White armor
Chapter 343: Only a broken catheter, no surgery possible
Chapter 343: Only a broken catheter, no surgery possible
"Director Yuan, don't be sarcastic. We are rescuing the patient!" Shen Zizai retorted Yuan Xiaoli's words without hesitation.
This involves the dignity of the director.
If it were in the past, Shen Zizai might have restrained himself a little bit. After all, all the dirty and tiring work was done by Yuan Xiaoli, so it was okay if he said some weird things, he could just bear with it.
This is respect for cattle and horses.
In fact, in Shen Zizai's opinion, Yuan Xiaoli is a good person, although he has a bump on his head. If he was clear-headed, he wouldn't sleep in the operating room every day and take on all the emergency cases by himself.
But it's different now.
Luo Hao can work in the department for at least three years. If Yuan Xiaoli doesn't do the emergency surgery, there are plenty of people who can do it!
Shen Zizai now has the confidence, and subconsciously he will not indulge Yuan Xiaoli.
"I'm being sarcastic? Director Shen, go and give it a try."
Shen Ziyi was stunned.
What's going on? Try it yourself? Yuan Xiaoli is not unaware of his own surgical skills.
He immediately thought that there was something wrong with the new catheter.
Otherwise it wouldn't be like this.
Forget it, we’ll know after giving it a try. No matter how much we say while standing under the operating table, it’s useless.
The patient is still lying on the operating table. This is not the time to talk nonsense.
Shen Zizai was not angry either. He kicked Yuan Xiaoli's chair and said, "Come together."
"I can't do it." Yuan Xiaoli said angrily.
"You are so old, but you are still like a child." Shen Zizai smiled, "I'll go wash my hands, and we can do it together. I don't believe it."
Shen Zizai didn't say anything. He turned around and went to wash his hands.
Yuan Xiaoli was sulking and sulking. After a few seconds, he stood up, put his hands in his pockets, and walked into the operating room like a kangaroo.
Technician No. 66 didn't laugh. He already felt something was wrong and was feeling annoyed.
On the weekend, we should have been eating hotpot and singing songs, but unfortunately, the bandits came.
There is no overtime pay for working overtime in the hospital, but it’s okay to just think of it as serving the people.
But an operation takes a whole day, and the patient can’t stand it, the technician himself can’t stand it, and the nurse can’t stand it either.
What's going on?
Everyone was very angry.
The airtight lead door was closed, and through the leaded glass, Technician No. 66 saw Shen Zizai standing in the operator's position and starting the operation.
Problem with the catheter?
It should be somewhat, but it can be used.
Yuan Xiaoli alone is not good enough, but with Director Shen added, this is already the strongest configuration that the First Hospital of Medical University or even the provincial capital can offer.
Except someone.
There will be no problem for Director Shen to perform the operation. He can finish the operation in half an hour and then go wash his feet. Technician No. 66 is looking forward to it.
His eyes were fixed on the screen, watching the operation.
As soon as the catheter entered the blood vessel, technician No. 66 felt something was wrong. Like Yuan Xiaoli, there was also a big problem with Director Shen's technique.
Originally, under the operator's operation, the catheter should be like a living thing, passing through the blood vessels, superselective, and finally reaching the position to start angiography and embolization.
But everything is different from what I imagined...
Director Shen Zizai seemed to be suffering from the sequelae of cerebral infarction, even worse than Yuan Xiaoli. The catheter started to spin in the femoral artery, and he had no momentum at all.
He is even more of a novice than a novice. He performed the operation so clumsily that even an intern could perform better than Shen Zizai.
what's wrong?
Could it be that the new catheter was really unusable? Technician No. 66 was dumbfounded.
If Yuan Xiaoli was the only one who said that it was not useful, it could be that he was just being upset, or it could be that his level was not high enough.
But now Director Shen is in such a bad state even on the stage, what else is there to explain?
"Xiao Li."
"what happened?"
Technician No. 66 waved and called the nurse over.
"Do you still have the Cordis catheter?"
"No more. The hospital will not purchase any more from now on. All are Apt." Xiaoli has not realized the seriousness of the problem. "Why? It's not working?"
"How could it be gone? This is just nonsense!" Technician No. 66 was a little anxious. He felt that the foot washing was getting farther and farther away from him.
"It's a bidding. Apt is 90 yuan per stick and Cordis is 220. You must use Apt."
Gan!
Technician No. 66 cursed in his heart.
Just over a hundred dollars!
They didn't even know whether the patient was dead or alive. On a weekend, a team of people worked overtime and even brought Director Shen from his home.
This isn't money at all!
They are even worse than big animals like cows and horses. Even Technician No. 66 feels that he is not as good as the rabbits raised on the farm.
People have to raise large livestock carefully. It is said that raising horses was a good job in the Song Dynasty, as people could eat horse feed and fruits, which ordinary people could not afford.
Technician No. 66's thoughts drifted to infinity.
Seeing that technician No. 66 had no other questions, the nurse returned to the sofa and started watching short videos on her phone.
"You are the best." Technician No. 66 sighed, "You don't have to get married, have children, or rush to pick up your children after class."
"That's right. I'm open-minded. When I get old, I can inject myself with insulin and die cleanly." The nurse answered casually while concentrating on her phone.
Technician No. 66 looked at the computer screen worriedly. He no longer wanted the operation to be over quickly so that he could wash his feet freely.
That is dreaming.
Ten minutes later, Shen Ziyi kicked open the airtight lead door, and sat down on the chair where Yuan Xiaoli had just sat with a sullen face.
Yuan Xiaoli followed him out and closed the airtight lead door.
"Director Shen, what should we do?" Yuan Xiaoli did not gloat over his misfortune, but frowned and asked seriously.
"Cold dish." Shen Zizai replied angrily in a low voice.
The nurse put away her phone and pretended to be busy.
It is conceivable that the director was in a bad mood and would scold anyone he caught.
It's best to do a non-physical performance at this time, pretending to be busy, and not bumping your head into Director Shen's gun.
Yuan Xiaoli didn't say anything either, just looked at Shen Zizai quietly.
"Sixth Brother, call the liver and gallbladder for a consultation on the stage."
"What?!" Technician No. 66 was stunned.
Need surgery?!
"Hurry up!" Shen Zizai took out his anger on Technician No. 66.
"Oh oh oh."
Technician No. 66 didn't ask any questions and immediately picked up his phone to start making a call.
After contacting the chief resident of the hepatobiliary department, he cautiously glanced at Director Shen out of the corner of his eye.
"Who put this broken catheter in? Who the hell put it in?!" Shen Zizai cursed in a low voice.
The words were simple, but everyone could see that Director Shen Zizai was cursing in his heart, and the curses were particularly dirty.
"Who else could it be!" Yuan Xiaoli said disdainfully, "They don't do surgeries anyway, so they definitely won't use Apt when it's their turn."
"Director Shen, do you really want to switch to surgery? Do you have any stock in your cabinet?" Yuan Xiaoli asked after complaining.
Shen Zizai shook his head, was stunned for a moment, and then sighed.
What’s the use of inventory? Now that the current problem is solved, what about the future?
At least 5 surgeries a day, nearly 2000 surgeries a year, all relying on inventory?
I own the hospital!
If you do this, you'll be targeted within a year and end up working on a sewing machine.
Shen Zizai's face was so gloomy that water could drip out of it.
What the fuck is this!
What will Corey do in the future? How will he perform surgery?
No one spoke, there was complete silence.
The doorbell rang and the nurse hurried to open the door. The atmosphere in the operating room was so depressing and heavy that she had difficulty breathing.
She was afraid that she would need to be rescued in a while.
The person who came in was the resident manager of the hepatobiliary department.
"Director Shen, which patient is this?" the chief resident of the hepatobiliary department asked after coming in.
Shen Zizai said nothing, but looked at the patient inside through the leaded glass.
"The liver cancer ruptured and bled." Yuan Xiaoli replied in a muffled voice.
"Ah? Isn't that the embolization job of your interventional department?" The chief resident of the hepatobiliary hospital was stunned and subconsciously told the truth.
"If you can't do it, you guys should pull him up and operate on him."
“???” The hepatobiliary hospital manager was dumbfounded. Surgery? Don’t be kidding.
Generally, rupture and bleeding of liver cancer means that the tumor is in the advanced stage, and surgery will only lead to a decline in the patient's quality of life during his survival period, and the patient may even be unable to get off the operating table and have to stay in the operating room.
Isn't this nonsense?
"Director Shen?" The chief resident of the hepatobiliary hospital tried to communicate with Shen Zizai.
"Oh." Shen Zizai sighed.
Some things cannot be said openly. It's okay to complain behind people's backs. But if you really say them openly and someone with ulterior motives finds fault with you, your life will be difficult.
"Director Shen? Please tell me something. The anesthesiologist probably won't dare to give the patient anesthesia in this condition. If he really dies on the operating table..."
"I know." Shen Zizai seemed to have made up his mind. He tore off the sterile gown on his body, threw it into the red trash can, and then took off his lead gown.
"I'll call your director. By the way, Director Yuan, all surgeries will be suspended on Monday. I'll report to the hospital."
Where is this going?
The chief hepatobiliary resident also realized that there might be a big problem in the interventional department, but he didn't dare to speak.
Just do it. If the director is willing to do it, then he can do it. What can a mere hospital manager like me say about it?
The more you talk, the more mistakes you make.
Shen Zizai came back, picked up his phone and started making a call.
"Director, I'm here."
A familiar voice appeared in Shen Zizai's ears.
"Huh? Xiao Luo, why are you here?" Shen Zi was stunned.
"Lao Liu called me and said that there seemed to be a problem with the catheter. Don't panic, ask someone to help. I'll go and try it. He said that the new catheter purchased through centralized procurement is not very easy to use. I saw it in the group." Luo Hao smiled.
Shen Zizai looked up and looked at Luo Hao's smile blankly.
The smile was brilliant, giving people a sense of security. Shen Zizai even felt that Luo Hao could control the broken catheter and even perform the operation.
"It doesn't work, it can't be used, Xiao Luo, please don't try it." Shen Zizai suddenly thought that Luo Hao couldn't do it either, and said a little angrily.
The key is that he doesn't want Luo Hao to be hit.
Professor Xiao Luo’s level is indeed high, but no matter how high it is, it is still limited by the laws of physics.
With a handy catheter and excellent technical skills, Professor Xiao Luo can easily perform many surgeries that others dare not even touch, such as interventional treatment of maxillofacial hemangiomas in infants and young children.
But now?
I’m afraid Professor Xiao Luo can’t even perform to 10% of his level.
"Director, I'll give it a try. Just in case, it would be best if the patient doesn't need surgery." Luo Hao smiled, but did not turn around to wash his hands. He waited for Shen Zizai's permission.
It can be said that Xiao Luo does things in an orderly manner, Shen Zizai thought to himself.
"Okay, you go and try it. I'll contact the liver and gallbladder." Shen Zizai nodded, without any intention of rejecting Luo Hao.
As for face, everyone gives it to each other. Since Xiao Luo is polite to me, I absolutely cannot be shameless.
Shen Zizai is very clear about the situation.
The airtight lead door was closed. Yuan Xiaoli did not change his clothes. He continued to work as Luo Hao's assistant.
Although Shen Zizai thought that Luo Hao had no way of completing the operation, with such crappy supplies, even a god would be of no use.
but!
Because of the reliance on countless successful paths, Shen Zizai still had some expectations in his heart.
What if.
I won't talk about it later. It's urgent. Let's focus on the present. The operation begins.
When the catheter entered the femoral artery, Shen Zizai's eyes were almost glued to the screen. He stared at it carefully without blinking.
But the miracle did not happen.
As soon as the catheter was inserted, it began to wrinkle and became soft and sagging, with no force on the catheter wall. Shen Zizai had just experienced this himself, and it seemed that Xiao Luo couldn't do it either.
Alas, Ronaldinho can’t do it either.
Not even Ronaldinho!
Shen Zizai sighed.
On the screen, Luo Hao pulled out the catheter and began to study it carefully.
It’s useless, Shen Zizai knew it.
The catheter is not straining at all, and wrinkles will form if you use the slightest amount of force, and it has no elasticity at all.
Availability is almost zero.
The reason why it is "almost" is because Shen Zizai is an experienced doctor with many years of experience and he never makes final statements.
Even Xiao Luo has tried it, so it can be said that almost no one in the country can use this broken catheter for surgery.
Damn it, if you don’t allow me to do it, then I won’t do it. I’ll just do radiofrequency ablation and particle implantation every day from now on.
Shen Zizai sighed, feeling depressed to the core.
He shook his head, picked up his phone and started making a call.
"Hello, it's me, Shen Zizai."
"I have a problem here. I can't handle a patient with ruptured liver cancer and bleeding."
"I know, but I really can't do it. I admit defeat, you come and help me..."
Before Shen Zizai could even say what he wanted help with, his eyes were already wide open.
Technician No. 66 stood hunched in front of the screen.
"Get out of the way!" Shen Zizai shouted.
"What? Where should I hide?" The voice of the director of hepatobiliary surgery came from the phone.
Shen Zizai didn't explain. He kicked Technician No. 66 and stared at the screen in a daze.
The "disobedient" catheter in the hands of Shen Zizai and Yuan Xiaoli started to move smoothly after a little bit of stumbling at the beginning. It entered the femoral artery, and the catheter had no obstruction from the blood vessel wall at all, so it went straight in.
It was as if the catheter in Luo Hao's hand had never been changed, and was still the same Cordis catheter.
I am!
Shen Zizai exclaimed in his heart.
"Hello, hello, Director Shen? Something's wrong with the patient?!" the director of hepatobiliary surgery shouted on the phone.
"Wait a minute, if there's no problem, I'll call you back."
Shen Zizai turned off his phone and watched the operation carefully.
The catheter, which had been unruly in his hand, began to obey and went up through the femoral artery and abdominal aorta.
The next step is super selection!
Super selection is the hardest!
Shen Zizai held his breath and watched carefully.
The hell still happened.
Even if it is super-selective, even if the catheter touches the blood vessel wall, it will still be obedient.
Although the operation was a little slow and much slower than Luo Hao's previous operation, it was very smooth.
While Shen Zizai was stunned, the bleeding blood vessels had been blocked and the operation was completed.
How did he do that? !
Shen Zizai was dumbfounded.
This time Shen Zizai was really dumbfounded.
He knew that Luo Hao's technical level was very high, but he didn't expect that this guy's technical level was so high!
Shen Zizai even suspected that Luo Hao could perform interventional surgery with just a straw stick.
"Director Shen, isn't this going very smoothly?" The chief resident of the hepatobiliary surgery department said with a smile.
As soon as he said this, he felt something was wrong. This was a diss to Director Shen.
"If everything is ok, I'll go back first."
"Let's go back."
Shen Zizai didn't look unhappy at all, it seemed that all his attention was on the operation.
"Thank you." Shen Zizai said thank you politely.
The chief resident of the hepatobiliary surgery department didn't even dare to turn his head and just disappeared.
Technician No. 66 looked in astonishment through the leaded glass and saw Luo Hao inside, gesticulating with a catheter and talking to Yuan Xiaoli.
Although he cannot perform surgery, he knows very well who performs surgery well.
The only person who understands surgeons is the anesthesiologist.
The only people who understand interventional medicine are technicians.
Technician No. 66 is not stupid. He subconsciously knows one fact - Professor Luo's technical level has reached the level where even picking a flower or a leaf can hurt someone.
If this were a martial arts novel, this would be the standard level of a ceiling-level boss.
Until I heard about Professor Xiao Luo, I had no idea he was so amazing!
Shen Zizai and Technician No. 66 stared at her in amazement as the nurse opened the airtight lead door and walked in.
Soon, Luo Hao came out.
Stab~~
The lead cap was torn off and thrown to the ground.
Just as Technician No. 66 was about to take action, he saw Director Shen Zizai rushing up like a rabbit the next second.
Oh shit!
Why are you trying to snatch it from me?
Shen Zizai, you are the director, do you still have some shame? ! Technician No. 66 was filled with sadness.
"Uh... Director." Luo Hao was stunned.
"You're welcome, go on." Shen Zizai said seriously.
"Swish~" Luo Hao tore off the lead scarf, but did not throw it on the ground. Instead, he handed it to Shen Zizai carefully, "Like this?"
"Throw it on the ground." Shen Zizai threw the lead scarf on the ground, then bent down to pick it up.
"..."
Luo Hao didn't know whether to laugh or cry, and kept scratching his head.
"continue."
"Director, please stop making trouble." Luo Hao scratched his head.
"No kidding, Xiao Luo, you did this surgery like a magic trick."
Luo Hao did not do as Shen Zizai said, but went directly to the rack for hanging lead coats and hung them up one by one.
"Xiao Luo, can that tube be used? Is there any trick?" Shen Zizai asked.
Luo Hao remained silent.
"Ronald?"
"Ronald?"
"Send the patient away first." Luo Hao said in a deep voice.
Shen Zizhai finally shut up and smiled helplessly. He really lost his mind. The patient was still lying on the operating table.
It’s not because of anything else, it’s mainly because of local anesthesia, the patient is awake and doesn’t hear anything he shouldn’t hear.
Let the resident manager send the patient away. Shen Zizai stared at Luo Hao with eager eyes, as if he wanted to ask for some martial arts secrets.
"Director, it's really a broken pipe. It doesn't work at all." Luo Hao sighed, "There's nothing we can do."
"Ah? I see your surgery went well."
Luo Hao was silent, looking at Shen Zizai dimly.
“Director, that’s because Professor Luo is very skilled. He can do it, but you can’t.” Technician No. 66 added.
"!!!"
Without waiting for Shen Zizai to say anything, Luo Hao immediately changed the subject.
"Director, this is a big deal. We need to apply to the hospital."
"What to apply for?"
"There is a minimum usage. I see it's the same on the circulation side." Luo Hao said softly, "See how much the minimum usage can be applied for, and try to push it down as much as possible."
The consumables purchased in bulk must be sold in quantity, otherwise it is not called bulk purchase.
But it shows that it is "volume sales", so the volume will definitely not be small.
"How many?" Shen Zizai asked.
"100?"
Shen Zizai sighed and began to confidently manage the business management, bidding and procurement and other departments.
After a full half hour, Shen Zizai looked at Luo Hao disappointedly.
"At least 400. I will go to the hospital to make trouble tomorrow, but it must be at least 300." Shen Zizai was helpless about it.
300 catheters...
Luo Hao's head was buzzing.
I am the only one in the hospital who can use this broken catheter, and I have to grit my teeth and eat as much thread as possible to use it.
Although it does not cause any harm to the patient,...
Luo Hao was too tired to complain.
"That's it, give me all the Apt catheters from now on. I'll try to use 300 of them." The smile that once filled Luo Hao's face was long gone, and he spoke with a serious expression.
"..."
"..."
"..."
Shen Zizai, Yuan Xiaoli, and Technician No. 66 were also silent.
Luo Hao's words were definitely not arrogance or bragging, but a sign that he was willing to endure the radiation and take on this responsibility for the entire department.
This is a complete disaster.
"Damn it!" Yuan Xiaoli cursed in a low voice.
"Oh." Luo Hao also sensed that the atmosphere was not right. He smiled and said, "The boss once told me something."
"What's going on? Is it a bidding and procurement? What did Boss Chai say?"
"No, it's just that all Chinese people have a habit called - pragmatic patriotic consumption habits. We can't say that all of them have it, but most of them do," said Luo Hao.
"???"
"Consumers are very patriotic and are calling for national products. Some extreme consumers are even willing to pay a premium.
A few years ago, a patient underwent a gastroenteroscopy and kept muttering "far ahead" after being awakened. Do you remember? "
Shen Zizai nodded. Short videos were constantly being pushed about this matter at the time, so it was hard not to know about it.
"Of course, there are also Apple fans and the like. Even if they are die-hard fans of a certain foreign product, they still have an indelible resistance to this product in their hearts."
"When domestic brands are not up to par, they pay close attention with their eyes and mouths, but their wallets are very honest. It's fine for them to help promote the products, but it's a bit offensive to ask them to pay for them."
"After they finish scolding people as if they want to drive all foreign goods out, they will often continue to buy foreign goods. They say what they say, but they don't act according to their own will. Their hands and eyes are not coordinated and they don't follow the same neural path at all."
"Hahahaha." Technician No. 66 laughed.
He is the only one who doesn't know sorrow.
Shen Zizai knew very well that Luo Hao was trying to change the subject. This was Luo Hao's basic skill. Luo Hao also didn't want to say anything more about this broken catheter obtained through centralized procurement.
Talking too much will only bring tears to your eyes and will easily give others an advantage.
"But Chinese people are very vindictive. They don't just forget about it after scolding you. Instead, they make a note of you in their little notebook and then continue laughing as if nothing happened."
"Buy foreign goods if you want, after all, your wallet is yours."
"But!" Luo Hao raised his voice.
(End of this chapter)
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