Start From Emergency Doctor

Chapter 40

“I’ll do this operation!”

Zhou Yuan’s remarks stunned the two chief physicians present.

“Naughty!”

“What do you want to do? Do you know what a cerebral infarction is? Do you know how dangerous the patient’s condition is?!”

Even the two big experts in neurology and brain surgery can only sigh, an intern actually said that he could do it?

“I doubt it, do you know what a carotid endarterectomy is?”

Zhou Yuan frowned.

People suspect that the level of surgery is nothing, his internship is there.

However, the theoretical level has also been questioned!

Zhou Yuan glanced at the old man lying on the emergency bed, and then quickly said: “Carotid endarterectomy is a way to remove thickened carotid endarterial atherosclerotic plaque and prevent cerebral infarction due to plaque shedding. , Has been proven to be an effective method to prevent ischemic cerebrovascular disease.”

“The operation has been carried out in Europe and the United States for 60 years, and it has been proven to be a very safe and effective operation. It is the gold standard for the treatment of moderate to severe carotid stenosis. At present, only M country performs about 150,000 cases per year. And the corresponding carotid artery Stent implantation is not the first choice due to its high cost, high incidence of perioperative stroke, and high postoperative restenosis rate.”

“The patient’s carotid artery stenosis is greater than 50%. Carotid endarterectomy is the best treatment.”

When it came to this, Jiang Xiaoqi had already arrived.

Jiang Xiaoqi had taken neurology as an elective course, had a certain understanding of cerebral infarction, and had contact with similar patients, so he was called over.

“I said, I’ll do this operation, let’s not continue to delay it, okay?” Zhou Yuan became a little impatient.

Wait, the old man’s life is very dangerous!

“No, I can’t do it. The carotid artery is too narrow, and the scope of cerebral infarction is too large, exceeding 60%, and it is accompanied by hemorrhage, forming a large number of lumps and blocking the cerebral blood vessels. I have never seen a cerebral infarction like this. Serious patient!” Jiang Xiaoqi said solemnly after watching for a while.

“What the hell! Look! The doctoral students back from Harvard are helpless. The two directors who have been studying their heads for more than forty years can only stop. You are an intern, what fun!” The director of brain surgery became angry. .

“Shut up all, I will be responsible for this operation and let Zhou Yuan do it!”

Suddenly, He Jian interrupted everyone.(Read more @ wuxiax.com)

Jiang Xiaoqi and others immediately opened their eyes.

“He Jianyi, did you even follow you to make a fool of yourself?” the director of the neurology department asked aloud.

He Jianyi quickly checked the results of the old man’s examination and said, “I am the person in charge of the emergency department, and I have the final say here. You are just here for the consultation, and there is nothing you can do. Then we will do it in the emergency department!”

He Jianyi was the person in charge here. After a word fell, Zhang Ling and other little nurses immediately started pushing the emergency bed.

“Operating Room One.” Zhou Yuan said skillfully.

“What should I do with the signature of the patient’s family? Master, the patient’s family has not come yet!” Haiyang walked in eagerly at this time.

“I’ll sign!” Zhou Yuan no longer allows time to be wasted on such meaningless things.

“What name do you sign as an intern? I’ll sign it!” He Jianyi took a deep look at Zhou Yuan and cursed slightly.

The signature of family members is too deep. When a doctor signs on behalf of the doctor, if there is any medical accident during the operation, then the doctor’s career may be ruined.

Moreover, the family members of the patients who did not sign may be sued to court to compensate huge losses and so on.

Zhou Yuan is a good doctor with a bright future, and one day he will become a leading figure in the medical field. He Jianyi is about to reach the end of his career.

If someone must sacrifice for this, He Jianyi chose to sacrifice himself to protect his disciples!

“Teacher…” Zhou Yuan was taken aback and couldn’t help being moved.

“It’s numb, go for surgery!”

With that, He Jian swiftly signed his name on the informed consent form for the operation.

“Ocean, second help. Wang Kai, third help.”

He Jianyi had already made arrangements as he walked to the operating room.

The ocean on the side has a bitter face.

“Listen to this, master, are you planning to be a helper again?”

He Jian nodded: “Otherwise? I don’t feel relieved if I don’t participate in such a major operation!”

Ocean joked: “If you don’t feel relieved, I’ll be a helper!”

He Jianyi patted the head of the ocean: “You guys talk a lot! Look at how honest Liu Kai is!”

Liu Kai smiled honestly: “Haha, it’s enough to see Junior Brother Zhou Yuan and Master Zhou Yuan for surgery!”

A few minutes later, the chief surgeon, one assistant to three assistants, instrument nurses, anesthesiologists, etc. were all in place.

Zhou Yuan put on a heavy lead suit and stood in front of the operating table, flashing through the steps of carotid endarterectomy.

First, make an incision on the anterior edge of the sternocleidomastoid muscle of the anterior neck to separate the common carotid, internal carotid, and external carotid arteries, temporarily block the above-mentioned blood vessels and then incise the bifurcation of the common carotid artery to remove the thickened plaques of the arterial intima Block, re-suturing the blood vessel wall.

Before the operation, He Jianyi touched his chest nervously and glanced at Zhou Yuan: “Are you sure? I’m not sure about it. I just subconsciously think you might be able to.”

“Because you have brought us so many surprises.”

Zhou Yuan smiled and said, “Teacher, trust me!”

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