Chapter 497 Don’t sting me!
Finished!
Fang Xiao just called out, but the expressions of the patient's family confirmed the guess in his heart.
The patient does have a family genetic history, and Professor Luo is not wrong at all.
"Why didn't you say it when you came? I'll ask you twice!" Fang Xiao was extremely strong and glared at the patient's family fiercely.
"..." The patient's father wiped his tears, his eyes roaring red.
Why not say that everyone has their own guesses, and everyone has their own reasons.
Fang Xiao suppressed his anger, and it was almost the same as acting here, too much is worse than too much.
"Let me say that, the patient's condition is extremely dangerous, just like her mother." Fang Xiao said.
"Ah?!"
Fang Xiao's words broke the patient's father's last fantasy.
"Come with me." Fang Xiao took the patient's father to the doctor's office, found the right position of the video surveillance, and explained to the other party, opened the surgical video, and started to talk about the condition.
"They have Ehlers-Danlos syndrome, also known as skin hyperelastic syndrome. When you look at the skin of her limbs, I looked at something wrong at that time. If you ask you a few more questions, you think I am not serious."
"This disease will cause blood vessels to become brittle. Do you think our Changnan People's Hospital is not at the level of sufficient level? In fact, the patient's blood vessels are too fragile and there is no way to perform surgery. Not to mention surgery, it is difficult to even insert a drip. If you insert it, the blood vessels will break. You have to take your luck. It is not that our technical level is not enough, but that the blood vessels are too poor."
Fang Xiao reinterpreted what Luo Hao said in his own way.
After hearing this, the patient's father fell into despair.
"You have also seen the current situation. If you don't help me, you will definitely die within an hour, at most one hour."
"Save, come on stage, you will most likely die on the operating table."
Fang Xiao said this, stopped, looked at the patient's father, and carefully distinguished his expression and emotions.
I am quite right, almost a sure death.
Lao Xing was right just now. Some difficult surgeons are still willing to do it, but they generally need to meet two conditions: one is that there is still some rescue, and I cannot retreat; the other is that the patient's family members do not make trouble, so I can go.
Fang Xiao did not lie. He usually told the patient's family before the operation that he would not have any surgery, and that 99% of the death of the surgery were two concepts.
The patient in front of him died 100% after surgery, and his only chance of life may be in the provincial capital.
but!
Just cause trouble for yourself, but Professor Luo is even dragged down. Fang Xiao can't do such a thing.
As long as the patient's family shows a trace of strangeness, Fang Xiao will make a decision.
A few seconds, as if a few years have passed.
The patient's father wiped his tears, and Fang Xiao's eyes fell on his knees. As soon as his knees became weak, Fang Xiao was about to bow to him three times and the couple bowed each other.
Next, nothing happened next.
"Director Fang, I'm really sorry, wuwuwu~~~" The patient's father did not kneel down and beg Fang Xiao, but cried sadly.
Fang Xiao looked at him calmly and said nothing.
"I really don't think about what happened at that time. She left very suddenly. I would prepare more bowls and chopsticks every day when I was eating. I always felt that she could open the door and come in anytime and anywhere and have dinner with us father and wife."
Fang Xiao's expression moved slightly.
"It's a pity that my daughter is leaving too." The man wiped away his tears with his rough hands and tried hard to open his eyes to prevent his swaying vision from affecting him.
"I dare not face it, I'm sorry, I'm sorry. It's my fault, it's my fault." The man stood up and bowed deeply.
Fang Xiao quickly moved away.
"Director Fang, can't you have surgery? An old doctor in the provincial hospital told me a lot, and I didn't remember any diseases. I'm really useless."
"What did he say?" Fang Xiao asked.
"He said that this disease cannot be cured, so he can only rest and not suffer external injuries. As for how long he can live, it depends on his life. If he is good, he is no different from ordinary people. If he is bad, he will die before he becomes an adult. My lover's situation is considered to be a better life."
“…”
"He said that if you have bleeding, you cannot have surgery, you can only treat conservatively. Once you pinch the hemostatic forceps, the blood vessels will break. I forgot all these words, but when I saw you asserted the injection, I suddenly remembered it."
"..." Fang Xiao continued to remain silent.
"Can it be cured? Why don't you try it? I know that the doctor doesn't want the patient to die on the operating table, wuwuwu~~~"
As he was talking, a man cried out.
He couldn't continue speaking, and his grief had completely shattered his words.
But men know that time is limited.
Crying is also time.
"Wuwuwu, Director Fang, please have surgery. I know I'm 100% dead, but I don't want to leave any regrets. Even if I try it, wuwuwu~~"
Fang Xiao looked at the man silently and sighed, "Do you know that if you have surgery, you will die 100%?"
"At that time~~Wuwuwu~~~What the old expert told me, saying that this disease was strange, and what he said finally came true. I understand. It's all fate, wuwuwuwu."
The man suppressed his crying, but it was this desperate suppression that made his crying heartbroken.
What hurts is Fang Xiao’s heart.
"Then try it. It probably won't be able to get down. Go and take a look at your girl for the last time. If you can get down by luck, it will be the smoke from your ancestral grave." Fang Xiao said seriously.
"Director Fang, thank you." The man didn't thank him too much, and he was not too excited. He was already numb.
Fang Xiao took a look at the video surveillance camera, then looked at the phone that was recording the video, and repeated the words seriously.
The man's cry made him moved. Even if he was taking a huge risk, Fang Xiao wanted to give it a try.
People, not all the patients' families are medical disputes, and only a small part of them are unreasonable.
In fact, if he comes to the stage, Fang Xiao also feels that he will definitely die, but the treatment or giving up is a different matter for the psychology of the patient's family.
When sending the patient to the catheter room, Fang Xiao was in a heavy mood and his steps became heavier, and he was already a little regretful.
It will definitely die, why bother me?
The phone suddenly rang, which scared Fang Xiao.
"Director Fang, the patient is in a stable state. Oh, you said I am obsessive-compulsive disorder, and I want to know if it's still stable when I hear it." Luo Hao's voice was shining brightly, and Fang Xiao could even see Luo Hao raising his hand to touch the back of his head in nothingness, looking embarrassed.
Woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo woo w
A dead end,
Professor Luo saves me!
"Professor Luo, the patient's liver closure is ruptured and his blood pressure is very low."
"Damn!"
"Professor Luo, is there any other way? The surgery is definitely not possible. I want to go on stage to stop the bleeding for the patient."
"You? I guess the more you make it, the more you blood."
After a brief silence, Luo Hao's comments came over, full of ridicule.
Fang Xiao sighed deeply, and Professor Luo probably was anxious, because he didn't speak like this.
"In this way, you do it first. The movement must be slow. The slower you can be. It is best not to touch the inner wall of the blood vessel. You can try to stop bleeding. I will drive over now and ask your medical department to contact Director Feng and go outside to ask the procedures for experts."
"!!!"
Professor Luo is willing to take on such a bad job.
He does have obsessive-compulsive disorder, and it's very serious.
"Have you heard it!"
The brief silence made Luo Hao's tone worse, with a bit of severity as a superior doctor.
"I heard that, Professor Luo, please drive slowly."
"Give me two and a half hours, and you try your best to ensure that the patient is alive. Thousands!"
Luo Hao's tone became stronger.
Fang Xiao subconsciously stopped, stood attentively, stood up with a serious face.
"Don't just poke it, the more you get bleeding!"
“…”
What's this?
Fang Xiao didn't understand, but Luo Hao had already hung up the phone.
Have surgery.
Twenty minutes later, Fang Xiao knew what Luo Hao meant by stabbing the gum.
He came on stage and carefully operated the guidewire for super selection.
You can't just get embolized in the hepatic artery. You still have to choose the best choice.
But Fang Xiao, the major artery in front, was careful not to touch the blood vessel wall. Once it entered the liver, Fang Xiao moved a little and the blood vessels were broken.
It scared him to a great extent.
Fortunately, the surrounding liver parenchyma is covered and there is not much bleeding.
You can't poke it blindly, you must never poke it blindly, Fang Xiao warned himself in his heart.
He carefully performed the super selection and barely embolized a bleeding artery one hour later.
Although the patient's blood pressure is in danger, Fang Xiao is still not in a hurry. He kept in mind Professor Luo's words, don't be anxious, don't poke it blindly, and break it with a slight move.
This is fucking!
If Fang Xiao was given another chance to choose, he thought he would never be kind.
He hid far away and asked Lao Xing to go on stage to start the operation.
If that were the case, Lao Xing looked at the patient with blood, and could not stop it no matter how hard he stopped it, and he was probably already stupid.
He caused trouble for himself, but I still let me take it down. Fang Xiao felt proud and despised himself more than an hour ago.
I'm afraid that few professional interventional physicians at the Medical University could do this surgery, and Fang Xiao was very proud.
"This letter came from a coincidence." Fang Xiao began to hum a little tune.
Boss Chai’s appearance.
This time, I can be regarded as Professor Luo’s direct descendant. After he came, he saw that he had finished his work, would he scare his eyes?
Hahaha.
Fang Xiao laughed in his heart, very proud.
Professor Luo has 7 professional certificates and 2 himself. It seems that he is Professor Luo’s best assistant!
In the future, I will be the second boss under Professor Luo... No, the third boss, I can follow any surgery myself.
Very beautiful!
"Director Fang, what you did in the interventional surgery is much better than the Jianhua Factory." The assistant praised.
"The only one who is busy with Jianhua Factory is that the capital can make them earn so much money? Just kidding. They broke bridges and pulled up the house to pull up the ladder. They told me that they would die of old age in public hospitals. I dare not go to private hospitals."
"Yes, it is said that they have been arrested across provinces, and the matter is a big deal."
The assistant said with a smile.
In fact, Fang Xiao was a bit reluctant to do this surgery, his level was barely enough, and his qualifications were even more barely enough.
Fang Xiao did the whole process by bringing the director of the intervention department to the mascot. Fang Xiao chatted for a few seconds, and looked at the director of the intervention department outside through the leaded glass.
He didn't seem to think he had snatched his job.
This person knew it, and Fang Xiao was even more proud.
"Director Fang, why are you doing so well in interventional surgery?"
"I'll just do something, don't touch anything else, don't worry, don't rob the job you intervene." Fang Xiao said.
The assistant was frowning, "Director Fang, we only have the liver left in our intervention. You see, there is intervention in the blood vessels, the heart, and the nerves are also involved in their own interventions. Now the liver has been snatched away by you, and our interventional department is about to be aborted."
"How could it be? I just do something that requires surgery. We are brother departments. Let me tell you how dangerous this surgery is, your director is as clear as a mirror." Fang Xiao said with a smile, "I don't have any benefits, so I will go to the department by myself. If I encounter difficulties, I will push you to the department." This makes sense, and the assistant has nothing to say.
"Director Fang, what's the disease? How do I feel that the patient's blood vessels are like tofu... like bloody tofu that has just been released from the pot, and it breaks as soon as I touch it."
"Ehlers-Danlos syndrome, don't know, go back and read by yourself." Fang Xiao showed off.
He did not continue to say some pretentious words, the more the other party doesn't understand them, the more they feel that they are awesome.
Look, just like now.
Fang Xiao hesitated for a moment. Should he wait for Professor Luo to come or just do this first?
After thinking repeatedly, Fang Xiao decided to end the operation. It's done, so there's no need to wait for Professor Luo here.
When he came, he took a look at the image. There was no problem with the operation during the operation and took Professor Luo to eat Longjiang and cows.
Thank you for your hard work, Professor Luo, probably he wouldn't want to come to Changnan City in the middle of the night to wear a lead coat for surgery.
The guide catheter is extracted and ready to end the operation.
Suddenly, Fang Xiao was stunned.
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
Blood pressure monitoring, which has been stable in electrocardiogram monitoring, has begun to call the police frantically.
What's wrong? !
On the angiography, Fang Xiao saw a branch of the external iliac artery rupture and bleeding.
Oh shit!
Fang Xiao cursed in his heart.
How did you bleed? Did the guidewire catheter be drawn by oneself and touch the blood vessel wall of the external iliac artery, causing one of the branches to rupture and bleeding?
"Fang...Fang..." The assistant was also stunned, unable to even say a complete sentence.
"Fang's a big deal!" Fang Xiao cursed, "Big airs!"
A 16×70mm GOREEXCLUDER peritoneal stent was gently placed on the left external iliac artery.
After the big shelf was opened, Fang Xiao felt that it should be fine.
But if nothing unexpected happens, the accident comes. Fang Xiao immediately saw that the blood pressure on the electrocardiogram monitoring dropped to 50/30mmHg.
When a big rack went in, the arterial blood pressure not only did not improve, but instead became lower.
Contrast!
The blood can be stopped where the coated stent can cover, but the other artery at the distal end is torn through the process of spreading the coated stent.
What a blood vessel breaking!
The next coated stent can tear the blood vessels, but it is still so deep.
Fang Xiao suddenly felt the sinister.
Don't poke it around!
Luo Hao's voice echoed in his ears, and Fang Xiao's heart was so cold.
The previous pride has disappeared, and the rest is fear.
The external iliac artery is different from the intrahepatic artery. The intrahepatic blood vessels are wrapped by the liver parenchyma. It is not important to tear the small artery, and it can be blocked and stopped bleeding quickly.
But there is a cavity around the external iliac artery. If you want to fill it up, there is not enough blood in your body. I am afraid that Professor Luo will be cold when he arrives.
Here, the bleeding cannot be stopped.
Fang Xiao saw the director of the interventional department standing up from the corner of his eyes, lying in front of the operating table with a solemn look on his face.
He also knew something was wrong with the surgery.
Don't poke it blindly, Professor Luo Haoluo's voice appeared again.
Fang Xiao even looked around, hoping that it was not his auditory hallucination, but that Professor Luo really fell from the sky.
Unfortunately, the operating room was empty, and the operation room was the only director of the intervention department looking at the screen stupidly.
Let's go ahead.
The air-tight lead door opened and Director Xing walked in.
He understood and walked to Fang Xiao with a serious expression.
"Director Fang, I'm sorry."
"Director Xing, now is not the time to say this." Fang Xiao sighed.
"If something happens, I'm there." Director Xing said seriously, "Don't worry, if the patient's family complains, I'll stand up."
"..." Fang Xiao turned his head and looked at Director Xing, and the old dog didn't hide.
Alas, Director Xing is considered a passionate doctor, but his level is a little worse.
"I'll try again, Director Xing, please go out first."
Director Xing glanced at Fang Xiao deeply, said nothing else, and turned around and left.
Fang Xiao took a deep breath, concentrated his mind, and made his hands more stable, and put another bracket in.
A 12×100mm GOREEXCLUDER peritoneal stent was gently placed at the distal end of the left external iliac artery.
Fang Xiao was careful when opening the stent. He was not afraid of the patient's bleeding and was not in a hurry.
The blood has been out for so long, not a few seconds.
It is best to open this stent to stop the bleeding. Otherwise... Fang Xiao wouldn't even dare to continue thinking.
When she opened the coating bracket, Fang Xiao prayed in her heart and prayed to the gods all over the sky.
This time I was very troubled and was in love and was willing to take risks.
Next time, if there is another time, I will definitely not have so many things to do!
must!
The pride of the moment had long disappeared, and Fang Xiao even began to regret why he had to take on this life.
Now the one who is Mazard is himself. If he doesn’t touch it, the one who is Mazard is Director Xing.
Is that the same?
Unfortunately, blood pressure still did not rise after the coating stent was opened.
Electrocardiogram monitoring of superior artery blood pressure continues to drop to 39/27mmHg.
Fang Xiao was stunned.
He must have had other blood vessels broken by himself after he opened the stent, so the bleeding continued and it might be even bigger.
"Director Fang, why is the lower the blood pressure on the stent? Why don't we... just try blood transfusions to see if we can stop the blood by ourselves." The assistant was scared and suggested in a low voice.
Fang Xiao didn't think about it, Professor Luo Haoluo's voice echoed in his ears again, don't poke around...
The key is that I didn't stumble.
Fang Xiao was almost crying, and he secretly decided in his heart that if there was another time, whoever was willing to do it would do it would do it! I definitely won't have this surgery.
Originally, the patient's family could just send the person away, but now not only did they have to send the person away, but they also had to pay tens of thousands of dollars in surgical fees and consumables.
In order to succeed in the operation, I used imported expensive consumables. The cheap goods purchased from the centralized are not easy to use, so I didn't dare to use them at all.
What to do now? !
Fang Xiao was stunned and silently looked at the image of the imaging.
The patient is in general anesthesia and does not have coma or coma. However, the value of arterial blood pressure is not much better.
There was nothing to get under the bracket, and Fang Xiao's hands were numb.
Forget it, get off the stage, go and explain to the patient's family by yourself, and do your best. If he doesn't want to spend money, the tens of thousands of dollars will be donated by himself.
Fang Xiao was depressed when he got involved.
I was doing something bad if I had known that the patient's blood vessels were so fragile, so I could just send them away directly. Why bother?
I really knew today, why should I be the first one?
He felt infinite regret. If time could go back, Fang Xiao could be sure that the choice he made would be completely different.
"I..."
"Huh? Why is the blood pressure so low?"
A familiar voice came into my ears.
Fang Xiao sighed and thought in a daze that he was crazy about Professor Luo's thoughts, which must be an hallucination.
"Director Fang, how many times have the external iliac artery been torn?"
Professor Luo asked in his voice.
"Twice, I'm very careful, but unfortunately... I'm not capable enough."
"What does it have to do with you? This disease is like this. Give blood and boost blood pressure. I'll try it when I brush my hands."
Fang Xiao felt that Professor Luo, whom he imagined this time, seemed to talk a little too much, unlike before, who always said that he should not stumbling around.
Looking up, Fang Xiao was stunned to see Professor Luo on the way to brush his hands, and a robot dog was following him.
I'm fucking!
Is it really Professor Luo? ! Why did he arrive so soon? Or is it that I had hallucinations in a trance.
"Professor Luo, is it you? It's really you?" Fang Xiao asked in a trembling voice.
"Huh?" Luo Hao turned around and looked at Fang Xiao, "Director Fang, you stepped down and took a break. Are you hypoglycemia?"
After saying that, Luo Hao went to change his clothes and brush his hands.
Soon Fang Xiao saw Luo Hao come back in his own lead clothes, put on his clothes, and go on stage.
It's true!
It's true! !
Fang Xiao felt that he was much warmer.
There is a kind of person who feels full of security, and Fang Xiao knows that it is Professor Luo.
"Oh, that's it. No wonder." Luo Hao first operated the machine, took a quick look at Fang Xiao's operation and said lightly.
"I'll do it..."
"You are just a little worse, but then again, the surgery can reach your level. There are no more than twenty surgeons in the province, and it is already very strong. Besides, you are still a general surgeon, and interventional surgery is only a side job." Luo Hao finished speaking and started the operation.
The third 12×100mm GOREEXCLUDER peritoneal stent was then placed, and the same operation was performed. Fang Xiao didn't even see Professor Luo hesitating for even a second when he opened the coated stent.
He really wanted to hold Professor Luo's arm and shout, Professor Luo, be careful, it would be impossible to tear the blood vessels again.
The coating stent was opened and the imaging was diaphragmatically, and there was no bleeding point. Luo Hao pulled out the guidewire catheter and moved smoothly.
The whole journey took only 6 minutes.
"Finish the work, stop work." Luo Hao smiled, "Your severe illness is not bad, do you need me to see for two days?"
"Ah? Has the work finished?" Fang Xiao felt like he was dreaming.
I stumbled two points, and the heavier I did, the more blood I made, the more Professor Luo got it. As a result, it took a few minutes to get it done.
Thinking back on his previous pride, Fang Xiao felt like he had a dream.
"Director Fang? What are you thinking?" Luo Hao turned around and saw Fang Xiao still stunned, so he hit him with his shoulder.
"Ah?!" Fang Xiao woke up in his dream.
"Press and stop bleeding, you won't wait for me to do it."
"Oh oh." Fang Xiao was in tears, but the doctor in the interventional department looked sharp-eyed and came up to press the puncture point.
The patient's blood pressure was already extremely low, and he did not bleed after a while.
Fang Xiao was speechless and stared at Professor Luo in a daze, tearing open the lead hat and throwing it away.
What a familiar move!
The next second, the robot dog stretched out his arm, grabbed the lead cap, and put it in the storage bar on his back.
I'm fucking!
(This chapter ends)