Chapter 212: The greatest hero is revealed, and everyone in the world knows him
Vice President Ye whetted everyone's appetite before announcing the final performance of Mr. Liu's team.
"Liu Qingzhi's team diagnosed 13 cases of difficult and complicated diseases last month, and 13 of them showed obvious effects after treatment or have been cured."
As soon as these words were spoken, the whole audience was in uproar again.
Even though Director Xiao’s team has been working in the gastrointestinal field for many years, they have only diagnosed 11 difficult and complicated gastrointestinal diseases, and only 7 of them have been cured or significantly effective.
In other words, 11 cases were diagnosed on the surface, but judging from the treatment effect, only 7 cases were actually diagnosed.
The other 4 cases had water content.
For example, they think they have diagnosed the cause of the disease and identified the pathological mechanism, but in fact they have not found the cause or the location of the lesion.
If the real cause of the disease is not found, the treatment effect will naturally not be ideal.
Of course, it is possible that you are just unlucky and have found the cause of the disease, but there is currently no specific medicine for this. Surgery cannot cure all diseases, but only some.
Virtually all surgery is harmful.
It’s just that the damage it causes to the body is far less than the benefits the body can gain after the surgery.
For example, a tumor appears in the pancreas, which is one of the most common cancers with a very low survival rate.
Many oncologists are afraid of the pancreas.
This shows how dangerous pancreatic cancer is.
The patient can survive if the pancreas is removed, otherwise if the cancer spreads, he will die.
He may not live more than half a year.
Should I cut it or not at this time?
Cut off the pancreas, which is an important digestive organ. Although it is small, it is a gland with both endocrine and exocrine functions.
Several digestive enzymes in the pancreatic juice secreted by the pancreas play a "protagonist" role in the process of food digestion, especially the digestion of fat.
It can secrete many well-known important hormones such as glucagon, insulin, gastrin, and motilin.
Both Chinese and Western medicine regard this "little guy" as the central hub for regulating the balance of the body's physiological functions.
Just like the brain stem is a neural hub.
Such an important organ, if removed, will definitely have a negative impact on the body. But removing it can save lives.
Ten patients guarantee that ten patients are willing to have it removed.
Because compared to life, what is an organ?
"Not only is the number of difficult cases diagnosed by Director Liu's team large, but the cure rate is as high as 100%, which is really incredible. Can you make public the thirteen difficult cases diagnosed by his team?"
Director Yang Qing was shocked by the data.
Not to mention him, which doctor present was not shocked?
Difficult and complicated diseases have always been regarded as the ceiling of the medical field. Diagnosing one case is enough to prove that the doctor has a very high level of attainments and level in the relevant field.
All the difficult and complicated diseases diagnosed were cured, which was unimaginable.
I really don’t know how Mr. Liu’s group did it?
"Of course it can be made public! Every diagnostic idea, treatment method, and pathological mechanism of these difficult cases is worth learning and studying."
Vice President Ye gave a slight signal, and someone immediately projected the thirteen cases diagnosed by Elder Liu's group onto the big screen.
The first case is a 22-year-old female patient with obvious lumps in her left breast and armpit, accompanied by pus discharge and yellow liquid oozing from the nipple. She was treated in many hospitals in the province, and even after surgery, the effect was not obvious. She had repeated attacks. She came to our hospital for treatment last month. First, she made an appointment with Director Yang Qing, who diagnosed the patient as a suspected malignant tumor and recommended that the patient have the entire left breast removed.
The family members were hesitant because they considered that the patient was still very young and had not yet married or had children.
It happened that there were no inpatient beds available in the general surgery department, and while the patient was waiting for surgery, a fellow patient recommended that he make an appointment to see Associate Chief Physician Liu Qingzhi.
Later, Director Liu's team consulted with the patient, and after repeated diagnosis and treatment, Dr. Zhou Can determined that this was a duct fistula hidden behind the nipple.
The previous hospitals did not completely remove the hidden lesions when performing surgery on the patient, which led to repeated attacks.
What appears to be a malignancy is actually an abscess causing pain, swelling, and inflammation.
Under the guidance of Director Liu, Dr. Zhou Can performed surgery on the patient.
After the operation, the patient recovered well and came to the hospital for a re-examination yesterday. He has completely recovered to normal.
The patient even called the hospital department specifically, saying that she had been left with ugly scars from previous surgeries at other hospitals. During the operation, Dr. Zhou Can humanely repaired the wounds for her and sutured them seamlessly.
Currently, the scar is barely noticeable on the surface.
The chronic disease that had troubled the patient for many days was cured, and the ugly scars were gone. The patient and his family were very satisfied.
When the family members made a banner and sent it to Dr. Zhou Can, they also kept asking whether he had a girlfriend and whether he was married!
With just one sentence, the whole audience burst into laughter.
Zhou Can also scratched his head a little embarrassedly. The female patient admired his superb medical skills very much. In addition, he was quite handsome and the female patient was about the same age as him, so it was understandable that she had feelings for him.
However, he has a top-notch girlfriend like Su Qianqian, so even if he is not as calm as before towards other girls, he will not have any thoughts of hooking up with them.
In this medical record, Zhou Can made his first appearance and was mentioned prominently.
In addition to his important contribution to this case, the hospital's attitude towards him also changed fundamentally.
Before, Zhou Can had not obtained the two certificates, so no matter how talented he was, only the hospital’s leadership knew about it.
Now that Zhou Can has a license, he can practice medicine with a license, which is reasonable and legal.
It is not a matter of one night for a hospital to create a famous doctor. Instead, it is a matter of constantly promoting the achievements of young doctors with outstanding potential.
For example, some achievements in the academic field, such as publishing influential papers, participating in important research projects, making outstanding scientific research contributions in a certain medical field, etc.
These things will be publicized.
Another example is the doctor's outstanding performance in diagnosis and treatment. For example, when participating in the consultation of major or difficult cases, he gave constructive diagnostic opinions. Or when performing some difficult operations, this doctor was highly involved and even completed the core part of the operation.
A glorious deed may not make a doctor famous.
But by continuously promoting this doctor through many glorious deeds, the packaging effect will be particularly great.
That doctor's fame will snowball.
Until they eventually become a signboard of a certain field of the hospital. Those who are not so good can also become the backbone of a certain medical field of the hospital.
In this medical record, Zhou Can's contribution was highlighted from diagnosis of the cause to surgery.
This is an important signal released by the hospital.
Start packaging Zhou Can and promoting him.
It started to move him from obscurity behind the scenes to the front line.
"I never expected that this female patient had a catheter fistula! From the beginning, I was misled by the malignancy, and I believe other doctors were the same as me."
After Director Yang Qing finished reading the first case, he suddenly realized something and felt extremely complicated.
This difficult case was initially registered with him, but he failed to find out the real cause of the disease. At that time, based on his experience in diagnosis and treatment, he thought that removing the entire left breast could cure the disease.
And we are worried that it is a malignant tumor. The female patient is so young. It would be a pity if the cancer cells spread and metastasize.
Out of consideration for the patient's life safety, he proposed a life-saving treatment plan of removing the left breast.
Ductal fistulas are common in breast disease.
But this was the first time he knew about the duct fistula hidden in the nipple.
Mammary duct fistula is caused by the long-term accumulation of material in the mammary duct, which causes the duct to rupture, leading to mammary duct infection, resulting in the formation of an abscess under the areola. If the abscess is too large and ruptures, a small amount of pus will flow out.
There is a sinus tract next to the areola or nipple. When the mammary duct is infected, it will spread to the sinus tract. After the sinus opening closes, the infection will occur again, and the sinus tract will repeatedly rupture and discharge pus.
This is why ductal fistula is difficult to cure.
Only by cleaning out this sinus can we prevent it from recurring.
Otherwise, it will recur.
This female patient's catheter fistula was different from that of ordinary people . It was impossible to clear it completely using conventional surgical methods.
As a result, even a chief physician of the level of Director Yang Qing suffered setbacks.
There are two difficulties in surgical treatment of breast diseases: it is difficult to distinguish lesions from normal tissues, and it is difficult to accurately remove the lesions.
There are many irresponsible doctors because of their limited skills.
After the surgery, the patient had recurrent attacks, so he began to suspect that she might have malignant breast cancer. In addition, the family and the patient began to question his medical skills. In the end, he chose to end it all by removing the entire breast.
Doing so may certainly cure the patient's disease, but it will have a huge impact on the patient's future life.
Because many patients with breast diseases are women.
How ugly would it be to have a breast removed? They would have a huge sense of inferiority and feel that they are no longer a complete woman. They are more likely to be disliked by their husbands.
Therefore, responsible doctors will generally consider the patient's life after recovery from surgery.
"The second difficult case was that the patient always felt stomach discomfort. After examination, it was diagnosed as gastroptosis induced by pyloric obstruction. A well-known hospital performed pyloric obstruction surgery on the patient. After the surgery, the patient still felt stomach discomfort, and it seemed to be worse than before the surgery. After examination, it was diagnosed as bile reflux, and then the patient underwent a second surgery to remove part of the stomach."
"After two operations, the patient still felt stomach discomfort and had difficulty eating. He was worried that he would die in that hospital if he continued to receive treatment, so he chose to go to another large hospital for treatment. After examination, the doctor found that after two operations, his abdominal cavity had developed severe adhesions, so he was afraid to perform another operation on him."
"The patient's family heard that Tuya Hospital was good at treating gastrointestinal diseases, so they brought the patient to seek treatment. After Director Xiao of the Digestive Surgery Department saw the patient, he was unable to find the cause of the disease. He asked Director Jia Qingfeng of the Digestive Surgery Department to have a joint consultation, but to no avail. At the suggestion of Director Jia, Deputy Chief Physician Liu Qingzhi of the General Surgery Department was recommended to the patient... After a difficult consultation, Director Liu, resident doctor Zhou Can, and attending physician He Hansheng came up with many solutions, and finally found out the cause of the disease. It turned out that the real cause of the patient's disease was a hidden esophageal hernia. Under the guidance of Deputy Chief Physician Liu, Doctor Zhou Can performed endoscopic surgery on the patient. The patient has now recovered and been discharged from the hospital, and the stubborn disease that has plagued him for nearly three years has finally been cured."
In this difficult case, the name of the intern Zhou Can was mentioned many times.
Zhou Can was there from diagnosis to surgery.
The doctors present were amazed and began to discuss Zhou Can in whispers.
The focus of attention would occasionally turn to Zhou Can.
Careful people will find that "Director Liu, doctors Zhou Can and He Hansheng worked together to think of many ways and finally found out the cause of the disease." In this sentence, the name of Zhou Can, a resident intern, was actually listed before the attending physician He Hansheng.
What does this mean?
This shows that Zhou Can's contribution to diagnosis is far greater than that of He Hansheng.
Generally speaking, this kind of operation may be done by the team to help the attending physician He Hansheng to gild his reputation.
Just like when publishing a paper, there is actually a big difference between the first author and the second author.
Whoever ranks higher will make a greater contribution.
Why did Director Jia suggest that Director Xiao recommend Associate Chief Physician Liu, whose fame and rank were lower than his, to the patient?
There is a mystery here too.
Because Zhou Can had worked with Director Jia for three months, Director Jia was very familiar with Zhou Can's unique diagnostic ideas.
I think the person most likely to diagnose this difficult and complicated disease is Zhou Can.
Facts proved that Director Jia's idea was correct. Director Liu and Zhou Can worked together to diagnose the cause of the disease.
"This endoscopic surgery is at least level three, right? Zhou Can completed the surgery under the guidance of Deputy Chief Physician Liu. What does this mean? It means that Zhou Can is already capable of completing level three endoscopic surgery. This kid is extremely talented. It would be great if he could join our team!"
While Yang Qing sighed, he glanced at Du Leng intentionally or unintentionally.
I thought that with the help of this overseas doctor, I would be able to win the championship in one fell swoop.
Unexpectedly, although Du Leng is famous, his real ability is not as good as Zhou Can, who is less famous.
It would have been fine if there was no comparison, but after the comparison, Yang Qing felt that Du Leng was even worse.
Whether in terms of surgical skills or diagnostic abilities, he was completely defeated by Zhou Can.
He learned from Song Ze that 80% of the surgeries performed in Mr. Liu's group were performed by Zhou Can.
Let's look at Du Leng's one month in his group. Apart from giving instructions and participating in some simple operations in some major surgeries, he has made no achievements.
In terms of diagnosis, Du Leng's medical knowledge is not only extensive, but also very advanced and ahead of the times in many aspects.
They have indeed made a lot of contributions to their group.
But people are most afraid of comparison.
Look at Zhou Can, he cured every case he diagnosed. Look at Du Leng, although he also helped diagnose several difficult and complicated cases, his cure rate was not high .
A diagnosis that cannot cure or show obvious effectiveness can basically be considered an invalid diagnosis.
The symbolic meaning is greater than the practical meaning.
…
After reviewing the 13 difficult and complicated cases diagnosed by Liu Qingzhi's team, they found that Zhou Can was mentioned 8 times and participated in 11 surgeries.
This also made Zhou Can inadvertently become a rising star in general surgery.
If Zhou Can stays in the general surgery department, he will most likely become the leader of the department in the future.
"Does anyone still have any doubts about Liu Qingzhi's team's victory in two sub-specialties of medicine?"
Vice President Ye likes to see these arrogant doctors being humiliated.
Including Director Yang Qing, who had raised the most doubts, now lowered his head and stopped talking.
Like a defeated rooster.
Du Leng's face looked very bad, and it was slightly bluish.
The three doctors who betrayed Director Liu and joined other teams regretted their decision so much that their intestines turned green.
Especially Song Ze, who was originally the second assistant in Director Liu's team, and his status was second only to He Hansheng.
He was smart enough to jump to the powerful Yang Qing team, but not only was he ignored, but it is also hard to say whether Yang Qing's team can get the qualification to build a sub-department.
Sometimes it's good to be a little stupid.
Being too smart can easily backfire.
Moreover, even if Yang Qing's team obtained the qualification to build a sub-department, the future of him as an outsider would be worrying.
If I still stayed in Mr. Liu's team, it would be different.
The future will be extremely bright.
"Dr. Zhou Can has performed well! Keep it up. The hospital will do its best to provide you with a bigger stage and room for development." Vice President Ye publicly expressed his position to Zhou Can in front of so many people.
This is a very good signal.
This shows that the top management of Tuya Hospital has reached a certain degree of consensus and is ready to increase the training of Zhou Can.
Usually, the vice president will make a public statement that as long as you don't commit suicide, you will basically be trained to become a famous doctor.
Zhou Can went from being an "abandoned child" despised by the directors of various departments to eventually, through his own efforts, rising from obscurity to a position where everyone in the world knows him.
Only he himself knows the hardships, sweat and effort he put in during this process.
The harder you work, the luckier you get.
He successfully put these six words into practice and became the lucky one among all the doctors present today.
