Rebirth 90: I opened a hospital in Shencheng

Chapter 289 Consultation and Teaching Guidance!

"Do the three of you disagree?"

After Li Dayong proposed that Jiang Yingzi's vascular CT images showed that the melanin vessels were in critical condition.

Nie Chen looked at Song Dongyang, Lin Ronghua, and Liu Yueqian with an expressionless face and cold eyes.

But his gaze was locked on the delicate face of Liu Yueqian, the theory master of Aihua Outpatient Clinic.

If Song Dongyang couldn't answer this question or make a judgment, Nie Chen wouldn't be harsh on him.

After all, during the week that Song Dongyang officially came to the clinic, it can be said that he spent all his time on suturing pig trotters and using practical clinical techniques for surgery.

In addition, Song Dongyang has forcibly abandoned the habitual suturing and diagnostic thinking that he has been accustomed to since he started medicine, and can seamlessly integrate into the different clinical techniques and diagnostic thinking of Aihua Clinic. This alone is very rare.

Lin Ronghua and Liu Yueqian were different.

The main task of the two of them coming to Aihua Clinic is the experimental project of vascular malformation and vascular tumors.

The core theory of this pilot project is the diagnostic methods for high and low vascular flow rates given in the review paper Nie Chen gave previously: "Vascular Diseases, Hemangiomas and Vascular Malformations".

So the various techniques that Nie Chen gave them for training and internship were also based on vascular malformations and vascular tumors.

Then, the vascular tumor is born with melanin at the same time, how to judge whether it is benign or malignant, and how to judge it on the CT image.

This is the core of the whole operation.

It is also related to the diagnosis of whether this operation can be performed.

"Professor Li's statement is not correct."

Liu Yueqian raised the hero pen in her hand.

She clicked the pen in her hand on the reader. A small group had formed on the CT image of Jiang Yingzi's blood vessels, located at the position of the upper eyelid blood vessels. "Our outpatient clinic has made preoperative preparations for Jiang Yingzi for a week. Her melanin It is very different from malignant melanoma skin cancer in foreign countries. Moreover, we did a week of rapamycin drug rejection and applied targeted drug treatment to her melanin area for a week. The effect was better but not better.
As the deputy director of the Huacheng Medical Research Institute, Li Dayong specializes in the field of blood vessels, and was refuted by Liu Yueqian at this time.

Shaken in his confidence, he looked at Nie Chen who was standing next to the film reader.

However, there was no expression on Nie Chen's face, and it was impossible to tell whether he agreed or not with Liu Yueqian's statement.

In fact, during this period of time, Li Dayong also worked very hard to enrich himself with knowledge every day.

Almost a month ago, when Nie Chen presented a review paper on vascular malformations that made Li Dayong and the entire Provincial Medical Research Institute go crazy.

And it gives the groundbreaking, how to diagnose benign, malignant, high flow rate, low flow rate diagnostic methods of vascular malformations.

Li Dayong has a certain understanding and in-depth research on the textbook-like diagnostic thinking and diagnostic approach given by Nie Chen.

However, Li Dayong is now 52 years old.

Even if he maintains enough curiosity, he can mentally accept all kinds of novel and avant-garde surgical methods given by Nie Chen.

But his body can no longer keep up with the huge amount of new knowledge updates.

Therefore, even this week, when Jiang Yingzi was preparing for pre-operative testing, Li Dayong was also involved.

For various experimental data, Li Dayong also recorded it together, and also discussed it with Lin Ronghua and Liu Yueqian.

But in the end, in front of the film reader, an independent diagnosis was made based on Jiang Yingzi's latest vascular CT image.

Li Dayong still couldn't change his traditional diagnostic thinking. Since the melanin in Jiang Ying's posture had concentrated in the tumor of the upper eyelid blood vessels, he thought it was a sign of deterioration of the melanin, and thus warned that the operation could not be continued.

This is Li Dayong's decades of inertial experience as a doctor, which drives him to make such a diagnosis.

After Liu Yueqian refuted the diagnosis in front of her, Li Dayong felt as if he had just woken up from a dream.

You should move your inertial diagnostic thinking closer to the diagnostic method given by Nie Chen for diagnosing high flow rate and low flow rate.

pat.

Liu Yueqian, who was as agile as a big cat, took the initiative to open another film reader, and then hung up the vascular CT image film of Jiang Yingzi a week ago, that is, before the preoperative preparation for the rejection of targeted drugs.

"Comparing the film before and after a week, judging from the accumulation of melanin, the melanin has not spread, and the drug effect of this week has gathered all these pigments into this tumor."

Liu Yueqian, who is not tall and well-proportioned, pointed to the subtle changes of the upper eyelid vascular tumor in the same place last week and this week with the pen in her hand. Producing rapid spread, even if the melanin may be a recessive malignant tumor, it is still a benign tumor that can be resected and treated with rapamycin at present."

quack quack quack.

Following Nie Chen's light clapping, everyone in the consultation room applauded Liu Yueqian's confident diagnosis.

Under the bright light of the chandelier in the consultation room, Liu Yueqian's clean, confident and charming face smiled brightly: "Thank you everyone, I am just citing several examples from several practical clinical papers on vascular malformations given by Dr. Nie. Compared with the case given by Dr. Nie, Jiang Yingzi's situation is not an isolated case."

"Miss Jiang, let's go to the operating room for pre-operative skin preparation."

Today the nurses in the operating room are Dai Erni and trainee nurse Huang Jinfeng.

The nurses on duty in the operating room and Tongzilou compound are Dai Chunni, Dai Erni, and three intern nurses who came to Aihua Clinic with letters of introduction from different medical institutions: Qin Qianqian, Li Lini, and Huang Jinfeng.

Jiang Yingzi and her mother, Li Xiyue, already knew about their operation today, and their Wanwan film crew set up a camera here to film the operation process.

Jiang Yingzi, who was mentally prepared, felt a little excited about the surgery being shown in the camera.

Jiang Yingzi, who has the air of an intellectual lady on her body, held her mother Li Xiyue's hand before entering the operating room: "Mom, please ask Dr. Nie if you can also go through the operation with me in the operating room, so Important moment, mom, you must be with me..."

Li Xiyue replied repeatedly: "I will ask Xiao Liu to ask Dr. Nie. Dr. Nie is such a good person, he should be able to breathe."

Sitting next to the cash register next to the consultation room, Chen Chunmei who was counting and copying could not help curling her lips when she heard what Jiang Yingzi's mother Li Xiyue said.

Since the opening of Aihua Clinic, family members have never been allowed to accompany them into the operating room to observe operations.

In the case of Li Xiyue, since the film crew was allowed to shoot in the observation room, of course Li Xiyue could enter the observation room.

But if you want to enter the operating room, don't even think about it.

"Is the anesthesia allowance for an operation between fifty and one hundred yuan?"

Wu Shaotao, Lin Jianjie, and Wei Ting from the military hospital were when Song Dongyang went to the operating room in advance to give the patient anesthesia.

After inquiring that Song Dongyang could get the anesthesia subsidy for this operation in addition to the subsidy of 50 yuan to [-] yuan as a first aid, the three of them were jealous at the same time.

The addition of two allowances for one operation is equivalent to half a month's salary of a chief physician!

"Not to mention fifty to one hundred yuan... My dad is an anesthesiologist in the Armed Police Hospital, and the allowance for an anesthesia operation is two yuan..."

Wei Ting was stunned for a while, then said so.

Wu Shaotao glanced at Wei Ting: "Didn't you, Wei, say that you have occupational anesthesia when you were studying the case of Ms. Jiang's operation last night? Are you interested in Dr. Song's position as an anesthesiologist?"

"We are shooting in the way of a documentary, to be true! The camera is moving in parallel on this track, and at most it is raised and lowered by hand. Please rest assured, Dr. Nie, there will be no lights! The camera has been randomly placed. All the small lights I carried were turned off, and I also turned off all the two indicator lights, so as not to affect the light reflection in our operating room."

Before the operation, Nie Chen first entered the observation room to check the preparations of Xinde Pharmaceutical and the Wanwan filming team, and solemnly reminded them of the requirement that no lighting be used in the observation room.

When Nie Chen was operating in the student operating room of Queen Mary Hospital, he found that the mirror glass separating the observation room from the operating room at Queen Mary Hospital could block the light from the observation room, but there was a large mirror in the operating room. However, for Nie Chen, who is the chief surgeon in the operating room, it will still affect his concentration and vision during the operation.

Therefore, Nie Chen only required tempered glass with high enough purity for the glass that separates the operating room and observation room at Aihua Clinic.

The light in the observation room is kept dim, so it will not affect any operations under the shadowless lamp on the operating table.

(End of this chapter)