Rebirth 90: I opened a hospital in Shencheng
Chapter 212 Climaxing Public Consultation!
Chapter 212 Climaxing Public Consultation!
"The patient's request has two points: one, to remove the scar at one time, and two, the healing effect can not see the suture marks."
With the pointer in Nie Chen's hand, he clicked on the photo on the third color page, and said with a smile, "I don't ask much, just these two points."
"Let me go, is this not too demanding? This requirement is simply outrageous, okay!"
All the medical students at the scene, whether they supported Nie Chen before or felt that Nie Chen's vision was too shallow to perform such a high-risk operation.
At this moment, it was boiling and clamoring at the same time.
joke.
For such a long scar excision, according to previous surgical requirements, once such an irregular scar is to be transplanted with a flap, the most suitable length at one time is no more than five centimeters.
This patient's scars spanned four different blood vessel networks, from the nasolabial folds at the corners of the mouth to the temples at the corners of the eyes.
And the overall length has exceeded twelve centimeters.
What's even more frightening is that there are three huge bending deformations in the middle.
Such an operation actually requires one-time excision of the scar and one-time suturing!
The risk factor is more than one level higher than previously imagined.
That's all.
After all, the risk of any operation is not to consider the final cosmetic effect.
Instead, consider whether the functional recovery and blood supply are normal, and whether the indicators have reached the normal level.
Any medical student who is willing to stand in the electronic classroom of the Hong Kong Island Medical School at eleven o'clock in the morning during the break on Saturday to listen to a consultation with a young doctor from the Mainland who has recently gained fame, they are all students The best of them.
As the saying goes, the more you understand, the more you know what Nie Chen said just now, how difficult it is to suture such a scar to restore its functionality.
However, this is only the first condition put forward by the patient.
And the second condition.
After the recovery, the scars can hardly be seen. This condition is an impossible task for everyone present, including the professors and tutors of the medical school who secretly came to observe.
So after Nie Chen stated this condition, it immediately detonated the atmosphere of the scene like a bomb.
"Impossible Doctor Nie! I suspect that you are not consulting us, but telling us stories."
"That's right! It is necessary to restore a skin flap that is more than twelve centimeters in length, with irregular lines and multiple changes in direction, and finally show a suture effect without scars... Just kidding, there is no one in this world. Doctors can do it!"
"Okay, everyone don't need to get too excited. Dr. Nie hasn't mentioned his operation plan yet! If he said such a condition and he can't do it, then why are you so excited?"
"Quiet."
Professor Yang Haikun, who was standing beside the podium, once again stretched out his hands to press down on the boiling electric classroom medical students.
After a while, order was restored to the noisy scene.
Nie Chen stood on the podium with a relaxed smile.
This feeling is really good.
Since rebirth, it can be said that I have basically been fixed around the Aihua Clinic in Shencheng.
Although the body of this sentence has just walked out of Huacheng Medical College, Nie Chen, who came here with the memories of his previous life, has decades of experience and memories of the students in the medical school.
Therefore, even if Nie Chen faced Lin Ronghua and Liu Yueqian who were his peers, Zhang Xiuxiu and Huang Chuyu who came out of the health school, and Dai Chunni and Dai Erni who came out of nursing majors, they still had a kind of old-fashionedness that was completely different from them.
After all, in Aihua Clinic, the home field of his own, controlling everything and making a stable and stable judgment on the optimal solution is the best way for himself and the clinic to go deep into the city.
At this moment, I suddenly stood in the eyes of my peers, in the atmosphere of the same way of thinking and brain circuits as my peers.
This kind of wonderful and peculiar environmental range made Nie Chen, who thought his memory was dusty, immediately awakened the physical memory that should belong to the age of 21, and an uncontrollable refreshment revived in his heart.
"I certainly agree unconditionally to the two conditions put forward by the patient."
Nie Chen quickly wrote down the first item of his operation plan on the blackboard:
[Precise debridement of scar excision after five years of healing. 】
After writing the debridement effect of this anatomical requirement.
Nie Chen stayed on the last word, and said to all the medical students present with a provocative look:
"The essence of the whole operation lies in the excision and debridement of this area. Therefore, on the basis of the two requirements I put forward for this patient, I added a small condition: during the operation, adjust the patient because of this scar. resulting in facial wrinkles."
There was an uproar in the classroom of the whole store.
"Do you want to remove wrinkles for this patient?!"
"It's unreasonable! If Dr. Nie is allowed to do this, wouldn't it be ruining the jobs of other doctors?!"
"I think that Dr. Nie Chen, who is also in his early 20s like us, has become famous in a short period of time in the deep city in the inland where the environment is extremely harsh. With Professor Ma Dongqing's investment, his ability must be far beyond our imagination."
"To be honest, when Dr. Nie mentioned the two requirements of the patient, I think it is impossible for any doctor who deals with this aspect of the disease to meet this requirement. But when he proposed to treat the patient's wrinkles After eliminating it, I am looking forward to Dr. Nie's operation!"
"Yeah, yeah, I thought he wouldn't dare to take this operation, but he dared to overweight! This is simply unreasonable, hahahaha."
In the boiling classroom, even the quiet Professor Yang Haikun was overjoyed.
He looked at Nie Chen who was writing the operation plan on the blackboard, and did not continue to preside over the chaos in the classroom.
"The second key point of the surgical case: Excision of the sentinel vascular lesion that has already produced vascular malformation. After resection, the blood vessel is sutured with mattress type, and the blood vessel is deeply buried in the flap under the surgical field to restore the blood vessel. .”
Nie Chen scribbled down the second most critical surgery plan on the blackboard.
After he finished writing this article.
The electronic classroom, which was still a little chaotic, automatically stopped the discussion.
Standing in front, a Hong Kong medical student who met Nie Chen at the medical exchange meeting last week, stood up and asked Nie Chen:
"Doctor Nie! As we all know, vascular malformations and vascular lesions are equivalent to terminal illnesses, which cannot be cured! The more the lesion is excised, the faster the recurrence will be. Why did Dr. Nie choose to treat this patient for vascular lesions?" What about surgical resection?"
"Because, the vascular malformation experimental team jointly conducted by the Aihua Clinic and the Provincial Medical Research Institute has made great progress, and has a vascular treatment system plan unique to the Aihua Clinic."
Nie Chen held the chalk in his hand.
Looking at each other with the medical student, he said calmly, "I chose to remove this vessel because I have enough confidence to ensure that the vessel will no longer be deformed."
As soon as Nie Chen said these words.
Not only the medical students in the electronic classroom, but even the teachers of the medical school who sat in the back row of the electronic classroom and silently observed Nie Chen's public consultation began to discuss with a buzz.
As old professors and mentors, they know better how difficult and stubborn vascular diseases and vascular malformations are in vascular surgery!
And here, Nie Chen actually announced that the joint project between Aihua Outpatient Clinic and the Provincial Medical Research Institute has overcome this problem.
This is simply world-wide medical news!
"Arrogance! Even in the field of vascular malformations, the most authoritative Boston Medical College in the United States, Professor Mulliken, the leader of the expert team, would never dare to say such wild words to Dr. Nie, saying that he has mastered the recurrence of vascular malformations. The criticality!"
"Yes, for the recurrence of vascular malformations and vascular lesions, it is not because the technology is not good enough, or the resection method is not good. It is because there is no targeted drug that can target vascular lesions! Dr. Nie's technology we have seen in patient photos In comparison, we know that it can be called the top in the world, but it is too radical to speak out in this respect, and it is inferior."
"Quiet."
When all the teachers and students began to discuss and question Nie Chen's certainty that his operation plan would prevent recurrence, Professor Yang Haikun, who maintained the order at the scene, shouted again and pressed his hands down.
His eyes scanned the audience, "I can testify that Dr. Nie said that because he has biotechnology for vascular recurrence."
Say this to Professor Yang Haikun.
Everyone in the electronic classroom of the Hong Kong Island Medical School who had doubts and disbelief suddenly showed surprise on their faces.
How can this be?
If a young man has mastered extremely advanced and difficult-to-master techniques, it can be said that he is extremely talented.
But to say that at this age, he has already mastered a certain biotechnology that requires systematic research and development and a large number of repeated experiments, this is simply a fantasy.
However, Professor Yang Haikun in the Hong Kong Island School of Medicine has never been sloppy in his life and work.
Even the dean of a medical school from England is the one who treats colleagues the most harshly on students.
For Professor Yang Haikun, who was born and bred on Hong Kong Island, he couldn't fault him.
Therefore, Professor Yang Haikun is willing to endorse this fantasy-sounding case in this public place.
It's unimaginable!
"Surgery is not a one-off deal, and it's not that the sutures are completed and can be ignored."
Nie Chen held the chalk in his hand, smiled and looked at everyone in the electronic classroom who looked unconvinced.
This is just an academic and conceptual collision. As far as Nie Chen is concerned, it can be said that it has been a long time.
Moreover, in this atmosphere, Nie Chen could also feel that his peers had completely different entry points, starting points, and ideas on the same issue.
It can be said like this.
All the knowledge and ideas I currently have are established ideas that have been accumulated and formed after 30 years of continuous hammering.
At the same time, regarding various knowledge and technologies, because of the particularity of rebirth, they are firmly engraved in my mind like a book and can be recalled at any time.
If not, I would not be able to call out the details of various patients and papers from my mind at will.
At this time, the process of spiritual collision and communication with peer medical students who have completely different starting points from their thinking is so wonderful.
Nie Chen did not respond to the question at the scene, but turned around and continued to write the content of the case on the blackboard:
"Double-layer cortical graft suturing, the suture method is interrupted mattress suture, and the suture line is absorbable biological thread."
Nie Chen wrote down this suture case.
The scene was not as big a reaction as he had written about performing vascular resection for vascular malformations.
After all, in the medical exchange conference held in Shencheng International Trade Building last week, the most important exchange was Nie Chen's amazing skills, which belonged to the suture method of Aihua Clinic's patented technology.
It is also because Nie Chen is unique in East Asia in stitching.
That's why at the beginning, Professor Yang Haikun from the Hong Kong Island School of Medicine was astonished and willing to hold last week's medical exchange meeting for him.
After the medical exchange meeting last week, Professor Yang Haikun and the medical students brought back the suture technical materials of Aihua Clinic and the comparison photos before and after the patented suture performed by Aihua Clinic.
For example, photos of Zhong Lanlan, Lin Qingya, and Liu Hongxia who had undergone surgery not long ago.
Nie Chen wrote down the last procedure of the operation on the blackboard, which is still a shocking double-layer suture, and it is still the interrupted mattress suture method.
Not a single medical student questioned him in this field where Nie Chen already dominated.
"This is the main point of our operation. I estimate that the entire operation will take one and a half hours. Let's have a meal now to replenish energy. The operation will start at about 12:30."
Nie Chen put down the pointer and chalk in his hand, patted the chalk dust in his hand, and ended this public consultation lightly.
As for the angiogram he hung on the reader next to the blackboard.
Nie Chen doesn't need to explain the return route of each blood vessel in incomparable detail like he did in the Aihua Clinic with Li Dayong and others for expert consultation.
After all, this vascular image is already an advanced technology, and the fact that CT can be displayed in the reader at this time has proven that Nie Chen Post is unique in other hospitals and doctors' reading technology.
And Nie Chen didn't want to give an in-depth explanation on how to contrast vascular CT images and how to judge the high flow rate and low flow rate of vessels in this public place.
(End of this chapter)
"The patient's request has two points: one, to remove the scar at one time, and two, the healing effect can not see the suture marks."
With the pointer in Nie Chen's hand, he clicked on the photo on the third color page, and said with a smile, "I don't ask much, just these two points."
"Let me go, is this not too demanding? This requirement is simply outrageous, okay!"
All the medical students at the scene, whether they supported Nie Chen before or felt that Nie Chen's vision was too shallow to perform such a high-risk operation.
At this moment, it was boiling and clamoring at the same time.
joke.
For such a long scar excision, according to previous surgical requirements, once such an irregular scar is to be transplanted with a flap, the most suitable length at one time is no more than five centimeters.
This patient's scars spanned four different blood vessel networks, from the nasolabial folds at the corners of the mouth to the temples at the corners of the eyes.
And the overall length has exceeded twelve centimeters.
What's even more frightening is that there are three huge bending deformations in the middle.
Such an operation actually requires one-time excision of the scar and one-time suturing!
The risk factor is more than one level higher than previously imagined.
That's all.
After all, the risk of any operation is not to consider the final cosmetic effect.
Instead, consider whether the functional recovery and blood supply are normal, and whether the indicators have reached the normal level.
Any medical student who is willing to stand in the electronic classroom of the Hong Kong Island Medical School at eleven o'clock in the morning during the break on Saturday to listen to a consultation with a young doctor from the Mainland who has recently gained fame, they are all students The best of them.
As the saying goes, the more you understand, the more you know what Nie Chen said just now, how difficult it is to suture such a scar to restore its functionality.
However, this is only the first condition put forward by the patient.
And the second condition.
After the recovery, the scars can hardly be seen. This condition is an impossible task for everyone present, including the professors and tutors of the medical school who secretly came to observe.
So after Nie Chen stated this condition, it immediately detonated the atmosphere of the scene like a bomb.
"Impossible Doctor Nie! I suspect that you are not consulting us, but telling us stories."
"That's right! It is necessary to restore a skin flap that is more than twelve centimeters in length, with irregular lines and multiple changes in direction, and finally show a suture effect without scars... Just kidding, there is no one in this world. Doctors can do it!"
"Okay, everyone don't need to get too excited. Dr. Nie hasn't mentioned his operation plan yet! If he said such a condition and he can't do it, then why are you so excited?"
"Quiet."
Professor Yang Haikun, who was standing beside the podium, once again stretched out his hands to press down on the boiling electric classroom medical students.
After a while, order was restored to the noisy scene.
Nie Chen stood on the podium with a relaxed smile.
This feeling is really good.
Since rebirth, it can be said that I have basically been fixed around the Aihua Clinic in Shencheng.
Although the body of this sentence has just walked out of Huacheng Medical College, Nie Chen, who came here with the memories of his previous life, has decades of experience and memories of the students in the medical school.
Therefore, even if Nie Chen faced Lin Ronghua and Liu Yueqian who were his peers, Zhang Xiuxiu and Huang Chuyu who came out of the health school, and Dai Chunni and Dai Erni who came out of nursing majors, they still had a kind of old-fashionedness that was completely different from them.
After all, in Aihua Clinic, the home field of his own, controlling everything and making a stable and stable judgment on the optimal solution is the best way for himself and the clinic to go deep into the city.
At this moment, I suddenly stood in the eyes of my peers, in the atmosphere of the same way of thinking and brain circuits as my peers.
This kind of wonderful and peculiar environmental range made Nie Chen, who thought his memory was dusty, immediately awakened the physical memory that should belong to the age of 21, and an uncontrollable refreshment revived in his heart.
"I certainly agree unconditionally to the two conditions put forward by the patient."
Nie Chen quickly wrote down the first item of his operation plan on the blackboard:
[Precise debridement of scar excision after five years of healing. 】
After writing the debridement effect of this anatomical requirement.
Nie Chen stayed on the last word, and said to all the medical students present with a provocative look:
"The essence of the whole operation lies in the excision and debridement of this area. Therefore, on the basis of the two requirements I put forward for this patient, I added a small condition: during the operation, adjust the patient because of this scar. resulting in facial wrinkles."
There was an uproar in the classroom of the whole store.
"Do you want to remove wrinkles for this patient?!"
"It's unreasonable! If Dr. Nie is allowed to do this, wouldn't it be ruining the jobs of other doctors?!"
"I think that Dr. Nie Chen, who is also in his early 20s like us, has become famous in a short period of time in the deep city in the inland where the environment is extremely harsh. With Professor Ma Dongqing's investment, his ability must be far beyond our imagination."
"To be honest, when Dr. Nie mentioned the two requirements of the patient, I think it is impossible for any doctor who deals with this aspect of the disease to meet this requirement. But when he proposed to treat the patient's wrinkles After eliminating it, I am looking forward to Dr. Nie's operation!"
"Yeah, yeah, I thought he wouldn't dare to take this operation, but he dared to overweight! This is simply unreasonable, hahahaha."
In the boiling classroom, even the quiet Professor Yang Haikun was overjoyed.
He looked at Nie Chen who was writing the operation plan on the blackboard, and did not continue to preside over the chaos in the classroom.
"The second key point of the surgical case: Excision of the sentinel vascular lesion that has already produced vascular malformation. After resection, the blood vessel is sutured with mattress type, and the blood vessel is deeply buried in the flap under the surgical field to restore the blood vessel. .”
Nie Chen scribbled down the second most critical surgery plan on the blackboard.
After he finished writing this article.
The electronic classroom, which was still a little chaotic, automatically stopped the discussion.
Standing in front, a Hong Kong medical student who met Nie Chen at the medical exchange meeting last week, stood up and asked Nie Chen:
"Doctor Nie! As we all know, vascular malformations and vascular lesions are equivalent to terminal illnesses, which cannot be cured! The more the lesion is excised, the faster the recurrence will be. Why did Dr. Nie choose to treat this patient for vascular lesions?" What about surgical resection?"
"Because, the vascular malformation experimental team jointly conducted by the Aihua Clinic and the Provincial Medical Research Institute has made great progress, and has a vascular treatment system plan unique to the Aihua Clinic."
Nie Chen held the chalk in his hand.
Looking at each other with the medical student, he said calmly, "I chose to remove this vessel because I have enough confidence to ensure that the vessel will no longer be deformed."
As soon as Nie Chen said these words.
Not only the medical students in the electronic classroom, but even the teachers of the medical school who sat in the back row of the electronic classroom and silently observed Nie Chen's public consultation began to discuss with a buzz.
As old professors and mentors, they know better how difficult and stubborn vascular diseases and vascular malformations are in vascular surgery!
And here, Nie Chen actually announced that the joint project between Aihua Outpatient Clinic and the Provincial Medical Research Institute has overcome this problem.
This is simply world-wide medical news!
"Arrogance! Even in the field of vascular malformations, the most authoritative Boston Medical College in the United States, Professor Mulliken, the leader of the expert team, would never dare to say such wild words to Dr. Nie, saying that he has mastered the recurrence of vascular malformations. The criticality!"
"Yes, for the recurrence of vascular malformations and vascular lesions, it is not because the technology is not good enough, or the resection method is not good. It is because there is no targeted drug that can target vascular lesions! Dr. Nie's technology we have seen in patient photos In comparison, we know that it can be called the top in the world, but it is too radical to speak out in this respect, and it is inferior."
"Quiet."
When all the teachers and students began to discuss and question Nie Chen's certainty that his operation plan would prevent recurrence, Professor Yang Haikun, who maintained the order at the scene, shouted again and pressed his hands down.
His eyes scanned the audience, "I can testify that Dr. Nie said that because he has biotechnology for vascular recurrence."
Say this to Professor Yang Haikun.
Everyone in the electronic classroom of the Hong Kong Island Medical School who had doubts and disbelief suddenly showed surprise on their faces.
How can this be?
If a young man has mastered extremely advanced and difficult-to-master techniques, it can be said that he is extremely talented.
But to say that at this age, he has already mastered a certain biotechnology that requires systematic research and development and a large number of repeated experiments, this is simply a fantasy.
However, Professor Yang Haikun in the Hong Kong Island School of Medicine has never been sloppy in his life and work.
Even the dean of a medical school from England is the one who treats colleagues the most harshly on students.
For Professor Yang Haikun, who was born and bred on Hong Kong Island, he couldn't fault him.
Therefore, Professor Yang Haikun is willing to endorse this fantasy-sounding case in this public place.
It's unimaginable!
"Surgery is not a one-off deal, and it's not that the sutures are completed and can be ignored."
Nie Chen held the chalk in his hand, smiled and looked at everyone in the electronic classroom who looked unconvinced.
This is just an academic and conceptual collision. As far as Nie Chen is concerned, it can be said that it has been a long time.
Moreover, in this atmosphere, Nie Chen could also feel that his peers had completely different entry points, starting points, and ideas on the same issue.
It can be said like this.
All the knowledge and ideas I currently have are established ideas that have been accumulated and formed after 30 years of continuous hammering.
At the same time, regarding various knowledge and technologies, because of the particularity of rebirth, they are firmly engraved in my mind like a book and can be recalled at any time.
If not, I would not be able to call out the details of various patients and papers from my mind at will.
At this time, the process of spiritual collision and communication with peer medical students who have completely different starting points from their thinking is so wonderful.
Nie Chen did not respond to the question at the scene, but turned around and continued to write the content of the case on the blackboard:
"Double-layer cortical graft suturing, the suture method is interrupted mattress suture, and the suture line is absorbable biological thread."
Nie Chen wrote down this suture case.
The scene was not as big a reaction as he had written about performing vascular resection for vascular malformations.
After all, in the medical exchange conference held in Shencheng International Trade Building last week, the most important exchange was Nie Chen's amazing skills, which belonged to the suture method of Aihua Clinic's patented technology.
It is also because Nie Chen is unique in East Asia in stitching.
That's why at the beginning, Professor Yang Haikun from the Hong Kong Island School of Medicine was astonished and willing to hold last week's medical exchange meeting for him.
After the medical exchange meeting last week, Professor Yang Haikun and the medical students brought back the suture technical materials of Aihua Clinic and the comparison photos before and after the patented suture performed by Aihua Clinic.
For example, photos of Zhong Lanlan, Lin Qingya, and Liu Hongxia who had undergone surgery not long ago.
Nie Chen wrote down the last procedure of the operation on the blackboard, which is still a shocking double-layer suture, and it is still the interrupted mattress suture method.
Not a single medical student questioned him in this field where Nie Chen already dominated.
"This is the main point of our operation. I estimate that the entire operation will take one and a half hours. Let's have a meal now to replenish energy. The operation will start at about 12:30."
Nie Chen put down the pointer and chalk in his hand, patted the chalk dust in his hand, and ended this public consultation lightly.
As for the angiogram he hung on the reader next to the blackboard.
Nie Chen doesn't need to explain the return route of each blood vessel in incomparable detail like he did in the Aihua Clinic with Li Dayong and others for expert consultation.
After all, this vascular image is already an advanced technology, and the fact that CT can be displayed in the reader at this time has proven that Nie Chen Post is unique in other hospitals and doctors' reading technology.
And Nie Chen didn't want to give an in-depth explanation on how to contrast vascular CT images and how to judge the high flow rate and low flow rate of vessels in this public place.
(End of this chapter)
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