Section 12 I don't know how to be tactful

The next day, Qi Buyang began to sit in the clinic, and the staff in the department were a little surprised by this, why did the hospital suddenly pay attention to Qi Buyang, but knew that the start of the consultation indicated that Qi Buyang was about to be qualified as the attending doctor, and many people were very dissatisfied with this, why was it Qi Buyang's turn, and where was he worse than Qi Buyang.

What surprised them even more, Li Xiangqin actually became Qi Buyang's assistant, how to say that Dr. Li is also a top student of the Provincial Medical College, what he lacks is only clinical experience, over time, he must be a specialist doctor in his own right, if he is an assistant to Director Lin and Dr. Song, it is almost the same, in the eyes of others, Qi Buyang and Li Xiangqin are the same, but with such an arrangement, Qi Buyang and Li Xiangqin are superiors and subordinates. There is also Li Xiangqin, an energetic young girl, by her side.

Many people in the same department are envious and jealous in their hearts, and Qi Buyang himself didn't take it too seriously, which is a reasonable thing, could it be that he, a tutor and professor at Stanford University School of Medicine, is not qualified to sit for the position.

After a day's consultation, there was not a single patient who came in, compared to other doctors, the patients were lined up to fill the seats placed in the corridor, Qi Buyang's side seemed very deserted, and the patient wanted to see a doctor and recognize people, Qi Buyang had just sat in the clinic, he was not famous, and it was normal for patients to not trust him very much.

When he was about to get off work, Qi Buyang smiled at Li Xiangqin and said, "Xiangqin, I regret it now, I can't learn anything with me." ”

Li Xiangqin said with a smile: "Who said that I regretted not learning anything, no, I have been studying Dr. Qi's manuscript today, but there are many professional terms in this manuscript that I can't understand, if only it were Chinese." ”

Qi Buyang smiled and said, "If you have time, I will translate it into Chinese for you." ”

Li Xiangqin said excitedly: "Great, thank you, Doctor Qi." ”

A few days later, Qi Buyang's side gradually had patients come to him for treatment, and after each patient came to Qi Buyang to see a doctor, he would be happy to say: "Doctor Qi, I will come to you next time." ”

Just once, the patient was extremely trusting.

This morning, Dr. Zhao walked into Qi Buyang's consultation room with a stack of materials, "Dr. Qi, there is a meeting in the department in the afternoon, you can take a look at this information first." ”

Zhao Qingde, 29 years old, cardiovascular, graduated from Capital Medical College, is the focus of the hospital's training, in terms of cardiology, he is a young doctor, the future is immeasurable, and after a few years of tempering, he should be able to become a unique figure in cardiology.

Qi Buyang smiled: "Doctor Zhao, thank you for taking it here." ”

Zhao Qingde smiled: "You're welcome, the details are all in it, Doctor Qi, take the time to take a good look at it, there are some details that need to be paid attention to, I circled it for you with a red pen." ”

Qi Buyang nodded, "Thank you, Doctor Zhao." ”

Zhao Qingde said with a smile: "If you have any doubts, you can come to me, if there is nothing to do, I will leave first, there are patients waiting for me over there." In fact, he still has a good impression of this Dr. Qi, but he doesn't feel as unbearable as the rumors outside.

Qi Buyang nodded with a smile.

After Zhao Qingde left, Qi Buyang opened the information and took a look, the content of the afternoon meeting was about the upcoming coronary heart disease stent surgery, the stent surgery is to open a small opening from the artery, extend a catheter into the blood vessel to reach the coronary artery opening, transport the stent to the place to be placed, place and withdraw the catheter, and end the operation.

The hospital asked Qi Buyang to participate in this operation, but it just wanted him to learn and accumulate experience.

Although it is not a complicated operation, any surgery on the heart is not a minor operation, and it is also risky.

He didn't know how many times he had done this kind of surgery, but after seeing it once, he already knew it in his heart.

Two p.m., conference room.

Director Zhang of the Department of Cardiology presided over the meeting, and several specialists from the Department of Cardiology, as well as several nurses who were preparing to participate in the minimally invasive stenting operation, and of course, Zhao Qingde, the chief surgeon this time, was also present.

Director Zhang called by name: "Doctor Zhao, you are the doctor of this operation, you are here to tell you about the operation process in the afternoon." ”

Zhao Deqing hung up the patient's chest X-ray, cleared his throat, and said loudly: "This is the patient's chest X-ray, since the introduction of minimally invasive cardiac surgery, this technology has been very mature in China, and what we have to do in the afternoon surgery is to open a three-centimeter hole in the patient's artery...... Because of the use of minimally invasive surgery, the success rate of this surgery is about 90%. ”

After Zhao Deqing finished speaking, Director Zhang asked, "Do you have any opinions?" ”

Everyone present remained silent and did not say anything superfluous, and the pre-operative meeting was just a formality.

Director Zhang glanced at the audience, and suddenly saw a relatively unfamiliar face, "that ......" looked at Qi Buyang's badge before saying, "Doctor Qi, tell me." ”

Qi Buyang stood up and walked towards the place where Zhao Deqing was standing, seeing Qi Buyang's move, the people in the conference room showed strange expressions when they heard this, but Qi Buyang was used to it.

Regarding this Dr. Qi's noisy move, Zhao Qingde just smiled and walked off the stage and sat down.

Qi Buyang didn't look at the chest X-ray hanging in front of him, but just looked at the crowd: "The patient is 62 years old, I agree with the 90% success rate of the operation that Dr. Zhang said just now, but I don't think so. ”

Zhao Qingde continued: "The patient has been evaluated by PCI and has no history of calcification or vascular disease. ”

Qi Buyang smiled and nodded: "I have seen the PCI assessment, but no history of calcification or vascular history does not mean that it is impossible to have calcified lesions vascular lesions, this is the first time that the patient has undergone stenting surgery, we cannot confirm whether there is this possibility in the future, every operation should not be considered from the success rate of the operation, as a doctor, we should consider the patient's postoperative quality of life and long-term survival rate, in view of the patient's age, 32% after receiving the stent surgery In the event of a cardiovascular and cerebrovascular event such as a myocardial infarction or stroke, I propose to treat the patient's cardiovascular disease with heart bypass surgery. ”

Zhao Qingde considered the success rate and risk of the operation, while Qi Buyang considered the patient's postoperative quality of life and long-term survival rate.

All the doctors in the cardiology department present looked at each other after listening, and what Qi Buyang said was also very reasonable, indeed according to the age of the patient, heart bypass surgery is higher than stent surgery, and the quality of postoperative life is higher, but the first consideration of the hospital is the success rate of the operation, the stent placement technology adopts minimally invasive technology, and the surgical risk is low, if the heart bypass surgery is used, the risk is relatively high.

After thinking for a while, Director Zhang said, "Heart bypass surgery is risky, Doctor Qi, you better come down first." ”

Qi Buyang said: "Director Zhang, using the heart to beat non-stop can reduce the risk of surgery. ”

Heart non-stop bypass surgery, the doctor sitting in the room heard this medical term can't help but show surprise, although the heart keeps beating bypass in the 90s has been developed, but after 2000, there is this saying in China, this technology in the country has been immature stage, although this advanced surgery, so that the risk of cardiac surgery is reduced, the trauma is small, the postoperative recovery is fast, can effectively reduce various complications, such as postoperative myocardial infarction, arrhythmia incidence rate significantly reduced, etc., But there is a problem that the requirements for the surgeon are very strict, at present, this kind of talent in China is very rare, and those sitting here only know that there is this kind of surgery, but how to operate, the details of the operation, they are completely unknown, let alone tried.

Director Zhang's face showed displeasure, and he secretly thought in his heart: "This is a preoperative meeting, but it is not an academic research discussion, what are you doing with these unrealistic things, besides, are you qualified to say these things to the people present?" I couldn't help but ask, "Doctor Qi, have you ever had heart skip surgery?" ”

Qi Buyang responded: "I did." ”

As soon as these words came out, the conference room was in an uproar, and everyone looked at Qi Buyang in surprise, how old was he.

Qi Buyang said in a trance, and changed his words: "I did it with my mentor." ”

When everyone heard this, their expressions were a little relieved, this is about the same, otherwise let their old faces be put aside.

Director Zhang asked, "Who is your mentor?" He basically knows all the well-known cardiologists in China.

"Professor John." Qi Buyang said a name that Director Zhang didn't recognize.

Some medical schools do hire some foreign experts and professors, and those present are afraid of revealing their lonely side, although they don't know Professor John, no one continues to ask questions.

Director Zhang said, "Okay, Doctor Qi, you can come down first." "This young man's expression just now is enough to impress others with him, in a place like the hospital, there are indeed many talents who have been buried by time, but this is the unspoken rule of the hospital, you are a novice, you have to slowly accumulate experience, slowly boil, it seems that this Qi Buyang does have some foundation.

Qi Buyang was about to speak, but was interrupted by a specialist doctor: "Doctor Qi, you have always been Director Lin's assistant, right?" ”

Qi Buyang didn't understand why he said this, and nodded.

The specialist doctor said, "I think you should study with Director Lin for a few more years." The tone reveals a dismal contempt.

Qi Buyang said; "If I had to do this surgery, I think I'm 70% sure." In fact, he has ninety percent in his heart, but Qi Buyang is used to not talking too much.

"Seventy percent!"

But all the people present showed expressions of disbelief when they heard the words seventy percent, such a young doctor actually dared to say that he was seventy percent sure, where did he have the courage, where did he get the capital to say these two words, I only felt that this Qi Buyang was too arrogant, and he didn't take their predecessors in his eyes at all.

The conference room was discussed in a low voice, some were suspicious and some were disdainful, even if it was replaced by Director Lin, he didn't dare to say that he was seventy percent sure, this Qi Buyang wanted to seize the opportunity to become famous, he wanted to go crazy, and indeed a doctor must seize the opportunity to become famous.

This seventy percent is talking about the probability of perfect completion, not the risk, if there is a thirty percent mortality, the doctors here will never agree.

"Enough! We'll have another meeting tomorrow morning, and Dr. Qi will come to my office in a minute. Director Zhang shouted loudly.

Before leaving, every doctor looked at Qi Buyang's eyes with a bit of contempt and understanding, and the young man was still too eager for quick success.

Only Zhang Deqing walked up to Qi Buyang and patted him on the shoulder, "Don't worry, there are many opportunities." ”

Qi Buyang smiled: "Thank you." ”

Qi Buyang came to Director Zhang's office, just now in the conference room, Director Zhang gave Qi Buyang face, this time Qi Buyang walked in, but scolded with a slap on his face: "What kind of place are you in the hospital, can you be a child's play, a place to joke?" ”

Qi Buyang responded: "No." ”

Seeing Qi Buyang's respectful expression, Director Zhang seemed to realize his mistake, and said in a deep tone: "I know what you young people think in your hearts, if you want to become famous, this is understandable, but you also have to weigh your own weight, take your time step by step, how can medical things reach the sky step by step." If Dean Jiang hadn't secretly come to tell him to take care of this Qi Buyang, he would have been so polite to him.

Qi Buyang sighed softly, but did not speak.

Director Zhang said displeasedly: "What are you sighing for?" Am I not right? A simple heart surgery, you have to be involved in the heart non-stop bypass surgery such a problem, maybe you really have some ability, but I tell you directly, this is a hospital, a qiē must follow the rules, don't think that you have learned some advanced knowledge is great, knowledge is knowledge, clinical operation experience is clinical operation experience, not equal, okay, you go out, next time you come nonsense, I will not let you attend the meeting. ”

Qi Buyang left Director Zhang's office, only feeling that his identity was really a big obstacle, why did he change his identity, everything became difficult, and in the past, any advice he made was the most important for expert doctors.

Back in the consultation room, Li Xiangqin saw that Qi Buyang's expression was different, and asked, "Doctor Qi, what's wrong?" ”

Qi Buyang told the story of the earlier meeting.

After listening to this, Li Xiangqin said with a smile: "Doctor Qi, it's no wonder they think so, the main reason is that your words are too shocking, you said that the heart keeps beating and bypass surgery, so that they can put their faces on the old and sell the old people." ”

Qi Buyang smiled bitterly: "It's too complicated, I don't even know how to be a person." ”

Li Xiangqin said with a smile: "Doctor Qi, you are too straight and tactful, I suspect that you are an alien." As he spoke, he asked, "Doctor Qi, do you really want to have this surgery?" ”

Qi Buyang responded: "It's not that I want to do this surgery, but the patient's condition is more suitable for bypass surgery." ”

Li Xiangqin asked, "Doctor Qi, can you just say if you want to?" ”

Qi Buyang responded: "Okay, I think." ”

Li Xiangqin said: "Then I'll go and tell the patient's family now." ”

Qi Buyang just wanted to stop him, but Li Xiangqin had already walked away, and he was curious: "The patient's family doesn't understand, what's the use of telling them?" ”