Chapter 7 White Clothes and Armor
Director Sun hurried in.
Time is life, this sentence is an unbreakable truth in emergency rescue.
Director Sun looked from the infusion channel to the monitor and then to the compression device. Although he was satisfied, he did not praise the obstetrician and gynecologist.
The obstetrician and gynecologist immediately reported the patient’s rescue situation to the director.
"Director, there is a lot of bleeding. I don't think pressure can stop the bleeding, so surgery is necessary."
Finally, the obstetrician and gynecologist expressed his opinion.
"Observe for one hour."
"..." The obstetrician and gynecologist hesitated for a moment, then leaned into Director Sun's ear, "Director, Director Lin is here."
“??” Director Sun’s head was filled with questions.
"Chu Lin said interventional embolization was needed."
"!!!"
A smile of relief appeared on Director Sun's gloomy and anxious face, and she suddenly relaxed from her nervousness.
The patient is in a state of hemorrhagic shock, and anesthesia is a big hurdle. It is hard to say whether it can pass. Interventional surgery is performed under local anesthesia and has low trauma, which is most suitable for the current patient's situation.
Only for severe bleeding in scar pregnancy, interventional surgery is far more suitable than surgery in emergency situations.
Another point is - if you can avoid cutting the uterus, then naturally it will be better.
Director Sun’s smile comes from the bottom of his heart.
Lin Chu is so awesome that he doesn’t even know where to find people who can perform interventional surgeries.
Stable!
"Okay! That's great! Where are the others?" Director Sun cursed.
"At the doctor's office."
Director Sun took another deep look at the patient, re-evaluated the patient's vital signs and condition before turning and going out.
Arriving at the door of the doctor's office, Director Sun heard a cheerful, sunny and familiar voice coming from inside.
“The operation process is like this. If it is successful, the patient can not only keep the uterus, but also be able to go to the ground after 12 hours. It will not be seen that the operation has been performed.”
“When the condition stabilizes, the patient will be Just do dilation and curettage in the obstetrics department.”
"If everything goes well, we will be discharged from the hospital within 5-7 days. As for the cost, there is no need to think too much. Our family conditions are limited. We know that we will definitely help save as much as we can."
Luo Hao?
Why did he explain before the operation?
Director Sun walked into the office with a puzzled face.
After entering, Director Sun glanced at the people in the office and forgot to even say hello to Director Lin.
Director Lin, Luo Hao, and a group of people who seemed to be the patient's family members.
Where are the experts?
Who are the experts who can do interventional surgery?
Director Sun’s face was filled with confusion.
"Director Sun is here." Lin Yuming said, "Interventional surgery is the best first. Success is the best. If the patient has vascular malformation and interventional embolization is difficult, prepare for surgery."
Director Sun's lips trembled, and the question he wanted to ask was swallowed back.
If you have anything to say behind your back, now it’s all the family members of the patients.
This is the basic quality of a clinician.
"Doctor, what kind of surgery is that? There are no risks, right?" A man with a frown asked stammered.
"Of course there are risks. Any operation or surgery has risks." Lin Yuming said lightly, "And the operation is very difficult. We can't guarantee that it can be done. Think about it, it can be done without any damage. It would be crazy if the success rate of surgery to stop bleeding and not require uterine incision is high
but! This is the most suitable and beneficial method for you now. I gave it a try, but if it didn’t work, Director Sun from the Department of Obstetrics and Gynecology came on stage to perform a uterineectomy. She was an expert in this field in the city. ”
Director Sun had a bad premonition.
When Director Qian of the Interventional Department performed uterine artery embolization to stop bleeding, this was not what he told him.
To Director Qian In his words, the uterine artery is too wide to allow four 1/5 guidewires to be passed side by side.
But now Lin Chu is talking both inside and outside. Saying that the operation is extremely difficult is like preparing for failure.
The patient's family asked several more questions, and Director Lin answered them one by one until he received the call and asked Director Sun to send the patient away.
The obstetrician and gynecologist and the patient's family rushed to the dsa operating room with a flat cart. Director Sun approached Director Lin and asked, "Director Lin, who will do the surgery? Where is the expert? I'll go see him. , thank you. You know, we have been looking forward to having an interventional surgery expert for several years. "
"Doctor Luo," Director Lin squeezed out four words from between his teeth.
! ! !
Countless exclamation marks were placed on Director Sun's face, and her brain was mixed evenly.
At this moment, Director Sun stopped even the most basic thinking, and his mind was filled with the figure of Luo Hao.
Can he do interventional surgery?
Impossible.
Interventional surgery is different from other surgeries. It is very difficult to operate the guide wire and requires someone to teach you step by step.
It took Director Qian five years to bring out three doctors who could perform interventional surgeries.
After a few seconds of shock, Director Sun saw Director Lin walking a few meters away, and she took small steps to catch up.
"Chief Lin, I didn't hear clearly, who is it? Expert Luo from the Medical University? I haven't heard that any of their experts are named Luo."
"Luo Hao." Director Lin Leng With a straight face, he squeezed out two words through his teeth.
Fuck me!
Director Sun finally knew what that ominous premonition was.
Luo Hao, magician, these two words are in no way connected.
"Chu Lin, that won't work! Absolutely not!" Director Sun blurted out.
Director Lin stopped, turned around, and looked at Director Sun gloomily.
The moment he heard the denial, Lin Yuming vented all his anger on Director Sun.
Director Sun felt like he was walking in a circle of graves, with countless will-o'-the-wisps lingering in front of his eyes, and he shuddered involuntarily.
"Director Sun, why not?" Lin Yuming asked coldly.
"Lin...Lin Chu, Luo Hao is so young, his level must be average. If a medical accident occurs...he will not be responsible for the patient." Director Sun replied stutteringly.
"Director Sun, do you still remember what I told you five years ago when Lao Qian was about to leave?"
"Interventional embolization of the uterine artery is not difficult. I suggest you take advantage of the opportunity. If Lao Qian didn’t study for a while, you can handle it yourself in the future.”
“The result? Five years! Did you learn that the patient didn’t die? Don’t you know how many uteruses have been performed over the years?”
Lin Yuming cursed in a low voice, stretched out his right hand, and waved five fingers in front of Director Sun.
"Five years have passed, have you learned even one day?"
"Now tell me to think about the patients? Why did you go there earlier?"
Late Autumn The cold wind gusted, and Director Sun shivered.
She was full of fear of Director Lin deep in her heart. Now seeing that Director Lin's gloomy and suppressed anger could burst out at any time and at any time, she felt so scared that her hands and feet trembled slightly.
"Chu Lin...my major is not the right one, and interventional surgery is illegal medical practice." Director Sun explained.
“Bullshit!” Lin Yuming was in a bad mood, and old and new hatreds surged up in an instant.
"Does the Department of Circulation have the same specialty? Why can we do interventional surgery? Does the General Surgery department have the same specialty? The Vascular Surgery Department, which is branched off from General Surgery, does not perform interventional surgeries in the same way!"
Director Sun was asked 's speechless.
"If you can do it and know how to do it, can I, Lin Yuming, let you take the blame? What kind of person am I, Old Lin?!"
"Hmph!"
"Prepare for surgery. Once Luo Hao's interventional surgery fails, you will immediately bring someone to the stage."
Lin Yuming snorted coldly and turned around to go to the interventional catheterization laboratory.
Director Sun was so angry that she was scolded. She did not dare to say or do anything to Director Lin, but she was quite unconvinced.
Crazy, all crazy.
If it is an orthopedic or circulatory interventional surgery that collects prefabricated oil, it is understandable that Director Lin's nephew would fight for it.
The fattest stents that can be used for interventional surgeries are basically taken away by circulatory and vascular departments, leaving only ordinary interventional surgeries that only cost money but do not make any money.
Why does Director Lin’s nephew want this kind of magic? !
Abnormality must be accompanied by monsters, there must be something fishy in this! ! Director Sun thought to himself.
Just wait, something will definitely happen, and then you will have to rush into surgery to wipe Luo Hao's butt.
What's the matter!
I got scolded.
I am an obstetrician and gynecologist, and I have nothing to learn about intervention. Lao Lin just knows how to stand on his moral prostate.
What a shame!
Director Sun cursed in his heart.
…
Interventional cath lab.
Director Lin was there, and his face was gloomy, like a wounded beast. The technician did not dare to sit down, and bent over the operating table to fiddle with the machine.
Director Lin folded his hands on his chest and looked coldly at the busy Luo Hao through the leaded glass.
Luo Hao first comforted the patient, then checked various lines and disinfected his hands.
After disinfecting and laying out sterile drape, Luo Hao calmly entered the system operating room and used up all the system surgery training time he had left.
In the blink of an eye in the real world, Luo Hao completed more than a dozen operations in the system operating room, and the completion rate of the operations was over 95%.
Although the number of operations is not many, my thinking feedback is invisibly accelerated during the systematic surgical training, and I have benefited a lot.
Luo Hao walked out of the system operating room, looked at the surgical area, and took a deep breath.
The lead clothing on his body is cold and heavy, like an ancient heavy-armored warrior.
The opponent is an invisible disease.
White clothes and armor, the war is about to begin.
I hope the patient does not have vascular malformations, Luo Hao thought.
His surgical level is neither high nor low. He is now at level 4, which is just enough to complete uterine artery embolization.
But Luo Hao knew very well that what he could complete was a common surgery, not the rare vascular malformation surgery.
Calmly, Luo Hao put aside his distracting thoughts and started piercing like a warrior waiting for danger.
In the groin, Luo Hao felt the beating femoral artery.
Same as the general anatomy teacher in the system operating room!
Luo Hao thought of a possibility that pleased him.
But distracting thoughts flashed away, and Luo Hao was fully focused on the operation in an instant.
Puncture, hit the nail on the head.
Withdrawing, black and red blood came out, Luo Hao immediately inserted the arterial sheath, and then the guide wire was sent in bit by bit.
Lin Yuming looked at this scene through the leaded glass with a sullen face.
"Close the door and step on the line." Luo Hao's voice came out. The heavy airtight lead door was closed, and Lin Yuming glanced at the time.
The agreed 10 minutes.
Although he said this, Lin Yuming knew that let alone Luo Hao, even if the surgeon standing inside was Director Qian at his peak, there was absolutely no way he could complete the uterine artery embolization in 10 minutes. Operation.
Luo Hao will definitely time out, and he will remember all this.
If there is a next time, I will use the time of this operation to slap Luo Hao in the face.
The guidewire appears on the screen in the operating room and follows the femoral artery into the internal iliac artery.
The guide wire traveled so smoothly that Director Lin had the illusion that the person performing the surgery was Director Qian who had gone to the south.
It was so easy to enter the internal iliac artery, and it seemed that even if the operation timed out, it would not take long. Director Lin was a little relieved.
However!
Soon Lin Yuming frowned.
The guide wire moves along the internal iliac artery with no intention of stopping.
Soon, the guidewire reached the bifurcation of the internal iliac artery.
Luo Hao actually wants to plug the uterine artery!
Lin Yuming felt uncontrollable anger rising in his heart.
I was deceived by Luo Hao! This bitch didn't even think about completing the operation in 20 minutes! !
When the operation is over, Luo Hao’s shit will be considered clean if he doesn’t punch it out!
That bitch actually lied to himself! !
"It would be easier to embolize the internal iliac artery. There is no need to be so delicate." Director Sun said in a low voice.
"Yes, I thought the internal iliac artery would be blocked, but I didn't expect Ronaldinho to block the uterine artery." The technician agreed in a low voice.
"Try it, the patient's blood pressure is so low, he will have to be rescued again after just half an hour." Director Sun said unhappily.
Although Luo Hao is Director Lin's nephew, Director Sun does not dare to point his finger at Director Lin's nose and scold him. How dare he scold Luo Hao, a young doctor?
The operation failed, Director Lin should be too embarrassed to say anything more.
Still too young, Director Sun was filled with disdain.
“Although the uterine artery is relatively thick compared to the guidewire, it is not easy to super-select. I remember one time when Professor Fan from the Department of Interventional Science wanted to super-select the uterine artery, but he tried nearly two things without success. . ”
“The patient is not in good condition now, so it won’t be a big deal after half an hour.”
The technician muttered.
In the middle of the night, I received a call from home and was summoned for surgery. I woke up so angry that I couldn't contain my anger. Although he didn't dare to say anything, there was something wrong with the operation, and the technician's tone already expressed his emotion.
"Doctor Luo is still young. So what if he graduates from Peking Union Medical College? If he has the ability, he can stay." Director Sun said disdainfully.
"Hey." The technician glanced at Director Lin, and did not answer the conversation knowingly, changing the topic, "It is better to plug the internal iliac artery. Otherwise, Ronaldinho and I will wait until the first super selection fails. The doctor suggested..."
The technician whispered to himself, but stopped abruptly mid-sentence.
He stared at the screen in a daze.
"Lao Qian didn't dare to brag like this back then. I really don't know who gave him the confidence." Director Sun muttered softly.
The technician was in the petrified state. Lin Yuming's brows furrowed even more tightly and he stared at the screen. No one paid attention to Director Sun's slightly provocative complaints.
“You have to eat one bite at a time, and then you have to embolize the uterine artery. Are you afraid that the iodized oil will escape and cannot be tied? To enter the uterine artery, he must have that capability...”
< br>The more Director Sun talked, the more excited he became, venting all his depression at work in recent years.
Suddenly there was a pain in my right foot, "Ah~~~"
Director Sun screamed.
She looked down and saw that the technician's foot stepped on her foot and twisted it deliberately.
"Xiao Zhao, you..."
"Director Sun, shush~" the technician lowered his voice and said in a voice that only the two of them could hear.
"What's wrong? I'm just telling the truth, no matter what, I won't give in." Director Sun was unconvinced and glared at the technician.
"The operation is almost finished." The technician gave Director Sun a look.
"I can't do it. I guess that's it. I'll call the operating room." Director Sun curled his lips.
The technician sighed inwardly.
If Director Sun hadn't performed the surgery in the middle of the night when his wife was giving birth, I wouldn't have bothered to pay attention to this guy who couldn't tell the height of his eyebrows.
It is inevitable that doctors in obstetrics and gynecology departments cannot understand the details of X-rays, but they should not be able to read the eyes.
This is too reckless.
Director Sun is a good person, but he is just a bit of a loser.
The technician did not explain to Director Sun anymore, but looked back at Director Lin with a smile on his face.
"Director Lin, you have been looking for someone who can do interventional surgery. I thought you couldn't find someone who can do interventional surgery. I didn't expect it!"
Director Lin looked at the screen on the operating table. , with complex expressions.
"This is the surgery, it's awesome! If Lao Qian was still here, I'd probably have to kneel down and bang him."
! ! !
Director Sun was stunned.
What does technician Xiao Zhao mean?
Director Lin raised his head and glanced at the watch hanging on the door lintel. The hour hand went by 8 minutes.
"Chu Lin, when did Ronaldinho practice the surgery? The super selection was really awesome. I didn't expect that the 18-point guidewire entered the uterine artery as if it had eyes."
Technician Xiao Zhao was not stingy with words of praise, which made Director Sun confused for a while.
Done?
“Get ready for imaging.”
A voice came from the intercom, which startled Director Sun.
"Okay, the image sequence looks normal, right? Doctor Xiao Luo, do you have any special requirements?" technician Xiao Zhao asked.
His anger in getting out of bed has long since disappeared without a trace, and he is even more docile than when he was setting up the stage for Director Qian.
In the medical field, food is the original sin.
Not only was Luo Hao incompetent, he was unexpectedly strong. Technician Xiao Zhao subconsciously gave him enough respect.
He almost knelt down and knelt down.
The embolization, re-imaging, and uterine artery were not visualized, and the operation was done neatly.
The blood from scar pregnancy mainly comes from the uterine artery. As long as the uterine artery is blocked, the surging bleeding momentum will be curbed.
There is no need to worry about uterine ischemia and necrosis. Although the "big" artery is embolized, there are abundant side branches around it, which are enough for the uterus.
This is similar to the principle of left gastric artery embolization in the treatment of obesity that Luo Hao and Lin Yuming mentioned before.
When Lin Yuming saw that the image was no longer moving, he knew that the main steps of the operation had been completed.
Time taken: 9 minutes and 23 seconds.
His mood was complicated, and there was one thought that lingered - how great it would be if Luo Hao hadn't been his own nephew.
Interventional surgery is harmful to the body, especially since Luo Hao is so young and has not yet gotten married and has children, so he cannot do interventional surgery at all.
Deep regret enveloped Lin Yuming's heart.
If it were someone else, Lin Yuming wouldn't mind praising him to the sky all the way, and then spending time in the dean's office every day, dragging the interventional department into trouble for whatever he said.
Ever since Director Qian and other experienced interventional doctors were poached by various hospitals in the south, Director Lin has been looking for doctors who can perform this type of surgery.
Even as time goes by, Director Lin's requirements are getting lower and lower. Now he does not expect to be able to reach Director Qian's level. He only needs to be able to stop the emergency bleeding in three to five hours.
But Director Lin has been looking for him for so many years, but he still hasn’t fulfilled his long-cherished wish.
Unexpectedly, the nephew who had been "fooling around" and asking for a scope of practice turned out to be the person he had been looking for.
What the hell is this!
Lin Yuming was in a complicated mood. Through the leaded glass, he saw that Luo Hao had completed the operation and was applying pressure to the patient to stop the bleeding.
Luo Hao looked sideways at himself, squinting his eyes. He must have a sunny smiling face under his sterile mask.
Lin Yuming's mood was even worse, and there was no joy at all after the successful operation.
"Is the operation finished now? Is it tied? Don't go down and bleed again."
A voice that said "ignorant of current affairs" reached Lin Yuming's ears.
Lin Yuming's irritability was like a fire, and these words poured a bucket of oil on the fire.
The flames suddenly burst out.
Director Sun, Sun Binbin, why are you waiting!
If you learn embolization surgery by yourself, do you still need Luo Hao to come on stage?
I’ll give you a good look! !
Even more fucked up than obstetrics and gynecology is orthopedics.
The Department of Orthopedics is also exposed to radiation. The director of the Department of Orthopedics is dressed like a terracotta warrior when performing surgery, even wearing a lead scarf and lead glasses, for fear of ingesting even a little more radiation.
He only performs surgeries involving oil and water, and does not touch the hemostatic embolism surgery for pelvic fractures at all.
The more Lin Yuming thought about it, the angrier he became, and even the orthopedics department became angry.
My stupid nephew is just like his father, so stupid that he breathed out! Even dogs wouldn't do an interventional surgery, and he rushed to do it.
"Director Sun, Ronaldinho's level is really high." Technician Xiao Zhao saw that Director Sun had not yet awakened, so he could only explain helplessly, "When Director Lao Qian was at his highest level, he should not be able to reach Ronaldinho's surgical level."
! ! !
Director Sun felt as if an egg had been choked in his throat, and he felt terribly uncomfortable.
"Xiao Zhao, I see that the imaging is fine, what do you think?" Director Lin made a final confirmation.
"No problem, the patient will go back and apply pressure to stop the bleeding. When the hemorrhagic shock is gone, dilation and curettage will be enough in a few days." Technician Xiao Zhao gave a positive answer.
Luo Hao applied pressure to stop the bleeding, and he had a new understanding of the system.
In the past, Luo Hao believed that the surgical training time given by the system was about 10 times more efficient than usual, which was extremely efficient.
But the reason why this operation went so smoothly is because the system has simulated all the details of the operation to be performed.
1:1 reproduction, every detail is exactly the same, which is a miracle.
In other words, you have the opportunity to perform the operation in advance before the operation, and any accidents can be predicted in advance and avoided.
Luo Hao secretly decided not to waste the surgical training time given to him by the system in the future, and save it for later use before a difficult surgery.
The 15 minutes passed in a blink of an eye. Just as Luo Hao was about to use an elastic bandage to apply pressure, there was a crisp sound in his ear.
“Ding dong~”
[Emergency mission: The dilemma has been completed.
Task content: Treat a patient with scar pregnancy bleeding
Mission time: 5 hours
Task reward: Experience value: 10,000 points, 3 hours of system surgery learning time. 】
3 hours of systematic surgery training time!
Luo Hao was a little excited.
“Ding Dong~”
Before Luo Hao could figure it out, there was another crisp sound in his ears.
【The first time the surgery completion degree reaches excellent (75 points or above), you will receive 1 system reward draw. 】
! ! !
For a moment, Luo Hao felt that the system was actually quite generous and not stingy at all.
You don’t have to rush 648 one after another and give yourself the opportunity to draw for free. It is much more conscientious than Goose Factory.
(End of this chapter)