Doctor of Healing
Page 339
"Uh……"
"Uh……"
Everyone in the office was stunned.
"My teacher asked what was going on, and the patient said shyly, the old man at home."
"!!!"
"Later, I saw the old man coming over. He was almost ninety years old, his face was full of red, and he was walking like a tiger. Just tell me, if this kind of thing is on the show, it must be topical. Everyone loves to watch it, but it can't be filmed."
Ji Xiang laughed.
Director Fan pondered, this matter cannot be on the show.But he didn't say anything and kept silent.
"Also, I encountered a 17-year-old heart knife stab wound during my internship in the chest department. It is said that she and her brother-in-law were cleaning up fish at home. She asked for scissors, and her brother-in-law threw the scissors over and accidentally stabbed her heart directly. .”
Fan Dao was dumbfounded.
"When the person arrived, he was already dying. His breathing and heartbeat stopped for about 13 minutes. Although he was rescued, he became a vegetative state. My teacher did not hesitate to call the police, but was beaten up by the patient's family."
"Uh...why?" Director Fan was really stunned this time.
"First of all, the heart is here." Ji Xiang tapped his heart with his hand.
"There are ribs for protection. Just think about it. The scissors are blunt, so it's a coincidence to stick in the intercostal space. And it's not a coincidence. My teacher and I both think it's intentional."
"What happened later?!" Director Fan's professionalism was at work, and he suddenly became energetic.
Although Ji Xiang said it simply, Director Fan immediately thought of ethics, morality, etc., and so on.
"The patient's family didn't know why, and they didn't want to know the truth at all. They even helped the murderer and beat up my teacher. I was also beaten a few times. It was very depressing."
"Doctor Xiaoji, this is really true." Director Fan said vaguely.
"It's not suitable, and it can't be filmed. If it is filmed, it has nothing to do with the hospital. It is more like a legal program. Even if you can handle it, it is impossible to produce a program that everyone is satisfied with within a few days."
"Is there something that simple?" Director Fan asked.
"During my internship, I met a little girl, 16 years old, who threw me off the wall." Ji Xiang said helplessly.
"!!!"
"!!!"
Everyone was surprised.
"What happened later!" Director Fan began to gossip.
"It's nothing. Later, I can't hold her up like in the movie, and shake her upside down twice to make the badge fall out. It's not that I can't do it, but it's more troublesome to do that."
"Dr. Ji Xiang, consult on stage! Director Yang told you to go to the operating room!"
The nurse in the department shouted from outside.
Chapter 501 The sycophant in the medical team
As soon as he heard that Jixiang was going to the operating room, Director Fan's eyes lit up.
"The program team can't go in." Ji Xiang reminded immediately when he saw Director Fan's expression.
Director Fan is also aware of this, slightly regretful.
It's a pity, this is a hospital, it would be great if I could bring the camera crew in and out of the operating room at will.
He smiled awkwardly, "Then I'll wait outside, just in case."
Ji Xiang could see that Director Fan was very concerned about creating the program, even to the point of obsession.
And according to the dependence of the success path, the popularity of the third episode of the program made Director Fan realize that surgery is a point of interest to the audience. He naturally secreted a lot of adrenaline in his body after hearing it, and entered a state of stress.
Ji Xiang ignored Dao Fan and strode to the operating room after talking to the nurse.
"Doctor Xiaoji, what patient?" Zhao Zhe asked after Jixiang.
"I don't know. I heard that Director Yang answered the phone before. I guess it should be a patient undergoing an interventional operation." Ji Xiang has his own research and judgment on the matter.
"The hybrid surgery here should be better than my home's. The hybrid surgery in Yuanliao City is a joke. Only the orthopedic department takes a few pictures during the operation to see if the bones are aligned correctly. It turned out to be called a hybrid surgery room. "
"In my understanding, the hybrid operating room should be the kind of place where interventional surgery is performed, and major operations such as vascular surgery and cardiac surgery are performed at the same time. As a result, everyone's level is not good enough. Unfortunately, it can only be used for intraoperative filming. place."
"Just resetting the broken bones and taking pictures, can that be called hybrid surgery? It's a joke."
"Doctor Zhao, are there few hybrid operating rooms?" Director Fan asked from the side.
"It's not too few, a normal operating room with a dsa machine is enough. But not too many, because hybrid surgery involves the cooperation of 2-3 departments, and everyone's level is uneven, so compared with a single department In terms of surgery, it is much bigger, and few hospitals can complete the corresponding surgery.”
"For example?" Director Fan asked in confusion.
Zhao Zhe was stunned for a moment, and laughed, "I haven't seen a standard hybrid operation, but I think...forget it, I have nothing to think about. I'm just an old attending doctor with half the level and no skills. Don't shoot me." what."
Fan Dao was speechless, he had a little impression of Zhao Zhe.
Picking up the plane that day, the temperaments of the two people who followed Jixiang were completely different.
Director Lu Gang, who only has a strand of hair, always looks at people with his nostrils, as if he was the best in the world.But this Dr. Zhao Zhe Zhao in front of him is as humble as a speck of dust, and he becomes invisible immediately after being thrown into the crowd.
It is said that birds of a feather flock together and people are divided into groups. I really don’t know how these two extreme people are gathered by Ji Xiang’s side.
Director Fan was very interested in Zhao Zhe, at least Zhao Zhe talked a lot, unlike other doctors who would put on a straight face when they saw the camera, with the words "No strangers allowed" written on his face.
When they came to the door of the locker room in the operating room, Ji Xiang and Zhao Zhe walked in, Ji Xiang closed the door back and intentionally left Director Fan outside.
Director Fan has long had psychological expectations for this.
This group of doctors guard themselves against thieves, and there is no basic trust between people.
"Director, what then?" Director Fan's assistant asked.
Dao Fan pondered for a while, and said, "Go to the door of the operating room and see the family members of the patient. By the way, the camera team will follow, but don't turn on the phone, keep it at a distance, so that others can see it."
……
……
"Doctor Xiaoji, I think Director Fan really wants to make a video of the operation." Zhao Zhe said with a smile while changing his clothes.
"I watched the last episode, and the animation was pretty good. It can be said that the tacit understanding between interventional surgery and the current entertainment environment is very high. It can describe the entire operation process, but it does not involve blood and violence. It is easy to review and release it naturally. It will get everyone’s attention.”
Ji Xiang said, taking off his shirt.
Looking at Ji Xiang's muscle lines, Zhao Zhe stroked his ninety-nine-one belly, a little envious.
"But not all patients can be recorded by them. There are many things involved in it, which is very troublesome. Brother Zhao, haven't you encountered a similar situation?"
"Doctor Ji Xiang, here we come." Director Yang walked in with a sullen face.
"Teacher Yang, what patient is it?"
"A 16-year-old female patient ate a staple and got stuck on the right main bronchus. At the local hospital, she tried to remove it with a bronchoscope, resulting in a tension pneumothorax."
Director Yang briefly introduced.
"What about interventional surgery? Director Li tried it, but it didn't work?"
Ji Xiang understood the cause and effect in an instant.
"Well, I used the 4-Fr guide catheter of JR-6. The guide wire is 0.035 inches. The guide catheter protruded from the side hole of the bronchial catheter to reach the foreign body. I tried 3 times, but Director Li couldn't get it out."
"He said to let you try it, if it doesn't work, the chest department will be opened directly."
"Okay, I'll give it a try."
Director Yang squinted at Ji Xiang and saw him froze slightly.
This feeling is very strange. Ji Xiang had just changed into the isolation suit. He seemed to be arranging the isolation suit to make the clothes smoother, but there was a pause of less than a second in the middle of such a movement, which made Director Yang feel a little uncomfortable.
Discomfort is also a feeling that is difficult to express in words. Director Yang does not know how uncomfortable it is.
"Doctor Ji Xiang, are you not sure?" Director Yang asked.
"Try it, you should be sure." Ji Xiang smiled after giving an affirmative answer.
Director Yang was dubious.
Director Li had reached the limit with the 0.89 mm guide wire, but he still couldn't remove the staples.
Can Jixiang have a better way?
And what Ji Xiang said was very certain. When he said the sentence that he should be sure of just now, Director Yang even felt that there was an inexplicable light emanating from Ji Xiang.
Or is it that Ji Xiang is going to "eat" a difficult operation "raw" with the technical level that crushes Director Li?
"Try it."
Ji Xiang and Zhao Zhe changed their clothes and went all the way to the operating room.
"Doctor Xiaoji, come and try." Director Li was wearing a lead suit and a surgical gown, waiting anxiously for Jixiang.
"Wait a minute, I'll go brush my hands." Ji Xiang narrowed his eyes.
Jixiang put on the lead suit, brushed his hands, came back to disinfect and put on surgical gowns.
Before the nurse could help tie the surgical gown, Zhao Zhe rushed to do these trivial things.After fastening the belt, Zhao Zhe squatted down and helped Ji Xiang pull the corner of his clothes.
Director Yang was speechless.
At Ji Xiang's age, is there already a full-time sycophant in the medical team?
Full-time flattering doctors are useless, even if the medical team is secretly led by Ji Xiang, at least two capable people should be found.
Wanting a sycophant so early...
With just one action, Director Yang's impression of Ji Xiang and the members of his medical team plummeted.
Chapter 502 Did you go in?
"Doctor Xiaoji, try it. I didn't take it out, and it was always close." Director Li didn't notice Zhao Zhe's movements, and even if he did, he didn't care.
Director Li stood directly on the assistant's seat, "I tried many things, but none of them could hold the staples."
"I'll try." Ji Xiang was not polite, and stood directly in the operator's position and began to look at the previous contrast images.
As Director Yang said, Li Ming used a 0.89 mm guide wire to enter, and then tried a variety of micro-fishers, but none of them could hold the staples.
Ji Xiang watched very slowly, and was not in a hurry to act.
"The micro-trap can't hold it, and the position of the staples is a bit awkward. It's just too difficult." Li Ming sighed.
Ji Xiang didn't speak, and continued to watch Li Ming's operation.
A few minutes later, Ji Xiang said, "Try it, the 3f catheter."
As he spoke, he stretched out his hand.
Li Ming was stunned for a moment, and immediately explained to the itinerant nurse the 3F catheter.
Ji Xiang was also slightly taken aback.
He has long been used to the feeling that when Tang Yan is an equipment nurse, as long as he stretches out his hand, the things will fall into the palm of his hand.
No way, this is not the Second Affiliated Hospital, and Tang Yan didn't follow.
For a moment, Ji Xiang felt nostalgic.
Another 2 minutes later, Li Ming handed the 3f catheter to Ji Xiang, "Dr. Xiaoji, the 3f catheter is too thin, can you operate it?"
"The thick ones can't be taken out, so I can only try." Ji Xiang didn't explain systematically. After all, on the operating table, patients face the reality of having their chests opened if they can't be taken out during interventional surgery.
Even though Jixiang had completed this operation in the system operating room, he still concentrated on it and did not dare to be distracted.
The 3f catheter was lowered to the position near the staple in the right main bronchus, and then the thinnest guide wire of 0.021 inches was required, and the front section was bent, and then the guide wire was inserted.
The thinner the instrument, the more precise the operation needs to be, and even the breathing must be controlled, so as not to cause slight deviations in the body movements caused by the breathing.
Director Li Ming and Li probably knew what Ji Xiang meant. He wanted to use the 0.021-inch guide wire to "ride" on the back bend of the staple with the help of the side hole of the 3f catheter.
Then relay to "fish" out the staples.
but!
The 0.021-inch guide wire is very soft because it is thin. Whether it can accurately land on the curved part of the staple is one problem, but whether it can support such a large force is another problem.
Although Director Li has doubts, he has tried and failed many times, so he can only choose to believe in Ji Xiang.
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