Gou is practicing medicine in the clinic

Li Jingsheng felt particularly gratified by the kindness and gratitude of Mr. Wan and his wife.He also became more determined to work hard to improve medical skills and benefit more patients.

Now the two buildings of the clinic have been successfully purchased.

Although all the savings were used up, it was very worth it.Now that he is the owner of these two buildings, he no longer has to worry about the landlord raising the rent or even evicting them directly.

And it’s your own house, so you can decorate it however you want.

I used to want to build a better operating room, but I was worried that after spending hundreds of thousands to renovate it, the rent would expire and people would no longer rent it.

By then, many things will not be able to be dismantled.

That loss was huge.

It's different now. As long as he is willing to keep the clinic open, there is no need to worry about this at all.

"I have to work hard to save money to prepare for the establishment of an endoscopy room in the future."

Also, to marry Qinglan next year, she must buy at least a wedding room.Separating your workplace from your home is definitely a good thing.

I didn’t have that condition before, as long as I had a place to sleep.

Now that you have strong earning power, buying a house shouldn’t be difficult.

Li Jingsheng has not yet decided whether to buy a villa or a three-bedroom commercial residence in one step.

This matter needs to be discussed carefully with Ou Qinglan, after all, the two of them will live together in the future.

After getting off work, Li Jingsheng rushed to the People's Hospital and agreed to do interventional research with Wang Weiwei and Luo Binggang today.

Interventional treatment has great advantages, one is minimally invasive, and the other is the speed of opening blood vessels.

It allows patients to restore blood flow to blocked blood vessels in a very short period of time.

This is of great significance for the rescue of patients with acute myocardial infarction, cerebral infarction, and cerebral hemorrhage.

For some patients with myocardial infarction, the more myocardial cells die every second their blood flow is restored every night.Even if the person is saved in the end, a large area of ​​the myocardium dies, causing the heart to become weak in contraction.

This can lead to future heart failure in the patient.

At the very least, I am out of breath after walking a few steps and cannot do heavy work.In severe cases, a pacemaker or even a heart transplant may be required.

In addition, serious complications may occur.

For example, ventricular aneurysm, pseudoaneurysm, etc.

Li Jingsheng came to Wang Weiwei's laboratory.

Some scientific research is completed in the laboratory, possibly with the help of some simulation equipment.Some scientific research is completed directly on real patients.

"Jingsheng is here! Come in quickly, Comrade Luo and I are waiting for you."

"Xiao Li, look at this blood vessel. I have specially set up multiple obstacles for it. The blood vessel wall is severely calcified, there are many plaques, and there are vascular malformations. It happens that this is the extremely important left anterior descending branch. If it cannot be opened in time, , the consequences were extremely serious. But Lao Wang and I tried various methods, but could not let the guide wire pass."

Luo Binggang belongs to that kind of scientific research madman.

Once you study the treatment of a certain disease, you will be like a madman, forgetting to eat and sleep, trying to find ways to overcome the difficulties.

Even myocardial infarction is divided into many conditions.

Depending on the conditions of the blocked blood vessels, the difficulty of treatment will vary greatly.

The type of chronic myocardial infarction that is easier to perform interventional surgery leaves the doctor with sufficient time for treatment and the blood vessels are not completely blocked.

But the biggest pain point of chronic myocardial infarction is that most patients have had chest pain and chest tightness for a long time, but they have been enduring it.

He has always refused to come to the hospital for treatment.

You must wait until very serious symptoms appear, or even sudden cardiac arrest, before you rush to the doctor.

Usually they are taken to the hospital by 120 ambulance.

At this time, the patient's cardiovascular system was completely blocked, a large number of myocardial cells had died, and the ejection value of the left ventricle was even less than 10%.In this case, whether it is intervention or bridging, the meaning is very limited.

If the ejection value does not rise after hospitalization, there is little point in performing heart surgery.

An artificial heart or heart transplant is often required.

If the problem does not progress to that serious level, even installing a pacemaker can ensure that the patient has a higher quality of life.

"You mean to let me use manual massage and massage to help your guide wire successfully pass through the blocked diseased blood vessels, right?"

Li Jingsheng observed the blood vessels in the human model.

The blockage is really serious.

And because of vascular malformations, this undoubtedly makes it more difficult for the guidewire to pass.

"I'm just waiting for you to come to massage. Anyway, Lao Wang and I have tried no less than twenty times, but all ended in failure." Luo Binggang has already impatiently picked up the control handle.

The guide wire is now against the blocked blood vessel segment, but it is stuck and cannot pass.

"OK, let me try massaging from here."

Li Jingsheng began to massage the mannequin.

Although this is just a human body model, the price is extremely expensive, as high as more than 130 million yuan.It is specially customized by Luo Binggang and Wang Weiwei.

They and Li Jingsheng were even involved in some design work.

Li Jingsheng has mastered the art of bone touching and has extremely rich experience.

It can be said to be well-informed.

He has his own unique insights into the understanding of blood vessels.

He tried massaging the mannequin's midsection.

The ribs and organs are very realistic.

The blood vessels in the body are clearly visible.

Doing scientific research is very expensive, but if you reach the level of Wang Weiwei and Luo Binggang, you can usually get some support from scientific research funds.

Some large domestic companies are also very friendly in this regard.

Special medical research funds have been set up, such as Penguin, which specifically funds some top doctors and scientists to conduct research.

600 million per year for one person, this kind of generosity is definitely not something that ordinary people can afford.

With Li Jingsheng's massage, some changes obviously occurred in the anterior descending branch of the human body model.There is a certain gap compared with the real person's hand feel, but the difference is not too big.

"Okay, very good, that's it!"

Luo Binggang shouted excitedly.

Wang Weiwei was also very excited watching it.They have conducted experiments like this N times.

Simulate various blood vessel blockages and work together to explore ways to open them.

It can not only accumulate valuable practical experience in simulation experiments, but also study whether it is possible to open it through intervention under the extreme conditions of various blood vessel blockages.Also, how long will it be open for?

"It's stuck! The guide wire can't pass!"

Luo Binggang concentrated on controlling the guide wire and tried to pass it, but failed.

"Lao Luo, let me try."

Wang Weiwei watched anxiously and volunteered to take over.

As a result, he also failed.

Seeing things is easy but doing things is difficult.

The level of the two was about the same. Luo Binggang failed, and Wang Weiwei had an extremely low chance of success.

"I'll try another approach."

Wang Weiwei did not believe in evil and changed the vascular approach from the hand.

Still failed.

"It seems that in such extreme situations, there is no possibility of intervention at all." Luo Binggang began to summarize.

"Old Wang, help me hold the model's upper abdomen and squeeze it to the left."

Li Jingsheng picked up the control handle.

Wang Weiwei and Luo Binggang's eyes widened in unison.

"You...you want to try?"

"I won't give up easily if I don't give it a try."

Li Jingsheng replied with a smile.

His implantation surgery has reached the pinnacle, and he is almost invincible in colonoscopy.It is one of the best in Jiangli City.

Now he wants to challenge cardiovascular interventional surgery.

I saw him controlling the guide wire to advance rapidly, showing a very high level of intervention.

"Xiao Li, it's okay! I haven't seen you perform interventional procedures for a while. I didn't expect you to make such great progress."

Luo Binggang's eyes were shining.

Wang Weiwei also watched with shock. Under Li Jingsheng's control, the front end of the guide wire was like a fiercely advancing poisonous snake.

Some obstacles in the blood vessels cannot stop it at all.

"Old Wang, use a little more force and push to the left."

"it is good!"

Professor Wang Weiwei has such a high status, but he is willing to be Li Jingsheng's assistant.

Under the control of Li Jingsheng, the guidewire actually drilled into the blocked blood vessel segment little by little.

"Oh my God, I actually passed."

Luo Binggang felt incredulous as he watched the guide wire successfully pass through the blocked segment.

He had tried it himself just now and tried all the techniques and methods available, but he had never been able to pass it.

Li Jingsheng not only successfully controlled the guide wire to pass through, but also did so in a very short time.

If this were put into actual combat, it would be absolutely awesome, and the success rate of rescuing patients would be greatly improved.

And the death of the patient's cardiomyocytes can also be minimized.

"Jingsheng, how did you do it? You are not allowed to hide your secrets today. Lao Luo and I are both your old brothers. You have to teach us."

Even though Wang Weiwei was watching from the side, he could only take a superficial look if the person involved didn't say anything.

I don't understand the technique at all.

Medical technology, sometimes it feels like nothing more than that.That's because latecomers follow the path successfully taken by their predecessors, so they find it simple.

You need to explore it yourself, which is very difficult.

"To put it bluntly, it's not difficult at all. Have you seen this big patch? It is both an obstacle and a 'flaw' at the same time."

Li Jingsheng pointed to a large plaque in the blocked segment of the blood vessel.

After blood vessels become calcified, they will harden and easily form plaques.

Theoretically, the older you are, the more plaques you have in your blood vessels.The probability of large plaques also increases significantly.

It is abnormal for a 60- to [-]-year-old person to have no plaque in his arteries.

"Be more detailed."

Wang Weiwei and Luo Binggang were both extremely interested.

"You see where my guidewire passes, it passes along the edge of the plaque. Because the plaque is very hard, it actually plays a certain supporting role after all the blood vessel segments are blocked. From its If the edge passes through, there is a possibility of success.”

Li Jingsheng said with a smile.

The plaques are generally round or oval in shape. When they become larger, they look like raised tombs.

When blood vessels are blocked, it is generally not possible for all plaques to block the lumen of the blood vessels, but there may be thrombus.At this time, the thrombus is soft and more like jelly.

When it gets stuck in the plaque, the blood vessel becomes blocked.

But its contact surface with plaque is large, which may still create some small gaps.This is Li Jingsheng's opportunity. (End of chapter)