The Surgeon’s Studio

Chapter 1732: 1717 Draw your sword to help (Part 1)

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"Director Mao?" Zheng Ren's voice came over the phone again.

Mao Chi calmed his mind and asked casually, pretending to be casual: "Boss Zheng, what are you doing?"

"There was a consultation at Massachusetts General Hospital, and Director Luo happened to watch me perform an operation where a toothpick was inserted into the liver. Isn't this a consultation together with me?" Zheng Ren said.

"..." Mao Chi smiled bitterly.

What the hell is this request for consultation from Massachusetts General Hospital

Consultations, let alone Massachusetts General Hospital, are very rare even among large tertiary hospitals in the imperial capital.

In addition to the tasks of the health care team, the only consultation that Mao Chi had heard of in the past two years was the interventional bullet embolization that I was going to tell Professor Zhang just now.

As for what I did today, it was called a rescue operation, not a consultation.

And the toothpick stuck in the liver... what the hell is this.

"Hello? Is the signal so bad?" Zheng Ren's confused voice came from the other side of the phone, interrupting Mao Chi's thoughts.

"Boss Zheng, I have something to trouble you with." Mao Chi said: "I am a little brother who is doing external iliac vein and inferior vena cava stents. The stent ran away and entered the heart..."

"oh?"

Before Mao Chi could finish speaking, Zheng Ren on the other side of the phone immediately became energetic. He immediately said: "Stop discussing it, there is surgery, heart surgery!"

"What's the disease?" Another young and familiar voice sounded.

"Director Mao, is the patient in your department?" Zheng Ren asked excitedly.

"Boss Zheng, no. It's at the International Hospital." Mao Chi was speechless.

Why could I not hear fear from Boss Zheng's words about such a troublesome matter, but instead a sense of excitement and eagerness to try

Could it be that he didn't explain himself clearly

There is a possibility that Boss Zheng must have heard wrongly.

Mao Chi paused, feeling a little uneasy. If Boss Zheng is young and irritable, mishears about the condition, and rushes over excitedly, the matter may become unexplainable.

He coughed and said, "Boss Zheng, the big frame didn't hold up, and it fell into his heart."

"Yeah, I know." Zheng Ren said excitedly: "First use interventional surgery to take it out. If it can be taken out, it will be fine. If not, we need to open the chest and open the heart to get a big shelf. Director Mao, is there extracorporeal circulation there? ?Is there an anesthesiologist?”

"..." Mao Chi really didn't know what to say this time.

What do people not understand? The door is clear.

"There is an extracorporeal circulation machine, but I don't know if it can be used. There shouldn't be an anesthesiologist who knows extracorporeal circulation."

"It's okay. I'll take people there directly." Zheng Ren said, "Director Mao, we'll go over right now. Please wait a moment."

"Oh, thanks."

Mao Chi finally managed to calm down and did not forget to say thank you.

He hung up the phone, still refusing to believe that Boss Zheng's level was so high

"Director, who are you calling?" Professor Zhang had just woken up from his confusion and asked strangely.

"You go back to the department to see the patient. I'm waiting for someone here." Mao Chi said.

"Yeah!" Professor Zhang became a little more energetic. Waiting for someone, it must be someone waiting for 912 cardiothoracic surgery.

I didn't hear clearly just now, but I just felt that the director's tone was a bit polite. Could it be Mr. Gu

Professor Zhang felt a little unsure, Mr. Gu, he was an academician of the Academy of Engineering. It shouldn't be a big problem to ask Mr. Gu to do the surgery.

As long as the patient does not die, things will not continue to ferment.

He got out of the car, greeted Director Mao, and walked into the inpatient department. When he thought that Mr. Gu was coming, Professor Zhang's steps became a little brisker.

Mao Chi stood at the gate of the inpatient department, holding his mobile phone in his hand and clasping his hands behind his back, looking at the vast night.

Can Boss Zheng perform this operation? Mao Chi kept thinking about this problem.

If interventional surgery is required, Boss Zheng should be able to do it. Thoracotomy... It seems that Boss Zheng recently had a patient with a valvular tumor. It is estimated that it will not be a big problem to remove the surgery.

Thinking of this, Mao Chi smiled bitterly.

Are you looking for someone to save you too

Feeling a surge of arrogance in his heart, Mao Chi gave Zheng Ren a call.

"Boss Zheng, I will send the patient to the stage first. Corey will leave someone to pick you up. Just go directly when you arrive." Mao Chi said.

"Okay, okay, we've already boarded the bus." Zheng Ren said, "We'll be there in half an hour."

"International Hospital, Ward 11 on the third floor of the Inpatient Department." Mao Chi left the address and then turned and went upstairs.

Professor Zhang didn't express any surprise that Mao Chi came up. Now he can no longer pay attention to so many things.

As long as someone comes to rescue Taiwan, it's a good thing.

The patient was given low-molecular-weight heparin for anticoagulation. On ECG monitoring, a series of rapid and regular QRS complexes were detected, with a frequency of 200 to 220 times/min. Most QRS complexes are not widened and deformed, maintaining the shape of sinus rhythm. ST segment depression and T wave inversion can be seen everywhere.

Such a fast heart rate can induce complications such as cerebral ischemia.

Seeing that the patient's condition was particularly poor, Mao Chi knew that there must be no delay. It's better to go up and check the situation yourself. If you can pull out the big rack, that would be perfect.

Although it would be a waste of time for Boss Zheng, it is not unreasonable for someone with a big heart to guard him.

At the worst, he could treat Boss Zheng to a meal, which would be like drawing a sword to help, and it should be done no matter what.

The patient was sent to the operating room as quickly as possible. No matter how Professor Zhang explained the condition to the patient's family, Mao Chi went directly to the operating room to change clothes and prepare for surgery.

Before taking the stage, he did not forget to ask Professor Zhang to leave someone alone in the ward to wait for Boss Zheng and his party.

Hybrid operating room, patient under general anesthesia.

Director Mao brushed his hands as quickly as possible, and the anesthesiologist's nervousness could be seen. The anesthesia on this side is average, and severe supraventricular tachycardia cannot be controlled at all.

Puncture, insert guide wire and catheter, and start angiography.

Mao Chi didn't even wait for Professor Zhang to come on stage. He said hello and casually invited Professor Zhang's doctors to take the stage.

Angiography showed: the stent shadow in the inferior vena cava and right atrium started from the opening of the hepatic vein and ended at the right atrium side.

Mao Chi was very nervous.

But he didn't panic and performed the operation step by step.

Because the stenosis of the external iliac vein existed, which affected the operation, Mao Chi first placed a large shelf at the stenotic position of the iliac vein to relieve the stenosis.

Then he lowered the catcher inside.

The right atrium is divided into two parts: anterior and posterior. The anterior part is called the proper right atrium; the posterior part is the vena cava sinus. The inner wall of the venous sinus is smooth, and there are superior vena cava openings and inferior vena cava openings above and below.

There is an ear-like protrusion in the front and upper part of the proper atrium, called the right atrial appendage. The inner wall surface of the proper atrium is not smooth, which may cause cardiac dysfunction and slow blood flow.

Because the surface of the intrinsic inner wall of the atrium is not smooth and the large frame is stuck on the atrial wall, Mao Chi tried twice without success.

He calmed down and prepared for a third try.

"Director Mao, please wait a moment." Zheng Ren's voice suddenly came over the intercom.