The Godfather of Surgery

Outside the gate of the interventional operating room, several family members were besieging Dr. Yu.

Why do you close the door for surgery? Is there anything we can't see?

I seemed to hear screams just now, did I not stuff the red envelopes, did I not receive anesthesia?

We can't see anything, and we don't even know you stole your organs.

Seven or eight family members, you talking to each other, completely drowned out Dr. Yu's explanation, and Dr. Yu had no choice but to bite the bullet and increase the volume to continue explaining.

There are aseptic requirements in the operating room, and family members are prohibited from entering. This is the rule in operating rooms all over the world—

In the operating room in the United States, family members can go in and see how they want!

The patient's son-in-law, a middle-aged man with glasses, said loudly, as if he had just returned from the United States, pointing.

Fortunately, Dr. Yu has been to the United States, otherwise he would have been bluffed by his confident appearance.

Yes, why don't you let us see the operation?

Why are there screams inside?

The index finger of the patient's wife has already touched Dr. Yu's nose.

Someone probably noticed the commotion here. Several security guards were already standing nearby, and a security guard came up to separate Dr. Yu from his family: If you have something to say, please be more civilized.

The patient was under local anesthesia. He suffered from cardiac arrest several times. He was rescued by electric defibrillation. The patient screamed manically when he felt uncomfortable. Because the rescue was time-consuming, there was no time to use other anesthesia. Dr. Yu continued to explain patiently. .

What? Did you cause cardiac arrest?

If you don't have the ability, don't take this job.

When they heard that the heartbeat had stopped, the family members became excited again.

It's not that we made his heart stop beating, the patient has acute myocardial infarction, and his heart beating will stop at any time——

Dr. Yu really couldn't explain it further. Under the protection of the security guards, he had no choice but to retreat to the operating room through the side door and close the side door.

——

The right main coronary artery is 90% blocked + severe calcified lesions; the left main coronary artery is completely blocked, and the two bifurcations of the anterior descending and circumflex branches are completely occluded + severely calcified lesions.

On the see-through screen, the first blockage, the blockage of the main coronary artery on the right, was successfully opened. The opening of the passage is very wide, with a smooth transition from front to back. at death.

Saving the myocardium as soon as possible is the key to the success of this operation.

Director Guan took a deep breath. He specialized in interventional surgery of the cardiovascular system, and never dared to perform such a large operation in the small coronary artery like Yang Ping.

In just a few minutes, Yang Ping successfully rotated the hard calcified tissue. The young man's skill is really good. Such a long guide wire controls the atherectomy head, and the atherectomy head can still be controlled freely in Yang Ping's hands to perform precise rotational atherectomy without damaging the blood vessel wall while performing exaggerated atherectomy.

Yang Ping continued to carry out the rotational grinding of the blocked part of the left main coronary artery. Every movement of the operation was extremely proficient, and no one could tell that this was just an amateur interventional doctor.

The sound of knocking and kicking outside the door has never stopped, no matter how much the outside door knocks, everyone ignores it.

Is it endless? Director Guan frowned.

Old Ji, you are with Professor Yang, I'll go out and have a look. Director Guan is going to go out in person.

At this time, Dr. Yu had already returned to the operating room, looking ashamed, Director Guan asked: What's going on? Didn't communicate well? Why are you still knocking on the door outside?

This family can't communicate, let's do the surgery first! Doctor Yu looked helpless.

Seeing this, Director Guan has no plans to go out, let's talk about it after the operation.

The soulful rotary grinding head is like a broken foot, invincible. Director Guan is not ready yet. The blockage of the main left coronary artery is quickly broken, followed by two bifurcations, which are particularly difficult. deal with.

But the rotary grinder in Yang Ping's hand had no intention of slowing down at all. The rotary grinder in his hand was obedient and obedient, pointing and hitting with great precision, which made Director Guan dazzled and thrilled.

Director Guan couldn't help but sigh in his heart, this kid is really a patriarch who enjoys food, and he has never studied interventional surgery. He usually helps Director Ji with a few interventional surgeries, and his hands are so good.

This level of coronary rotational atherectomy is also invincible in the interventional field across the country.

Even if I practice for another twenty years, I still won't be able to reach this level.

Director Guan sighed, and the two forks were taken down.

Then there was a switch of various instruments. Six stents were implanted into the blocked coronary artery, and the two bifurcations used the double-stent technology. The stents were implanted from far to near. The position of each stent was very precise and beautiful, especially The double brackets at the bifurcation port are placed, and the front and rear are closely matched from the end to the end without any mutual interference.

Looking at the beautiful development of several stents and the unobstructed coronary blood flow on the fluoroscopic image, Yang Ping withdrew the guide wire and pressed the puncture port with gauze.

Director Guan and Director Ji looked at the see-through screen, then at the screen of the ECG monitor, and at the same time let out a long breath. This patient is too complicated to be rescued.

But today, he was rescued by Professor Yang stepping on the steel wire.

Rescue is really a race against time, and life and death are also between seconds.

Open the door, I'll go out and explain to the patient.

Director Guan breathed a sigh of relief. No doctor wants his patient to slip away from his hands. Sometimes he has no choice but to do nothing.

Doctor Yu went out to call the family members. Director Guan went to the doctor's office and sat there waiting for the family members.

What are you doing?

Why are you closing the door?

How is my old man?

Dad, Dad!

——

Shut up, are you here for medical treatment? Director Guan roared.

Because of Dean Xia's stubbornness in Sanbo Hospital, the doctors are also full of confidence in whatever they do. The so-called awe-inspiring justice is probably like this.

Under the roar of the director, the family members who flocked in stopped in their tracks.

The patient has been rescued, you come here, I will tell you about the condition.

Director Guan pointed to the angiogram on the electronic screen, surrounded by family members.

Who are you a patient? Director Guan asked the family member who stood at the front.

The patient's son said angrily, I am his eldest son.

Director Guan said to his son: Your father has a chronic total occlusion of the coronary artery, the left main coronary artery is completely blocked, the two bifurcations of the anterior descending branch and the circumflex branch are completely occluded + severe calcification, and the right coronary artery is blocked. Ninety percent + severe calcified lesions, this kind of blockage caused acute myocardial infarction, the condition is very dangerous, basically a near-death situation, sent to the hospital is already hanging by a thread, just now we are emergency rescue operation, to save his life , the patient had cardiac arrest several times during the operation, but we rescued him. The screams you heard were because the patient was under local anesthesia. After the rescue, the patient felt some discomfort, so he screamed manically. Rescuing lives is the top priority. It is a matter of time and seconds. There is no time for general anesthesia. We are rescuing, and you are knocking and kicking the door. Family members are not allowed to enter the operating room. This is the case in operating rooms all over the world, not ours. Do, at that time you were going to rush in, entangled you if you didn’t know, how should we do surgery? How should we rescue? If you let you come in and make noise, your father can’t save him at all.”

The patient's son lowered his head and listened to the director's explanation in a muffled voice.

The United States is much more humane, it is not so barbaric, and the family members will watch the operation— The patient's son-in-law also wanted to use the United States as an issue.

Director Guan was really a little angry: I have studied in the United States for three years, you tell me about the United States, which hospital in the United States allows family members to visit the operating room, tell me?

Afterwards, Director Guan repeated the sentence in English.

The patient's son-in-law blushed and was so blocked that he couldn't speak a word. He had never been to the United States at all, and he didn't know much about American hospitals. He just listened to other people's nonsense on the Internet.

Anyway, we don't understand. Whatever you say is what you say. The patient's wife threw a sentence out of nowhere.

Although these words are a bit stinging, Director Guan is used to this kind of scene and doesn't take it seriously, as long as the patient is fine.

Doctors and patients are comrades-in-arms in the trenches. We are not enemies. Our common enemy is disease. Do you know that? No doctor intentionally ruins the operation. We are more anxious than you, understand? You have to trust us, if it is not the door It’s still solid, just with your posture just now, you rushed in and made a fuss, and you said how can we save people.” Director Guan said patiently, suppressing his anger.

The patient's son felt that he was in the wrong, and he didn't say anything when he heard that his father had been rescued.

The other family members seemed to have something to say, but they didn't know what to say.

A total of six stents were installed, and the blood flow is smooth now, but the danger period has not passed. After the operation, I will be transferred to the ICU of our cardiovascular department to continue monitoring and treatment. Now that the operation is completed, please pay the fee. The director said calmly.

Because it was a rescue operation at that time, there was no need to pay a penny, and the operation was carried out as usual.

How much will it cost? The patient's wife raised her voice immediately.

Speaking is money! the patient's wife added.

PS: I have been too busy these days and have not updated. I am very sorry, and the update will resume today! thank you all!