"Your technical level is excellent, but when you are a doctor, especially in grassroots hospitals, many times you do not rely on your technical level, but on other things..." As he said, Old Director Pan turned back and looked at the door, "For example, This kind of thing.”
"The reason why I won't say anything is to let you feel, experience, and summarize a set of methods that work for you. In the future, when I am gone, you will not be numb."
"After all, as long as I'm here, I can handle even the biggest things. If I'm not there, it won't be possible." Old Director Pan said calmly.
Zheng Ren finally realized that he had overlooked something important in the emergency department of the first city hospital.
"But you are so promising!" Old Director Pan patted Zheng Ren on the shoulder with a bang, "He went to 912 within a few months. A lot of things don't apply there."
As he spoke, Director Pan lowered his voice and laughed heartily.
There are no regrets, only the pride and joy of watching your little beast grow up and become king.
Zheng Ren still didn't speak, his heart palpitating.
Returning to the intensive care unit and taking a look at the patient, he asked Director Pan to take Wang Qiang to the operating room to prepare first, and then he took the patient there himself.
The journey from the ICU to the operating room is a journey of repeated frantic testing on the verge of death (404).
A patient survives if he can make it to the operating room and start surgery alive. If something happens on the road again, Zheng Ren can't do anything.
After all, this is the aorta!
Bleeding, death, only in an instant.
None of the expected accidents happened. Zheng Ren calmly took the patient to the emergency operating room. Along the way, he briefly chatted with the patient to calm the patient's anxiety.
Arriving at the operating room and carefully lifting the patient to the operating table, Zheng Ren turned around to brush his hands.
"Boss Zheng, let me be your assistant." Wang Qiang also came over and brushed his hands together as they should.
Zheng Ren didn't say anything, just nodded.
In fact, with Zheng Ren's level, there is no need for assistants at all. But they also had good intentions. With just one phone call, he rushed over from the Second City Hospital to deliver supplies. It was more or less a favor.
Wang Qiang was very happy to see Zheng Ren nodding.
He had not realized before that the person next to him was actually a world-class expert. He just thought he was a very lucky resident in the emergency department. So Wang Qiang didn't realize how precious it was to be able to watch Zheng Ren perform surgery with his own eyes.
Unexpectedly, an opportunity fell from the sky, and the unshaven deer in his heart began to bump uneasily.
Wang Qiang went to disinfect, and Zheng Ren directly laid out the orders. This time Zheng Ren did not use the carotid artery access, but the femoral artery.
The puncture was performed, the arterial sheath was inserted, and Zheng Ren began to operate blindly.
Wang Qiang said: "Boss Zheng, I told Teacher Gao about your return, and he told Teacher Liu that you would be there in a moment."
"They are coming." Zheng Ren crossed his left and right hands habitually and chatted with Wang Qiang in a nonchalant manner.
The level of interventional surgery at the pinnacle level is one or two levels higher than that of all interventionalists in the world. It is a crushing attitude.
As for Wang Qiang's realm, in Zheng Ren's eyes, it does not exist at all.
Aortic dissection is a serious condition, but the surgery is relatively simple. Except for Director Miao, other emergencies were not a big deal to Zheng Ren.
"I heard that you are back. Teacher Gao is very happy. He said that today's surgery was postponed, and he said that he would drag you to do a teaching surgery." Wang Qiang said with a smile.
"Let's talk about it later," Zheng Ren said calmly.
"Huh?" Wang Qiang was stunned for a moment.
"Photography." Zheng Ren suddenly said calmly.
Just now, Wang Qiang was still surprised when Zheng Ren "declined" the teaching surgery, but he heard him talking about angiography.
So fast? The screen in front of him just lit up, and Zheng Ren started to step on the line after saying that the imaging was done.
However, the catheter has already reached the right position, and it is just waiting for the contrast agent to enter the blood vessels to see the patient's blood vessel condition.
So fast? Wang Qiang has never seen a situation where blind surgery directly enters the blood vessel and causes angiography when the line is stepped on.
Although it is not difficult to puncture the femoral artery and enter the abdominal aorta through the common iliac iliac, it is also done under visual conditions.
Just do it blindly…
"Pa~" The hemostatic forceps hit Wang Qiang's left radial styloid process.
"It's surgery, please concentrate." Zheng Ren said calmly.
He was already used to having a hemostatic forceps at hand during operations. If something didn't go his way, he could just tap on it instead of talking.
Many professors like to curse and throw equipment. Zheng Ren didn't like it either, he thought it was very tasteless.
It was very comfortable to tap it with hemostatic forceps, and Zheng Ren felt relieved for a moment. The haze in my heart also dissipated a little.
Uh... Wang Qiang is in pain.
The pain was only momentary and no substantial damage was caused. His back was sweating. Watching the live broadcast teaching surgery, seeing the hemostatic forceps flying and making constant popping sounds was very refreshing, but the feeling of being tapped on his wrist was completely different.
"Pa~" Another soft sound.
"What are you thinking about?" Zheng Ren was really unhappy this time, and there was a little reproach in his words.
This is an emergency rescue operation. How could I be distracted twice in a row? !
Wang Qiang was ashamed, and immediately put away all his selfish thoughts, and concentrated on taking pictures.
The high-pressure syringe injects the contrast agent into the aorta, and it can be clearly seen that the patient has large-scale tears in the thoracic and abdominal aorta.
"Scaffold." As soon as Zheng Ren finished speaking, Wang Qiang opened a stent and handed it to Zheng Ren.
This is the most basic operation. As long as you don't get distracted, there will be no problem.
Zheng Ren slid the bracket in. The bracket was from Changfeng and he was very familiar with it.
…
Director Pan sat outside and watched. The contrast agent entered and showed that the patient's aorta had a severe tear. He nodded and smiled.
This kid Zheng Ren is really trustworthy.
For emergencies such as aortic dissection, even in provincial cities, at least one vascular CTA is needed to confirm the diagnosis.
But Zheng Ren’s skills were so high that he was diagnosed with B-ultrasound. Director Lao Pan did not question it, and even personally explained the condition to the patient's family.
This kind of confidence is rare.
Mr. Wang was silent.
He didn't hope that Boss Zheng's diagnosis would be wrong, but he felt it was a bit unbelievable. Just by taking a casual look, I discovered errors in diagnosis and treatment. Such patients are routinely sent to the orthopedics department, and then...
When he thought about the patient's sudden death in the middle of the night, although it had nothing to do with him and was all the fault of the orthopedic surgeon, Wang Qiang instantly recalled his medical experience over the years and immediately discovered that several patients might have died because he had not discovered a similar disease.
In an instant, he was sweating.
All the previous self-confidence and pride disappeared.
It seems that compared with Boss Zheng, I am still far behind.