Director Fang's enthusiasm is really very high now, because he is now a person with pursuits, not an ordinary person, and he has set his career goal to become the world's top general surgery expert.

There is still a long, far way to achieve this goal, but Director Fang feels that what if it is achieved.

So from now on, Director Fang will demand himself according to this goal, of course, Director Fang did not tell anyone about his ideal, he wanted to achieve it quietly, every time he thought of his ideal, Director Fang's blood boiled.

Now Director Fang met a patient in the outpatient clinic, Nong Tiesheng, male, 57 years old, thyroid cancer surgery complicated by recurrent laryngeal nerve injury, now the patient has obvious hoarseness, drinking water is very easy to choke, usually eating also easy to choke, and it is easy to choke, and it affects breathing.

According to the medical records brought by the patient, Director Fang should have had the tumor invaded the recurrent laryngeal nerve and its surroundings at that time, and the recurrent laryngeal nerve was segmentally resected in order to completely remove the tumor.

However, the injury of one side of the recurrent laryngeal nerve does not cause such serious symptoms, and now the patient feels that it is difficult to breathe, indicating that the other side of the recurrent laryngeal nerve is also damaged, but it is not broken, and it may be a contusion at that time, or the compression of the postoperative scar.

If it is to be treated, surgery is necessary, one side of the recurrent laryngeal nerve is repaired, and the other side is explored.

This surgery is actually nothing, just a routine operation, and the repair of the recurrent laryngeal nerve is usually to bridge the damaged nerve, or connect a nerve from another place to replace the original nerve to function.

This patient has had several surgeries, the operation is still difficult, Director Fang decided to discuss with Yang Ping is better, now Director Fang has different requirements for himself, and the realm is completely different from before, he has to make a level for each operation, and even he wants to try to innovate and improve the operation.

Director Fang took the patient to the Institute of Surgery to find Yang Ping and study the condition together.

Yang Ping looked through the medical records brought by the patient, and there was a thick pile of them, the operation had been done twice, and the scope of the operation was relatively large.

The recurrent laryngeal nerve is the nerve that controls the vocal cords of the person, there are two left and right sides, if it is unilaterally damaged, it will cause hoarseness, choking on drinking water, if both recurrent laryngeal nerves have been damaged, then pronunciation, eating disorders and dyspnea.

The protection of the recurrent laryngeal nerve is an important part of thyroid cancer surgery, and the surgeon must be very careful to protect it as much as possible to prevent it from being damaged.

However, in some patients, if the tumor has seriously invaded the trachea and recurrent laryngeal nerve, in order to completely remove the tumor, it is necessary to remove the part that has been invaded by the tumor, which is called segmental resection of the recurrent laryngeal nerve.

Because the physiological function of the recurrent laryngeal nerve is very important, it cannot be ignored after resection, otherwise the patient will be hoarse, choking on water, or seriously affecting breathing, eating and speech.

If the recurrent laryngeal nerve has been segmentally resected, the recurrent laryngeal nerve needs to be repaired after surgery, and there are three traditional repair methods: the simplest is direct suture; However, some resection distances are too long to be pulled directly at all, and other nerves can only be cut to bridge the severed end of the recurrent laryngeal nerve, which is the same as coronary artery bypass, the difference is that coronary artery bypass bridging is blood vessels, and here bridges nerves; If the distance of the bridging is too far, it will lead to poor postoperative recovery; At this time, the phrenic nerve or hypoglossal nerve loop can be cut to anastomoses with the severed end of the recurrent laryngeal nerve, so that another nerve can be used to replace the original recurrent laryngeal nerve to function.

There is a lot of medical record information brought by the patient, Yang Ping slowly turned page by page, almost all the examinations have been done, and there are also in the medical record, but there is no pathology report, is the patient forgotten.

''Why is there no pathology report?'' Yang Ping handed over the medical records to Director Fang.

Director Fang also went through it again, and indeed did not find the pathology report, just a cursory look at it, and did not pay much attention to it, focusing on seeing the hospital records.

"Who did you ask for this operation at the time of the fourth annex?" Director Fang asked the patient's son, Nong Zhiwen.

The Fourth Affiliated Hospital of Nandu Medical University, among the several affiliated hospitals of Nandu Medical University, was established relatively late and is not very famous, both in strength and fame, far inferior to the Affiliated Cancer Hospital and the Affiliated Cancer Hospital.

However, the fourth hospital is also an affiliated hospital of Nandu Medical University, which belongs to the third-class teaching hospital, and it will never be worse, and it is also considered a second-tier powerhouse in Nandu Province.

"Director Qian!" Nong Zhiwen replied.

''Qian Lisheng?'' "Director Fang is very familiar with this Director Qian.

"Yes, it's Director Qian Lisheng." Nong Zhiwen is sure.

It was his patient, and he knew that it was Qian Lisheng's patient, and Director Fang would not touch it at all.

Because Director Qian's reputation in the circle is very stinky, and his level is also notoriously poor, of course, this is only known by people in the circle, and ordinary people don't know at all, and everyone outside thinks that his level is very high, because he is a big expert and professor with many titles.

Director Qian's surgery is almost not neat, as long as the surrounding doctors know, they don't dare to take over his patients, the probability of him doing thyroid cancer surgery to damage the recurrent laryngeal nerve is extremely high, not only this operation, he has any surgery is rough and rough, few good results, but this does not prevent him from continuing to be a professor.

When he encountered Director Qian's patient, Director Fang was a little panicked, and he wanted to see if it was thyroid cancer again.

This bastard sometimes takes some benign tumors from general surgery for surgery, and many patients who do not meet the indications for surgery at all and do not need surgery at all, he will also treat them as malignant tumors, and finally say that they are cured, and the patients do not know and are grateful.

Many benign tumors of the thyroid gland only need to be rechecked regularly, but in the hands of Director Qian, it must be done in a big way.

This guy also has a lot of patients, most of them are obtained by crooked ways.

Once a patient with a small cyst in the liver, he performed da Vinci robotic surgery on others, and finally spent more than 100,000 yuan, and he was still an acquaintance.

Therefore, whether it is medical skills or character, this Director Qian is really smelly.

But he is the chief physician and professor, and he also takes his master's and doctor's degrees to attend academic conferences everywhere.

"Why don't you have a pathology report? You have to look for the pathology report, without which we can't make a surgical plan. ”

Director Fang flipped through it again, and there was indeed no pathology report, and he just wanted to push the patient away by taking advantage of this matter, because Director Qian really didn't want to touch the patient.

Yang Ping said: "No matter what, the recurrent laryngeal nerve must be repaired, or you will be admitted to the hospital and let him find the pathology report as much as possible." ”

When the patients and their families heard this, they immediately wept with gratitude, because they had traveled to many places in the provincial capital, and as long as they had seen the doctors, they had plans to be hospitalized at first, but after looking at the medical records, they finally said that the operation was difficult, and it was recommended to go to the original surgery hospital or a higher-level hospital.

Now there is a place willing to take him, and they are really grateful.

In this way, we must see the pathology report so that we can make a surgical plan and then perform inpatient surgery. Director Fang insisted.

Pathology report?

Nong Zhiwen flipped through the thick medical records by himself, he didn't know that there was a pathology report at all, what the doctor said, he did it, the doctor said what the disease was, how to treat it, he didn't understand, everything listened to the doctor.

''What does this thing look like?'' Where to get it? Nong Zhiwen asked.

Director Fang gestured and said: "A piece of paper, there are color photos on it, and there is a detailed diagnosis below, you can use your ID card to go to the medical records department attached to the fourth place to copy, if you really don't know how to get it, you can contact the surgeon or the doctor in charge of the bed at that time, there must be it in the medical record file." ”

"Why don't you go to Director Qian's follow-up visit, how good it is to have recurrent laryngeal nerve repair done by him, he is familiar with your situation." Director Fang couldn't help but ask curiously.

The patient's pronunciation was difficult, so he didn't speak, and his son said: "Professor Qian is very busy, either going abroad or going out for meetings, and their beds have been tight, we have been waiting for half a year, and we can't afford this time, so we have to think of other ways." ”

"That's it!"

Director Fang probably guessed something, this is definitely not so simple, it is better not to go to the muddy water this time, don't put yourself in it at that time.

"Okay, that's it, you go get the pathology report and get it." Director Fang didn't want to dwell on it any longer.

Yang Ping said to the other director: "When he gets the pathology report and clarifies the situation, you can admit him to the hospital, this operation is estimated to be a bit difficult." ”

Director Fang snorted.

After the patient left, Director Fang immediately reminded Yang Ping: "This is Director Qian's patient, as long as he has had surgery, no doctor in the circle dares to take over, especially the tumor surgery he has done, which is messy, and the second operation cannot be done at all." ”

"It's okay, we don't care what his previous situation was, as long as he trusts us and is willing to accept our diagnosis and treatment, we will do our best, as for Director Qian, we don't care about this." Yang Pingke didn't have the heart to pay attention to Director Qian.

But Director Fang was worried that this patient would cause trouble to Yang Ping at that time, so he wanted to dissuade him, but Director Fang was also kind, feeling that Yang Ping usually focused on academics and didn't know anything about the affairs of the rivers and lakes, so he was afraid that Yang Ping would get into trouble.

But Yang Ping is not worried about these at all, if this patient does not have surgery, he will always be hoarse, choking on water and coughing in the future, and now he still has difficulty breathing, not only the quality of life in the future, but also may affect life, he has this ability, why not help the patient, as for who to see before, it has nothing to do with him, he doesn't want to care about these things.

It's just that this patient has a lot of doubts, and from the various objective examinations in the medical record, it doesn't seem like thyroid cancer, but the medical record is indeed thyroid cancer, and the key is the lack of pathology report, so it's okay to take a look after getting the pathology report, which is more secure.

——

The patient's son, Nong Zhiwen, had no choice but to come to the fourth annex again, because Director Qian did not go out of the outpatient clinic, so he did not find Director Qian in the outpatient clinic, so he had to go to the ward to find him, and the doctor in the ward said that Director Qian went to the operation very late and returned.

Nong Zhiwen waited at the door of Director Qian's office until the evening, until the security guard told him that he could not stay here, and he did not go back, but he never saw Director Qian.

There was no way, Nong Zhiwen had to go back to the outpatient clinic of the hospital to ask Director Qian's schedule, but everyone had already gotten off work, so he went to the emergency department to ask, not from a department, the emergency doctor said that he didn't know, and then an emergency doctor said; I'll help you ask the ward, so I called the doctor on duty outside the general hospital, and then I found out Director Qian's schedule.

It just so happened that Director Qian went out of the outpatient clinic the next morning, and Nong Zhiwen was going to the outpatient clinic to find Director Qian the next day.

Finally waited until the next day, Nong Zhiwen found Director Qian in the outpatient clinic.

"Hello Director Qian-——"

Nong Zhiwen was very polite, he came to the provincial capital from the countryside, and it was not easy to see a doctor.

"You are? Why did you come in without queuing? ”

Director Qian was very impatient.

"My dad used to be your surgeon, my dad's name is Nong Tiesheng, and I'm his son, it's like this-" Nong Zhiwen hurriedly explained, handing over the discharge information.

Director Qian looked through the information of the hospital: "Nong Tiesheng, isn't it good after the operation?" ”

"Yes, thank you, Director Qian, but now I have been choking on water, having difficulty speaking, and breathing is quite difficult."

"Oh! With such a major operation, the recovery must be a bit slow, let's take a look at the recovery slowly, I'm very busy now, and I'll talk about it when I'm free, there are still a lot of patients waiting for it. ”

Director Qian waved his hand in the style of a big professor.

''I'm just two minutes, my dad is now going to Sanbo Hospital for hospitalization, the doctor looked at the medical records and said that there was a lack of a pathology report, let me get it. ”

"Pathology report? You can just go to the medical record room and make a copy, you see I'm very busy. ”

"I went to the medical record room, they said that there was no pathology report in the medical record, I just checked the fee list again, there was a charge for pathological examination, so this examination should have been done at that time, the people in the medical record room said that they didn't know the situation, let me find the doctor in charge of the bed, I contacted the doctor in charge of the bed at that time, he is now studying for a doctorate in other provinces, and he is no longer in your hospital, let me come to you, you see, bother you."

''Looking for me?'' I don't care about the patient directly, how do I know where the pathology report goes? I'll help you find the pathology report? I'm so busy every day, do I still need surgery? There must have been a copy for you at the time, and you lost it. ”

"No, really, I've kept this copy very well. ”

''Then I can't help it, how can I go to find a report for you, it's been so long, I have so many patients, you didn't say it earlier, did you? ”

"We didn't know about the pathology report at the time, and now the doctors at Sanbo Hospital are in a hurry and say that we must have a pathology report to make a surgical plan."

"Sanbo Hospital? What kind of doctor, do you understand it or not, why do you have to have this thing, and if you don't have this thing, you won't be cured? Who are you looking at at Sanbo Hospital? ”

''I first watched Director Fang Nansheng, and then Director Fang took me to Professor Yang Ping. ”

As soon as he heard Yang Ping's name, Director Qian chuckled in his heart, and couldn't help but feel a chill down his spine.

He swallowed a mouthful of saliva, his attitude instantly turned one hundred and eighty degrees, and his tone became very gentle: "How do you go to Sanbo Hospital, the level there is not good, you look for me, I will help you solve it." ”

"Didn't you keep saying that there was no bed, and we had no choice but to go to other hospitals to find a way, you see that my father can't speak now, he chokes on saliva, and he has trouble breathing, so it's not a matter to go on like this." Nong Zhiwen said helplessly.

"It's true that the bed was too tight before, and I was very busy, you are in such a situation, I want to think about it, so let's do it, it's not easy for you to come to the provincial capital, I'll help you think of a way, help you arrange a bed, your dad is my old sick number, I'm familiar with his situation, don't go to Sanbo Hospital, what is that Yang Ping, you look so young, you know what, you don't know how many surgeries to do, you must not be fooled, come over quickly, I will help you solve it, come to me for surgery."

"I've heard from patients in their hospital that Professor Yang is very good."

''What's amazing, it's all bragging, you see he is so young, he has only graduated for a few years, he can do a few surgeries, he just wrote a few papers, don't ask him for surgery, surgery is a big deal, you can't come casually, you see I helped you with surgery, and now you are recovering well, how can others be so energetic after cancer surgery, isn't it? Don't trust others casually, I'll tell you the truth about these people, it's just a fool, Sanbo Doctor is ranked first in the province? Do you have us attached to the Final Four? ”

"I don't understand either, I can't help it in a hurry."

"Are you like this, you haven't gone through the admission procedures yet, right? I'll say hello and get you a bed. ”

"Not yet, okay, thank you Professor Qian."

"It's okay, I was really busy some time ago, I can't help it, I don't know your situation, if I know this is the situation, I will definitely find a way for you, now the beds are very tight, and I have been in the academic club a lot recently." ”

"I know! Thanks, when am I coming over. ”

"In this way, you call someone over now, I will help you issue a hospitalization certificate, I will have a patient discharged tomorrow, once I am discharged, I will immediately ask the nurse to notify you, you are really filial, I am very moved."

"Where, then I won't go to Sanbo Hospital?"

''Go to Sanbo Hospital, don't listen to their foolishness. ”

"Do you still need a pathology report?"

"No, I don't know what the operation is, so what's the use of having a piece of paper." ”

(End of chapter)