This doctor has a system

Chapter 459 523. Strange disease
"Director Gao." Director Liu hesitated, "Does this surgical method need to be reconsidered?"

"What do you mean?" Gao Feng asked.

"The patient's general condition is not good, but I still think laparoscopy is better." Director Liu said, while Gao Feng suggested traditional laparotomy, which is more invasive.

Although laparoscopic surgery is less invasive than traditional incision, the pneumoperitoneum state and the process of dissociating the hepatic artery under laparoscopic surgery may cause the fishbone to shift or damage the artery, and if the fishbone shifts again, it is inconvenient to expand the scope of exploration and Monitoring and positioning through intraoperative color ultrasound.

Gao Feng expressed his concerns and immediately got the approval of the color ultrasound doctor.

"Yes, Director Liu." The color Doppler ultrasound doctor agreed, "If I choose endoscopic examination later, I can't guarantee that I will find the fish bone."

"Okay." Director Liu no longer insisted on his own ideas.

"Don't be afraid, Mr. Sheep, you will fall asleep in a while." Seeing that the patient remained silent, the nurse gave her a regular comfort.

"I'm not afraid," the patient said. "I'm not afraid whether the operation is successful or not. If it is successful, I will go out to find my wife and son. If it fails, I will go down to find my parents."

"We have people on both sides, so there is nothing to be afraid of."

"You are quite open-minded." The nurse said with a smile.

"Okay, old man, let's start counting 1.2.3" the fat anesthesiologist said to the patient.

"4.5.618." The patient was silent.

"No one can count to 20 in my hand." The anesthesiologist proudly said to everyone, "Directors, let's hurry up and get started!"

Like the family members, the anesthesiologists are eager for the operation to be over quickly, and they like quick shooters the most.

If you meet that kind of embroidered surgeon, you will feel disgusted to death.

Director Liu took a deep breath and took the scalpel handed over by the nurse. He soon relaxed, because Yisuke seemed to have a similar mind to him.

"Director Gao, our cooperation is invincible!"

That's right, if you stick your butt out, I'll know what you want to do, Gao Feng thought.

Director Liu separated the proximal and distal ends of the hepatic artery in sequence, wrapped an extravascular traction tape in advance to prevent and control possible bleeding, and searched for the presence of fish bones by touching the hepatic artery in the surgical area.

His operation was very skillful. Gao Feng couldn't help but praise him. Director Liu couldn't help but trembled, "Basic skills! Just basic skills!"

At the same time, his evaluation of Gao Feng has reached a new level.

"Oh, thanks for listening to your choice of caesarean section, otherwise I would be in trouble now!" Director Liu was afraid for a while.

If you choose endoscopic surgery, it will be a different story: the surgeon will lose his sense of touch during endoscopic surgery and can only rely on vision to identify fish bones on the display screen; but if the fish bones do not cause damage to the blood vessels, the appearance of the blood vessels will Look, the position of the fish bone cannot be accurately located.

However, changing from intraoperative laparoscopy to traditional laparotomy will take a long time, which is obviously extremely unfriendly to patients.

On the operating table, Director Liu used ultrasound guidance to expose the arteries step by step and touch them with his hands.
"No, it should be in this part!" He was a little anxious, "Can we check the color Doppler ultrasound again?"

"No, please continue to explore." Gao Feng stopped him. With color Doppler ultrasound and hand touch, he felt that it would not be missed.

Director Liu continued to move forward with an uneasy mood, "Hey! It's over here!"

He finally located the exact location of the fish bone: the fish bone, about 2cm long, was passing through the hepatic artery.

This made everyone present breathe a sigh of relief: they had finally found it.

Director Liu quickly removed the fishbone and sutured and repaired the damaged hepatic artery. One hour later, the operation ended successfully.

"Without you, even if we could find this fish bone, the operation would not have been completed within 3-4 hours."

It was indeed a foresight to call Gao Feng here, and Director Liu couldn't help but give himself a thumbs up.

"Director Liu, is my dad okay?" Yang Hongyuan saw his father being pushed out and rushed forward.

"The fish bone was found, but the person is still very weak after the operation and needs to take a good rest." Director Liu said to him with a smile.

After the operation, the patient's abdominal pain symptoms gradually disappeared, the wound healed well, and he was discharged from the hospital on the 7th day.

The fish bone, which took two surgeries to be removed, was carefully preserved by Director Liu. Soon, a sci-fi article titled A fish bone wandering in the body was released.

"Gao, do you know about the Lasker Award for Medicine?" Professor Prampedi from the University of Pennsylvania called.

"Of course." Gao Feng replied with a smile, "I think every aspiring medical worker knows it."

The Lasker Medal in Medicine is the most prestigious biomedical award in the United States and second only to the Nobel Prize in the medical field.

In 1946, it was co-founded by Albert Lasker, a famous American advertising manager and philanthropist known as the "Father of Modern Advertising", and his wife Mary Woodard Lasker. It is designed to recognize scientists, doctors and public service personnel who have made outstanding contributions in the field of medicine.

So far, 95 Lasker Medicine Prize winners have won the Nobel Prize, accounting for 25%. Among the Nobel Prize winners in the past four years alone, 4 have won the Lasker Medicine Prize.

Therefore, the Lasker Medicine Prize is also known as the "Nobel Prize Weather Vane".

"The selection is about to begin again." Professor Prampedi said concisely, "I recommend you to the selection committee."

"What?!" Ren Shigao Feng acted calmly, but at this time he was also a little excited in his heart, "Professor, I am not very knowledgeable, I'm afraid..."

"Gao, you are too humble. This is not good." Prampedi said, "You are fully qualified!" He emphasized, "In fact, many people in the selection committee know you."

Prampedi himself felt strange about this. When he reported Gao Feng's name, he thought he would receive a lot of resistance, but the result was obviously unexpected.

"This young man is indeed outstanding." An old friend called him, "But the competition pressure this year is quite high, and his probability of winning is a bit low."

"Actually, I just want to report your name." Pulanpedi said to Gao Feng, "Let them know that you are there."

Even if you are not shortlisted, it doesn't matter. This is called preparing in advance and becoming familiar with it.

"It will be very beneficial to your future development."

"Thank you, Professor." Gao Feng was slightly moved. The other person simply admired him and did not involve any interests.

"But since there is a chance of winning, even if it is very low, I think you should try to work hard." Prampedi expressed his thoughts, "You can come here in the near future and I will take you to visit some old friends. ”

Gao Feng couldn't help but think of the scene when Academician Bao took him to visit his old friends. It seemed that no matter where he was, he could not avoid this.

There will always be some small groups of this kind in the world, and the original intention of most of them when they were established in the early days is very simple, that is, people who care about each other work together to work together.

Over time, some communities of interests will be formed, and people in them will always enjoy benefits that outsiders unexpectedly enjoy.

After the date was set, Gao Feng felt a sense of urgency. He decided to fly to the capital in two days to urge Xiong Huaxin and the others to produce more results quickly.

PD-1 related research is definitely a powerful weapon in lobbying the selection committee.

It was time to explain everything to Li Youliang, so Dad Gao called. "Your third grandpa is here to see you for medical treatment." Dad Gao said, "It was the canteen at the east end of our village. Do you know?"

"Oh, I know." Gao Feng immediately remembered where he would go whenever he had a dime in his pocket when he was a child.

The two families have no blood relatives, they are just from the same village. In terms of seniority, Gao Feng should be called the third grandfather.

"what happened?"

"He's fine. There's something wrong with his son." Dad Gao said, "They say he's having a nervous breakdown every day and night, but we didn't find out the problem."

Gao Feng soon met the third grandfather, his son, and several family members.

Time passed by, and the young third grandfather in my memory was already 70 years old, but he seemed to be in good spirits. He smiled as soon as he saw Gao Feng.

"breeze!"

Gao Feng also greeted him with a smile. This third grandfather was a good person. When he was a child, he once took Gao Zhenzhen to buy candy. When he arrived, he found that the money was missing, and his sister was howling desperately.

No matter how hard Gao Feng tried to persuade him, it was no use. He lay on the ground and couldn't get up.

The third grandfather quickly got two lollipops, and my sister immediately beat them up one by one.

It is definitely not good for a little girl to eat too much sugar. Her teeth will be damaged and she will easily get diabetes!
Gao Feng kindly wanted to keep one for Gao Zhenzhen, but the other party actually refused. It was really a good person being treated like a donkey.

But since he decided to help others, he must do it.

"Can I keep one for you?! Let me ask one last question!"

"Okay, oh, oh, oh..." Gao Zhenzhen cried.

"That's pretty much it." Gao Feng stood up from his sister proudly, "This is of your own free will. You can't complain when you go home!"

Don't tell me, apple-flavored lollipops are just sweet!

"This is your Viagra repair, he..." Third Grandpa sighed, "I don't know what happened this year that was always going well."

Gao Xiuwei is nearly 10 years older than Gao Feng, and they are not very familiar with each other. He dropped out of school after junior high school and fell headlong into the melting pot of society.

Because he was tall and good-looking, although he didn't make much money working in the south, he brought a girlfriend back and got married smoothly.

At that time, Gao Feng and his family had not yet been demolished, and most families were extremely poor. Gao Xiuwei was still considered a winner in life.

After the demolition a few years ago, he came back from the south with his wife, opened a small restaurant in the town, and lived a good life.

But starting a year ago, something went wrong with my body.

Over the past year, he would suddenly lose consciousness from time to time, waving his hands and feet uncontrollably, and mumbling to himself, as if he was possessed by a demon.

This frightened the whole family, and they quickly took Gao Xiuwei to the hospital for a check-up. A lot of inspections were done, but no obvious problems were found.

The third grandfather even thought that his son might be possessed by an evil spirit, so he specially invited someone to come over and perform the dance.

But it had no effect, and my son still had the above symptoms from time to time.

"It doesn't happen every day, it just happens from time to time," the third grandpa said. "The longest time I didn't commit it was two months, but this month I've already committed it twice."

"You were unconscious when you were sick, right?" Gao Feng asked.

"Yes, I don't know what happened at all." Gao Xiuwei said in distress. When he came to his senses, he found that everyone was looking at him.

"Then how long does each illness last?"

"The long one lasts 10 minutes, and the short one lasts 2-3 minutes." Gao Xiuwei's wife said.

Gao Feng felt strange and led a group of people to the department.

He reviewed Gao Xiuwei's examination results from beginning to end, and performed two brain MRIs. There were no major problems. In addition, blood pressure, blood sugar, blood lipids, liver and kidney function, cardiac enzymes, and electrolytes were all normal.

"If that's not possible, let's stay in the hospital for observation." Gao Feng suggested, "I'll take a look when he gets sick."

Gao Xiuwei readily accepted his suggestion. He couldn't find the reason for his condition, and his family couldn't let it go.

In the evening, Gao Feng came to the department after dinner. He planned to stay in the office. Gao Xiuwei's illness didn't last long each time, and he was afraid it would be too late to rush back from home.

Before taking a break, he told his family members to ring the bell as soon as possible if anything happened.

At around 3 o'clock, while I was in a daze, there was a knock on the door.

"Director, Gao Xiuwei in bed 18 is ill right now!" the night shift nurse shouted.

Gao Feng was shocked and immediately jumped up. Did Gao Xiuwei really show his respect by getting sick on the same day? It was worth spending the whole night in this small office.

When they arrived at the ward, Gao Xiuwei's wife was standing aside. She was seriously concerned, but she didn't look obviously panicked.

"Director Gao, that's what he is like," she said. "He keeps talking to himself, and he doesn't respond when I call him."

"Director, does it look like epilepsy?" asked the nurse at the side, she was a little scared.

"It's not like that," Gao Feng said after observing carefully. He tried to communicate with Gao Xiuwei, but the other party had no response.

"Measure blood sugar and blood pressure."

The nurse was holding a plate and came up immediately after hearing this. She tied the cuff to Gao Xiuwei's arm, and the electronic blood pressure monitor quickly displayed the values: heart rate 89 beats/min, blood pressure 132/87mmHg, normal.

But there was a problem when measuring blood sugar. As soon as the nurse inserted the blood collection needle, Gao Xiuwei moved and pushed the nurse out.

The latter was unprepared and almost fell to the ground after screaming. Fortunately, Gao Feng had quick eyes and quick hands and caught him.

"Does he usually attack people?"

"No." Gao Xiuwei's wife was also shocked, "But we never pricked him when he was sick."

"By the way, I seem to remember what my dad said. The last time I was hospitalized for illness, I was asked to test my blood sugar. Several people couldn't hold it down."

Later it was settled.

Because Gao Xiuwei's fasting blood sugar, postprandial blood sugar and glycated hemoglobin were all within the normal range.

"Here, I'll hold him down while you tie him again." Gao Feng said to the nurse.

(End of this chapter)