This was an unexpected surprise, beyond Zheng Ren's expectation.
Could it be the effect of lucky +16? Zheng Ren hated the big pig's hooves very much. Without explaining anything, I have no way to predict it in advance and maximize the effect.
But there's nothing we can do about it, that's the way Big Pig Hoof behaves.
Chatting with Professor Yang, we finalized some details. Professor Yang was also very generous, saying that he would directly explain the live broadcast of the surgery to the patient’s family at the earliest.
For the live broadcast of surgery, communicating with the patient's family from the very beginning and explaining it before surgery have a completely different effect.
If Professor Yang can do this, it will be another surprise for Zheng Ren.
Professor Yang was in a hurry to go to the outpatient clinic. There were already a mountain of patients there, and he had to read today's numbers before he could get off work.
You don't have to think about going home on time. After seeing the registered patients, you still have to go to the ICU to see today's patients before you are done.
Zheng Ren arrived at the operating room and saw that the urological surgery was almost finished.
The adrenal tumor was separated very cleanly, and there were areas of erosion. Segments were performed, but the entire kidney was not removed.
On the monitor, the patient's vital signs were stable, the adrenal tumor was removed, and there were no complications such as a sudden drop or disappearance of blood pressure.
Seeing Zheng Ren standing behind Director Miao, Mr. Yu smiled and said, "Boss Zheng, did you just go to the rescue?"
"Yes, malignant hyperthermia." Zheng Ren looked at Shu Ye and said softly.
"Boss Zheng also studies this rare anesthesiology disease?" Director Miao put aside the cutting and suturing device, turned around and walked off the stage, and faced Zheng Ren.
"I've seen it in journals and I have an impression." Zheng Ren gave way and said respectfully.
"Young man, you have a really good memory." Director Miao didn't show too many expressions. The first assistant and second assistant were responsible for the final finishing work of the operation, while he went to another operating room.
On that side, the skin has been cut open, waiting to be cut into kidney segments.
Zheng Ren just smiled and did not leave with Director Miao. He had no interest in urology, so the patient came to take a look after attending the hospital-wide consultation.
Unexpectedly, I encountered a rare malignant hyperthermia.
Mr. Yu waited for Director Miao to walk out, and then said with a smile: "Boss Zheng, what is malignant hyperthermia?"
I'm not an anesthesiologist, so I don't know that malignant hyperthermia is normal.
Even with dry anesthesia, 90% of people don’t know what malignant hyperthermia is. After all, this is a rare complication, and once it occurs... there is basically no cure.
Knowing too much and still being unable to do anything makes people bad.
"Malignant hyperthermia is not our surgery's business." Zheng Ren subconsciously thought of himself as a general surgery doctor and said it naturally.
"It is the only hereditary disease that can cause perioperative death due to conventional anesthetic drugs. It is a subclinical myopathy, which means that the patient has no abnormal symptoms at ordinary times and is exposed to volatile inhaled anesthetics and depolarizing muscle relaxants during general anesthesia. After taking the drug, skeletal muscle tetanic contraction occurs, producing a large amount of energy, resulting in a sustained and rapid increase in body temperature."
"Is it easy to cure?"
"It's difficult to cure. If the anesthesiology department of the Union Medical College hadn't been researching the diagnosis of malignant hyperthermia and had dantrolene, this patient would probably have died." Zheng Ren told the truth.
"Lao He just took a look and came back and said you were directing the rescue." Mr. Yu glanced at the anesthetist and said, "I was shocked."
The anesthesiologist's surname is He, which is what Mr. Yu calls Lao He.
He kept looking at Zheng Ren and still couldn't believe it. He lowered his voice and said, "Boss Zheng, when I came in, I saw our director squatting down to check the urine output. It scared me."
"..." Zheng Ren couldn't answer the question.
"Our director, if he says the wrong thing, he will be scolded in the face. How do you do that?" Lao He looked around furtively, especially behind him. He looked around three times to make sure the director was not there before he said arrive.
If you gossip behind the director's back, if he appears behind you unknowingly, the cancer will break out and spread throughout your body.
Lao He was also careful, and it seemed that he was often reprimanded by Director Xu of the Department of Anesthesiology.
Zheng Ren thought about it for a moment, but he didn't have much memory.
"I don't know either. I took a look and confirmed that it was malignant hyperthermia, and then started resuscitation. This disease is not common. I guess the people present have little experience, so I just said a few words." Zheng Ren is now Thinking about it, I feel a little regretful.
"Then again, I'm used to being a hospital in my hometown, so I yell out of habit." Zheng Ren said, "Teacher He, please tell your brothers and forgive me if you offend me."
"How could it be!" Lao He looked at Zheng Ren in surprise and said, "I have worked in the operating room for more than ten years and have never seen a single case. I forgot what the book said when I was nervous. I guess I If we were at the scene, I wish someone could direct the rescue."
"Haha." Zheng Ren smiled dryly.
"How did you succeed later?" Lao He asked.
"The director called and borrowed dantrolene from Xiehe. With intravenous injection and continuous pumping from the micropump, it is expected to be under control soon," Zheng Rendao said.
"During the Chinese New Year, my classmates had a dinner together. It is said that a malignant hyperthermia gene has been detected in Xiehe." Lao He said: "But I think it is useless. It costs thousands to test once, just for the chance of one in 100,000. I think it’s hard for patients to accept.”
"Well, I guess so. But there is medicine in Xiehe, so I feel reassured. If it were in my hometown, if I encountered a patient with malignant hyperthermia, I would have died." Looking back now, Zheng Ren also feels very lucky. , both patients and hospitals.
If it were in Haicheng... the consequences would be disastrous.
After chatting for a while, we talked about various cases from malignant hyperthermia that the teacher told when Lao He was in school. Zheng Ren also gossiped about many case reports in his memory, and the atmosphere in the operating room finally became harmonious.
Just kidding, is this the operating room? This is the operating room in my memory.
"Boss Zheng, I heard that you went to an emergency hospital for liver hydatid removal a while ago?" Lao He suddenly remembered this and asked.
"yes."
"What a pity, I was not on duty that day. Next time I have a chance to play, what song do you like to listen to? I'll go back and download it." Lao He asked.
"Does our operating room have speakers?" Zheng Ren asked.
"Generally, professors who have returned from studying abroad are willing to listen to music while performing surgery." Lao He said with a smile: "If the level is high enough, the surgery can also be performed to the rhythm of music."
These are just nonsense, Zheng Ren just responded with a smile.
Zheng Ren didn't care about playing music in the operating room during surgery. I can do the surgery quickly by listening to woolen music.
With that time, the operation would have been completed long ago.
…
…
Note: Malignant hyperthermia is rare and rare. Dantrolene was not available in Shanghai a few years ago. I don’t know if it is available now.
Anyway... just pray that you can't touch it.