Back in 2002 as a doctor
Page 900
Chapter 1545 The Waywardness of the Elderly
The "surgery" ended in only ten minutes, which was quite fast. The patient was under local anesthesia, with basically no side injuries, and no episode of acute pancreatitis during the operation.
Everything went so smoothly, it went so smoothly that it was eye-popping.Because of this, everyone was a little at a loss.
But the Shuai Mansion has the rules of the Shuai Mansion. After the treatment is over, those who should be dismissed will be dismissed. They are all waiting for the ward rounds tomorrow morning.
When Director Lu left the Shuai Mansion, he was not in a hurry to go home, but called Director Miao, who had a good relationship with the same hospital.
Although Director Miao had already eaten, he still ran out to have a gathering with Director Lu.
In a private room of a small restaurant, Director Miao walked in and asked, "Old Lu, why are you so busy today?"
"Today, there is a consultation in the commander's mansion, and I just finished it." Director Lu said.
Director Miao was taken aback, "Is there a problem?"
"Yes." Director Lu nodded and told the story.
"The treatment that Mr. Huang said is too simple, I don't believe it." Director Lu said, "You know, the diagnosis of insulinoma itself is very difficult. This is in the imperial capital. If you change to other places, I don't know what to expect. It’s a ghost’s diagnosis.”
Director Miao sat down and said with a smile, "A few years ago, my father who was young in my hometown was diagnosed with delusional disorder. People in my hometown didn't think so. They said that he got dirty when he went to the grave to burn paper."
"Oh? The final diagnosis was also insulinoma?" Director Lu asked.
"Well." Director Miao said, "Three years, three full years, no treatment. It's just being upper body intermittently. It can be said that I traveled all over the famous mountains and rivers to find someone to solve it. In the end, the money was spent, but nothing happened. use."
"Oh." Director Lu sighed.
He knows the level of primary hospitals. It is normal for misdiagnosis of digestive diseases like insulinoma, which is relatively rare, and many symptoms are manifested in the nervous system.
It would be strange if a doctor in a primary hospital could give a correct diagnosis with his mouth open.
"Tell me what's going on here. Many of the nagging diagnoses are actually caused by mental illnesses, such as insulinoma." Director Miao said, "You think there's something wrong with Mr. Huang's treatment?"
"Elder Huang's treatment is too simple, so I always feel that something is wrong. You...you know what I mean, I can't solve it. Elder Huang is here, and the treatment will be completed in ten minutes, so..." Director Lu's voice became louder as he spoke. Small.
"Look at what you said, you wouldn't dare to have surgery, but Mr. Huang gave an acceptable treatment plan, and you think it's easy."
"Oh." Director Lu sighed, he also knew that he had a lot of "things", but this was what he thought in his heart.
"Mr. Huang said that this treatment plan was written by Mr. Liu Shihao of Union Medical College Hospital after the medical record of the first insulinoma operation in the country in 1935. It is Mr. Liu's guess about the treatment of insulinoma."
"!!!" Director Miao was taken aback.
If Huang Lao has a solution to the problem, it is not surprising, it is Huang Lao!
But according to what Director Lu said, this is a inheritance, which started from the first insulinoma operation in the country in 1935.
"According to Mr. Huang, the operation in 1935 was the 18th in the world."
Director Miao sighed for a long time, and finally heaved a sigh, "Old Lu, Mr. Huang is qualified to say that. In our thoracic surgery department, any diagnosis and treatment can often be related to Mr. Huang."
"Hahaha, I understand." Director Lu laughed.
"For example, for a valve replacement surgery, at first Mr. Huang conducted research based on foreign data, and then extended it to the clinic. As you know, our cardiothoracic surgery is different from general surgery. You are considered basic surgery."
"What are you talking about, it seems that you are superior to others in your heart." Director Lu said unhappily.
"It has nothing to do with this." Although Director Miao denied it flatly, the smile on his face said everything.
The hospital has its own chain of contempt, and the surgical department at the top of the chain of contempt must be neurosurgery.
Cardiothoracic surgery is not weak, so Director Miao naturally has certain psychological advantages.
"Let's put it this way, there is no chest at all in grass-roots hospitals, and some hospitals can perform closed thoracic drainage, which is considered good."
"That's true."
"Valve replacement surgery is so difficult. Not to mention grass-roots hospitals, there are no more than 100 people who can do this kind of surgery."
Director Lu nodded, this is true.
"But Mr. Huang quietly improved the operation method. This year, the winner of our cardiothoracic surgery world competition is Zhou Congwen, who is the last disciple of Huang Lao Xinshou. The operation method is a valve replacement operation under hybrid surgery."
"I've heard that Mr. Huang is amazing. How old is he? He can still improve new techniques." Director Lu said with a weird smile on his face.
"What are you thinking?" Director Miao asked.
"The ancestors of our department are also very old-hearted, and they still have to perform two operations a week. Sometimes they feel itchy when they see their disciples and grandchildren performing operations, so they just brush their hands to perform two operations."
"Hey." Director Miao smiled, "We're not talking about the old man, his techniques are outdated."
"Who says no, but aside from this, there are not many old people of that generation left. They seem to be used to the operating room and cannot leave it for a day."
"Well, it is said that Mr. Huang also performed a particularly large operation today, and the patient performed the surgery while sitting."
"!!!" Director Lu was stunned, then he thought about the cause and effect, and smiled wryly.
"No wonder."
"No wonder what?"
"At the beginning, I asked Mr. Huang for consultation. He said something was wrong. We thought the old man was not feeling well, but we didn't expect to go for consultation and surgery."
Director Miao stared blankly at Director Lu. What he just said was very simple, but the meaning behind it was not.
Today, Mr. Huang was going to have an emergency operation, and on the other hand, he received a call from Shuai's mansion for consultation.But the old man is like a fledgling doctor, first undergoes emergency surgery, and then goes to the handsome mansion.
This sequence……
Director Miao thought about it for a long time, and put himself in, but no matter how he thought about it, if he changed himself, no matter how many times he chose, he would go directly to the handsome mansion.
Which side is light and which side is heavy, he feels that anyone will make the same choice as himself.
But Mr. Huang is very willful.
As expected of an old man!Director Miao thought of the last, and shook his head in embarrassment.
"Where do you think Mr. Huang is so energetic?" Director Lu asked.
"well enough."
"There are so many medical records in Xiehe. It would be understandable for Mr. Huang to go through every chest medical record. What Mr. Liu did... yes, it is the first insulinoma in the country. It may be because of this that Mr. Huang is impressed. of."
As he said that, Director Lu smiled, "Those from Xiehe said that they will digitize all medical records when they go back."
Chapter 1546 Interesting Bad Old Man
"Electronic?" Director Miao was stunned for a moment. He seldom touches computers and has an instinctive resistance to electronic systems. He always thinks that handwritten medical records are better, so he doesn't understand what Director Lu said.
Director Miao was far away from these fresh terms, and he didn't want to understand them.
Now Director Miao's hospital has begun to digitize and informatize their hospital. Computers are installed in the consulting room of outpatient clinics. Writing medical records is not written by hand, but needs to be typed word by word. Director Miao is full of complaints about this.
Electronic medical records are not friendly to the old directors. Director Miao has given up after trying the "one-finger Zen" input method. Every time he goes out to the clinic, he has to bring someone to help him write the medical records.
For this reason, he complained a lot.
But when Director Lu mentioned digitization, Director Miao burst into more incomprehension after instinctive resistance.
"It is to turn Xiehe's medical records from the past 98 years into files in the computer system. If you search for relevant terms in the future, you can find what you want."
"!!!"
"The Xiehe people are really stimulated today." Director Lu smiled, "Does Xiehe have three treasures? The medical record room is the first, but it turns out that Mr. Huang from 912 is the first to go. This is it..."
He lengthened the ending sound and smiled.
The final conclusion was left blank and was not stated.
"Mr. Huang is amazing, let me tell you something." Director Miao began to gossip, "A comatose patient came on 912 last year, and the local hospital diagnosed him as a vegetative state, and it has been half a year."
"how old?"
"18."
Director Lu shook his head, it's really a pity to be in a vegetable at the same age.
"Preparing for organ donation, after the person was sent to 912, Mr. Huang had a physical examination, and overcame all arguments, saying that he was not a vegetable and was still conscious."
"I'll go!" Director Lu looked at Director Miao in astonishment.
Vegetative, can this be diagnosed wrong?
Sending a living person to... ahem, this is simply too much.
"As a result, Mr. Huang was treated for 12 days, and the child walked out of the hospital well. It's just that he lay down for a long time, his legs were weak, and everything else was fine, just a normal person." Director Miao said proudly.
"What was the final diagnosis?" Director Lu asked curiously.
Director Miao shook his head, "I don't know. I heard Deng Ming say it during dinner. At that time, it was said that preparations were made for the type matching. The family thought that the child would suffer if he lay down like this. It is better to use another method." live."
This is the idea of many family members of patients, but they did not expect things to turn around.
"Old Huang is really... formidable!" (Note)
"There are too many serious things." Director Miao said, "The key is that Mr. Huang is not only interested in the mind, he seems to be interested in all subjects. A few years ago, the General Hospital of the Jinan Military Region discovered a case of a woman without a cerebellum. patient."
"Uh... no cerebellum?"
The human cerebellum is located at the back of the skull. Its main function is to control movement and balance. It is also considered to be related to speech ability. It only occupies about 10% of the total brain volume, but contains 50% of neurons.
Problems with the cerebellum can lead to serious mental disorders, movement disorders, seizures, or cause cerebrospinal fluid to accumulate in this hollow area.
Can you live without a cerebellum?Director Lu was surprised.
"When Mr. Huang heard about it, he went directly to the General Hospital of the Jinan Military Region, saw the patient, and made a detailed record."
"Whether there is a cerebellum is the scope of diagnosis and treatment of neurosurgery. What does it have to do with Mr. Huang?" Director Lu couldn't help but slander.
"It's okay, but Mr. Huang seems to be interested in these things." Director Miao said, "So for the insulinoma you encountered today, you said that Mr. Huang has his own opinions and proposes solutions. I think it's normal. Don't be surprised."
"The spiritual head of the old man..."
As Director Lu said, he suddenly thought that Huang Lao looked like a real old man when he arrived at the Shuai's mansion today, listless and looking like he was about to die.But in a blink of an eye, he became alive and well again.
A thought flashed across his mind, trying to understand what Huang Lao meant, he couldn't laugh or cry.
"912's neurosurgery is relatively poor, you know that." Director Miao continued.
He said that it is worse than Tiantan Hospital. After all, 912 is a top-level large public hospital. No matter what the department is, it is impossible to say that it is really bad.
"I think it's okay, what's the matter?"
"It is said that 912 picked up a frontier soldier with a huge pituitary tumor that surrounded the optic nerve and infiltrated the cavernous sinus."
"I'll go, can we still perform surgery?" Director Lu was surprised.
"Of course it can be done." Director Miao said proudly, as if he himself was a witness, "The neurosurgery department on 912 just started minimally invasive treatment, and it was done through the nose. They didn't know what to do, so they found Mr. Huang."
"With Elder Huang as a supporter, I guess..." Director Lu said, suddenly feeling envious.
It would be great if there is an old man like Mr. Huang in our hospital. No matter what we do, there will be someone to support us.
"It is said that the operation lasted 8 hours, and the head nurse in the operating room was frightened by the bleeding. The blood transfusion department did not have enough blood, so I went to the blood bank in the city center to get blood three times."
As he spoke, Director Miao stretched out three fingers.
The blood was taken three times. Director Lu was surprised if the patient could still live.
"Later, there were various problems, such as aspiration, infection, neurological symptoms, and the most frightening thing was that I sprayed blood from the nostrils twice in the recovery room just after the operation."
"!!!"
"Where is Mr. Huang? It is said that the old man didn't take off his clothes. He sat by the patient's bed and took care of him for 8 days and 8 nights. Finally, the young man walked out of 912 in good condition."
For 8 days and 8 nights, Director Lu was inexplicably surprised, especially thinking of Mr. Huang's drowsy expression when he heard other doctors talking about Che Jilu during the consultation, he couldn't laugh or cry.
The attitude of the old man is very clear and undisguised.
What an old kid.
"So what I mean is that there shouldn't be any problem with Mr. Huang's handling, it just looks simpler."
"It's too simple."
"It takes at least 3 or 4 hours to replace my mitral valve." Director Miao said disdainfully, "Lao Huang and Zhou Congwen use laparoscopic surgery, and it only takes 2 hours. The new surgical method, hybrid surgery, only takes 40 minutes. "
Facing the example mentioned by Director Miao, Director Lu was speechless.
The top-notch surgery of valve replacement is like doing tofu in front of Huang Lao. This is no longer a step forward, but a step on the right foot with the left foot, and the left foot with the right foot, and then go straight to the sky.
That hundred-foot pole did not exist in Huang Lao's eyes.
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