Chapter 266 Upgrade Diagnosis (two stars, 9)!
"This patient's symptoms are indeed a bit complicated and cannot be diagnosed in a short time. In this way, we will maintain the patient's treatment first. At the same time, after the meeting, I will go to my teacher, Mr. Mu, for advice."
As the host of the meeting, Shen Bingbing put down her reading glasses and pinched the bridge of her nose. She was really tired.
Hearing that Shen Bingbing was going to consult Mr. Mu, the attending doctors nodded in approval. Mr. Mu had retired for several years and was the previous chief physician of general surgery and an expert professor of pediatric surgery. He was a very popular person. Respected lady.
She has very rich clinical experience. She has been living at home for the past two years. As her apprentice, Shen Bingbing often visits her during holidays and festivals. Of course, she often asks her for advice on some difficult and complicated diseases.
Mr. Mu's level is one of the top five experienced experts in the entire province, and he is extremely well-known in this field.
"That's it for today's meeting."
Shen Bingbing waved her hand, and the other attending doctors stood up and left first. Before leaving, they looked at the tenement building in particular and lamented that the future life is terrible.
Qingping also stood up, preparing to arrange the next operation: "Tanglou, I'm leaving first. Since Director Shen has gone to Mr. Mu for foreign aid for this patient, you don't need to worry anymore. You have done a very good job today. "
For veterans like them, it is very unusual for the diagnosis to be inconclusive. They should continue to observe and try until the cause is discovered or the patient passes away without treatment.
After some encouragement, Qingping left the consultation room first and started treating the next patient.
For a doctor, everyone is equal, and he will not favor one against another because of priorities. He should allocate his time and energy evenly to different patients.
Tanglou sorted out the information and was about to leave. Deputy Director Shen Bingbing stopped Tanglou. She became more and more curious about Tanglou and looked up and down: "Tanglou, I heard that you had an affair with Dr. Wang before. We collaborated on a surgery and it was a perfect tacit understanding. This is the first time I have heard Dr. Wang praise a doctor so highly. Your surgical skills are very good."
"Dr. Wang is ridiculous."
Tanglou Professional gave a fake smile, wondering what kind of medicine Shen Bingbing was selling in the gourd.
"Tanglou, the ideas you provided during today's consultation were very good." Shen Bingbing praised a few more words, then changed the subject and raised an eyebrow: "I have a liver caudate lobe resection tonight, are you interested in participating? .This is a very good learning opportunity for you.”
Shen Bingbing intended to test Tanglou during the operation. The previous appendectomy and cholecystitis surgeries were only first-level and second-level surgeries. If they did well, it can only be said that Tanglou had solid basic skills. However, this time's liver caudate lobe resection was difficult. But it's very high.
Even ordinary attending physicians would not dare to perform the surgery.
"Originally, I cooperated with Director Shen for this operation, but today I accidentally pinched my wrist and was unable to perform precise operations. Director Shen will arrange for a senior surgeon, but after all, he is not as versatile as me, so I suggest you come as the second assistant. Assistance is also a very good learning opportunity for you. Director Shen’s accomplishments in major surgery are very amazing."
Wang Chuan said very sincerely that he naturally wanted to get more exposure through surgery so that Shen Bingbing would also realize the value of Tanglou, and strive to transfer Tanglou to his group in the future.
If there were first-class assistants like Tang Lou, the success rate of Wang Chuan's fourth- and fifth-level surgeries at Hecheng City No. 1 Hospital would be greatly improved.
In addition to truly appreciating Tang Lou, it is also his selfish intention to conquer a talented assistant like Tang Lou.
Of course, Tang Lou had no resistance to the surgery. After thinking about it, he accepted Shen Bingbing's invitation: "I agree."
"See you in the operating room, Dr. Tang."
Shen Bingbing stood up very charmingly, shook hands with Tang Lou, and smelled the scent of Tang Lou's mature woman's perfume.
After saying goodbye to Tanglou, Shen Bingbing directly contacted her teacher, Mr. Mu.
After hearing about the patient's strange case, Mr. Mu expressed great interest and put forward some ideas of his own. However, he was too old to come here now, so he made an appointment with Shen Bingbing to come and see it in person tomorrow morning.
See the patient.
After receiving Mr. Mu's reassurance, Shen Bingbing finally breathed a sigh of relief. After all, there were too many patients in the First Hospital of the City, and it was impossible to put all the energy into one patient.
After arranging the treatment plan, resident doctors will be on the front line to track and record the treatment. Unless there are special circumstances, Shen Bingbing only needs to go during ward rounds.
After putting down Xiao Yunyun's case, Shen Bingbing began to plan the caudate lobe resection of the liver at night, and designed operations within their capabilities for Yisuke and Tanglou.
After Tanglou left the consultation room, he quickly devoted himself to the rest of the surgeries. After performing five surgeries in a row, he looked at the time and saw that Shen Bingbing was performing the surgery.
After completing the preoperative preparations, Tang Lou went directly into the operating room next door.
When entering the tenement building, Shen Bingbing and another attending physician, Yang Dongfeng, were already in place.
After a brief introduction to Dr. Yang, Shen Bingbing began the surgery.
Of course, Dr. Yang has heard about Tang Lou, but he has not had any real cooperation yet, so he has no idea about the level of Tang Lou. Of course, he understands that besides Director Shen, he is the leading actor in this surgery.
After all, as a second assistant, most of the time, he just plays the role of soy sauce, studying and watching, especially for such major surgeries of level 3 or above. Dr. Yang certainly does not think that Tanglou can really help.
No matter how handsome he is, he is still the male partner!
There is an essential difference between major surgery and first- and second-level entry-level surgeries.
"Xiao Tang, just watch and watch. If you don't know how to operate something later, just ask me."
Dr. Yang explained it in a very professional and polite manner, and then stood in the position of the first assistant. After all, as an attending physician in front of Tanglou, he still has his own pride and confidence.
"Dr. Yang, please report on the preoperative preparations."
Shen Bingbing stood in the position of the surgeon. Her voice was as elegant as ever, but on the operating table, it became more professional and powerful.
Dr. Yang, of course, has great respect for his superior doctors. Shen Bingbing can become the only deputy director-level doctor in the general surgery department besides Cheng Jian, and his professional skills are very good.
"The patient's general condition is good, with an ECOG score of 0 to 2, and no obvious dysfunction of important organs such as the heart, lungs, and kidneys."
"The liver function is only slightly damaged, and the Child-Pugh classification of liver function is grade B..."
"The tumor is located at the edge of the liver..."
Dr. Yang gave a very professional and comprehensive report.
"Very good, start anesthesia."
After confirming that there was no problem, Shen Bingbing issued the order.
Chen Wenhao, as the anesthesiologist on this unit, quickly completed the continuous epidural anesthesia.
After stepping aside, he looked at Erzhu's Tanglou with some surprise, and thought in a bad way, that being so bland is not the way Tanglou should appear. This kid has never been a calm master.
"Why don't you do something?"
Chen Wenhao sat on the small bench prepared and narrowed his eyes indifferently.
The operation process can only be said to be very ordinary and smooth. After all, Shen Bingbing is a very professional deputy chief physician. She made a solid "∧" shaped incision under the right costal margin with standard and light surgical movements.
Next, it was completed very quickly. The round ligament of the liver was severed with forceps, the stump was ligated and sutured, and the liver retractor was applied.
The whole set of movements was completed in one go, and it obviously took hundreds of exercises!
The next step is to free the various ligaments. Shen Bingbing looked at the tenement building beside her and guided naturally: "Next, I will free the hepatogastric ligament, falciform ligament, left coronary ligament and left triangular ligament fully.
Free the left liver and open it to the right, use latex tube to retract the hepatoduodenal ligament to the right, and expose the caudate lobe."
"This is a very important operation in this surgery. Please read it carefully. After reading it, you can summarize and think about it yourself. Let me know your understanding later."
Shen Bingbing is a teacher who loves to train students, including on the operating table, not limited to other areas of life.
For example, when it came to Wang Chuan's training, she was meticulous and comprehensive, going deep into every aspect... and it was very effective!
Fifteen minutes later, Shen Bingbing completed the operation and handed it over to Dr. Yang for the next step of work. She herself took a breather. After all, she was not a Tanglou, and her concentration and energy were limited.
Taking advantage of this time, Shen Bingbing naturally tried to test Tanglou: "Xiao Tang, tell me your experience of what I just did?"
Compared with cholecystectomy and appendectomy, liver surgery is naturally dozens of times more complicated. Ordinary doctors only have the opportunity to be exposed to this level of surgery when they are senior residents.
Naturally, Shen Bingbing did not treat Tang Lou with common sense, so she gave him such a profound surgical teaching when he was still an intern. According to her judgment, Tang Lou could understand such a complicated operation, which would give him two achievements.
It's already very scary.
Just when Tanglou was about to reply humbly, a familiar voice sounded:
[Ding, new mission, we are different! Like Shen Bingbing, show super comprehension ability, and replace Yisuke to complete the next operation. Mission reward: Diagnosis skill upgraded to two stars. ]
Tanglou's eyes immediately turned red when he saw this mission reward! So why should he hesitate?
The brazen and arrogant answer sounded in the operating room. After the words fell, both Shen Bingbing and Dr. Yang stopped their movements and looked at the tenement building with wide eyes!
Chen Wenhao, who was squinting on the bench, opened his eyes:
Chapter completed!