After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 95

A low-key Audi,

Came from the provincial capital to Peng City, and quickly came to the city’s first courtyard.

Professor Lu Jianming, Director of Cardiac Surgery at Yada Hospital, was a professor at Harmony Medical University, and has 8 years of experience in training and working in top hospitals in the Beacon Country.

This time he came to the No. 1 Hospital of the City. It was a trusteeship who found him and asked him to do the interventional heart operation for a leader in the No. 1 Hospital of the City.

He also accompanied his student and assistant, Liao Xuewen.

“Wait, stop for a moment…”

Just as he almost arrived at the City First Hospital, Professor Lu Jianming suddenly stopped the driver.

He looked at a “Master Bubbler” across the road.

The saliva couldn’t help swallowing.

He has all kinds of advantages. He is an idol idolized by many doctors and nurses in Yada Hospital, but the only bad thing is gluttony.

He has gained weight to 160 pounds, which is a little weird for a doctor.

“Old Liu (driver), go and buy me a box of seaweed pork floss and snow scallops.”

“Okay, Professor Lu.”

Soon the driver Liu bought a box and handed it to Professor Lu.

Professor Lu couldn’t wait to take a bite.

“Um… delicious!”

enjoy!

His student Liao Xuewen wanted to persuade him, think about it later, forget it.

“Go, go to the City No. 1 Hospital, I guess they are waiting in a hurry…”

The car rushed to the first courtyard of the city.

What they didn’t know was that bags of dirty kitchen garbage were piled up on the ground at random in the back kitchen of the “Master Pao”, and above it was the place where the bread was being made, and the sanitary conditions were worrisome.

…

…

Emergency Department.

“Director, the Department of Cardiac Surgery invites me to come over.”

Lin Feng rang Director Zhou’s office and asked Director Zhou for leave.

“Go, Lao Zhao told me.” Zhou Guorong said.

After applying for leave, Lin Feng went to the heart surgery.

When I came to the Department of Cardiac Surgery, a group of doctors were in the conference room, preparing for a consultation. Tan Jianzhao, an intern, sneaked in and prepared to listen.

Lin Feng knocked on the door and walked in.

“Doctor Lin.”

“Doctor Lin is here.”

The doctors greeted Lin Feng one by one.

Lin Feng has rescued heart surgery many times, and his skills are outstanding. He has long been recognized and respected by many heart surgery doctors.

Mengxin Tan Jianzhao: “…………………………”

At this moment, the eyes fell to the ground!

what happened?

Lin Feng is the “Doctor Lin”?

what~the~fuck! !

“Lin Feng, come, sit here…”

Zhao Wangyang smiled and called Lin Feng to the seat of price comparison.

“Okay, let’s have a meeting. Let’s have a consultation and discuss the condition first. When Professor Lu Jianming comes, we can let go of performance. In addition, Professor Lu performs surgery, and everyone can learn more…”

“let’s start……”

Then, he began to sort out the condition of the ‘old leader’ patient.

Deputy Director Liang Guomin is responsible for introducing:

“The patient is 57 years old. He was admitted to our hospital yesterday because of a sudden heartache. After questioning, he had many heartaches…”

“After the most advanced 64-slice CT non-invasive examination in our hospital, it is clear that two of the three main blood vessels in Uncle Zhao’s heart have been completely occluded, and the remaining main blood vessel has also been severely narrowed…”

·The number of rows of CT: With the continuous application and development of CT technology, from single row, 8 rows, 16 rows, 34 rows, 64 rows and so on.

Currently the most advanced is 64 rows.

Where is the advanced?

Advantages: shorter imaging time, higher definition, and reduced radiation dose.

Lin Feng looked at the picture on the projection.

Judge the condition all at once!

CTO lesions!

That is, complete occlusion of the coronary arteries of the heart!

Lin Feng suddenly realized.

Lin Feng quickly used one of CTO’s “Interventional Strategy Prediction Scoring Method”·J-CTO to score the condition.

The scoring result is: 3 points!

·Interventional surgery must be performed!

·Medicines are no longer useful!

Lin Feng finally understood.

No wonder, the Department of Cardiac Surgery is going to find an expert from the provincial capital to perform the operation.

Because of this CTO disease, the operation performed is technically difficult and the success rate of stent placement is relatively low.

And there are many complications during the operation.

·Short-term risks: including emergency bypass, coronary artery perforation, perioperative myocardial infarction, acute renal failure, complications related to vascular access, and stroke.

Long-term risks: including restenosis in the stent, stent thrombosis, and skin damage caused by excessive radiation exposure.

Therefore, this cto-pci operation is considered to be the biggest difficulty and challenge in the PCI field (name: percutaneous coronary intervention).

There is also a nickname: the final challenge of interventional doctors!

Lin Feng also thought of another aspect. The patient’s identity is special and he is the leader, so no one in the city hospital dared to perform this dangerous operation (bring your own shackles on the operating table).

But the big doctors in the provincial hospitals are not afraid of these leaders, because they have treated too many big leaders, and the human relationship network has long been very strong, and they can play lightly.

At this time, Lin Feng learned a little more about the profession of doctors.

Build more networks to protect yourself….

Half an hour later,

End of the meeting.

Ling Ling Ling~~~

Zhao Wangyang’s phone rang.

“Hey…Professor Lu Jianming is coming soon? Okay, I’ll take someone down to meet ¨¨.”

Soon, wow~~~

Zhao Wangyang took a kind of doctors and nurses to greet him at the entrance of the hospital.

Lin Feng didn’t go with him. He went to the emergency department first and waited for the actual operation.

“Lin Feng, wait…” Tan Jianzhao rushed towards him, looking curious, suspicious, and probing.

“What are you doing?” Lin Feng warned.

“I’m just curious, why you seem to have such a high status in cardiac surgery…” Tan Jianzhao was really curious at this moment!

He was an intern, and when he came here, the doctors and sisters of nurses were all yelling at him one by one, unceremoniously.

The status is… I want to cry without tears!

The results of it?

When Lin Feng came, the expressions of the doctors were called enthusiasm!

They are called “Doctor Lin” and “Doctor Lin” one by one.

And what about yourself?

Xiao Tan Xiaotan, even nurses call himself that, tragic!

Envy is beyond recognition~~

Lin Feng: “I’ve said everything, my strength is very powerful.”

Tan Jianzhao: “…”

I still don’t believe it. No matter how good Lin Feng is, it is just a small rescue method. How can he get everyone’s approval?

Lin Feng went to the emergency department first.

Tan Jianzhao continued to keep up with the large army to meet Professor Lu Jianming.

Other doctors saw Lin Feng talking and laughing with the new interns.

Attending Li Yuan: “Xiao Tan, you and Doctor Lin…”

Tan Jianzhao was flattered: “Teacher, Lin Feng and I are classmates.”

This Doctor Li Yuan is the instructing doctor assigned to Tan Jianzhao this time, and he has been enthusiastic about Tan Jianzhao for the past two days.

When Li Yuan heard this, he was surprised: “Ah, are you and Lin Feng in the same class or in the same dormitory?”

Tan Jianzhao nodded: “Yes, roommate, classmate.”

“Hahaha~~ I said earlier, I didn’t know there was such a relationship!” Li Yuan’s original coldness suddenly turned into a warm sun and then into a scorching sun. He laughed and patted Li Yuan on the shoulder.

Tan Jianzhao: “???”

With a dumb look! !

“I still have a good relationship with Dr. Lin, and I have performed operations with him. War friendship… You are his classmate. You will call me Brother Li from now on. You don’t need to call me teacher.” Li Yuan said boldly.

“…”

Tan Jianzhao was stupid.

Damn it?

What’s the matter with swelling?

Named Brother Li? Still so enthusiastic?

This treatment makes me a little dreamy?

Tan Jianzhao pinched his thigh, hissing~~ pain! It’s true, not a dream!

At this time, others leaned over.

“You are Dr. Lin’s roommate…”

“Oh, that’s one’s own person!”

“Call me Sister Zhang from now on, my own person!”

“There is such a relationship, let me talk about it!”

The doctors and nurses are so enthusiastic!

Tan Jianzhao: “……………………”

giggle.

Status +1+1+1+1+1+1+1……

At the same time, ten thousand people wondered.

Who can tell me what’s going on? The dean’s relatives are not so good, right?

Is there a big secret about Lin Feng that I don’t know?

…

Tan Jianzhao was confused and followed the army to the gate of the hospital.

Three minutes later…

A low-key Audi slowly stopped at the gate.

“A warm welcome to Professor Lu Jianming to come to the City First Hospital for guidance and study!”

In a warm welcome, Professor Lu Jianming and student Liao Xuewen got out of the car with a smile on their faces.

“You’re welcome, you’re welcome~~~”

“Pengxun is shining, Pengxun is shining!”

A polite,

This status also makes many doctors yearn for, and encourages them to work hard.

…

Because Professor Lv Jianming still had something urgent to return to the provincial capital, Professor Lv Jianming decided to do it without taking a break.

Of course, it was also because he had already seen the patient’s information on the road, performed the surgical evaluation, and also selected the surgical method, which was very sure.

Back to heart surgery,

Start preparing for surgery…

It took more than an hour…

The patient was sent to the operating room, and preparations for the operation were completed.

Interventional surgery has a lot of radiation, so you need to wear heavy radiation protection suits.

Lin Feng also came at this time to observe Professor Lu Jianming’s surgical prowess.

…

16:00

The operation officially begins!

anaesthetization……

Disinfecting drapes…

Choose positive opening before surgery…

Opening…

Insert the ultra-smooth guide wire…

The super-smooth guide wire went all the way down to the iliac artery, all the way to the first tapered stump occlusion section… (The cause of the artery occlusion: most of them are atherosclerotic plaques, which need to be opened)

Twist left and right to advance forward, but found it a bit difficult…

Try it for about 20 minutes…

Failed to get through, the hardness of the single guide wire was not enough, and it failed to pass the blocked section…

Professor Lu Jianming is full of self-confidence. He had predicted that it would be difficult, but none of these can stop him!

Replace the guide wire with another guide wire…

20 minutes passed…

Failed, still unable to pass…

Professor Lu Jianming frowned slightly at this time, but he was still very confident, and he still had something to do!

He began to use a new method-parallel guide wire technology…

Another 30 minutes passed…

Still lost! defeat! NS!

Professor Lu Jianming: “…”

Zhao Wangyang: “…”

Doctors: “…”

Although I knew this operation was difficult, I didn’t expect it to be so difficult!

This is the first blocked road section, and it is already stumped. What about the three blocked road sections behind?

Lu Jianming wiped away his sweat with confidence and stabilized his mind.

Not afraid!

I still have an afterthought!

Professor Lu Jianming regained his confidence.

There is a standard procedure for interventional surgery, 1-5, but now 1, 2 and 3 are not available, then the fourth step is required.

Method 4: IVUS guidance method!

Another 30 minutes passed…

Still lost! defeat! NS!

continue!

Method 5: Reverse intervention method!

That is to enter from another direction, the opposite direction.

Reimaging…

Confirm the position of the blood vessel’s true cavity…

1 hour later…

Failed again!

Because the retrograde guide wire for collateral vessels is usually used to guide the wire with a softer tip, better tactile feedback and better torque transmission, Professor Lu Jianming tried it and found that the patient’s vascular retrograde condition is poor and it is difficult to open this. Section occlusion section.

Lv Jianming sighed, “Go back to the positive direction…”

Zhao Wangyang: “…”

Doctors: “…”

Egg hurts~~~

…

Professor Lu Jianming is still very confident at this time.

According to the international gold standard (experience summed up by countless people), when the previous method fails, a new method-ADR technology can be carried out at this time!

Sudden!

Guru~~~

Professor Lu Jianming suddenly had a stomachache!

“Oops! Stomach hurts!”

Professor Lu Jianming’s face changed slightly and he had eaten bad things. As a foodie, he was very sensitive to this because he had too much experience.

“What to do? The operation is underway now…”

“Pause first…”

After thinking about it, Lu Jianming stopped the operation and said to everyone.

“My stomach is a little uncomfortable, I’ll go to the bathroom first…”

Zhao Wangyang, doctors and nurses: “………………”

Zhao Wangyang quickly said: “｀” Professor Lu, go! ”

Soon, Professor Lu Jianming took off his lead clothes, left the operating table, and went to the toilet.

After 20 minutes…

Professor Lu Jianming is back!

Another 10 minutes passed…

Professor Lu Jianming went to the toilet again!

In the 30th minute, the third toilet…

In the 50th minute, the fourth toilet…

The 70th minute, the fifth toilet^

Zhao Wangyang, doctors and nurses: “………………”

Lin Feng: “………………”

Your eyes are starting to become weird, Professor Lu Jianming, are you too boring?

The patient is still in bed!This state of operation is in danger at any time!

Professor Lu Jianming, who had been diarrhea to collapse, felt the gaze of everyone at this time, and he was a bit embarrassed at this moment because of the grandeur’s momentum and majesty.

He also wants to continue the operation!

However, his stomach seemed to be against him, and he always wanted to go to the bathroom!

“No… Or, let my students try to learn Chinese?”

Lu Jianming looked at the student Liao Xuewen.

Liao Xuewen was excited: “Should I go up to the sword? Great, I have been looking forward to it for three years!”

I waited for this opportunity for three years!

Lv Jianming: “Study, it is not convenient for me now, this operation, come on… I will guide you by the side…”

Liao Xuewen was excited: “No problem, teacher, I will not let you down!”

I blushed with excitement and roared!

Lv Jianming: “Let’s start…”

Wearing a lead suit, Liao Xuewen stepped onto the operating table, excited: “Hoho…Operation, I’m here!”

Guru~~~

Suddenly, Liao Xuewen only felt a pain in his stomach.

Oops!

“I seem to have eaten that thing with the teacher… now I have a stomachache…”

Liao Xuewen’s face was green on the spot.

“Sorry, teacher, I want to go to the toilet too…”

Lu Jianming: “…”

Zhao Wangyang, doctors and nurses: “………………”

Lin Feng: “………………”

Are you kidding me?

Lu Jianming wanted to scold Liao Xuewen, but his stomach hurt again.

f*ck!

I almost cried!

Flew to the toilet.

The master and apprentice went to the bathroom together.

Zhao Wangyang, doctors and nurses: “………………”

Lin Feng: “………………”

The atmosphere is so quiet!

after awhile,

“Why? I’ll come?” Lin Feng couldn’t help it, breaking the calm, “I have done interventional surgery anyway.”

A word to wake up the dreamer!

“Yes! Doctor Lin will also intervene in the operation!”

“The last time Dr. Lin did it successfully, we also learned related videos. (Qian Zhao is good) doesn’t seem to be worse than this.”

Everyone talked.

Zhao Wangyang hesitated: “Lin Feng, are you confident?”

Lin Feng nodded: “I still have confidence. Let me try? If it doesn’t work, I will quit? Anyway, it doesn’t affect the patient.”

Zhao Wangyang thought, yes, the situation is so bad anyway, then Professor Lu Jianming may not be able to count on it, so it is better to let Lin Feng try.

With Zhao Wangyang’s consent, Lin Feng put on a lead suit and walked onto the operating table.

After trying single guide wire/single guide wire upgrade/parallel guide wire/IVUS guidance/reverse technology failed, Lin Feng did not make any changes and used ADR technology to guide the wire.

Spiral, forward…

Flowing clouds and flowing water, relaxing and natural…

All the way…

Coming to the occlusion section…

Spiral spines…suddens…

Finally, it succeeded!

Successfully opened the occlusion segment, successfully reconstructed the right coronary blood supply, and finally placed the stent!

The whole process took less than 10 minutes!

Compared with the previous process that took almost 2 hours, there was no progress at all, which formed a sharp contrast.

“Fuck, awesome!!”

A doctor Guipei shouted excitedly!

“6666~~~”

“Awesome!!”

Other doctors and nurses screamed.

Lin Feng raised his head and asked Zhao Wangyang: “How about… I continue to drive the other three occlusion segments?”

Zhao Wangyang laughed: “Go on, go on!”

With his more than 30 years of cardiovascular professional experience, he found that Lin Feng’s skills are much better than Professor Lu Jianming!

Not one level!

This is terrifying!

Seeing Lie Xinxi, he wanted to see if Lin Feng could handle the other three occlusion segments.

Lin Feng nodded.

Continue the same process: single guide wire/single guide wire upgrade/parallel guide wire/IVUS guidance/reverse technology…ridge…

If it doesn’t work, just switch to the next…

result!

Lin Feng spent a total of 13 minutes in the second occlusion segment, using a single guide wire to open it directly, and put it in the stent!

In the third occlusion segment, Lin Feng, with his rich experience, skipped the single guide wire process and chose the parallel guide wire. It took 24 minutes to get through and put in the stent!

All the doctors and nurses looked at Lin Feng’s eyes, they looked like gods!

666 fluttered wildly above his head! !

now,

Professor Lv Jianming and student Liao Xuewen are still in the bathroom and haven’t come back!

. .