Chapter 121 Running in both directions (New Year’s update~Wang Wangwang)
When he came to the operating room and changed his clothes, Luo Hao really couldn’t look directly at Fan Dongkai.
This guy must be looking forward to going to Princeton and becoming a junior doctor like he is doing now.
Thinking about how beautiful it is!
Luo Hao was helpless, but also looking forward to it.
With such pure-blooded horses and the blessing of almost unlimited patients in Phase 3 and 4 clinical trials in India, the task should be completed.
Some time ago, as Cui Mingyu and Yuan Xiaoli fell one after another, the progress bar of the number of surgeries was extremely slow.
Unexpectedly, Fan Dongkai fell from the sky and hit Luo Hao.
Well, this junior doctor is pretty good!
Luo Hao and Fan Dongkai had the same idea.
Entering the operating room, Luo Hao first said hello to the anesthetist and nurse, and then started the last examination with the echocardiogram that had been prepared long ago.
Although Fan Dongkai was surprised by Luo Hao's versatility and could even do ultrasound, he did not show surprise. Instead, he did his duty as a junior doctor, holding a pen and paper and preparing to take notes.
"The guide wire can be seen in the superior vena cava, and the guide wire goes from the superior vena cava - right atrium - tricuspid valve - right ventricle. The guide wire retraces in the right ventricle and passes through the regulatory bundle.
Three-dimensional ultrasound scan: The guide wire and the adjustment bundle move simultaneously with the cardiac cycle, and the boundary is unclear. The guide wire then returns to the right atrium through the tricuspid valve and then enters the inferior vena cava.
The guide wire can be seen in the inferior vena cava. Echo. The anterior leaflet of the tricuspid valve was slightly prolapsed into the right atrium during systole, with a depth of 4.0 mm. ”
"CDFI showed: regurgitation was seen in the tricuspid valve orifice, the regurgitation area was 7.3cm2, the maximum regurgitation velocity was 212cm/s, and the PG was 17mmHg.
Ultrasound tip: After the patient had renal failure and hemodialysis catheterization, the right side of Guide wire echoes were visible in the atrium, right ventricle, and superior and inferior vena cava, mild prolapse of the anterior leaflet of the tricuspid valve, and moderate tricuspid valve regurgitation.”
Luo Hao’s calm and peaceful voice spoke in the operating room. sounded.
The ticking sounds of ventilators and monitors became the background.
Fan Dongkai wrote down everything Luo Hao said, and every word was correct.
He appreciated that Luo Hao also did an excellent job in doing ultrasound, and Luo Hao appreciated that Fan Dongkai recorded quickly and professionally.
Going in both directions is a joyful thing.
After performing the cardiac color ultrasound, Luo Hao glanced at the operating room and saw that Director Tian was distracted and the other doctors were a little confused.
Luo Hao didn't mind and disinfected his hands.
Seeing Luo Hao go to wash his hands, Director Tian pulled his mind back and went to wash his hands with Luo Hao.
"Ronald, is your assistant an expert from Princeton?"
"Director Tian, don't make trouble." Luo Hao said with a smile, "It's true that he is an expert from Princeton, but he is definitely not my assistant. "
Director Tian believed what Luo Hao said, but after he believed it, he recalled the scene in the locker room where Fan Dongkai helped Luo Hao get his slippers, and Director Tian began to feel confused again.
This cannot be explained at all.
Only interns and young doctors who have just arrived at the hospital and have particularly high emotional intelligence can do this kind of thing.
Any doctor with a little more seniority would like to have some facial recognition, but they would not do it like Fan Dongkai.
But the world-class experts from Princeton turned down their faces...
Director Tian couldn't figure it out and felt that there must be something fishy going on.
After brushing his hands, Director Tian habitually slowed down a little, waiting for Luo Hao to disinfect.
After completing the process of disinfecting and laying out sterile drape, Director Tian "habitually" stood in the position of the surgeon again.
Luo Hao put on sterile clothes and felt helpless when he saw Director Tian's position.
But even though Luo Hao can do this surgery, he still has to put in 100% of his strength to complete it, and there is no room for redundancy.
This is the conclusion Luo Hao came to after doing it dozens of times in the system operating room.
"Director Tian, the operation is a bit difficult. How about you help me?" Luo Hao mentioned it to Director Tian as if he was chatting about household matters while putting on his gloves.
“???”
"!!!"
Director Tian was stunned.
Help Luo Hao by yourself? Could it be that Luo Hao wanted to be the surgeon?
He subconsciously thought Luo Hao was a clerk in the medical office, so he was stunned when he heard what Luo Hao said.
"Ronaldino, are you kidding?"
"Well, the surgery requires stripping off the guide wire and incising the heart. Let me do it." Luo Hao leaned into Director Tian's ear and whispered "suggestions."
The most difficult point Luo Hao didn’t say because Director Tian also knew it.
Seeing that Director Tian had not moved yet, Luo Hao could only toughen his attitude.
"Director Tian, there may be a lot of bad things that happen after the operation. There are so many people talking in the operating room, so I can't guarantee that the patient's family members don't know about it. This is not a good thing, it is a big pot. I can't help it. Professor Xiehe, it would be better if you take the blame."
Director Tian was moved.
Fan Dongkai looked impatiently.
Ronaldinho's level is very high, and he is an extremely rare hexagonal doctor. He can pick up anything and is extremely proficient.
But his temper is too mild, like a glass of warm water.
The matter of being the surgeon actually had to be discussed with someone, and I kept asking the director of the local hospital for help.
The key point is that the director doesn't seem to know what's going on. He stands carelessly in the position of a surgeon and refuses to move.
If he were in his shoes, he would definitely be ashamed of himself with a few words.
"Professor Xiehe was asked by the patient's family to perform the surgery, and you were the surgeon. What's going on?" Fan Dongkai couldn't stand it, and stood behind Luo Hao and said coldly.
Director Tian was startled, and then his face turned red.
In his mind, Luo Hao was still a clerk in the medical office. He completely forgot that Luo Hao was already a professor at Union Medical College and the "foreign expert" for this operation.
I felt a little suffocated, and Director Tian wanted to turn around and step down.
But out of fear of Lin Yuming and Luo Hao, he still raised his hands flat in front of his chest, turned around and stood opposite as the first assistant.
Standing a few steps away, Director Tian had already made up his mind that he would never do this surgery and let Luo Hao do it all.
Young man, arrogant and domineering!
Director Tian knew that Luo Hao was good at performing interventional surgeries, and even included experts from Princeton in his medical team.
Ke Luo Hao is so arrogant that he thinks he can even perform cardiothoracic surgery!
If you don't let me do the surgery, I won't do it yet. When I can't do it anymore, Director Lin will tell me something small!
Director Tian’s abacus was crackling.
Luo Hao stood in the position of the surgeon and saw that Director Tian was acting as an assistant seriously and started the operation after disinfection.
"Sternum saw."
Luo Hao stretched out his hand.
The heavy sternum saw was handed to Luo Hao's hand.
The buzzing of the electric saw cut open the bone wax behind the sternum to stop the bleeding, and pulled the sternum open to expose the heart.
The right atrium was cut open, and the guide wire was found to be spirally coiled in the right atrium. The guide wire entered the right atrium from the superior vena cava, passed through the tricuspid valve, entered the right ventricle, wrapped around the tricuspid valve chordae tendineae, and then passed through the tricuspid valve again. The cusps return to the right atrium and enter the inferior vena cava.
Same as the last echocardiogram done before surgery!
Director Tian was slightly moved. On the surface, he was calm, but in his heart, he felt inexplicable.
Ronaldinho is awesome!
The previous process was extremely skilled, as if he were a cardiac surgeon who had performed thousands of surgeries. There was nothing to lament about it. If Luo Hao failed to do even this, Director Tian could really step down.
The key is that a seemingly useless examination before surgery is actually an indispensable way to finally determine the surgical approach and plan how to do the surgery.
Could he really do cardiothoracic surgery?
Director Tian’s confidence has been shaken.
Recalling Luo Hao's real-name report by Wen Youren years ago, a patient with ascending aortic dissection happened to need elephant trunk surgery.
912 Director Gu brought his team to fly the knife. During the operation, they talked about Luo Hao, but did not listen to what Director Gu said.
Strange, are they so strict with their mouths?
Director Tian was a little distracted.
“Pa~”
The hemostatic forceps gently tapped on the back of Director Tian's hand.
Luo Hao showed mercy and did not hit the most painful styloid process of the radius.
"Director Tian, we need to free the superior vena cava." Luo Hao did not reprimand Director Tian, but expressed his thoughts gently.
Fan Dongkai frowned, Luo Hao had a weakness, he had already observed it!
Luo Hao is too gentle and too talkative, probably because he has never been a senior doctor.
What was there to say to that rookie doctor? The hemostatic forceps were pulled up and even hit him in the face.
If you can do it, do it; if you can’t, just get out!
Simple and clear, why take care of his face!
Fan Dongkai thought.
But it’s okay. Luo Hao’s weakness is that he will not reprimand junior doctors, but he wants to be a doctor under him, so it is good to have less trouble.
Yes, yes, Fan Dongkai became more and more satisfied with Luo Hao. He was indeed the most suitable junior doctor.
It's a pity that my girl is still young. If she is of the right age, it would be best for Luo Hao to be her son-in-law. With him guiding his future, Luo Hao's future is boundless.
What a pity.
Director Tian concentrated on helping, and Luo Hao then carefully separated the superior vena cava lateral guide wire.
See that the guide wire on the superior vena cava side is adhered to the opening of the superior vena cava. After careful separation, release the superior vena cava blocking band and pull out the guide wire toward the right atrium.
Just like the situation encountered in the system operating room, the process of pulling out the guide wire did not encounter obvious resistance.
Luo Hao successfully removed the guidewire completely from the superior vena cava.
Then we began to carefully separate the adhesions between the guide wire and the tricuspid valve chordae tendineae, protect the tricuspid valve chordae tendineae, gently guide the guide wire out of the tricuspid valve chordae tendineae, and remove the part of the guide wire in the right ventricle.
Loosen the superior vena cava blocking band and gently pull out the guide wire. Luo Hao felt greater resistance.
Director Tian also saw that Luo Hao encountered difficulties.
The longest time for superior vena cava occlusion is 20 minutes. Luo Hao only took less than 10 minutes to complete the operation, and the whole process went smoothly.
Director Tian had already forgotten the idea that Luo Hao did not know how to perform cardiothoracic surgery. Seeing the obvious resistance, Director Tian sighed.
"The guide wire remains in the heart for a long time, so extracorporeal circulation is required. Director Lin, our equipment can be used, please call Director Xu."
Lin Yuming also Seeing that Luo Hao had some difficulty operating, he began to feel worried.
The mine always has equipment, but the anesthesiologists who know how to perform extracorporeal circulation have long gone to the south. The only doctor in the hospital who has done extracorporeal circulation is the director of the anesthesiology department.
But he had only done it before, so he couldn't say how good it was.
And it’s been too long since the last extracorporeal circulation, so I’ve probably already eaten.
"Luo Hao, do you know how to perform extracorporeal circulation?" Lin Yuming asked, standing behind Luo Hao.
"Huh? No need for extracorporeal circulation."
"???"
"???"
Director Tian and Lin Yuming looked at Luo Hao at the same time.
"Help me get a gap sealer." Luo Hao stretched out his hand.
However, the operating room suddenly fell into an awkward silence.
No one spoke, everyone looked at Luo Hao quietly.
Luo Hao was stunned for a moment, thinking of something, his hands were a little cold and trembling slightly.
Fan Dongkai was confused, "Atrial defect sealing devices are very common and are the most basic equipment. You... shouldn't you be doing similar surgeries without the related consumables?" Damn it!
Luo Hao cursed in his heart.
It has been so smooth lately that after completing dozens of operations in the system operating room, I forgot to go back to the mine manager for surgery, and the mine manager lacked equipment.
Want to cry but no tears.
Halfway through the operation, there is no suitable thing. It is really frustrating that the sky is not responding and the earth is not working.
Atrial defect sealing device is indeed one of the most basic surgical interventional surgeries in the Department of Circulation, but it is usually performed on children, and the reimbursement rate given by medical insurance is very low. Each one is compensated for one, so it is mine. I gradually stopped performing similar surgeries.
There is no atrial defect sealer!
Luo Hao was a little panicked, but then forced himself to calm down.
He glanced at the luck value of 56+2 on the system panel and took a deep breath.
"Uncle, take out my phone."
Luo Hao moved his waist, and Lin Yuming took out the phone from his hip pocket.
"Help me find Da Nizi and call her."
"Your girlfriend?" Lin Yuming asked.
The joy was quickly dissipated by anxiety, and Lin Yuming did not bother to ask. After all, the patient was still on the operating table.
Find Da Nizi’s name, dial the number, and put the phone to Luo Hao’s ear.
"Da Nizi, I need a housing gap sealing device. How long will it take for you to arrive in Donglian City?" Luo Hao asked in a deep voice.
“We’re here, we’ve entered the city, only a few minutes left!” Wang Jiani said quickly.
Although her voice was still like Belle Belle's big carp jumping around, full of energy, this time it was different from usual, and Luo Hao could hear a hint of trembling.
"Are you cold? Are you wearing too little?" Luo Hao asked with rare concern.
"No, I'm scared, Doctor Luo." Da Nizi was about to cry, her voice became more and more trembling, "The driver was driving too fast, I felt like I would fall off at any time."
< br>"Little girl, you have to go to Donglian City in 2 hours, so don't talk nonsense! Besides, I'm driving, so you can say something auspicious."
A man's voice interrupted Wang Jiani's words complain.
Luo Hao sighed, "Come directly to the surgery room, and I will ask Director Lin to get the atrial defect sealing device."
"Okay, Doctor Luo."
Luo Hao didn't ask Wang Jiani how he knew he had returned to Donglian City. He would have plenty of time to ask in the future, so he was not in a hurry.
"Warm salt water gauze."
After hanging up the phone, Luo Hao asked for warm salt water gauze to cover his heart.
"Uncle, help me take out the atrial defect sealing device. I'll wait here and do it again in ten minutes."
Lin Yuming was a little disappointed, but he still turned around and went out to wait for the room sealing device.
"Ronald, Luo, what are you using this device for? Isn't it all open?" Director Tian asked.
"Blunt separation."
Before Luo Hao could answer, Fan Dongkai said coldly.
“Atrial defect sealing device is not only useful in interventional surgery, it is a tool.”
Director Tian lowered his head and remained silent.
"Cardiothoracic surgery does not perform interventional surgeries. They are lazy, greedy, and shy of the easy, but you can't have never seen an atrial defect sealing device." Fan Dongkai's tone became sharper, as if Director Tian Did you do something outrageous?
Director Tian wanted to refute, but did not say anything.
He doesn't care that Fan Dongkai is the world's top interventional surgery expert. No matter how specialized the expert is, he can't specialize in Donglian City.
But Lin Yuming and Luo Hao are two big mountains that lie in Director Tian's heart.
The atmosphere was a bit awkward.
Luo Hao smiled, "Director Tian, if you need help in the future, you can contact me at any time."
"???!!"
Director Tian was startled and immediately raised his head. , "Ronald, it's true!"
"Of course, you can do many surgeries with confidence. It only takes me three to five hours to get back, which is very fast."
"Great!" Director Tian witnessed Luo Hao's surgery with his own eyes and received Luo Hao's promise, and his heart suddenly fell to the ground.
What surgeon doesn’t want to have foreign aid?
Especially a doctor of Director Tian’s level.
They seem to have a very high technical level, but the trouble is that in this three-acre land of Donglian City, they are the ceiling of technology.
Once something goes wrong or you encounter a problem, you can’t find anyone to discuss it with.
Luo Hao is giving timely help.
Soon Lin Yuming came back, holding a pile of atrial defect sealing devices.
Luo Hao picked one and continued the operation.
Use an atrial defect occluder with a length of about 40cm to deliver the sheath from the guidewire and introduce it into the inferior vena cava. When encountering resistance, Luo Hao paused for a moment, then carefully rotated the sheath and introduced it forward.
It turns out that this is blunt separation!
The principle of operation is very simple and Director Tian can understand it at a glance.
But he not only understood the blunt separation using atrial defect sealing device, but also understood Fan Dongkai's reprimand to him.
Cardiothoracic surgery, I don’t know what an atrial defect occluder looks like...
It’s indeed a bit excessive.
At 6′22″, Luo Hao finally took out the inferior vena cava side guidewire completely. There was a small amount of fiber strips attached to the surface and there was no bleeding.
The total length of the removed guidewire was measured to be 70cm, which was consistent with the length of the original guidewire.
Stop the bleeding, rinse, suture layer by layer, and the operation is declared over.
The patient’s vital signs were stable and the surgery was supportive. Luo Hao had nothing to worry about.
With the last stitch, the task is completed.
But Luo Hao did not go to the system space immediately to check the task rewards. After the patient woke up from anesthesia, Luo Hao found Wang Jiani after sending the person back to the ward.
Wang Jiani was wearing a white down jacket and a military coat on the outside.
Her down jacket was just a decoration and could not keep out the cold. Luo Hao understood.
Looking at Wang Jiani dressed like a penguin, carrying two trolley bags, and her clumsy movements more like a penguin, Luo Hao almost stopped laughing.
"Da Nizi, how do you know I want to use consumables?" Luo Hao asked.
"I... don't know, but the sales director said to let me be wherever you are."
"Then what?"
"I often ask the doctor in the department where you are, but I found out too late today..." Wang Jiani felt a little aggrieved, "I quickly took a taxi, said it was urgent, and asked the driver Drive as fast as you can, hurry up and get to Donglian City."
"The master drove the car so fast that I felt like he had transformed into a Transformer and flew directly over."
Luo Hao sighed.
I wanted to reach out and pat Wang Jiani on the shoulder, but I felt it was too intimate, so I stopped.
"What have you been playing recently?" Luo Hao asked softly.
Wang Jiani’s eyes lit up!
"Dr. Luo, Einstein's brains are selling very well. I even feel that if I can sell them for a while, I won't have to work."
Luo Hao smiled.
“Then I usually record some short videos or something, the number of likes is okay, I don’t pick up Hiroko, I’m just messing around.”
"Why didn't you answer?" Luo Hao was surprised.
“I don’t understand, I don’t do union work, I don’t have my own team, it’s too tiring. Make videos well, and what is supposed to come will always come.”
This calm mentality, and Fan Dongkai's purebred cow horse is the complete opposite.
But everyone has his own destiny, Luo Hao didn’t say much.
“Let’s go, I will take you to go through the temporary procurement procedures.”
Luo Hao didn't know anything about all this. He had completed the procedures at the medical office first and asked his uncle to make a call tomorrow. If Wang Jiani was not stuck in other departments, it could be completed in an hour.
"Doctor Luo, are the consumables used?!" Wang Jiani was a little excited.
"Well, it was very timely and the operation went well." Luo Hao gave a positive reply, "Thank you, Da Nizi."
Wang Jiani jumped up all of a sudden, and Belle was confused. jump.
“Great! I have been fishing for so long that I feel embarrassed. The director even liked my short video a few days ago!”
"..."
Luo Hao really didn't know how to evaluate this big-minded little girl.
"It's inconvenient for me to be here." Wang Jiani knew what was going on. She caught a glimpse of the mine manager's doctor looking over and was about to leave.
"Go to the medical office first and complete the procedures there."
Luo Hao took Wang Jiani to the medical office and said hello to Lin Yuming on the way.
Luo Hao was very proficient in approval procedures and paperwork. After all, in the two years after graduation, Luo Hao basically did work that could be used clinically, but was somewhat distant from clinical practice.
"Well, just come back tomorrow to go through the formalities." Luo Hao handed the approval form to Wang Jiani, but he still felt embarrassed, "Big Nizi, I don't have a place to eat."
"Ah! Doctor Luo, I can just eat by myself. There are many people there. Now the hospital is full of manufacturers and dogs are not allowed in. It's not good to take me to eat with you. You are busy with your business."
"Ha! Haha." Luo Hao laughed and picked up the phone.
"Mom, I'm back." Luo Hao said with a smile, "There's still something going on here. I guess I have to go home late. I have a friend who helped me a lot. You can make some food for her. ”
"Huh? She's a woman, not a girlfriend."
"Hai, I can't tell you clearly. I'll make food for her. I've arranged a hotel for her. Don't stay at home."
Luo Hao left another message for Manager Yin, "Da Nizi, go to my house for a bite to eat. You can't come all the way back without eating a bite of food."
"Thank you." Wang Jiani's eyes Shining and shining, but also a little ignorant, less and less.
“The hotel has also made arrangements for you. After dinner, you can call a car and I won’t be polite to you.”
"Business about your business, Doctor Luo, tell me if you want to throw a knife again next time."
Luo Hao's heart moved.
"I may go to India soon, but don't go there."
Just a heartbeat, Luo Hao thought about the horror of India and gave up the idea.
“Why!” Wang Jiani was already eager to give it a try before she understood the situation.
"No reason, just go and get busy." Luo Hao began to chase people away.
Maybe Chen Yong is right, Luo Hao thought to himself - he is really the kind of person who doesn't admit it even if he puts on his long johns.
But isn’t it convenient in this world? Luo Hao quickly found an explanation for himself.
Sent Wang Jiani to the car, and before she could wave goodbye, her cell phone rang.
Luo Hao didn't even look at his phone. While watching Wang Jiani off, he picked up his phone and answered the call.
"Ronaldo, what you did in this matter was a bit unethical."
A cold voice came.
(End of this chapter)