The surgeon is willing to suffer and take responsibility

  Mr. Li said, “The surgeon who is willing to suffer and take responsibility is the luckiest!”  Mr. Li said, “It is lucky to meet a surgeon who is willing to suffer and take responsibility!”  ”For lung cancer patients, it is lucky; for the hospital, it is also lucky!”  In the outpatient clinic, sometimes we can meet patients transferred from medical oncology department, who said that the surgeon told them to go to medical oncology department for chemotherapy after surgery, but the medical oncologist said that only local lymph nodes were removed and mediastinal lymph nodes were not cleared, so the postoperative staging is not accurate; if the evaluation is negative according to unresected lymph nodes, there is no need for chemotherapy, so go back to the surgeon for review.  According to the principle of surgeon’s responsibility, we can only tell the patient to go to the surgeon for review as the medical oncologist said.  Sometimes, patients may find excuses to say that they cannot find the surgeon, or even complain that they do not want to go back to the original surgeon for review. It will add confusion.  In fact, it is true that only the surgeon knows the most about the intraoperative situation. Others are not in a position to comment in vain.  Li said, “This kind of thing is really embarrassing, say also not, do not say also not, can only find ways to remedy.”  ”To be a doctor, especially a surgeon, one must be willing to suffer, responsible and courageous”, “Lung cancer surgery, the importance of lymphatic tissue clearance has been emphasized again and again because, if the clearance is not complete, there will be cancer residue, which will increase the chance of recurrence and metastasis, which will also reduce the lung cancer patient’s chances of survival after surgery.”  ”Similarly, if lymph node clearance is not complete, postoperative pathological staging will not be accurate, prognosis determination will not be accurate, and there will be no correct basis for deciding whether to administer radiotherapy or chemotherapy after surgery.”  ”But it is not easy to do a really good mediastinal lymph node dissection; a thorough dissection is more likely to have complications such as increased postoperative drainage and even celiac disease.”  ”Lung cancer surgery, to be able to remove smoothly and completely, lymph nodes and adipose tissue are thoroughly cleared, the chances of survival are high,” “Surgeons, to be willing to suffer is the only way, to be bold!”  ”We need to train more doctors who are willing to suffer and dare to take responsibility!”  ”Patients are most fortunate when they meet surgeons who are willing to suffer and take responsibility!”  ”For lung cancer patients, it is lucky; for hospitals, it is also lucky!”