Chapter 243 I have a small suggestion
Director Pi has been an interventional doctor for nearly twenty years. There are not a thousand interventional surgery for liver cancer, and there are more than a dozen patients who have recovered from the primary lesions.
Director Pi has no shortage of experience in treating the primary lesions of liver cancer. However, looking at the film on Wang Yang's computer, the tumor in the patient's front film was too big and it has been reduced in time, but it is difficult to cure it completely.
"Doctor Wang, how are you going to do this surgery?"
Director Pi put down his posture, ignored Professor Swen's contempt, and asked if he didn't understand. After all, Professor Swen's identity was placed where he was, and even if he scolded himself, he had to recognize him.
Wang Yang thought for a while and said, "Burn it with radio frequency."
"If you use RF, you should insert a few more needles?"
Director Pi said.
"Well, don't need too many, three are enough. Professor, please remember, the right side of the 10 intercostals, at 3 o'clock, the right upper ventral clavicle is 2cm away from the right side, and the needle is 25 degrees."
Wang Yang looked at the professor and said.
Professor Siwen carefully wrote down what Wang Yang said, raised his head in confusion and asked, "Wang, what about two needles you mentioned, and one more?"
"There is another location, I want to confirm it."
Wang Yangdao.
Wang Yang mainly wants to complete the tips surgery task. Only after obtaining the radio frequency ablation skill can he determine the final position. After all, the current understanding of radio frequency ablation is only in the description of literature, and ultimately depends on the system plug-in.
This is also the reason why Wang Yang gave up Xie Qin's surgery. It is better to be cured if he delayed a few days and was better than to go directly or use interventional embolism to suppress it tomorrow.
"By the way, Director Pi, what movie are you holding?"
After watching Xie Qin's film, Wang Yang turned his eyes to Director Pi and found that Director Pi was carrying a film bag in his hand.
Director Pi looked at Wang Yang with a confused look on his face. When he heard Wang Yang's words, he was like waking up from a dream. He remembered that there was another important thing he had come over.
"The films in this bag are films and information of patients screened out by our hospital that can undergo tips surgery."
Director Pi put the film on the table.
When I came before, Director Pi thought the bag was quite heavy, but after entering the emergency office, Director Pi stood with the bag for a long time without feeling it. He was mainly shocked by Wang Yang and discovered the new world.
Now that I woke up, my arms became a little sore, so I quickly sat down and rubbed my shoulders.
Wang Yang opened the bag and took out the film and the patient's information from it. Wang Yang handed the film to Professor Swen and looked through the patient's information himself.
After reading the patient's information, Wang Yang said: "The patient's condition is pretty good. Professor, how about the film?"
Professor Swen inserted the film into the film reader and glanced at it, "Wang, the film is very typical. You can just use the needle 15-20 degrees on the back."
Wang Yang took a look at the movie and found that as Professor Siwen said, both Wang Yang and Professor Siwen could succeed in one shot.
"Let's watch the next patient movie."
Wang Yangdao.
Director Pi was stunned. Did you finish watching this patient's film?
I'm afraid this discussion will be useless for a minute. Is this a serious attitude?
What did their discussion say?
Apart from the angle of the needle, they didn't say anything, wouldn't they discuss how to insert the needle?
Director Pi was anxious. The two of them were like Moss' code and could learn things by themselves. Professor Swen and Wang Yang finished a movie in just a few words, but they couldn't learn anything by themselves.
"Wait, professor, I don't understand a little."
Director Pi asked anxiously.
"What do you don't understand?
Why are you so stupid? A rotten wood cannot be carved!"
Professor Swen learned and used famous Chinese quotes, and these were learned by the department directors scolding the doctors below.
Director Pi stood in aggrievedly, and asked if he really didn't understand, otherwise he might not be able to learn anything for a year.
When Wang Yang saw Director Pi’s appearance, he understood and said, “Professor, take out the video of the previous patient and let’s explain it to him.”
Director Pi cast a thankful look at Wang Yang.
“Teaching him is a waste of our time.”
Professor Swen muttered.
"Although he has a bad foundation, he should understand it if we explain it to him."
Wang Yangdao.
Professor Swen shook his head and said, "Wang, what you think is too simple. The magnetic resonance diffusion image you proposed is, except for me, and there are absolutely no more than ten interventional doctors in the world who can keep up with your thinking in an instant."
Professor Siwen said this very clearly. There are no more than ten people in the world, so there must be no position as Director Pi among these ten people.
When Director Pi heard this, he became nervous and learned a tips surgery. How did it have something to do with imaging? Isn’t this what the auxiliary department doctors do? I just need to do the surgery.
Moreover, the MRI is dispersed, which seems to be incompatible with interventional surgery?
Director Pi was a little confused, and Wang Yang was thinking about Professor Siwen's words. If Professor Siwen said it was true, then he would have to change his teaching method for Director Pi.
"Director Pi, how much do you know about MRI diffusion images?"
Wang Yang asked.
Director Pi opened his mouth and wanted to say something, but found that there was an impression on the contents in the book in his mind, but he couldn't say it.
After all, when Director Pi was an interventional doctor, there was no radiofrequency ablation at that time, and he did not use much CT imaging, and he basically used interventional embolization directly.
Asking Director Pi to tell the diffusion of the more directed NMR in the nuclear magnetism is like taking a college book to take a high school student.
Seeing Director Pi’s appearance, Wang Yang shook his head, sighed secretly, pointed to a certain position on the patient’s film on the video reader and asked: “What can you see in this position?”
"..." Director Pi felt a dark look in front of him, and he couldn't see anything. What exactly is there?
organize?
Blood vessel?
"Director Pi, add a length to each symmetrical side of the 180b pulse in the se sequence, and then use a diffusion-sensitive gradient to pulse and subtract one of the pulses of the sequence, and then look at this position."
Wang Yang reminded.
“?
?
?”
What pulse?
What gradient?
Director Pi felt very tired, and he must have become a fool in the eyes of Professor Swen and Wang Yang. Just as Professor Swen said, rotten wood cannot be carved.
However, these things are really difficult for interventional doctors in a third-tier city. If they were interventional doctors in provincial capital Grade A hospitals, they might have known a little.
"Oh, Director Pi, I have a suggestion, do you want to listen?"
Wang Yangdao.
Director Pi nodded and said, "Listen!"
"You go to the MRI to study for a few days!"
“…”
Chapter completed!