When doctors have a simulated operating room

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While Zhang Yi was going to the toilet, he walked up to Shen Lingyue and whispered:

"Are we two unlucky? The other ones assigned to general surgery and special surgery are doing internships with the director.

The two of us happened to be working with an assistant director, and he was also an undergraduate.

We probably won’t have to undergo a few surgeries if we follow him, right?

Hey, I really regret it. I would have changed the hospital if I had known it. "

Shen Lingyue glanced at him and said:

“If someone can become the assistant director under these conditions, he must have his strengths.

I suggest you not to be too impetuous. After all, we are the teachers. "

When Gao Han heard this, he felt that Shen Lingyue had different ideas from his own, so he stopped saying this.

But he still felt regretful.

It's great to work with a director. With their master's and doctorate degrees, not only can they get into the operating room as soon as possible, but they may also be able to work as an assistant.

As soon as Zhang Yi came back from washing his hands, he saw different expressions on the faces of the two followers.

"What's wrong? Didn't you say you knew how to get medical records?"

Shen Lingyue raised her head and said:

"Yes, the teacher taught me before when I was a trainee."

"Then what's wrong with you two? It seems like you had a quarrel."

Zhang Yi asked as he walked over.

Shen Lingyue glanced at Gao Han and said nothing.

Gao Han also pursed his lips and concentrated on processing the medical records in front of him.

Zhang Yi looked at the expressions of the two people and didn't bother to care about them.

Anyway, I will only take them with me for a month, and after one month I can do whatever I want with them.

…

In the afternoon, when Liang Yuan came to the hospital, Wang Mingjun from the Department of Cardiology and several other senior doctors were all welcoming him at the door.

After discussing the surgical plan for nearly two hours, they set the time for the operation at nine o'clock tomorrow morning.

It means that Liang Yuan has to stay in Tianhe for one night before leaving.

In the evening, Wang Mingjun hosted a dinner for Liang Yuan, Qian Zhenggang and several doctors from the cardiac surgery department.

Zhang Yi, who was recording a video at home, was interrupted again by a phone ringing.

Zhang Yi frowned. He finally got the lines and emotions in place. This recording should be successful!

There was another call!

Zhang Yi took a look and saw that it was Qian Zhenggang?

"Why did Qian Zheng just call me this late at night?"

While talking to Zhang Yi, he pressed the answer button:

"Dean Qian, are you looking for me?"

"Haha, Zhang Yi, what are you doing? Come over for dinner!"

"Now? I've already eaten. Thank you, Dean Qian, for your kindness."

"Hey, don't refuse in a hurry. Director Liang from West China Hospital came to Tianhe today. We were eating and we were talking about you.

Director Liang asked me to call you over to have something to eat together. Come on, it’s okay to have a couple of drinks. Come on, we’re right here at Xianniu Village. "

Before Zhang Yi could speak, Qian Zhenggang hung up the phone.

Hey, Zhang Yi looked at his phone and thought, forget it, I can’t record the video again today.

Change clothes and go out.

Zhang Yi took a taxi and arrived at the entrance of Xianniuzhuang.

This is a hot pot restaurant with a good reputation in Tianhe.

Zhang Yi has eaten it once. The ingredients are quite fresh and the taste is similar.

After knocking on the door of the private room, Zhang Yi walked in.

When I came in, I saw several leaders of the hospital and Liang Yuan eating.

But looking at their red cheeks, you can tell they must have drank a little.

"Zhang Yi, long time no see! Since you left our hospital last time, our hospital still has your legend!"

Liang Yuan was also a little excited after drinking, and he pulled Zhang Yi and talked non-stop.

"You don't agree with our Dean Zhou's offer of an annual salary of 250,000 yuan to you. He still remembers it, haha. Of course, I hope we can become colleagues if we have the chance."

Qian Zhenggang was not embarrassed after hearing this.

Zhang Yi is so good, so many people want to poach him.

So Qian Zhenggang has long been used to it.

Hehehe laughed twice and said:

"Director Liang, a hospital as big as yours only offers an annual salary of 250,000 yuan? I'm afraid this is a bit stingy!"

Liang Yuan frowned:

"Are you stingy? The annual salary of 250,000 yuan is 20,000 yuan a month. Many of our attending doctors in West China with master's and doctorate degrees may not have this amount.

Our Dean Zhou also saw that Zhang Yi's skills were really good, so he gave this price in an unusual way.

Who knew that Zhang Yi actually disagreed...

Hehe, I guess Dean Qian, you must have given more~! "

Qian Zhenggang laughed twice and did not deny it.

"Zhang Yi, sit down quickly. The bowls and chopsticks are ready for you. Let's eat some more."

. "

"Okay."

Zhang Yi nodded and sat between a pair of bigwigs.

Then he began to listen to the bragging of these bigwigs in the field of cardiac surgery.

Of course, they were all talking about things related to cardiac surgery.

Zhang Yi could still listen to a little.

They ate until ten o'clock in the evening. Liang Yuan saw that the time was almost up and there was still surgery tomorrow morning, so he prepared to let everyone go.

Zhang Yi was sandwiched between these leaders, which meant he wasted a few hours again...

Early the next morning.

The emergency department was doing rounds as usual.

Zhang Yi was also telling the two followers who had woken up about the patient's condition one by one.

At this time, in the No. 3 operating room.

The 90-year-old grandfather was sent to the operating room.

Liang Yuan, the director of cardiac surgery Wang Mingjun, and his assistant Jiao Yong, who came from West China Hospital, and An assistant in the operating room and a total of four doctors came to cooperate in completing this percutaneous coronary intervention.

A group of doctors put on radiation protection suits and entered the operating room.

(Interventional surgery needs to be performed under the angiography machine. When the machine is performing fluoroscopy and angiography, it will generate radiation, especially the radiation generated by angiography is greater. These rays will cause certain damage to the human body, so doctors and patients must wear radiation protection suits.)

Disinfection, inject lidocaine near the radial artery.

After the anesthetic takes effect, choose the part of the radial artery with the strongest pulsation and the straightest run as the insertion point of the puncture needle.

Insert the needle in the vertical direction, penetrate the blood vessel first and then slowly withdraw the needle core.

Looking at the gray-black image in front of him, Liang Yuan took a look and said: "Choose the super-smooth loach guide wire."

"Okay. ”

After the guidewire is inserted into the blood vessel, the epidermis is cut open and the sheath is inserted.

After the sheath is fixed, the angiography catheter is also inserted.

The guidewire and the angiography catheter should be guided by the guidewire in front, and the catheter follows closely behind.

In fact, interventional surgery also requires a certain level of proficiency.

For example, the guidewire is inserted from the radial artery, which is the position on the arm, and it must go along the artery to the heart.

The radial artery, brachial artery, axillary artery, subclavian artery, brachiocephalic artery, and finally the heart gate, the root of the ascending aorta.

During this walking period, the entire guidewire journey must avoid damaging the blood vessel wall along the way.

Many complications of interventional surgery include rupture of blood vessels, which may eventually lead to heavy bleeding.

The reason is that during puncture Improper operation may rupture the blood vessels.

In addition, repeated withdrawal of the guidewire and sheath may cause spasm of the radial artery, and the guidewire will feel resistance when advancing and cannot enter.

Repeated withdrawal will also affect the blood vessels.

Of course, the director of West China still has a very steady hand.

From the image of the image, a thin black line is following the blood vessels to the heart door, that is, the root of the ascending aorta.

At this time, the guidewire for exploration can be withdrawn slightly, and the angiography catheter can be pushed to the aortic orifice.

The operation was almost one-third done.

Suddenly, Liang Yuan frowned, and the eyes above the mask revealed a trace of pain! !

Then...

With a "puff" sound...

The whole operating room was quiet...