial for the patient to have the spleen removed, the risk of preserving the spleen is too great, and the mortality rate of the patient is too high to be advisable!

The voice of the spleen is like a small sailboat in the sea, and it will soon be invisible.

……

Tian Sha was still reminded by her best friend, only to know that her record log was "verbally criticized" on the forum of the Medical Association.

Tian Sha flipped through the post and burst into tears on the spot.

The little girl has been studying, and she has never been beaten by the dark side of society, and suddenly she can't bear it when she sees so many posts criticizing her.

In particular, there are many certified doctors, all of whom have been practicing medicine for five or even more than ten years, and they invisibly represent authority.

was denied by these authoritative predecessors, Tian Sha's heart was blocked like a big stone, and her self-confidence was shaken.

She cried and called Zhang Gu.

As soon as Zhang Gu answered the phone, he heard Tian Sha crying, and thought something had happened.

After listening carefully to the process, Zhang Gu smiled.

"It's easy. ”

Tian Sha wiped away a handful of tears and was stunned: "Simple?"

Listen to Zhang Gu on the other end of the phone: "If they scold you, you will reply to them with facts and data." ”

Tian Sha teary-eyed: "But they are all senior seniors, and they must know more than me, am I really wrong?"

Zhang Gu smiled: "You are right, insisting on protecting the spleen is the trend of the times, they are now insisting on cutting cards, but they have not found an effective way to protect the spleen during the operation, just because the consequences of forcibly protecting the spleen are too serious, right?"

Tian Sha thought about it, it seemed like this.

Even the post sent by the veteran famous doctor Xun Qianqian also said that the consequences of protecting the spleen are too serious, and cited various data to prove this thesis.

What if, as Dr. Zhang Gu said, we can find a better way to protect the spleen, and at the same time protect the spleen, what can we do to solve those problems?

Tian Sha's face was full of joy, and her self-confidence was restored.

"Thank you, Dr. Zhang Gu! I understand the meaning of our insistence on protecting the spleen......! How do I use the data to get back to them?"

In front of these authoritative seniors, Tian Sha felt that there was no idea in her head.

Zhang Gu: "I'll give you a tip, you track the data such as postoperative complications of spleen removal, spleen resection will definitely have a long-term adverse effect on the patient, you post this." ”

Tian Sha's eyes lit up, yes!

"I see, thank you so much!"

Hanging up the phone, Tian Sha was extremely grateful to Zhang Gu.

When she was at her most helpless, it was Zhang Gu's warmth and sunshine that saved her.

Dr. Zhang, that's great!

……

Collecting and sorting out information is Tian Sha's strength.

Soon, she summarized the data of a postoperative complication tracking record and uploaded it to the academic website of the university, and also posted it on the forum of the medical association with her own account.

In the past few days, the topic of protecting the spleen and cutting the spleen has been the hot topic of discussion, and as soon as the initial figure of Tian Sha stood up, it suddenly became the focus.

At a glance, the content of the article is detailed and the data is numerous.

From the short-term gastric tube indwelling time, postoperative feeding time, and hospital stay of patients with splenectomy, to long-term postoperative complications, pancreatic fistula, recurrence of incision infection, abdominal abscess, and immunocompromise due to splenectomy, all are listed.

The numbers are equally staggering.

The long-term damage caused by spleen removal to patients is also very huge.

Tian Sha finally concluded:

"The choice of spleen resection is really beautiful in the short term after surgery, and it will not cause serious surgical consequences. But in the long run, it has a profound impact on the patient, and the pain is all borne by the patient in silence for many years. ”

The last sentence is simply naked and straightforward, and the anti-striation effect is full marks.

To translate it simply, it is to cut the spleen, which makes the surgical data look good, saves the doctor's job, and also preserves the hospital's report. However, after the patient was discharged from the hospital, he began to slowly suffer the side effects of losing his spleen.

As soon as this post was posted, Xun Xiangqian's voice was reduced a lot.

The long-term and serious consequences of spleen removal to patients have made many people stop speaking and insisting.

Some doctors, who had previously talked about better spleen cutting, were silent when they saw the prolonged suffering of these patients.

Who wants their patients to endure long suffering, as long as they don't have a clear conscience?

However, this is just to cool down the previous excitement a little.

People who are truly rational and persistent, such as Xun Xiangqian and other veteran famous doctors, will go straight to the heart of the problem.

"There are all kinds of problems in cutting the spleen, but you also can't solve many of the above problems while protecting the spleen. ”

"Until there is a good spleen-sparing procedure, spleen removal is definitely the best choice. ”

"So your subject is still too idealistic and simplistic, and it has little practical value. ”

Tian Sha was a little aggrieved.

She really didn't have the ability to develop new techniques.

But she wants to use this topic, this kind of argument, to attract the attention of the industry, maybe there will be an amazing genius born out of thin air, the development of excellent spleen-preserving techniques?

Was there anything wrong with her doing that?

Tian Sha clicked on her mobile phone and sent Zhang Gu and her best friend a "good grievance.jpg