The road to the rise of great doctors

Chapter 47 The Grand Handover

"Son, there is still a vacant parking space in your house. Parents will give you the only car in the family."

"You have a driver's license and now you have started working in the hospital. You may have a lot of social activities in the future. It is inconvenient not to have a car."

"You're about to graduate from college, you have a car, and you have dignity when dating."

"Although this car has a manual transmission and is a bit old, men still like this kind of operation."

After Liu Dong got up in the morning, he picked up his mobile phone and saw multiple messages from his parents early in the morning.

He decided to eat first and reply later.Take the bread and sausage out of the refrigerator, slice them and heat them, and pour the milk into the cup.

Two easy morning meals are ready.

Yes, Liu Dong has now habitually prepared Li Xiao's share.Occasionally, Li Xiao will prepare Liu Dong's share.

The two get along very harmoniously now.

Liu Dong glanced at Li Xiao's room, which was still closed, so he started eating first. After eating, he opened the message and prepared to reply.

I found that my mother's circle of friends seemed to have been updated. After clicking on it, I found a new status: "I can't bear to part with this car, but my son needs it, so we will give it to him. Dear friends of the almighty circle of friends, please recommend a new car. , the original manual transmission was too difficult to drive, and I want to buy an automatic transmission car. Should I buy a gasoline car, a hybrid car, or an electric car? As our children grow up, it’s time for us to enjoy new things.”

After Liu Dong read it, he was speechless and choked.
He opened the message and replied with one word: "Okay."

After simply cleaning up, Liu Dong was ready to go to work.At this time, Li Xiao also got up.After the two said hello, they went about their business.

The days flow so simply and orderly.

After Liu Dong arrived at the department, the first thing he did was to understand the condition of the patient in charge. He carefully looked at the nurse's night care record and the doctor's order page, and found that the patient was still very stable.Then there was the dressing change that looked rushed but was actually orderly.After all this was done, he returned to the office and waited for the big handover to begin.

Today is the day of the big shift change. After the usual shift change, it is Corey’s weekly case discussion and literature sharing time.

In order not to delay the start time of the first operation in the operating room, the morning shift will be moved forward one hour.This is why Liu Dong got up earlier and Li Xiao got up when he left.

One hour after another, all the doctors in the department arrived one hour earlier than usual, including department directors, medical team leaders, fellow doctors, postgraduate doctors, interns, etc., who were also required to participate in the big shift.

Wang Daqiang, the department director, was the last one to walk in, closed the door, and sat in the middle of one side of the desk. There was no one else next to him, which fully demonstrated the unique status of the department director.

"Everyone is here, let's start." Wang Daqiang said to the nurse and the doctor on duty. "Nursing handover, patient condition after night operation." The nurse on duty first performed the nursing handover, describing the abnormal conditions of the patients at night and the treatment measures given.

After the nursing shift was completed, the doctor on duty continued to introduce the medical judgment and basis for the treatment of certain patients, and reminded the bed doctor which patients in several beds still need to pay more attention today.

The nurse on duty and the doctor on duty have both finished their shifts. If they have any questions, the department director or medical team leader will ask a few questions. If there are no questions, this part is over.

After the session, the nurses left the office first, leaving only the doctors to continue discussing, sharing and learning about business matters.

Today’s sharer is Dr. Zhang, who is in charge of urinary system ultrasound examination and interventional surgery.

The topic shared is "Image fusion guided targeted prostate puncture".

Dr. Zhang first introduced the development history of prostate biopsy, and introduced the reported results of the operation and diagnostic rate without ultrasound and the impact on guidance.

Then, taking into account the presence of resident doctors, visiting doctors, postgraduate doctors, interns, etc., for the sake of teaching, an outline of ultrasound-guided prostate biopsy was introduced, especially the most commonly used "perioperative biopsy". "Rectal Ultrasound-Guided 12-needle Prostate Puncture Biopsy", the introduction cited classics, including domestic and foreign monographs on this part, as well as practical data from Dr. Zhang's team in our center, with pictures, examples, and vivid images.

All the doctors listened attentively and sometimes nodded in agreement.Liu Dong, who has ultrasound diagnostic skills, feels that he has gained a lot.

After introducing the current standard methods, Dr. Zhang began to introduce today’s topic:

"Because conventional transrectal ultrasound cannot display prostate cancer lesions with high sensitivity and specificity, the positive rate of prostate puncture guided by transrectal ultrasound is only 20-40%."

"Some clinical centers increase the number of puncture needles to increase the positive rate of puncture, which will objectively play a certain role; however, since it is not a highly precise operation, there will inevitably be an increased risk of trauma and other complications."

"So, how to improve the accuracy of prostate puncture is a serious unmet clinical need. It is also one of the main directions that colleagues in the industry are exploring. Prostate cancer is mainly diagnosed through magnetic resonance and ultrasound, so whether it can be diagnosed through magnetic resonance How about fusion of resonance and ultrasound images to achieve the purpose of increasing the puncture positivity rate?"

As Dr. Zhang spoke, he showed the hatching film that specifically diagnoses prostate cancer using magnetic resonance imaging, and then showed the sonogram of prostate cancer under ultrasound.

He then continued: "Magnetic resonance and ultrasound image fusion guides targeted prostate biopsy. It fuses images from multi-index magnetic resonance examinations performed before puncture with real-time dynamic ultrasound to simulate magnetic resonance targeting. Purpose of guided prostate biopsy."

Liu Dong listened carefully and took notes while listening.Then I saw that after Dr. Zhang finished explaining the concept, the slide began to show how to achieve image fusion to help understand the entire concept and how to operate it.After listening to it, I was still very inspired.

After Dr. Zhang finished explaining the concept, he then continued to introduce the preliminary data explored by several domestic centers. The results were positive. This technology can improve the diagnosis rate of prostate cancer, especially the diagnosis rate of medium- and high-risk prostate cancer. , while also avoiding the risks mentioned before, such as reducing the number of puncture needles, reducing patient pain and postoperative complications.

After the introduction, the questions raised by the doctors sitting here were answered one by one.Dr. Zhang pointed out: "Although this operation is a bit more complicated than the current standard method, the results are worth it. Although the current data is retrospective data of a small sample, it may become a future trend."

(End of this chapter)