This doctor has a system

Chapter 229 217. When playing basketball, it’s normal to be a little emotional.
"It's not that I have to ask you to come. The main reason is that when our department goes abroad to study, we always go to other people's places. If he suddenly comes to our place, we won't achieve our goal."

"Gringos are the quickest to fall out," Director Xin said.

"Gao Feng, Nihao!" Professor Ivor was very happy to see Gao Feng. "Although you are young, you did a very good job in the surgery."

"Better than me."

This man was quite humble. Gao Feng quickly said a few polite words. In fact, there is no difference between foreigners and Chinese people. Everyone likes to hear something nice.

Soon, Professor Ivor revealed the purpose of his visit, "We would like to invite you to the Cleveland Clinic for academic exchanges."

Gao Feng was a little strange. He looked at Xin Guoyu, who was also a little confused.

"I'm usually quite busy, so I probably won't have time when I go abroad."

"Please go, my teacher specially asked me to invite you." Professor Ivor said.

Xin Guoyu on the side was envious. If he had agreed immediately, Professor Ivor's teacher Reuven Jackson was a world-renowned expert in the cardiovascular field. If he could have some relationship with him, it would be exciting to think about it. People are excited.

"You have to go." Xin Guoyu advised Gao Feng, "If you can get the support of Professor Reuven Jackson, you can save at least ten years of detours."

"I don't seem to have gone through any detours," Gao Feng said.

Xin Guoyu was stunned for a moment, it seemed so!How long has it been since this guy started working? His career has been rocketing forward, and he is now quite famous across the country.

Professor Ivor's Chinese was not bad, and he couldn't help but feel anxious when he saw Gao Feng's lack of interest.

Founded in 1921, the Cleveland Clinic is famous for medical breakthroughs and organ transplants, integrating medical care, research and education.Its cardiac surgery and urological surgery are ranked first in the United States; its general surgery, rheumatology, nephrology and other advantageous specialties are among the best.

Recently, the Cleveland Clinic admitted a special patient. How special is it? One-third of the annual donation funding received by the Cleveland Clinic comes directly or indirectly from this patient.

The patient was outrageous. He had three heart transplants at the Cleveland Clinic. It has been 3 years since the last heart transplant. During the examination, it was found that there was a problem with the patient's aortic valve and there was a large amount of regurgitation.

"Then what?" Director Xin Guoyu asked.

"We performed transcatheter aortic valve replacement on him, but the operation was not smooth. There was difficulty in pressing in the biological valve," Professor Ivor said.

The average patient will definitely have no problem, as long as he spends more time, the problem can always be solved.But not this patient. His general condition is worse.

The patient had had a double lung transplant before, but the prognosis was very poor. The transplanted lungs quickly developed fibrosis, so he had to undergo two transplants as a last resort.

The second transplant was a single lung. After timely application of expensive drugs, the single lung survived.However, the patient's condition is still not optimistic. Even the slightest activity will make him breathless.

"No, even if there is a large amount of regurgitation in the aorta, the patient's quality of life should not be so bad." Xin Guoyu raised the question in Gao Feng's heart: How could he not be able to tolerate even transcatheter aortic valve replacement? Woolen cloth.

"This is a picture of the patient." Professor Ivor took out his mobile phone.

There is a big fat man on the screen.

"The patient weighs up to 110 kilograms, and the cardiopulmonary load is too heavy!"

"Why not let him lose weight?" Gao Feng was a little speechless.

"We have lost 140 kilograms before." Professor Ivor smiled bitterly. There are some special customs in the patient's hometown, and he hates losing weight.

"We also invited Professor Sugimoto Genji from the island country and Professor Scorpius Hartmann from London."

Gao Feng understood what he meant. He wanted to choose one surgeon among the three of them to help the super VVVVVVVIP from the Cleveland Clinic complete the transcatheter aortic valve replacement.

He didn't want to go. It would be too troublesome for a foreigner who was unfamiliar with the place.

"Sorry, I will be very busy in the next period of time. I'm afraid I won't be able to..."

"First appearance: You have to go. You can get 50 skill points for completing the task. If you fail, 100 skill points will be deducted." The system released the task.

"Okay." Gao Feng immediately changed his mind, "I am also very worried when international friends encounter this situation. If possible, I am willing to do my best."

"Very good!" Professor Ivor was very happy. "We expect to start the operation in 2 weeks, but you need to arrive 1 week in advance."

"You can bring 5-6 assistants, and the Cleveland Clinic will bear all the expenses. If you are finally selected as the chief surgeon, we will also pay an additional fee."

"No matter the outcome, you will have the friendship of Cleveland Clinic."

"If the operation is successful, the patient will reward you additionally."

Good guy, is it allowed for foreign countries to blatantly violate the nine medical inadmissibility principles?If you dare to accept red envelopes from patients, you won't be afraid that your medical qualification certificate will be revoked.

Damn capitalism!
Director Xin took everyone to eat together.

"Go to Geji to bake cakes." Gao Feng suggested.

"Welcome Professor Ivor from the Cleveland Clinic to come to the provincial hospital to guide our work." Xin Guoyu said loudly, "Professor Ivor's achievements in cardiovascular disease"

He is not a flatterer, he is just very capable.

The waiter who served the food curled her lips. She recognized Gao Feng. The people who came to eat with him in the past were all high-end big companies. Why was it a small clinic this time?

Can doctors from small clinics still come to the Provincial People's Hospital to provide guidance?Are you kidding me?
Is it just because he is a foreigner?
Advocate for foreigners!Really hammered.

Chinese people have been kneeling for too long, and now their knees are so weak that they can no longer stand up. Auntie feels very uncomfortable.

"What? Are you going abroad?" Li Youliang was surprised when he heard the news, "What about this project?"

"Let Jiaran come over and watch. I have written the experimental procedures for him in advance."

"I'm afraid I can't do it." Hu Jiaran said with a grimace. The fully degradable occluder, as you can tell from its name, is very high-end. He felt that he didn't deserve it.

"It's okay. I won't leave until next week. I'll do it with you these days." Gao Feng said, he was very confident in Hu Jiaran's hands-on ability.

"Okay." The latter was about to cry but had no tears. He had finally been relaxed for a few days, but this added to his burden again.

However, Hu Jiaran's hands-on ability is really strong. If the scientific research migrant workers have a realm, this kid is at least a quasi-emperor.

Emperor Hu Zhun easily weaved the hair-thin material into a web, while Li Youliang and Yi Zhonglun on the side were just getting started.

"So strong." Dr. Mu Zhentao's cute and clear eyes widened, "Your hands are more dazzling than other people's hands."

"Right." Hu Jiaran was a little proud. This man was quite knowledgeable.

Gao Feng was also very satisfied. This job should be left to Hu Jiaran, so why bother him and Li Youliang.

"If you just do it like this, I guess it won't take a month for the samples to be out."

Hu Jiaran was also very happy. This didn't seem difficult. You didn't need to use your own brain. Just follow the instructions and you'd be done. "Wang Liang, where is Hu Gong?" Dai Yonghui from Xinhua Pharmaceutical came over.

"We were called away by our boss." Wang Liang was chatting with his girlfriend on his mobile phone, without raising his head when he spoke.

"Why did you go?"

"It seems to be some kind of project, I don't know the details."

Dai Yonghui was a little curious, but didn't ask any more questions. It was already dinner time, and he was a little tired of eating in the university cafeteria every day, so the group decided to go out for a meal.

"Wang Liang, don't you get tired of chatting every day?" someone asked.

"How can it be annoying?" Wang Liang replied, "I enjoy it."

Thanks to the last blind date, many people found partners, and everyone talked about this aspect.

"Brothers, I have a question." A colleague said, "My opponent kept shouting when I was playing. When I heard it, I got upset and I took action hastily. What should I do?"

After everyone discussed it, one brother spoke up, "It's normal to shout when playing, because when we play, we have a lot of physical confrontation and a lot of muscle collisions."

"The opponent may be at a disadvantage in the confrontation, so you need to adjust your breathing first to keep it consistent with the rhythm of the confrontation."

"So it's usually just a shout. It's very scientific to make adjustments when shouting."

"It is understandable that hearing shouts leads to hasty shots. I am also annoyed when hearing shouts, especially when the opponent's voice is not pleasant, which affects my mental state. Sometimes I will rush to end the game."

Are you talking about playing ball?Dai Yonghui of Xinhua Pharmaceutical is a little confused.

"Yesterday I had an appointment with a female golfer to play. She laughed very happily at first and was dismissive of my skills."

"But when I intensified my impact on the inside, her expression began to look painful. Finally, she knelt down and begged for mercy before I agreed to end the game."

"Brothers, am I too eager to win?" Cao Wenbin asked.

"Generally speaking, female players are not willing to play with people who are not good at playing. I don't think she is dismissive. She probably has too high expectations for you. It turns out that you are just a facade and not as good as her previous golf friends. .”

"But as soon as you increased your intensity later, she felt your impact on the inside, and she didn't expect that you were hiding deep. Your true strength was far higher than other golfers, and she was already at the end of her strength and struggling to hold on."

"After all, girls are more respectable. In the end, when I knelt down and begged for mercy, my body must have reached its limit."

"After all, playing basketball is a strenuous exercise, and you still need to protect your body. I personally don't think there is any issue with the desire to win or lose."

"It's normal to be a little emotional when playing basketball!"

"Come on, someone is here to teach golf experience at Wang's BBQ." Dai Yonghui started calling his subordinates.

"There aren't many players in our team who play basketball." The person who answered the phone was a little confused.

"No time to explain, come and get in the car!" Dai Yonghui hurriedly hung up the phone.

"When can you come to the hospital today?" Dong Qianqian called and asked, "There is a patient who needs you to see him."

"Is it serious? No, I'll go there now."

"No, it's not an emergency. Just come and see her in the evening. I happen to be on night shift today," Dong Qianqian said.

The patient, a 77-year-old male, was admitted to the hospital with chief complaints of fever, cough, and sputum production for more than half a month.

I did some tests at the local hospital, and the blood routine showed that the number of white blood cells was normal, the percentage of neutrophils was elevated, 85%, and no other obvious abnormalities were found.

Chest CT showed: irregular cystic cavity with separation, multiple cysts, rough outside, and local surrounding ground glass density shadow.

"What do you think?" Gao Feng asked.

"Malignant." Dong Qianqian thought for a moment, "Of course the possibility of tuberculosis must be ruled out."

Gao Feng was very satisfied with her answer. Dong Qianqian's recent imaging reading ability has been greatly improved under his guidance.

"It is most likely cystic lung cancer. The lesions are bullous-like with thickened edges. Mixed ground-glass nodules can be seen at the 6 o'clock position, and there is pleural traction at the 8 and 11 o'clock positions."

"There is obvious stenosis in the official cavity of the middle lobe bronchus of the right lung, and something should be visible under the microscope."

"Then why is the cavity formed?" Dong Qianqian asked. This was the first time she had seen such imaging manifestations.

In fact, this was also the first time I saw Gao Feng. Fortunately, he was able to cheat.

"It's not clear yet, but there are two theories now."

One theory is that tumors are secondary to structures such as pulmonary bullae, cysts or bronchiectasis, and tumor cells grow adherently to the cyst wall, forming cystic tumors;
Another theory is that tumor cells first appear, then invade and block nearby small bronchi, causing them to become narrow and form a valve. Air can only enter but not get out, causing the distal alveolar tissue to burst and fuse, and finally form a cystic lung disease. Tumor.

"Hey, how come you know everything?" Dong Qianqian said like an old fan girl, "It feels like you have been watching movies since you were born."

The next thing is easy to say. The patient needs to have a bronchoscopy and send the materials to pathology so that a final diagnosis can be made.

"Is the risk high?" a female family member asked Wu Xingfeng, the anesthesiologist who came to evaluate the patient. A large number of people stood beside the bed, all of them family members.

"She must be old, she's 77 years old." Wu Xingfeng said without raising his head.

The female family member stuffed a thick red envelope into his pocket, "Can the risk be reduced now?"

Wu Xingfeng

"No, you're overthinking, that's not what I meant."

"I know, I just want to mean it." The female family member said, "The main thing is that there is no shortage of this stuff at home."

He didn't want it, but she insisted on giving it, he hid, she grabbed it, he smiled bitterly, she made a noise, he yelled, and she stuffed her more and more.

How funny, Dong Qianqian thought to herself.

"Dr. Dong, you have one too." The female family member took out another envelope from her pocket, this one was thicker.

This female family member didn't know what she was doing. She was so strong that both of their wrists were red from being caught.

She had no choice but to accept it for the time being. Dong Qianqian then found a doctor to pay it to the patient's hospitalization fee. Putting this kind of money in her hand was like a time bomb, it would explode at any time.

If it doesn't work, your career will be gone.

(End of this chapter)