Chapter 119
“How can it be?!”
“I… toothache… turned into… myocardial infarction?”
Yu Sisi couldn’t believe her ears.
“Could it be a mistake?”
“It’s impossible…”
Yu Sisi suddenly panicked and grabbed Lin Feng’s hand!
“Doctor Lin, what should I do?”
Although Yu Sisi is not a doctor, her major is not medical either.
But myocardial infarction is not a trivial disease.
Lin Feng comforted her and said, “Don’t worry. I will find a way. The first thing now is that you have to put your work away and be hospitalized first.”
“Where to be hospitalized?” Yu Sisi is now in chaos.
Logically speaking, the normal process.
Yu Sisi should go to the cardiology department for hospitalization.
If the condition does not get better, it will be bad.
Then switch to heart surgery.
But Lin Feng’s heart is itchy now.
In the emergency department, he can be exposed to many different operations all day long.
Come to the digestive department.
The scope of the patient is much narrower.
Although occasionally, I can go to the emergency department and mix some operations.
But this is far from satisfying Lin Feng, who is hungry for surgery and patients.
Now a cardiovascular patient is in sight.
How could Lin Feng let go.
(Extraordinary: It’s thundering, it’s raining, Lin Feng is going to grab patients again!)
Lin Feng decided to keep Yu Sisi.
Well, go to the emergency room.
(Director Zhou: Sahua~~~)
(Zhao Wangyang: Lift the table~~~)
Lin Feng turned his head and said to Yu Sisi, “Go to the emergency room and be hospitalized. I will arrange a room for you.”
Yu Sisi was still in a trance.
Without thinking about it, she nodded in agreement.
at this time,
and many more! !
Director Zhangwu appeared at the door.
“No need to go to the emergency room, come to our digestive department!”
During this period of time, Lin Feng continued to perform operations in other departments in the gastrointestinal department, which made Zhang Wu feel that his department was shameless, and was ridiculed by other department directors.
I have a bad temper in Dadong 08!
How can this be tolerated?
Now this patient, even if he is extra-hearted, but in the external gastrointestinal clinic, it will naturally be put in the gastrointestinal department!
Coupled with the background of the great doctor of Emperor Zhangwu, his aura of work is much larger than that of ordinary people.
He is not afraid of other departments at all!
Lin Feng would naturally not object to Yu Sisi.
“Be hospitalized here in the gastroenterology department. I will arrange a room for you.”
Yu Sisi was still in a trance.
Without thinking about it, she nodded in agreement.
…
Soon, Yu Sisi was admitted to the ward.
…
Acute inferior myocardial infarction.
CT examination.
The root of the disease is blocked in the coronary arteries.
In severe cases, improper treatment can be life-threatening.
Yu Sisi was arranged to be hospitalized.
Monitoring and treatment follow up immediately.
Lin Feng kept running, one by one, the doctor’s orders were issued.
G……
Oxygen…
Blood oxygen saturation monitoring…Intravenous nitroglycerin…
Lin Feng handled it handily!
Zhang Wu watched quietly.
Although Zhang Wu is not an expert in heart surgery.
But at his level, every department knows more or less.
Gee!
Lin Feng’s handling is very powerful!
Just when Lin Feng dealt with the condition urgently,
Zhang Yang got the news from nowhere. He quickly appeared in the ward and saw Lin Feng dealing with a patient with a heart attack.
Zhang Yang: “……………………”
Since Lin Feng went to the gastroenterology department.
He was completely out of favor in front of Zhangwu.
In the past, the teacher Zhang Wu used to ‘Zhang Yang’, ‘Zhang Yang Hey’, and ‘Zhang Yang’… now they are all replaced by ‘Lin Feng’ and ‘Lin Feng’…
That’s horrible!
Status-1-1-1-1
I am your student apprentice, teacher!
Crying…
…
Yu Sisi stayed in the digestive department for two days.
Lin Feng is her attending doctor.
During the period, Yu Sisi’s superior, Vice President Li, also came to visit her.
I heard that Yu Sisi was hospitalized in the gastroenterology department to see heart disease.
He was also very surprised.
But when he saw that Lin Feng was the attending doctor, he understood in seconds.
“Sisi, don’t worry, Dr. Lin’s medical skills are very good, especially the level of heart disease. I think at the beginning, the life of the emergency department director Zhou was saved by Lin Feng.” Dean Li comforted Yu Sisidao.
“Hmm…Thank you, Dean Li…”
In the past two days, countless people such as Director Zhang and the nurses who patrolled the room…in Yu Sisi’s ears, Lin Feng was very good.
Therefore, she has let go of worry.
What about Lin Feng?
In line with the principle of first inside and then outside, no surgery can be done without surgery.
First conservative treatment.
In the past two days, Lin Feng has been taking drug thrombolysis.
However, the effect is not very good.
The third day.
Yu Sisi’s condition did not get any better.
Even chest tightness began to appear, and the infarction (infarction) was obviously aggravated.
Lin Feng knew that surgery must be done.
And the sooner the better.
· Yu Sisi’s condition is occlusion of the left circumflex coronary artery.
·The best surgical plan is to implement coronary stent placement.
Coronary stenting is more common.
But it is also a four-level subject heart surgery, which is an interventional surgery.
Since it is an operation.
The signing of the preoperative talk is a must.
The condition waits for no one.
Lin Feng immediately came to the ward.
At this moment, besides Yu Sisi, there is her mother in the ward.
To make a long story short, Lin Feng told them about the surgery.
Yu Sisi has not spoken yet.
Her mother became angry first: “Will you see a doctor? My daughter is only in her twenties, why is she suffering from coronary heart disease! She has to have surgery! Are you wrong?”
Facing the family members of the sick patient.
Lin Feng’s tolerance is relatively high.
Someone in the family is sick or seriously ill, and it is certain that he is in a bad mood.
Understand each other.
Lin Feng patiently said: “There is almost no possibility of this disease being misunderstood. The risk of young people getting coronary heart disease is indeed relatively low, but not absolutely. This is mostly related to genetics.”
Yu Sisi said faintly at this time: “Mom, don’t be arrogant. CT films and electrocardiograms will not go wrong. And my dad died of this disease.”
Yu’s mother: “Even if it is coronary heart disease…Do you really have to have surgery?”
Lin Feng: “The enhanced CT in the morning showed that the blood vessel was blocked by more than 75%, and the effect of drug treatment was very poor. It is extremely dangerous if there is no surgery.”
Yu’s mother: “Then who does this operation?”
Yu Sisi’s mother knew that Lin Feng was Yu Sisi’s attending doctor.
She doesn’t know Lin Feng.
She looked at Lin Feng very young.
Let him do the operation, she is not relieved.
Lin Feng told the truth: “I will do it.”
“…” Yu’s mother said nothing.
Yu Sisi was dissatisfied: “Mom, Dr. Lin is the best outsider doctor here. I feel relieved that he will perform the operation.”
Yu’s mother glanced at Lin Feng, full of mistrust. The deep-rooted thought in her heart is that her mouth is hairless and she can’t do things well.
Doctor, it must be the kind who thanked him and had gray hair to be reliable.
(Zhao Wangyang, who is the sign of the ceiling, is irritable: You are only down, and your family is down!)
The doctor in front of him is too young.
Not to mention letting him undergo an operation, just letting him see a doctor for his daughter, I was a little bit murmured in my heart.
“Daughter, is he really your best doctor?” Yu’s mother looked at her daughter, her eyes filled with disbelief.
Yu Sisi smiled and said, “Of course. Don’t forget, your daughter works here.”
Heard this.
Yu’s mother was relieved.
Yes, my daughter works here, she should not be mistaken.
Yu’s mother took another look at Lin Feng.
“Okay, I signed this word…”
Yu’s worries were resolved.
But Yu Sisi also has his own worries.
Her worries are completely different from Yu’s mother.
She trusted Lin Feng to perform surgery on her.
But for the operation itself, she was afraid.
Yu Sisi was scared and said, “Dr. Lin, will this operation make a big hole in my chest.”
Lin Feng smiled: “This is a minimally invasive interventional procedure. At that time, I will puncture a small hole in the artery of your arm.”
Yu Sisi was surprised: “Really?”
Lin Feng still smiled: “Of course. You don’t even need general anesthesia, just local anesthesia is fine. Then you can continue to interview me.”
Yu Sisi was relieved, she also smiled, “A word is for sure!”
Lin Feng: “A word is a deal!”
Yu Sisi suddenly thought of another question, “The local numbness, will it hurt?”
Lin Feng: “It hurts a bit. But it’s definitely much lighter than your toothache.”
Yu Sisi smiled, “That’s nothing!”
The preoperative talk is done.
Next is the development of the surgical plan.
The operation was scheduled for the next day.
…
The next day.
Operating room.
Lin Feng is the chief knife.
Project: Intervention and Coronary Stent Implantation
Ichisuke is a young attending doctor and an instrument nurse borrowed from the heart.
(The heart surgery room cries: Lin Feng, you are too much, rob us of work, borrow equipment from us, and borrow people! This is too bullying! I dare not give it to Dean Wang. They will Cut us. Ooo…it’s too hard…)
…
Although there are only two surgeons.
But there are a lot of onlookers.
Deputy Dean Li and Zhang Wu led the team, and the entire digestive department, except for the people on duty, almost all came.
Gastroenterology is still very strange about heart surgery, so they all watched curiously!
This frightened the young attendant who was out of mind.
What’s wrong with this?
Pingping often puts on a stent, why are so many people here?
I am so surprised.
…
…
The operation officially begins!
Wash your hands, wear lead clothes, wear gloves…
The first step: anesthesia.
This time there is no anesthesiologist. After all, you have seen a tooth extraction and an anesthesiologist will give you anesthetics?
All doctors do it themselves.(Anesthesiologist: We also have a status! By the way! Don’t call us an anesthesiologist, we officially call an anesthesiologist! Well-mannered five-year clinical undergraduate, just like your clinicians!)
· Anesthetics: Lidocaine!
·Anesthesia: local injection!
·Anesthesia site: the radial artery of the right arm.
As Lin Feng and Yu Sisi said.
This operation involves puncturing a hole in the radial artery of the right arm, and then inserting the artificial stent into the coronary artery 887 near the heart through the arteries of the right arm.
It is a meticulous work.
The anesthesia is complete.
Lin Feng and Yu Sisi talked: “How do you feel?”
Yu Sisi: “It doesn’t feel much, it just feels a little cold.”
Lin Feng: “Not bad! Real experience, remember to write back in the interview.”
…
Next, puncture.
First use a dermatome to make a small opening in the radial artery of the right arm…
Then the puncture needle punctures…
Lin Feng: “How is it? Does it hurt?”
Yu Sisi: “It’s okay.”
Lin Feng pulled out the puncture needle and followed the puncture guide wire…
Insert the sheath (two layers, with inner and outer sheath)…
Pull out the puncture guide wire and inner sheath…
The outer sheath is left in the blood vessel…
Lin Feng: “Aren’t you interviewing me? I’ll be off work when I finish the operation.”
Yu Sisi: “…well, do you have a girlfriend?”
Lin Feng: “This question comes again! Attention, I am going to put the guide wire, if there is any discomfort, remember to tell me.”
Lin Feng is very familiar with this operation.
The familiar is like eating and drinking.
His dialogue with Yu Sisi can also be regarded as helping Yu Sisi relieve the pressure of surgery.
At the same time, he also needs to know Yu Sisi’s current state.
Next.
The contrast guide wire and the contrast catheter enter the blood vessel through the outer sheath that has just been placed…
The operation is here.
Its four-level difficulty really started.
Complex blood vessels.
Lin Feng manipulated the guide wire and walked a little bit…
From the radial artery of the right arm, after a long and slow path, it twists and turns to the destination, the coronary ostium.
Next, push in the contrast agent…
Radiography…
Under the X-ray machine, you can now clearly see the shape of Yu Sisi’s blood vessels.
Soon, Lin Feng found the blocked blood vessel under X-ray.
The culprit of myocardial infarction!
Deal with it!
Pull out the angiography guide wire, angiography catheter…
Insert the guide catheter and guide wire…
Finally, insert the stent balloon along the guide wire…
The balloon is not yet opened at the beginning, and it is empty in the middle, so it can be easily advanced in the guide catheter.
After reaching the blockage, Lin Feng held a pressure pump to press it.
The balloon opens…
The stent expanded smoothly and became fat…
The blocked blood vessel is being propped up…
Place the work, it’s over!
…
The next step is the finishing touch.
Withdraw the guide wire, guide the catheter…
Get the outer sheath…
wrap the wound……
At this point, the entire operation is complete.
The entire operation took only fifty minutes.
Textbooks are average.
. .
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