This doctor is very stable

Chapter 132 An Intracranial Tumor Spotted Before Surgery

The director of the Department of Urology is Feng Na, a short-haired female doctor in her early 40s, who looks very capable in a white coat.

Chen Qiufeng took Lin Ran and the two of them to meet the group of urologists who were waiting to observe the operation outside the operating room, and said hello: "Director Feng."

Feng Na looked at Chen Qiufeng and Lin Ran, and nodded, "Director Chen, you are finally here. I was afraid that you would be too busy to leave the emergency department!"

She didn't smile when she spoke, after all, the family members were not far away.

Sickness is always a sad thing in the heart, and it would be too strict to talk and laugh in front of the patient, but what she said has a sense of welcome in it, which makes people feel comfortable listening.

Chen Qiufeng looked at Lin Ran and the two of them, and said with a smile: "The two of them are residents who have just been transferred from our emergency department. The thin one is called Lin Ran, and the fat one is called Qian Xuan. They are a little smart. I will bring them here to gain knowledge."

Feng Na glanced at Lin Ran, squinted her eyes, and said, "Lin Ran, I've heard of this name before, you don't have to hide it, Chen Qiufeng, there is a little doctor named Lin Ran in your emergency department who has improved appendicitis. Who doesn't know about the operation in the hospital?"

Just as Feng Na said, Lin Ran is now considered a celebrity in Hengshan City, and even the Hospital Affairs Office attaches great importance to Lin Ran, as can be seen from the knife throwing.

The hospital called Chen Qiufeng from the emergency department to bring Lin Ran over for the operation.
One must know that the surgery is such a big place, so too many people can't be squeezed in, even their urology department only has three spots for observation!
They chatted for a while, and several deputy chief physicians from other departments also arrived.

After another exchange of pleasantries, Lin Ran and the others also gradually withdrew from the inner circle of big bosses.

After waiting for more than ten minutes, the chief surgeon of the kidney transplant operation and the two assistants who had also changed into surgical gowns walked towards the operating room.

Lin Ran could see from a distance, the demeanor of BJ Renhe flying knives.

female?

From the analysis of the smoothness of the forehead, it is estimated that the age is no more than forty.

All younger.

And her assistants, a man and a woman, are also relatively young, about the same age as Lin Ran and the others.

Being young is never a good thing clinically, and patients are often more willing to trust older doctors.

"Professor Xu..."

"Professor Xu..."

Everyone greeted them, and Wu Qianwen nodded to them at least.

At this time, the family members of the patient stood up, three men and two women, the men were generally strong and strong, and the tonnage of the girls was not small. It seemed that the food of this family must be very good!
A middle-aged uncle with a big gold chain said, "Professor Xu, my dad will leave it to you."

Xu Qianwen nodded, "Don't worry, I will try my best."

After she finished speaking, she looked at the nurse standing next to the operating room, and the nurse quickly opened the door of the operating room.

Xu Qianwen nodded again to the patient's family and walked into the operating room.

Feng Na watched Xu Qianwen and the others enter the operating room, and immediately said, "Director Chen, let's go in too."

"Ah."

Everyone walked into the operating room. The chief surgeon and assistants were all from BJ. Of course, the nurses and anesthesiologists were from the Hengshan City Hospital. It would not be necessary to bring the nurses and anesthesiologists with them.

Most of the flying knives are observed by people, this is something every flying knife doctor knows.

The patient lying on the operating table was an uncle in his 60s, with a haggard face and a thin body.

…………

Flying knife teaching surgery, of course there will be compliments, otherwise how can the chief surgeon get a sense of accomplishment?
Feng Na looked at Xu Qianwen and smiled, and whispered to Chen Qiufeng: "Director Chen, don't look at Professor Xu young! Although she is only 39 years old this year, she graduated from Tsinghua University with both Ph. She also has a high academic attainment, and the success rate and cure rate of her kidney replacement surgery are very high.”

Chen Qiufeng glanced at Lin Ran and the others, both Lin Ran and Qian Xuan could understand those eyes, so learn a lot from them!
"I have also learned that Professor Xu is indeed very powerful, especially his accomplishments in vascular medicine are even more admirable!"

Chen Qiufeng praised unabashedly.

At this moment, Xu Qianwen looked at the anesthesiologist.Said: "It's time to start, general anesthesia, four hours."

Just as the middle-aged anesthesiologist stepped forward, the uncle lying on the hospital bed spoke.

"Doctor, can my disease be cured? Hey! I feel like I'm going to die every day. It's better to just die."

Xu Qianwen looked at the patient and comforted him: "Uncle Wang, you don't have to worry. After the operation, your illness will recover naturally. It would be nice to take care of your grandson at home in the future! Isn't it?"

It is said that when patients reach a certain age, doctors only need to mention their grandchildren, and their desire to survive cannot be said to increase, but it will be somewhat stronger.

"Okay, Dr. Xu, you are a doctor from BJ, hello BJ! I also went to BJ a few years ago, our country is really strong, all right, let's get started!"

Xu Qianwen nodded to the anesthesiologist, and the anesthetist immediately stepped forward to give the anesthetic.

After a while, the uncle lying on the operating table fell into a deep sleep.

"Tweezers, alcohol cotton, iodophor."

There is no doubt that all operations need to be disinfected, but Xu Qianwen is not the one who does the disinfection before the operation, and it is her male assistant.

Lin Ran and the others were not surprised. After all, kidney replacement surgery is a relatively complicated and time-consuming operation.

If Xu Qianwen did it all by herself on the operating table, it would really consume a lot of energy.

After her male assistant finished the disinfection work, the nurse hurriedly spread the surgical towel with holes.

The kidney is divided into right kidney and left kidney.

And if you have a kidney transplant, you only need to change one.

But in the case of uremia, a healthy kidney should be installed directly in the lower abdominal cavity. As for whether the two diseased kidneys should be removed, it should be judged clearly.

After Xu Qianwen's male assistant finished disinfecting the lower abdomen, Xu Qianwen stretched out his hand and said, "Surgical pen."

Xu Qianwen personally performed the drawing of the positioning line and incision of the surgical incision.

Lin Ran and Qian Xuan watched with gusto, watching Fei Dao Da Na's surgery is unique.

Every incision can make you feel soft and silky.

Moreover, Chen Qiufeng was very supportive and lowered his voice: "This incision is very powerful!"

Hearing the praise, Lin Ran almost suspected that this was an unspoken professional rule.

As long as it is teaching surgery with flying knives, regardless of 21, praise it first!
But what they have done is really powerful, there is no doubt about it.

The surgical incision was made, and then Xu Qianwen's female assistant started to pull the hook on the retractor.

After the surgical opening was expanded and the vision in the abdominal cavity was clear, Lin Ran couldn't help but poke his head curiously.

Because there were a lot of people watching, Lin Ran and Qian Xuan could only choose a place far from the operating table.In front of them was the boss of the Hengshan city doctor.

Even Lin Ran, who is tall and straight, needs a probe to see clearly the abdominal cavity.

【V4 patients】

【Left kidney is red...Uremia leads to left kidney failure...requires surgery or kidney replacement. 】

[The right kidney is red...uremia leads to failure of the left kidney...requires surgical resection or kidney replacement. 】

[The head is red... Intracranial auditory nerve tumor... Requires surgical resection. 】

Why is there an intracranial tumor?
Didn't find it when you checked?
Or it's a nascent tumor.

Looking at Chen Qiufeng's profile, Lin Ran hesitated a little, should he say it?

Tangled, uncomfortable!
He closed his eyes and recalled the medical literature he had memorized.

Acoustic Neuroma
That is, vestibular nerve Schwann cell tumor, which is named because most of it originates from the vestibular nerve Schwann cells, and acoustic neuroma is its common name.

These tumors are benign and mostly grow unilaterally, accounting for 8% to 10% of intracranial tumors.Occurs in patients aged 30-50, often with unilateral hearing loss accompanied by high-frequency tinnitus, ear occlusion, vertigo or dizziness onset, slow progress of the disease, accompanied by progressive hearing impairment.

For the elderly, hearing loss may be considered by the family to be due to old age!

Most elderly patients with acoustic neuromas are ignored for this reason.

So the patient may not really have been diagnosed with an intracranial acoustic neuroma.

Then the key point is, will the acoustic neuroma be stimulated and lead to cracking?
The answer is probably not, acoustic neuromas are benign tumors.

Not only does it grow slowly, it is also relatively stable and there should be no danger of it breaking.

Thinking of this, Lin Ran stopped reminding me of things.

What if the boss is dissatisfied by speaking out?
After all, this is someone else's throwing knife, need you, a little red guy, to talk too much?

But watching the operation, Lin Ran felt something was wrong, and another voice appeared in his mind.

just in case!What if the tumor is relatively large?What should I do if the blood vessels feeding the tumor are extremely weak?
The most fearful thing on the operating table is what happens. There is nothing absolute about medical diseases!

In case of an accident, the patient may not be able to get off the operating table.

We must know that tumor diseases often prefer to work against textbooks.

Lin Ran had no choice but to move closer to Chen Qiufeng and lowered his voice, "Teacher, can I report a problem?"

(End of this chapter)