Back in 2002 as a doctor

Page 495

"The operation is actually not difficult." Dr. Miyamoto smiled, trying to hide his complacency.

After all, the "real" operation has not yet been performed, and Dr. Miyamoto still has a sense of reason.

"After our research, we have preliminarily determined that the operation method is feasible. If the patient recovers well tomorrow, you will be the chief surgeon to complete the operation for Her Majesty the next morning."

"It is my honor, and may luck be with Her Majesty the Queen." Dr. Miyamoto said.

As he spoke, he looked around.

"Everyone." Dr. Miyamoto showed modesty, "The technology of excimer laser ablation is still very new, and there are only 322 patients who have done it so far. Although they were all successful, and the postoperative observation of patients recovered well, but after all It’s a new technology, so please let me know if there are any shortcomings.”

As he spoke, Dr. Miyamoto's eyes finally fell on Huang Lao.

Huang Lao smiled, and with the corners of his mouth raised, Dr. Miyamoto suddenly felt anxious for no reason.

At the moment when the eyes crossed, Dr. Miyamoto felt his heart beat a lot faster.

Needless to say, the magic of this old man, how about the classic crush technique?

In his own opinion, it was already perfect to the extreme, but this old man forcibly created the possibility where it was impossible, and improved the surgical technique.

Dr. Miyamoto's heartbeat increased, he looked at Huang Lao seriously, and he did not shy away from looking at each other.

But the accident didn't happen, Huang Lao just smiled but didn't say anything.

After confirming this, Dr. Miyamoto was relieved.

Just as I imagined, excimer laser technology and optical coherence tomography technology are the world's top technologies.

The doctors of the republic knew nothing about it.

You can't even do the most basic understanding, let alone find the problem.

Dr. Miyamoto let out a sigh of relief, and the feeling of pride in his heart was even stronger.

He found another way, circumvented this majestic mountain, and finally rushed ahead of him.

Only new technology can change human history and human life, so what if everyone's strength and talent are strong?Dr. Miyamoto's eyes shifted, his eyes flickered, and finally he looked at Huang Lao as if he was looking at a dead person.

The former mountain was moved down by myself. Although it was not all-round, with the advancement of technology, all-round crushing is only in the breath.

Chapter 0851

Facts have proved that excimer laser technology is quite easy to use. Dr. Miyamoto's operation looks very simple, without the trouble of thrombolysis and thrombectomy, and the operation is clean and quick.

The results of postoperative angiography were also relatively satisfactory. Although the blood vessels were not completely opened, the hemodynamics showed that the hemodynamics were basically sufficient.

If it is maintained with drugs, there will be no serious myocardial infarction for at least 3 years.

It can be said that this is the best result that everyone can foresee.

The results of the patient's coronary artery optical coherence tomography scan are similar to the last patient, although there are still some differences, but the optical coherence tomography machine produced by Zeiss...

It's new technology, new equipment, and no one but Dr. Miyamoto knows how to use it, let alone understand it in depth.

Since Dr. Miyamoto said yes, everyone here thinks it is feasible.

After all, in terms of traditional imaging, there is no difference between the patient's angiographic image and the image just completed by Dr. Miyamoto.

Wellington Hospital selected the patient whose condition was most similar to that one, in order to judge whether the new technique brought by Dr. Miyamoto from Juntendo could be used in a short time.

Everything is perfect!

Facts have proved that the patient's disease can be solved perfectly, and the operation time can be finalized only after seeing the patient's postoperative condition tomorrow morning.

"So..." The doctor at Wellington Hospital was about to finalize the matter, but his words were interrupted.

"Wait a minute." Huang Lao suddenly raised his head and said lightly.

Dr. Miyamoto was taken aback, what should come is still coming!

It is him again!

It's him every time!

I already wanted to bypass this mountain, but this mountain has grown legs, and I have to run in front of me every time to get in the way!

Dr. Miyamoto clenched his fists at the sides of his legs, and stared fiercely at Huang Lao.

The meeting room fell silent, and everyone's eyes were on Mr. Huang.

"The results of vascular optical coherence tomography are somewhat different. I think the thrombus in the patient's coronary artery is relatively hard and difficult to treat with excimer laser ablation, especially the anterior descending and circumflex branches. You can try the right coronary artery... ..."

"What do you know!" Dr. Miyamoto could no longer maintain his humble, docile, calm, and professional image, clenched his fists with both hands, and slammed them hard on the table.

The resentment accumulated over the years finally collapsed like a dam, pouring out in an instant.

"The near-infrared rays emitted from the light source reach the human tissue through the optical fiber and the probe. The light wave backscattered by the tissue is collected by the probe, combined with the light wave signal of the reference arm to form interference, and then analyzed by the computer to construct a high-level image showing the internal microstructure of the tissue. resolution image."

"The biggest limitation of M2-OCT is that the penetration depth is only about 1.5mm. In addition, because near-infrared rays are difficult to pass through red blood cells, it is necessary to block the blood flow or flush the blood vessels to remove the blood in the blood vessels during OCT imaging."

"..."

"..."

Dr. Miyamoto spoke at a very fast speed about the technical theory of vascular optical coherence tomography and his analysis of patient imaging.

His speaking speed was so fast that the simultaneous interpreter was dumbfounded. He only said a few words, then stopped and looked helplessly at Dr. Miyamoto.

After yelling for a full 5 minutes, Dr. Miyamoto stared at Huang Lao like a teased bull with red eyes, gasping nostrils and bloodshot eyes.

"You don't know anything about the details of this technology, so why deny my opinion!"

When the simultaneous interpreter translated the last sentence, although the interpreter's tone was very gentle and the voice was very quiet, the anger could not be concealed.

Under the many surprised eyes and Dr. Miyamoto's sharp words, Mr. Huang remained calm and towering like a mountain, "I really don't understand."

"but……"

"The images don't look good, and it can be confirmed that the thrombus in the anterior descending and circumflex branches is relatively hard, which is different from the patients who have been treated, so I don't recommend excimer laser ablation."

Before the simultaneous interpretation finished, Dr. Miyamoto shouted in a hoarse voice, "Isn't it beautiful? This is your professionalism?!"

Deng Ming was very angry, but he was powerless as many new technologies were involved.

If you stand up like a shrew and yell at the street on this kind of occasion...it's not impossible. It's normal for people to scold each other in a professional consultation, but the boss doesn't like it.

It would be great if Zhou Congwen was here, Deng Ming suddenly thought of that little junior, the boss's closed disciple.

"My opinion is surgery! If the patient recovers well after the operation tomorrow, do the surgery immediately. Unpredictable things will happen every day!"

Dr. Miyamoto regained his sanity and looked at Huang Lao calmly.

"From a technical point of view, what you said is not beautiful can not be used as a reference."

"You are the best heart surgeon, I admit it. But excimer laser technology... As far as I know, you have never been exposed to it."

"I haven't even seen it before, what right do you have to tell me that?"

This time, Dr. Miyamoto's speaking speed was deliberately slowed down to allow time for simultaneous interpretation.

The gunfire became more and more intense, and Deng Ming couldn't sit still. He pressed his hands on the table, ready to get mad with Dr. Miyamoto.

Dr. Miyamoto had already spoken to such an extent that Deng Ming couldn't sit still.Even if you are reprimanded by your boss afterwards, you can't just admit it.

But the moment he stood up, a hand patted the back of his hand.

"Sit down." Huang Lao said lightly.

"boss!"

"sit down."

Deng Ming had no choice but to sit down and look at Dr. Miyamoto angrily.

It's just that Deng Ming knows his boss well, and he can vaguely feel a kind of self-confidence in him.

This is a very strange feeling. Obviously, the relevant technology Dr. Miyamoto mentioned in 912 has absolutely no similar machine and operation, but Deng Ming just thinks that the boss understands it.

"We are discussing the medical records." Huang Lao said, "If you have any questions, just ask them, don't shout."

"You understand?"

"I understand a little bit, I guess the patient's condition is very troublesome, even more troublesome than you imagined." Mr. Huang looked directly at Dr. Miyamoto, "Since I've been invited here, I definitely want to express my opinion."

"The patient's condition is very complicated. Although the success rate of the second operation is low, I think at least 5 medical teams here can successfully complete it.

The best way is for the pharmacy team to find the problem, or to deal directly with severe allergic reactions and perform coronary artery bypass surgery in a surgical manner. "

"!!!" Dr. Miyamoto showed a disdainful ablation, "Is this your suggestion?"

"Yes." Huang Lao said calmly, "Recently, I have done a few one-stop coronary artery bypass grafting operations, and I have some experience. The second operation does not have the internal mammary artery, but it happens to be within the scope of one-stop surgery. "

"The specific situation depends on what everyone thinks. I'm done talking." Huang Lao said.

Chapter 0852

After Huang Lao finished speaking, he stood up slowly.

"The new technology does have its own advantages, but it should be noted that there is no large-scale data feedback, so there will be more accidents. Now the patient's situation is very special, and I insist on looking for molecular laser ablation methods that will bring unexpected consequences, so Surgery can solve the problem."

"If the excimer laser ablation fails, the surgery will not be possible, and things will get out of hand."

After finishing speaking, Mr. Huang turned around and left with his hands behind his back.

Deng Ming followed behind the boss, glanced back at the people in the conference room, and finally his eyes fell on Dr. Miyamoto's face.

Dr. Miyamoto was extremely humble at the previous annual meeting. It may be that he could not surpass the operation performed by the boss and Zhou Congwen, so he adopted that method.

He is really a very hypocritical and time-conscious person.

Deng Ming didn't smile, his serious gaze was sharp, like a knife.

This kind of academic collision itself is full of gunfire. There are relatively few collisions in the medical field, and Deng Ming has never seen it a few times.

The collision with Dr. Miyamoto in front of me is one of them.

This reminds Deng Ming of the confrontation between the Copenhagen School and Einstein.

Especially after Schrödinger thought of a theory of Schrödinger's cat that can be accepted by the general public, ordinary people all sided with Einstein and Schrödinger, which really made the Copenhagen School uncomfortable for decades.

Even so, they are right.

Until the double slit experiment... what am I thinking?Deng Ming took a deep look at Dr. Miyamoto, then followed the boss out of the meeting room.

"Boss, I don't see any difference."

After Deng Ming went out, he whispered frankly.

"I don't know the latest optical coherence tomography technology, but I can still see the difference in thrombus density between the two patients on the angiographic film." Mr. Huang walked slowly in Wellington with his arms behind his back In the corridor of the hospital.

No one sent it, but Mr. Huang didn't care at all.

His attention was on the imaging data.

"It's a little risky."

"For case discussion, everyone should express their opinions." Huang Laodao, "I think it is better to do one-stop surgery instead of taking the risk of excimer laser ablation. This is my opinion, and I don't know if Wellington Hospital can adopt it. "

Deng Ming shook his head.

His boss's attitude of not caring about prestige and honor made him a little hard to accept.It has been many years, but Deng Ming is still not used to it.

The boss is like a fairy in the sky, he doesn't eat fireworks in the world.

Things that seem bigger than the sky to others are nothing to my boss.His attention is always on the patient...

Moreover, the boss has never called that person by his identity, but he has been talking about patients from beginning to end.

No matter how high the status is, in the eyes of the boss, they are all patients, that's all.

Facing Dr. Miyamoto's anger and fighting, the boss dismissed it, and the point of confrontation between the two was not in the same dimension at all.

It would be great if Zhou Congwen was there, would he beat up Miyamoto regardless of the boss's stop?Deng Ming had some expectation and hope.

You have to be young, it's nice to be young.

"Oh." Deng Ming sighed.

"Why are you sighing?" Elder Huang asked.

Deng Ming didn't speak, but walked silently behind the boss.

Needless to say, everything goes without saying.