This doctor is very stable

Chapter 86 Patients with Hepatocellular Carcinoma 】

Yang Xu also added insult to injury, "Don't you know how dangerous it is to apply an operation that has not been performed on patients with liver tumors with multiple underlying diseases?"

The crux of the problem was finally highlighted at this time.

The key point is whether the emergency department can do a good job in the operation of this liver resection patient!

Even Xu Hong was a little speechless in the face of Fu Changwen and Yang Xu's doubts.

Chen Qiufeng was also dumbfounded when he thought of Lin Ran's age and his status as a regular trainer.

He and Xu Hong trust Lin Ran, but it is not easy for Fu Changwen to believe that a small-scale trained doctor can do these interventional tumor operations well!
At this moment, Chen Qiufeng's mobile phone rang "Boom...".

Chen Qiufeng's eyes lit up when he heard the WeChat notification.

Maybe Fu Changwen can really believe that Lin Ran can complete the operation!

Thinking of this, Chen Qiufeng ignored Yang Xu, took out his mobile phone, looked at Fu Chang and said, "Dean, I know that you must not worry about the two of us performing operations on these liver resection patients, but we are not candidates for the surgery."

Fu Changwen still shook his head, "Your emergency department or any doctor from our hospital will not do the surgery."

Chen Qiufeng turned on his mobile phone, hearing is believing, seeing is believing.

Even if Fu Changwen really retires, he is still a famous doctor. Chen Qiufeng believes that after Fu Changwen sees Ran's surgery, he will definitely love talents and change his mind. You must know that the older the doctor, the more he cherishes his talents.

"Dean, I have a liver resection performed by our emergency doctor. I want you to take a look first."

"Watching the surgery video?"

Fu Changwen stared at Chen Qiufeng, unable to figure out what the hell he was trying to do.

"Yes, watch the video."

Yang Xu also looked at Chen Qiufeng vigilantly, but he didn't speak, he wanted to see what cards Chen Qiufeng could show.

Chen Qiufeng quickly clicked on the video of Lin Ran undergoing liver resection in Yunxiang County Hospital, and handed the phone to Fu Changwen.

Fu Changwen pushed Chen Qiufeng away and handed over the phone without even looking at it, and said, "It's fine to have a look, but my eyesight is failing. There is a computer screen on the table that can make it bigger for me."

"no problem."

Chen Qiufeng quickly agreed, and walked quickly to Fu Chang's desk.

At this moment, even Xu Hong looked at Chen Qiufeng in confusion.

Soon he thought of Lin Ran, and an idea popped up in his mind, could it be that the little guy Lin Ran's surgery skills have improved again?
Chen Qiufeng opened Lin Ran's surgery video on the computer, and Fu Changwen also walked over to pick up his glasses.

Xu Hong also came over.

The three of them were watching the video. Yang Xu sat on the sofa and didn't move. In his opinion, any video is useless. Fu Changwen's attitude of seeking stability will definitely not change. When people get old, they lose their courage.

As long as Chen Qiufeng can't solve the problems of these liver resection patients today, he will accept the emergency operating room.

The video of the operation started when Lin Ran and the others walked into the operation.

Fu Changwen watched the relatively simple operation in the video and said: "This is not our hospital! Chen Qiufeng, you went out to make throwing knives again!"

Throwing knives are dangerous!
Fu Changwen is the kind of person who resolutely resists flying knives.

Chen Qiufeng smiled mischievously, "It's not important to the dean, let's watch the surgery video first."

In the video, Lin Ran stands as the chief surgeon.

Fu Changwen said displeased again: "You are not the chief surgeon, who is this little doctor? He is so young to be able to throw a knife? Who will be responsible if something happens?"

Chen Qiufeng didn't make a sound. From his point of view, Fu Changwen, the stubborn old man, would understand how powerful Lin Ran was after Lin Ran officially started the operation.

Even Chen Qiufeng feels ashamed of Lin Ran's hepatectomy now, especially his somewhat miraculous one-size-fits-all liver removal is even more unbelievable.

As the operation progressed, Fu Changwen got closer and closer, and finally murmured non-stop.

"This young doctor has something!"

…………

After watching the operation video, Fu Changwen immediately asked: "The young doctor in the video is from our hospital?"

Chen Qiufeng reached out and clicked on Lin Ran's last small incision appendicitis resection video, and said with certainty: "It is indeed a doctor in our Hengshan City Hospital, and he is also an emergency doctor. His name is Lin Ran, and there is a small incision appendicitis surgery below." It's also very exciting, it's an improved appendicitis resection, please take a look, Dean!"

After hearing what Chen Qiufeng said, Fu Changwen finally smiled.

In the video, Lin Ran's operation on the operating table has reached a certain level!Even Lin Ran's dissection of the abdominal cavity and liver can be said to be quite thorough.

The most important thing is that Lin Ran's hand is very steady!

In surgery, hands are talent.

After watching Lin Ran's small incision appendectomy video again, Fu Changwen's eyes lit up and said: "You have found a treasure in the emergency department! It is so rare to be able to improve the small incision appendectomy at such a young age! Are you planning to do it?" Let Lin Ran be the chief surgeon of those severe liver resection patients you have admitted?"

Chen Qiufeng and Xu Hong nodded at the same time. Seeing Fu Changwen's current appearance, they should also feel a little itchy!
Being a good teacher, cherishing talents and loving talents, is a must-have attribute for every old doctor.

Seeing that Fu Changwen changed his previous attitude, Yang Xu stood up and said solemnly: "Dean, don't be fooled by Chen Qiufeng, the emergency department can't do a few operations in a month, how could there be a young doctor who can remove the liver?" Ready?"

"Huh!" Chen Qiufeng snorted and explained: "At first we wanted to transfer Lin Ran some common hepatectomy disease sources from the county hospital to feed Lin Ran, but we didn't expect that the county hospital would treat those with more complicated conditions and underlying diseases. The critically ill patients pushed over. After Lin Ran had examined all the patients, he said that he was sure to perform tumor interventional surgery for these patients..."

Chen Qiufeng gave an overview of what happened.

Xu Hong quickly took out his trump card and said, "Dean, if we refuse to give a young genius like Lin Ran a chance, then it may be really difficult for our Hengshan City Hospital to keep Lin Ran!"

It is well known that the more talented doctors have higher requirements for practicing medicine.

How could Jiaolong be willing to nest in the shallow water beach?
Fu Changwen stood up as if he had made up his mind, and said with some displeasure: "You are all the backbone of our hospital, Xiao Yang! You can't beat the emergency department to death with one stick, so Qiu Feng, you guys go back and arrange a hospital for Lin Ran." Taiwan liver resection operation, I want to see Lin Ran's operation with my own eyes first, as for the matter of your department's operating room, we will hold the discussion until tomorrow night, let everything speak for itself!"

Fu Changwen felt that Yang Xu's heart was a little small. If Yang Xu were to pinch each other, then he, the dean, would not be able to sit still!
Yang Xu is Fu Changwen's student, so if Fu Changwen really spoke, Yang Xu had to listen.

Otherwise, without Fu Changwen's support, it would be hard to say whether Yang Xu could take over.

Although they didn't solve the problem all at once, Chen Qiufeng and Xu Hong had confidence in Lin Ran.

"it is good."

…………

Walking out of Fu Changwen's office, Chen Qiufeng said with some emotion: "I didn't expect Lin Ran to solve the problem after things went around and around."

Xu Hong also laughed and said, "Aren't you and I making so many troubles to pave the way for Lin Ran? Isn't it natural for him to solve the problem?"

"Sure enough, talented people don't make people worry! Go back and arrange surgery for Lin Ran, the sooner the better."

"We doctors still need surgery to speak after all!"

…………

On the other hand, Lin Ran didn't know that the surgery in the emergency department would be forfeited!

As soon as he returned to the emergency room, Fan Jianye gave Lin Ran a big surprise.

Two patients with appendicitis will be able to undergo surgery tomorrow, which makes Lin Ran happy!It took a lot of effort to do debridement and suture.

Lin Ran had just finished debridement and suturing a patient when a nurse at the front desk ran over.

"Doctor Lin, Director Chen asked you to go to the nurse's station as soon as you finish your work."

Lin Ran was a little puzzled, why is Boss Chen so clingy today? ?
"What did you say?"

The little nurse shook her head, "No, but Director Chen and Deputy Director Xu are both at the nurse's station! Doctor Lin should hurry over there!"

Lin Ran nodded, took off the gloves, and followed the little nurse out of the treatment room.

Standing at the nurse's station, Chen Qiufeng saw Lin Ran coming, so he handed the medical records to Lin Ran and said, "Here we are, let's take a look! The operation will start in an hour."

Chen Qiufeng and Xu Hong checked the operating room appointment form, and a deputy chief physician in the emergency department happened to have an early hepatocellular tumor resection operation.

Lin Ran took the medical records and read them.

Early stage patients with hepatocellular carcinoma?
All the cuts before were benign tumors, but now they encountered early primary liver cancer.

Hepatocellular carcinoma is generally a sarcoma, which can directly infiltrate and metastasize surrounding organs and tissues through blood, lymph nodes, and is more harmful to the human body.

As a doctor, Lin Ran is also very interested in liver cancer.

Chen Qiufeng didn't talk nonsense with Lin Ran, and asked directly: "Can it be done?"

Lin Ran smiled confidently, "Of course."

There is a big difference between benign and malignant tumors.

The main difference between the two lies in whether it metastasizes, the growth rate, the growth mode, and the treatment effect, treatment method, clinical symptoms, etc.

Among them, whether metastasis is the most critical and primary difference between malignant tumors and benign tumors.

Benign tumors do not metastasize, but malignant tumors tend to metastasize to other organs through blood or lymph nodes.This is the most essential difference between benign and malignant tumors.

Growth rate.

Benign tumors grow relatively slowly, while malignant tumors grow relatively fast, such as liver cancer and lung cancer, which develop very fast.

growth pattern.

Most benign tumors are of expansive growth, ranging from small to large, and generally do not have distant dissemination and metastasis.

Malignant tumors are invasive growths.It can invade other surrounding normal tissues, cause certain damage to the tissues, and transfer to various organs of the body through blood-level lymph nodes. .

Clinical symptoms.

Most benign tumors have no clinical symptoms. Even if there are clinical symptoms, they will recover soon after treatment.

Malignant tumors generally have no specific symptoms in the early stage, but as the tumor develops, it will spread to various organs in the body, and clinical symptoms of corresponding organs will appear.For example, cough, chest pain, hemoptysis, suffocation, and bleeding appear in the late stage of lung cancer.

treatment effect.

The curative effect of benign tumors is good, generally through drug treatment or surgical treatment, it will recover soon, and most of them will not recur.

The curative effect of malignant tumors is poor. Even after early radical surgery, surgical treatment can be performed, but there is a possibility of recurrence or metastasis.

treatment.

Benign tumors can generally be removed by surgery, and most of them do not need chemotherapy or radiotherapy after surgery.

Malignant tumors may require chemotherapy and other treatments after surgery. The most important role of chemotherapy and radiotherapy after surgery is to prevent recurrence of symptoms.

(End of this chapter)