Doctor of Healing
Page 238
Director Bai started to make phone calls, calling the relevant directors and experts from the Vascular Department and other departments for consultation.
Come with them, and Dean Zhao Jixiang.
First understand the condition, and then remove the subclavian vein catheter under the guidance of the director of the B-ultrasound room with two-dimensional color Doppler ultrasound.
Up to this point, the patient's vital signs were stable and there were no other complications.
Then there is how to take out the Swan-Ganz catheter.
"Can the vascular department cut the jugular vein?" Director Bai asked.
"It's hard." Director Wang of the Vascular Department said without hesitation, "If you pull it out again, the knotted part will be tighter, and the diameter will be very thick. It is difficult to ensure that nothing will be touched when passing through the jugular vein."
What he said was relatively general, but those present knew it.
There are dense blood vessels and nerves in the neck. If such a thick node walks in the jugular vein, it should not be too easy to encounter some nerve sensor and cause sudden cardiac arrest.
"Dean Zhao, what do you think?" Director Bai asked with a frown.
"Listen to the opinions of the experts." Director Zhao began to practice Tai Chi.
He himself came out of the clinic, but as an orthopedic surgeon, it is not very possible for Zhao Jixiang to give constructive advice when it comes to heart transplantation.
Director Bai was only out of respect, and went through the process to ask Dean Zhao for his opinion.
"What about Zhao Xiangming, why hasn't he come yet!" Director Bai asked with a frown.
"On the weekend, Director Zhao should go fishing." ICU Director Qian knew Zhao Xiangming's habits and hobbies, and said helplessly, "And Director Bai, I'm not going to put it nicely, it's useless for Zhao Xiangming to come."
"Always give it a try."
The position where the Swan-Ganz catheter is knotted is in the blood vessel, and the interventional department is sufficient for this kind of operation.
After more than half an hour, Zhao Xiangming rushed over panting.
"Dean Zhao, Director Bai, I'm sorry, the fishing place is a bit far today." After Zhao Xiangming came, he apologized first.
"Look at the situation, do you think it can be taken out?" Director Bai didn't curse, but asked directly.
Zhao Xiangming looked at the video data and shook his head like a rattle.
"Impossible, absolutely impossible." Zhao Xiangming said, "Although the position is relatively shallow, if you want to untie the button here, you need to use a guide wire to push the head of the Swan-Ganz catheter out."
"There is a blood flow effect, and the point-to-point solution to the problem is basically impossible."
Zhao Xiangming spoke very simply and resolutely.
"Ugh."
I don't know who sighed deeply.
The Swan-Ganz floating catheter is knotted in the body, such absurd things have never been heard of!But it is such a rare situation, and it is definitely not possible to use interventional surgery. What should I do next?
"Really?" Director Bai stared at Zhao Xiangming.
"..." Zhao Xiangming concluded, he hesitated, "Director Bai, let me make a call."
Chapter 326 Nameless Fury
Zhao Jixiang raised his head and glanced at Zhao Xiangming's back with a serious expression.
He went out to make a call, and Dean Zhao knew exactly who to call.Who else but that young man!
Dean Zhao couldn't understand why Zhao Xiangming, the director of the Intervention Department of the Second Affiliated Hospital, relied so much on a Gui Peisheng.
He, Zhao Xiangming, couldn't understand and couldn't do the surgery, but a trained doctor could do it?Zhao Jixiang didn't believe it.
I don't know if what Zhao Tianjiao said last night had any influence, Zhao Jixiang felt a little tired when he thought of Jixiang.
After a good consultation with the whole hospital, everyone worked together to tide over the difficulties. As a result, Zhao Xiangming, an old man, actually called a medical doctor for help!
Is there anything more unreliable than this?
He still wants to lose face.
Dean Zhao's face gradually turned cold, and the others knew the truth, so no one spoke.
The consultation of the whole hospital just entered the suspension stage, and the sound of the monitor came through the ICU single room, so ear-piercing.
A few minutes later, Zhao Xiangming walked back with a dull expression.
"Director Zhao, what are your thoughts and ideas?" Dean Zhao asked flatly.
"It is said that the operation can be done, and the head of the Swan-Ganz catheter can be pushed out with a guide wire. The operation is not difficult." Zhao Xiangming stammered.
He seemed to be dreaming, and he was in a very bad state, so he didn't notice the change in Dean Zhao's expression.
"Say yes, who said that?" Dean Zhao asked.
"Doctor Xiaoji."
"That Gui Peisheng from the Department of Urology?" Director Zhao asked.
"Ah."
"Slap~~~" Dean Zhao slapped the table, causing the computer on the table to shake a few times.
"Zhao Xiangming, you are really promising." Dean Zhao looked at Zhao Xiangming with a cold expression, and said sharply, "How can you say that you are also an expert in interventional medicine in the province, a top expert. If you can do it, you can't do it. Do it, what the hell, what the hell are you going to ask a Gui Peisheng!"
"..." Zhao Xiangming was startled.
"Do you want to go to Jixiang to study as a graduate student and then come back to work?" Dean Zhao asked coldly.
"..."
These words are too heavy, and the experts in the room can hear the undisguised smell of gunpowder.
That's right, several directors subconsciously stood by President Zhao's side and looked at Zhao Xiangming in confusion.
Their thinking is the same as that of Dean Zhao. Zhao Xiangming has lived on a dog for a long time. When encountering the situation of Swan-Ganz catheter knotting, he does not ask the experts of the Imperial Capital and Modal Capital, but asks a regular trainee. Woolen cloth.
The air in the office gradually turned cold, and several eyes fell on Zhao Xiangming, making him at a loss.
Zhao Xiangming knew that Dean Zhao was upset, and wanted to explain but didn't know whether he should explain.
"Director Zhao." Director Bai broke the silence, "Use the intervening guide wire to push out the head of the Swan-Ganz catheter, can you do it?"
"No." Zhao Xiangming replied very simply, "The operation is too delicate, similar to acrobatics, and my level is not enough."
"You still have the face to say it." Dean Zhao was very angry today, and he was even more angry when he heard Zhao Xiangming say this, "Your majestic director of the Intervention Department of the Second Affiliated Hospital thinks it's not good, and even agreed to a doctor who doesn't even have a practice certificate. Little Pearson's nonsense?"
"What about your professionalism!"
"What about your spirit of curing diseases and saving lives!"
"Did you really drink too much yesterday and still haven't sobered up yet!"
Zhao Xiangming was completely stunned by Zhao Jixiang's series of sharp questions from Dean Zhao, and the others were also silent.
Director Bai frowned, what happened to Dean Zhao today?Emotions seem a little agitated.Why does it sound like you stepped on Ji Xiang's tail?
But Director Bai was very shrewd, and suddenly thought that he should have something to do with Zhao Tianjiao.
Although it doesn't matter to him to let Jixiang try it, the great thing about interventional surgery is a puncture, and it doesn't need to take huge risks like surgery.
But Director Zhao decided on the nature first, and Director Bai couldn't say anything.
"Director Wang, what's your opinion in the vascular department?" Director Bai brought the topic back to make Zhao Xiangming not so embarrassed, "Can you cut the jugular vein and take out the Swan-Ganz catheter?"
"There is really no way, we can try it." Director Wang of the Vascular Department said tremblingly.
……
……
operating room.
A few minutes ago, the sound of system tasks rang in Jixiang's ears.
Then Zhao Xiangming called. Ji Xiang went to the operating room of the system to perform hundreds of operations and mastered the technical means of how to push out the head of the Swan-Ganz catheter before giving Zhao Xiangming a positive answer.
"Xiao Ji, you're not very strict." Director Liu criticized Ji Xiang seriously after seeing the itinerant nurse hang up the phone.
"Ah, what's the matter, Director."
Director Liu's thoughts are turning back and forth, and it is correct to say some things out of emotion and reason, but they are not stable morally, and it is easy to be slapped all over the face by others standing on the moral high ground.
If you have diabetes, I'm afraid that you will have sugar on your face.
"Doctor Xiaoji, what Director Liu means is that you don't have a professional certificate yet, so you should be cautious when performing surgery. If you do it on our side, there is no problem. If something happens, Director Liu will help you solve it."
Zhao Zhe explained to Ji Xiang.
"With Director Liu here, who can say anything, right? But it was an emergency operation, and I faced... I don't know what the situation is, but it must be very difficult. If something goes wrong, no one will help you take the blame But it will be miserable.
Moreover, the hospital is not easy to explain. Once the family members of the patient check and let you have an operation without a certificate, the hospital will have to face the storm.So, let's not worry too much, just do the job at hand well.
You don't know, I also encountered a similar problem when I was in Yuanliao City, and it was very difficult to deal with..."
Zhao Zhe began to chatter, habitually, extending from one topic to another.
But neither Director Liu nor Ji Xiang interrupted him, and each had his own thoughts.
Ji Xiang doesn't feel sorry for a system task, although the reward for this task is very generous.He was just a little bit emotional. He used to think that technology was the most important thing, just like his own father, without any professional title, calling the shots in the financial market.
But in the hospital, I haven't taken the first step yet, and there are many obstacles.
It seems that I have to get a doctor's certificate first, then advance to the next level, and follow the old path of others.
Otherwise, this is a flawed injury and a huge hidden danger.
Director Liu was also silent, he knew exactly what Zhao Xiangming was thinking.Moreover, Director Liu thinks that what Zhao Xiangming cannot do, Ji Xiang may not be unable to do.
He was close to Ji Xiang just now, and he could hear clearly, knowing what happened there.
Use a guide wire or catheter to open the knot of the Swan-Ganz floating catheter in the blood vessel... Director Liu's mouth is dry when he thinks of this operation.
Is Dr. Xiaoji already so strong!
Chapter 327 Don't Wipe Someone's Butt
But that kind of emergency surgery, if you have as little contact as possible, you should have as little contact as possible. What's more, even if Ji Xiang has a practicing certificate, he is not qualified to perform advanced surgery.
It will take ten or eight years to get the qualifications. After all, it is a level 4 operation. The Health Commission has clear regulations on the classification of operations.
"Let's do the surgery, the last one, finish it well." Director Liu calmed down, and interrupted directly regardless of what Dr. Zhao Zhe said.
What useful words can that chatterbox say, a bunch of useless information, and more gossip.
"Yes." Ji Xiang nodded, and Director Liu concentrated on the operation.
The operation went smoothly, Director Liu has gradually become obsessed with this feeling, unlike before when he performed partial nephrectomy himself, he always felt that the patient would bleed anytime and anywhere.
It's done now, and there are no patients with postoperative bleeding for the time being.
The 4% probability was eliminated by a preoperative interventional operation, and the partial resection operation went smoothly. Director Liu's concept has already been reversed by countless facts.
In the past, when I dreamed back at midnight occasionally, Director Liu would worry that he would wake up due to bleeding during the operation, and the problem of being unable to fall asleep was gradually cured.
Director Liu is determined not to let Ji Xiang go if possible.
The operation was successfully completed, and the patient was lifted onto the flat car together. Ji Xiang was going to send the patient, and Director Liu made a gesture.
"Doctor Zhao, you go to see the patient, I'll talk to Xiaoji."
"Okay." Zhao Zhe said quickly, "I'll call you to report what's going on when I go back."
The old attending doctor has the benefits of the old attending doctor, he knows what he should do with just one look.It's not like some stunned youths, their meaning is already obvious, and they still have to ask a few more questions.
Director Liu waved his hand and took Ji Xiang to the locker room.
"Xiaoji, it's not me who blames you, this kind of work is really unacceptable." Director Liu muttered, "It's not that I am cold-blooded, who would not want to cure diseases and save lives? There is a lot of trouble over there, can you guarantee [-]% success? ? If you can’t, just wait quietly.”
Ji Xiang knew that Director Liu was treating him well, so he risked moral accusations and said these heartfelt words to himself.
"Director, I know." Ji Xiang said softly.
"I know you're not convinced, but that's the truth." Director Liu sighed, "Who doesn't want to save lives, but how many doctors I've seen over the years who were dedicated to saving lives just disappeared."
"Gone?"
"Medical accidents must be blamed by someone. Those stunned youths rushed straight up and then disappeared. The greatest contribution to this society is to live, hang on, and do something within our ability."
Director Liu said earnestly.
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