482 Consultation in gastroenterology
"......" Zheng Ren smiled.
Gao Shaojie was a little cramped and a little embarrassed.
I am in my forties, and I am afraid that I will be beaten with hemostatic forceps when I go on stage.
This kind of thing has never happened to Gao Shaojie.
When Gao Shaojie was in school, he only saw his classmates beaten by teachers, and he has always been excellent in character and learning, and he has never had this similar experience.
After all, Gao Shaojie is a scholar.
However, no matter how much you are a scholar, you have to kneel.
Professor Rudolf Wagner was beaten into a dog in the operating room......
Although Gao Shaojie was modest and serious, when he thought of returning to the Affiliated Hospital of the Medical University, in front of his students and colleagues, he was beaten on the radial process by a small doctor with hemostatic forceps.
"That's what Fugui'er asked for herself. Zheng Ren said with a smile: "As long as you don't have this special requirement, I won't use hemostatic forceps." ”
Gao Shaojie carefully observed Zheng Ren's expression, and saw that he didn't look like he was lying, so he was relieved.
"Moreover, TIPS surgery is different from prostate interventional embolization surgery, the former is a new and subversive way of diagnosis and surgery, which tests the ability to combine preoperative viewing and intraoperative imaging.
Prostate interventional embolization is more of a test of the surgical operation. ”
Speaking of this, Gao Shaojie suddenly remembered something.
He hesitated slightly, but then firmly, and said, "Mr. Zheng, do you know that the professor is going to apply for the Nobel Prize for the new diagnosis and surgical method of TIPS surgery?"
"I don't know. Zheng Ren smiled.
"......" Gao Shaojie really can't see through Zheng Ren.
It's normal for him to not know about such a big thing. But after listening to what I said, my expression didn't change at all, which was too bizarre.
"I know Fugui'er wants to do something, but it doesn't have much to do with me. The diagnosis and operation method of TIPS surgery, if he wants to apply for the Nobel Prize, he will go. Zheng Ren smiled.
"You...... Aren't you worried?" Gao Shaojie doesn't think that there are such noble people in this world, and he regards the Nobel Prize as nothing.
"Do you mean to bring my name?" the two of them have a common scientific research achievement?" Zheng Ren asked.
"Yes. Gao Shaojie was frank.
"Well, that's what I think. Zheng Ren said: "If Fuguier doesn't take it to declare, Su Yun has to think about it slowly." The paper has been mailed out, and I should be the first author, so this matter should be considered solid.
There are indeed academic tyrants in the academic world, and the results will be robbed. Moreover, it is normal to apply for the Nobel Prize and wait for more than ten or twenty years, and the new technique seems to have not won the Nobel Prize for decades.
Therefore, Fuguier likes it, and he also has connections, so he will get it. This kind of thing is the most energy-consuming, but I'm too lazy to do it. ”
There are not many words, but the whole thing is simply sorted out clearly.
Gao Shaojie sighed, from publishing papers and confirming the first author, to teaching rich and noble people to learn prostate surgery, and then to competing for the Nobel Prize. This series of things is natural.
Young man, what a deep thought.
"I'm not concerned about the Nobel Prize. Worldwide, there are 200 million people living with hepatitis B, more than half of whom are in China. Zheng Ren ignored Gao Shaojie's emotion and continued: "Hepatitis B cirrhosis is much higher than the incidence of cancer. If I win the Nobel Prize with my own efforts, and then promote it across the country, it will be at least ten years younger, and how many people will die. ”
Gao Shaojie was stunned.
"Fugui'er wants to do it, that's the best, I only thought of this thing after listening to Su Yun say it in the past few days. Zheng Ren smiled, "Teacher Gao, you have to cheer on that side." ”
Gao Shaojie nodded hurriedly.
He knew it was a great opportunity.
It's not the Nobel Prize, that kind of award, Gao Shaojie doesn't have any thoughts at all, it's too far away.
Just say that the technical status of the Affiliated Hospital of the Provincial Medical University and the status of the rivers and lakes in the country, can be one step ahead of others, how great the benefits are, as long as I think about Gao Shaojie, I can't help but get excited.
"Teacher Zheng, don't worry. Gao Shaojie nodded again and again, and said: "I'll rush back to the provincial capital and sort out the patients again, and if there is a problem, you must not rush to the stage." ”
Zheng Ren felt that talking to Gao Shaojie was very worry-free.
"If it's okay over there, I'll ask you to make a trip. Gao Shaojie was a little embarrassed.
This kind of thing......
There is no cost for expert consultation, and Zheng Ren also has to teach himself Nobel Prize-level surgical skills.
Gao Shaojie himself felt unreasonable.
Thanksgiving.
While chatting, Zheng Ren's phone rang.
"Hey, hello Director Xia. ”
"Oh, okay, I'll go over here. ”
In just two words, Zheng Ren hung up the phone.
"Teacher Gao, I still have something to do here, so I won't talk to you more. You're ready, give me a call, and if I'm okay here, I'll be able to get over soon. After Zheng Ren finished speaking, he exchanged phone calls with Gao Shaojie and left the locker room.
I just received a call from Director Xia of the Department of Gastroenterology, saying that he wanted to come to the emergency department for consultation.
This thing is very strange, and the gastroenterology department wants the emergency department to have a wool diagnosis!
Director Xia was vague, saying that he was meeting and talking.
While pondering what might happen, Zheng Ren hurried to the gastroenterology department.
As soon as I entered the door, I heard a man's voice coming from the office.
"I asked the experts in the province, this disease has to be treated in the pancreatic department! Gastroenterology, is it to treat the stomach, not to treat this pancreatic disease! Don't bully me for not knowing medicine. ”
Zheng Ren had another headache.
This kind of patient's family is the most difficult to deal with.
Generally speaking, there are two situations in which the family members of patients can say such things.
The first is that the patient's family is too concerned about the patient's condition, and before and after the patient is hospitalized, they hurriedly go to the provincial capital and even the imperial capital and the magic capital to find someone to inquire whether the disease is serious or not, and how to treat it.
However, because most of the patient's family members do not know much about medicine, even if they find someone who understands it, they will come back and say the opposite.
When Zheng Ren was a child in an orphanage, he listened to the story of Gudong, which probably meant this.
The second is the opposite, where the patient's family does not want to spend money. Especially for pancreatitis, although now because of the upgrade of somatostatin, surgery is basically no longer necessary for acute pancreatitis.
However, the treatment of severe acute pancreatitis requires a fast water diet, intravenous hypernutrition, and daily pumping of somatostatin.
The cost of expensive treatment is daunting.
In particular, it is difficult for the family members of patients with average family conditions to bear the cost of this treatment.
If the middle and advanced stage malignant tumors are a big hole that can never be filled, then the pit of acute pancreatitis may be even bigger than the malignant tumor.
After all, it is difficult for many families in the Northeast to bear at least tens of thousands, hundreds of thousands, or hundreds of thousands of yuan in a short period of time.
Zheng Ren walked past the doctor's office and saw a young doctor in the gastroenterology department communicating with the patient's family.
After only listening to a few words, Zheng Ren probably had a point in his heart.
It is the patient's family who is unwilling to pay the money and finds various reasons to prevaricate.
Pancreatic disease outpatient inpatient treatment, big brother, are you going to live at the cash office?
Zheng Ren continued to walk forward, went directly to Director Xia's office, knocked on the door and entered.
Director Xia didn't talk nonsense, and talked about the patient's condition first shrewdly and capably.
The patient was hospitalized for acute pancreatitis last night, and because when he came, he said that the conditions at home were average, so the gastroenterology department did not use any expensive drugs.
There is no doubt that somatostatin is a must.
As for other intravenous high-nutrition drugs, they should also be used cheaply as much as possible.
In one night, 3,500 yuan was spent, and the patient was now in arrears and could not even withdraw somatostatin.
Because the patient's family questioned today, saying that the Department of Gastroenterology is not a specialty in the treatment of pancreatitis, and they should seek treatment from the Pancreatology Department.
The little doctor in the department of gastroenterology said, then let's find you a general surgeon.
As a result, the family became angry.
I want to find a pancreatic department, why are you looking for a general surgery department for me, bullying me for not being able to read?
No matter how it is explained, the patient's family just admits death.
Later, Director Xia had an idea, she remembered that Zheng Ren once performed emergency surgery on a patient with pancreatic pseudocyst, so she said to the patient's family, I will find you a doctor in the emergency ward, and all the emergency services will be under their control.
The family was a little unhappy, but reluctantly agreed.
That's how it happened.
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