Surgeons (外科风云)

In summary

Lin Sen has begun to have complications caused by the mediastinal tumor.

He has shown signs of difficulty breathing

choking while eating, and Horner's syndrome.

We cannot rule out the possibility of the tumor being malignancy.

It needs to be promptly diagnosed

in order to avoid the possibility of spreading to other organs.

The surgery must be done right away. The sooner, the better.

We agree with immediate surgery, but...

Dr. Lu is not suitable to be lead surgeon at this time.

Why don't you ask another doctor?

Regarding this...

This patient's parent agreed to the surgery

on the premise that Dr. Lu is the lead surgeon.

It is quite normal that a family member has blind faith in a certain doctor.

But is there not another doctor in our Thoracic Surgery

that can do this surgery?

It is your job to explain this to the patient, isn't it?

The reason the family did not ask for another doctor is because

the patient's tumor is relatively large.

Most surgeons would not choose to do this surgery by thoracoscopic resection.

For a tumor of this size

in our hospital, currently only Lu Chen Xi can guarantee

the surgery can be completed using this method.

If the open-chest surgery method is used

postsurgical chest pains cannot be avoided.

Chest pains arising in a percentage of patients after surgery

is a residual effect that is difficult to avoid after open-chest surgery.

But when comparing chest pains and full removal of a malignant tumor

which is more important?

You are an expert.

You understand even more clearly.

Of course I understand.

I am not just a thoracic surgery expert.

I am also a patient who suffers the torment of postsurgical chest pains.

I am the same as Lin Sen's mother.

We both suffer from postsurgical chest pains that are difficult to cure.

She even became severely depressed as a result.

When she discovered

her son needed open-chest surgery also because of a mediastinal tumor

she fell apart completely.

She committed suicide with her son in tow.

Lin Sen was saved.

His mother... has already passed away.

That is why the child's father insists on having Lu Chen Xi

remove the tumor by thoracoscopic surgery

to reduce the occurrence of postsurgical chest pains by the greatest extent.

It is not blind faith.

It is trust.

And he has no choice but to do so.

Eat some more.

No, take it away.

The circumstances of the patient's family is rather unusual.

We can understand that.

There are many benefits to choosing thoracoscopic resection.

As Director Fu said, it reduces post-op surgery pains by the greatest degree

can effectively avoid damaging nerves, and so on.

However, Dr. Lu is not the first to do such a surgery.

There are many cases of doctors trying and succeeding at it.

Chief Lan of Central Hospital's Thoracic Surgery

has also developed such a program.

I signed the approval.

It's all right if nobody else in Renhe can do this surgery.

I'll personally invite Chief Lan to do this surgery.

Central Hospital started this program

after Lu Chen Xi had been doing thoracoscopic surgeries

for a year already.

Their earliest trainings used recordings of Lu Chen Xi's surgeries.

Lin Sen's tumor is truly relatively large.

There are extremely few doctors who can do this surgery by thoracoscopy.

Having started practicing it later does not necessarily mean less skilled.

There is not necessarily a correlation.

We're all just learning and studying from each other.

Central Hospital has been working on this project for over a year now.

I believe that as long as our doctors have high fundamental standards

I don't believe we won't be able to find a few specialists on par with Dr. Lu.

In regards to thoracoscopic resection of mediastinal tumors

- Lu Chen Xi is-- - Old Fu.

You are the director of Renhe Hospital.

Can you say you know the level of all Thoracic specialists in the hospital?

How about this?

I'll call Chief Lan and hear his opinion first.

No need to.

Give me a minute. I'll be done reading soon.

Thank you.

In recent years, I've held a position

in the Thoracic Academic Board.

I have been following the academic direction and development

of cutting-edge techniques in thoracic surgery.

I can't say I am aware of everything.

But at least I have some right to speak on the matter

so please listen to what I have to say.

Please take a look.

"Thoracic Surgery", page 27.

A review on the open-surgery method for mediastinal tumors in the past 10 years.

"Study of Pain", page 20.

Discussion and research into chronic chest pain after open-chest surgery.

"Thoracic Oncology", page 15.

The advantages and abuse of thoracoscopic surgery.

These articles can prove that of the many methods available

thoracoscopic surgery is the method

with which postsurgical chest pains can most likely be avoided.

However, it requires a rather high demand of

the operating surgeon's knowledge, skill, and judgment.

Of course, when the patient's tumor is rather large

using this method to complete the surgery

and being able to completely avoid damaging any nerves

isn't achievable by just any surgeon with experience with thoracoscopic surgery

These are the minutes for this year's Thoracic Surgery provincial conference.

The data from page 4 to page 10 shows

11 groups from 8 hospitals in Jialin City

all began studies into thoracoscopic surgery.

Every group has reached a certain quality

but for the patients that Lu Chen Xi operates on herself

from follow-up studies of 97 cases in three years

the average size of their tumors

exceeded those of all the other surgical groups.

The difference is statistically significant.

Moreover...

Not one case had postsurgical chest pains.

Certainly, not everything depends solely on the surgeon's surgical skill

especially during such a sensitive time.

But taking everything into account, I still believe

Lu Chen Xi is the best choice for Lin Sen's surgery.

This is not just for the sake of a healthy recovery without chest pains

but also to allow this family that has suffered such great tragedy

to once again obtain happiness.

All right, these were my personal opinions.

Director, President, and Interim Director Yang

please make the final decision.

Hello?

Look over here.

- That is our newly constructed... - It's Sir Xiu.

They're not short-staffed like this side, are they?

Sir Xiu.

Xiao Lu, you must be more mature now. You can't be like a student anymore.

I know. Thank you, Sir Xiu.

Allow me to introduce.

This is Professor Zhuang Shu.

This is Renhe's former hospital director

and honorary chairman of Thoracic Academic Board

Professor Xiu Min Qi.

I know him.

Four years ago, at the annual Thoracic Surgery Conference in Singapore

I saw Dr. Zhuang's live surgical demonstration.

At the time, I was thinking the younger generation has surpassed us.

Professor Zhuang had been practicing medicine far less than I had

but his level had far surpassed us seniors already.

Very nice to meet you, Professor Zhuang.

You are too courteous, Director Xiu.

Professor Zhuang, you were a bit impetuous.

Even if you like to protect the young, you shouldn't take everything on.

Responsibilities should be clearly distinguished.

One should only bear the responsibilities that lie with them.

You are right.

Responsibilities should be clearly distinguished.

Those who shouldn't be held responsible should not be unjustly blamed.

Your efforts will be needed a little longer for Lin Sen's surgery.

In times like these, it's even more important that mistakes aren't made.

I understand, Sir Xiu. I will prepare thoroughly.

I'll be waiting for your good news.

Goodbye, Professor Zhuang.

- Goodbye. - Goodbye, Sir Xiu.

It's thanks to Director Fu and Sir Xiu that

you don't have to bear the responsibility.

And they even told the superiors to let us operate on Lin Sen.

I've been wondering how you would look with a hat on.

Not bad.

I was worrying on my way here that you would find me ugly.

I don't.

Has your relationship improved?

He still won't accept me as his father.

But he's talking to me more.

We've also discussed being friends first. It's quite nice.

Look, he's wearing one too.

He's not as handsome as you.

He can't go in. He has to stay here.

If he's not with me, I'll be a little scared.

But he has to stay outside.

He will wait for you here.

You'll go inside for a nap and when you wake up

you'll see him when you come out.

I promise.

If I now say I'm worried, I'm afraid Dr. Lu will be unhappy.

But Lin Sen's tumor is so large. I'm really--

It's true the larger the tumor is, the higher the demands on the surgeon

but the good thing is Dr. Lu's skill in

thoracoscopic resections of mediastinal tumors

is acknowledged by everyone.

We are confident.

I trust you two.

What are they talking about?

Are they talking about my illness?

Adults always like to show off with words that are difficult to understand.

That's the senseless world of adults.

But, my first time in the operating room

I felt it was like a wonderful fairy tale world.

There are various sorts of strange machines

and a big light made up of lots of small suns.

I'll show you.