No doctor's certificate, no qualifications for surgery, but a reserve doctor went to level 4 surgery!

These thoughts circled like vultures in Zhao Tianjiao's mind.

"Director Zhao, how is the patient's family condition?"

A voice came from the speaker.

"..."

"..."

Everyone in the operating room was stunned.

Before doing the most difficult operation, why did Jixiang start asking the patient about his family conditions?

Chapter 298 Survived on a Dog

"It's okay, what's the matter, Xiaoji." Zhao Xiangming was concentrating on watching Ji Xiang's movements, and he was also taken aback for a moment.

"If the condition is good, use a spring coil. Although it is a bit wasteful and will be cut off soon, it is easy to use. If the condition is average, use a gel sponge. What do you think is better?"

Director Bai, who stood in the operating room and watched the operation calmly, was slightly moved.

How strong is the self-confidence for Ji Xiang to say such a thing!

They didn't say whether the operation could be done at all, but they had already started to think about what disposable consumables to use next.

It seems that the operation that Director Zhao Xiangming thought was absolutely impossible is just a minor operation in Ji Xiang's eyes.

Zhao Tianjiao curled his lips, this pretense almost got full marks.

but!

The guide wire could not enter the transverse lumbar artery, and the words now would turn into a slap on Ji Xiang's face.

Zhao Tianjiao even thought of how to tease Ji Xiang at that moment.

Let you pretend!

It's time to tell you to look good! !

"Coils." Director Zhao said without hesitation, "Using coils is easy and worry-free, and the success rate of the operation is high."

"Okay, Director Zhao, please help me make the coils."

Zhao Xiangming hesitated for a moment, then turned to get the coil.

After all, it is a thread-eating operation, and it does not have countless things to use like a surgical operation. In addition, it is an emergency operation, so there is no equipment nurse.

Zhao Xiangming picked up the spring coil and was about to tear open the aseptic packaging when suddenly a voice came from the intercom——Fuck!

The sudden sound startled Zhao Xiangming, who almost dropped the aseptic package on the ground.

Just as he was about to curse, Zhao Xiangming suddenly realized that the voice seemed to be Director Bai.

Looking back, the moment Zhao Xiangming saw the screen, his eyeballs were round like eggs.

The eggshells are broken and the yolks flow out.

The moment he turned around, the guide wire had been super-selected and entered a branch of the transverse lumbar artery.

And Jixiang crossed his left and right hands, and stretched out his hand easily and freely to ask himself for a spring coil.

"How...how...how did you get in?" Zhao Xiangming asked stutteringly.

"Hemodynamics near the bifurcation of blood vessels... Has Director Zhao done any research?" Ji Xiang asked.

Zhao Xiangming shook his head.

"There's no way to explain it." Ji Xiang was also helpless, this operation involved too many things, and he barely learned it after using 3 bottles of stamina medicine in the system operating room for training.

Ji Xiang is not a system NPC, he can do some operations but cannot explain them.

If you want to babble like a system NPC, you also need ability, Jixiang is not enough.

"Director Zhao, spring coil."

"Oh oh oh oh." Zhao Xiangming said many times.

In the operating room, Chief Bai rested his chin on his right hand and smiled at the corner of his mouth.

Just now he cursed a little out of composure, this kind of thing is rarely seen in Director Bai, almost unique.

Director Bai felt that Ji Xiang could do it, but he thought it would take at least three or five attempts.

Unexpectedly, Ji Xiang sent the guide wire in at once.

In Director Zhao's hand, the right-angled bend like a moat is not difficult in Ji Xiang's view, so there is no reason for this matter.

Surgeons are very talented. Some people do a hundred operations without improving their level, while others do it just by looking at them.

It's just that this scene was too shocking. After a brief gaffe, Director Bai returned to his usual calm expression, and the smile on the corner of his mouth became wider and wider.

The spring coil was punched in, and then the second over-selection was performed.

Once again, no surprises.

At 23 minutes, the operation was over, Ji Xiang turned around and stepped down, "Director Bai, let's go to the orthopedics department."

"Xiao Ji, how much blood do you think you will bleed?" Director Bai asked.

"1500-2000 ml." Ji Xiang said.

Professor Deng was stunned.

He heard that after embolization of the transverse lumbar artery, the surgical bleeding would be less, but no matter what, the volume was 3000ml. Unexpectedly, Ji Xiang gave a sensational figure.

"Yes, Professor Deng, please do it." Director Bai was very satisfied, "Thank you for your hard work, Xiaoji."

The sound of system task rewards has already come from Jixiang's ear.

"Let's go, let's change clothes together." Director Bai pulled Ji Xiang away.

Deng Chaohong took someone to another operation.

"That one, is Ji Xiang who broke the record in the martial arts competition?" asked the itinerant nurse.

"En." Deng Chaohong nodded.

In front of Zhao Tianjiao, he still saved face for Dean Zhao.

"Awesome! Old Zhao from the Intervention Department has such a hot temper. Although his level is just like that, we can only count him up in our hospital." The patrol nurse said, "Old Zhao is not good at all. His children act like they are playing. You Did Lao Zhao live as a dog at his age?"

"How come, this operation is very difficult." Deng Chaohong reached out for the knife.

He made an incision from the midline of the spinous process of the fourth lumbar vertebra to the spinous process of the first sacral vertebra.

First, the deep fascia was incised close to the edge of the spinous process on the diseased side, and the sacrospinous muscles were dissected subperiosteally to see the exposed path of the spine, and the lateral dissection should reach the posterior joint at one time.

Then, the incision was opened with an automatic lamina retractor, and the lamina and ligamentum flavum on the affected side were clearly exposed.

"Old Deng, quickly bite the vertebral body." The patrol nurse was trustworthy, and moved a foot to stand behind Deng Chaohong and watched, "Let me see what the operation is like after the embolization."

Deng Chaohong was also curious. The Second Affiliated Hospital did not carry out hybrid surgery well, and there was not much cooperation between departments. He only heard about the fact that embolization first and then surgery can reduce bleeding.

The rongeurs clicked down.

A piece of gauze is pressed over the broken bone.

"Huh?" Deng Chaohong was taken aback.

There was indeed bleeding, and the amount was not small, and the gauze was bright red.

But this and the amount of bleeding in his cognition are two different concepts.

Probably one is similar to the fact that the faucet is not tightened tightly, and there is a little water flow; the other is that the faucet is turned on to the maximum, and the rushing can't be stopped.

"Is there such a little blood? One time I saw Lao Han undergoing a vertebral body resection. As soon as the rongeurs were lowered, the blood went directly to the room." The itinerant nurse said in surprise.

"The transverse lumbar artery is tied up. It looks thin, but it is an artery after all." Professor Deng said pretending to be natural.

He began to remove the nucleus pulposus and free annular fibrous tissue little by little.

However, whether it is treated like sawing or scraping with a small spatula, the amount of bleeding is not much.The bipolar electrocoagulation stopped the bleeding, and the whole operation went surprisingly smoothly.

An hour and a half later, the operation was over.

"Old Deng, how much bleeding is there?" the anesthesiologist asked with a pen in his hand.

"About 1600ml."

This figure came from Professor Deng's mouth, and he himself did not believe it.

A vertebral body was removed, but only so much blood came out!

Then it will be easier to explain with the patient's family members, anyway, the patient stepped down safely.Professor Deng is simple and honest, and doctors and nurses in the clinical frontline often do similar things to avoid conflicts, Professor Deng has long been used to it.

However, embolization of the transverse lumbar artery is really useful!It's not just a small use like a chicken rib, but a huge effect!

Professor Deng ignored Zhao Tianjiao, thinking all the way.

Chapter 299 Don't Ask!

"Xiaoji, why did you come here so fast?" Director Bai asked while changing clothes.

"I'll help Teacher Meng in the emergency department for a while."

Still young, willing to go to the emergency department, Director Bai looked at Ji Xiang with a smile, remembering how energetic he was when he was young.

"Director Bai, I heard that there is a problem with the blood station. What's going on?" Ji Xiang asked.

"Don't ask." Director Bai waved his hand, "You are still young, so you should be less exposed to these things. You are still young, and you should be exposed to some sunny things."

Director Bai took the time to change his clothes. He felt that what he said just now was a bit blunt, so he changed his tone and said softly, "Everyone understands the main reason, but no one is willing to say it."

"Oh?"

"The main reason is that there is not enough investment." Director Bai sighed, "The blood station is indeed a good job, but it's not necessarily so dark. In the beginning, because blood selling was popular, have you read Xu Sanguan's Blood Selling Story? "

"I've heard of it, but I haven't seen it." Ji Xiang replied.

"If you have time, take a look and see what it was like in the 80s. Later, it was changed to voluntary blood donation. Once you talk about obligations in everything, there will be problems. Not to mention those who have or don't have it, but the fact that immediate family members can use blood for free after blood is stipulated. , does it look like a Ponzi scheme to you?"

Speaking of the Ponzi scheme, Ji Xiang first heard about it from his father.

When contacting the blood bank, Ji Xiang did not expect that such a typical financial scam would appear in Director Bai's mouth.

"Since it is a Ponzi structure, there will always be a day when it can't be maintained. It's meaningless to say too much. At least in the past 20 years, most emergency patients have blood." Director Bai said seriously, "I'm just a medical doctor. Director, I can't control that much, and I don't have much research. As for encountering some unfair things, it depends on how to resolve them smoothly."

"It's not impossible to fight hard, after all, it's justified." Director Bai said, taking a deep look at Jixiang.

Ji Xiang felt strange, and stared back.

"It's like what you did in Shanghai. It really relieved your anger, but it added a lot of unnecessary variables to your future." Director Bai took a deep look at Ji Xiang.

He is not as rambling as a system NPC. If it is in the system operating room, Ji Xiang can be sure that the system NPC with his hands on his back has already begun to instill values, but Director Bai did not continue talking.

"Thank you Director Bai." Ji Xiang said softly.

"You're welcome." Director Bai accepted Ji Xiang's thanks frankly, "When you are young, I also know how passionate you are. Don't worry, you are still young."

Director Bai remembered the swallow in his hometown when he was a child.

Who knows if it will come back in the future, anyway, with this thing, it is auspicious and popular.

Ji Xiang was the swallow in his heart, so Director Bai said a few more words to explain the whole story to Ji Xiang.

Director Bai was even a little worried that Ji Xiang, being lonely and courageous, would magnify the things that had been calmed down and make waves.

One more thing, after all, is worse than one less thing, who wants to deal with these bad things in the hospital in the middle of the night.

"Go back and rest."

"Director Bai, what about you?" Ji Xiang asked curiously.

"I still have to go to the medical office to wait." Director Bai covered his forehead, distressed, and very tired, "The patient must be stable after the operation, and he needs to report to Dean Sun. What time is it? Now You will definitely be scolded for reporting, but you will also be scolded for not reporting tomorrow.

What the hell, the grandson only works in the medical department. "

"Hahaha." Although Ji Xiang is young, he has seen his mother do business for many years, so he can somewhat understand Director Bai's state of mind.

"Go, today's matter..." Director Bai said, and looked at Ji Xiang curiously, "Dr. Xiaoji, I want to ask you something."

"Director Bai, tell me."

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