Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 103 Precise thrombolysis, let me do it! (Please subscribe!)
Sun Liantao frowned, stared ahead, and then said in a deep voice:
"So, you don't have any suitable solution?!"

As soon as Sun Liantao finished speaking, the noise outside the door sounded again.

Sun Liantao couldn't help frowning and looked over, and asked:

"What's the situation outside?"

Zhang Tai looked in the direction of the door, and then quickly explained:

"It should be the students he sponsored. I just calmed them down, but now they are making trouble again! Really..."

"I gonna go see!"

After speaking, Zhang Tai got up and was about to go out.

"Wait, you guys continue to think about the plan, I'll go out and have a look."

Sun Liantao stopped him, then pushed the glasses on his nose, stood up, and walked slowly towards the door.

"Oh!"

He directly opened the door of the conference room, and a group of reporters with microphones and cameras rushed over.

"Hello! Excuse me, Mr. He Laishui is receiving treatment in your hospital right now?"

"What caused him to faint?"

"How is his condition now? Is it convenient to disclose it to us?"

"Mr. He Laishui, is he awake now?"

"Sorry, it's not convenient to disclose it at the moment!"

After Sun Liantao finished speaking, he slammed the door shut!
"Who put these reporters in? Isn't this adding to the chaos!"

Sun Liantao's face was gloomy and he roared.

Immediately after that, he took out his mobile phone from his pocket and called the person in charge of the security department:

"Hurry up and clear away the reporters at the door of the meeting room! Quick!"

On the other end of the phone, he agreed.

Only then did Sun Liantao angrily hang up the phone.

"You keep talking, give me the fastest time to come up with a solution!"

Afterwards, Sun Liantao looked at everyone present and said loudly.

Seeing that Sun Liantao was in a bad mood at this time, the atmosphere on the scene was even more depressing.

And Lin Yi sat at the back and stared at the light film on the big screen. From the very beginning of the meeting, he was constantly thinking about it.

When everyone was silent, Lin Yi suddenly raised his hand.

"That... Kobayashi, right?"

Sun Liantao looked at Lin Yi who was sitting in the backmost seat, struggling to see clearly the nameplate on his desk through the lens, and said

"What do you think, just say it!"

Sun Liantao didn't know about Lin Yi's existence, and he was still wondering, how could there be a young man sitting in the meeting room when experts from the department consulted?

Everyone else looked at Lin Yi, waiting for his next words.

At this time, someone came forward, no matter what to say, it was also a relief for them.

"I think interventional methods should be used to lyse intracranial arteries!"

After getting permission, Lin Yi spoke directly.

As soon as he finished speaking, Yu Guang, the deputy director of the Intervention Department, couldn't help but cursed in his heart, "Mom!

Isn't this a problem for yourself!

As I said just now, it would be very difficult to use intervention methods in this situation.

As a result, you are now saying that in front of Dean Sun!

Obviously pushing himself into the fire pit!
Immediately afterwards, Lin Yi continued:

"Because if you want to remove the thrombus, the difficulty is too great!"

"What's more, the old man is already so old."

"Even with ultra-fine catheters, it is difficult to achieve thrombectomy."

"And if ordinary thrombolysis is used, it is very likely to cause bleeding."

"After all, the old man's blood pressure is so high, and his platelets are also low."

"So, my idea is to use interventional methods to perform small-scale precise thrombolysis in blood vessels!"

After hearing this, everyone couldn't help but focus their eyes on Yu Guang.

Sun Liantao also looked at him and asked him:
"Little, is the plan he said feasible?"

Being stared at by so many people, and being questioned by Sun Liantao, Yu Guang's face suddenly turned red, and he said with some embarrassment:

"This method is very difficult. If Director Xie is here, I can still try it. But if I are asked to do it, I really can't complete this precise interventional thrombolysis."

After finishing speaking, he wished to cut Lin Yi into pieces!

You kid put forward the plan in front of so many people, pretending to be cowardly.

But it's me who is so embarrassing!
"Only Director Xie from your department can do it?"

Sun Liantao frowned after hearing this, and then said:

"Isn't he on a business trip now?"

"If you call him back, can the old man persist?"

Immediately afterwards, an expert from another department present raised a question.

Yu Guang shook his head solemnly and said:

"It's too late..."

"There is a golden six-hour principle for thrombolysis."

"Because the key to the success of intra-arterial thrombolytic therapy in acute cerebral thrombosis lies in the selection of indications and the timing of thrombolytic therapy."

"If the patient is suitable for thrombolysis, we should strive to start thrombolysis within 6 hours after acute cerebral thrombosis."

"Because the lesions are limited to the embolized blood vessels during this period, no obvious brain lesions can be seen in general, and brain swelling and cerebral edema have not yet formed, and the lesions are reversible."

"At this time, there will be no brain damage after reperfusion after thrombolytic blood vessel recanalization, the effect is good, and the complications are few."

"And if the infarction is completely ischemic for more than 6 hours, the lesion is not limited to the embolized blood vessels, but will also cause obvious swelling and edema of the nerve cells in the blood supply area, forming irreversible necrosis."

"At the same time, the blood vessel wall itself also loses its normal structure. At this time, even if the blood vessel is recanalized by thrombolysis, the necrotic nerve cells cannot be revived, and brain swelling and cerebral edema will be aggravated by reperfusion, and secondary complications may occur. cerebral hemorrhage."

After Yu Guang finished speaking, everyone gasped.

In other words, if the delay continues, the old man will not even have a chance to dissolve the thrombosis!
Sun Liantao was also extremely irritable. When he thought of the old man lying on the hospital bed and the reporters who were waiting outside to report on this time, he had a headache.

"I think... I can try."

When the scene was deadlocked, a small voice suddenly came from behind.

Everyone immediately looked at it, only to see that it was none other than Lin Yi who had just proposed the plan!
"you?"

Sun Liantao stared at Lin Yi and asked in disbelief.

When he proposed the plan just now, he didn't know where Lin Yi came from.

But now the deputy director of the Intervention Department is difficult to complete the operation, he said he can complete it? !
"That's right, I think I can give it a try, it's better than everyone being helpless and waiting!"

Lin Yi nodded affirmatively.

From the beginning of the meeting to now, he has been weighing this matter, whether he can attend.

I have expert-level knowledge of neurological diseases, so there is absolutely no problem in terms of theory!
At the same time, he has advanced surgical skills, which includes interventional techniques.

Advanced skills, able to top the level of the chief physician of the top three hospitals.

And just now Yu Guang said that Director Xie of their intervention department is capable of completing it, so he should be fine too!

So at this time, I must stand up!

Yu Guang couldn't sit still anymore, turned his head to look at Lin Yi and said:
"This Doctor Lin, being able to propose such a plan is not the same as intervening!"

"Have you had similar surgery before?"

Lin Yi shook his head truthfully, and said:

"No. But I promise, I do have enough technology to support this operation, please agree with Dean Sun!"

After finishing speaking, Lin Yi looked at Sun Liantao with pleading eyes.

"This…………"

Now Sun Liantao was in a dilemma.

Who is this young doctor?
The deputy director of the Interventional Department said that the operation could not be done, but he was so sure that there was no problem.

But wouldn't he be crazy if he dared to say that without two brushes?
After all, this matter is not a joke, he should not make fun of his own future!
Seeing Sun Liantao getting embarrassed, a doctor next to him introduced him in a low voice:

"President Sun, he is an attending physician in the emergency department."

"Emergency Department?"

Immediately, Sun Liantao's eyes widened in shock.

How dare a doctor in the emergency department let go of such words?
This…………

"However, during his time in the emergency department, his performance was really surprising."

"Diagnosis of several cases of dysfunction, and also used a very high suture to suture the wound on a little girl's face, which was almost dug away by the oral and maxillofacial department."

Then the doctor went on to say to him,

"By the way, in a pre-hospital emergency some time ago, he stopped the bleeding from the patient's liver with his bare hands, ensuring that the patient was successfully treated."

"Stop the bleeding with bare hands?!"

Sun Liantao looked at this young doctor with firm eyes and kept thinking.

Although he had shown great abilities before, he had no experience in interventional surgery after all, so it would be too childish for him to take Mr. He rashly!

Even if time is tight now, you can't be so hasty!
After all, be responsible for patients!
After thinking for a while, Sun Liantao sighed and said:
"So, now I will send a video to Xie Yaqiang, the director of the Intervention Department, and ask him if he has any comments."

After Sun Liantao finished speaking, everyone nodded slightly in agreement.

Afterwards, Sun Liantao stopped wasting time and directly started a video call with Xie Yaqiang.

A few seconds later, the video was connected over there.

"Dean Sun, are you looking for me?"

After the video was connected, Xie Yaqiang couldn't help being slightly surprised, and looked at Sun Liantao on the screen.

Sun Liantao took a picture of the situation in the office with the camera, and said to him:
"Xiao Xie, we are having a consultation right now! Are you busy now?"

"No, Dean Sun, I'm resting in the hotel now!"

Xie Yaqiang said again and again, then hesitantly asked:

"Are you consulting on the matter of Mr. He Laishui?"

"Yes, yes, how do you know?"

Sun Liantao nodded, a little surprised.

"Just now, Yuba told me about the situation, and it's indeed a bit complicated."

"If I were here, I could still perform interventional surgery, but..."

Speaking of this, Xie Yaqiang frowned and sighed.

"Xiao Xie, this is the situation now!"

"We have a young doctor in the emergency department here, and he said he has the ability to perform this operation."

Immediately afterwards, Sun Liantao said to him.

"what?"

Xie Yaqiang was shocked when he heard it, and almost thought he heard it wrong!
"The doctor in the emergency department said that this operation can be performed?"

Then, he asked suspiciously.

Our interventional department can only complete the operation that I can do by myself, and you, an emergency doctor, are arrogant. Isn't this a slap in the face of our interventional department?
Xie Yaqiang couldn't help feeling sullen.

In his consciousness, this emergency doctor was just looking for trouble and grandstanding!

"Yes, that's right, it's Dr. Lin!"

As Sun Liantao said, he walked up to Lin Yi and handed him the phone.

Lin Yi greeted Xie Yaqiang to the phone camera and said:

"Thank you, Director, hello."

Xie Yaqiang looked at Lin Yi on the phone screen and questioned:

"It's you who said you have the ability to perform interventional surgery on Mr. He?"

Lin Yi was not affected by his doubts, and nodded seriously, saying:
"That's right, Director Xie."

"Just now I proposed an intervention plan, but Director Yu said he was incapable of completing it."

"But the old man's situation is really critical now, and I can't wait any longer. I can only ask for a job temporarily."

After Lin Yi finished speaking, Yu Guang was so angry that his teeth were itching!
Although what he said was true, it was too embarrassing!

Xie Yaqiang couldn't help laughing after hearing this:
"Hehe, Yu Guang can't finish it, you can only temporarily ask for a job..."

"Well, for the sake of your self-confidence, how about..."

"I'll test you a few questions, if you can answer them all, then I'll pass."

"Is that all right?"

"Okay, Director Xie, no problem!"

After hearing this, Lin Yi immediately nodded in agreement.

Question yourself?
Come on!Is there anything I can't answer?

"Dean Sun, what do you think of my method?"

"Because of being involved in this area, many things cannot be faked. I will know if he has the ability in this area!"

"I'm done testing, you can decide!"

Later, Xie Yaqiang asked Sun Liantao again.

"no problem!"

Hearing this method, Sun Liantao was also very satisfied.

He knew that the question Xie Yaqiang asked would definitely not be simple!
And this is also the quickest way to tell whether this kid has real talents or not.

Seeing that they all agreed, Lin Yi said directly:
"Director Xie, you can ask."

Xie Yaqiang nodded, and then thought about it in his heart, thinking about what questions to ask him.

After a while, he spoke directly:
"Hmm... Let me ask you the first question, how to confirm the location of the thrombus and the degree of embolism during the operation?"

As soon as this question came up, Yu Guang on the side also thought about it.

Immediately afterwards, he couldn't help but nodded secretly to express his admiration for Xie Yaqiang's question.

Because this problem is not simply looking at the film and talking about the embolism site.

Instead, I am asking what means are needed to judge during the operation.

This is the first step in surgery. If you can't judge, then the surgery will naturally be impossible!

After Lin Yi heard this question, he almost didn't think about it, so he blurted out:
"As long as the 6F catheter sheath is used to insert the 6F guide tube, the left and right internal carotid artery or vertebral artery can be selected for selective cerebral angiography under TV monitoring. It is possible to fully understand the location of thrombus formation and the degree of embolism."

"At the same time, after it is clear, the guide tube can be inserted into the internal carotid artery or vertebral artery on the lesion side!"

(End of this chapter)