When doctors have a simulated operating room

The doctor said that the uterus was too small to be treated.

(There are some extra words in the front...Sao Rui...)

"Seventeen centimeters?!"

Zhang Yi was shocked after hearing this.

In fact, most uterine fibroids are benign, and benign ones basically do not need treatment.

But if it is found to be malignant, it must be removed immediately.

The entire uterus and its appendages are removed.

Zhang Yi remembered that Dean Qian was over fifty this year, so his mother must be in her seventies or eighties, right?

At this age, she has uterine fibroids, and it is malignant.

Oh, it's a bad omen!

"That's right, a 17-centimeter tumor!

When I saw the test results, I was simply...

Oh! It's all my fault for neglecting it. I'm busy with work and my brother is busy too.

We thought that as long as we fed and cared for my mother, she would be fine.

But as a doctor, I couldn't see what was wrong with the old lady!

My old mother was afraid of delaying our work, so she never told me where she felt uncomfortable...

I hadn't done a physical examination for her for two or three years, but such a big change happened...

Oh! I really...

No Zhang Yi, I called you to ask you to help with the operation.

I know that my skills can definitely make this operation successful.

But my mother is 70 years old this year, and I am very panicked.

You also know the director of our hospital's obstetrics and gynecology department. It's not that I don't trust them, but I prefer to trust you, Zhang Yi!

Only your medical skills can make me feel at ease...

So Zhang Yi, can you do me this favor?

Can you come back to Tianhe? Can you help me perform an operation on my old mother? "

Qian Zhenggang's voice trembled slightly on the phone.

It seems that no matter how calm and old a person is, he will inevitably show his most panicked and vulnerable side when encountering these things.

Qian Zhenggang admires Zhang Yi very much, and Zhang Yi also remembers this.

Seeing Qian Zhenggang so anxious now, Zhang Yi couldn't refuse.

"Hey Dean Qian, don't worry, I'll ask for leave from my hospital first and see if I can get it.

Don't worry, I will do my best to coordinate, please wait for my news first!"

"Okay, okay, Zhang Yi! I'll wait for your reply!"

After hanging up the phone, Zhang Yi didn't dare to delay.

He called Kang Yanming directly.

"Huh? You... are going to Tianhe tomorrow? Is there something?"

After Zhang Yi explained, Kang Yanming understood.

Someone wants to invite Zhang Yi to Feidao!

"It's not impossible, but the staff is tight during the New Year, and tomorrow's shift was scheduled half a month in advance.

If you suddenly don't come to work, what will happen to the shortage of staff?"

It's not that Kang Yanming doesn't give leave, the hospital always adjusts the holiday during the New Year.

It's completely different from civil servants taking leave on time.

To adjust the leave, you have to arrange the shifts for the next week in advance, and it's best not to change who works and who rests.

Medical resources are scarce, and it is difficult to coordinate a sudden leave.

Zhang Yi thought about it and immediately contacted Zhang Shengwei again.

After a long talk and a meal of Cuiheyuan roast duck, this guy agreed to go to work for Zhang Yi.

Zhang Shengwei is a local of the capital, so it is convenient for him to take over tomorrow.

Many people in the department have gone home for the New Year on vacation, and it is not easy to change shifts temporarily.

Cuiheyuan roast duck is worth changing shifts.

After the contact was completed, Zhang Yi immediately booked a flight back to Tianhe.

The next morning, Zhang Yi got on the plane before dawn.

…

Tianhe First People's Hospital.

9:30 in the morning.

Qian Zhenggang and several directors of the oncology department and obstetrics and gynecology department and doctors were waiting at the door of the hospital.

Qian Zhenggang frowned and looked at the watch on his hand from time to time.

"It's almost here, it should be here soon, right?"

"Don't worry, Dean Qian, Zhang Yi is here, isn't that stable?"

Lv Jing was also waiting nearby.

Zhang Yi came back after such a long absence, so he should be welcomed properly, right?

A few minutes later, an airport taxi stopped at the hospital gate.

As expected, Zhang Yi got out of the car wearing a doctor's black down jacket.

Qian Zhenggang was relieved immediately.

Oh...

Great!

Finally met Zhang Yi in person!

"Zhang Yi! You've worked hard!"

Qian Zhenggang walked up and grabbed Zhang Yi's hand and thanked him before Zhang Yi could say hello.

"It's okay, Dean Qian, let's have a meeting first, and then we can discuss it in detail at the meeting."

Zhang Yi walked

Hurrying, he took the lead and walked into the hospital.

This place is still the same as before.

He is familiar with the way in.

Qian Zhenggang had sent him the medical records last night.

The cause of the old lady's illness is a mystery. She is a rare elderly patient with uterine fibroids.

And the diameter is very large!

A full 17 centimeters!

This is just one of them!

In addition to the largest one, there are three small ones, one with a diameter of five centimeters and two with a diameter of two centimeters.

This number of fibroids is considered small.

Some uterine fibroids can have seven or eight, and they are not the same size.

The surgical method should be determined according to the patient's age and condition.

If you are under 40 years old, try to keep your fertility needs. If you can't keep it, there is nothing you can do.

But this old lady's tumor is malignant, so it must be completely removed.

The entire pelvic uterus, uterine appendages and lymph nodes must be scanned quickly.

As long as the surgery is clean, it is not a problem to live for more than ten years later.

——

However, if the malignant tumor is not removed completely, causing the cancer cells to continue to spread...

Then it is estimated that it may recur in less than half a year.

Combined with the patient's age, this operation cannot be sloppy.

The main symptoms of uterine fibroids are irregular vaginal bleeding and lower abdominal pain.

When entering the elevator, Lu Jing knew that Zhang Yi came to Tianhe for business, so he didn't rush to ask about his health and say hello.

"By the way, Dean Qian, can I see your mother's condition before I start the consultation?"

Qian Zhenggang nodded: "Yes, no problem."

Gynecology, at the door of Dean Qian's mother's ward.

Because they are the family members of the dean, the gynecology department has specially prepared a ward for them.

Single room, quiet.

As soon as I entered, I saw several family members of Dean Qian waiting inside.

Each of them was full of worries.

Until a group of doctors in white coats came in, the family members inside stood up one after another.

"Brother, this is the doctor Zhang Yi you mentioned, right?"

Without waiting for Qian Zhenggang to introduce, Qian Zhenggang's younger brother asked first.

"Yes, it's him. He used to work in our hospital, and later he was specially invited by the president of Union Hospital to work there."

Even if Qian Zhenggang's younger brother didn't study medicine, he would think Zhang Yi was awesome after hearing this resume.

Who doesn't know the Imperial Capital Union Hospital?

To be invited by the president of Union Hospital, he must have something extraordinary.

"Zhang Yi, please come and see my mother. If special examinations are needed, I can ask the gynecologist to arrange it immediately."

In the ward, and even outside the ward, all the gynecologists came.

Mainly because Qian Zhenggang came in person, and Zhang Yi also came back! !

"Damn, Zhang Yi is really back?!? Let me see, let me see!"

"Shh, Dean Qian is in there, keep your voices down."

"It has to be Dean Qian, otherwise Zhang Yi doesn't know when he can come back to Tianhe again."

"What Zhang Yi is back? Where is he?"

Soon, not only the gynecologists knew that Zhang Yi was back.

Word spread quickly, and soon the whole hospital knew that Zhang Yi was back to perform surgery on Dean Qian's mother.

Good guy.

This Zhang Yi is quite loyal.

He has already gone north to Union Hospital, but he still comes back to help these old friends.

Dean Qian must have given a lot of money, right?

In the ward, Zhang Yi took the opportunity to check the old lady's lower abdomen and took a look at her whole body.

There were no other underlying diseases, but there was a history of type II diabetes.

There were indeed four tumors in the uterus.

The whole abdomen was bulging.

But because the old lady was fat, the difference in the abdomen was not very obvious when she was sitting.

So this is why Dean Qian did not find the problem at the first time.

Some people, you think they are getting fatter, but in fact, there is a tumor in their stomach that is growing.

However, although it is discovered late, it must be treated if it can be treated.

The largest fibroid should not be underestimated.

Because it is not only large and difficult to remove, but the most fatal thing is that it is tightly connected to the uterine artery and even compresses the ureter and bladder artery.

It is estimated that this old lady has not been comfortable urinating in the past six months or more than a year.

It is even possible that she has had a urinary tract infection.

The old lady's entire lower abdomen is obviously tender, and there is bleeding and odor below.

The entire pelvic cavity is slightly red and swollen, and it is estimated that there is pelvic inflammatory disease associated with it.

In addition to uterine fibroids and other female tumors, pelvic inflammatory disease and urinary tract infection are also the culprits of lower abdominal pain in women.

"How is it, Zhang Yi, my mother's tumor..."

Seeing Zhang Yi take off the gloves for examination, Qian Zhenggang asked hurriedly.

"Let's go, I've finished the examination, let's go now

Doctors from the gynecology, oncology, and anesthesiology departments will all be present for the consultation."

"Okay, I'll send someone to notify them right away. "

The old lady may have a slight anemia due to long-term bleeding. Although the amount of bleeding is not much, she has a slight anemia.

Because she now has an anemic face.

After the examination, Zhang Yi walked out of the ward and prepared to go to the office to discuss the surgical plan together during the consultation.

Little did he know that at this moment, all the directors of this ward were looking at Zhang Yi and Qian Zhenggang next to him with a slightly surprised expression!

One thing that even Zhang Yi himself did not notice was...

Why are these two talking...

Zhang Yi also commanding Qian Zhenggang?!

Even when leaving the ward, Zhang Yi walked in front and Qian Zhenggang followed behind him??

This scene looks so strange!

It's like when making rounds, the director of the department should lead a group of attending doctors and interns to make rounds.

Originally, the oldest one should walk in front.

But now, Zhang Yi, with such a young face, is walking in front of all the doctors.

This scene is really weird!

It's not weird, it's just rare!

And It's so rare!

It's like Zhang Yi is leading a group of director-level doctors from Tianhe People's Hospital to make ward rounds.

This kind of treatment... is so rare!

But there is, who is it?

When experts come to West China Hospital, there may be a scene where all the leaders of the hospital serve as foils.

But Zhang Yi in front of him is not an expert from West China Hospital!

He is an assistant director who transferred from the emergency department to Union Hospital a few months ago!

Oh...

Union Hospital...

He is indeed not an expert from West China Hospital.

Because now he is Experts from Union Medical College.

Looking at this scene, the doctors waiting outside the ward were also surprised by this.

It really feels like Zhang Yi has become different after returning from the imperial capital? ?

What's the difference?

Is the technology better?

Or is the temperament more bossy? ?

Tsk tsk~

What a pity!

Why didn't such an awesome guy stay in our hospital?

In this way, our hospital can still be the most awesome hospital in Yun Province~

"Zhang Yi is still so handsome~ Oh~ Doctor Zhang, long time no see!"

"Hiss... Why is Zhang Yi so domineering now? Has he suppressed Dean Qian's momentum?"

"What do you know? Dean Qian is now asking Zhang Yi for help, so he has to be polite. Who made Dean Qian not believe in the skills of these doctors in our hospital?"

"More than that, Dean Qian doesn't even believe in his own skills, he only believes in Zhang Yi's. ”

“Well… indeed, if it were me, if I had a good relationship with Zhang Yi, I would also give priority to Zhang Yi to help with the surgery if something like this happened, because his skills are really amazing.”

Looking at Zhang Yi’s back, the people in the hospital chatted with each other.

In the office, Zhang Yi and Qian Zhenggang walked in and sat down while chatting.

Soon, doctors from several departments gathered.

The gynecologist turned on the projector, and then opened the examination reports and medical records of Dean Qian’s mother one by one.

“The patient is a female, named Huang…Huang Hui, 70 years old. There was an invisible mass in the lower abdomen for more than 1 year, accompanied by irregular bleeding in the vagina and pain in the lower abdomen.

This is a color ultrasound of the uterus and its appendages. You can see that there is a submucosal fibroid with a maximum diameter of 17 cm.

This fibroid is currently the most difficult to treat because it is close to the uterine artery, and even the ureter and bladder artery.

Because the largest fibroid blocked the ureter, the patient's urine test showed proteinuria, but the index was not high, and the inflammation might be mild.

In addition, the patient's blood pressure is also very high. The blood pressure just measured this morning was 162/108mmhg.

It is suspected that it may be related to the tumor compressing the ureter and affecting the kidney.

Because according to the family members... oh no, according to Dean Qian, the patient's blood pressure was not high before.

It has only gradually increased in the past two years.

And this is the result of the MRI examination, there is a possibility of tumor metastasis in the right ovary.

So this operation must remove all uterine appendages at the same time, and even some lymph nodes must be removed.

The primary issue at present is how to safely remove this 17-centimeter tumor. "

There is even a 3D image of the uterine tumor of Dean Qian's mother on the PPT.

It can be adjusted and rotated in all directions to observe the location of the tumor and blood vessels.

Zhang Yi looked at the doctor who was explaining the medical records. He was a stranger. He had never seen him before.

New here?

He spoke very well, with clear logic and articulation. People could understand it at once.

Bai.

At this moment, the gynecologist had finished speaking.

Qian Zhenggang turned to look at Zhang Yi and asked:

"Zhang Yi... look at this operation, are you... 100% sure?"