The road to the rise of great doctors

Chapter 58 Invitation Letter
In addition to treatment, follow-up, that is, regular review to the hospital, is extremely important.

Because ovarian epithelial cancer is particularly prone to recurrence, during follow-up examinations after surgery and chemotherapy, in addition to imaging examinations such as ultrasound and computed tomography, tumor marker examinations are also required.If any of the results are abnormal, a high degree of vigilance should be raised.

The second one was also a patient with ovarian tumors, but she was luckier. It was discovered by ultrasound during a physical examination at the work unit, and she didn't feel any discomfort.

Liu Dong knew that it was common for things like physical examination findings, ultrasound findings, or imaging tests for other diseases to catch fish that slipped through the net.Most of these people's diseases are relatively early stage.

This time, Dr. Zong and Liu Dong were very fast. When they stood beside the operating table and started to separate the skin, tissue, and muscles layer by layer, Director Zhang had just returned to the operating room.

This time, the two of them saw Director Zhang's "fastness". They completed the main steps in less than 10 minutes and checked that the bleeding was not stopped.

This time, Dr. Zong cooperated to complete the abdominal closure, and naturally left the subsequent suturing to Liu Dong.

"Young man's suturing is good." For Dr. Zong, who is very skilled in these operations, there is no requirement to climb up the skill tree. She is also happy to have someone to share the work for him. When the person sharing the work is very reliable in technical skills, it is the most perfect. substitute.

The third operation also went smoothly. During this period, Liu Dong looked up and saw that doctors from the Department of Urology were also here to observe the operation.

Many surgeons like to move back and forth between different operating rooms when picking up patients, delivering anesthesia, etc., but more doctors prefer operations in several departments.

For example, gynecologists like to see urological surgeries.Urological surgeons like to see both gynecological surgeries and general surgery surgeries. Some experts will occasionally see hepatobiliary surgery or thoracic surgery surgeries.

This is not due to interest, it is purely result-oriented.

The uterus and ovaries treated by gynecology are both organs located in the pelvic cavity, and gynecologists are the most familiar with their anatomy.However, there are bladders and ureters surrounding these two organs, especially the ureters, which are relatively thin and can easily be "missed" and cannot be seen clearly.When operating, proceed according to anatomical levels. The clearer you can see, the easier it is to succeed.If you cannot see clearly, or there is inflammation and adhesion in the local area, it is easy to damage the surrounding tissues and organs.
Ureteral injury is a relatively common injury.Seeing more urological surgeries can help gynecologists increase their recognition of the ureters and help them understand the anatomical levels. Some people even "steal" urological surgical techniques.

Urology surgery preferences are more mixed.When they see gynecological surgeries, on the one hand, they are also involved in anatomy. On the other hand, when they need to go on stage to help them, it is also beneficial to the patient's safety to know more about them.They look at general surgery operations because in some cases the intestines need to be moved. For example, after total resection for bladder cancer, the ileum can be used to replace the bladder and serve as an urinary bladder.Look at the hepatobiliary surgery, because sometimes the tumor thrombus of renal cancer will spread very high. When dealing with it, you either need to ask the hepatobiliary surgery to do it together, or you have to "turn the liver" yourself. The liver is still quite fragile and slippery. It is easy to injure your liver if you are not careful.When looking at thoracic surgeries, they are mainly laparoscopic or retroperitoneal. When dealing with the peritoneum, the thoracic cavity may be entered near the dividing line with the pleura, and the thoracic cavity is relatively airtight. It is necessary to ensure that the lungs can expand. , cannot enter the pleural cavity.By learning more about other surgeries, it will be a great help for your own surgery!
While Liu Dong was on the stage, Li Jing came in and watched for a while. In addition to the surgery field, he also watched Liu Dong's skills.The more I read, the more satisfied I become. These days, there are not many reliable apprentices, especially those who are willing to endure hardship and take risks.

In half a day, all the surgeries scheduled for this surgery day were completed.high efficiency.

Liu Dong returned to the ward, glanced at the empty computer in the office, and quickly recorded the course of the disease and ward rounds while no one was around.When others returned to the office, he completed the daily work of writing medical records and disease courses assigned by Dr. Zong.

Then I picked up the textbook "Obstetrics and Gynecology" and the public "Obstetrics and Gynecology" provided by the office, and recalled the treatment and surgical procedures for ovarian cancer while reading it.

"Look at a disease, think about it more, and strive to understand it thoroughly. Use the fewest examples to seek the greatest progress." Liu Dong thought this way, and after testing, it is indeed very effective.

"Beep." Liu Dong's cell phone rang. He picked it up and saw that it was a short message.

"Are you okay on Saturday? Come with me to another place." It was the message from Li Jing.

Liu Dong quickly replied, "I'm fine. Where are you going? Do you need to book a ticket?" Li Jing simply replied, "Come to me in the office after get off work."

"it is good."

Before getting off work, he looked around at the patients and had nothing else to do. Liu Dong went to the office and found that Dr. Zong was not there either.He said hello to the nurse and asked him to call him if anything happened to the patients in the group.

Then, he went to urology.

"Dang, dang, dang," Liu Dong knocked on the door of Li Jing's office and heard "Please come in." Then he walked into the room.

"Teacher, I'm here. Do you have any plans?" Liu Dong asked Li Jing who was sitting in front of the computer processing emails.

Li Jing nodded, "You sit down first, I'll finish processing this email, and then we'll talk."

Liu Dong glanced at Li Jing's cup and saw that the water in it was gone.He picked up the thermos bottle and refilled it with water.Then he sat on the sofa nearby and waited quietly.

After two or three minutes, Li Jing ended what he was doing and said, "Xiao Liu, I think your basic surgical skills are quite solid. Now, it is the era of minimally invasive treatment. Of course, open surgery has its value. Zhou Sixth, there is an invitation letter for endoscopic training. The manufacturer invited me to be a guest reviewer. You can go there too. There is an endoscopic training class over there, and I have asked for a place for you. After the training, there will be a small You can also participate in the competition.”

Laparoscopic training courses?Endoscopy?Liu Dong was stunned for a moment, his expression a little confused.

This is about to participate in laparoscopic training?

This is a bit of a leap forward. What ranking can I get?
After receiving the invitation, he opened it and saw that it was neatly written in black block letters:

"Invitation letter to Kyoto minimally invasive endoscopic training course."

Kyoto?Minimally invasive laparoscopy?Training class?
Suddenly, Liu Dong was a little excited, a little excited, a little hesitant, a little worried.

"Teacher, what is this content?" He took a deep breath and asked.

Li Jing waved his hand and said, "You'll know when you get there. It's not a bad thing to gain more experience. While the internship rotation is now taking place, let's lay the foundation of surgical skills first. After the rotation is over, it's time to find time to do experiments first. Tsk tsk."

As he spoke, he waved Liu Dong to leave.

(End of this chapter)