This doctor has a system

Chapter 309: Can you defeat me with 298.17 cards? ? ?

Although the causative factors were eliminated, the girl's breathing and heartbeat stopped for too long and she still could not be weaned off ECMO.

Gao Feng had contacted Director Lu of CCU in advance, and the other party had prepared a bed for Holia. She was placed on the bed together and connected to dense tubes and lines.

After further improving ultrasound and other examinations, it was discovered that Holia actually suffered from congenital heart disease - patent foramen ovale.

The foramen ovale forms an abnormal channel that allows part of the venous blood to enter the arterial blood.Small emboli in venous blood enter the blood circulation directly without being filtered.

Tiny emboli accumulate and gradually form larger emboli that travel throughout the body, leading to myocardial infarction or cerebral infarction.

"In other words, obesity and patent foramen ovale are likely to be the causes of acute myocardial infarction in patients." Director Lu analyzed.

"That should be the case." Gao Feng also agreed with him.

Horiyah is unfortunate, but at the same time she is lucky. Gao Feng has done everything he can for her so far, and the rest depends on fate.

But fat people generally have good luck.

Even if your life is bad, you can't actually gain weight.

Holiya woke up three days later. As soon as the little girl woke up, she heard a symphony specially held for her, which was performed by micropumps, ventilators, CRRT, ECG monitoring and other instruments.

"Classmate, how are you?" Director Lu asked softly, "Do you feel any discomfort?"

"Where am I?" Horiyah asked in a daze. Maybe it was because she had been in coma for too long. She had no memory of what happened before.

"You have a myocardial infarction." Director Lu said to her, "This is the CCU of the Provincial People's Hospital."

"what?"

Horiyah's recovery was simply a miracle. Her parents cried with joy outside the intensive care unit. This was the only girl in their family.

After hearing the news, Holia's parents almost fainted. They are also somewhat educated people and know what cardiac and respiratory arrest means.

I originally thought that my daughter would definitely be cold.
"Let her eat less in the future!" Holia's mother said, "I have told her long ago that obesity is not good, but she just doesn't listen and becomes as fat as a pig."

"Why are you talking about this at this time?" Huo's father said dissatisfied, "You still have to keep up with nutrition after recovering from a serious illness. Weight loss can't be rushed for a while."

Looking at his weight of nearly 200 kilograms, Huo's mother shook her head helplessly. Her daughter was so fat because of her father. Who let him be a cook?

Why did she marry this man because he was fat and dark?Not just for the sake of delicious food
Three days later, Holia was successfully weaned off ECMO, her vital signs continued to improve, and she was about to be transferred to a general ward.

The patient's successful treatment caused quite a stir in the industry, and the "artifact" ECMO has entered the field of vision of many people.

Let me mention here that the person who invented ECMO is called John Gibbon.

He is a noble man.

Yuan Shaoai of the Three Kingdoms said "four generations and three princes".

Counting four generations up from the Yuan family, every generation has been a high-ranking official. The situation of John Gibbon's family is similar to his. Counting up four generations, every generation has been a famous doctor.

John Gibbon, who came from a medical family, was influenced by his fathers since he was a child and determined to be an excellent doctor.

On October 1930, 10, 3-year-old Gibbon met a patient.There was something wrong with this patient's gallbladder and it had to be removed.However, the patient developed a clot after the gallbladder was removed.The blood clot travels with the blood circulation and travels into the lungs, blocking the blood vessels like an embolus.

The lungs are a very amazing organ, composed of countless tiny balloon-like alveoli.

Every breath of air we take enters these small balloons along the pathways composed of organs at all levels; and they capture the oxygen and send it to the blood to keep the fire of life burning.

Given the medical conditions at the time, surgery was necessary to save the patient, but it had to be very quick.

Gibbon's instructor had an amazing pair of hands and completed operations such as cutting blood vessels, removing blood clots, and suturing blood vessels within a few minutes, which was more standard than what was written in the textbook.

But the patient still died.

In fact, this is not beyond everyone's expectation. It would be a miracle if he survived.

Before dying, the patient struggled violently, his face was livid but he could not breathe and could not get any oxygen.

Such tragic scenes lingered in Gibbon's mind for a long time, which gave him a very deviant idea: to use machinery to make a lung to help patients breathe!
This idea is a bit too advanced, even deviant.

"How can an organ made of flesh and blood be replaced by a cold machine?" People around him thought he was crazy and believed that this road would never work.

His friends advised him to choose a safe research field and publish more papers so that he could find a job at Harvard; his mentor prevented him from changing research fields so that he would not waste his good time on a dead end.

But Gibbon insisted on his own ideas.

The great five-star general General MacArthur once said: Flesh and flesh are weak, but machines soar!

Gibbon could never forget that face, desperate for oxygen.Who knows how many such patients there are in the world, waiting for relief from their pain?

Although his supervisor was not optimistic about his research, he did his best to find him a research position and a small laboratory.

Thanks to his wealthy family status and funding from his father's generation, Gibbon's life and work were going well.

In 1934, in the Bulfinch building of Massachusetts General Hospital, Gibbon and his then-assistant, later his wife, began a journey to create lungs.

According to Gibbon's plan, they need to conduct a large number of experiments on animals to solve the problems of artificial lungs bit by bit before further verification on humans.

The principle of artificial lung is not complicated: cut the patient's blood vessels, use a catheter to draw the blood out, inject oxygen into the blood, release the carbon dioxide in the blood, and then return it to the patient's body.

But it is extremely difficult to do: if the blood flows out too fast, the patient will die; if the oxygen is not injected fast enough, the patient will die; if the blood clots to form a thrombus or the presence of air bubbles causes air embolism, the patient will die...

Anyway, he will die at every turn.

In addition, there were still many unresolved problems in materials science and engineering at that time, and Gibbon's experimental process was extremely difficult.

But after several years of hard work, it was not completely fruitless. At least his wife gave birth to two children for him.

After experimenting with countless stray cats, Gibbon finally completed a successful experiment in 1935.

A successful experiment means a feasible direction, and with further improvements, we may be able to see the dawn of victory.

But there are always things in life that we cannot control.Not long after, the failed art student became the head of state of Germany. The Second World War broke out, Yoshimoto joined the army, and the artificial lung experiment was interrupted.

Everyone thought there would be no follow-up to this experiment, including Gibbon himself.

But sometimes, fate is so magical.

One day at the end of World War II, a middle-aged man wearing the rank of colonel returned to Massachusetts General Hospital.

"Oh my God! It's Gibbon!"

"He's not dead!"

Soon, everyone knew that the madman who studied artificial lungs was back.Life is also full of surprises that we don’t expect.A student admired Gibbon very much. His fiancée's father knew the president of IBM, so he tried to introduce Gibbon to the president of IBM.

Gibbon brought back a large number of outstanding engineers from IBM.At the same time, the National Institutes of Health (NIH) also saw hope in Gibbon's research and gave him a large amount of research funding.

Relying on continuous improvement, on May 1953, 5, 6 years after he determined to research artificial lungs, Yoshimoto finally successfully performed a human surgery using ECMO.

He was already 50 years old at that time.

Gibbon did not make any money from ECMO, nor did he even think about it.

On February 1973, 2, 5-year-old Gibbon passed away forever due to a heart attack while playing tennis.But his invention stayed and has been helping the most critically ill patients.

More than 40 years later, a fat Chinese girl escaped the clutches of death with the help of this instrument.

Gao Feng admires these talented people very much. It is precisely because of their forward-looking vision and practice that later generations can go further on this basis.

He believes that the current ECMO equipment is doing very well, but it is not without shortcomings. First of all, it is too large and has almost no portability.

There is no way around this. As a life-saving instrument for critically ill patients, its stability must first be ensured. The ECMO host will also be equipped with a hand crank.

In the event of a power outage or other special circumstances, this thing will come in handy.

Director Lu, who had a serious heart condition, once shook this device. At that time, the charging equipment failed and the power of the backup battery was about to be exhausted. He could only activate the artificial power generation mode. Director Lu sat on the ground and shook it for more than 2 hours.

However, this situation is generally relatively rare.

Another disadvantage is that it is expensive.

Taking a commonly used imported ECMO as an example, the start-up fee alone costs nearly 10 yuan, and the subsequent cost ranges from 1 yuan to 3 yuan a day. Most people cannot afford this fee.

Of course, ordinary people cannot use this instrument.

Gao Feng suddenly became interested in this thing.

"Youliang, please take the time to do some statistics and see which manufacturers these ECMO units in our hospital are from? How much did they cost?"

Li Youliang didn't dare to neglect. He figured out the situation that afternoon and reported it to Gao Feng.

Usually, when the leader asks you to take time to do something, the subtext is to ask you to do it right away.

"3 MAQUET and 2 Medtronic."

Among them, MAQUET is a subsidiary of GETINGE AB, a group listed in Sweden.

Medtronic was founded in the United States in 1949 and is a world-renowned provider of medical technology, services and solutions.

"Aren't there any made in China?" Gao Feng asked.

"No, there is no manufacturer in China that produces this thing." Li Youliang checked the information specifically. He learned a lot in the past few years following Director Zhao.

When your leader asks you to do something, if you do it well, you must have passed the test.

But if you can understand and grasp the extended part of this matter, it may come in handy at critical times and gain more credit in the leader's mind.

But this also needs to be done on a case-by-case basis.

If your monthly salary still doesn’t exceed 3000 yuan no matter how hard you work, I suggest you don’t bother. The boss doesn’t deserve such an outstanding person.

"Not made in China?" Gao Feng was quite surprised. This meant that all such expensive instruments were imported.

"I feel like the principle isn't that difficult." He murmured to himself.

"I think it's definitely not easy." Li Youliang expressed his opinion, "We Chinese people are not stupid. If we can make such an expensive thing, we will still make a lot of money."

"There must be some problems that cannot be solved at the moment."

"I have contacted a senior who works at Medtronic. He asked me to contact him in the evening. I will ask then. This should not be a secret."

"Okay, you can ask in detail." Gao Feng was very satisfied with him. "It's best to ask if any domestic institution is studying this thing."

If such an expensive machine could be made, even if the price was only 1/5 of the imported price, it would be the rhythm of taking off from the same place. He didn't believe that everyone would be indifferent.
-
10 p.m., staff dormitory
The lobby on the first floor has now been transformed into a leisure place. Since today is Saturday, there are quite a lot of people, and Hu Jiaran is also there at the moment.

A well-known cartoon was playing on the TV, and a few people were playing poker aside.

"You said this anime is so childish. If you fight, you just fight. Why do you have to call out the names of the moves? Isn't it embarrassing!" Wang Liang complained.

"Four twos!" he shouted, "bomb!".

Everyone
"Why do villains like to talk about their weaknesses so much?" Wang Liang then complained, "Are you stupid?"

"That's right, no normal person could do such a thing," Yue Penghui, who had just walked over, agreed.

"I've revealed my cards!" Wang Liang said proudly, "If you have a bomb, you still have a chance to win!".

Everyone
"Why has the villain not killed the protagonist for so long, and why does he talk so much?" Wang Liang said.

Everyone remained silent, but looked at him.

"Oops, the little landlord has 3 cards left? Is it a pair of 4s plus a single?" He smiled, "I have two 2s in my hand now, but I just don't want it and let you play again."

"Hahaha!"

"You dare to ask for a landlord with your cards, who gave you the courage?"

"Is Liang Jingru?"

"Three fours." The landlord threw out the cards in his hand.

"F*ck!" Wang Liang's face looked like he had eaten shit, "What the hell are you doing?"

Everyone
After a while, Wang Liang got another good deck of cards. This time he was the landlord.

"Hey, just use Xiao Wang to push me up." He said disdainfully, "I don't want it, just keep going."

"I don't believe it. With 17 cards, you can beat me???"

"Shunzi." A farmer threw it away in his hand.

"F*ck! What the hell are you?" Wang Liang turned the table over and said, "You're not going to play anymore!"

Everyone
How did such a mentally retarded person dominate the laboratory?Hu Jiaran was speechless for a while.

Wang Liang's artistic performance in playing poker today was simply like an old woman taking the initiative to get under the covers - which made me laugh.

(End of this chapter)