Gao Shaojie's phone call was made to a classmate in the United States.

At that time, my classmates stayed in the United States and successfully obtained their medical qualifications a few years later, which was envied by many students.

Doctors are considered a very good profession in the United States, a hundred times stronger than in China, even if Gao Shaojie is the deputy director of the group in the Affiliated Hospital of the Provincial Medical University, he is still very envious.

It was still early, but Gao Shaojie was so curious about this matter that he had to disturb his classmates' dreams.

Soon, after saying a few words and understanding the situation, Gao Shaojie hung up the phone.

TIPS surgery, there is no breakthrough at all. Even the Mayo Clinic in the United States uses well-known surgical methods.

The big deal is to put a special material tube in the hepatic vein as a marker.

Even so, it can only solve part of the puncture problem, and the difficulty of TIPS surgery is still extremely difficult.

It can be said that this is only a modified procedure and does not fundamentally change the TIPS surgery.

Gao Shaojie's classmate said that he had just been to the Mayo Clinic a while ago, and that side needed at least 3-5 needles for TIPS surgery. There was no breakthrough, and he also laughed at Gao Shaojie by the way. With the standard of medical care in China, it is simply impossible to be better than the Mayo Clinic.

It's just a dream.

He put down the phone, although he was a little unhappy, but he was very careful not to refute the little doctor's statement.

People, if you say it, it's good to be able to believe three points.

However, the people in Haicheng are really unreliable when they talk, so they will try to come as little as possible in the future.

Mayo Clinic requires 3-5 needles to puncture TIPS surgery, but a small doctor in Haicheng can succeed with one needle?

Isn't this a legendary miracle doctor?

It's just a rumor, Gao Shaojie thought to himself.

The car soon arrived at the hotel, Gao Shaojie went to rest, and Wang Qiang went to the second hospital to see patients.

The night passed quietly.

Early the next morning, Gao Shaojie got up early and had breakfast.

The meal is not much, and the focus is on a fried medium-boiled egg.

Before each TIPS operation, Gao Shaojie has to eat one of these eggs, whether at home or out to run the knife.

It seems that in the dark, the god of surgery who exists or does not exist will make today's surgery a little smoother because of this medium-boiled fried egg.

In the same way as the concept of the god of the night shift, the fried egg is just a good wish.

As for whether it can be done, that's a matter of words.

At half past seven, Wang Qiang drove to pick up Gao Shaojie.

On the way, Wang Qiang showed Gao Shaojie the test report of the patient's last urgent examination yesterday. Although it is not necessarily related to surgery, it is always good to be able to grasp more of the situation.

This is also Gao Shaojie's habit.

At 7:50, the two arrived at the second courtyard of the city.

Gao Shaojie participated in the morning shift of the interventional department of the Second Hospital, and took a look at the patients who had surgery today.

Then the junior doctors under Wang Qiang sent the patient to the operating room, and Gao Shaojie pulled Wang Qiang to sit in the office and chat for a few minutes.

According to Gao Shaojie's temper, under normal circumstances, he would go to the operating room with the patient.

When preparing for surgery, by the way, take a look at the model of the machine, whether it is the same as the hand, and how to operate it.

Each manufacturer's consumables will be more or less different. For general surgery, there is not much difference. But for TIPS surgery, a little more familiarity is a little more.

Because Wang Qiang was allocated fewer beds, Gao Shaojie only saw patients in 2 or 3 wards.

There is also another group of patients.

During the ward rounds, Gao Shaojie saw several "abnormal" patients.

Their bedside tags all have the words decompensated cirrhosis written on them, and most of them still have the diagnosis of ascites.

But looking at the face and looking at the stomach, it doesn't look like a decompensated cirrhosis patient.

His heart moved, could it be that these patients were all postoperative patients from the TIPS surgery a few days ago?

So he didn't rush to the operating room, and went to the doctor's office with Wang Qiang to check the surgical records and other examination results.

If the patient is after TIPS surgery, theoretically speaking, he will not be able to recover so well.

Gao Shaojie was full of doubts, and asked Wang Qiang to find the cases of those patients and start to check them himself.

The surgical record does not write the number of punctures, but only proves that the patient has undergone TIPS surgery.

However, the preoperative and postoperative laboratory tests are objective proof and can indicate the recovery of the patient's condition.

It was indeed a TIPS operation, and the patient recovered very well after the operation, and the ascites subsided day by day, but the blood ammonia did not increase significantly.

The vast majority of patients do not have obvious hepatic encephalopathy, and only one patient has transient hepatic encephalopathy after surgery. But under the effect of the drug, it only took 1 or 2 days to recover.

This operation is very good, Gao Shaojie praised.

Even the patients who did the TIPS surgery at the Affiliated Hospital of the Medical University did not recover so well. Hepatic encephalopathy, in particular, is like a demon, entangled around the patient, and it is difficult to get rid of it.

In particular, patients who have undergone TIPS surgery have a high probability of hepatic encephalopathy after surgery. After all, venous blood does not travel through the liver, and there is one less filtration procedure, resulting in extremely high levels of ammonia in the blood.

Many patients would rather give up the opportunity of TIPS surgery than get hepatic encephalopathy and lose the last dignity of life.

Gao Shaojie once performed TIPS surgery on a teacher in his 70s, and because of severe hepatic encephalopathy after surgery, the old pedantic teacher seemed to have changed as if he had changed a person, defecating and defecating everywhere, which was very embarrassing.

The embarrassment is secondary, and the quality of life of patients is greatly affected.

The benefits of TIPS surgery are not outweighed by the side effects. Gao Shaojie has reflected on this many times, and is also actively studying the new progress of TIPS surgery.

However, after so many years, nothing has been found.

With the data in front of us, the patients recovered very well after the TIPS surgery done in batches by the Second Municipal Hospital a few days ago.

Could it be that last night, what Wang Qiang's little doctor said was true?

Gao Shaojie groaned.

He couldn't figure out the reason, until Wang Qiang's mobile phone rang, and the junior doctor said that the operating room had made preoperative preparations, and he was waiting for Gao Shaojie to come on stage.

"Teacher Gao, the above is ready. Wang Qiang reminded in a whisper.

"Oooh. Gao Shaojie said apologetically: "I'm sorry, I thought about things and fell into my mind." ”

How could Wang Qiang not know what Gao Shaojie was thinking, but he didn't see the "cattle man" in the legendary city hospital doing TIPS surgery with his own eyes, and to be honest, he didn't believe it very much.

Even patients who have undergone TIPS surgery are recovering well after surgery.

……

……

At 7:55, Professor Rudolf Wagner came to the emergency building of the First Hospital of Haicheng City, and before he could get in, he was called by Zheng Ren to Feng Xuhui's car and went straight to the Second Hospital of Haicheng.

Zheng Ren is looking forward to today's surgery.

It is not the TIPS operation itself, but the task of the second stage given by the system.

The experience of 3,000 cases of radiofrequency ablation, Zheng Ren is not very much looking forward to it. Although with the experience of these 3,000 surgeries, the success rate of Zheng Yunxia's radiofrequency ablation can be greatly improved.

Zheng Ren's focus is still on the success rate of interventional surgery +2.

Curiosity kills cats.

Zheng Ren is just curious, and he doesn't know if the big pig's trotters of the system will give him a reward that makes him laugh when he dreams.

At 8:30, Feng Xuhui drove to the second courtyard of the city.

Last time, Dean Zhang led people to greet Zheng Ren at the entrance of the inpatient department. But this time......

Zheng Ren saw a bunch of people gathered at the entrance of the inpatient department from a distance, and he didn't know what was going on.

Feng Xuhui cautiously parked the car a little farther away, and then a few people walked over.

"You bastards, I'm sitting here today, you guys look at it!"

In the distance, an old, but full of angry voice was heard.

Is it a doctor's trouble? It doesn't seem to be.

Can't doctors cry, make trouble, and hang themselves? Moreover, when they want to make trouble, they are all crowded and crowded, and a large number of people gather at the entrance of the hospital.

A person's medical trouble, Zheng Ren really hasn't seen it.

Is this an in-house worker?

Is it because the second hospital can't pay the salary, and the family waits for the rice to go to the pot, so they start asking for money from various channels?

Hospitals, it's not an iron rice bowl anymore.

There is the control of the medical insurance bureau above, and there is the pressure of patients below, not to mention the doctors, and the hospital itself is also struggling.

And in recent years, many consortia have begun to focus on the fat of public hospitals.

It's not like a certain field department, renting an outpatient clinic in a public hospital and earning a little money, it's all minced meat. Now large consortia have begun to swallow large public tertiary hospitals.

This situation is mainly in the Northeast.

After the whale swallowed, Zheng Ren didn't know the specific means of profit. Anyway, before the acquisition, the famous large public tertiary hospital began to become dying, and the doctors died and fled and were injured.

However, I didn't hear that the second courtyard of the city was sold.

Zheng Ren was full of doubts and walked to the door of the inpatient department of the Second Hospital.

Dean Zhang saw Zheng Ren from a distance and separated the crowd to greet him.

"Mr. Zheng, you are here. "Dean Zhang is still as enthusiastic as ever.

"Well, what's going on?" asked Jung-in.

"Alas. Dean Zhang sighed sadly, glanced back, and said cautiously, "This is not 5 or 6 years ago, a homeless man who was dying of tuberculosis fainted in the compound of the Second Hospital. At that time, he was also kind, so he was admitted to the hospital. President Ren sent someone to find the Civil Affairs Bureau, and several families contributed some money to cure him of tuberculosis. ”

"Isn't that good?" Zheng Ren was puzzled.

Saving lives should be a good thing.

"yes, that's a good thing. But after being cured, he said that he would not be discharged from the hospital at all, and his life depended on our second hospital. Dean Zhang smiled bitterly, "We have also thought of a lot of ways, both soft and hard." Later, he was forced to be in a hurry, and once, he climbed onto the roof, saying that he would not let him stay, so he jumped down. ”

Dean Zhang frowned and was a little embarrassed.

After all, this is a family ugly, and it is not good for the leadership team of the hospital. It's just that they attach great importance to Zheng Ren and don't want to lose face in front of Zheng Ren.

However, the more you are afraid of something, the more you will come.