Chapter 158 Can’t see me, can’t see me, can’t see me
Chen Yong and a strange doctor rushed over pushing a flat cart.
The wheels of the flat car roared like a siege car, rushing directly towards Pei Yingjie.
"Director Pei, get out of the way!" Luo Hao trotted past Pei Yingjie, apparently going to call the elevator.
Why is Luo Hao more caring than his own doctor? Pei Yingjie stood up straight against the wall. A gust of wind blew by, ruffling Pei Yingjie's hair.
"What's going on?" Pei Yingjie asked Mr. Wei who was following behind.
"Professor Luo took a look and said that there is a high probability of renal embolism and that we should seize the time for surgery. I...I..."
Mr. Wei was also in a trance, as if he was dreaming. .
"Have you explained the condition to the patient's family?" Pei Yingjie asked.
Mr. Wei shook his head, but raised his hand. He had a pen and paper in his hand.
Luo Hao could perform surgery, but as the resident manager of the Department of Urology, he had to do something.
It is not good to stand aside and watch others busy rescuing their own patients.
Emergency and first aid, division of labor and cooperation, everyone has the same goal - to bring the patient back from hell.
"Go and explain the situation to the patient's family, and be more serious!" Pei Yingjie warned.
"Director, I know, I just said that the patient stayed at home for too long and may need a kidney transplant." Mr. Wei whispered seriously, "That's right."
"Yes." Pei Yingjie nodded and stalked after him.
When they arrived at the elevator, the elevator dedicated to surgery had already gone down, and Pei Yingjie could only continue to wait.
Let me tell the patient's family that there is nothing wrong. The cure is the result of the doctor's work. If it is not cured... it is because the patient was delayed at home for too long.
This little trick can’t be put on the table, but there are enough things on the table!
Atrial fibrillation was not found in the emergency ECG. Everyone from the hospital chief to the third-line professor on duty suspected that it was renal infarction caused by atrial fibrillation. This is already the first-class diagnostic level in the country. Pei Yingjie suspected that even if the patient went to hospital Concordia may not be able to do better.
"What did Professor Luo say?"
"He entered the emergency room, took one look at the patient, then looked at the report sheet, and said it must be renal infarction caused by atrial fibrillation." Mr. Wei was a little confused, "He It’s so certain that I almost believed it.”
“Don’t be clever, tell the patient’s family quickly, by the way, don’t forget to mention atrial fibrillation, the patient can die anytime, anywhere!”
"Yes, yes, yes."
"Moreover, embolism in other organs cannot be ruled out." Pei Yingjie thought for a while and added, "In short, it doesn't matter how serious it is."
"Okay."
"Have you contacted the medical office?"
"Professor Luo contacted the medical office immediately, and the officer on duty has already gone."
True Don't worry, Pei Yingjie suddenly had this thought in his mind.
Come here by yourself. Apart from explaining the condition to the patient’s family, you don’t have to worry about anything else.
Luo Hao is really capable.
Pei Yingjie was in a slightly complicated mood.
For this rare disease, the urology department has received professional training and has seen related patients.
Even so, neither the resident boss nor the third-line professors could give a definite diagnosis and could only report it to themselves step by step.
What about Luo Hao?
After entering the room and looking at it, the patient was immediately taken away in a hurry.
Are all the PhDs from Union Medical College so awesome?
Pei Yingjie thought of what Luo Haosang said to himself - the aunt who cleans the house in Xiehe can diagnose it.
Damn it!
This sentence is simply too damaging.
"Ding dong~"
The elevator sounded and Pei Yingjie walked into the elevator.
He became more and more curious as to whether his doctor's diagnosis and Professor Luo Haolo's diagnosis were correct.
If the diagnosis is correct, Luo Hao should have a catheter for thrombolysis, but does he have this qualification?
Similar work should be done by vascular surgery.
Pei Yingjie got off the elevator absentmindedly and saw a middle-aged doctor with thick eyebrows, big eyes, a straight nose and a broad mouth, talking seriously to the patient's family.
As he approached, Pei Yingjie heard the man say seriously, "It took me 20 minutes to deliver it at home! Why did it take so long!!"
"..." Pei Yingjie was silent.
The doctor's words were not very sharp, nor did he complain much, but his subtle tact made the patient's family feel ashamed.
"We are rescuing him first. Fortunately, you brought him directly to us... He is in his first year of medical school. If he changes to a smaller hospital, he will probably lose at least his waist."
"Here, here, sign first. Who is in charge in your family?"
"Here, we are rescuing people. We don't have time to write a pre-operative explanation. Please sign here first. I will tell you everything you need to say." I said it, and I will make up for what I said before the operation." The doctor said seriously, "We will try our best to protect the patient's organs and life. You have seen the situation."
Then he briefly explained the situation. .
Maybe this doctor is not professional enough and does not know much about atrial fibrillation and renal obstruction. There is a slight flaw in his explanation.
But it doesn't matter, what he is talking about is what Pei Yingjie just explained to Mr. Wei.
Nothing was missed, and even because of his upright look, the hostility of the patient's family members was -2 and the trust level was +2.
Pei Yingjie was not surprised, he just felt that Luo Hao's medical team was full of talents.
Is this the person who was "tried" from the infectious disease hospital?
What a talent.
Unexpectedly, the infectious diseases hospital is not all filled with dawdling doctors.
Pei Yingjie took a deep look at the man and went in to change clothes.
"Director, I..."
"Everyone has finished giving the explanation. You and the people from Luo Hao's medical team will think about it later and see how to write the pre-operative explanation on the blank paper. , must be thorough.”
After changing clothes, Pei Yingjie hurriedly entered the interventional catheterization laboratory.
“Lao Meng, your level is pretty good.”
Pei Yingjie heard Luo Hao's voice immediately after entering.
"Hey." Meng Liangren just said hey, took a paper clip from Bai Fu's chest, and pinned the blank paper and several A4 papers together.
Then he took out a piece of A4 paper and wrote - Important medical records, please do not touch these six words, and put it on the home page. (Note)
If Pei Yingjie is careful enough, the more he looks at this person, the more he likes him.
Meng Liangren immediately put on his lead clothes, entered the surgery room and stood behind Luo Hao obediently, watching Luo Hao and Chen Yong perform the surgery.
"Lao Meng, turn off your phone for me." Luo Hao stuck his butt out.
Through the leaded glass, Pei Yingjie saw Meng Liangren take out his mobile phone from Luo Hao's trouser pocket and turn it off.
This is it?
Pei Yingjie was confused, but immediately thought of one thing - Meng Liangren, who had just thick eyebrows and big eyes, turned on the microphone when he was giving pre-operative instructions. Luo Hao heard every word in the operating room. .
There may be other exchanges.
He is so attentive that the emergency stall is still watertight!
Pei Yingjie's inner evaluation of Luo Hao was unknowingly changed.
For Luo Hao, preoperative explanation is just a step in the rescue. It is not insignificant, but it is not that important.
The operation was successful, as long as the preoperative instructions were given and the subsequent repairs can be made.
If the operation fails, the character of the patient’s family will be at stake. A blank piece of paper signed can improve the character of the patient's family members by 20%, but it is definitely not a foolproof guarantee.
Besides, Luo Hao has never forgotten the purpose of the rescue.
While talking, Luo Hao had already completed the catheter placement and was about to start angiography.
The airtight lead door slowly closed, and the operating room and operating room became two different worlds.
"Luo Hao, you sang well." Chen Yong praised after pressing the button of the high-pressure syringe.
"Huh? Focus on the emergency." Luo Hao looked forward and looked at the screen opposite.
The black image of the contrast agent was flowing in the blood vessels, but the left kidney area was almost blank.
Diagnosis, correct.
In the operation room, Pei Yingjie breathed a sigh of relief after seeing this scene.
"Time." Pei Yingjie asked.
“Less than an hour.”
Mr. Wei couldn't get the time down to minutes or seconds.
After all, the patient’s family members were nervous and anxious at first, and the time was unknown, only a rough idea.
But it is probably enough time. In less than an hour, the kidneys can still bear it, but it has reached its limit.
The rest depends on Luo Hao’s surgery. If it is done quickly, the patient’s kidneys can be saved. If you go slower, even if the operation is successful, it will be of no use. The kidney has been ischemic and necrotic and must be removed.
Is it necessary to insert a thrombolysis tube? Pei Yingjie frowned and looked at the screen. Next, it depends on fate to see whether the patient is lucky or not.
If the patient's life is good, the thrombus has just clotted, and catheter thrombolysis can quickly open a path. As long as there is blood supply, even if it is incomplete, the kidneys can be saved, and the rest can be done slowly.
Even if the kidney function is affected in the future, it will be much better than a kidney.
But if it is an old blood clot that is as hard as a stone, no matter how timely the early rescue is, it will be useless.
Pei Yingjie stared at the screen and pressed the intercom button after a minute.
"Professor Luo, how do you judge?"
"Old thrombosis, troublesome." Luo Hao replied.
Gan!
The patient's luck is really not good.
Pei Yingjie turned off the intercom, "This is the hybrid surgery room."
"Yes, director."
"Contact the operating room and prepare for surgery."
When he thought of operating here, Pei Yingjie's head turned into two.
Anesthesia, equipment, etc., etc. are all big problems.
There is no way, there is not much time left for the patient, and kidney removal is a high probability.
It is much better to prepare early than to rush when the time comes.
Why is it old? Pei Yingjie felt a little confused. Were there no symptoms before?
Is the patient careless or the patient’s family members?
I didn’t realize anything was wrong until atrial fibrillation and an embolus broke off and blocked the artery supplying the kidneys.
"Director, the operating room is busy." General Wei reported helplessly after contacting him.
Director Pei scratched his head.
It’s really disgusting when there are so many emergency rooms in the operating room at night.
It has been better in recent years. In the past few years, more than a dozen caesarean sections were scheduled. If an emergency room emergency room was added in the middle, parents who had calculated their birthdays would come directly to the hospital to try their best.
And the anesthesiologists and nurses in the operating room are also willing to perform caesarean section.
Simple and festive, after mother and child are safe, they will be greeted by smiling faces and red envelopes sharing their joy.
What about emergency first aid?
Not to mention sweating it out, you may also be jointly and severally liable.
Everyone would want to have a caesarean section.
Just as I was thinking about it, the airtight lead door opened.
Chen Yong walked out, took off his gloves and took out his mobile phone.
“Dannizi, what’s the thrombectomy catheter?”
"SkySurfer 5F-125 distal access catheter!!" came an energetic and bouncing voice from the other side of the phone. "Is there a thrombectomy stent?"
"SkyFlow 4*30 thrombectomy stent, Edward double-lumen thrombectomy stent is also available, what model do you need?"
"Full set Equipment, bring it!”
“Okay!”
After Chen Yong finished speaking, he hung up the phone.
"Xiao Chen, do you want to remove the bolt?" Director Pei raised his head and asked.
“Let’s give it a try. Luo Hao said that the embolus is old and he doesn’t know if it can work. The hospital should close down immediately. It’s useless if you want anything. The centralized procurement will bring in all these things! What’s the matter? Son!"
"Is there enough time to remove the plug? We don't have anything..."
"Try it, you can't just watch it, it doesn't seem appropriate. ”
Director Pei sighed helplessly.
The medical insurance ran out of money. After three years, all consumables were in short supply. Although the reimbursement amount remained unchanged, the hospital lost money in various ways when paying for medical insurance.
Too many words here are filled with tears.
While thinking about it, Chen Yong left.
"Why are you going?" Pei Yingjie asked subconsciously.
"Go and explain to the patient's family that the thrombectomy stent may have to be paid for at your own expense, and you may lose money at your own expense." Chen Yong looked very unhappy, tore off the sterile clothes on his body, and walked out wearing the lead clothes.
Pei Yingjie's heart moved, he stood up and followed Chen Yong.
Chen Yong did not go through the front door. The old doctor with thick eyebrows and big eyes opened the front door to communicate with the patient's family.
Pei Yingjie noticed Chen Yong coming to the back door.
"Xiao Chen, what are you doing?"
"Waiting for the embolus stent to be removed." Chen Yong glanced at Pei Yingjie and said, "Director Pei, get ready too. I guess it will be difficult to take it out. I tried the embolus and it was as hard as a rock. Luo Hao If you force it out, it is more likely that it will not come out, and the blood vessel may be damaged."
Pei Yingjie raised his eyebrows, Chen Yong was telling the truth.
At 2′22″, the sound of trolley cases pressing against the marble floor was heard.
“The hospital should prepare more consumables. They don’t want to spend money. The cost will become the basis of his paralysis. . He told the people one thing, and told us another later, and even showed a knife and said he would deduct money. "Chen Yong started to complain.
"Two mouths, one said to treat diseases and save lives, and the other said that there was no money, so they were all saving money. The operating room should be opened to the medical insurance center, and then the patient's family members should be directly contacted by the medical insurance. ”
Pei Yingjie shook his head and sighed.
The words are true, but who cares?
The next second, a small floral dress in blue cloth appeared in front of you.
Fuck me!
Pei Yingjie suspected that he had traveled through time.
Such clothes can only be seen in extremely old movies and TV shows.
Wang Jiani, who was wearing a blue floral dress, was panting heavily, her cheeks were full, and she was running all the way.
Blue cloth Xiaohuahua didn't say anything, and Chen Yong didn't say anything either. They seemed invisible to each other.
Pei Yingjie felt in a daze that the consumables dealer in Luo Hao's medical team looked like A Piao, wearing clothes from decades ago and full of resentment.
But the girl has a small face and very white skin. Even at night, her pale skin is flushed under the light, making her look particularly beautiful.
It is far different from the female ghost in my imagination.
It’s just that she is wearing blue cloth and small floral clothes...it’s so retro.
However, Chen Yong seemed not to see the girl wearing blue cloth and floral prints at all, and had no idea of saying hello.
Pei Yingjie stared blankly as the girl pushed the trolley case hard and ran away quickly towards Chen Yong.
Chen Yong squatted down, opened the trolley case, and skillfully took out the thrombectomy bracket and other corresponding consumables that Luo Hao needed.
"SkySurfer5F-125 distal access catheter, inner diameter 0.058" and other inner diameters are available; SkyFlow4*30 thrombectomy stent; SkyWay21 microcatheter; 6F long sheath; 2m micro guidewire; 5F multifunctional catheter; loach guidewire. "
Chen Yong quickly took out the consumables and babbled in his mouth, for fear of forgetting something.
Then he picked up all the things, turned around and left.
As for the girl in the blue floral dress, it seemed that she didn't exist.
The trolley box seemed to have been summoned out of thin air, as it should be. exists.
Pei Yingjie stared at this scene in confusion.
Does the girl in the blue floral dress really not exist? !
But I clearly saw it.
It is already dark.
There were gusts of cold wind blowing in the back corridor, coming from nowhere.
Pei Yingjie shuddered.
“You can’t see me, you can’t see me, you can’t see me.”
Pei Yingjie vaguely heard the girl wearing a blue floral dress mutter.
Fuck me!
What does this mean?
Chen Yong had disappeared, and Pei Yingjie stared blankly at the small floral blue clothes and squatted down to sort the trolley suitcase.
This is not the relationship between doctors and manufacturer sales. Even when no one is in charge, even when the manufacturer's technicians can follow on the stage to perform operations, they always have to say a few words to the doctor, be polite. Just give it a try.
Pei Yingjie immediately remembered something - it is said that Luo Hao's assistant is a magician and a Taoist priest.
Could this be the legendary technique of Liu Ding Liu Jia moving mountains?
No wonder she was wearing a blue floral dress. Pei Yingjie had only seen this kind of dress when he was a child, but had not seen it for decades.
Moreover, the materials are not the kind that Pei Yingjie saw when he was a child, but pure fabrics.
Before liberation... Ah Piao was detained by Luo Hao's assistant to sell consumables.
A few years ago, I joked that I would not be allowed to become a spirit after liberation, but wearing a blue floral dress, I might be a spirit before liberation.
A strange thought appeared in Pei Yingjie's mind.
This idea is so nonsense, but Pei Yingjie believes it.
After all, the blue cloth and small floral dress clearly appeared in front of him. Chen Yong didn't even say a word to the girl, and she didn't communicate with Chen Yong. Now she muttered in her mouth - "I can't be seen."
Pei Yingjie almost stopped crying. The blood in his body was coagulated, his hands and feet were cold, and he began to tremble.
What is this!
You were clearly in the emergency room just now, why did it become an urban legend the next second?
“You can’t see me, you can’t see me, you can’t see me.” The nagging voice of the little blue cloth clearly reached Pei Yingjie’s ears.
After packing her things, Wang Jiani stood up, pulled her trolley suitcase and glanced at Pei Yingjie.
Although Wang Jiani is a cosplayer, she also feels that she is wearing a strange outfit today. As we ran all the way, countless people pointed at us.
But Wang Jiani was still editing videos at home when she received the call. She really didn’t have time to change clothes, so she could only run out with a trolley suitcase and a blue floral dress.
Cos Xianglin’s wife’s appearance is different from others, it’s true that it’s different enough.
What a shame. I hope this doctor has astigmatism + cataracts and cannot see himself.
As God wished, the old doctor kept looking at him blankly without saying a word.
Wang Jiani packed up the things in the trolley suitcase, smiled habitually, turned around and ran home with the trolley suitcase.
The "person" is gone, and the little blue cloth flowers are gone.
The corridor at the back door was empty. Pei Yingjie was trembling all over, his various sphincters were spasming at the same time, and he almost made a fool of himself.
If you are dazzled, you must be dazzled
Pei Yingjie turned around numbly, his knees unable to bend back.
Like a puppet, Pei Yingjie returned to the operating room upright.
He was not afraid of ghosts, but he saw something scarier than ghosts.
Chen Yong did not come on stage, but was looking at the screen with his arms folded.
"Xiao Chen, who is the supplies supplier?" Pei Yingjie asked with a forced smile.
"What supplies dealer?" Chen Yong asked coldly.
“???”
“Manufacturers and dogs are not allowed inside. Director Pei, you don’t know this, right?”
Fuck you!
Pei Yingjie's mind buzzed.
The small blue cloth flowers fill the eyes with great horror.
Although it was not a red wedding dress, it was enough to scare Pei Yingjie.
He knew the truth of the matter, but Pei Yingjie would rather believe that there were ghosts in the world than believe the scene he saw.
"Director, what's wrong with you?" Mr. Wei wondered why the director seemed to be a changed person after he came back from a trip.
"Give me a hand." Pei Yingjie put his hand on Mr. Wei's shoulder and sat down slowly.
Chen Yong looked at Luo Hao inside through the leaded glass angrily.
Consumables are relatively rare and it is not certain whether they can be reimbursed. Luo Hao still insisted on having the thrombectomy performed.
Of course Chen Yong knows that patients will benefit, but once someone investigates this matter, it will definitely be bigger than Qing Qian's matter.
Don’t you know how to cherish some feathers? ! Chen Yong thought in his heart.
He doesn't like anything he sees now, especially Luo Hao who is undergoing surgery inside.
On the screen, Luo Hao inserted the 6F NeuronMax long sheath along the sheath, and placed the long sheath at the end of the C1 segment of the internal carotid artery through a loach guidewire and a 125cm single-curved catheter.
The microguidewire, SkyWay21 microcatheter, and SkySurfer5F-125 distal access catheter are coaxial. The microguidewire passes through the renal artery occlusion segment, and follows the SkyWay21 microcatheter along the microguidewire to cross the occlusion segment. The microcatheter "risks" "Smoke" indicates that the distal blood vessels are unobstructed.
The operation was a simple success.
For Luo Hao, the operation is not difficult. The difficult thing is how to deal with it after the operation.
Will patients and their families fall out over unreimbursed consumables?
Luo Hao didn't know, and neither did Chen Yong.
"Professor Luo, the patient's family agrees, saying that even if it is not reimbursed, it will be fine. Let's try to see if we can keep it by spending money..." Meng Liangren came back and reported to Luo Hao.
But the next second, he suddenly saw smoke coming from the renal artery. The operation was completed while he was communicating with the patient's family. Meng Liangren was stunned.
This is too fast!
Although Meng Liangren cannot perform detailed operations due to hand hyperhidrosis, he understands surgery.
How many minutes does it take to complete the thrombectomy surgery? !
"Oh, that's good, the operation is done." Luo Hao took out the stent and looked carefully at the thrombus.
The subsequent steps were completed quickly, the blood supply to the kidney was restored, the catheter guidewire was extracted, and the operation was successful.
"Dr. Meng, come and apply pressure to stop the bleeding."
Luo Hao turned around and stepped off the stage, tore open the sterile gown and threw it into the medical waste bucket.
"Stab~"
Tear off the lead skirt and throw it to the ground.
Meng Liangren was applying pressure to stop the bleeding. When he saw someone trying to pick up the lead skirt, he immediately shouted, "Let me go!!!"
......
……
Note: During one rescue operation, the army was in chaos, and the signature sheet could not be found after he stepped down. After struggling for a long time, I found it in the corner. After that, I will always keep 3 paper clips. It seems that it is of little use under normal circumstances and can only be used once every 2-3 years.
(End of this chapter)