The Surgeon’s Studio

Chapter 1730: 1715 Da Jiao lost his heart

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"Director Mao, you must help." A middle-aged man stood at the door of Mao Chi's house, constantly bending down to pray.

His posture was very low, even a little humble, even more so than when he worked at 912 many years ago.

The exquisite, crisp suit even looked a little wrinkled and humble like him, just like him.

"Xiao Zhang, you..." Mao Chi, the director of the vascular department, was a little embarrassed, but the professor opposite him who used to be his subordinate was now asking for more, so it was hard to say it was okay.

Professor Zhang worked in 912 for many years. After he was transferred from the military to civilians, he was poached by a private hospital and became the director of vascular surgery there.

Over the past few years, Professor Zhang's work has been quite satisfactory. He is a cautious person and never carries out risky new projects. He only works on things he is good at.

The most taboo thing about working in a private enterprise is the high risk.

Capitalists don’t care about technological progress, they pursue stable risk-free returns.

It is enough to perform the most reliable surgery. No matter how much, we should leave it to the top tertiary hospitals.

Yesterday, Professor Zhang performed an operation for external iliac vein stenosis.

Under intervention, angiography is used to confirm the condition of the external iliac vein, and then a stent is placed in the stenotic segment. The operation is not difficult.

It was just local anesthesia to perform inferior vena cava and right lower limb deep venography, balloon dilatation and stent placement, and the process went smoothly.

But unexpectedly, 22 hours later, the patient suffered from sudden supraventricular tachycardia and frequent premature ventricular contractions.

After using corresponding symptomatic drugs, the treatment effect was very poor and the patient's symptoms did not change.

There was no other way, so Professor Zhang had no choice but to order a bedside echocardiogram.

Echocardiography revealed a tubular strong echo with a diameter of approximately 23 mm in the right atrium, and a stent shadow of approximately 48 mm in the inferior vena cava, suggesting that the stent had fallen off.

When he saw the echocardiogram images, he was petrified.

The stent fell off and got stuck in the heart. This is almost the most serious complication in the vascular department!

Professor Zhang’s hand went numb immediately. What should we do next

In just a moment, he thought of Director Mao Chimao.

When I was in 912, no matter what happened, I was never so panicked. If you make a phone call to Director Mao, although you will get scolded, Director Mao can still solve the problem.

After all, their level is there.

Those who can serve as the chief director of 912 are all elites among the elites in the medical field across the country. They are among the best in terms of professional level and interpersonal skills.

The most important thing is that Director Mao protects the calf.

Beating after beating, scolding after scolding, in the end the person can handle the matter.

When he was leading the team in 912, Professor Zhang didn’t realize how valuable this was. But after he left 912, whenever he encountered any situation, he would always think of Director Mao Chimao.

Therefore, Professor Zhang has always carefully protected his relationship with Mao Chi. During holidays, I would always come to Director Mao’s house with gifts and chat.

One is to avoid being criticized by others for forgetting their roots or something. The second is that if there is any problem in the future, I can find Director Mao to save the situation.

Apart from saying that one should not be arrogant, there is still a big difference in the caliber of Professor Zhang’s director and Mao Chi’s director.

After Professor Zhang judged that something had happened, he called Director Mao, but felt that it was not enough, so he rushed directly to Director Mao's house.

It would be too frivolous to talk about this on the phone.

If you talk face to face, your chances of success will be higher.

Mao Chi was a little embarrassed and said: "If the stent falls off into the heart, the patient's chance of death is greater than 50%. Xiao Zhang, this matter..."

"Director, you must help me." Professor Zhang bent down and refused to lift up despite any words.

For someone who is almost fifty, it is quite difficult to maintain this posture.

But today Professor Zhang has encountered a hurdle that he cannot overcome, and he must invite Director Mao to him no matter what.

Mao Chi looked at Professor Zhang with complicated eyes, but finally relented.

After all, they were all soldiers under him. He finally left because there were two deputy directors above him and there was no hope of becoming a director, so he looked for his own way out.

The old friendship over the years also made it difficult for Mao Chi to refuse forcefully and watched Professor Zhang fall into the abyss.

But when I went to the rescue station... the stent fell off, or the big frame of the inferior vena cava, and fell into the heart. In this case, it is not 100% possible to remove it with interventional surgery.

Mao Chi pondered.

For more than ten seconds, it was so embarrassing and suffocating.

It is difficult for Professor Zhang to maintain this posture all the time, and his body has begun to tremble slightly.

But he still persisted. He also knew what Mao Chi was thinking, which was why he didn't try to remove the stent.

Once the stent hooks onto the heart valve or the foramen ovale, if it is forcibly removed, the heart will rupture, a pericardial tamponade will occur, and the patient will die on the table.

Even if cardiac tamponade does not occur, there is a high probability of complications such as atrial fibrillation and ventricular fibrillation.

In short, it is difficult for patients to survive.

The evening breeze blew gently, but neither of them felt the gentleness of the best weather.

"Xiao Zhang, get up." Mao Chi finally shook his head and smiled bitterly, saying: "Do you have a strong heart?"

Professor Zhang showed a look of relief on his face.

Director Mao asked this, even if he had already agreed. He seemed to have returned to those days, when the sky fell and Director Mao was still there!

"Director, you also know that private hospitals basically don't care for people with big hearts." Professor Zhang said distressedly.

"Extracorporeal circulation, is there a machine?"

"Let me ask." Professor Zhang replied cautiously. He was afraid that if he said he didn't do this or that, Director Mao would change his mind again.

Xiao Zhang, you see there is nothing there, what should you do? Once Director Mao said this, he would be dumbfounded.

Of course, Professor Zhang has one last option - transfer the patient to 912 for surgery.

But once he does this, it means that he has to admit to the patient's family that the operation failed, and that there is no way to solve it in his own hospital.

Doing so will definitely bring unpredictable changes to things.

He vaguely remembered that the hospital seemed to have a set of extracorporeal circulation equipment. It was eliminated by which hospital in the past, and he didn't know if it could be used after so many years.

After calling to inquire and confirm this, Professor Zhang felt much relieved.

People, you can ask your grandfather or grandma to borrow it. But if you don’t have a machine, you can’t borrow one from 912.

It is a fixed asset. Even if it can be borrowed, Vice President Yuan's instructions will not be used. Dean Yan has to speak.

"Director, there is a machine."

"Okay, let's get it first. In the Department of Circulation Medicine, do you have a familiar and experienced friend? Come and keep an eye on it. If there is a problem with the heart rate, we can rescue you immediately."

"I've already made arrangements for this, director." Professor Zhang said quickly.