Come on, Dr. Wu

Chapter 300: Beep, Beep, Beep

Although cardiothoracic surgery is difficult to carry out and it is even more difficult to use cutting-edge technology, cardiothoracic surgery appears to be more advanced and sophisticated at a global level.

Therefore, doctors engaged in cardiothoracic surgery have a higher status.

As a result, the cardiothoracic surgery departments in many good hospitals and good schools are obviously better, but many students and doctors cannot study there even if they want to, and cannot even reach there if they want to work.

For example, the doctors who appear in operating rooms today are basically the real future of this industry.

"Xiao Fu, do you think Xiao Li's choice is too risky?"

People are like this, once there is a possibility of getting a good ranking in the team, even Wen Xinhan will consider a lot more at this time. It is not like the beginning, when he only has one thought: everyone should do their best, do whatever they want, as long as they can perform their best.

Today's Chinese team has almost all performed very well. According to this situation, it is very likely that the Chinese team will get a top ten group, even top five is not impossible. In this case, Wen Xinhan would think, why not give it a try.

However, if they really want to achieve this result, Li Zheyan and others cannot afford to make too many mistakes.

Resection of giant thoracic tumors is not only a difficult problem for Chinese cardiothoracic surgery, but also a world-class problem.

Although it is just a chest tumor, due to the compression, it has changed too many chest structures, involving too many systems, including the respiratory, circulatory, and even digestive and nervous systems.

Many patients do not react when watching the resection, but in that instant, their respiratory and circulatory systems suddenly fail. In just a few seconds, there is no time for rescue and the operation is declared a failure.

Therefore, it is not just talk to say that thoracotomy is the most dangerous thing in the world. Sometimes, it even ranks before craniotomy.

What's more, Li Zheyan actually chose radical surgery instead of palliative surgery.

The difficulty increased all of a sudden, otherwise Wen Xinhan would not be so worried.

Looking at the nervous Wen Xinhan, Wu Xiaofu couldn't help but smile.

"Teacher Wen, don't worry. You don't know Brother Li's temperament. He is very steady, even I can't compare to him. Since he chose this case and this operation, he must be confident. Maybe he has practiced before and is ready to show off his skills in this competition."

Is that right?

After listening to Wu Xiaofu's words, Wen Xinhan couldn't help but gain a little more confidence. Yes, he knew Li Zheyan's temperament. It can be said that among the team that came this time, if we were to ask who was the most stable, Li Zheyan would definitely be ranked in the top three. If you say that Li Zheyan would take risks, I'm afraid no one would believe it.

Thinking of this, Wen Xinhan felt more relieved and began to watch the game carefully.

Chu Jingming gave Wu Xiaofu a thumbs up. If anyone could calm Wen Xinhan down with just a few words, it would have to be Wu Xiaofu. Chu Jingming knew that Wu Xiaofu was also an expert in psychotherapy. Would this guy use all his skills on Wen Xinhan?

Well, very likely.

The operation has not started yet, and a brief summary of the patient's condition appears on the big screen.

The patient was a 51-year-old female. She underwent a chest CT scan more than 20 days ago due to chest tightness, shortness of breath, and lower limb edema. The results showed: a huge mass in the right chest cavity, accompanied by right lung atelectasis, which was consistent with the manifestations of a malignant tumor.

After admission, the patient underwent a chest enhanced CT scan, which showed a huge mixed density mass in the right chest cavity. During the arterial phase of the enhanced scan, multiple tortuous blood vessels were found in the lesion; the mediastinum was significantly deviated to the left.

"Hiss, in this case, the patient has a huge chest tumor, which is very rare both in China and abroad. Not only that, looking at the patient's medical records, due to long-term tumor consumption, the patient's physical condition is already in a state of severe malnutrition. Under this condition, it is very dangerous to perform surgery."

"Well, looking at the blood test results, the albumin level is 24.5g/L, the hemoglobin level is 89g/L, and the patient's right lung tissue has been atelectasis for a long time. The lung function FEV1 is only 0.86L, and the MVV is only 23.78L/min. This shows that the patient has extremely severe mixed ventilation dysfunction, which directly increases the difficulty of the operation."

……

Everyone looked at the medical records and started a discussion. This is why the medical records were displayed on the screen first. This is how the academic atmosphere is formed. They are not necessarily just spectators sitting here. Discussing with each other to learn and grow is the real meaning of the competition.

However, after this discussion, even Wen Xinhan and the others became more and more worried about Li Zheyan, and their tone became obviously much more pessimistic. This case was indeed a bit tricky.

The difficulty of surgery for huge thoracic tumors is extremely high in itself. In addition, the patient's basic condition is very poor, and there are high risks of cardiac arrest, anesthesia accidents, massive bleeding, and incomplete removal of the tumor during the perioperative period.

Well, we have to doubt that in the world surgery competition, it is not uncommon for you to just select the surgical case, then put the simulated patient on the bed, inject anesthesia, and then start the rescue right away.

Once this situation occurs, it means that the operation has failed. We cannot attribute the responsibility to anesthesia or anything like that, and then give you another chance to choose. Since you have chosen this extremely difficult operation, you have to bear the corresponding risks.

If you want insurance, then you should choose the one with lower difficulty and better physical condition of the patient.

After all, your choice is the most important.

"Think of it this way. The huge tumor is pressuring the patient's heart and lungs, causing the patient's physical condition to deteriorate. Surgery is basically urgent. Tell me, if you encounter such a case, would you resist the urge to do it?"

Wu Xiaofu suddenly spoke, which startled everyone, and then they stopped talking. Yes, if they really encountered such a case, they would not miss it. For many grassroots doctors, it must be a dangerous case and they would push it away if possible, but young doctors like them would not do that.

Because they know that you will most likely only encounter such a case once in your life, and if you turn it down this time, you really don’t know if you will have the courage to accept the same case next time.

Moreover, in most cases like this, people do not have high hopes for the surgery, which gives doctors the courage to give it a try. As long as there is a 30% chance of success, you can go ahead, just like Li Zheyan now and Wu Xiaofu yesterday.

Especially now that they have simulated patients, they don't have to worry about causing irreversible effects on patients due to their own immature technology. Most doctors have the courage to face critically ill patients and difficult cases. Wu Xiaofu has no shortage of it, and Li Zheyan naturally has no shortage of it either.

The operation started. Li Zheyan was very steady. It was different from other surgeries. For example, general surgery usually took at least an hour, and sometimes several hours. Neurosurgery took at least three to four hours, and sometimes it took a whole day.

But cardiothoracic surgery is different. Not to mention, some cardiothoracic surgery requires extracorporeal circulation support. Those that do not require extracorporeal circulation support are even more physically demanding on the patient. If the operation lasts more than an hour, the surgeon originally had a 30% chance of success, but after an hour, the success rate will drop to 10%.

As time goes by, this success rate will continue to decline.

Therefore, a prominent feature of cardiothoracic surgery is speed. Just like the operation chosen by Li Zheyan, in Wu Xiaofu's opinion, it must be completed within an hour, otherwise it can basically be declared a failure.

An hour, such a huge tumor, really, no one can imagine it when they hear it. But this is the magic of tumors in the chest cavity. Compared with the situation in the abdominal cavity, the structure in the chest cavity is actually simpler.

We can tell something from the organs. Whether it is the heart or the lungs, they are clearly divided into different layers. As long as one has some experience, there is basically no situation where cutting a tumor will damage the important structures of the lungs and heart.

Therefore, there are not so many issues to consider during surgery. The only thing to consider is to be fast and not to overload the lungs and heart and cause problems with the respiratory and circulatory systems.

Because compared to diseases of other systems, once problems occur in these two systems, they are likely to be fatal.

Wen Xinhan and the others stared at the screen, and their breathing slowed down.

Except for doctors who have worked in cardiothoracic surgery, it is basically difficult to understand the thrill of performing cardiothoracic surgery. It is like riding a roller coaster. Just look at the monitor and you will know.

Normally, when Wu Xiaofu and his colleagues perform intra-abdominal surgery, they need to pay close attention to and intervene with medication in a timely manner for any slight fluctuation in blood pressure and heart rate. However, when it comes to thoracic surgery, these are not a problem.

The respiration, blood pressure, heart rate fluctuations, etc. on the monitor were all large.

It is possible that with this knife or that forceps, the patient's blood pressure will soar or drop. The anesthesiologist stared at the monitor, watching these fluctuations, and was calmer than expected. Even though the alert level was reached, he was not in a hurry to use medicine.

However, after seeing this, many doctors from other professions were even more nervous than those on the stage.

It's not just Li Zheyan's side. There are many cardiothoracic surgery experts gathered in Group A. Now, among the nine scenes on the big screen, basically none of them are simple. They are all extremely difficult operations, and they are all equally thrilling.

There are two others who are in the same situation as Li Zheyan.

The three images are placed side by side, which is really a test for the audience's heart.

Drop drop!
Half an hour later, seeing that the tumor was about to be removed, the sound of the monitor suddenly became urgent, and everyone was startled. Wen Xinhan and others hurriedly looked at Li Zheyan's intraoperative condition and found that the urgent sound did not come from Li Zheyan's side, so they felt relieved.

beep!

By the time everyone locked their eyes on that exact location, the rapid sound had slowed down rapidly and turned into a continuous beep. On the monitor, the electrocardiogram directly became a straight line.

The source of the picture is the screen next to Li Zheyan.

At this moment on the screen, whether it is the doctor, the anesthesiologist, or the nurse, they are all busy. The patient suddenly has a problem during the operation, and drug intervention and rescue must be carried out at the same time.

In real life, patients have a chance of being rescued, and the simulated patients here are no different.

The operation was urgently stopped and circulatory resuscitation was started.

But everything happened too suddenly. From the rapid beeping sound to the straightening of the electrocardiogram, it only took a few seconds. There was no time at all for the doctor from country J to rescue the patient.

Failed!
Many people stood up immediately. They knew that if this was a real patient, there would have been a patient who died on their operating table. Although they were accustomed to life and death, they could not help but be moved every time they encountered such a situation, even if the patient in front of them was just a simulated surgery patient.

After all, if the simulated surgery on the patient fails, what difference will it make to the real patient?

If this happens, will they be able to perform similar operations in the future?

Being a doctor requires a big heart. This is not just talk. When an operation fails, many patients seem to be the only ones who are hurt and the doctors are indifferent. But in fact, when a patient has an accident on the doctor's operating table, the one who feels the most pain and bears the greatest pressure is the doctor.

Too many doctors have bid farewell to their surgical careers completely because of failed operations, and are no longer willing to pick up the scalpel and perform operations. Too many doctors have bid farewell to their surgical careers, and too many doctors have stopped improving their medical skills and dare not continue to perform similar operations, or even more difficult operations.

It's not that they can't face themselves, but that they can't face those patients.

As doctors themselves, the audience at the scene could understand the feelings of the doctors from Country J very well, so they could empathize with them more.

The operation failed, and this game, zero points.

This was the first zero score in this World Surgery Competition, and according to public analysis before the game, this doctor from Country J was at least ranked in the top 20 or even the top 10 in the overall points.

This situation has now occurred, which makes colleagues on the scene understand a truth even more clearly.

They are treating patients, and even a surgery with a 100% chance of success may fail, let alone a surgery with only a 30% to 40% chance of success. As doctors, all they can do is to improve their surgeries and try not to see the same tragedy before their eyes.

Even Wu Xiaofu was the same. So far, none of the operations performed by Wu Xiaofu had failed. Wu Xiaofu looked into the eyes of the doctor from Country J. Those were such a helpless pair of eyes. At this moment, he was already in a trance.

Wu Xiaofu swore that he would never allow such a thing to happen to him, absolutely.

(End of this chapter)