Back to 1999: From operating surgeons to becoming a top doctor

"Xiao Xiao, how did you know?"

Xu Guoqiang, who was working on the surgical plan, was also surprised when he heard Xiao Chenguang's diagnosis.

Only relying on the film, he could make a diagnosis at a glance. Only a few experienced experts and professors in their provincial capital Second Hospital could do this.

As for Shen Yiwei in the audience, he made a clear diagnosis after taking the stage and doing a quick pathology test on the patient.

In fact, Xu Guoqiang had doubted the type of cancer the patient had at the beginning. After all, there were only a few types of cancer that progressed so fiercely.

But he couldn't make a diagnosis by just glancing at the film like Xiao Chenguang did.

"I happened to hear the teacher talk about it when I was interning at the Provincial Medical University."

Xiao Chenguang made up a random excuse to explain.

"Mr. Chen?"

Xiao Chenguang was originally a top student who graduated from the Provincial Medical University. Xu Guoqiang had heard him mention this before. He could learn from Mr. Chen and have such insights, so he could accept it in his heart.

Otherwise, with Xiao Chenguang's ability, it was not certain who would assist whom.

"Teacher Xu, where is the medical record of the patient on the stage?"

Before performing the operation, Xiao Chenguang is used to familiarizing himself with the basic situation of the patient.

Like the chief complaint, current medical history, past medical history, whether he has ever had surgery, diabetes, hypertension, coronary heart disease, each different underlying disease will affect Xiao Chenguang's judgment during the operation.

Although Shen Yiwei had introduced his condition to him before, it was just a general talk. When it comes to the real operation, Xiao Chenguang can only trust himself.

Especially in this unfamiliar environment, the only person he knows is Xu Guoqiang.

And anesthesia, instruments, and patrols are all members of the surgical team. If you don't know them well, it will be awkward to perform the operation.

Therefore, when lower-level hospitals invite experts to perform surgery, they often encounter the situation where a team comes as a whole.

The main surgeon and assistant are indispensable.

Even more important, even the instrument nurses must be their own people.

Only in this way can the operation be smooth.

Facing Xiao Chenguang's request, everyone whose mentality has changed immediately reacted.

"Here are the medical records. I'll get them for you if you want to see anything."

Anesthesia quickly took the medical record folder, opened the first page, and presented the patient's basic information to Xiao Chenguang.

"Why didn't you do PET/CT on the patient before the operation?"

Anesthesia looked for a long time, but couldn't find the PET/CT examination report that Xiao Chenguang wanted. Seeing this, the latter's tone suddenly became cold.

After all, for super-complex cancer surgery, PET/CT before the operation is a must-check item.

Now it's not done, no wonder the surgery is so passive now.

The temperature in the operating room suddenly dropped to freezing point, making everyone feel like their hair stood on end.

"PET/CT?"

The resident doctor in charge of the bed in the same group in the operating room looked confused.

Everyone at the scene was also confused.

They knew PET and CT, but what was PET/CT? It seemed that the imaging department of their provincial capital's second hospital didn't have this examination item.

"Xiao Xiao, what is this you are talking about?"

Others dare not ask, fearing embarrassment, but Xu Guoqiang on the stage has no such scruples.

Faced with the question, Xiao Chenguang realized that PET/CT is an examination item that has only gradually appeared after the millennium.

As a powerful tool for tumor diagnosis, it combines the detection of the degree of tissue lesions with PET images, making the lesion boundary clear, and has the advantage of clear anatomical structure of CT, which can better help the surgeon to accurately remove the tumor.

This 1+1>2 imaging technology can make the advantages of the two examinations complement each other, and ultimately benefit doctors and patients at the same time.

It's just that now, it seems that no one has paid attention to this.

If possible, wait until this operation is completed. For such a technology that can obviously benefit all mankind, Xiao Chenguang doesn't mind it being developed earlier.

"Teacher Xu, I have seen the patient's CT. Do you have the PET film he made?"

Xiao Chenguang did not continue to dwell on the issue of PET/CT. This is a long-term plan. Now he just wants to complete this operation first.

"Yes, but these tests were done in the Imperial Capital Hospital, not in the medical records."

After Xu Guoqiang explained, he had someone go get it.

After hearing this, Xiao Chenguang also understood. After all, according to regulations, tests done in other hospitals are not kept in the hospital's medical records. The family members are in charge of the data. The doctor will only come to see the doctor if the condition requires it.

"This patient has gone to the Imperial Capital, and even the tests have been done, why did he return to the provincial capital for surgery?"

Xiao Chenguang didn't quite understand this.

Others are like this. As long as they are sick, as long as the conditions are met, even if it is a minor illness like a cold or a fever, they can't wait to go to a big hospital..

Just like the old couple he met in the department before, they didn't want to go to the county hospital, but came to Shengli Hospital, and finally decided to go to the provincial capital for treatment.

According to the taxi driver, it seems that they live in the hepatobiliary surgery department managed by Xu Guoqiang.

"Oh, don't mention it. Their family relies on their power and influence, and they are arrogant and domineering. They went to the imperial capital for treatment and showed off their power. As a result, not to mention getting a single room, even the surgery had to wait for a long time. They ran back for surgery in a rage."

Speaking of this, Xu Guoqiang intentionally or unintentionally glanced at Shen Yiwei in the corner.

If he hadn't taken this matter, he wouldn't be so passive now.

However, Shen Yiwei, who felt the gaze, still didn't say a word, as if he really regarded himself as a transparent person.

"Giving up the surgery in the imperial capital for a single room is really throwing away the watermelon to pick up sesame seeds."

But things like this, Xiao Chenguang has long been accustomed to in the future.

Relying on the money in his hands, he thought he could do whatever he wanted wherever he went.

But the strong dragon could not suppress the local snake, not to mention that he was just a nouveau riche in a district of the provincial capital, and he had no idea what was going on in the imperial capital.

Any person riding a bicycle had an astonishingly high official position, not to mention that as the center of power and economy, there were a lot of rich and powerful people.

When hospitalized in a large hospital in the imperial capital, the single rooms in each department had standards. Not to mention that you couldn't get a room just because you had money, even if the leaders of various provinces and cities went there, they would probably have to wait in line.

This was just like the special supply of cigarettes, alcohol, sugar and tea. If you were not of high enough level, don't even think about it.

Xiao Chenguang's thoughts were flying. After waiting for a while, the PET film had not been brought over yet, and he couldn't help but sigh.

The paperless office in the hospital in the future has been promoted for a while. Sometimes when the doctor was making rounds, he would directly take a tablet and point out the doctor's orders in front of the patient on the spot.

As for the examination report and data images, in addition to computers and tablets, you can even use a mobile phone to view them. Just enter the patient's hospital number, and all the information will be clear at a glance.

There is no need to wait for a long time to get a film like now.

After a while, the doctor who ran out came back with an imaging bag printed with the Imperial Capital Hospital.

"Xiao Xiao, the film is back, what do you want to do?"

"Image comparison." Xiao Chenguang said lightly.

"Comparison?"

Xu Guoqiang was confused, but he quickly reacted.

Although he didn't know PET/CT examination, the term was not difficult to understand. At this moment, as the film was retrieved, when both films were stuck on the film light, he already understood what Xiao Chenguang meant.

Then a surprised voice sounded at the scene.

"Xiao Xiao, do you want to simulate the next operation through the on-site three-dimensional reconstruction technology?"