Chapter 562 Perfect Suturing, Exquisite Separation and Resection
"Li Quan is mainly engaged in medical work in departments such as obstetrics and gynecology, orthopedics, and ophthalmology." Li Quan knew that he was very young, so he was easily questioned.
Human life is at stake, so it is understandable that President Baiqiongchuan questioned him about his background.
"Are you Li Quan, a traditional Chinese medicine doctor at Huier Hospital?"
An old man in a Tang suit sitting at the end of the judges' seat asked in surprise.
"If there is no doctor with the same name as me in Huier Hospital, then I should be the person you are talking about." Li Quan didn't know what this old man in Tang suit wanted to do?
"I heard that the Black Jade Ointment was the recipe you developed?"
“I guess so!”
Li Quan's tone was flat.
If it were another doctor, if he developed a bone injury medicine with miraculous efficacy, he would be very proud, if not arrogant.
However, Li Quan did not have the slightest intention of showing off.
"I have personally tested the efficacy of the Black Jade Ointment in clinical trials, and it is indeed very good. President Bai, saving lives is like putting out a fire. Although Li Quan is young, his medical skills are really good. He has cured many difficult and critically ill patients in the Magic City."
The old man in Tang suit was intentionally trying to support and encourage Li Quan.
"President Huangfu asked him just one question and you know that his medical skills are not bad? Excuse me, there is no reliable Chinese medicine practitioner. This patient's condition is critical, and even the two experts He Sheng and He Zhangzhi are helpless. You let a Chinese medicine practitioner who hasn't even grown a hair grow back go into battle. Do you want to kill people or something?"
President Bai Qiongchuan had a serious face and his words were very impolite.
His words revealed deep-seated contempt for traditional Chinese medicine.
The old man in Tang suit's expression suddenly turned very ugly.
"President Bai, why is Chinese medicine unreliable? Don't look down on Chinese medicine. Don't forget that fifteen years ago, it was the doctors of our Chinese Medicine Association who worked together to develop a good prescription, which ultimately successfully contained the epidemic.
If Chinese medicine had not helped, with only Western medicine’s drugs and treatments, hundreds of thousands or even millions of infected people would have died.”
The old man in Tang suit turned out to be the president of the Chinese Medicine Association.
No wonder he was so angry at Bai Qiongchuan’s words that his face turned black.
As the leader of traditional Chinese medicine, he must have been extremely angry when Bai Qiongchuan looked down on it in front of so many doctors.
"That was nearly 20 years ago. At that time, domestic medical conditions were backward, both in terms of equipment and medicine. As a last resort, we resorted to traditional Chinese medicine. The ultimate success in containing the epidemic was not due to traditional Chinese medicine, but to vaccines developed using Western medicine."
Bai Qiongchuan and the old man in Tang suit exchanged sharp words and started arguing in public.
In the operating room, the patient's condition continued to deteriorate.
The removal of an aneurysm is itself an extremely high surgical risk.
Now the arterial wall has been cut and the bleeding will not stop. It is estimated that the patient will die in a dozen minutes at most.
This is because there is sufficient plasma in the operating room.
Blood transfusions can be continued to keep patients alive.
"President Bai, if I remember correctly, there is no rule that traditional Chinese medicine practitioners cannot participate in this medical skills competition, right? Besides, I have both the traditional Chinese medicine practitioner certificate and the Western medicine practitioner certificate. I think I am fully qualified to participate in rescuing patients."
Li Quan watched as the patient's condition became critical, but Bai Qiongchuan was busy arguing with the old man in Tang suit.
If we wait any longer, the patient will die.
"this……"
President Baiqiongchuan was still a little hesitant.
"President Bai, I think we should just let him try! This is the first medical skills competition this year. If someone dies, the doctors and judges present here will lose face. The leaders will also be very disappointed in us."
A middle-aged woman sitting next to Bai Qiongchuan spoke.
There are quite a few female doctors, but there are only two female doctors among the judges.
Those who are qualified to be judges must be doctors.
Even if you are no longer engaged in clinical medical work, you must have done it before.
"Saving lives is the most important thing. If no other experts or professors dare to volunteer, I think it would be a good idea to let this young man named Li Quan give it a try."
Another person spoke up for Li Quan.
These people spoke up for Li Quan after he announced that he had both Chinese and Western medicine licenses.
From this point, we can also see that the doctors in the two camps of Chinese medicine and Western medicine are in opposition to each other and are clearly divided. In addition, Chinese medicine is in a weak position.
"Okay! Let him try it."
Bai Qiongchuan nodded reluctantly in agreement.
He made a gesture to Li Quan, asking him to hurry up.
Led by a hostess, Li Quan quickly walked into the door.
Only then did I discover that there was a whole new world inside.
There are multiple operating rooms.
Operating Room No. 5 is currently in use.
Li Quanjin changed into surgical clothes and entered the operating room.
The first expert to enter the operating room, Expert He Sheng, and the others who entered later, Expert He Zhangzhi, all gathered in front of the operating table.
They are still making futile efforts.
Under normal circumstances, if the wall of an artery is cut, the wound can usually be sutured immediately and repaired.
Even if it is impossible to stop the bleeding completely, it can at least reduce the amount of bleeding by more than 90%.
“Let me try!”
Li Quan's entry surprised experts He Sheng, He Zhangzhi and others.
Because they didn't expect such a young doctor to come in.
"Young man, this patient is in critical condition and the operation is complicated and extremely difficult. You... I'm afraid you can't do it." Expert He's tone was quite tactful.
"If any of you doctors here can find a way to stop the bleeding, I can watch. If you can't, why not let me try?"
Li Quan walked to the operating table and stretched out his hand.
This was a signal for the nurse to help him put on sterile gloves.
The two experts, He Sheng and He Zhangzhi, as well as the assistants they brought with them, were all speechless.
Unwilling to do so, he could only give up his seat silently.
Li Quan was not polite either.
Because the patient's condition is critical, saving the patient's life is the most important thing.
"Bring me a set of silver needles right now. They must be seven inches long ."
Li Quan instructed the nurse.
A nurse is an assistant to a doctor, helping him with some auxiliary work.
For example, picking up medicine, wearing sterile gloves, delivering surgical instruments, wiping sweat for doctors, recording the surgical process, etc.
Li Quan's eyes were fixed on the patient's chest cavity.
The patient's heart was still beating.
Blood continued to ooze out from the ruptured artery.
In fact, it is not appropriate to use electric forceps to stop bleeding in this situation.
Because the principle of electric hemostasis is to clamp the bleeding point with a vascular clamp, then use an electric coagulator to contact the vascular clamp to burn the bleeding point to stop the bleeding.
This will cause certain damage to vascular tissue.
Ligation to stop bleeding is obviously not useful at this moment.
Because this is the proximal artery. After ligation, blood cannot flow to other blood supply parts, and over time, those parts will become necrotic.
If I am not mistaken, this artery should be one of the four major arteries of the heart, the left anterior descending branch.
This is a large artery as famous as the right coronary artery, left coronary artery, and left circumflex artery.
No wonder the two cardiovascular experts were helpless.
Li Quan did not rush to provide treatment immediately.
Instead, he carefully observed the patient's blood vessels.
This patient had multiple white tumors attached to his blood vessels.
It is not clear whether it is a benign tumor.
However, based on my feeling, there is a high possibility that these tumors are benign.
Some tumors have compressed blood vessels, causing blockage or narrowing of the blood vessels. Removing these tumors and implanting stents in two locations with severe vascular disease is the most ideal treatment option.
However, the operation was extremely risky and the difficulty was beyond the imagination of Dr. He.
This eventually led to an accident.
"Young man, are you able to do this? It's not a solution to keep watching like this. The patient is still bleeding." Expert He urged.
"Sharpening the knife does not delay the chopping of wood, so please be patient."
Li Quan replied indifferently and continued to observe.
I even took the patient's pulse to understand his condition in more detail.
At this time, the nurse had already brought over a set of silver needles.
The box for silver needles is the latest needle storage box with built-in disinfection function.
After use, just put the silver needle back and it will automatically clean, disinfect and sterilize.
The capital is the capital. This is the first time that Li Quan has seen such a high-end silver needle box.
If the price of each unit is not outrageously expensive, Huier Hospital will have to purchase a batch next time.
As Huier Hospital now recruits more and more TCM interns and doctors, the application scenarios of silver needles are also increasing.
Li Quan took the needle and inserted one needle into each of the three important acupoints on the patient's heart.
Then another needle was inserted into the lung meridian.
Something incredible happened.
After four injections, the artery that had been gushing blood suddenly seemed to have its main valve turned off.
Although blood was still flowing out, it had become a trickle.
"That's amazing! This is the advanced acupuncture method in traditional Chinese medicine. Can silver needles stop bleeding?"
The two experts, several assistants, and all the nurses were all looking at this scene in shock.
The two experts are extremely experienced and knowledgeable.
But they had never seen how four silver needles as thin as cow hairs could solve the arterial bleeding problem that they were unable to solve.
This is something that Western medicine cannot solve.
Western medicine is more like a barbarian, with no skills.
When faced with bleeding, the five most commonly used methods of hemostasis are tying blood vessels, suturing, electrocoagulation, drug hemostasis, and compression hemostasis.
It's all crude tactics.
Traditional Chinese medicine has a deeper understanding of the entire human body's blood system.
Can you tell where the gates of all sizes in the blood supply system are?
How to close them.
After Li Quan successfully controlled the patient's bleeding.
Next, he began to suture the patient's damaged artery.
He was holding a pair of forceps, like a nimble butterfly, doing the most delicate sutures on the patient's arteries. Fortunately, Li Quan's surgical skills had reached the minor success level, otherwise, he would definitely not be able to do such a delicate and perfect suture.
"This, such a perfect suturing technique, I'm afraid it would be difficult to master it even if you practice for fifty or sixty years! Today, I have broadened my horizons. There are always people who are better than you. I am ashamed that I am not as good as this young man."
Expert He Sheng sighed deeply.
He knew that the patient who had almost died from his treatment had been saved.
"Amazing! This is the most amazing suturing technique I have ever seen." Expert He Zhangzhi also exclaimed in amazement.
Li Quan, the person involved, appeared very calm.
The wound on the blood vessel is not big, and it would be easier to sew if it hadn't been burned by the electric forceps.
However, after Li Quan's careful suturing, the damaged artery has basically been perfectly repaired.
"Okay, I'll remove the silver needle and see the effect."
Li Quan tried to pull out a silver needle.
It can be clearly seen that the sutured left anterior descending blood vessel bulged up suddenly.
The blood inside has begun to circulate rapidly again.
No blood escaped from the sutures, indicating that the blood vessel repair was perfect.
Next, there is still a lot of work to be done.
"Two experts, I will remove these tumors and leave the remaining stent implantation to you. Are you sure you can do that?" Li Quan asked.
“Yes, yes!”
The two experts nodded at the same time.
Li Quan had already done the hardest part, so they only had to do some simple finishing work. If they still couldn't do it well, their titles as experts would be removed.
After showing his superb medical skills of stopping bleeding with a silver needle and performing perfect suturing, Li Quan began to demonstrate his resection skills that amazed all surgeons.
The tumor was removed in two parts.
Separation and removal.
The hardest thing is separation.
The blood supply system in a tumor is generally self-contained, so you don't need to worry about it.
Just cut it off.
If there are bleeding spots, electrocoagulation can be used to stop the bleeding.
Li Quan held the scalpel and, under the watchful eyes of the nurse and two experts, carefully separated the tumor that expert He Sheng had failed to successfully remove.
One cut after another, fast, accurate, and especially cruel.
Every cut hits the nail on the head.
In less than three minutes, Li Quan successfully separated and removed this extremely difficult vascular tumor.
Because it is a tumor, it needs to be soaked in saline solution and then sent to the laboratory for biopsy after the operation.
to clarify its nature.
If it is a malignant tumor, further treatment is necessary.
In fact, a biopsy has another benefit, which is that it can clearly determine whether the boundaries of the tumor are clear and whether it has been completely removed.
When removing a tumor, usually some of the surrounding tissue, such as muscle tissue, is also removed.
To prevent tumor recurrence.
Theoretically, if normal human tissue that does not belong to the tumor is found around the tumor during a biopsy, it can be considered to have been completely removed.
This difficult operation seemed to have become a solo performance by Li Quan.
After showing the stitching, show off your knife skills.
…
At the competition venue outside the operating room, everyone stared at the screen without blinking.
Everyone was watching Li Quan performing surgery on the patient attentively.
Learning Li Quan's suturing techniques, as well as the knife skills for separating and removing tumors.
President Bai Qiongchuan, who had previously disagreed with Li Quan's participation in the patient's rescue, was shocked and had a hint of shame on his face.
He made a mistake that he shouldn't have made.
We should not underestimate Li Quan, and we should not despise traditional Chinese medicine.
Facts have proven that doctors are not more capable as they get older, nor are they less capable as they get younger.
The young doctor Li Quan conquered everyone present with his strength.
