Doctor: I picked up attributes in the hospital

Chapter 376 Surgery on the fetus?

"Director, which department are we going to consult?"

Ruan Liuzheng, who was following Zhao Heng, asked curiously.

Her current job is to follow Zhao Heng, and then learn while watching. As for how much she can learn, it depends on Ruan Liuzheng's personal understanding.

As long as he can learn [-]% of what Zhao Heng did, Ruan Liuzheng will be able to use him for a lifetime.

However, Zhao Heng can now be said to be the pinnacle of gathering doctors from the Eastern Hospital, [-]% is already an exaggeration.

"obstetrics."

Zhao Heng said briefly.

"Huh? Obstetrics?"

Ruan Liuzheng was a little dazed. Although the patients in the ward were all intractable diseases, there would be no consultation from the obstetrics department.

"It's a joint consultation. We went there as an anesthesia center."

Zhao Heng explained a little bit and said.

"It turned out to be a joint consultation."

Ruan Liuzheng nodded knowingly.

This joint consultation, also known as the multidisciplinary joint expert consultation of the hospital, is the highest-level consultation in Dongfang Hospital. Doctors at the deputy director or director level of each department must be invited to sit together to discuss the condition.

Under normal circumstances, there are very few patients who can meet this consultation standard.

"What kind of patients need joint consultation with the whole hospital?"

Ruan Liuzheng said with some doubts.

"You'll know when you go."

Zhao Heng didn't explain too much. Tian Zhen, as the head nurse, only listened to the general idea when he received the call.

However, the patients who can open the multidisciplinary consultation of the whole hospital are unlikely to be minor illnesses or disasters, or some difficult situations that have never been dealt with before.

"Ah."

Ruan Liuzheng nodded.

This follows the director, seeing the world every day.

Now Zhao Heng is able to deal with difficult and miscellaneous diseases. Doctors in some small places may have never seen such patients in their entire lives, let alone treated them.

So, in a hospital, especially a large hospital, having a good teacher is extremely important!

There must be a world of difference between a resident doctor's circle and a chief doctor's circle.

With a good teacher, not only can you learn a lot of knowledge and skills, but more importantly, you can meet more powerful people.

For example, for a boss like Liu Ziang, under normal circumstances, Ruan Liuzheng, as a doctor in training, would not even be able to talk to him, let alone drink hand-ground coffee in his office. Zhao Heng's light.

This is the reason why it is good to enjoy the shade under the big tree.

However, it was Zhao Heng who was looking for the big tree before, and now he himself has almost become a towering tree.

After a while, Zhao Heng and Ruan Liuzheng came to the obstetrics conference room.

When he entered the meeting room, Zhao Heng saw that the director of the Cardiac Surgery Department, Jin Cheng, was already sitting in it. Sitting next to him was the head doctor of the Cardiac Surgery Department, Jiang Rui, who had just returned from studying abroad at Hopkins School of Medicine.

As Jiang Rui mentioned earlier, he was Song Chen's little fanboy.

"Director Zhao, you are here."

Seeing Zhao Heng coming in, Jin Jin smiled kindly and said.

"Director Huang, don't call me Director, just call me Xiao Zhao."

As soon as Zhao Heng heard this, he immediately said.

He thinks it's acceptable for other people to call him Director, but it's a bit weird for a boss like Huang Jincheng to call him Director.

"Your deputy director was appointed by the courtyard. Who dares to disobey, and with your level, you will become the director in a few years."

Jin Cheng smiled casually and said.

"This job title is hired because people call it, otherwise what to do with the evaluation."

After a pause, Jin Jincheng said again.

And Jiang Rui, the attending doctor who was sitting next to Jincheng, saw Zhao Heng and heard Huang Jincheng calling Zhao Heng "Director" in the same capacity, and his feelings were even more mixed.

His senior sister, Song Chen who was abroad, had mentioned Zhao Heng in front of him more than once after going abroad.

It seems that the elder sister's vision is indeed very strong. The 25-year-old deputy director can be said to be the only one in the country. What's more, when Zhao Heng hired this deputy director, the gossip of others is just envy and hatred. No one jumped out to say that Zhao Heng's level is not enough.

This shows that, no matter what, Zhao Heng's current level is already recognized by the whole court.

And he, Jiang Rui, a doctor of medicine from the Hopkins School of Medicine and an attending doctor in the Department of Cardiac Surgery of Dongfang Hospital, is supposed to be a bright figure no matter where he is placed.

But comparing it with Zhao Heng now, it's the difference between a pheasant and a phoenix!

"Director Zhao, you are here."

Zhou Hong, the director of obstetrics sitting at the head of the desk, also smiled kindly and said to Zhao Heng.

What other people think of these big bosses is irrelevant, but in the eyes of big bosses like Huang Jincheng and Zhou Hong, it is a good thing for the whole hospital and even the whole industry to have a young genius like Zhao Heng in the hospital.

This means that there are successors in the medical industry, not like some people say that the successor is not in succession and is about to end.

Zhao Heng naturally also greeted Huang Jincheng and Zhou Hong, and chatted casually. After all, these two have been chief doctors for many years, and they can be said to be big men in the industry who have gone through ups and downs!
Although Zhao Heng thinks that he has surpassed them in terms of medical treatment, he still has a lot to learn in other aspects.

One after another, the directors of each department arrived, and when they saw Zhao Heng, they all greeted him kindly without exception.

This somewhat made Zhao Heng feel a little flattered. There is a saying that as long as you have money or status, then the people around you are good people.

"Now that all the directors are here, let me introduce the patient first, no, I should talk about the condition of the child."

Zhou Hong, director of obstetrics, said slowly.

As soon as Zhou Hong said this, all the directors present frowned. If it is a child, shouldn't it be transferred to the neonatology department?
What kind of consultation will you have in the obstetrics department?

"I understand the doubts of the directors. Since it is a child, why not transfer it to the neonatology department."

Seemingly seeing the doubts of the directors present, Zhou Hong said.

"That's because the patient is still in the mother's body. In other words, the patient is a 32-week-gestational fetus."

After a pause, Zhou Hong didn't give a damn, and continued to explain.

ha?
fetus?

All the directors present had question marks on their faces.

As the saying goes, pregnancy is in October, and under normal circumstances, the pregnancy cycle is around 28 to 49 weeks.

If you are pregnant enough for 37 full weeks, you can give birth. Birth before 37 weeks of pregnancy is called premature delivery, between 28-37 weeks of pregnancy is in the range of premature delivery, and pregnancy beyond 37 weeks is normal full-term delivery.

"During the physical examination of the parturient during pregnancy, we found that the fetus has very severe aortic valve stenosis through 3D imaging color ultrasound. According to the current development situation, the fetus may die in less than a week."

Zhou Hong continued to introduce the situation.

"Director Zhou, in this case, we can give birth to the baby first, and then operate on the newborn."

Li Hongyu, director of the Neonatal Department, said.

In the neonatology department, we are faced with newborn babies every day. This birth, because of various congenital diseases, surgery was performed. To be honest, Li Hongyu also encountered it.

"This point needs to be explained by Director Huang."

Zhou Hong nodded to Li Hongyu. His question was also the doubt of the directors of the various departments present.

Since there is a problem with the fetus, why not wait for the operation after the fetus is born?
Although it is extremely difficult to operate on a newborn baby, for the directors of Dongfang Hospital, it has been tried and succeeded.

"It's very simple, because according to the development of fetal aortic stenosis, once delivery, the heart does not have enough blood flow pressure to beat. Once born, the fetus will suffer from rapid heart failure, leading to its rapid death. A little rescue There is no time or room for it.”

Jin Cheng said slowly and seriously.

As soon as he said this, the directors of the various departments present realized that this was definitely not a simple consultation.

Generally speaking, if the fetus develops aortic valve stenosis during early pregnancy, as the pregnancy period prolongs, the filling blood volume of the left ventricle will be affected and continue to decline, leading to severe dysplasia and heart failure.

Especially during childbirth, the placenta is the child's "artificial heart-lung machine" in the womb, which can provide it with blood and oxygen, but once it is delivered, the child's heart and lungs must circulate independently. Rapid heart failure occurs, leading directly to death.

"Since birth will lead to death, interventional surgery for aortic valve stenosis can only be performed on the fetus before birth and while still in the mother's womb."

Li Hongyu, director of the neonatology department, said solemnly.

As the director of the neonatology department, the most difficult operation for him is to perform interventional surgery on a newborn baby with arterial stenosis combined with cardiac surgery. This difficulty is already very high.

A newborn baby is like an extremely fragile piece of porcelain, and the arteries are very small. A small movement may puncture the newborn baby's artery, causing serious consequences of hemorrhage and death.

This requires interventional heart surgery on the fetus while it is still a fetus. To be honest, even he has never encountered such a situation.

"Yes, at present, this is the only way to keep this child, and this kind of operation has no precedent in Asia before."

Zhou Hong nodded and said.

"So is there a surgical plan now?"

Li Hongyu, director of the Neonatal Department, frowned and asked.

"Director Huang?"

Zhou Hong heard this question and signaled to Jin Jincheng.

"Currently, on the cardiac surgery side, we recommend cesarean section to complete extrauterine delivery treatment. First, cesarean section is performed on the mother to expose the fetus, and then intrauterine cardiac intervention is performed on the fetus."

Jin Cheng said slowly.

As soon as he said this, there was an uproar at the scene.

For a 32-week-old fetus, the diameter of the umbilical vessel is only 2-3mm at most. The difficulty of puncturing in such a small space is, for example, equivalent to throwing a coin across a basketball court. into the trash.

And for the operation of the fetus, it must be hit with one blow, and there is no second chance at all.

In other words, this is a life-and-death operation with one blow!
"Director Huang, I have no doubts about your level, but to do this kind of cardiac intervention, you need an assistant of comparable level. As far as I know, there is no one in the hospital whose level of cardiac intervention has reached your level. "

Li Hongyu, director of the Neonatal Department, asked with some doubts.

His doubts are also the doubts of all the directors present.

"No, besides me who can perform such a cardiac intervention, there is another person who can."

Faced with Li Hongyu's doubts, Huang Jincheng smiled and said.

"One more person?"

"I do not know how."

"How can there be such a powerful person!"

As soon as Huang Jincheng said this, the directors present started talking a little bit.

"This person is Deputy Director Zhao of the anesthesia center. I have seen his cardiac intervention before, and he is more than enough to be my assistant."

When Huang Jincheng saw the directors who were puzzled, he didn't hold back, looked at Zhao Heng and said.

ha?
Zhao Heng was also thinking about who this person was, but when Huang Jincheng said this, everyone's eyes turned to him.

"And deputy director Zhao is also very good at anesthesia, which is another safety guarantee for the mother and fetus."

After a pause, Huang Jincheng continued.

Hearing this, Zhao Heng recalled a little bit, Jin Jincheng was recommending him!
Could it be that the family of this pregnant woman is unusual?
Otherwise, why would Huang Jin so strongly recommend him to cooperate with the operation.

Of course, the actual situation is that only Zhao Heng has the level to cooperate with Jin Cheng in fetal heart intervention.

"Deputy Director Zhao, do you think it's okay?"

After Jin Jincheng finished speaking, Zhou Hong looked at Zhao Heng again and said.

"If it's just anesthesia and cooperation, I'm fine."

Zhao Heng nodded, although he didn't know why Jin Cheng recommended him so strongly, but the boss would never harm him, so Zhao Heng agreed first.

Next, the directors of other departments left, leaving behind the three directors of the Cardiac Surgery Department, the Surgery Department, and the Neonatal Department, as well as Zhao Heng and Zhou Hong, the director of the obstetrics department.

"Okay, all the directors involved in the operation are here now, so I'll explain to everyone."

Zhou Hong looked at the few people present, and said slowly.

"This woman is the daughter-in-law who leads the No. [-] department directly under our hospital. If I say this, everyone should know why I have to be so serious."

Zhou Hong didn't hold back, and said straightforwardly.

All the directors here are the directors of Dongfang Hospital. In other hospitals, they are basically the directors.

Therefore, we can better understand the weight of this patient.

Zhao Heng was dumbfounded when he heard it, the daughter-in-law of No. [-]?

It sounds like it is not as loud as Ma Xiaochen, the son of the richest man Ma Jianteng, but in fact, the influence on doctors is simply too great.

Thinking of this, Zhao Heng took a look at Huang Jincheng, and only then did he know why Huang Jincheng strongly recommended him.

Although the old man of Zhao Heng's teacher, Gao Jun, is number two, everyone who is familiar with him knows that the number two is not as good as the number one.

Anyone who has experienced the authority of the top leader knows it, needless to say.

(End of this chapter)