"Boss, surgery is difficult." Su Yun said.
Zheng Ren opened his eyes, feeling a little tired.
It’s not that he can’t accept failure, but he has failed too many times and used interventional surgery to complete an almost impossible task...
Even the tough boss Zheng is exhausted mentally and physically.
"What are you thinking about? Why do you feel a little tired? Boss, that's not it, you are still thinking about Uncle Ning!" Su Yun looked at Zheng Ren in the back row and asked in surprise.
"Nothing." Zheng Ren sighed.
A small hand was placed on the back of his left hand. Zheng Ren grabbed Xie Yiren's hand with his backhand, and the fatigue in his heart was swept away.
"Surgery is difficult." Zheng Ren repeated.
"What needs to be done?" Su Yun did not criticize Zheng Ren. He was meditating on the operation process.
But no matter how you think about it, you will always see the words "this road is blocked".
"Don't go on stage. Prepare for rescue with Lao He." Zheng Ren already had a preliminary plan in mind.
"..." Su Yun was startled for a moment.
"A lot of rescue medicines have to be given immediately, and I'm afraid Lao He will be too busy.
The guidewire passes from the femoral vein and enters along the inferior vena cava. The thrombus is removed first, and then the basket catheter is inserted through the tricuspid valve. I estimate that I will have severe atrial fibrillation. Are you sure? "
Zheng Ren said it very simply, but from the description, Su Yun knew what Zheng Ren was going to do.
He did not answer Zheng Ren's words, but asked instead: "The PICC tube and the pulmonary artery are heavily adhered. Are you sure it won't tear?"
"OK." Zheng Ren said in a deep voice.
This confirmation seemed unreasonable, but Su Yun just believed it.
"I'm fine. Lao He has a lot of experience. Plus, if it's just atrial fibrillation, it won't be a problem. I don't need propafenone or sotalol, just give amiodarone, the maximum amount. If the blood pressure can't be controlled, Just give me epinephrine and isoprene as much as you can."
Zheng Ren nodded, Su Yun was still reliable.
When encountering extremely difficult situations, one person simply cannot handle it, and must rely on the overall strength of the medical team.
To be honest, until the end, Zheng Ren had not successfully completed even one operation in the system operating room.
But Zheng Ren has his own assessment of the surgical process. If he can't complete it alone, it doesn't mean that the entire medical team can't complete it.
Because in the system operating room, what cannot be controlled is atrial fibrillation. If you use medication to treat atrial fibrillation, the surgery will not be possible.
Over time, the experimental subjects will die.
This is a dead end.
And outside, you can at least give it a try.
He could only give it a try, and Zheng Ren was not completely sure.
"Boss, Fugui'er didn't come with you." Su Yun frowned.
Professor Rudolf Wagner has been immersed in a sea of information and has no time to look around.
Every day he works until late at night.
The professors of each student class returned to China to perform TIPS surgeries. Countless information was collected in front of the professor, and he had no time to save the day with Zheng Ren.
"I'll do it myself, no problem." Zheng Ren said: "The difficulty lies in artificially causing mechanical insufficiency of the tricuspid valve and causing continuous atrial fibrillation."
"Atrial fibrillation can be controlled with medication."
"I'll peel off the PICC catheter as soon as possible. You and Lao He have to give me at least 5 minutes." Zheng Ren held Xie Yiren's hand tightly.
5 minutes is already what Zheng Ren thinks is the limit.
No matter how short it is, even myself at the peak of interventional surgery will not be able to reach it.
"Boss, you're dreaming!" Su Yun shouted, startling Xie Yiren.
"Um?"
"As long as I'm here, it'll be no problem for fifty minutes!"
This was habitual bragging, Zheng Ren ignored Su Yun's words.
"It cannot be incised." Zheng Ren sighed, "In fact, if the patient is healthy, it is best to incision and thrombectomy under extracorporeal circulation and then remove the PICC tube. But the patient is a patient with advanced tumor..."
In the final pause, everything was left unsaid.
Su Yun was silent. He thought about it for at least ten minutes, and finally nodded and said, "I'm sure of it in 3 minutes. I'll give it a try in 5 minutes. I guess I have to go in, otherwise I'm afraid you won't be able to do it smoothly."
"It's okay, it's only a matter of a few minutes, don't worry about me." Xie Yiren said firmly.
"Let me fight for it, why are you so slow on the other side!" Su Yun nagged.
"..." Zheng Ren shook his head. It took 5 minutes to use the catheter to free the PICC tube adhered to the pulmonary artery. Is this considered too slow
This guy Su Yun!
The car fell silent.
Zheng Ren and Su Yun were both thinking about the tasks they needed to undertake.
This surgery is just like life.
Disaster,
too difficult!
Weaving through the traffic of Imperial Capital as quickly as possible, we arrived at Imperial Cancer Hospital.
At the entrance of the inpatient department, Dean Lin and his staff were waiting to "greet" Boss Zheng's medical team who came to rescue Taiwan.
Dean Lin was in a tangled mood at first, but after a period of time, the omnipotent high-dimensional time has healed the small wounds in his heart.
It goes without saying that everything is centered on the patient’s life.
Seeing Boss Zheng jump out of the car, Dean Lin first sighed with emotion, this legendary Boss Zheng is so young!
When I was this age, I was scolded by the professor in charge of the clinic.
But Boss Zheng actually brought his own medical team to rescue Taiwan!
Own medical team…
Alas, Dean Lin suddenly thought of his girl again.
"Boss Zheng, thank you for your hard work." Dean Lin extended his hand in a very formal and official manner.
Zheng Ren shook his hand and said directly: "Dean Lin, I am only 60% sure that the operation will be successful."
“…”
Everyone around was stunned.
Even Boss Zheng is only 60% sure he can do it? wrong! He must have been timid even before the operation.
Some people even began to wonder whether those miraculous rescues and surgeries were a conspiracy between the 912 hospital and Xinglinyuan for publicity
But Boss Zheng was as steady as a mountain, and he didn't panic at all. This kind of magnanimity is not something that young people can possess.
This is tempered by countless successful rescues and surgeries!
Some people are confused, some are sighing, and some are worried.
"Just do your best. If it doesn't work, go to 912 for thoracotomy." Dean Lin sighed.
"Thoracotomy is unnecessary. The blow would be too great. After all, this is a patient with late-stage cancer." Zheng Ren said solemnly, "Let the patient's family know that if the operation fails, give up."
His tone was slightly cold.
Clinicians have almost 100% given advice to patients’ families to give up treatment, but the 912 doctor went to Imperial Cancer Center to give this advice, which was a bit excessive.
Dean Lin's brows twitched slightly.
"The patient is still under general anesthesia?"
"Yes." Professor Zhong nodded and said, "I didn't take it out."
"It's best not to move. I looked at the intraoperative angiography film and found that the pulmonary artery would have been broken if I had to tear it hard." Zheng Ren said with certainty, "Since the patient is still under anesthesia, let's seize the time for surgery. Regarding the pre-operative explanation, I suggest that you talk to the patient’s family in a direction that will prevent them from getting off the stage.”