Chapter 13: Lin You of Preoperative Discussion

Professor Min was loud.

Every sentence comes from the heart.

After hearing this, Suzaku lowered his head and didn't say a word, just thinking in his heart.

Professor Min, you are all right, but after all, the times are different? We didn't have to publish papers for PhDs back then, so how can we do research now?

At that time, the teacher taught us surgery, but didn't teach us how to do research, so how did you let us do research?

Professor Min seemed to have seen through Suzaku's heart: "Indeed, when medicine is just beginning, we can't be too demanding. ”

"We have to know first, and only when there are more people who can we meet the patient's demand for medical quantity. ”

"Now the number of our doctors, is not enough, but. ”

"It is also close to the level of near saturation, so the quality must also be improved. ”

"Why are our doctors not taken seriously abroad?"

"Why is our own magazine not included abroad?"

"Why can't we get our surgeries all the time?"

"Because these are the leftovers of other people's play, and the ones that we don't want are picked up by us. ”

Speaking of this, Professor Min suddenly changed his words again: "Of course, our current medical skills, the same surgical methods, the postoperative effect will not be worse than that of doctors in any country, and the operation time may not be longer than theirs." ”

"It proves that what they can do, we can do too. ”

“……”

After saying this, the scene was directly silent.

Suzaku Guang's face was the same as before, and there seemed to be no change, while Lin You's eyes were slightly glowing, and Shi Ding and Chen Hui lowered their heads.

I thought to myself: Professor Min, we are all just doctors, just to earn food. Medical research, that's really far from us, and some people don't allow the word failure to appear in their eyes?

But is it possible for research to fail?

Not to mention an almost endless supply of medicine?

What can we do?

This topic is too big, and Professor Min also knows that he seems to have talked a little too much at once.

Continue to shift the topic to the preoperative discussion: "Lin You, you come and talk about your opinion. ”

Lin You sat there, opened the medical records, and then circled the pen a few times before saying:

"Just now, Zhuoyuan has summarized the medical records very well. also checked the literature, which proved that Zhuoyuan is still very hard working and serious. ”

"However, I think we can summarize the current literature. ”

"Thrombocytopenia, in surgery, is extremely dangerous. ”

"It has been shown in the literature that the probability of various complications and postoperative bleeding increases when the platelets are less than 90. ”

"And if it's less than 60, maybe the odds are doubled. ”

In the article just mentioned by Zhuoyuan, the HHS score of patients with thrombocytopenia after surgery increased from 49.5 to 93.4, which proves that thrombocytopenia can tolerate surgery. And it is possible to have an extremely good prognosis. ”

"But there's a premise to all of this. ”

"These patients will use immunoglobulin before surgery to increase the concentration of platelets to a certain level, and then they will have surgery, and they will maintain it after surgery. ”

"However, the literature explains that platelet levels can be reduced to 27% of preoperative levels on the second to fourth day after surgery. Although this value will return to the preoperative level within 13 days and 2 months after surgery. ”

"But during the period of 2-13 days after surgery, the probability of bleeding will be greatly increased. ”

"And, we have one more thing to note. ”

"In the article, all the numbers are a probability, but for the patient himself, once it happens, the probability is 1, and if it doesn't happen, then the probability is 0, and there is no way to explain it. ”

"And in this case, the hematology department does not recommend surgery, and the blood bank does not produce blood, once an accident occurs, and the probability of an accident is not small. ”

"I don't think we need to take that risk. ”

"Regardless of whether the family agrees or not, first of all, there is no relevant guideline for orthopedics, and if it goes to the relevant departments, it will be thankless. ”

"Of course, even in this article, there is no specific number to determine what specific platelet increase will be. ”

"Just speculation?"

Lin You's words speak for themselves.

In other words, it is better not to do this operation, because the patient's physical condition does not allow it, there is no guideline, and there is no corresponding accurate numerical support in the international literature.

In the case of almost no support, it is not necessary to do this kind of surgery.

There is no need to take such a risk.

Lin You is in Professor Min's group and has the deepest research on scientific research.

Of course, it is precisely because of this that Lin You returned to the Second Hospital of Hunan University.

It's certainly a good thing to have an in-depth understanding of scientific research, but it can also cause trouble.

If he encounters a superior who calls him to do a scientific research plan, but something happens irresponsible, he can understand why Lin You would return to Hunan University.

Naturally, Professor Min has not let Lin You encounter a similar situation again so far.

Lin You said truthfully: "Professor Min, it's better for us to follow the rules." ”

Professor Min was silent.

It's just that I think psychologically, if it was ten years ago, or even five years ago, it is estimated that what Lin You said now, he would definitely not be so conservative.

Conservatism is the main culprit of shackled thinking.

It is also a source of evil that restricts development.

Professor Min can understand Lin You, who was bitten by a snake for ten years and was afraid of the well rope.

"In that case?"

Professor Min suddenly thought that Lin You would accept Lu Cheng as a student at such an early time, what was it about him that attracted Lin You?

Thinking of getting Lin You's praise, ordinary people definitely can't get it.

There were two people who came to Lin You with the first score in the written examination of the Baoyan Party and the graduate school entrance examination, but Lin You didn't pay attention to it, otherwise, Lin You would probably be able to take students during his tenure in the total hospitalization.

As for all of his places with students, it is because if he does not have this qualification, then I am afraid that there will be few people in the entire Second Hospital of Hunan University.

And the reason why he has a quota but doesn't want to bring it is his freedom.

Teachers and students are inherently mutually selective, can they still be forced?

Therefore, Professor Min was very surprised when he heard that Lin You had chosen Lu Cheng, a person with poor written test scores, as a student.

Professor Min asked, "Xiao Lulu, have you listened to the words of your master and brother, do you have any experience of this case?"

Lin You looked at Lin You and Zhuo Yuan.

looked at Liu Zhi and the others who seemed to be listening to the book of heaven, and he pointed at himself in disbelief.

I don't seem to be qualified to answer, right?

"Well, that's you. "Professor Min is giving Lu Cheng a chance to learn about cases, after all, such an in-depth analysis of medical records, even for him, is relatively rare.

Lu Cheng opened his mouth and said: "Teacher Lin, Professor Min, Senior Brother Zhuoyuan, if I say something wrong, I still hope that you will be correct." ”

"First of all, according to the literature data provided by Mr. Lin and Brother Zhuo Yuan, this patient is indeed not suitable for surgery. ”

"But there are more medical reports on thrombocytopenia and joint replacement. ”

"Based on these six pieces of data, I came up with a statistic that if the platelets before surgery can be raised to more than 30, I feel that there is an indication for surgery. ”

"The probability of complications just mentioned by Mr. Lin may not be caused by thrombocytopenia, but ......"

Lu Cheng's words directly made Professor Min's face wrinkle, and his eyelids jumped immediately.

An unkind light immediately pierced out.