The Surgeon’s Studio

Chapter 734: 727 Thoracic surgery, who will help?

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If it were in Haicheng City No. 1 Hospital, Zheng Ren would never... try not to go beyond the normal medical procedures and take the patient directly to the stage. If you violate medical procedures and are criticized, you will be sued to the Medical Commission, and your career as a doctor may be terminated.

But after experiencing the baptism of blood and fire on the front line, he seemed to have undergone some changes. Moreover, these are extraordinary times, and we must act according to urgency.

"Director Chen, I am confident in the diagnosis of this patient. Please believe me." Zheng Ren said to Director Chen seriously.

His tone was still gentle, and although there were bruises on his face and he looked a little embarrassed, there was a sense of trust between his brows and eyes.

Director Chen recalled the time when he saw Zheng Ren performing interventional surgery at Pengxi Township Hospital.

Just looking young, his level is not low.

Not only is it not low, it is so high that I can’t even see the top when I look up.

Although Director Chen is old, he is not confused. Especially when he was young, medical treatment at that time did not have such rigorous procedures and procedures as now. Procedural Justice? It doesn't exist at all.

Many years ago, all kinds of auxiliary inspection equipment were not available. A good doctor takes one look at the patient, does a physical examination, and looks at the X-rays, gives a diagnosis, and then carries out treatment. It can be said that everything is very rough, even a little crude.

But Director Chen is used to this kind of diagnosis and treatment model.

A younger doctor wouldn't be as hesitant as Director Chen. If you don’t do a 64-series vascular CT, you will have to undergo surgery. Isn’t this a joke

But after Director Chen pondered the possibility of this matter, he waved his hand and said: "I'll contact the operating room. If the blood pressure drops by 10 mm Hg, go directly."

Zheng Ren nodded, while Su Yun looked at the old man with interest.

They still had to wait for Xin'er. When Zheng Ren and Su Yun saw Director Chen going to work, Su Yun asked, "You don't want to do an examination, why don't you go directly?"

"When you encounter a patient with cardiac tamponade, don't you just open the chest in the emergency department?"

"Can it be the same? My finger..." As he said that, Su Yun paused, with a strange expression on his face.

He had already guessed what Zheng Ren was going to say next.

There is a huge difference between feeling pericardial tamponade with your fingers and seeing it from your own perspective. But from Zheng Ren's perspective, there is no difference at all.

This guy... Su Yun shook his head and didn't slander Zheng Ren.

"Take a break when you're tired. This time you go on stage, you may have to undergo a long operation." Zheng Ren was paralyzed and almost lying down.

"Boss, are you so desperate? Director Jiang's precedent is there." Su Yundao said.

"It's okay, I'm still young, my heart and brain blood vessels..." As he spoke, his voice became smaller and smaller until it disappeared.

Su Yun was completely sleepless at this time. He stared at the CT scan, looked at it seriously, his eyes narrowed into a slit, and the light from the reader was vaguely reflected in the slit, as bright as a gem.

More than ten minutes later, Director Chen brought someone to pick up the patient and bring him to the stage.

He repeatedly told me to move it gently and not violently.

For patients with aortic dissection, once their body position changes, their blood pressure will rise suddenly, and then the intima and adventitia of the blood vessels will tear, leading to sudden death.

Su Yun had seen at least ten patients at Haicheng City No. 1 Hospital, and they were ready to be transferred because interventional surgery could not be performed at Haicheng City No. 1 Hospital.

The patient didn't think it was a serious illness and thought the doctor was trying to scare people. He even refused to lie still and be carried carefully. As soon as he sat up, he changed his position and died immediately.

A person whose vital signs were quite normal one second could die in a blink of an eye, and his death was so simple.

This disease is really dangerous.

What's rare is that Director Chen actually believes in Zheng Ren so much. This guy is not popular with women, but he is quite popular with old men.

In Haicheng, he was protected by Director Pan; when he went to the Imperial Capital, Director Kong treated him very well; when he came to the front line for support, he was favored by Director Chen.

Although it was useless, but... Su Yun glanced sideways at Zheng Ren and saw that he was sleeping soundly. There were patches of bruises on his face, but his face that should have been in a state of embarrassment exuded an indescribable sense of trust.

Su Yun let out a long breath and subconsciously blew the black hair on his forehead. But the operation took too long, and the strand of black hair was so suppressed that it could no longer fly.

He put the film into the film bag and hurriedly led people to take the patient to the stage and put it on the flat car before Director Chen took the patient to the stage.

"Where's Dr. Zheng?" Old Director Chen asked.

"Asleep, I'll go up first and start disinfecting. Just call him here." Su Yun said casually.

Director Chen knew that he had stayed up for too long and could fall asleep even while standing, let alone sitting.

He had no objection and took the patient to the stage.

"Director Chen, is this kind of surgery performed by the vascular department or the interventional department? What brand of covered stent is used?" Zheng Ren's voice came from behind.

When did you wake up? Su Yun frowned slightly, turned his head and said, "Why are you up?"

"It's almost okay, but I can't sleep well. When I get back to the imperial capital, I'll find a place to sleep well for a few days and nights." Zheng Ren was very lethargic and staggered when he walked.

Su Yun didn't stop him, and after listening to Director Chen's nagging for a few words, he came to the door of the operating room of the university.

Large tertiary hospitals have several hybrid operating rooms in their operating rooms.

With the increasing clinical application of interventional surgery, doctors in large tertiary hospitals are also accustomed to hybrid surgery.

However, the number of surgeries is still small, and orthopedic surgeons are the most used.

The fracture is reduced open and fixed, and then a radiograph is taken to give people peace of mind. After joint replacement, it is very comfortable to take a X-ray.

Just using the hybrid operating room like this is a bit wasteful.

"Dr. Zheng, the doctor in the vascular department is performing an operation and is temporarily unable to come down. It's your fault." Director Chen said.

Zheng Ren nodded, he had already anticipated this situation.

It would be strange to have a doctor idle. Being able to free up an operating table for himself, or a hybrid operating table, is already considered to be Director Chen's extraordinary skill.

Being able to perform surgery in a large surgery operating room is more in line with Zheng Ren's psychological expectations.

Director Chen took the doctor to carry the patient, while Zheng Ren and Su Yun went to change clothes.

Just as I put on the isolation suit, a voice came from the corridor: "Who is free? Come and help me!"

After waiting for a few seconds, no one spoke.

"Mr. Shao is doing the thoracic surgery, who can help?" the traveling nurse shouted at the top of her lungs.

Zheng Ren smiled bitterly.

It is estimated that all the doctors are exhausted and can't even find anyone to man the desk. It would be nice to have a doctor who is the chief surgeon. As for assistants, just find someone who is an intern or a further student to help you.

But after several days and nights, I couldn't even find anyone to help me.

If it doesn't work, I can only ask the equipment nurse to help. But in that case, the surgery would be quite slow.

Su Yun raised his eyebrows and said: "Boss, you can go do the lower peritoneal shelf by yourself. Can I refresh myself by doing a thoracic surgery?"

It was a question, asking for Zheng Ren's opinion.

Zheng Ren smiled and said, "Go ahead."

Su Yun came to life completely, stuck his head out, and shouted: "How many hands?"

"Three hands." The circulating nurse was very happy. Although she didn't know who started the operation, it was always good to have someone following her during the operation.

"Boss, I'm going!" Su Yun took the time to put on a sterile cap and said while tying the mask straps: "You don't do chest surgery either, but it's frustrating me to death."