Sleepless Doctor

ERCP technology is a breathtaking revolution, which not only makes the diagnosis of biliary and pancreatic system diseases more accurate; at the same time, it can be treated under endoscopy, eliminating the need for surgical operations, and avoiding the high risk of surgical operations, large trauma, slow recovery, and complications Disadvantages of many diseases.

　　 The first successful intubation of duodenoscope by American doctors in 1968 marked the beginning of ERCP. After that, ENBD and other technologies were completed by experts from Germany and Japan, and the ERCP series of diagnosis and treatment technologies were gradually improved.

　　 In the early 1980s, Professors Yu Zhonglin and Lu Huanzhang in my country began to introduce ERCP-related treatment technologies. After more than 40 years of development, the level of ERCP operations in my country has reached or even surpassed foreign countries.

　　 After all, the number of patients in our country is huge, and the basic national conditions are different from those abroad.

　　 There are also many people abroad, but whether you can get sick depends first on whether you have money. Many people are known to claim free medical treatment abroad. This kind of thing is also a deception. Every year, so many people who fly back to China for appendectomy are gone.

　　 The accumulated experience value of ten ERCPs a week is completely different from that of nearly a hundred ERCPs a week.

　　 Foreign high-end technology is indeed high, but when it comes to the most basic treatment, there is another situation-the high is too high and the low is too low.

　　 In Wu Mian's view, the reason why foreign high-end technology is developing rapidly is because of the needs of the rich. They don't care how much money they spend, they only care that they can live a few more years.

　　 As for those who don't have money... they are all means of production, not people. Teacher Ma has already made various arguments on this point.

　　 Wu Mian thought this idea by himself, and never told anyone about it.

　　 Since ERCP technology has been basically developed and perfected, there has been no substantial progress recently, and it seems that it has entered the bottleneck of development.

　　 The biliary and pancreatic duct is called "the last blind spot of the digestive tract" by doctors.

　　 Because the pancreas and bile ducts are "hidden" by the liver, stomach and other organs, the examination is very difficult. At present, there are still some diseases of the cholangiopancreatic duct system that cannot be diagnosed, and there are still limitations to complex biliary diseases.

The emergence of 　　 is a bright spot in recent years. It can perform intra-biliary and pancreatic duct biopsy and even lithotripsy treatment under direct vision, breaking through the blind zone of the original endoscopic treatment.

　　 is called the Oral Biliary Pancreatoscope Direct Vision System, which can be said to be the third eye of the endoscopist.

This system can enter the bile duct or pancreatic duct through the biopsy port of the duodenoscope to achieve direct visualization and precision, allowing doctors to clearly observe the bile duct area at any time, eliminating the blind areas of the previous bile ducts. Let ERCP technology be improved.

　　 Wu Mian heard Xue Chunhe's introduction and said that the digestive endoscopy room of the Second Hospital of Medical University received a bill of lading from Director Liang.

After 　　, he became interested. After all, the system appeared very late, and even in some hospitals in the United States, it was not popularized. Unexpectedly, it has been introduced in Montenegro, so he stopped by to take a look.

　　 entered the door and changed his clothes. Seeing Director Liang was in a daze looking at the ultrasound gastroscope image, Wu Mian instantly understood what was going on, and he whispered a reminder.

　　 "Mr. Wu." Director Liang turned around and looked at Wu Mian with surprise.

　　 I was surprised that my fortune was indeed bad today, a misdiagnosis, plus the unclear diagnosis of the old patient, this left a bad impression on Teacher Wu.

　　 I am afraid that I am getting farther and farther away from the new courtyard in Bajingzi.

　　 It's not that I hesitate or choose at all, but that Teacher Wu doesn't like me at all.

　　I am pleased that Teacher Wu is here, so I can ask if it is in my own heart or the patient is really problematic.

　　 "Well, Director Liang, are you considering other problems with the patient's pancreas?" Wu Mian asked.

　　 Director Liang briefly introduced the patient's situation and said, "Mr. Wu, nothing seems to be happening, but I still think there is a problem."

　　 "Where is the problem?" Wu Mian looked at Director Liang with a smile.

　　 Director Liang was stunned, this is a question of... small talk? Or examine yourself?

　　There is a problem, just an intuition based on the clinical experience accumulated over the years. But if you want to tell yourself clearly where there is a problem, Director Liang will not be able to catch it.

　　 Wu Mian did not speak either, just looking at Director Liang.

　　 A breath of embarrassment spread all around, Director Liang didn't know what Mr. Wu meant, and his back kept sweating anxiously.

"that……"

　　 was silent for more than ten seconds, it seemed to Director Liang that it had been a year. He stammered, "That..."

　　 "Which one?" Wu Mian asked as if joking.

　　 "Uh..." Director Liang saw that Wu Mian didn't have a serious expression, but just smiled gently. The smile was so beautiful, he could feel the eyes of the little nurses around him always converge on Teacher Wu.

　　 Alas, it’s no wonder that single nurses are actively going to Yajingzi. Not to mention anything else, just seductive is enough.

　　 But he directly asked himself "which", which was a bit rude.

　　 "Teacher Wu, I have the courage to say, please correct me if you are right or wrong." Director Liang said, "The patient is an old patient. He has been treated with me for many years. I have a vague impression of his image data."

　　 Wu Mian did not interrupt Director Liang, but just listened.

"Ultrasound gastroscopy showed that the pancreatic echo was enlarged and the pancreatic duct was dilated. It must be correct to diagnose chronic pancreatitis. But the whole pancreas looks a little rough, which makes me feel...not beautiful~www.wuxiaspot.com~ Director Liang thought for a long time, I couldn't find a suitable word to describe the feeling in my heart, and in the end I could only use "not beautiful" to describe it.

　　 "Director Liang, your level is very high." Wu Mian nodded and said seriously.

　　 To the surprise of Director Liang, Wu Mian did not sneer at his "ridiculous" statement, but was recognized.

　　 Very high level? A sentence that is not like what the doctor said, is not beautiful, it is of a very high level?

　　 Director Liang looked at Wu Mian in surprise, wondering if he was speaking an irony.

　　 "Look directly at the system through the oral bile and pancreatic subscopy, where did Director Liang learn it?" Wu Mian asked.

　　 "Mad City."

　　 "Well, Mr. Qu, from the Department of Gastroenterology, has already carried out research on the direct vision system of the transoral bile-pancreatic subscopy. Have you done a few cases yourself?" Wu Mian continued to ask.

　　 Director Liang suddenly sweated profusely.

　　 Wu Mian's eyes were direct and frank, without any hostility, which made Director Liang feel a little warm.

He thought for a while, and finally told the truth, "Teacher Wu, I have operated 3 cases by myself in the magic city. I came back to apply for the application with the support of Dean Xue. It was only a month ago that the direct vision system through the oral bile-pancreatic subscopy system arrived. , I haven’t found a suitable patient recently."

　　I just bought a new system, and I must be looking for very mild patients. This is a matter of luck, starting from the "practice" of mild patients, until becoming more and more proficient, dare to use it on patients similar to pancreatitis.

　　 "You do it, I will watch." Wu Mian said with a smile.