Back in 2002 as a doctor
Page 113
The words were very simple and relaxed, and Li Qinghua knew it too.
But... when it fell on me, it was like the top of Mount Tai.Cutting the lung lobe... Li Qinghua almost cried when he thought of the result.
"Don't worry too much. Many cancer patients scare themselves to death." Director Zhu said, "After seeing so many, why do you still scare yourself? Find time to go through the hospitalization procedures, and hurry up for surgery. Don't worry, I From the opening of the skin to the last hand-in-hand."
"Thank you, Master." The warm smile on Li Qinghua's face disappeared, and he said almost mournfully.
"It's very important to adjust your mentality." After Zhu Zhu finished speaking, he turned and left.
Li Qinghua knew that he had to have an operation, and he was very nervous.
When Lu Tiancheng saw that Director Zhu had left, he walked in and asked, "Qinghua, what do you think?"
"Surgery." Li Qinghua murmured.
"Qinghua, are you going to let Master do it?" Lu Tiancheng asked in a low voice that only two people could hear.
"Huh?" Li Qinghua was startled for a moment.
Ever since he knew that he had small nodules on his lungs, he was in a state of bewilderment. He was not as exquisite as before, and there were many things he didn't expect.
What Lu Tiancheng said reminded Li Qinghua.
Since the lung lobes had to be cut, the large knife would cause huge damage. Li Qinghua's scalp felt a little numb at the thought of the 20cm surgical incision.
Li Qinghua knew what Lu Tiancheng meant - thoracoscopy!
At the last academic conference, both Pan Cheng and Chen Houkun demonstrated the feasibility of thoracoscopic lung lobe resection.
Since damage cannot be avoided, one must choose a method with low damage.
but……
Director Zhu has already said that he will perform the operation on himself, from beginning to end, even tie the knot by himself.
From a doctor's perspective, Li Qinghua is very clear about Director Zhu's intentions.
Now the director does not open the skin or suture during the operation, and just washes it off.Being able to do it from the beginning to the end can be said to be the treatment that only he can have.
Is that really the case?Li Qinghua didn't know.
With the name of the prince of cardiothoracic surgery, he and Director Zhu are regarded as mentors and apprentices, but Director Zhu never let himself do a single cardiac surgery.
Dabing drew one after another, but when it was the turn of the operation, he didn't say anything. He was already the chief physician, but he hadn't even done the simplest patent ductus arteriosus!
But the concern just now is not fake.
Li Qinghua's mind turned back and forth, and he was a little dazed for a while.
Lu Tiancheng didn't tell the truth, he just sighed, "Xiao Wu is going to the provincial capital for laparoscopic surgery, I just finished chatting with him."
Xiao Wu is another doctor who found something wrong. Is he going to the provincial capital?Li Qinghua's eyes went straight, his mind went blank.
"Qinghua, take it easy, it's okay." Lu Tiancheng patted Li Qinghua's shoulder, seeing that he had lost his former demeanor, a pang of sadness welled up in his heart.
The specific choice is up to Li Qinghua himself.
Li Qinghua was silent for a long time, he had no intention of going to work, changed his clothes and left the hospital silently.
He didn't go home either. The child was still young and his parents were still alive. Every time he thought of the old man, he was even more afraid of death.
He found a random place to sit down, and Li Qinghua silently watched the people coming and going, and he didn't have any thoughts in his mind, he just wanted to be quiet.
"Ring, ring, ring~" The phone rang, interrupting Li Qinghua's thoughts.
Picking up the phone and taking a look, it turned out to be Zhou Congwen calling.
Li Qinghua's mind was clear, and he looked at the words "Zhou Congwen" on the screen of his phone in confusion when he recalled the last meal.
Professor Chen's surgery was performed by Zhou Congwen. If he chooses to go to the Medical University for surgery, will he drag Zhou Congwen along?
Chapter 0194 Changing Life
"Congwen, are you looking for me?" Li Qinghua answered the phone and asked nonsense absent-mindedly.
His mind is all on his little nodules, and his whole person is particularly bad.
"I heard that the results of the physical examination are out." Zhou Congwen didn't exchange pleasantries, and went straight to the topic, "Let's have a meal together."
"Eat...forget it, I'm not in the mood. Congwen, I'm not feeling well right now, give me some time." Li Qinghua said dejectedly.
"What I want to talk about is your illness. Don't worry, it's fine." Zhou Congwen said, "You're already in a daze. Let's meet and I'll break it apart and talk about it for you."
Li Qinghua was stunned for a moment, Zhou Congwen didn't speak like a little doctor or a friend, but rather like Director Zhu talking to him that he couldn't refuse.
With a wry smile on his face, Li Qinghua sighed, "Okay, it's still the place where we ate last time."
After hanging up the phone, Li Qinghua was a little dazed.
On the one hand, he was doing surgery, on the other hand he was conservative; on the other hand, he asked the master to do it for himself, and on the other hand, he went to the provincial capital to find Chen Houkun.
He doesn't seem to be reconciled to any choice.
Not only the tumor, but the accumulation over the years also made it difficult for him to give up.Once he refused Director Zhu's kindness and went to the provincial capital to find Professor Chen, he knew exactly what it meant.
He was the crown prince of the thoracic surgery department who was fine yesterday, but today he has to face the choice of life and death.It seems a little too much to say life and death, but Li Qinghua really believes that he is already standing on the verge of life and death.
What exactly is Zhou Congwen looking for?It may be to persuade myself to go to the provincial capital for surgery.
His thoracoscopic surgery was really good, otherwise Chen Houkun would not have been looking for Zhou Congwen as his assistant.
It is good to be talented. Li Qinghua always thought that he belonged to the kind of person with talent, but he didn't know what real talent was until he met Zhou Congwen.
Thinking of Zhou Congwen and thoracoscopic surgery, Li Qinghua guessed that Zhou Congwen wanted to persuade himself to do laparoscopic surgery.
But it's not easy to go to the provincial capital for surgery.
I just rejected Master's kindness like this?If you go to the provincial capital, you will hit Master in the face in front of everyone.
Even the apprentice thinks that his surgery is not good, will the master be angry?How will the relationship be in the future?
Whether to have an operation or not, and who to find for the operation are big problems. Li Qinghua was worried for a long time, and then went to the restaurant when he saw that the time was coming.
Sitting in the single room in a daze, Zhou walked in from Wen Push the door after a few minutes.
"Congwen, here we come." Li Qinghua raised his head indifferently and said a word.
Zhou Congwen saw that his face was ashen and choked, and he didn't even stand up. The image of the gentle and jade-like prince was too different. Knowing that he was conflicted, he smiled.
He didn't sit next to Li Qinghua, but walked directly across the table and sat down.
"Qinghua, I know all about your situation, what do you think?" Zhou Congwen asked straight to the point.
"I don't know." Li Qinghua shook his head.
"I'll tell you something, you can see if it works."
Li Qinghua looked at Zhou Congwen's face and smiled wryly.Like Lu Tiancheng, he must have suggested that he go to the provincial capital for surgery, a laparoscopic surgery.
"I don't know if you have enough connections, and if you can transfer to the Third Academy."
"..." Li Qinghua was a little confused when he heard what Zhou Congwen said.
What's going on with me, why are you still thinking about changing jobs?
Besides, the hospital with the highest level of medical treatment in the city is the People's Hospital. Although I have some troubles, but in the eyes of outsiders, I am going smoothly and smoothly, and I am waiting to take over from Director Zhu's class.
In an industry with a huge head advantage like medical care, if the director of cardiothoracic surgery at the People's Hospital quits and goes to a small hospital, what is Zhou Congwen thinking? !
Added insult to injury?
Fan the flames?
Or laugh at yourself?
No!
Li Qinghua's face was full of black lines, and his head was full of question marks.
"Let's start from the beginning." Zhou Congwen smiled slightly, turning the disposable lighter with his left hand, but instead of lighting a cigarette, he looked into Li Qinghua's eyes and said lightly, "I asked the people in your CT room to look at the film. I think it is a precancerous lesion. , if you don’t do it, it will turn into early squamous cell carcinoma in a few months.”
A thunder fell on Li Qinghua's head.
"If you do it now, the operation is almost equal to recovery. I can basically confirm this. If there is an accident, it is equivalent to buying a lottery and winning the lottery. I will not consider it for the time being."
"..."
"I suggest to ask Chen Houkun to do the surgery instead of Zhu Jun. But instead of going to the provincial capital, come to the Third Hospital."
"..."
"Qinghua, you are still struggling with the issue of sunk costs." Zhou Congwen smiled slightly, revealing the entanglement in Li Qinghua's heart.
"Sunk cost?" Li Qinghua was taken aback, he had never heard of this word.
But sunk cost is not a difficult word to understand, and Li Qinghua instantly understood what Zhou Congwen meant.
"Since graduation, you have spent your hard work on Director Zhu. The prince of cardiothoracic surgery at the People's Hospital, hehe, so majestic."
Li Qinghua was sullen, looking into Zhou Congwen's eyes, not knowing what he was going to say.
"Let's put it this way, do you think Zhu Jun will let you undergo cardiac surgery? As far as I know, you haven't even had a patent ductus arteriosus." Zhou Congwen said lightly.
"So what? Master is tempering my character." Facing Zhou Congwen's "provocation", the anger in Li Qinghua's heart was aroused. I do all the surgery."
Zhou Congwen looked at Li Qinghua opposite and smiled slightly.
In the last life, although I had a poor life, the circle of cardiothoracic surgery was not big, and I had heard about this prince.
After discovering the space-occupying lesions in the lungs, the other two doctors refused to operate at the People's Hospital and chose thoracoscopic surgery.But the prince asked Zhu Jun to perform a lobectomy on him.
It can be said that the prince of thoracic surgery in front of him is loyal and humble to the dust, but what happened?
Until Zhu Jun retired, Li Qinghua had never performed a single cardiothoracic surgery.As Zhou Congwen said, he didn't even have a patent ductus arteriosus.
The one who went to study in Japan came back and directly took over Xinwai. The prince sank to the bottom of the sea after Zhu Jun retired.
But he has the ability, Zhu Jun is not the only one who has accumulated over the years. Li Qinghua made friends with an academician during a certain meeting.
A few years later, the academician went to manage the intensive care unit of an American-funded hospital in Shanghai, and he resigned directly to join that academician.
The income of the American-funded hospital in Shanghai is very high, and Li Qinghua's life is not bad.
But this result is completely different from Li Qinghua's imagination, so I won't mention it later.
Zhou Congwen always wanted to do one thing—to bring Li Qinghua to the Third Hospital, to change the life of the prince, and to change Wang Chengfa's life as well.
"Qinghua, you have seen what I did in the Third Hospital. Those old people are all in the same way. It is hard to get them to undergo surgery. Every old person wants to return to employment after retirement, and how many times can they be powerful? Year."
Chapter 0195 Changing Life
Li Qinghua was silent.
How could he not know what Master thought.
It's just that he has invested too much in these years, so that denying it completely is equivalent to denying his first half of his life, and he can't do it no matter what.
This requires a ruthless heart. Li Qinghua is currently troubled internally and externally, and his mind is full of mud.
"Did you participate in the last meeting in the provincial capital?" Zhou Congwen asked.
Zhou Congwen's thoughts were jumping, and Li Qinghua couldn't keep up for a while. After a few seconds, he said in a deep voice, "I have participated. I know that Professor Chen's laparoscopic surgery is suitable for you. The surgery is very good, very good."
"Yeah." Zhou Congwen smiled faintly, "You should have seen the two-shot method, and even the one-shot method."
Li Qinghua nodded.
"That's not the point. I think your surgery can be performed by wedge resection instead of lung lobectomy." Zhou Congwen said lightly.
His voice was very soft, but to Li Qinghua's ears, it was like thunder on the ground, and he was stunned.
Wedge cutting refers to retaining the lung lobe, only cutting a triangle, and cutting off the tumor or small nodule.
If a wedge cut is performed, the postoperative lung function will not be affected, and the difference between the wedge cut and the leaf cut is like a cloud.
But... is it really possible?Li Qinghua was stunned by Zhou Congwen's words and fell into a daze.
"Let's talk about technical things first." Zhou Congwen smiled slightly, "Now the mainstream view is that ground glass nodules are discovered for the first time. As long as the size is not too large and the density is not too high, it can actually be followed up for a period of time."
"But the small nodules in the upper lobe of your left lung are 8mm in size and the density is not low. Since you are a doctor, I suggest cutting them off directly."
The last sentence was a bit abrupt, Li Qinghua was taken aback for a moment, but then he understood what Zhou Congwen meant.
As a doctor himself, Zhou Congwen was afraid that he would think wildly every day.
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