Back to the Republic of China as a doctor
Chapter 172 170. Into the Heart!
Chapter 172 170. Into the heart! (seeking subscription monthly pass)
Disinfect, scratch the skin, and free blood vessels.
Every step, Jiang Lai's movements were very clear and perfect, which made everyone else a little bit astonished.
"Jiang, you are not only proficient in human anatomy, but also very familiar with pig anatomy!" Xie Er praised.
"Yesterday I went to see how a butcher butchered a pig." Jiang Lai replied indifferently.
Others: ...that's no wonder.
"However, it is indeed more familiar than you." Jiang Lai said with a smile after freeing a pile of fat, and seeing the pulsating vascular sheath.
"Yes, yes, you are the best." Xie Er cooperated and helped Jiang Lai continue to separate.
For this experiment, the others were all preparing by the side. This kind of operation was still done by two young people.
It's not anything else, but compared to the other three, the tacit understanding between Jiang Lai and Xie Er... is the best.
After the vascular sheath was freed, Jiang Lai took a scalpel and gently scratched the vascular sheath, and then peeled it off, only to find two parallel blood vessels.
The beating one was, of course, the artery they were looking for.
separation.
Two vascular forceps clamp one end each.
Make a knife, and sew a stitch on each end of the knife edge to fix it.
Therefore, the catheter with a slightly thicker catheter and a thinner sleeve prepared earlier was inserted through the opening, and then the vascular clamp at the proximal end was removed.
The insertion of the catheter went smoothly. Of course, bright red blood also appeared at the end of the catheter, which was clamped by Schell with a vascular forceps.
Jiang Lai manipulated the catheter to go in the desired direction, and Xie Er controlled the condition of the blood vessels.
"Take a picture first." Jiang Lai said quietly.
On the side, the three of Bourne were a little excited, because...they could already see a long object on the X-ray machine, which was at the neck of the pig.
"I can really see it!" Sophia opened her eyes wide and said excitedly, "Bourne, this matter has epoch-making significance!"
"I know, Sophia!" Bourne smiled, and he had prepared the sodium iodide injection and a large 50ml syringe, "If... the injection..."
"Yes! If it really does as expected, then we have succeeded!" Luo Dan answered, his eyes fixed on the image on the screen of the X-ray machine.
Of course, Jiang Lai didn't care about the excitement of these three people, and of course he could succeed, because this is already a fairly mature technology in later generations, and the principle is needless to say.
What he is doing now is just to make his operation more reasonable, and he also wants to try whether he can do angiography with the current catheter.
Then, he discovered that it is possible, but it is more difficult to operate than later generations.
"One more piece."
"Into the heart!"
"It's in the heart!"
"Go in!"
"It really went in!"
Except for Jiang Lai, the other four became excited.
"Professor, contrast agent." Jiang took a look, but it was flat, although it was difficult to operate, but anyway, he went in.
"Okay." Bourne nodded, and connected the syringe to the catheter.
Only then did Schell remove the vascular clamp that was clamped on the catheter.
Professor Byrne forcefully pumped sodium iodide into the catheter.
The experiment was quite successful, and the blood vessels on the pig's heart were successfully seen, and all paths were unobstructed.
……
"I will arrange patients who are willing to receive treatment as soon as possible." In the office, Sophia said excitedly while holding the patient's information in her hand.
They have finished the experiment and returned to the office to discuss the next step.
"However... I was thinking..." Rodin thought for a while, "If this method is used for peripheral angiography, can it also be used? And the operation is simpler?"
Jiang Lai nodded, "Well, in this way, it will also have a good developing effect on some patients with arteriosclerotic blockage in the lower extremities."
"Can it be replaced by the great saphenous vein?"
"Yes." Jiang Zi nodded and answered Luo Dan's question.
"Oh... I suddenly felt that this inspection method is simply a sharp weapon!" Rodin laughed.
"But...why can I only check it?" Shell suddenly said, "Why...don't we do the treatment together at this time? Because we are in the blood vessel at this time!"
Jiang Lai was a little surprised, and glanced at Xie Er, "Yes, but the technical conditions are not enough."
"Technical conditions?"
"Most of our vascular diseases come from the blockage of plaque or thrombus in the blood vessel, which causes the narrowing of the blood vessel and affects the blood flow."
"That's right, so we just need to take out the embolism, or use something to expand the blood vessel?" Xie Er agreed with Jiang Lai's words, so he also gave a solution.
"So, we can either use drugs to dissolve the thrombus, or use a stent to expand the blood vessel." Jiang Lai naturally smiled, "Then, what drug should be used to dissolve the thrombus? And what kind of stent should be used to support the blood vessel?"
Shell frowned, lost in thought.
Indeed, there appear to be no such drugs, nor stents that can be placed in human blood vessels.
"Of course, your suggestion is very good. Maybe in a few decades, we will be able to realize it." Jiang Lai sighed, recalling the popularity of angiography and various stents in later generations.
Technology is something that sometimes cannot keep up with this era.
He remembered that thrombolytic drugs will take another five or sixty years, and vascular stents...that is a later matter.
Therefore, in this era, surgical solutions are still the mainstream.
But being able to see the condition of blood vessels clearly with radiography technology is already a great way for surgeons.
"Decades?" Xie Er blinked after hearing Jiang Lai's words. How long did it take?
"Okay, let's not talk about it. With this test, we can clarify the cardiovascular condition of the patient." Byrne smiled and patted Shell on the shoulder, "For heart surgery, this is the most important thing before surgery." checked."
"Yeah, just thinking about it makes me very excited." Rodin exhaled.
"Although I will arrange patients as soon as possible, but, Jiang, is it best to do this examination directly with the operation?" Sophia looked at Jiang Lai.
"We can do it together, but, Dean Sophia, please explain the risks of surgery to the patient, and I need to read all the materials for patients who are willing to undergo surgery." up.
"Okay." Of course Sophia agreed, it doesn't mean that if a patient seeks a doctor, the doctor will definitely be able to cure him.
"I will also give some patient information here, Vice President Jiang, let's take a look together then?" Luo Dan looked at Jiang Lai with a smile, and formally called Jiang Lai Vice President Jiang for the first time.
Jiang Lai nodded, "Okay, but... I will not only perform these spells in Santa Maria, but also with colleagues, so there may be conflicts in time, and everyone needs to coordinate more."
"Don't worry, there is still some time."
"Yes."
Chapter 2.
As the title.
(End of this chapter)
Disinfect, scratch the skin, and free blood vessels.
Every step, Jiang Lai's movements were very clear and perfect, which made everyone else a little bit astonished.
"Jiang, you are not only proficient in human anatomy, but also very familiar with pig anatomy!" Xie Er praised.
"Yesterday I went to see how a butcher butchered a pig." Jiang Lai replied indifferently.
Others: ...that's no wonder.
"However, it is indeed more familiar than you." Jiang Lai said with a smile after freeing a pile of fat, and seeing the pulsating vascular sheath.
"Yes, yes, you are the best." Xie Er cooperated and helped Jiang Lai continue to separate.
For this experiment, the others were all preparing by the side. This kind of operation was still done by two young people.
It's not anything else, but compared to the other three, the tacit understanding between Jiang Lai and Xie Er... is the best.
After the vascular sheath was freed, Jiang Lai took a scalpel and gently scratched the vascular sheath, and then peeled it off, only to find two parallel blood vessels.
The beating one was, of course, the artery they were looking for.
separation.
Two vascular forceps clamp one end each.
Make a knife, and sew a stitch on each end of the knife edge to fix it.
Therefore, the catheter with a slightly thicker catheter and a thinner sleeve prepared earlier was inserted through the opening, and then the vascular clamp at the proximal end was removed.
The insertion of the catheter went smoothly. Of course, bright red blood also appeared at the end of the catheter, which was clamped by Schell with a vascular forceps.
Jiang Lai manipulated the catheter to go in the desired direction, and Xie Er controlled the condition of the blood vessels.
"Take a picture first." Jiang Lai said quietly.
On the side, the three of Bourne were a little excited, because...they could already see a long object on the X-ray machine, which was at the neck of the pig.
"I can really see it!" Sophia opened her eyes wide and said excitedly, "Bourne, this matter has epoch-making significance!"
"I know, Sophia!" Bourne smiled, and he had prepared the sodium iodide injection and a large 50ml syringe, "If... the injection..."
"Yes! If it really does as expected, then we have succeeded!" Luo Dan answered, his eyes fixed on the image on the screen of the X-ray machine.
Of course, Jiang Lai didn't care about the excitement of these three people, and of course he could succeed, because this is already a fairly mature technology in later generations, and the principle is needless to say.
What he is doing now is just to make his operation more reasonable, and he also wants to try whether he can do angiography with the current catheter.
Then, he discovered that it is possible, but it is more difficult to operate than later generations.
"One more piece."
"Into the heart!"
"It's in the heart!"
"Go in!"
"It really went in!"
Except for Jiang Lai, the other four became excited.
"Professor, contrast agent." Jiang took a look, but it was flat, although it was difficult to operate, but anyway, he went in.
"Okay." Bourne nodded, and connected the syringe to the catheter.
Only then did Schell remove the vascular clamp that was clamped on the catheter.
Professor Byrne forcefully pumped sodium iodide into the catheter.
The experiment was quite successful, and the blood vessels on the pig's heart were successfully seen, and all paths were unobstructed.
……
"I will arrange patients who are willing to receive treatment as soon as possible." In the office, Sophia said excitedly while holding the patient's information in her hand.
They have finished the experiment and returned to the office to discuss the next step.
"However... I was thinking..." Rodin thought for a while, "If this method is used for peripheral angiography, can it also be used? And the operation is simpler?"
Jiang Lai nodded, "Well, in this way, it will also have a good developing effect on some patients with arteriosclerotic blockage in the lower extremities."
"Can it be replaced by the great saphenous vein?"
"Yes." Jiang Zi nodded and answered Luo Dan's question.
"Oh... I suddenly felt that this inspection method is simply a sharp weapon!" Rodin laughed.
"But...why can I only check it?" Shell suddenly said, "Why...don't we do the treatment together at this time? Because we are in the blood vessel at this time!"
Jiang Lai was a little surprised, and glanced at Xie Er, "Yes, but the technical conditions are not enough."
"Technical conditions?"
"Most of our vascular diseases come from the blockage of plaque or thrombus in the blood vessel, which causes the narrowing of the blood vessel and affects the blood flow."
"That's right, so we just need to take out the embolism, or use something to expand the blood vessel?" Xie Er agreed with Jiang Lai's words, so he also gave a solution.
"So, we can either use drugs to dissolve the thrombus, or use a stent to expand the blood vessel." Jiang Lai naturally smiled, "Then, what drug should be used to dissolve the thrombus? And what kind of stent should be used to support the blood vessel?"
Shell frowned, lost in thought.
Indeed, there appear to be no such drugs, nor stents that can be placed in human blood vessels.
"Of course, your suggestion is very good. Maybe in a few decades, we will be able to realize it." Jiang Lai sighed, recalling the popularity of angiography and various stents in later generations.
Technology is something that sometimes cannot keep up with this era.
He remembered that thrombolytic drugs will take another five or sixty years, and vascular stents...that is a later matter.
Therefore, in this era, surgical solutions are still the mainstream.
But being able to see the condition of blood vessels clearly with radiography technology is already a great way for surgeons.
"Decades?" Xie Er blinked after hearing Jiang Lai's words. How long did it take?
"Okay, let's not talk about it. With this test, we can clarify the cardiovascular condition of the patient." Byrne smiled and patted Shell on the shoulder, "For heart surgery, this is the most important thing before surgery." checked."
"Yeah, just thinking about it makes me very excited." Rodin exhaled.
"Although I will arrange patients as soon as possible, but, Jiang, is it best to do this examination directly with the operation?" Sophia looked at Jiang Lai.
"We can do it together, but, Dean Sophia, please explain the risks of surgery to the patient, and I need to read all the materials for patients who are willing to undergo surgery." up.
"Okay." Of course Sophia agreed, it doesn't mean that if a patient seeks a doctor, the doctor will definitely be able to cure him.
"I will also give some patient information here, Vice President Jiang, let's take a look together then?" Luo Dan looked at Jiang Lai with a smile, and formally called Jiang Lai Vice President Jiang for the first time.
Jiang Lai nodded, "Okay, but... I will not only perform these spells in Santa Maria, but also with colleagues, so there may be conflicts in time, and everyone needs to coordinate more."
"Don't worry, there is still some time."
"Yes."
Chapter 2.
As the title.
(End of this chapter)
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