637. Surgery of a person(1/2)
Cao Qiwen was originally a master's degree in general foreign affairs, but this time she went to Shibei mainly to increase her clinical experience. When she was still studying for a master's degree, she did have many opportunities and had done many appendixes, but she was far from being the only one.
There is the strongest general surgery department in Quandanyang in the north of the city. It takes as much as the trauma of daily car accidents. The surgeons are just walking around here and have no time to have free time. But if you have your efforts, you will get rewards. They get more experience than others.
The competition in surgery is fierce, and if you want to take root in the third grade, you must have strong physical fitness. Because of your natural gender disadvantage, Cao Qiwen's physical strength is definitely not comparable to that of a male surgeon.
After asking around, you should know that the tertiary generals and foreign countries have no room for a female doctor.
If there is no Triple A, then the Two A, Two B...
Unfortunately, when you arrive at a secondary hospital, only the first and second level of surgery will be left for general external operators. Perhaps many people will be content with ordinary people and think that doing small hospitals is good, but for Cao Qiwen, there is no value as a surgeon without challenges.
Liu Feiyan knew that this was a dead end and always wanted her to give up. She had recommended her to return to the internal medicine department and work with peace of mind in the medical center.
After she really came here, Liu Feiyan advised her several times. Cao Qiwen would definitely say "think again", but in her heart, surgery was like a beautiful knot painted with rainbow flowers, which tightly strangled her from the first day of learning to dissect.
Qi Jing knew very well that this was not a person who could stay in front of the computer to read medical records. She could see her thoughts at first glance, and it was clear that it was actually for money to come to the diagnosis department.
This is understandable. No matter who it is, only by controlling one's own food, clothing, housing and transportation can one have poetry and distant places.
Of course, he would not mean to be sympathetic. If this girl hadn’t had a solid foundation in internal and surgical studies, had a beautiful face, and had the potential to become a vase, Qi Jing would have let her get out on the spot. Now Cao Qiwen has a stable income. Although she is not as good as Chen Bing and Liu Feiyan, she has food and accommodation at least, she doesn’t have to worry about her daily life anymore.
At this time, she must consider her future.
Cao Qiwen must have a doctoral exam, but who will get the doctoral exam has become the key.
Just as she was holding a bunch of information from ordinary foreign experts to find her target, Qi Jing did not force herself to keep the person by her side, but instead gave her a brand new direction: "Professor Chen Runmin from Shibei People's Hospital."
This name is very strange, and Cao Qiwen has no impression of it at all. After searching for it for a long time, she couldn't find this person.
Later she found out that the other party was the director of Renhe Plastic Surgery and he received a master's and doctoral degree from many years.
“Plastic surgery?”
“There are very few beauty treatments, but more of them are plastic surgery.”
This is completely different from the path Cao Qiwen originally envisioned. Even because of years of stereotype, she would associate this department with "scam money" and "unprofessional": "Learn plastic surgery? Is this reliable?"
"If you say this in front of Professor Chen, he will be angry to death by you."
“I just don’t know much…”
Because he didn't understand, Qi Jing asked her to go to Shibei. There was nothing more memorable than facing plastic surgery.
In fact, private hospitals have long had medical beauty, and all kinds of beauty measures are available. Not to mention the level, there are still quite a variety.
Public hospitals have always been in a tepid attitude towards plastic surgery and have wanted to do it, but they are disdainful because they cannot save their lives, and finally they have a situation of being uneven. Shibei People's Hospital is the only public plastic surgery department in Danyang. Since Chen Runmin was in charge, it is almost the only one in the surrounding area.
The plastic surgery here is different from the private sector. Compared to cosmetic surgery, they tend to deal with wounds and deformities.
In Danyang, a quasi-first-tier city, due to rapid development, the main contradiction has shifted from the most basic food and clothing to other places. The same is true for medical treatment. On the basis of successful surgery, patients have higher requirements for trauma and surgical incisions.
Pursuing the beauty of appearance after surgery has become a new direction in surgery. (1)
Therefore, plastic surgery in public hospitals and beauty in private hospitals are completely different concepts. What the plastic surgery team led by Chen Runmin has to deal with the various messes left by the surgery in his own hospital.
From the cosmetic sutures of some incisions, the incisions are not uniformly combined, to the large ones that deal with orthopedic steel plate leakage soft tissue defects, the wound does not heal after diabetic foot infection, traumatic soft tissue defects, various surface tumors that are generally difficult to remove, various body deformities, facial trauma, etc.
Because of Chen Runmin, the operation was successfully added to a new condition. This does not exist in other tertiary surgery departments. If you want to improve it, you have to go to the outpatient clinic of the plastic surgery department of Shibei after the operation...
The third-level A-level in the Third Hospital is far from being "large". There is no plastic surgery department at all, and there is no spare time to build such a department.
This is like a partial department such as ENT. The talents needed are really limited. Even if the Third Hospital really wants to build a plastic surgery department, it will be at least decades later. Now if you encounter such patients, you can only refuse to accept them or transfer them to the hospital.
Since the Third Hospital and the Medical Center have cooperated, Qi Jing wants to eat the cake they abandoned, even without cream.
This is the "One Person's Surgery" I talked about with Zhu Yating before.
Because plastic surgery has a unique advantage, that is, most plastic surgery can be done under local anesthesia. At that time, as long as Cao Qiwen returns from her studies and brings two or three assistants and a few nurses, she will become the puzzle to fill the gaps in the Third Hospital.
It's a bit simple, but at least it can be used.
For this reason, Qi Jing contacted Xiong Bo and Mingliang whom he had known before, asked them to build a bridge, and threw Cao Qiwen into Chen Runmin's plastic surgery team.
Qi Jing really wanted to leave her salary, but this girl was stubborn and just didn't want money. She said that the salary she gave before was enough for her to spend a year, so it was completely unnecessary to give it. After all, the experience she learned is more important.
But no one expected that what she learned in the past few months would serve Qi Jing first.
"You said it's intra-prosthetic sac infection?"
Cao Qiwen was a little surprised when she heard Qi Jing say this, because this is absolutely impossible in the Shibei plastic surgery team. But considering the practices of some private hospitals at home and abroad, as well as some accidental situations, it is not impossible: "If rupture and wound problems are ruled out, infection is also a possible option."
"Can infection pass through prosthesis?"
"It is generally unlikely, but it will stimulate the outer fibroscopic sacs and cause fibroscopic contractures." Cao Qiwen said, "After the fibroscopic contractures, the breasts will become hard, causing pain and asymmetry in shape." (2)
"Oh, she used a water injection prosthesis."
"It's not a gel. If you inject water, there is a rubber wall, so it's hard to say."
"If it was really an infection, what kind of microorganism would it be?"
"Bacteria and fungi."
Qi Jing nodded: "The patient has not had a fever for this period of time, and now it has receded below 37 degrees. It seems that the possibility of fungi is greater."
"but......"
"But what?"
"What if it's not an infection? If it's not a prosthesis problem, it's meaningless if the surgery is done."
Qi Jing also knew the risks, so he said all of Ye Han's previous symptoms and development trajectory: "How is it? Do you think it's like it?"
"To be honest, I don't think it's very similar, but there is no other possibility if you do the elimination method." Cao Qiwen sighed, "Let's do it, after I finish this surgery, I'll go to Professor Chen and ask him what he thinks."
"Then I'll wait for your news."
......
The call ended soon, and Qi Jing quickly expressed the "result" he believed in: "I personally suspect it is an infection in the prosthetic capsule. This infection is not serious and it is difficult to release it into your body. But the little things will slowly stimulate the fibroblasts around the prosthesis."
"Fiber capsule?"
"It is the body's reaction to the prosthesis, wrapping the prosthesis."
Ye Han looked at the sketch Qi Jing drew on the paper and nodded in a vague way: "What happens when the fiber capsule is stimulated?"
"The fibroscopy will contract like other tissues that are frightened." Qi Jing boldly drew the muscle groups related to it on the paper with a black pen. "The contracture will drive the surrounding muscles because the range is too large, and it can pull almost all the muscles on the front of your upper body, even the upper arm."
"What you mean is that the prosthesis has an infection. The infection stimulates the fibroscopy. The fibroscopy is stimulated and contracts, and then pulls the muscles and causes my muscle pain?"
"Well, you're pretty smart."
"What should I do next?" Ye Han seemed to have guessed the treatment measures, but he still had to ask.
"Take the surgery out, and then clean and disinfect the fibroscopy. If necessary, drainage strips need to be placed..."
Qi Jing took the opportunity to add a few more strokes to the blank paper that had already been drafted, and gave a general introduction to the upcoming operation. However, before he finished speaking, Ye Han shook his head: "Can you fill in one for me immediately after the prosthesis is removed?"
Qi Jing understood what she meant, but was still a little annoyed by such a brain circuit: "The fiber capsule has already shown signs of infection, how could it be put directly without waiting for it to be cleaned? If you really want to do it this way, will this knife be in vain?"
Lu Zishan sat beside the bed and quickly advised: "The body is important, Yang Zesheng won't blame you."
"When I first met him, I said I didn't like plastic surgery or something. I was afraid that after he knew......"
"If you know, you know."
Qi Jing took the opportunity to pour "chicken soup": "What do you want a man who can't tolerate such mistakes? Maybe he will have an affair in the future... Oh, by the way, he is a doctor? This condition can only be kept in the past few years, and the more he goes, the harder he will have. He won't let you have plastic surgery. When the time comes, the old man will be dirty, who will still care about you?"
The reason is this, but Yang Zesheng is obviously not this kind of person.
But Ye Han has never felt any security. After Qi Jing said this, beads immediately fell down his eyes.
"Okay, just say a few less words." Lu Zishan winked at him and comforted him, "It's okay, it's just a minor operation. If Yang Zesheng dares to blame you, come to me and see if I won't scold him to death!"
"He won't scold me. If he gets angry, he will definitely say hello casually and then leave..."
Qi Jing, no matter what she thinks now, after five days of differential diagnosis, the only way she can go now is to have surgery, take out the prosthesis first. Even if Chen Runmin said that it was unlikely to be a prosthesis, he would have to try it out.
"For our doctors, these are secondary." Qi Jing continued to persuade, of course, while persuading, he added firewood, "only by protecting his body, you can find a better one."
"He is the best!" Ye Han cried with a sad face.
"Ha, I know more people than him."
Qi Jing looked disdainful: "As soon as he graduated from undergraduate, he had several major case discussions with the director of the National Infectious Disease Department. He got the attending title that others could only get 30 when he was 26. The director of the emergency department of the top ten American hospitals also asked him to take his doctorate exam. He not only knows Chinese English, but also knows French, German, Portuguese, Western, and Arabic..."
Lu Zishan was both angry and funny when she listened on the side, and looked at his eyes as if they were looking like a copper bell: shameless!!!
"Don't disbelief, there is no shortage of elites in this world."
"Okay, you guys go out first." Lu Zishan invited all the doctors who came in. "Since it is an infection in the prosthesis, there is still time to consider it. You should be calm and let her think about it carefully."
......
The team of doctors walking out of the ward gate was like a dipping brush in a clean water pool, and it quickly dispersed.
After a while, only Luo Sanguan was left by Qi Jing: "This is the first time I have seen a doctor talking like this, it's too ruthless."
"What's wrong?"
"Are you afraid of her complaining?"
"Complaint? Who to complain?" Qi Jing spread his hands, with two big words innocent written on his face, "I am just an ordinary friend of her, I am not a doctor here!"
To be continued...