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417 Incredible(1/2)

Gao Shaojie's phone number was called to a classmate in the United States.

The classmates stayed in the United States and successfully obtained the medical qualifications several years later. Many students were envious of them.

Doctors are considered a good profession in the United States, a hundred times better than in China. Even though Gao Shaojie is the deputy director of 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, Gao Shaojie hung up the phone after learning about the situation.

There is no breakthrough in TIPS surgery. Even the Mayo Clinic in the United States uses well-known surgical methods.

At worst, it is to put a tube of special material in the hepatic vein as a marker.

Even so, it can only solve some of the problems of puncture, and TIPS surgery is still extremely difficult.

It can be said that this is just a modification and does not fundamentally make changes to TIPS surgery.

Gao Shaojie's classmate said that he had just visited Mayo Clinic a while ago. On the other hand, he needed at least 3-5 needle aspiration when he had TIPS surgery. Without any breakthrough progress, he also joked about Gao Shaojie. With the domestic medical level, it is impossible to be better than Mayo Clinic.

Just a foolish dream.

He put down the phone. Although he was a little unhappy, he was very well-educated and did not refute the little doctor's statement.

What a person is, it would be great if he could trust his words.

However, people in Haicheng are really unreliable when they speak, so they should try to avoid coming in the future.

The TIPS surgery in Mayo Clinic requires 3-5 needle aspiration. How could a young doctor in Haicheng succeed in one injection?

How is this possible! Isn’t this the legendary miracle doctor?

Just spread rumors, 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 the patient.

This night passed quietly.

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

I didn’t eat much rice, the key was to eat a fried egg that was cooked in 70% cooked.

Before each TIPS operation, Gao Shaojie would eat one of these eggs, whether it was at home or going out to run a flying knife.

It seems that in the dark, the existence or non-existence of the surgery god will make today's surgery easier because of this 70% cooked fried egg.

The concept of the Night Shift God is the same, fried eggs are just a good wish.

As for whether it can be done, I will talk about it.

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

On the way, Wang Qiang showed Gao Shaojie the last emergency test report of the patient yesterday. Although there is no necessary connection with the operation, 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 Hospital of the City.

Gao Shaojie participated in the early handover shift in the interventional department of the Second Hospital and checked out the patients who were undergoing surgery today.

Then, the subordinate doctor under Wang Qiang took the patient to the operating room. Gao Shaojie pulled Wang Qiang to sit in the office and chatted for a few minutes.

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

When preparing for the operation, check the model of the machine, whether it is with the hands, and how to operate it.

The consumables of each manufacturer will be more or less different. For general surgery, the difference is not big. However, for TIPS surgery, it is only a little more familiar with it.

Because Wang Qiang received fewer beds, Gao Shaojie only visited patients in 2 or 3 wards.

There were another group of patients.

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

Their bedside signs all have the words "decompensation period" of cirrhosis, and basically there is a diagnosis of ascites.

But looking at the complexion and stomach, they don’t look like patients with decompensated cirrhosis.

He felt aroused in his heart. Could it be that these patients were all postoperative patients from TIPS surgery a few days ago?

So he did not rush to go to the operating room and came to the doctor's office with Wang Qiang to check the surgical records and other examination results.

If a patient after TIPS surgery is theoretically unable to recover so well.

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

The surgical record does not contain a few puncture needles, which can only prove that the patient is undergoing TIPS surgery.

However, the test form before and after the operation is objectively proven and can indicate the recovery of the patient's condition.

What I did was indeed TIPS surgery. The patient recovered very well after the operation. The ascites subsided day by day, but the blood ammonia did not increase significantly.

Most patients did not have obvious hepatic encephalopathy, and only one patient had a brief period of hepatic encephalopathy after surgery. However, under the action of the drug, it only took 1 or 2 days to recover.

This surgery was done very well, Gao Shaojie was amazed.

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

Especially for patients who have undergone TIPS surgery, hepatic encephalopathy is likely to develop after the operation. After all, venous blood does not flow in the liver, and a filtration procedure is missing, resulting in extremely high blood ammonia content in the blood.

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

Gao Shaojie once performed TIPS on a teacher in his 70s. After the operation, due to severe hepatic encephalopathy, the teacher who was originally an old and pedantic teacher seemed to have become a different person and urinated everywhere, which made people very embarrassed.

Embarrassment is secondly, and the patient's quality of life has been greatly affected.

The benefits patients gained from TIPS surgery are not as good as side effects. Gao Shaojie has reflected on this many times and has also actively studied new progress in TIPS surgery.

But after so many years, nothing has been gained.

The data is in front of you. The patients recovered well after batch TIPS surgery a few days ago.

Could it be that what the little doctor under Wang Qiang said was true last night?

Gao Shaojie pondered.

He couldn't understand the reason, until Wang Qiang's cell phone rang, and the doctor at the lower level said that the operating room had already prepared preoperatively, and waited for Gao Shaojie to come on stage.

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

"Oh." Gao Shaojie said apologetically: "I'm sorry, I'm so immersed in thinking about things."

How could Wang Qiang not know what Gao Shaojie was thinking? But he didn't see the legendary "magic man" in the First Hospital of the City underwent TIPS surgery. To be honest, he didn't believe it.

Even patients who had TIPS surgery recovered well after surgery.

...

...

At 7:55, Professor Rudolf Wagner came to the emergency building of Haicheng First Hospital. Before he could enter, Zheng Ren called Feng Xuhui's car and headed straight for the second hospital.

Zheng Ren has some expectations for today's surgery.

It is not the TIPS surgery itself, but the second phase of the task given by the system.

Zheng Ren is not very looking forward to the experience of 3,000 radiofrequency ablation. 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 on the success rate of interventional surgery +2.

Curiosity kills the cat.

Zheng Ren was just curious, and didn't know if the big pig's hooves in the system would give him a reward that would make him laugh when he dreamed.

At 8:30, Feng Xuhui drove to the Second Hospital of the City.

Last time, President Zhang brought people to welcome Zheng Ren at the hospitalization department. But this time...

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

Feng Xuhui carefully parked the car to a slightly further position, and then a few people walked over.

"You bastards, I'm just sitting here today, you guys can do it!"

From a distance, I heard an old but full of energy sound.

Is it a medical dispute? It seems not.

Can't the doctor cry, make a fuss? And when it comes to making trouble, a large crowd gathers a lot of people and blocks the door of the hospital.

Zheng Ren has never seen a doctor alone.

Is this a staff member in the hospital?

Is it because the Second Hospital can’t pay the salary? The family waited for the rice to be cooked, and then they started to ask for money from various channels?

Hospitals are not a strong job.

There is control of the Medical Insurance Bureau above and the pressure of patients below. Not to mention the doctor, the hospital itself is struggling.

Moreover, in recent years, many consortiums have begun to focus on the fat piece of public hospitals.

Unlike a certain field department, renting an outpatient clinic in a public hospital and making some money, it is all minced meat. Now large consortiums are beginning to swallow large public tertiary hospitals.

This situation is mainly in the Northeast.
To be continued...
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