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264. How can the patient’s persistence be without doubt?

For this hospital, two general surgeries have started to select patients for joint surgery as early as a week ago.

As a testing operation, it must not be too difficult. Otherwise, if there are some twists and turns during the operation, it will undoubtedly cast a shadow on the first cooperation between the two general surgeries.

Therefore, this laparoscopic cholecystectomy should actually be very easy to handle.

But something unexpected happened. The severity of the patient's inflammation was beyond all the doctors' expectations. The triangular adhesion of the gallbladder under the laparoscopic lens was abnormally severe. Even the two general surgeons from our hospital and the branch couldn't help but start complaining.

Patient choice.

In this case of gallbladder inflammation, laparotomy should be performed. Why bother with laparoscopic surgery?

It's really too blind.

Fortunately, the surgeon is Su Jie.

The severely adhering gallbladder triangle gradually revealed its original appearance after Su Jie peeled it off, and the relationship between the cystic duct, the common hepatic duct and the liver surface gradually became clear.

On the operating table, the two general surgeons looked at each other for the first time, and each saw a look of surprise in the other's eyes.

"Amazing."

"As expected of Dr. Su."

At this time, Su Jie suddenly said: "Teachers, this is probably not the first time this patient has undergone abdominal surgery. There is a scar of about five centimeters at Maxwell's point."

The two general surgeons were stunned for a moment, and then the branch general surgeon answered first: "Yes, this patient is admitted to our ward. He had an open appendicectomy at the local hospital two years ago, and the scar

It should have been left behind at that time.”

The movements of Su Jie's hands were still steady and calm, and he continued: "Is there a possibility that the laparotomy at the local hospital two years ago left a very bad impression on him? Even after two years,

The shadow of laparotomy has not been completely eliminated, so why did he ask for laparoscopic surgery to remove the gallbladder?"

Only then did the two general surgeons realize that Su Jie wanted to discuss with him why the patient should choose laparoscopic surgery.

The general surgeon from the branch hospital replied: "It is indeed possible. I was the one who did the pre-operative conversation. The patient clearly showed his enthusiasm for laparoscopy. I also proposed the plan of laparotomy, but he directly rejected it.

."

However, the general surgeon of our hospital sneered at this statement: "Because of an unsatisfactory laparotomy, I strongly requested laparoscopic surgery. However, we do not know that laparoscopic surgery is not a panacea. If something goes wrong, it will even be worse than laparoscopic surgery."

The abdomen is even more troublesome."

The general surgeon at the branch hospital nodded and said: "The patient doesn't quite understand these principles, and I have explained them to him. However, this patient is extremely stubborn and still resolutely chose laparoscopic surgery. I see that all his indicators are relatively good, and

I stopped trying to persuade you, but I didn’t expect..."

The conversation in the operating room was completely transmitted to the observation room through the loudspeaker.

Li Minghui frowned and said, "Why is Su Jie saying this? The operation is not over yet. The removal of the gallbladder triangle is at the most critical moment. What if I miss it while talking about this?"

Jiang Wu couldn't help but frown, and stretched out his hand to pause the recording of the camera. Such a scene was not worth learning from all the doctors in the hospital, but Zhu Bo stopped him: "Wait a minute, Su Jie is not the kind of person who is on the operating table.

A doctor who is not attentive to his responsibility, since he brought up this topic, he must have his reasons..."

At this moment, Su Jie's voice sounded again from the loudspeaker:

"There must have been complications during the laparotomy two years ago. The size of the incision was obviously larger than a normal appendicitis incision. I suspect that I went back to the surgery again after surgery and enlarged the incision to deal with the remaining problems in the appendix."

"Whether it is as I suspected or not, one thing is for sure. The patient has a great psychological shadow about laparotomy. He feels afraid, so he chose laparoscopic surgery without hesitation."

"Both teachers, I have only stayed in clinical practice for less than a year, and my clinical experience is much shallower than that of these two teachers."

"But I always feel that the patient's persistence is never meaningless."

"I have met patients with severe scarring all over their bodies, and I have met old people who want to catch up with their wives for the last time. They all have reasons for having to choose laparoscopic surgery. Maybe this patient has similar reasons."

"Perhaps for doctors, professionalism is the first priority. In order to protect the safety of patients' lives, we must make some choices for patients and let them give up something precious for their lives."

"But we should have a basic feeling of guilt about this. We could have helped the patients, but we failed to do so. This is our dereliction of duty..."

"I hope that our elite treatment team will not only have superb skills, but also have the quality of good doctors and strive to improve the essence of medical skills. Isn't it the original purpose of helping patients?"

"The patient's persistence is never meaningless. We may not understand it, but we should respect it."

Su Jie's voice echoed through the loudspeaker in the observation room, and at the same time, it also echoed in the hearts of many general surgeons from our hospital and branches present.

The originally noisy observation room suddenly became extremely quiet, and everyone was chewing on what Su Jie had just said.

'The patient's persistence is by no means meaningless.'

Of course.

How could it be meaningless to persevere and not give up even if you are tortured by disease?

Zhu Bo sighed deeply and turned to look at Jiang Wudao: "The camera is not turned off, right?"

Jiang Wu shook his head: "No, it's all recorded."

"Um!"

Zhu Bo sighed: "Compared to this operation, I think this passage is the more precious content."

Li Minghui couldn't help but follow suit and said: "In fact, the most important thing in building an elite treatment team is the establishment of spiritual will. Without the quality of a good doctor, no matter how good the technology is, it will not benefit patients."

"It can only be said that we, a group of smelly middle-aged people, have indeed been corrupted by clinical practice. It is such a simple truth, but it takes a young doctor who has just entered clinical practice for less than a year to remind us."

In the operating room, as Su Jie spoke, the gallbladder triangle was completely peeled off.

The clearly defined cystic duct was exposed under the laparoscopic lens, and the surgery was as smooth as mercury pouring, without encountering any obstacles.

On the operating table, the two general surgeons changed from their previous state of complaining and ignoring each other, and began to fully assist Su Jie in his work. The cooperation between the two general surgeons gradually became tacit.

Su Jie did not point out the two people's faults outright, but instead expressed his understanding of the patient's persistence as a junior.

This way of handling the problem not only did not make the two general surgeons feel rebellious, but made them feel ashamed from the bottom of their hearts.

This is how it is in clinical practice. When you are beaten, you must stand at attention, and if you dare to do something, you must dare to take it seriously!

'when'

Su Jie removed the inflamed gallbladder with forceps. The general surgeon of our hospital picked up the disc and caught it, while the general surgeon of the branch hospital conveniently brought gauze to wipe the incision.
Chapter completed!
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