Gou is practicing medicine in the clinic

Everyone watched as the patient's heart rate and blood pressure increased little by little, and the electrocardiogram peaks also appeared.

The normal heart rate is sinus heart rate.

If the rhythm is regular, it can be considered that the heart has returned to its normal state.

After a while, the patient's heartbeat had completely restarted and reached a relatively ideal state.

Warm cheers erupted in the operating room.

Every doctor and nurse is happy that the patient has saved the day.

This operation has gone through major twists and turns, and is now considered a complete success.

"Director Shang, I have a question for you. A patient's heart usually needs to stop beating during surgery. Then after the surgery, does it require an external heat source to increase the patient's body temperature to help the heart beat again?"

Li Jingsheng looked at the patient whose heart returned to normal, but still felt a little worried in his heart.

This patient's problem during the heart re-beating process was not an 'accident'. It is possible that there were other causes of the disease in the patient's body, but they were not discovered.

"Whether the temperature rises again depends on the specific situation. Today's situation is indeed a bit special."

Director Shang was immersed in joy and obviously did not understand Li Jingsheng's profound meaning.

After Director Shang stared at the screen of the life monitoring instrument for a while, he said in a relaxed tone, "It was a false alarm. The patient's condition has stabilized. Observe for a while, and if there is no problem, push him back to the intensive care unit."

After finishing speaking, he looked at Li Jingsheng.

"Dr. Li, thank you so much today. Please come to my office for a cup of tea!"

This was to prepare Li Jingsheng to be called to the office to pay for his hard work.

You can't just ask someone to work for nothing, right?

Otherwise, I won’t be able to invite you next time.

There were still patients waiting for treatment in Li Jingsheng's clinic. For the sake of Professor Wang Weiwei's face, he rushed over to provide emergency treatment.

When I came here, I didn’t expect to be of much help.

Because there are a lot of top doctors here at the People's Hospital, all of them are powerful. He considers himself just a wild doctor and has not been exposed to many difficult cases.

There are also very few rescue methods that can be learned in daily life.

"I will come to your place for tea another day. When I came out today, there were still patients in the clinic and I was anxious to go back to deal with them."

"Then I'll give it to you."

Director Shang didn't force him to stay.

He also knew that Li Jingsheng was busy with work, so it was a great kindness to come all the way to help.

The two walked outside.

"Old Wang, I'll go back first!"

Before Li Jingsheng left, he did not forget to say hello to Wang Weiwei.

"Well! Thank you for your hard work!"

Wang Weiwei nodded.

After leaving the operating room, Li Jingsheng turned to look at Director Shang.

"Director Shang, I have told you not to have any objections."

"Please tell me I don't have a problem with it."

Director Shang's face turned slightly serious.

"Although this patient's heart has successfully restarted and his heart rate has returned to normal, I suspect there is still a hidden cause that has not been discovered."

"Oh, do you suspect that the patient has other illnesses?"

Director Shang stared at him.

"Yes, there may be hidden diseases. It may be some problems caused during the operation, or it may be that the hidden lesions that existed before the operation were not detected."

What is the specific disease? Li Jingsheng is not a god, so he really has no way of diagnosing it.

It can only be detected through further examination or until the patient shows some typical symptoms.

"There shouldn't be any problems during the operation. Our technology for cardiovascular repair is very mature, and it's not the first time to replace the aortic arch. I watched the entire operation, and I personally performed the most critical steps. If there is a problem, it is likely to have existed before the operation. Which area do you suspect the problem is? The blood vessels or the heart function?"

Director Shang is very confident in his skills.

The team is also the top cardiac surgery team, and all of them are experienced cardiac surgeons.

Some people are good at heart valves, some are good at myocardium, some are good at cardiovascular systems, and some are good at blood and oxygen systems.

"Uh... It's really hard to say. I personally think there is a greater chance of vascular problems."

When Li Jingsheng heard Director Shang speaking so confidently, it was hard for him to talk about the possibility of problems during the operation.

After saying that, he went into the locker room to change clothes.

As soon as I entered, I heard a nurse running anxiously outside to look for Director Shang.

"Director Shang, Director Shang, it's bad, the patient's ECG signal suddenly showed ST segment elevation."

This problem occurs soon after the heart starts to beat again, which is more terrible than failure to restart the heart.

Because the rejuvenation is unsuccessful, the extracorporeal circulation machine can be used to maintain it first.

If something goes wrong after successful re-jumping, the patient can easily die.

The difficulty of rescue is often very high.

"Use nitroglycerin to dilate the coronary arteries immediately!"

Director Shang said as he ran towards the operating room.

He was too embarrassed to ask Li Jingsheng for help.

The cardiac surgery department of the People's Hospital itself is not that weak.

Relying on one clinic doctor again and again will not sound good if the news spreads.

Li Jingsheng took the initiative to help.

At least help with the diagnosis to see what the patient's condition is.

Now if there is a problem, he will just leave without any excuse.

If the patient is gone, it doesn't make much sense to come all the way to save him.

After entering the operating room, he first checked the patient's basic physical signs such as respiration, blood oxygen, and blood pressure. Then check the patient's ECG performance.

The patient's ST segment was significantly elevated, the ORS was significantly widened, and the heart rhythm changed from regular to irregular.

It can even be called messy.

"There must be something wrong with the patient's myocardial contraction. He feels that the myocardial contraction is a bit weak and uncoordinated. It's like people are unable to do what they do when they get old." After Li Jingsheng looked at it, he immediately diagnosed the patient's general condition clearly.

It's just that the cause of these problems requires further diagnosis.

The situation now is very critical.

If the cause cannot be found out in time and effective measures are taken, the patient will die.

Director Shang and Wang Weiwei are experts in cardiac and cardiovascular fields, and they are also quickly analyzing the cause of the patient's disease.

However, precisely because of their high level of expertise, their diagnosis speed was not as fast as that of young doctors like Li Jingsheng.

Too much diagnostic experience will make them more cautious in diagnosis.

Director Shang has immediately directed the nurses and doctors to dilate the patient's coronary arteries and enhance cardiac contractility.

Generally, nitroglycerin can achieve very good results in dilating coronary arteries.

Adrenaline and other drugs are commonly used to enhance cardiac contractility.

Li Jingsheng watched from the side, quickly diagnosing the patient's true cause of illness in his mind.

It was fine at first, but suddenly it caused irregular heartbeat and weak myocardial contraction... It seemed that it was not a problem with the heart itself.

It's more like external interference.

It can interfere with the normal operation of the heart, and it feels like there is a higher possibility of cardiovascular problems.

If the surgery is to replace the aortic arch, the possibility of the problem occurring in the veins is almost zero.

The problem is most likely in the coronary arteries.

Could it be that the air bubbles blocked the coronary arteries?

This is a problem that easily occurs after surgery.

"Director Shang, is it better to use beta stimulants as drugs to enhance cardiac contractility?" "What's the reason for using this drug?"

Director Shang's face was solemn and his brows were furrowed.

What the chief surgeon fears most is that the patient's operation is messed up and the patient dies on the operating table.

This patient had many twists and turns, which made Director Shang very miserable.

"In case there are air bubbles in the coronary arteries, using this drug can quickly drive the air bubbles left in the coronary arteries into the coronary sinus, thereby restoring smooth coronary blood flow. If this drug is used continuously, it will have a good effect. If the curative effect is achieved, further operations can be carried out.”

Li Jingsheng replied calmly.

Now his medicinal efficacy and pharmacodynamics have reached the director-level level, and the use of various clinical medicines is at least as easy as one's fingertips, not to say that he is at a state of perfection.

"Listen to him and use beta stimulants."

Director Shang directly gave the intraoperative medical instructions.

When rescuing patients, face, qualifications, and honor are all empty.

The most important thing is to keep the patient alive.

Listen to whoever has the ability.

"Can the anesthesia teacher increase the perfusion pressure to assist in the rescue?" Li Jingsheng looked at the female anesthesiologist.

The purpose of this is to deoxygenate the kidneys.

"Already working on it."

she replied.

Although it was her first time dealing with Li Jingsheng today, she admired the young doctor's medical skills very much.

Not to mention her, even several doctors under Director Shang looked at Li Jingsheng with admiration.

If Li Jingsheng's previous discovery that the patient's body temperature may be lower than the normal heart re-beating temperature was just an accident, then now he is conducting a rapid secondary diagnosis of the patient's cause.

, and gave a series of well-founded rescue suggestions, which is absolute strength.

In the operating room, the patient's rescue work is in progress.

If you use the right drugs and rescue methods, the effect will be immediate.

The patient's condition was quickly stabilized.

"It's true that the air bubbles blocked the coronary arteries. I thought of this possibility at first, but I didn't dare to make a diagnosis. Young doctors like Dr. Li are so motivated!"

Director Shang's words sounded like he was saving some face.

"Jingsheng's diagnosis and treatment style has always been very decisive! We are old and have many concerns. It is appropriate to leave this kind of rescue to you young people."

Wang Weiwei also answered.

"Two directors, please don't praise me. We young people dare to dare, but there are many opportunities to get into trouble. In the end, we have to evolve to your stable state."

Li Jingsheng didn't dare to be praised by the two directors.

Old experts are more stable, while young doctors are more energetic. This is natural.

"Haha, you can only say nice things."

Director Shang felt much relieved when he saw that the patient was out of danger again and the hidden dangers were eliminated.

After being complimented by Li Jingsheng in disguise, his mood became extremely good.

"Dr. Mo, it seems that you did not do your job properly during the operation, which caused the bubbles to appear in the coronary arteries. You must pay attention to it next time."

Director Shang was in a better mood and even scolded people much softer.

That's just a light reminder.

"It was indeed an oversight. I will pay attention next time."

Dr. Mo is in his late thirties and is the youngest doctor in the team.

He has a high emotional intelligence and did not argue, but took the initiative to admit his mistakes and correct his attitude.

In this case, just talk back to Director Shang, unless you don't want to mess around.

"You still need someone to tie the bell to untie it. The task of venting the aorta is left to you."

Seeing that he had a good attitude, Director Shang immediately gave him another opportunity to practice.

"okay!"

Dr. Mo happily accepted this task.

Get the exhaust needle from the instrument nurse and puncture the aorta.

This is a very risky operation.

The purpose is to use a vent needle to insert into the aorta to expel the air remaining in the heart and blood vessel cavities.

Similar problems are often encountered when anastomosing blood vessels.

If the air in the blood vessels is not cleared, blood clots can easily form.

The coronary arteries are the thickest blood vessels in the body, and surgeons often tap them during surgery to empty them of air.

But the blood vessels are so thick that removing the air requires extremely skillful operations.

It is inevitable that omissions will occur, and at this time it is easy for the patient's problems to arise.

Watching Dr. Mo puncture the aorta with precise and skillful movements, Li Jingsheng gained a deeper understanding of the strength of this team.

Dr. Mo should just be the youngest and weakest one in the team.

He is already so strong, others will only be stronger.

The patient was out of danger and potential risks were eliminated. Li Jingsheng said goodbye and returned to the clinic.

Director Shang personally took him to the gate of the hospital and called him a taxi, which was a considerate service.

"Dr. Li is the most talented young doctor I have ever seen. Whether it is your temperament or your diagnostic skills, you are very suitable to be a cardiac surgeon. Do you have any ideas about working in the cardiac surgery department of our People's Hospital?"

Director Shang asked him through the window.

"Being able to work in a key department of the People's Hospital is a good thing that many doctors dream of. I also think, it's just that I don't have enough time to do it! The clinic has a lot of employees and cannot be thrown away. I also have to do the work in the Second Hospital, and there will be more in the future I’ll give you more opportunities to learn about cardiac surgery. When I’m free one day, I’ll have more room for development.”

If Li Jingsheng had not entered the Second Hospital, he would have agreed without hesitation.

The Cardiac Surgery Department of the People's Hospital is definitely on the cutting edge.

"Haha, you are always welcome! Let's add WeChat so that we can communicate at any time if we have anything to do in the future."

Director Shang took out his mobile phone and took this opportunity to become WeChat friends with Li Jingsheng.

For Li Jingsheng, it was also a dream come true.

This is a high-level connection.

"Director Shang, I'll leave now. Goodbye!"

"Okay, be safe on the road! Thank you for your hard work!"

Director Shang waved goodbye.

The taxi drove out of the gate of the People's Hospital and headed towards the old street in the south of the city.

"Dr. Li, I didn't expect you to be so popular in People's Hospital!"

The driver actually knew Li Jingsheng.

"Haha, I only make a cameo once in a while!" Li Jingsheng responded with a smile.

As his fame grows, especially after he shares popular medical knowledge on self-media platforms such as Douyin, more and more people know him.

We often encounter situations where others know him, but he does not know the other person.

I'm used to it now.

"A doctor with real skills like you will be welcomed wherever he goes. My child broke his hand last time, and he went to two hospitals and said he needed an operation. Fortunately, a fellow driver knew you, and he told me, I can take my child to your place to have a look. After I went there, the total cost of treatment was more than 640 yuan, which is much cheaper than the hospital, and there is no need for surgery, and there will be no scars on the child's hands. There is no need to be hospitalized. Escort.

You may be a small thing every day, but it is of great help to my family.

If my car doesn't run every day, I'll lose hundreds of dollars. "

When the taxi driver mentioned the child's treatment at the Sunshine Clinic, his tone was full of gratitude and respect.

"Is your child's hand healed now?"

"Good morning! As a kid, he recovers very quickly. My father-in-law broke his leg last year and has to use crutches to walk this year."

The driver is also a talkative person. (End of chapter)