Dr Fang, Fujian Provincial Hospital

Deputy Chief Physician of Interventional Department of Fujian Provincial Hospital, Doctor of Medicine, interventional medicine expert.

The following is a reporter's report for your reference.

The "leading man" in the hospital: saving lives in the ray.

Release time: 20 15-04-23 | hits: 134 | font size: large, medium and small.

Haidu reporter medical record ③

Follow-up location: Interventional operating room of provincial hospital.

Time: 8:00-20:00 on April 20th.

Doctors accompanying reporters: Yan Huang, Zhang Wei, Xiao Chundao.

After an operation, Dr. Fang's clothes were soaked through. He changed into dry clothes and continued the new operation.

In the ever-bright operating room, one operation after another makes doctors lose the concept of day and night, and only when they are sleepy and tired do they know it's time to get off work.

Haidu reporter (right) also put on a 30 kg lead suit.

Chen Liangsheng (Teacher Chen), an old director who has been admitted, is willful and uncompromising.

Fang (Xiao Fang)-a big man, a literary youth, a young doctor who can write poems about surgery.

Many people know that there are "surgery" and "internal medicine" in medicine, but few people know that "interventional department" and "intervention" are the products of modern medical care, which are guided by medical imaging equipment and use puncture and catheter for diagnosis and treatment. For patients, this means wearing a small mouth to treat serious illness or incurable diseases, and as long as it is local anesthesia.

But "medical image" is radiation, not the kind of injury that can be easily "digested". Patients receive short-term radiation; Being an interventional doctor means years of exposure to radiation.

13 at 9: 00 am on April 20th, the first operation started in the catheter operating room of the provincial hospital. When the doctor stepped on the switch for the first time, the yellow light came on and the radiation began. After that, Lao Chen and Xiao Fang took turns to go into battle. After nine operations, it was already 6: 30 in the evening, and the whole process was uninterrupted. During this period, it is impossible to calculate how many times the early warning radiation yellow light has been turned on.

After 12 hours of tracking, the reporter experienced the awkwardness of 30 kilograms of lead clothes and tasted a boring lunch, all of which were only involved in the doctor's usual working day.

Lonely operating room

Because of radiation, the operating room here is surrounded by lead walls and lead glass, isolated from the world, and even the penetrating rays are tightly locked in the operating room.

"I want to step on it. Do you want to go out? " Lao Chen reminds us. Under the operating table, there is a foot switch. After stepping on it, the yellow light comes on, and a perspective image of the patient's body appears on the screen, which means that the radiation is turned on. Although journalists and doctors wear the same radiation-proof lead clothing, they still think that "less can be less."

There are usually one or two doctors in the operating room, who use very thin catheters and guide wires to walk through the patients. Where the catheter goes and whether the direction is correct depends on the perspective image on the screen. Sometimes, the catheter will emit a kind of "smoke", which is a contrast agent. The shape of the lesion can be clearly seen through the smoke. Then, the doctors stared at the images and started their "needlework".

Patients are usually awake during the operation. Lao Chen occasionally communicates with patients and even throws cold jokes to ease the tension.

Because of radiation, a lead wall divides the operating room into two worlds.

There is a lot of interaction inside and outside the operating room, usually through the microphone. But due to years of cooperation and a high degree of tacit understanding, they often communicate with their eyes and gestures. Outside the operating room, people often run at a speed that matches the doctor inside. If you are slow, the doctor will scold you. In the operating room, doctors do things quietly and discuss them occasionally. They are all medical terms, with a calm tone, such as "Do you want to send a sheath in?" "Don't let go, the hole is getting bigger and bigger ..."

50% radiation

Before reporters enter the operating room, they need to wear heavy lead clothes and lead scarves.

"Have you ever given birth to a child?" Before entering the operating room, the doctor asked the reporter like this.

"Ray will affect the gland first, so protect the gland. To protect the bone marrow and reproductive organs. " Lin Qiuping, a technician nearby, explained.

Compared with ordinary surgeons, interventional doctors have several pieces of equipment: lead clothes, bibs, lead caps and lead gloves. The whole set weighs about 30 Jin. These are devices to protect doctors in a radiation environment, which can block about 50% of radiation. These equipments are stuffy and heavy. After the reporter wore it for half an hour, he felt backache. When a doctor finishes an operation, his body will be soaked with sweat, so he should take off his clothes and put on something dry.

So sometimes doctors can save a lot of protection, such as lead caps, in order to operate more comfortably. No doctor wore this heavy hat all day on April 20th. Chen Liangsheng, the oldest, went too far and didn't even wear a scarf. Thyroid gland is unprotected in radiation environment.

"Radiation? I can count, but I'm numb. Forget it. There are two doctors today, whether they count or not, they all have to go on stage. "

"Do this, you can't care too much, care about can't do it. We are working shifts continuously, and it is normal to get off work at 3 pm, but is it possible to be' normal'? "

"There is radiation leave, one month a year ... but I haven't taken it. There is a radish and a pit here. Who will get it for you? "

At noon 12, during the operation, all the people involved in the operation ate in a small storage room. The reporter chatted with the doctors. Because of the reporter's visit, the doctors bought delicious lunch boxes with their own money, and usually ate lunch boxes sent by the canteen.

Doctor's feelings

Lao Chen and Xiao Fang involved in the operating room are two generations of doctors. Two generations of doctors feel differently.

Mr Chen is 60 years old. He speaks directly and does everything. He said that it is the happiest to cure a patient and watch him leave alive. When asked "what is the most unforgettable thing", the answer is "the most unforgettable thing is to let a patient die", and then ask, "death" is the situation of sympathy for the patient but inability to return to heaven. "Hey, medicine is really imperfect." Lao Chen said that sometimes it is really difficult to save patients, and tears will fall.

Xiao Fang, 36, is a doctor in Wenqing. He likes to popularize today's cases with prose, take some freehand photos with his mobile phone, and even write poems. All the operations were finished that day, but Dr. Fang sat in front of the computer wondering how to introduce an operation today. So, he borrowed the recently popular "The world is so big, I want to see it". Looking through the past articles, he almost wrote all kinds of current affairs hotspots as interventional surgery cases: Iron Hat King, DUANG, Big Tiger, Dabai ... all of these are to make patients and colleagues more interested in understanding intervention.

It was dark the day after the operation, and Xiao Fang was not at ease with the patient who had the operation today. He ran to the ward and asked them one by one.

It was already 8: 00 p.m. at the end, working at high intensity 12 hours, raining.

Turning to the popular science article written by Xiao Fang on WeChat, I actually turned to a poem written by him:

Tonight, there is rain knocking on the window.

I hope it wasn't the urgent ringing of the phone that woke me up from my sleep.

Tonight, there is rain knocking on the window.

Let me stay in the dark quietly.

Thanksgiving years, give us a cup of tea time to accompany.

Dr. Rongcheng's rapid evaluation and observation II:

Allow medical defects

BACKGROUND: On Monday, Haidu reporter conducted a 12-hour follow-up interview in the provincial hospital, and experienced a day of interventional doctors. Nearly 30 kilograms of clumsy lead clothes and boring lunch, during which the yellow light for early warning radiation was turned on countless times.

During the follow-up visit, during the operation, Dr. Chen Liangsheng received a hands-free call. On the other end of the phone, my friend said that my family had an acute abdomen and was half dead. Sent to the hospital, the doctor opened an incision of more than 20 cm, only to find that it was a urethral rupture. "You say that medicine is so developed now that you can't do anything, and you need an incision of more than 20 centimeters. I want to sue the hospital! "

Hearing this, Mr. Chen was in a hurry and almost shouted back: "I tell you, the doctor is not wrong!" You have to allow medical imperfections! " Mr. Chen gnashed his teeth when he said this. He told his friends that the patient was in terrible pain at that time, and it might take 2~3 days for the results of non-invasive examination. At that time, family members said that doctors were pustules, and patients were helpless in such pain. Perhaps, the pain may be gone. Exploration by laparotomy was the most effective treatment at that time.

The tension between doctors and patients now is related to people's misunderstanding of medicine. With the continuous extension of human life and the continuous development of medicine, people have an illusion that medicine can do anything. As long as you have the most advanced technology and the best equipment, you can bring people back to life, and as long as you are willing to spend money, you can cure the disease. The higher people's medical expectations, once the treatment effect can't reach the patient's expectations, or the treatment process can't reach the patient's ideal, the doctor-patient relationship may change from a "fellow traveler" to a "stranger" or even an "enemy".

There are many medical incidents because patients "take it for granted" without understanding the pathology. In the TV series "Remember", there was a mother who had to undergo multiple operations and multiple knives because of various diseases. As a result, her son complained to the media and said, "Take my mother as the road, pulling is a bite, and pulling is a bite." The result caused an uproar and almost ruined a good doctor. Such examples are not uncommon in real life.

As patients, we should allow medical imperfections and have a rational understanding of our own treatment. A little "dissatisfaction" will lead to bad words, and finally not only hurt the doctor, but also hurt yourself. (Straits Metropolis Daily, April 23, 33, 4 1 edition reporter Wei/Wen Xiaochun Road/map)