White armor

Chapter 113 The best mouth substitute Shen Zizai

"Director Shen, this is the deputy director of Princeton Interventional Medical Center, Teacher Fan Dongkai." Luo Haoxian introduced, "Mr. Fan, this is the chief director of our interventional treatment ward, Director Shen Zizai."

"Director Shen, what kind of patient consultation is this?" Luo Hao immediately returned his focus to the origin.

"The femoral artery is blocked and cannot be passed through." Shen Zizai explained, "Director Wang of the Vascular Department will take a look at us. If it is really difficult to pass through, we will perform bypass surgery."

After finishing speaking, Shen Zizai added, "But the patient's vascular condition is not good, and the risk of bypass is not small."

"Teacher Fan, would you like to give me a hand?" Luo Hao smiled and invited Fan Dongkai.

Fan Dongkai was a little surprised.

If it were him, he would say nothing to let the opponent get involved with this patient.

You can do it at your own hospital, or if it doesn't work, just build a bridge.

The opponent came here with the intention of kicking the gym no matter what. If they couldn't get the operation, the opponent got it. It was so embarrassing that it was thrown into the Pacific Ocean.

But Luo Hao didn't care and invited him directly, as if he wasn't afraid that he could perform the surgery.

However, the patient's venous and vascular conditions are also not good. Even if he undergoes surgery, there will be big problems after the surgery.

Technician No. 66 gradually became fascinated when he heard Chen Yong confronting Fan Dongkai.

"Director Shen, I will report to Director Feng about the surgical procedures. Do you think that's okay?" Luo Hao asked.

"Our senior brother, Director Yuan, is from Princeton Interventional Treatment Center." Shen Zizai said angrily, very unhappy.

Chen Yong immediately told the story of the dragon and phoenix becoming auspicious, and did not give up any opportunity to attack his opponent.

"Come? What are you doing?" Director Wang of the Vascular Surgery Department is also a human spirit, and he heard something strange in Shen Zizi's speech and behavior.

This is no longer the scope of consultation, but of rescue.

The patient has been sterilized and the sheets have been laid out. It has been tried by experts from various departments, and there are very few pre-steps.

"The blood vessel has not been occluded for a long time. There should be softer new thrombi that can pass. The probability is not low, at least 50%." Fan Dongkai said to Luo Hao when he went to brush his hands after watching the film.

The thing was quite ridiculous, but the patient was his. He felt really awkward and unhappy, as if there was a big stone weighing on his heart.

Chen Yong is really good at quoting classics and classics.

"what?"

"There is no culture at all, and my mind is full of pornography." Chen Yong added on the side.

"Teacher Fan, thank you for your hard work." Luo Hao bowed slightly and took out his mobile phone to report the matter to Feng Zixuan for the record.

Soon, Luo Hao hung up the phone, understood the patient's condition with Fan Dongkai, and performed surgery on his hand.

"What else can you do? You!" Shen Zizai cursed in a low voice.

"..." Shen Zizai didn't hide it and sighed directly.

He raised his head slightly and looked at Luo Hao, wondering what Luo Hao was thinking.

"Yes! If you have the ability, say 100%. It's not that you have no ability. Leave yourself a way out." Chen Yong found an alliance and began to attack Fan Dongkai.

Thinking of this, Fan Dongkai's eyebrows turned into "√", "Then I will give it a try reluctantly."

Therefore, Director Wang of the Vascular Surgery Department lowered his face and asked all departments that can perform interventional surgeries to come for "consultation."

But Luo Hao said, forget it. Shen Zizai didn't say anything, just nodded lightly.

Watching the two of them brushing their hands, Director Wang of the Vascular Surgery Department asked, "Old Shen, who is that?"

He doesn't care about speaking ill of others behind their backs. This is called true temperament, which is different from hypocrites like Luo Hao.

Although this is the most beneficial solution for patients, it is not the case for Luo Hao and his own interventional department.

Fan Dongkai stood in the position of the magician wearing a lead suit. Everything was normal. Luo Hao did not use any tricks.

But Luo Hao still changed a clean sterile drape, cleaned up the operating table, and familiarly ordered several guide wires that Fan Dongkai might use.

"Hahaha." Director Wang of the Vascular Surgery Department smiled sadly.

After Luo Hao finished brushing his hands, he stood on the operating table and started doing some preparatory work.

Shen Zizai felt uncomfortable in his heart, but when Luo Hao spoke, Shen Zizai didn't want to refute his face.

Did he kneel down too quickly or was there a conspiracy?

Ordinarily, the vascular surgery department should perform direct surgery and perform bypass surgery.

But he soon came to his own conclusion - it must be because of the prestige of the Princeton Interventional Treatment Center that the other party knelt down directly.

Fan Dongkai was a little confused.

"I think so too. Please help Teacher Fan give it a try. It would be best if you can do it without surgery."

If it doesn't work, the only way left is surgery.

Although medical institutions have many tricks and academic struggles are fierce, there are very few... very few... very few who use patients as bargaining chips.

Everyone can imagine how arrogant Yuan Xiaoli will be in the future if his senior brother performs an operation that no one can perform.

The patient's condition was serious, but not complicated. The left femoral artery was occluded, and the plaque was extremely thick and hard. The guidewire could not pass through it, and he did not even have a chance to try to remove the stent.

Until then, it depends on fate whether it will work out or not.

"You can really pretend and give back 50%. This is just making excuses for yourself." Shen Zizai said scornfully.

Consider him sensible!

Fan Dongkai started the operation and operated the micro guide wire into the femoral artery and reached the occluded segment.

The guide wire is very soft and thin, but it changes shape in Fan Dongkai's hands.

The technique is gentle and there is no side damage.

A connoisseur will know if it is there as soon as he reaches out his hand.

When Fan Dongkai operated the microguidewire at point 18 and reached the occlusion position, Director Wang, Shen Zizai and other professors of the Department of Vascular Surgery all saw that this person's level was much higher than themselves and Director Yuan Xiaoli.

"The level is really good, amazing."

"As expected of the deputy director of the Princeton Interventional Treatment Center, this level is three steps behind Director Yuan."

"High level? Why didn't I see it?" Chen Yong said contemptuously, "It's just an embroidered pillow. It looks good, but it's actually useless."

Shen Zizai admired Chen Yong very much and had a good impression.

There are not many young doctors who are willing to be gunmen. Nowadays, young people in their 90s and 00s are more slick than the last, and they know how to hide when something happens.

Chen Yong lives up to his name, and depending on what he means, I can't wait to go up and slap Fan Dongkai's buttocks.

If Luo Hao hadn't stopped him, Shen Zizai thought Chen Yong was really brave and couldn't wait.

However, Fan Dongkai's surgery was really good. Even before the critical steps were reached, it can be seen that Fan Dongkai's level is extremely high.

You can't go up and beat someone just because they did a good job in surgery.

Thinking about it, suddenly the guide wire on the screen vibrated, and the soft 18-point guide wire penetrated straight through the thrombus in the occluded segment like an arrow.

I am!

Shen Zizai couldn't help but cursed in his heart.

Everyone who has used it knows how soft the 1.8 guidewire is.

However, under Fan Dongkai's operation, the 18-point microguidewire seemed to suddenly harden and hit the thrombus.

"Crack~"

There was no sound, but the invisible voice was as loud as Hong Zhongda Lu's, ringing in the hearts of all the doctors watching the operation.

Although the microguidewire at point 18 did not penetrate the thrombus and the first attempt failed, everyone had to admit that Fan Dongkai's level was excellent.

Even Chen Yong, who had been speaking disdainfully, shut his mouth. Danfeng narrowed his eyes and couldn't say a word of nonsense.

Fan Dongkai’s level is really high!

Chen Yong also admitted that at least he had never seen Luo Hao shake the guide wire into a silver gun.

No wonder Luo Hao knelt down directly. It turned out that his skills were inferior to others.

Disappointing!

Chen Yong sighed and wanted to turn around and leave.

Why don't you leave? Waiting for Fan Dongkai to ridicule himself after the operation is successful?

"Xiao Chen, please leave after watching this. Such a high-level surgery, whether successful or not, is worth watching." Shen Zizai stopped Chen Yong.

He knew very well what Chen Yong was thinking.

Chen Yong sighed, listless, and even his mask began to become loose, as if it was about to fall off.

See it.

Who can let Luo Hao live up to expectations? He can't even compare to a cat or a dog. It's embarrassing, Chen Yong thought in his heart.

Sooner or later, I will get the place back by myself!

Soon, Fan Dongkai began to try for the second time.

failure.

the third time.

failure.

The fourth time, success!

Fan Dongkai only tried 4 times to find the location of the fresh blood clot.

The diameter there is only about a millimeter, and the guide wire penetrated smoothly.

"Holy shit, that's awesome! He is indeed a world-class magician!!"

Director Wang of the Department of Vascular Surgery was filled with emotion and surprise when he witnessed the blind selection of guide wires at point 18 to find the location of the fresh thrombus.

I can't accept it.

The skills of the world's top doctors are superb. No wonder Yuan Xiaoli looks admiring every time he talks about his senior brother.

There are differences in levels.

As far as Fan Dongkai showed his skills, no one in the first hospital of the Medical University could match him.

Shen Zizi was silent, staring at the screen.

Chen Yong lowered his head, feeling a little tired, but he also looked sideways at the screen and kept moving his hands.

Not the technique, but the gestures during surgery.

But Chen Yong immediately stopped moving. He knew very well that this was simply not what he could do now.

That bitch Fan Dongkai is really capable.

Mainly Luo Hao, as the leader of the medical team, is so embarrassing and boring.

Chen Yong raised his head and stared at Luo Hao fiercely through the leaded glass. He felt dissatisfied and resentful and put all the responsibility on Luo Hao.

The guidewire at point 18 entered the fresh thrombus and began to move forward slowly.

Sometimes soft, sometimes as hard as a spear, it actually found a way between the impossible.

Although this road is narrow, as long as it is opened, there are still other ways.

Unconsciously, the doctors in the operating room clenched their hands into fists.

Is it going to happen?

Hope it works!

Wishes are good.

But the reality is cruel.

The microguidewire at point 18 did not penetrate the thrombus and open the blood vessel.

At the halfway position, the 18-point microguidewire could no longer advance even an inch.

Fan Dongkai tried again and again, and various techniques came to him, leaving everyone in the operation room stunned.

Even though he can drive on this broken road, Fan Dongkai’s driving skills are so good!

Awesome!

Unfortunately, Fan Dongkai arrived a little late, and the thrombus in the second half had gradually hardened over time, making it impossible for the 18-point guidewire to pass through.

Half an hour later, Fan Dongkai gave up trying, turned around and left the operating table, and kicked open the airtight lead door.

"It's too late, the blood clot in the back can't be passed, so prepare to build a bridge." Fan Dongkai said it naturally. He didn't blame anyone, he just stated a fact in a calm and soft voice.

But Director Wang of the Vascular Surgery Department's face turned as red as a monkey's butt.

He bowed down to express his apology.

Not to Fan Dongkai, not to the patients, maybe just to apologize for my persistence and professionalism.

Fan Dongkai's surgery just now has been done to the extreme. With the current consumables, no one can do it better than Fan Dongkai.

Director Wang of the Vascular Surgery Department knew that if Fan Dongkai was the first person to perform the operation, the probability of success would be at least 90%.

At least!

My level is not good enough. Although it cannot be said to be a medical accident, I still feel guilty.

Fan Dongkai turned his back to the leaded glass, his eyebrows turned into "eight", he looked at Director Wang of the Vascular Surgery Department and said calmly, "When encountering similar patients in the future, you must first..."

Director Wang of the Vascular Surgery Department looked through Fan Dongkai, and his pupils gradually narrowed.

But Fan Dongkai had no idea. He told Director Wang how to deal with similar patients.

They are all from his hometown, and Fan Dongkai is not prepared to hide his secrets.

In other words, they are all a family, and they were treated to a chive box meal early in the morning. Fan Dongkai subconsciously wanted to improve the medical level of his family.

If it's all this low, that won't work.

Although Fan Dongkai knows that his level is not comparable to that of ordinary tertiary hospitals or even tertiary hospitals in provincial capitals, they may not understand what he is talking about.

But I still have to say that this is one of the contributions I can make to my hometown.

Director Wang's expression was a little messy, and Fan Dongkai was very dissatisfied.

But he still patiently explained to Director Wang of the Vascular Surgery Department what he should pay attention to when encountering similar patients in the future.

"Fan...Fan..."

"What Fan?" Fan Dongkai scolded unhappily, "I'm telling you, just listen carefully. It doesn't matter if you don't succeed this time. If you can be the first to do it next time..."

"Teacher Fan, look." Director Wang of the Department of Vascular Surgery said sharply as he looked at the screen, his pupils were like pinpoints, as if his brainstem was bleeding, and his voice was even sharper.

"Huh?" Fan Dongkai was confused and turned around.

"!!!"

The next second, Fan Dongkai almost came out of his body when he saw the screen.

A bolt of lightning struck the top of his head, causing his eyebrows to split apart, and he immediately soared into cyberspace.

The airtight lead door kicked open by Fan Dongkai closed at some point. In the operating room, Luo Hao continued the operation by himself.

On the screen, the 18-point microguidewire did not penetrate the thrombus according to Fan Dongkai's surgical method, but... instead... punctured the intima of the blood vessel and was moving along the space between the intima and adventitia.

Isn't this a mezzanine? Is it ok?

Fan Dongkai was stunned for a moment.

Of course, the most basic medical literacy tells Fan Dongkai that this is feasible.

The only thing that's not feasible is that Fan Dongkai's surgical skills are completely unachievable.

The adventitia of the femoral artery is 1.5mm thick, and the media is generally thinner than 1.5mm. The . guidewire must be carefully passed through, otherwise the guidewire may pierce the inner, middle, and adventitia of the blood vessel, resulting in surgical failure. .

Fan Dongkai had just demonstrated the ability of the microguidewire to be soft or hard in the femoral artery, which was incredible to Shen Zizai and the others.

But Luo Hao's operating point 18 guidewire walked between the intima and media of the blood vessel, which was smooth and soft. The entire operation process was meticulous and beyond everyone's cognitive level.

Shen Zizai was lying in front of the computer screen, watching the operation, mesmerized.

Suddenly a hand was placed on Shen Zizi's arm, "Stay away."

Fan Dongkai was not polite and directly dragged Shen Zizai away.

"You..." Anger rose in Shen Zizai's heart.

Chen Yong was watching the excitement, holding a handful of melon seeds in his hand.

The muscles on Shen Zizai's face were twisted together. Chen Yong really wanted to help him...no, push him.

Chen Yongcai is not as brave as Shen Zizai thought. His courage is different from others.

Unfortunately, Shen Zizai calmed down immediately and put on a smiling face.

"Teacher Fan, Professor Luo's surgery must be awesome." Shen Zizai said calmly, as if he had done the surgery.

"Ah?" Fan Dongkai was startled.

"Your Princeton Interventional Treatment Center should not have such a high level of surgeons." Shen Zizai explained a fact calmly.

Chen Yong’s eyes lit up!

Shen Zizai, Director Shen, is such a liar! Awesome mouth substitute! !

scold him!

Humiliate him! !

Nail him to the pillar of shame! ! !

Chen Yong secretly cheered for Shen Zizai.

"What?!" Fan Dongkai realized that Director Shen Zizai was attacking him.

For a moment, Fan Dongkai was in a daze.

The technical level of Princeton Interventional Treatment Center... Senior Brother should be able to reach this level, but it is only possible. Fan Dongkai can't say.

Anyway, I can't do it myself.

Just when he hesitated, Shen Zizai said calmly, "The aorta is mainly made of elastic membrane, with a little smooth muscle in between.

Under pathological conditions, the smooth muscle of the arterial media can move into the intima to proliferate and produce connective tissue, thickening the intima, which is an important pathological process in the occurrence of arteriosclerosis. "

"If you want to create an artificial dissection tunnel in the femoral artery, you cannot cross the media and need to walk between the media and the adventitia."

"This vision, this control of power, is really amazing, isn't it, Teacher Fan."

"Although the Princeton Interventional Treatment Center is full of talented people, there should be no one with a higher level than Professor Luo."

The last word of "Teacher Fan" has an upward sound, full of sarcasm and ridicule.

Chen Yong felt relaxed and happy after hearing this.

This is the way doctors should be provocative, slapping the other person in the face with their technical skills, making a slap in the face and the other person can't even say "no".

I was indeed a bit rough before.

You must study hard. After all, you are a member of the medical team, and all the tasks of slapping you in the face in the future will be yours!

Thinking about it, Chen Yong's red phoenix eyes were shining. He stopped watching the surgery because he couldn't understand it anyway. He concentrated on watching how Shen Zizai removed the steps so that Fan Dongkai couldn't get off the stage.

really.

Fan Dongkai became silent under the attack of a series of professional terms.

The unibrow moved again and again, but in the end Fan Dongkai still didn't say a word.

What Shen Zizai said makes sense.

"I was shocked when I saw Teacher Fan's surgery just now, but looking at it now, it seems that the 0.18 microguidewire can move freely in the femoral artery as it is not as difficult as passing between the media and adventitia of the blood vessel."

"Some time ago, I heard from Director Yuan that experts from one of the top five interventional treatment centers in the world would come to guide the work and perform demonstration surgeries. I was very much looking forward to it."

"Teacher Fan, is there something wrong with my cognition? In fact, Professor Luo's surgery is just that. You must be able to do this too."

Fan Dongkai was stunned for a moment and nodded.

"I knew it would be like this!" Shen Zizai smiled, "As a world-renowned expert and professor, you can definitely complete such a simple operation. But I have a question, why didn't you just do it?"

"???" Fan Dongkai was in a state of confusion, but Shen Zizai dissed that he didn't hear anything clearly.

But this last sentence woke Fan Dongkai up.

The horn of war has already sounded.

Fan Dongkai immediately calmed down and no longer looked at the shocking operation, but looked back at Shen Zizai.

"You can do it, but you don't do it. Teacher Fan, to be honest, what you did is not authentic."

"Ronaldino regards you as a world-renowned expert and is willing to be your assistant. I didn't expect you to hide something."

"This is to treat illnesses and save people, not to use your party to fight against dissenters!"

Shen Zizai said the last word and scolded in a low voice.

Emmmmm, Chen Yong looked at Fan Dongkai with a smile.

Shen Zizai took advantage of Fan Dongkai's fascination watching the operation, lured him in, and gave him the final thunderous blow.

This method is similar to Luo Hao's, both of them are standing on the moral high ground and working hard.

The other party was still speechless.

Feeling comfortable, Chen Yong smiled happily and secretly determined to learn skills well.

When the time comes, Luo Hao will be showing off on the operating table, and he will be showing off below. It’s very satisfying just thinking about it!

Fan Dongkai's face turned red and white for a while.

If you admit that your skills are inferior to others, there will be no moral accusation; if you insist that your skills are sufficient, you will be judged by morality.

Shen Zizi put himself in an unkind and unjust position with a few words, and was in a dilemma.

Oh shit!

Fan Dongkai cursed in his heart.

"It's over!"

Director Wang of the Vascular Department was so focused on watching the operation that he didn't notice what was happening at all.

When Luo Hao's microguidewire at operating point 18 penetrated the media and adventitia of the blood vessel, passed through the thrombus, and entered the lower femoral artery, he let out an exclamation.

Past? !

Shen Zizai stopped taunting Fan Dongkai and started looking at the screen.

Sure enough, Luo Hao started taking pictures.

Instead of using a high-pressure syringe, he pushed the contrast medium manually.

A black line ran through the blocked femoral artery, forming a bridge.

The patient's lower limbs have begun to gradually develop with the inflow of blood.

Because the pressure is not enough, the image is not clear. But everyone knows what that means.

That was blood, a leg of the patient, and even life!

After confirming that the tunnel between blood vessels was unobstructed, Luo Hao carefully inserted the stent.

There is always a risk of blood vessel rupture at this step.

"Director Wang, the possibility of Ronaldinho's success is... extremely high, but you'd better be prepared." Shen Zizai warned him in a seasoned way.

"Okay, I'll just..."

Director Wang of the Vascular Surgery Department had just agreed and wanted the nurses to prepare sterile surgical kits and rush to perform surgical operations at any time.

But before he could say anything, Director Wang's hand fell.

"It's okay, it's done."

……

……

Note: This case was performed by Dr. Xu around 2008, as told by our director.

The vascular surgery department came to the stage, and in the blink of an eye, Dean Xu created an artificial dissection, and later successfully removed the stent.

Awesome!

In 2002, a similar technique was used in coronary stents, which is explained again here.

In fact, what Dr. Xu did was the femoral artery.

Worship the great man again.

(End of this chapter)