Doctor of Healing

Can Ji Xiang do the surgery that he can't do by himself?Even if Ji Xiang showed it, Director Wang of the Vascular Department still didn't believe it.

He has his pride and dignity.

Although not much.

If any director of the First Attached Hospital said yes, Wang Yanjun would bear it, but what is Jixiang? !Pearson, the number one in the country?

The title is a joke.

The patient was sent to the catheterization room, and everyone changed clothes accordingly.Director Liu wasn't in a hurry either, he walked slowly behind and didn't rush in immediately.

In the beginning, there were positions, disinfection, and laying of sheets, etc. The work was too much and scattered, and it could not be done in 20 minutes.

"Dazhi, how did Dr. Xiaoji break the rules?" Director Wang of the Vascular Department saw that everyone was leaving, and he didn't want to go in immediately, so he chatted with Director Liu.

Director Liu's mood was obviously wrong just now, and Wang Yanjun also wanted to ease the awkward atmosphere.

"It was done by Director Bai. Xiaoji has a thesis in The Lancet and a self-professional department. The hardware must be sufficient. Whether you can break the rules depends on the operation. Director Bai is willing to do it, just an intermediate certificate, which is not easy."

Seeing Liu Zhi proud, Director Wang of the Vascular Department still felt uncomfortable, and he said naturally, "You people in the Department of Urology, why did Director Bai poach a corner?"

"Hey." Director Liu said with a smile, "Isn't it because our hospital's intervention power is weak, Director Bai is unwilling to ask for help. Nuo, as soon as I got the certificate, it came in handy."

Director Wang of the Vascular Department had an ugly expression on his face, but he knew what Director Bai meant, and he couldn't refute or refute.

"Yan Jun, sit down and rest." Director Liu said, "We can just wait for 20 minutes to go in. By the way, are there many operations on your side now?"

The brief confrontation just now seemed to be forgotten.

Keep a line in life, so that we can meet each other in the future, who knows when who will ask the other party.

Director Wang of the Vascular Department also seemed to have forgotten, and started chatting with Director Liu.

It's just that the two of them kept looking at the time while chatting.

At 18 minutes, Director Liu stood up.

"Let's go, the operation should be opened, go in and have a look."

Wang Yanjun nodded.

When the two went out, they saw the door of the operating room opened, and Xu Leyu was pushing the flat cart.

"Mr. Xu, what are you doing?" Director Liu was taken aback.

He vaguely guessed the answer, but he couldn't believe the authenticity of the answer.

"The operation is finished, I'll send the patient back." Xu Leyu said the answer in Director Liu's mind.

"!!!"

"!!!"

"Mr. Xu, the operation failed?! I just said, I said..."

To finish so quickly, failure is inevitable.

Just like a surgical operation, the fastest way to do it is always the opening and closing operation-open it and take a look, the tumor is different from the pre-operative evaluation, it cannot be cut at all, and it can only be closed to announce the end of the operation.

"The operation went well, and the thrombus was completely removed, about 8cm in size."

As Xu Leyu said, he passed by and pushed the flat cart in.

"I go!"

Chapter 407 Be brave

Chatting, it only took 18 minutes, the operation was done in such a short time? !

18 minutes enough for what?

The two directors are clinical veterans, and they have not performed 2 operations, but there are always 3000-[-] operations.

In such a short period of time, if I were to perform the surgery myself, I am afraid that the preoperative preparations were not completed, the thrombus was removed, and the patient was sent off the stage... Is this a dream?

"Director Liu, Director Wang, please excuse me." Mr. Xu Leyu yelled, and led the patient away.

Ji Xiang was pushing the cart in the back, like a small regular trainee doctor—even if he was pushing the patient back, he felt like a real doctor, very serious and serious.

Director Liu was a little confused, subconsciously gave way to Pingche, watched them leave and saw Director Bai coming out, he held Director Bai.

"Old Bai, the operation was successful?" There was a crack in Director Liu's firm confidence.

he asked cautiously.

This is Jixiang's first operation independently, but he didn't witness it with his own eyes, which is really a pity.

"Of course." Director Bai smiled, as if to prove that he was right to apply for an exception for Ji Xiang.

"What about blood clots?"

Director Bai was more calm now, turned around and took Director Liu and Director Wang back to the operating room.

"Here, here."

The instrument nurse and the itinerant nurse were cleaning the operating room. The blood clot had not been thrown away. This thing had to be seen by the patient's family, and was held in the palm of Director Sui's hand.

Director Sui looked at the thrombus in a daze like a little Pearson who had no knowledge.

"So complete!" Liu Zhi was surprised.

He has also seen thrombus removal in other departments. Usually, the thrombus is taken out in pieces, and it is rare to see strips and clots of thrombus.

However, the thrombus held by Director Sui was different. It was a complete strip, about 8 cm in length, and slightly darker in color.

Director Wang of the Vascular Department also stared at the thrombus in a daze. Not mentioning the patient's postoperative condition, just talking about this thrombus is enough to make people dumbfounded.

The thrombus comes from the pressure of the tourniquet in knee replacement surgery, and it must not take long to form. At most, it has the shape of a thrombus. In fact, this thing is as tender as tofu—it will break when touched.

However, such a "fresh" thrombus was completely removed!

Director Wang of the Vascular Department didn't wear gloves. He seemed a little distracted and reached out to touch it to prove the "tenderness" of the thrombus.

But before his hand touched the thrombus, Director Sui changed the direction of holding the thrombus on the sterile gauze.

"Don't move!" Director Sui said, "This thing will break if you touch it, and I have to show the patient's family."

"How did you take it out?" Director Liu and Director Wang asked in unison.

Both regretted the 18 minutes of small talk.

"I'm not a vascular practitioner, so I just watched Dr. Xiaoji remove the thrombus catheter and pull out a thrombus completely." Director Sui glanced at Director Wang of the Department of Vascular Medicine, and then at Director Bai.

"Go and show the patient's family members a look." Director Bai said lightly.

Director Sui went out as if holding a baby, communicating with the patient's family.

Director Wang of the Vascular Department hesitated for a moment, went directly to the operation room, and called out the operation process.

The surgical procedure was initially percutaneous left lower extremity angiography.

The surgeon was extremely skilled. After the catheter was inserted, angiography showed occlusion in the middle of the popliteal artery, but no visualization was seen in the distal end.

Guided by the guide wire, the occlusion segment was passed through, and angiography showed no stenosis of the anterior tibial artery; no visualization of the slender distal ends of the posterior tibial artery and common peroneal artery.

Withdraw the catheter to the upper end of the occlusion and perform angiography again, showing that the contrast medium passes through the original occlusion of the popliteal artery, but the lumen is narrow, and the vessel wall at the stenosis is not smooth; the blood flow of the anterior tibial artery is smooth without stenosis; The common arteries are slender.

The process of taking out the thrombus was just like Director Sui said, when the catheter was inserted, the "fresh" thrombus was taken out neatly and completely.

Director Wang of the Vascular Department didn't understand how the surgeon did it.

Although I didn't understand it, Director Wang of the Vascular Department was inexplicably horrified. It is estimated that there are only a few people in the country who can do this kind of surgery. Anyway, I will never be able to do it in my life.

He felt a little hot on his face, and the thrombus was not like a cork as ordinary people imagined, it could be easily and completely removed.

This means that the time is short. If it is longer, the thrombus will adhere to the intima of the blood vessel, and there will be many hidden dangers even if it is completely removed.

"Director Wang, how is it?" Director Bai asked calmly.

"Here." Director Wang of the Vascular Department said, pointing to the rough blood vessel wall, "It is very likely to be blocked again."

"Hehe." Director Bai smiled.

"Director Bai, this is indeed a hidden danger." Director Wang of the Vascular Department poked his neck to find a reason for himself.

"The hidden danger is just a hidden danger after all. If the patient's lower limbs are not taken out, the patient's lower limbs will be necrotic and will need to be amputated. There is indeed no hidden danger, but what about after that?"

"..."

"To be a doctor, you still have to be brave." After finishing speaking, Director Bai turned and left with his hands behind his back.

In the 3.0 era of doctor-patient disputes, there are still people who can say such things, and the person who speaks is Director Bai, who has worked in the dispute office for many years and is responsible for all kinds of complaints and disputes in the hospital. Director Wang could not refute.

If a young man full of enthusiasm said such things, Director Wang of the Vascular Department would think that their knowledge is too shallow.

Director Bai...

Be braver?

Director Liu was well aware of Director Bai's personality, so he patted Director Wang of the Vascular Department on the shoulder, turned around and walked out of the operating room with Director Bai.

"Old Bai, have you been thinking about it for a long time?" Director Liu asked.

"I know Ji Xiang has been thinking about this since he scolded Qin Chu, who is so daring in the devil's capital." Director Bai didn't hide anything, and told the truth, "Technically, I only know a little bit about neurosurgery. But I believe in Qin Chu's vision."

"Although he is a bit of a poor man, his technical vision is definitely not bad."

"The next intermediate certificate must be given to me in urology!" Director Liu didn't dwell too much on the past, and took a long-term view.

"Hehe, let's talk." Director Bai said.

"Why!" Director Liu asked very unhappy.

Director Bai suddenly stopped, hesitating for a long time, and he seemed to loosen a little even though his expression remained unchanged before the landslide.

"Old Bai, what's going on?"

"You really don't know how capable Ji Xiang is?" Director Bai looked at his old friend Liu Zhi and asked as if talking to himself.

"Of course I know."

"No, you don't know." Director Bai said, "Just now, someone from the provincial sports department called me and asked about Ji Xiang."

"!!!"

"It is said that he performed rehabilitation surgery on two athletes. After a short period of rehabilitation training, the patient has recovered to the peak level."

"Fuck!" Director Liu cursed out of his mouth.

Those who can't do anything are useless, but Jixiang, Doctor Xiaoji, this is too damn capable.

Director Liu was inexplicably sad.

Chapter 408 Variety Show

After Jixiang finished the operation and sent the patient back, he asked Xu Leyu to call for a bedside ultrasound. After seeing the blood vessels in his eyes, he was relieved.

Although the operation has been done many times in the system operating room, he still feels that he was led badly by Colonel Wang, Mo Chenggui, and Director Liu, and he suffered from severe obsessive-compulsive disorder.

But that's okay, Ji Xiang doesn't dislike being highly cautious, even if this kind of caution will increase his workload to a certain extent.

There is indeed a problem with the patient's blood vessels, but according to the explanation of the system NPC, this is also a way to solve the problem.As for why the thrombus occurred, Ji Xiang thought it was caused by director Sui's mistake during the operation, which caused the intima of the popliteal artery to tear.

Although Director Sui didn't say it clearly, Ji Xiang knew that he understood this, so Ji Xiang didn't make it clear.

After changing clothes and going home, Ji Xiang was a little happy.

It is indeed a pleasure to work with Director Bai, and with an understanding boss.What he wanted, he didn't even need to look at it, Director Bai would arrange it and deliver it to him.

Ji Xiang touched the intermediate certificate in his pocket, feeling inexplicably happy.

From then on, at least I don't have to be tied down when I perform interventional surgery myself. Although there are relatively few surgeries that can be performed with a mid-level professional title, there are always a lot of ambiguities in the regulations, and with Director Bai covering it, it should be no problem.

When Ji Xiang was thinking about whether he should obtain the deputy chief physician certificate or the intermediate certificate of urology first, his mobile phone rang.

"Hey?"

"Yuqing, what's the matter?"

"Ji Xiang, my company has prepared a variety show and invites you to participate."

"Don't go."

Ji Xiang answered neatly.