I can extract side effects

Since that day, He Shengcai has been studying even harder like chicken blood.

At the same time, he is also practicing more surgical procedures, such as endoscopic biliary stent implantation, endoscopic duodenal polypectomy, pediatric endoscopic surgery, and so on.

From the inside to the outside, from the outside to the inside, from the organic to the functional, as long as the endoscope can touch, he is eager to learn.

Among them, the fourth-level digestive endoscopic surgery is the scope of his focus.

Digestive endoscopic surgery is divided into four levels. According to the surgical classification management system of tertiary hospitals, doctors with different seniority and levels can perform different surgeries.

Level 1 is the easiest, and appendectomy is a level 1 procedure.

Secondary surgery includes small bowel fistula, gastric ulcer perforation repair, splenectomy, and rectal tumor biopsy.

These two levels of surgery are not very difficult, and any low-level attending physician can do it, even a better resident doctor can do it.

Tertiary surgery is cholecystectomy, intestinal polypectomy, gastrectomy and other partial organ resection operations, which belong to the battlefield of senior attending physicians.

As for the fourth-level surgery, one of the rigid requirements of the deputy senior doctor is to be able to perform most of the fourth-level surgery.

In addition to being able to perform severe and difficult operations, senior deputy senior doctors also require the introduction of new surgeries or newly designed surgeries.

When it comes to the chief physician, in addition to various difficult operations, organ transplantation operations are also required, which also puts forward higher requirements for innovation capabilities, and needs to develop and design new surgical procedures by itself.

Therefore, the profession of doctor is extremely technical, and the upgrade conditions for each level are very clear. There are exact requirements for what level of surgery, whether it can be done, and to what extent it can be done. The promotion process is also a journey of fighting monsters and upgrading.

Before He Shengcai came to study, he was very proficient in level 3 surgery and a little bit in level 4 surgery, but due to limited conditions, he didn't have many opportunities to practice.

Because most of the difficult operations in the department are controlled by Director Zhu, he usually performs second- and third-level operations.

Only when Director Zhu is on a business trip for meetings or throwing knives, can he pick up the leaks and perform some fourth-level surgeries.

As for organ transplantation and other operations, it is a pity that Director Zhu can't do it, and Kun City is a small place after all, so close to Hai City. Whenever a patient needs a transplant, the first choice is to go to a third-class hospital in Hai City.

He is also self-taught for difficult level 4 surgeries like ESD surgery and G-POEM technique, and only after meeting a few patients with not too serious illnesses did he have the opportunity to practice.

After several beautiful surgeries, he gained a bit of fame for him, but also made him a thorn in Zhu Zhu's side.

If there is no accident, he should either take Wannian to retire from the Buddhism Department, or be squeezed out by Director Zhu.

Fortunately, there was an accident, and the hospital received strong support from above to support key departments.

As a disadvantaged subject with the most patients and the weakest strength, general surgery was naturally the first to be targeted by the hospital, and it was called the highlight of reform and innovation.

"A person's destiny and personal struggle are important, but the process of history must also be considered."

There was never such a moment when He Sheng had an incomparably deep understanding of that familiar sentence.

On this day, he received a notice as soon as he arrived at the hospital in the morning.

"An elderly patient was diagnosed with an extremely rare early-stage esophageal cancer of the whole circumference in China, and needed ESD surgery."

"Iodine staining under the endoscope before the operation revealed that the lesioned mucosa was 14 cm long. It is extremely difficult to completely peel off the entire lesioned mucosa."

"I'm not the first assistant, but the main knife."

He Shengcai was stunned when he saw the operation arrangement.

ESD surgery is a level 4 surgery with very high technical difficulty. The thickness of the esophageal wall of ordinary people is only 4 mm, and the mucosa layer is at most 1.5 mm. It is difficult to imagine the difficulty of ESD surgery to completely peel off the lesions within this 1.5 mm.

Although cancer can be cured now, anticancer drugs are very expensive, and are generally used to treat advanced cancers. Such early cancers are eradicated by surgery, which not only speeds up the recovery, but also greatly reduces the economic burden.

After all, for a minimally invasive surgery, it costs 10,000 to 20,000 yuan, and the cheap one is a few thousand yuan, which is much more cost-effective than the hundreds of thousands of anticancer drugs.

It's just that He Sheng was a little surprised that the highly difficult ESD surgery was usually performed by the chief physician and entrusted to an attending doctor.

He looked at the patient's case and frowned.

Elderly patients, basic diseases, peripheral lesions, intraoperative bleeding, endoscopic stripping treatment, all kinds of information seem to be challenging the treatment limit of endoscopists.

You must know that the operation under the endoscope is very different. If the cut is not thorough, it is equivalent to not doing it. If you cut too much, the risk of bleeding and perforation will also increase sharply. In addition, the degree of esophageal stenosis after surgery You can't ignore it either.

He soon became excited. The greater the difficulty, the greater the challenge. This is an excellent opportunity to verify what he has learned. Presumably Professor Zhou also thought of this and made such an arrangement.

Therefore, there is no room for rejection, and we can only face difficulties.

In the afternoon, He Sheng got ready and entered the operating room.

In addition to the anesthesiologist, the second assistant, the nurse, there are also some young doctors who are observing.

Standing on the operating table, looking around, he couldn't help smiling when he saw everyone's suspicious eyes.

"From this moment on, prove yourself well."

"I know you still have doubts about my strength, but after this operation, you won't have any doubts."

He picked up the endoscope, looked at it, and was suddenly surprised.

The equipment was very familiar, and he recognized it at a glance. It was Sanqing's endoscope, and it was also equipped with an ultrasonic scalpel that could adjust the angle.

When Sanqing was sent to the hospital in Kunming for the first time for trial, he had tried it many times.

"It seems to be the prototype sent by Sanqing. It's great. Sanqing's ultrasonic scalpel is much easier to use than the electric scalpel. It causes less tissue trauma and almost no bleeding."

The thought flashed through his mind.

Soon, everything was ready and the operation began.

"The intubation was successful under anesthesia. During the operation, the mucosa of the esophagus 23-35 cm away from the incisors was rough and eroded."

"Mark around the lesion under the gastroscope, and inject epinephrine melanin injection around the lesion."

"The bulge of the lesion is not good, and the ultrasonic scalpel is used to gradually separate it in the tunnel, and the lesion is resected throughout the week."

He silently recited the operation steps in his heart, and his mood gradually calmed down like water, without any waves.

He lowered his head and operated skillfully. With solid technical skills and rich surgical experience, he avoided blood vessels, carefully built a tunnel, and then gradually peeled off the mucous membrane.

The expected blood oozing from the wound did not appear. Under the ultrasonic scalpel, the mucosal tissue was cut and stripped smoothly like a hot knife cutting through butter, and there was no trauma to the nearby blood vessels.

If I had to use one word to describe the entire procedure, it would be clean.

In two words, it is smooth + clean.

The operation lasted two hours, and the patient's blood pressure was stable during the operation without any mistakes.

In the end, the 14 cm-long cancerous mucosa buried deep in the esophagus was completely stripped off.

After the operation was over, the patient was quickly sent away, and there was thunderous applause all around.

This is a recognition of his strength and a compliment to his skills.

"Doctor He, your skills are amazing."

"I heard that you are still the attending doctor? This time, I came here for further training to advance to the next level. To be honest, at your level, it is more than enough to be the deputy director of a third-level hospital."

"A technique like yours can only be used as an attending in your hospital? This is too complicated."

"My God, China is really a big country, and your technology can be used as the director of a national hospital in our country."

Everyone congratulated, and some foreign doctors were amazed.

He Sheng showed a slight smile, and habitually said humbly: "Where is it, everyone praises me, and I only have the current skills after I came to study. If I want to praise, I should praise Professor Zhou for teaching well."

"Haha, this is all the result of your own hard work, I don't dare to be greedy for credit." A laugh sounded behind him.

He Shengcai looked back, Zhou Ruping was standing behind him, looking at him with a smile.

"Teacher, how long have you been here?"

"Not long after your operation started, I came here and have been watching until now. Sure enough, as I expected, you have completely completed the ESD operation."

He Shengcai was suddenly surprised and delighted: "Teacher, thank you, this is all because of your good teaching."

Zhou Ruping chuckled: "Let's go, let me go to the office and have a chat."

He Shengcai was dizzy and his heart was numb. He came to the office and poured a glass of water to calm down.

"How is it? Have you selected the surgery video for the competition?" Zhou Ruping asked straight to the point.

He Sheng shook his head and was about to say something.

Zhou Ruping clicked on the mouse and said, "I recorded your operation just now, and it just happened to be a video of the operation. What do you think?"

He Shengcai took two steps forward, watching his smooth operation on the video of the operation, without a trace of bleeding, and without the slightest trace of fireworks, it was simply extremely pleasing to the eye.

He has also watched some award-winning videos in the past, and his surgical performance can be said to be extraordinary, and it is not inferior to those finalists.

"This," he was so moved in his heart that he blurted out, "Teacher, have you already prepared?"

"That's right," Zhou Ruping said with a smile, "Don't blame me for not telling you earlier, I also don't want to put too much pressure on you, I want you to play freely."

"Actually, I performed this operation logically, but cases of ESD surgery around the esophagus are very rare. The difficulty of this operation is not ordinary. I think you just need a case to do the operation video, so I will leave it to you."

"At first, I thought, if you can do it, even if you are a teacher, you can record it and participate in the competition. If you can't do it, you can continue to study. I can watch it by the side."

"I didn't expect that," he said approvingly, "You did it better than I imagined. You didn't even bleed from the wound. You just missed a step. Other students might have to use hot forceps to stop the bleeding. It doesn't look so pretty anymore."

"The most important thing about minimally invasive surgery is the word minimally invasive. The smaller the trauma, the better, and the less bleeding, the better. No blood and no trauma, it is the best surgery for patients."

He Sheng scratched his head, and said with some embarrassment: "That's thanks to the use of the ultrasonic scalpel. If other people also use the ultrasonic scalpel instead of the electric scalpel, they will definitely be able to make it as clean as me."

Zhou Ruping waved his hand: "That's why I called you here. From what you've seen, how does the ultrasonic knife under the hose work? Compared with the electric knife? Is it too difficult?"

He Sheng pondered for a moment, and said seriously: "Naturally, there are difficulties. This is a new thing. The doctors are familiar with the electric knife, and they suddenly switch to the ultrasonic knife. I am afraid that they are not used to it, but once they get used to it, they will definitely like it. Ultrasound knife."

"After all, the electric knife uses heat to burn to stop bleeding, and the damage to the surrounding tissue is inevitable. If you use an ultrasonic knife, bleeding and hemostasis during the operation are much more convenient, and the trauma to the patient is also smaller."

"Of course, the mastery of any new technique requires a lot of practice, which is unavoidable."

Zhou Ruping nodded: "You're right. I was told by someone from Sanqing that he wanted to sponsor the World Cup of Endoscopy and compete with Olympus on the same stage. I didn't take it seriously. Now it seems that my thinking is too narrow. gone."

He Shengcai smiled and said, "I can't blame you for thinking that way. After all, Olympus has been monopolizing endoscopes for decades, and everyone is used to it."

Zhou Ruping said with emotion: "That's right, I am used to using foreign equipment, and I have formed a fixed mindset. In addition, other domestic manufacturers are not up to date, and have not been able to break the monopoly of Olympus. Who would have thought that domestic endoscopes could be able to so smart."

"These sets of prototypes sent by Sanqing are not inferior to Olympus, and the hose and hard tube ultrasonic knife equipped with them are even more powerful than Johnson \u0026 Johnson's. I am really impressed."

He slapped his thigh with excitement on his face.

"Following the rise of Huaxia's endoscopic surgery, Huaxia's endoscopic equipment has also risen."

"Twenty years ago, I wanted an Olympus endoscope but couldn't get it, so I had to modify it myself and make crude instruments with crochet hooks."

"Twenty years later, domestic endoscopes have become better than blue, with their own technology and breakthroughs."

"It's really gratifying to congratulate, the great fortune of the country!"

"It's decided. This time, I'll let go of my old face. Based on the face of the past ten years, I must send Sanqing's equipment to the endoscopy World Cup operating room."

After Zhou Ruping finished speaking, he stretched out his hand to straighten his hair suddenly, smoothed out the messy strands, and sat upright.

"The first time Huaxia's endoscopic surgery became famous internationally, it started with me."

"Now, Huaxia's endoscopy equipment is famous internationally for the first time, and I should be the one to start."

"The greatness of the country is for the country and the people. The dignity of the country is one of honor and disgrace. The honor won by doctors is inseparable from the development of the country in addition to their own strength."

He Shengcai was immediately in awe. What he admired most about Professor Zhou was that he always put the country and the people in his heart, and always worked hard for everything about the patient.

I asked myself, I am just an ordinary person, learning technology is not only for interest, but also for promotion, but I don't have such a profound awareness.

He could only shake his head in regret as to whether he could achieve the same result in the teacher's position.

At this moment, he thought of the "Great Craftsman of the Great Country" program filmed by the TV station. Zhou Ruping became the only doctor selected because he brought great honor to the country on the international stage. Bringing it to the forefront of the world, it has been recognized by people all over the world.

I thought that I would have the opportunity to take over this glorious and great task from my teacher and make my mark on the international stage.

He couldn't help but his heart trembled violently, his limbs trembled, and his eyes were moist for a while.

"Teacher, don't worry, I will not let you down."

He Sheng clenched his fists, and resolutely uttered these words.