White armor

Chapter 505: Implantation during surgery?

Yang Jing and Jingjing were sitting in front of the computer, looking the same.

It is extremely painful for him to trace back scientific research papers by 10 or even 20 years.

Yang Jinghe doesn’t care whether it is fake or not, the important thing is that it has to be useful.

If we really talk about it, who doesn't lie? From top to bottom, from outside to inside, this world is just a big makeshift team.

The key point is how to stay out of this storm.

Yang Jinghe got some relatively reliable information - after tracing back, he only found large provincial-level tertiary hospitals.

As for the county-level and prefecture-level hospitals, they can just turn a blind eye and let it go. If they are really meticulous, this matter will never be pushed forward.

If the water is too clear, there will be no fish.

This is also consistent with Yang Jinghe's understanding of the facts.

We can't just kill all the clinical people at once. If they all died, who would do the work?

Teach the vested interests a lesson and exert appropriate pressure. The invisible big hand appears so professional against the background of the makeshift team.

What's next?
Yang Jinghe thought to himself.

Of course, there is only one answer—Luo Hao.

Clinical doctors only know how to treat patients. Very few of them can do both and are good at both.

Luo Hao is an exception.

Yang Jinghe had no psychological barriers to asking Luo Hao for help, but he was afraid that Luo Hao was too busy and had no time to take care of him.

The Ice and Snow Festival is approaching, and a major project headed by Director Geng of the provincial department is about to be implemented, in which bamboo plays an extremely important role.

These are facts, and Yang Jinghe cannot change them.

In addition, Xiao Luo is also doing well in various scientific research projects.

Sad.

As he was thinking about it, Yang Jinghe suddenly grinned and said, "Never mind, just go ahead and do it."

It is said that Lao Qin from the Traditional Chinese Medicine Department grabbed Xiao Luo's arm and was about to call him Master, but he succeeded in the end.

Ronaldinho is indeed good, but he is young.

Being young, thin-skinned and not good at saying no, that's where the opportunity lies.

After lying down to rest, Yang Jinghe arrived at the hospital early the next morning, changed clothes and went straight to the interventional department.

"Director Chen, it really doesn't work." Luo Hao's voice came from the doctor's office.

"Why not!" Chen Yan asked seriously.

"This patient is not suitable for particle implantation and has no indication for surgery." Luo Hao said, "I suggest you go to Director Yang for radiotherapy."

"Xiao Luo, I have read all the surgical indications you mentioned. Why do I feel like you are just trying to give me a perfunctory answer?"

"How could that be? Director Chen, first of all, I won't be perfunctory to you, and secondly, I won't be perfunctory to patients. Although particle implantation causes little damage, its effect is also mild. To be honest, I recommend surgical resection for this pancreatic cancer patient."

Yang Jinghe listened quietly, pancreatic cancer?

Chen Yan has set his sights on implanting radioactive particles into Xiao Luo's liquid metal. It's his own!
The old dog is trying to steal the food from his own bowl!
Thinking of this, Yang Jinghe strode in and glared at Chen Yan.

Chen Yan didn't expect to meet Yang Jinghe so early in the morning. Everyone knew what their purpose was, and Chen Yan felt a little embarrassed.

It was like being caught having an affair in bed.

Apart from Yang Jing and this old rogue, who else can remain calm and composed?

Chen Yan twirled his beard and dug his feet into the ground awkwardly.

After all, he was wearing clothes, so Chen Yan couldn't even touch the hair on his chest.

"Director Yang, why are you here too?" Luo Hao eased the awkward atmosphere.

"Xiao Luo, what did you just say to Director Chen?" Yang Jinghe looked at Chen Yan coldly.

"Oh, there's a patient here. Director Yang, please come and take a look at the film." Luo Hao had already smelled the gunfire and let go of Erhei's head. Erhei sat on the ground, smiling as naively as Zhuzi.

Seeing Erhei's smile, Yang Jinghe also calmed down a lot.

Watching the film, Yang Jinghe frowned.

Abdominal CT showed a low-density mass in the body of the pancreas, dilatation of the distal duct, and no clear enlarged lymph nodes were found in the retroperitoneum.

Positron emission tomography (PET)-CT examination showed that a mass of about 3.2 cm × 3.0 cm was found in the pancreatic body and tail, showing radioactive concentration.

The maximum standard uptake value (SUV) was 11.0, which was closely related to the gastric wall in the gastric antrum and could not be demarcated; the greater omentum and mesentery showed nodular and lamellar thickening in many places, and the radioactive uptake increased to varying degrees, with the maximum SUV of 2.5-6.1; the right diaphragm was focally thickened and showed radioactive concentration, with the maximum SUV of 7.0; multiple nodules occurred in the right paracolic gutter, and the radioactive uptake was abnormally increased, with the maximum SUV of 6.1; the other organs were normal in shape and size, uniform in density, and no radioactive distribution was found.

Pancreatic cancer, multi-organ metastasis.

This patient is indeed not suitable for seed implantation, and we don't even know where to put them.

Chen Yan is really an old man who doesn't practice ethics. He just finds a random movie to tease Xiao Luo.

"If the patient had been in the past or in other small hospitals, there would be no good way to treat him. Fortunately, both directors are here, can we perform an operation together?"

"Joint surgery?" Yang Jinghe and Chen Yan were both stunned.

"During laparoscopic surgery, we can cut out what can be cut, and we can do radiotherapy during the operation for what cannot be cut."

"During the operation?"

"During the operation?"

"Well, the radiotherapy beam barrel is placed directly on the area that needs radiotherapy, and the effect is very good."

I am!

Can it still be like this? !
Yang Jinghe was stunned for a moment, but after thinking about it carefully, it was possible, but the operation would be more complicated because the entire operation was full of radiation.

"I'll fix the radiotherapy beam barrel. After all, neither of the two directors has relevant experience."

"???"

Yang Jinghe knew that Luo Hao was taking on the heaviest work to prevent himself from feeling discouraged.

"I have performed two cases at Union Hospital, but surgical protection was a big problem, and for various reasons, the operation was not carried out." Luo Hao felt a little regretful.

"If the two directors are interested, we can really give it a try."

"This patient is already in the terminal stage. Is it necessary?" Yang Jinghe, who knew Luo Hao well, asked seriously.

"I followed a patient. The sample size was not large enough, but the patient lived for nearly four years and the pain in the terminal stage was not very severe. After a series of treatments, the patient was able to go square dancing."

"Is the effect so good?" Yang Jinghe was surprised.

"After all, it is terminal, there are many things to consider, and the cost is high. Directors, if you are interested, we can try it together."

……

……

At the Second Hospital of Medical University, President Zhao was reading documents wearing reading glasses.

While looking at the document, he was thinking about checking the professional title 10 years ago. Zhao Xiangming knew the level of several hospitals in the provincial capital.

Zhang Xuefeng has not yet moved his daughter's household registration out of Jiangbei Province. Why? Her college entrance examination score was low.

A large number of talents were poached by the Southern Hospital, and even those who went to municipal-level hospitals were not treated as directors.

Even so, people still flock to it.

Laparoscopic surgery in Southern Hospital is normal, and there is basically no laparotomy or thoracotomy. Even if the surgery is difficult, it can be done with a little bit of work. But what about our own hospital?
Anything slightly more difficult requires surgery and cannot be done laparoscopically.

When a group of doctors matured, they were poached by the south.

This side of emotions became a training ground for the South.

This is just the technical aspect. As for the job title... it’s hard to explain in a few words.

The entire hospital, including my own professional title, is like a vast ocean, filled with water. If the investigation is conducted retrospectively, it depends on the severity. If the severity is too high, I will be demoted to chief physician.

What about the Medical University?
Whenever Dean Zhao thought of his first year in medical school, he would think of the young man he had first fallen in love with last year. He had missed the chance to meet him just because of such a small reward.

Now the number of scientific research projects of the First Hospital of Medical University ranks among the top ten in the country, and as Luo Hao becomes more familiar with the people around him, it may even rank among the top five in the country next year!
This is a solid achievement.

However, unfortunately, the demands that Luo Hao put forward at that time are still vivid in my mind.

Dean Zhao felt regretful.

At that time, I thought that young people became arrogant after they achieved success, but I didn't expect that they were really capable.

He just missed it so easily. This might even be the biggest miss in his life. The more Dean Zhao thought about it, the more upset he felt.

As I was thinking, there was a knock on the door.

"Enter."

The director of hepatobiliary surgery came in with the film.

"President Zhao, your classmate's relative asked me to watch the film. I'll report to you."

"Just watch it, I don't understand." Dean Zhao felt annoyed.

I just asked him to watch a movie, but he actually asked me to report to him.

"Director Zhao, the patient is now hospitalized in the First Hospital of Medical University, and he needs surgery. I think it's nonsense. The patient is in the late stage of cancer, and there will be no positive benefit from surgery." The director of hepatobiliary surgery began to report.

"Huh?" Zhao Xiangming was stunned.

First Hospital of Medical University?
He immediately thought of many things, and for a moment thoughts came flooding in like a tide.

Something like Professor Luo applied for a new national scientific research, using liquid metal for particle implantation.

Could it be content along these lines?
Zhao Xiangming's heart moved.

“What do the patients’ families say?”

"They said they would do radiation therapy during the operation."

"!!!" Zhao Xiangming was stunned. Intraoperative radiotherapy? Crazy!

X-ray exposure?

Or something else?
"Director Zhao, I don't know how to tell the patient's family, so I came here to report to you. We are all in the same industry, and I know I shouldn't undermine others, but what the hospital next door is doing is simply too much!" The director of hepatobiliary surgery was indignant.

It is indeed a bit excessive. No wonder they are striving to perform 100,000 surgeries a year.

One hundred thousand surgeries, how did such a large number of surgeries come about?!

Even for patients with advanced cancer who have clear contraindications to surgery, surgery is still required, and the patients may not have enough medical attention, so they may have to undergo intraoperative radiotherapy.

Isn't this nonsense?

It's simply skinning and sucking the marrow out of the bones.

Zhao Xiangming was not a hot-blooded young man. He considered many aspects before doing things. Although he wanted to exploit someone, he still analyzed calmly.

Could it be related to the ten-year retrospective investigation? !

They are rushing to do scientific research. Even if there are problems in the retrospective investigation, the existing content can be guaranteed not to be downgraded. There is even a shadow of Zhuang Yongqiang in this. Next year, the number of scientific research of the First Hospital of Medical University will be among the top five in the country, or even the top three?
It's impossible. None of these famous large-scale tertiary hospitals, such as Union Medical College Hospital, Peking University Health Science Center, Huashan Hospital, Southern Hospital, and West China Hospital, can be easily defeated. If Jiangbei Province competes with them in terms of foundation, it is impossible.

As for Luo Hao, he is just an outlier.

Countless thoughts came to Zhao Xiangming's mind, but were then thrown aside. He frowned and pondered the logic behind the incident before him.

"President Zhao?"

"Where's the film? Let me take a look." Zhao Xiangming took the film bag and began to read it.

It was indeed a highly malignant pancreatic cancer, with metastasis to the stomach and intestines. The stomach was especially sticky, and surgery was not the solution.

Even if you use miraculous methods to escape, the implanted and metastatic cancer cells will continue to grow, and it is only a temporary solution and not a cure for the disease.

This type of patient should go to the oncology department for chemotherapy, and observe the situation after several courses of treatment to minimize the patient's terminal pain.

But the person next door said he needed surgery.

Zhao Xiangming remained silent for a long time after reading it.

"I will give my opinion as normal. I will then ask the patient's family when they want to have the surgery."

a few days later.

Zhao Xiangming knew that the patient needed surgery, so he found a reason to find Jin Rongcan.

The two were very familiar with each other and had a good relationship. When Zhao Xiangming suggested going to the operating room to take a look, Jin Rongcan didn't think anything of it and just thought it was normal exchange and communication.

Although it is a bit strange, it is not a big deal. When friendly competitors come to "learn", President Jin has no reason to refuse.

"Director Zhao, there's nothing interesting to see in the operating room. It's just a normal operation."

"Your hospital performs 100,000 surgeries a year. My job is not easy. I get criticized at every weekly meeting."

"Well, it's just data, and there's still some water in it. If we really talk about the number of surgeries, our two hospitals are almost the same." Director Jin said with a smile.

The Second Hospital of Medical University had been catching up very quickly, but in recent years a large number of middle-level backbone personnel from private hospitals in the south were poached by the retired old director, and its decline became apparent.

Therefore, the First Hospital of Medical University took this opportunity to establish its status as the big brother in the province.

Everyone knows the ins and outs of this. Jin Rongcan believes that Zhao Xiangming must have something wrong when he goes to the operating room today.

But is there any special surgery today?
Jin Rongcan thought about it and it seemed not.

The last time Feng Zixuan had a special report with him was about the liquid metal implant particles that Professor Luo had developed.

Even Boss Chai came at that time, and I couldn't get closer.

Besides, Luo Hao is the only one who can do scientific research in the institute. After all, he is a PhD student of the eight-year program at Peking Union Medical College.

The others are not good enough and their scientific research level is not high.

If you want to see Xiao Luo perform surgery, you have to go to the interventional catheterization room. How...

Jin Rongcan remained calm and pondered in his heart. As he was thinking, a familiar voice suddenly came.

"The surgery won't be a big problem. It will be a laparoscope with a small incision. I'll wash my hands when the small incision is made. Directors, you don't need to come in."

It's Luo Hao!
It is indeed Luo Hao!!

Jin Rongcan immediately became unhappy. Even Zhao Xiangming next door could smell the scent and come over, but he didn't know it? !

They don't even consider themselves as the dean.

Although he thought so, Jin Rongcan remained calm, "Huh? Why is Xiao Luo in the operating room?"

"Hello, Dean Jin." Luo Hao had already changed his clothes. When he saw Jin Rongcan come in, he greeted him with a smile on his face.

"I met a patient with advanced cancer. I thought I could use a new surgical procedure to improve the patient's quality of life in the terminal stage. If I'm lucky and a special medicine is developed, maybe he can live another ten or twenty years."

Luo Hao spoke very briefly, only mentioning the advanced stage of cancer.

He didn't tell me how to do the surgery.

Jin Rongcan walked in, followed by Zhao Xiangming.

Luo Hao didn't care much about it, but after all, they had met once. Zhao Xiangming was also an old classmate of President Qiu Bo of Donglian Mine Corporation, so he still had to give him face.

But it was just a greeting, and Luo Hao began to prepare for the operation.

Zhao Xiangming saw a sturdy figure following Luo Hao and asked, "Old Jin, who is that person? Is he from Professor Luo's medical team? Why haven't I heard of him?"

"Oh? Dean Xiangming, you are very familiar with Professor Luo's medical team."

"Hey, Dean Zhuang has already stuffed his precious daughter in. I just want to learn more about it, just in case there are vacancies in the future."

Zhao Xiangming didn't care about Jin Rongcan's soft knife.

The main thing is that Jin Rongcan doesn’t know who the person following Luo Hao is.

"Director Yang."

Yang Jinghe immediately took a few quick steps and followed Jin Rongcan.

"Who is that person?"

"Dean Jin, um... um..." Yang Jinghe began to hesitate.

"Who is it? An intern? He entered the operating room without it being written on the surgical form?" Jin Rongcan asked with a smile.

"No, that's a robot made by Professor Luo and Gongda together."

"!!!"

"!!!"

Jin Rongcan and Zhao Xiangming were both dumbfounded.

robot? !

I didn’t even notice it!!
Why did Luo Hao bring the robot in? !

Jin Rongcan pretended to be calm and nodded. Zhao Xiangming didn't say anything either. He felt that he had made the right decision to come this time.

He had already made a judgment that it might be because his level was low and he simply did not understand what Professor Luo meant.

“Old Jin, you are developing so fast that even robots have entered hospitals,” Zhao Xiangming said with emotion.

"No, we are still exploring. The last time I saw the robot in the interventional catheterization room, it could only do compression to stop bleeding, nothing more."

"That's pretty awesome. Is this a scientific research project? It takes a long time to get the report approved. You guys are really efficient." Zhao Xiangming said half-truthfully.

His words touched upon the crux of the matter. Although Dean Jin knew that this person was trying to be naughty, he still felt uncomfortable.

I didn't even know about such a big thing. Does this bastard Luo Hao still have me in his eyes?
There is not even the most basic respect.

When they arrived at the operating room, Liu Yiyi had already finished the anesthesia. When she saw Luo Hao coming in, she made a gesture that it was done.

"Disinfection, open it." Luo Hao said lightly.

In the entire operating room, it seemed that Luo Hao was the only one who had the final say, and even Chen Yan had no objection.

Jin Rongcan was curious and stood aside to watch the operation.

Chen Yan and his assistant professor went on stage together. It can be seen that Chen Yan took the operation very seriously, and even disinfected the equipment himself.

A 1 cm incision was made below the navel and the abdomen was advanced layer by layer. A pneumoperitoneum inflation needle was inserted to establish pneumoperitoneum and maintain pressure. Chen Yan also paid special attention to the pressure, maintaining it at around 20 KPa, and then inserted a laparoscope.

A 1 cm incision was made under the xiphoid process and a traucava cannula was inserted. The traucava cannula was then inserted at the level of the umbilicus in the midclavicular line on both sides.

Laparoscopic exploration revealed pancreatic body and tail cancer, measuring 7 cm × 8 cm, invading the root of the mesocolon, the posterior wall of the greater curvature of the stomach, the adrenal glands, the splenic hilum, and multiple metastatic nodules in the diaphragm, greater omentum, and mesocolon.

The gastrocolic ligament was separated along the gastroepiploic vessels to expose the pancreatic body and tail. The tumor invaded the posterior wall of the stomach and could not be separated. A resection biopsy of the greater omental metastatic tumor was then performed, and intraoperative freezing indicated metastatic adenocarcinoma.

Chen Yan performed the operation neatly and efficiently, like a master.

however.

Everyone knows that this alone is not enough.

Chen Yan left behind most of the tumor, and the patient's abdominal cavity was full of adhesions. Although part of the tumor was removed, the rest was still fatal.

Coupled with the impact of the surgery, if this surgery is just like this, the disadvantages outweigh the advantages. It can even be said that there are basically no advantages, only disadvantages.

"Director Chen, I'll do it then."

"Okay, I'll watch from the side." Chen Yan walked off the stage directly.

"No, you wait outside." Luo Hao smiled and turned to wash his hands and disinfect them.

The robot followed Luo Hao, carrying a box in his hand.

Zhao Xiangming was surprised and followed them out.

Before he could talk to Luo Hao, he saw the robot standing beside Luo Hao, opening the box, taking out a lead coat and lead skirt and helping Luo Hao put them on.

At this moment, Luo Hao was like an ancient general who was going to the battlefield to kill the enemy. He put on heavy armor with the help of his subordinates.

Zhao Xiangming was stunned.

Wash your hands, disinfect them, rinse them clean, and Luo Hao raises his hands in front of his chest.

Seeing Zhao Xiangming, Luo Hao nodded slightly, and without saying anything else, he went straight into the operating room.

Wear sterile clothing.

Although Luo Hao was wearing a lead suit, he did not look bloated. In Zhao Xiangming's eyes, he looked mighty and domineering.

The young hero rides a horse and wields a sword.

Luo Hao went on stage and made a 6-cm midline incision in the upper abdomen and advanced into the abdomen layer by layer, separating the posterior wall of the stomach from the tumor-invaded part and exposing the body of the pancreas.

"Everyone, please disperse. You need radiotherapy, which involves radiation." Luo Hao turned around and said to everyone.

"I'm wearing a lead suit." Yang Jinghe stood behind motionless.

It was said that the two departments were cooperating, but Yang Jinghe did nothing, and he felt bad. And the guilt was all fake, and he had to learn it himself so that he would not be thrown off the bus. Yang Jinghe knew it very well.

"I'll wear a lead suit too. Please wait for me, Xiao Luo." Chen Yan tore off the sterile suit, turned around and went out.

Originally, he should have worn sterile clothes and hid in the corner of the operating room, waiting for Luo Hao to finish the operation before going on stage. This way he saved the steps of washing his hands and putting on clothes.

But Chen Yan was curious. It was just the radiation from an operation, so he didn't care.

Watching the short Chen Yan jumping away, Jin Rongcan followed him and put on the lead vest.

A group of people followed to change into lead suits, line up, and eat fruit.

Although there is no need to stand in this kind of situation, I always feel like I'm being taken advantage of when everyone else is standing and I'm the only one not standing.

But no one knows where the loss lies.

"Director Chen, what kind of surgery did you perform?" asked Dean Jin.

"Director Jin, this is a patient with advanced cancer. There is nothing else we can do clinically, so we can only try new technology. Xiao Luo said that we can implant a radiation barrel during surgery. I talked to the patient's family and they agreed."

Chen Yan spoke intermittently and not fluently. He was completely focused on what Luo Hao was going to do.

However, when changing into the lead vests, a problem that had not been expected before arose - there were not enough lead vests.

(End of this chapter)