Xia Hua was dumbfounded.
"Teaching" surgery, he thought, was the kind where he could just say a few words to Feng Xiaoyu and be done. Who would have thought that Boss Zheng’s tactics were so sinister!
Every time the hemostatic forceps hit Gao Shaojie's radial process, Xia Hua felt that the superficial branch of his radial nerve was being hit invisibly, and his right hand shook involuntarily.
However, seeing that Gao Shaojie did not make such a move, he guessed that Boss Zheng avoided the superficial branch of the radial nerve next to the radial process and only struck the bone, which did not involve the nerve and would not affect the operation.
But it hurts just like this...
The imaging started on this side. Xia Hua looked around with lingering fear to relieve his nervous pressure.
This is still under the operating table. If I were put in Professor Gao's position, I would probably collapse.
He saw the anesthesiologist Huang's eyebrows dancing and asked curiously: "Brother Huang, why do you look so happy?"
"Occasionally, there will be teaching surgeries in the live broadcast room. From foreign professors to domestic directors, Boss Zheng came all the way. I didn't expect to see it live and it would feel like this."
"Lao Gao, does it hurt if Boss Zheng knocks you?" the anesthesiologist Lao Huang asked with a smile.
Gao Shaojie did not answer his question, but concentrated on looking at the radiography.
As Zheng Ren watched, he explained to him which blood vessel should be embolized first, at what location, and why he should do it.
Xia Hua became dizzy after listening to half of it.
In his mind, it was enough to block all the tumor-feeding blood vessels.
I didn't expect that Boss Zheng would have so many opinions about blood vessel embolism. It is said that the effect of embolization is different for a few centimeters up and down.
The patient, that is, my father’s post-operative pain and discomfort are all different. As for postoperative recovery, there are also differences.
Boss Zheng is really professional.
According to the logic of the lecture, Xia Hua figured it out. The embolism is relatively mild, and the postoperative reaction is too small to be effective. The embolism was serious and the postoperative reaction was severe. Boss Zheng was worried that his old man wouldn't be able to bear it.
Soon Xia Hua could no longer keep up with Boss Zheng's ideas.
But he knew in his heart that the postoperative effects of this surgery would be particularly good and the side effects would be minimal.
Boss Zheng chose a method with the least trauma and the most benefits.
Time passed bit by bit, and the sound of snapping was endless. After the hemostatic forceps struck Gao Shaojie's radial process, Boss Zheng explained slowly.
After 35′23″, the embolization was completed.
"Lao Gao, my surgical skills have improved." Zheng Ren said with a smile.
Gao Shaojie looked serious. He didn't seem to hear Zheng Ren praise him, but was thinking about what Zheng Ren said just now.
I changed my position and started to remove the brace.
This step is relatively simple, but the risk is relatively high.
After all, the tumor tissue is close to the heart. It is possible that the stent will expand and compress the heart, causing a sudden arrest.
Anesthesiologist Lao Huang stood cautiously on the side of the PICC pipe, with rescue drugs ready. If there is a problem, the medicine will be pushed in directly.
What he recalled in his mind was the wonderful performance of the royal anesthetist when Boss Zheng removed a 12cm large blood clot.
At that time, there was only a flashing image, a row of adrenaline, like bullets, which made me feel excited just looking at it. The anesthesiologist has seen this scene countless times, and every time he thinks this is surgery! This is rescue!
Zheng Ren watched Gao Shaojie lower the super-smooth guide wire in, and then said: "Old Gao, I will do the rest. You watch carefully, and you will slowly understand it when you go back."
"Oh." Gao Shaojie understood that this was the simplest and most difficult step.
Zheng Ren prepared the stent and suddenly saw that the anesthesiologist on the side had prepared a pile of rescue drugs in front of him, ready for action.
"What are you..." Zheng Ren raised his head and glanced at the anesthesiologist who was fascinated by him.
Zheng Ren said he didn't understand how someone could confuse him.
"Boss Zheng, if there is a problem, rescue drugs, defibrillators, tracheal intubation, etc. are all ready." the anesthesiologist said excitedly.
Boss Zheng finally noticed him!
We must give Boss Zheng a feeling of going home. The level of anesthesia at the Affiliated Hospital of the Provincial Medical University is no worse than that of his royal anesthetist.
"No need." Zheng Ren smiled and said, "I will be very careful. The opening range of this stent will not induce abnormal myocardial electrophysiological reflexes."
“…”
"But thank you." Zheng Ren said politely, and then inserted the bracket.
"Lao Gao, we need to pay attention to the opening range of the stent here." Zheng Ren said: "Relying on the right back wall of the heart, what we have to do is to try to expand the esophagus to open a path, but it cannot stimulate the heart."
Gao Shaojie nodded.
"Here, 0.87cm is enough. No amount is suitable." Zheng Ren squeezed the air bag and opened the esophageal stent.
As he spoke, he looked at the electrocardiogram.
The patient's ECG showed only weak changes, but it did not harm the overall situation.
"Lao Gao, why is it 0.87cm instead of the extreme value? It's because the tumor must undergo a process of edema and necrosis after ischemia after surgery. If it is an extreme surgery, I may also have symptoms 2-3 days after the operation. Arrhythmia.”
"As it is now, arrhythmia is unlikely. After surgery, you need to detect the size of the esophageal tumor. After the tumor starts to shrink, expand the stent partially. It will take about 2-3 surgeries to completely open the stent."
After Zheng Ren finished, he pulled out the guide wire, turned around and stepped off the stage.
This surgery was done. Gao Shaojie couldn't think of anything unexpected for Boss Zheng. Perfect? probably.
No matter what, it is always much more rigorous and precise than my pre-operative judgment.
"The operation is over. There is nothing special to pay attention to after the operation." Zheng Ren and Xia Hua explained, "We just need to do many reexaminations. You do your job well."
With that said, Zheng Ren was just about to leave when he suddenly felt something catching on his clothes.
He looked back and saw Xia Hua's father reaching out and trying to grab a corner of his clothes.
"Old man, are you feeling uncomfortable?" Zheng Ren leaned over and asked loudly.
The old man shook his head vigorously, but the movement was barely noticeable. His body was on the verge of failure, and it was difficult to perform such a simple movement.
Zheng Ren looked at the old man's cloudy eyes and didn't know what he was going to do.
Seeing the old man's lips moving slightly, he put his ear to it.
"Thank you... thank you..." the old man said with all his strength.
Zheng Ren smiled, held the old man's hand, and explained something loudly. Some things are actually best told to the patient himself.
If I can cooperate, the treatment process will be more effective with half the effort.
"It will get better soon. Let Xia Hua make you whatever you want to eat! But you have to be careful not to eat too much then. You should still eat small meals often!"
The old man blinked, indicating that he understood.
The airtight lead door opened and the nurses in the operating room began to get busy.
Suddenly the circulating nurse walked in. She leaned close to Gao Shaojie and whispered something. Gao Shaojie was stunned.