Chapter 013: Let the tumor grow a little longer
"What happened to Coke?" Lin Jie asked with a smile.
Luo Shanshan said brightly: "This morning, Director Jiang, Ren Jianzhong, and I accompanied Dr. Wolfgang to breakfast and ward rounds, and Ren Jianzhong was the translator!"
"I'm really not afraid of not knowing the goods, I'm afraid of comparing the goods!"
Ren Jianzhong's translation stammered, and many places still didn't reach the meaning. I noticed that Director Jiang and Dr. Wolfgang frowned several times. β
She smiled and said, "Just now, Dr. Wolfgang said in English that he is not very fluent, I hope you will be the translator!"
"Haha...... This Ren Jianzhong has always had his eyes on the top of his head, and he looks like no one looks down on him, and now, he has finally lost face once!"
Luo Shanshan patted Lin Jie on the shoulder and said, "Let's go, follow me to the small conference room." Later, Dr. Wolfgang will explain Qian Guanglin's surgery plan to us in detail!"
When he came to the small conference room, Lin Jie found that it was already full of twenty or thirty doctors.
He looked at the white coat with full eyes, smelled the familiar smell of disinfectant water, and a familiar and comfortable feeling arose, as if he had returned home.
Lin Jie realized that this was the impact of Shen Lanruo's memory on him.
His eyes moved to the wall on the right, where a 1-meterΓ2-meter medical viewing light box was hung, which was already full of CT pictures.
It can be clearly seen from the film that this tumor is indeed not small.
It has encroached on more than half of the space of the spinal canal, and the edges and nerve fibers in the spinal canal are intertwined and inextricably entangled.
It's really a tricky operation, this is Lin Jie's first feeling when he sees the film.
Yesterday, he participated in the discussion between Dr. Wolfgang and Jiang Yiran and Luo Shanshan, and he was quite familiar with this case.
Looking at this image of the tumor in the spinal canal, Lin Jie thought about the surgical plan that Wolfgang revealed yesterday, and always felt that his surgical plan was a bit too risky.
He asked silently: "Sister Lan Ruo, with your understanding of Wolfgang's medical skills, is there a big chance of success in this difficult operation?"
After being silent for a while, Shen Lanruo's voice sounded, "For doctors, this grasp is a very complicated issue!"
"For example, in this operation, the patient's recovery after surgery is a kind of certainty, and the loss of sensation in only one leg is a kind of grasp, or only the loss of male function is also a kind of grasp!"
"The doctor's confidence in telling the patient is only his subjective judgment and confidence in the success of the operation. β
"In practice, only one percent of the surgery can be successful. And the surgery that is 100% sure may also be a failure. This is closely related to the state of the surgeon and some unexpected situations during the operation. β
"This operation is quite difficult, and the biggest characteristic of Wolfgang is that he is stable and will not make big mistakes!"
"All I can tell you is that the patient's condition will definitely improve after the operation. β
"However, during the operation, some nerve fibers will definitely be irreversibly damaged, and as for where the patient will be damaged in the end, it can only be seen by the postoperative examination!"
At this time, Wolfgang, accompanied by Jiang Yiran and a tall male doctor, came to the conference room.
When Wolfgang saw Lin Jie, he smiled brightly and took the initiative to give him a warm hug!
There is no politeness and cutscene, Wolfgang connected the laptop to the projector and directly opened a PPT to speak!
As a translator, Lin Jie held the microphone and quickly expressed Wolfgang's words clearly and accurately in Chinese.
This time, Lin Jie had a comprehensive understanding of the surgical plan.
He was shocked to find that in order to reduce the difficulty of the operation, Wolfgang took the initiative to amputate more than a dozen nerve fibers in the spinal canal that were intertwined with the tumor.
When Lin Jie translated this, a small buzz of discussion suddenly sounded in the conference room.
Wolfgang seemed to have anticipated this, explaining that amputating these nerve fibers was the least damaging option he had been thinking about for a long time. If others have a better solution, they are welcome to actively bring it up.
"Dr. Wolfgang, would it be possible to avoid nerve damage by opening another skylight from the left side of the third lumbar vertebra?" said Luo Shanshan as she stood up immediately.
"I thought about it!"
Wolfgang walked to the light box and pointed to a CT picture and said: "This lumbar spine is opened again, which seems to bypass the nerve fibers here, but it inevitably hurts ......."
Subsequently, several more doctors put forward new insights and objections, and Wolfgang gave detailed answers.
At this time, the tall male doctor who had just accompanied Wolfgang stood up and looked around, and said, "The solution you proposed either increases the difficulty of the operation, or greatly prolongs the operation time, increasing the probability of surgical accidents. β
He said in a disdainful tone: "There are so many of you, can't you put forward some more constructive and novel ideas?"
"What you said, Director Jiang and I have thought of it before, even more than you think, but in the actual operation, there is no feasibility at all!"
He looked admiring, and his voice was raised twice.
"Dr. Wolfgang's surgical plan made me feel like I was struggling. This tumor in the spinal canal has already caused serious damage to the body, so why can't we actively replace the big damage with the small damage?"
"Taking the initiative to amputate these nerve fibers has reduced the difficulty of surgery by one level at once, which can be described as a stroke of genius!"
Luo Shanshan on the side grinned and silently said two words: slut, sycophant!
Lin Jie, who was interpreting softly beside Wolfgang, immediately guessed that he was the same Ren Jianzhong.
This person is quite interesting, in just a few words, he belittled all his colleagues, highlighted Jiang Yiran and himself, and also slapped Wolfgang's sycophants, which is very skillful!
In the process of translation, Lin Jie can be regarded as dual-minded!
From time to time, his mind simulated the removal process of this tumor, but the edges of the tumor and the nerve fibers of the spinal canal were densely intertwined, and if he was not careful, he would hurt some.
Objectively speaking, Wolfgang's surgical plan was the least damaged in Lin Jie's several simulations.
Lin Jie couldn't help but think a little extravagantly, if the nerve fibers on the northeast side of the fourth lumbar spinal canal were pushed outward, and the nerve fibers in the other two places were also moved outward, this operation would be easy to do......
Suddenly, Lin Jie's heart moved!
As soon as this idea popped up, it could no longer be contained, Lin Jie couldn't suppress his inner thoughts, and said directly to Jiang Resolutely: "Director Jiang, I need to take a look at Qian Guanglin's original CT films, as well as CT films taken in different periods!"
Jiang resolutely thought that this was Wolfgang's request, although these materials had already been sent to him in one go.
However, Jiang Yiran didn't think much about it, and said directly: "All of Qian Guanglin's cases and imaging data are stored in the computer database of the hospital network. β
He turned his head and ordered, "Luo Shanshan, you bring up Qian Guanglin's video data and let Dr. Wolfgang take a look!"
Luo Shanshan connected to the hospital's network through Wolfgang's laptop, called up Qian Guanglin's video data, and put it on the projector.
Lin Jie looked at the CT images taken at different times one by one, and forgot everything else for a while.
His sudden move made Wolfgang a little puzzled, and he walked to Jiang Yiran's side a few steps and asked in not very proficient English: "Why did you show the CT images before?"
"Isn't this what you're asking for?" Jiang Yiran was even more surprised!
After reading these CT images, Lin Jie, who was more sure of his thoughts, looked up and saw Wolfgang and Jiang Yiran, staring at him with gloomy faces.
Lin Jie was taken aback and immediately came to his senses.
Just now, it was Shen Lanruo's consciousness influence that took over, and he regarded himself as a great doctor for a while, and he was a little unscrupulous.
At this time, for the sake of the patient, he would not be allowed to retreat, Lin Jie said in a deep voice: "Please forgive me for my presumptuousness, I had a new idea just now, and I couldn't help it." β
He didn't wait for a few people to respond, and said hurriedly: "We all know that tumors are alive and are always in the process of growth and change. This tumor is also a tumor, please see these CT images......"
Lin Jie talked about the changes in these CT images in Chinese and German.
Perhaps the professionalism of his words, as well as the calmness and confidence of his speech, affected Wolfgang and Jiang Yiran, who surprisingly did not interrupt him.
"This tumor grows quite fast, but we can clearly see that its edges are still regular, and it is a relatively benign tumor. β
Lin Jie made a few marks on the projected CT image with his mouse, and said confidently: "According to my speculation, if it grows for another week or two, this tumor is likely to be ...... And here......"
"As long as the nerve fibers in these places are squeezed out, the difficulty of this operation will be greatly reduced!"
"So, I suggest letting this tumor grow a little longer!"
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