top student at medical school

Chapter 683 A Ghost Knocks on the Door in the Dead of Night! (Second Update, Please Subscribe)

"The patient's vital signs are currently stable, and the blood test results for electrolytes three minutes ago showed no significant abnormalities!"

"Currently, sinus heart rate has recovered to 94! Blood oxygen level is 99% with ECMO support, and blood pressure is 116/75 mmHg."

"The thromboelastography results are normal." Luo Tingzhu raised her voice crisply as she reported the data she had gathered to Professor Tan Mengbai, and also mentioned it to the others in the operating room.

While Luo Tingzhu was speaking, Tan Mengbai personally took over the management of the anesthesia depth. After adjusting the anesthesia machine for a while, the machine kept beeping a series of normal beeping sounds.

The volume wasn't loud, but it sounded exceptionally clear in the operating room.

Li Yongjun breathed a sigh of relief, then scanned the screen with eyes like a hawk: "DSA angiography shows normal results, filter and Watchman blocker are in place!"

"No vascular blockage was observed on the angiography."

"The patient's vital signs are currently stable, electrolyte levels are normal, ventricular fibrillation has reversed, and the interventional thrombectomy was successful."

Li Yongjun represents the modern surgical system of medicine and will provide a definitive conclusion on the current rescue efforts for Chen Song.

Chen Song experienced ventricular fibrillation, which also caused a blood clot. The clot broke off and was detected by Fang Ziye with his keen insight and captured using his unique technique.

This avoids the need for therapeutic resuscitation after thromboembolism.

All of this may seem easy, but in reality, preventing problems before they occur is more than ten times more difficult than treating lesions after embolism.

Tan Mengbai only represents the Department of Anesthesiology, and Li Yongjun only represents the Department of Surgery.

The team of professors from the cardiology and respiratory medicine departments, led by Professor Yang Fenggen, remained vigilant and personally reviewed all the examination results and CT scan findings.

Professor Yang Fenggen then said, "The patient's myocardial infarction has been relieved, the occluder is in place and effective, and the myocardial pulsation is consistent with the patient's age."

"Heart rate is normal, atrial and ventricular pulsation is normal under ultrasound monitoring, ejection index is normal, and no abnormal cardiac structures are observed under ultrasound. Resuscitation successful, patient is temporarily out of danger..."

"However, considering the patient's previous thrombosis and the fact that their coagulation system is in a procoagulant state, we still recommend heparin tilter anticoagulation therapy!"

"The specific anticoagulation regimen can be instructed or suggested by Dr. Chen Guangbai and Professor Wang Qishan."

Even at this point, Yang Fenggen still did not insist on using modern medical drugs for the entire course of treatment.

It wasn't that Yang Fenggen was conservative, but rather that he had spent a long time with Wang Qishan and others and knew that some traditional Chinese medicine decoctions could be better managed in the area of ​​preventive anticoagulation.

Upon hearing Yang Fenggen's words, Professor Wang Qishan immediately looked at Chen Guangbai.

Although neither Fang Ziye nor Li Yongjun mentioned the broken acupuncture needle during the operation, the fact that the broken needle was removed from the vein was undeniable.

When blood is in a hypercoagulable state, any foreign object can become the core of thrombus factors, making thrombus formation easier.

Chen Guangbai frowned for only about two seconds before turning to suggest, "Professor Deng Huai, my suggestion remains the same: follow the original plan and feed the decoction of Taohong Siwu via nasal feeding."

Upon hearing this, Deng Huai didn't hesitate at all: "Add flavor to Siwu Decoction, 12g of peach kernel and 9g of safflower."

"Bring to a boil over high heat, then simmer over low heat for 30 minutes! After cooling, feed via nasal feeding."

While Deng Huai was speaking, Chen Xixian immediately turned on the recording function of her phone and recorded Deng Huai's medical orders in detail. After finishing, she looked at Deng Huai and Wang Qishan.

After neither of them objected, she quickly turned and left again to help prepare the medicine.

Of course, also fearing that Miss Chen Xixian might not have recorded everything, two other associate chief physicians and pharmacists from the Traditional Chinese Medicine department followed her out.

Although Chen Guangbai had made his decision, he was still extremely conflicted: "Professor Li, Professor Fang, Professor Tan!~"

"Although I still insist on using traditional Chinese medicine decoctions for anticoagulation, it will still require the hard work of several people to monitor and verify the subsequent anticoagulation effect."

"If the anticoagulation effect is not good, please treat the symptoms accordingly."

Since it concerned his father's life and death, he wished he could add seven or eight more safety bolts for him.

Upon hearing this, they all nodded.

Professor Yang Fenggen said, "The sanatorium is fully equipped. HPLC can be used to analyze samples fed into the stomach via the nasogastric tube."

"If you, Dr. Chen, are willing to believe in the deconstruction of traditional Chinese medicine prescriptions by modern medicine, we can send samples to the research area."

Chen Guangbai smiled and said, "Professor Yang, things have come to this point, is there any choice between wanting or not wanting?"

"Medicine is used for practical purposes, not to argue about which path is orthodox."

Modern medicine could not have foreseen the many variables in Chen Song's body. If modern medicine had followed its plans, Chen Song probably would have had countless blood clots blocking his body, and ECMO might not have been effective.

However, everyone has to admit that the modern medical approach of responding to each situation was indeed remarkably effective in this rescue.

Especially considering the possibility of unforeseen circumstances, the actions taken by the team led by Fang Ziye, Li Yongjun, and Nie Mingxian perfectly exemplified the principle of "prevention is better than cure."

"Professor Fang, Professor Li, Director Nie, please take a rest for a while. I estimate that my father's treatment will not require surgical intervention for the time being."

"But please don't go back, stay a little longer. I thank you on behalf of my father." Chen Guangbai didn't have many formalities, he just clasped his hands slightly.

Fang Ziye and Li Yongjun nodded in agreement.

By now, almost all the necessary surgical interventions have been implemented.

The filter is on, the occluder is used, and the blood clot has been removed.

Even if a thrombosis occurs again, it will not embolize the heart, head, or other critical vital centers. There is sufficient time for rescue if a solid organ is embolized.

Even if the heart and lungs are blocked, an artificial heart-lung machine can still replace the functions of the heart and lungs to pump blood and oxygenate it, and vital signs can still be guaranteed.

The fact that "open-heart" surgery allows patients to recover after cardiac arrest is sufficient proof that an artificial heart-lung machine can replace the function of the heart and lungs.

Maintaining vital signs is the most basic and also the most important module of life maintenance.

Fang Ziye and Nie Mingxian went to the rest area again. None of them spoke, and they covered their heads and lay down on the bed to rest.

Although Fang Ziye, Nie Mingxian, and others did not perform many surgical procedures, each one was crucial and required a rapid response.

This is a short-term burst of powerful mental abilities and the fastest physical reaction speed.

It actually takes quite a bit of 'energy'!
A short while later, Professor Tan Mengbai from the Department of Anesthesiology also came out of the operating room.

Previously, Chen Guangbai had prepared two sets of equipment for his entire team to ensure his father's safety.

This includes, but is not limited to, the anesthesia system. There is also another surgical system, but Chen Guangbai and Chen Song have continuously improved their understanding of Fang Ziye.

Now I am 100% convinced that the surgical team Fang Ziye is involved in is the best and irreplaceable.

Therefore, Li Yongjun can be replaced, Tan Mengbai can also be replaced, but Fang Ziye should be replaced as much as possible.

Therefore, during the rest periods, Fang Ziye should rest as much as possible to ensure that he has enough time to participate in the battle.

The medical professionals, including Chen Guangbai and Wang Qishan, were far more vigilant than Fang Ziye and others in their efforts to combat, prepare for, and warn of the "dead pulse" in Chen Song's body.

"Professor Fang!~"

"His name is already well-known, and now that we've met him, I can describe him in eight words: a gentleman as fine as jade, and a master of skill."

"Anesthesiology Department, Tan Mengbai." Tan Mengbai extended his right hand, greeting Fang Ziye very politely and formally.

To conquer a woman, both physical strength and skill are indispensable, but to conquer a man, either physical strength or skill is sufficient.

Many men are very simple-minded.

"Orthopedics, Fang Ziye." Fang Ziye quickly shook hands with Professor Tan Mengbai.

"This is Professor Li Yongjun, a leading figure in vascular surgery. Nie Mingxian is Professor Li's student and a good friend of mine."

"The one lying in bed is Dr. Wu Xuanqi from Tongji Hospital." Fang Ziye introduced Li Yongjun and Nie Mingxian to Tan Mengbai one by one.

Li Yongjun and Tan Mengbai shook hands briefly.

Although the two are big names in their respective fields, they have different majors and therefore do not know each other very well.

During the previous surgery, Fang Ziye's performance stole the show.

Before they could speak, a series of knocks sounded on the door.

"Professor Tan, I am Luo Tingzhu." Luo Tingzhu's voice rang out at the door.

"Please come in," Tan Mengbai replied.

Luo Tingzhu gently pushed open the door, and after opening it halfway, she flipped through the notebook in her hand. After leaving the operating room, she untied the ribbon from her ponytail, revealing her cascading black hair. Her voice was simple and powerful: "HPLC detected ferulic acid (0.15 mg/g) and hirudin-like substances (anti-Xa activity 0.8 IU/mg)!"

"In the operating room, Dr. Chen Guangbai and Dr. Wang Qishan had already arranged for Professor Zhou Ming to take over the subsequent anesthesia work."

"When I came out, ECMO was still running, and Dean Chen's vital signs were stable!"

"Report complete." Luo Tingzhu didn't approach; she didn't even lift her eyelids. After speaking, she quietly waited for Tan Mengbai's instructions.

"Dr. Luo, you should go and rest too, be ready for battle at any time!" Tan Mengbai said.

"Yes." Luo Tingzhu stepped back.

Tan Mengbai and others each had their own private rest room. Due to Chen Song's special circumstances, the sanatorium's logistics team specially cleared out several nearby courtyards.

It can basically accommodate 30 people in single rooms for rest.

Fang Ziye, Li Yongjun, Nie Mingxian, and others gathered together because they were already acquainted and wanted to chat more easily.

“Professor Li, I’ll go and rest now. Hopefully, we can have a drink together sometime after things are settled here,” Tan Mengbai invited. Li Yongjun smiled and said, “Then it’ll be my treat.”

You could have a thousand friends like Tan Mengbai, and you still wouldn't think you have too many Li Yongjuns. It would probably take gathering all the world's top medical experts to reach a thousand.

After Tan Mengbai left, Li Yongjun and Fang Ziye looked at each other in bewilderment.

After closing the door, Li Yongjun asked, "Professor Fang, what do you think of that piece of silver needle that appeared in the blood vessel?"

Is something fishy going on?

Fang Ziye shook his head: "Professor Li, it shouldn't have broken itself, right?"

Li Yongjun quickly shook his head as well: "It's not that Dr. Chen Guangbai broke it on his own, how could it suddenly break?"

"How could a broken needle possibly be inserted into a vein when stimulating the Zusanli acupoint?"

"And there's also the fatal link in Dean Chen's body?"

"I understand it less and less!"

Upon hearing Li Yongjun's words, Fang Ziye recalled that Li Yongjun had previously worked at Kyoto Hospital, and asked, "Professor Li, you must have experienced life-threatening situations when you were at Kyoto Hospital, right?"

"How is the result?"

“70/30!” Li Yongjun said a very cold number.

This "Sanqi" is not the same as the medicinal Sanqi.

However, the fact that there is still a 37% chance of recovery at least proves that it is not absolutely hopeless.

“The differences in pulse diagnosis skills haven’t been taken into account yet. If we were to actually calculate it, the difference might not even be 20/80 or 10/90,” Li Yongjun said.

In every hospital, in the ICU, under the monitoring of various advanced equipment and drug management, people still die every day.

This proves that life and death cannot be absolutely controlled, at least not with the current level of modern medicine.

"Let's not use modern medical methods to violently interpret traditional Chinese medicine."

"I knew it. Suddenly crossing two medical systems and mixing them together would only make me more and more confused and less confident as I learned more," Fang Ziye said with relief.

Fortunately, he was not persuaded by Chen Song, otherwise Fang Ziye would now doubt everything he had learned.

Focus on one path, do your best, and leave the rest to fate!

……

They told Fang Ziye to rest, but he just couldn't fall asleep.

It wasn't just that Lan Tianluo occasionally sent him messages to report on the changes in the operating room, but that Fang Ziye suddenly realized that Chen Song, this old man, had somehow taken up an important place in his heart.

Fang Ziye objectively listed the names himself, and found that the weight of the names Chen and Song was now second only to his parents, mentor, Tingzhu, and Lantianluo.

His own students and fellow students seemed to be of slightly less importance than Chen Song.

Fang Ziye found a very suitable reason for himself: a person is about to die, and death is the greatest event.

Fang Ziye drifted off to sleep in this dazed state.

I hope I can have a peaceful vacation afterward, even if it's just sleeping in a sanatorium.

Fang Ziye got up at 3:30 a.m.

He found Wu Xuanqi, Nie Mingxian, and Li Yongjun sitting in the lounge, staring wide-eyed.

The lights were still on, and the three of them stared at each other without saying a word.

The faces of everyone were filled with worry.

"Ziye, you're awake too?"

"Finally, I can catch my breath," Wu Xuan said in surprise.

They were all afraid of disturbing Fang Ziye's rest, so they dared not speak.

Although Li Yongjun is a big shot and a professor, everyone can clearly distinguish and understand who the absolute technical expert is among the four.

"Teacher Li? How long have you been staring at each other like that?" Fang Ziye felt strange being stared at by three grown men.

"It's been several tens of minutes, I haven't counted exactly!~"

"I still can't sleep."

"Twenty minutes ago, Xiao Deng from the anesthesiology department came over and delivered a message."

"They said that Dean Chen's vital signs are still stable, but his electrolytes are slightly disordered, with a tendency towards acidosis, but it was quickly regulated."

"Dean Chen has woken up from anesthesia and is currently in good spirits."

"Chen Xiqian was talking to him."

"The trauma from minimally invasive surgery is ultimately not significant," Li Yongjun said with considerable pride as he listed these points.

Modern medicine now favors minimally invasive surgery primarily because it causes less trauma and has a strong ability to solve problems.

For example, in the case of aortic dissection surgery, traditional open-chest surgery requires at least a week of bed rest, but with minimally invasive surgery, there is only a small hole in the femoral artery. If the patient is in good physical condition, they can even get out of bed on the day of the surgery.

"That's good! It's good that everything is stable," Fang Ziye said.

Nie Mingxian had been looking down at a report, and after he had almost finished reading it, he reminded him, "Ziye, there is also a report on your desk."

"It is a statistical chart showing the impact of acupoint stimulation on thrombosis, sent by Dr. Chen Guangbai and Professor Wang Qishan."

Professor Wang Qishan said we could take a look around as well.

Fang Ziye participated in the surgery and can confirm that acupoint stimulation will have a certain effect on the human body, but the specific effect is difficult to discern with the naked eye.

However, acupuncture at acupoints can affect bodily functions, which can be seen from the results of immediate blood tests.

Looking at the reports, Fang Ziye smiled and said, "It's good to have money. So many blood tests can be done with very small sample sizes and with great accuracy."

"If you were to have a blood test done at a hospital, with so many data points, it would probably drain all the blood from an adult male!"

Fang Ziye's joke was just a joke, and no one else responded.

Several people were flipping through reports, awake in the dead of night.

After a silence that lasted about seven or eight minutes, Li Yongjun finally looked up and said, "Professor Fang, special events can be predicted through pulse diagnosis!"

"Could we refine our approach to this phenomenon?"

If a sudden event can be monitored by modern medicine, it would undoubtedly be a groundbreaking breakthrough for modern medicine, capable of disrupting its current calm.

Fang Ziye shook his head and then nodded: "We can think about doing it, but we don't even have a clue how to get started."

"Just being able to confirm this phenomenon is a good start."

"Not in a hurry."

"I……"

As Fang Ziye was speaking, Li Yongjun's walkie-talkie started sounding the alarm.

"Beep beep beep beep beep!~"

"Beep beep beep beep beep!~"

"Professor Li, Professor Li, this is Lin Guoqiang. Is Professor Fang awake? Please ask him to come to the operating room."

"Professor Li, this is Lin Guoqiang. Is Professor Fang awake? Please ask him to come to the operating room."

The voice on the walkie-talkie had barely faded when urgent knocking began.

One person immediately pushed open the door and entered.

"Professor Fang, you're awake."

It was Professor Lin Qiaoshan from the Department of Surgery. When he saw Fang Ziye sitting down, he quickly said, "Professor Fang, something has happened to Dean Chen again. Please go there as soon as possible."

"I also received the warning; this is the person responsible for notifying you!"

Fang Ziye and Li Yongjun immediately stood up, their thighs bouncing off the table in front of them.

The two, who were sleeping wrapped in their clothes, hurried towards the operating room wearing slippers.

Li Yongjun replied, "Professor Fang Ziye and I are on our way to the operating room. We should be there in about a minute and a half!"

"Click, click!" The walkie-talkie went through another period of disarray.

"receive."

"Get ready for surgery quickly!"

(End of this chapter)