Doctor: I picked up attributes in the hospital

Chapter 135 Comparing?

Seeing Zhao Heng and Jiang Rui sizing each other up, especially Jiang Rui's vaguely considerate eyes towards Zhao Heng, Jin Jincheng couldn't help smiling.

Zhao Heng and Jiang Rui are both young people he is optimistic about. What kind of sparks can these outstanding young people collide with together, this is what Jincheng is looking forward to.

However, speaking of excellence, although Jiang Rui was recommended by Song Chen and was recognized by Huang Jincheng, in Jin Cheng's opinion, Zhao Heng was still number one, and this was unshakable.

Zhao Heng couldn't help being a little strange when he saw Jiang Rui's competitive eyes when he first saw him, but he didn't pay much attention to it.

"Xiao Zhao, there is a patient here. The situation is more complicated. You and Xiao Jiang need to work together."

Huang Jincheng briefly talked about the patient's condition, and then talked to Zhao Heng.

Obviously, the doctor who performed the surgery this time was Jiang Rui, and the anesthesiologist was Zhao Heng.

If you think about it, you know that aortic valve replacement is considered a difficult major operation in other hospitals, but in the Department of Cardiac Surgery of Dongfang Hospital, it is not the turn of the chief doctor, Huang Jincheng, to perform such an operation in person.

But Jin Chengcheng's ability to hand over this operation to Jiang Rui, who has just arrived, also shows that he still recognizes Jiang Rui's level very much.

"Doctor Zhao, please give me more advice."

Jiang Rui stretched out his hand to Zhao Heng, and said in a very formulaic manner, but there was a trace of competition in the eyes he looked at Zhao Heng.

"Ah."

Zhao Heng nodded.

"Xiao Zhao, Xiao Jiang, I will leave this surgery to you."

Huang Jincheng smiled slightly when he saw the two shaking hands, and then went out.

From now on, it will be the world of young people. Among all the department directors of Dongfang Hospital, Huang Jincheng pays attention to the training of young doctors.

After Jin Jincheng left, Jiang Rui spoke first, and said directly, "Dr. Zhao, I heard that my senior sister told you about you."

"Sister?"

When Jiang Rui said that, Zhao Heng was a little puzzled.

"You mean Song Chen?"

After a pause, Zhao Heng remembered that when Huang Jincheng introduced him just now, he said that Jiang Rui graduated from Hopkins School of Medicine with a Ph.D. Isn't that the school where Song Chen graduated from? !
Looking at Jiang Rui's contested eyes, Zhao Heng understood in an instant.

"Yes, the person that Senior Sister mentioned the most is you."

Jiang Rui said inexplicably.

"Is she okay?"

Zhao Heng asked casually.

"The senior sister is working on a project. If she succeeds, she will become the youngest associate professor at Hopkins."

Speaking of Song Chen, Jiang Rui felt very proud and proud.

Hearing Jiang Rui's words, Zhao Heng felt a little strange. What's so amazing is that Song Chen is not you. Why are you so proud?

"Well, let's talk about the patient's situation."

Zhao Heng nodded. He knew about Song Chen's recent situation. He and Song Chen often exchanged emails now, so Jiang Rui didn't want Jiang Rui to introduce Song Chen's current situation.

"A 73-year-old male patient was admitted with recurrent Tropheryma whippleii-infected endocarditis and had previously undergone aortic valve replacement. Due to persistent atrial fibrillation and complete conduction block after previous cardiac surgery, the patient had been placed with a permanent heart pacemaker."

Jiang Rui opened his mouth to introduce the patient's condition, but he deliberately only said half, which was the patient's condition, and he didn't mention the second half about the surgery the patient needed.

He wanted to compare Zhao Heng's level, which was worthy of the attention of Senior Sister Song Chen and Director of Cardiac Surgery Department Huang Jincheng.

"Whipple Bacteria? This is a rare opportunistic pathogen."

Hearing Jiang Rui's introduction of the patient's condition, Zhao Heng was a little surprised.

This Tropheryma whippleii, referred to as TW, the Chinese translation is Whipple nourishing the body, is a kind of conditional treatment bacteria, very rare, the average doctor may not have heard of it.

"If the patient has been infected with endocarditis, then the original pacemaker wire needs to be removed, and an epicardial pacing electrode is implanted, and then the pulse generator bag is placed subcutaneously on the chest wall under the xiphoid process, And set it to VVI mode."

After thinking for a while, Zhao Heng explained the key points of the follow-up surgery for this patient.

Hearing that Zhao Heng was no stranger to Tropheryma whippleii, which is Tropheryma whippleii, Jiang Rui nodded slightly. Knowing about such a rare disease shows that he has a solid foundation.

However, when Zhao Heng told the patient's follow-up surgical operation a little bit, Jiang Rui's face changed, because the surgical procedure Zhao Heng described for this patient can be said to be textbook-like, even better than his. The surgical plan originally conceived needs to be scientific and perfect.

Didn't you say he was an anesthesiologist?

How do you know so much about cardiac surgery?
This patient had just been admitted to the hospital, and he and the director, Jin Cheng, had just learned about the patient's condition before Zhao Heng came in, so there was no such thing as Zhao Heng doing his homework in advance.

Moreover, Huang Jincheng asked Zhao Heng to come for a consultation, which was also a temporary idea.

Therefore, Zhao Heng was completely acting on the spot.

Thinking of this, Jiang Rui's face changed instantly.

"Doctor Zhao, I didn't expect you to know so much about cardiac surgery."

Jiang Rui finally politely called Zhao Heng Doctor Zhao. Before that, he still had a feeling for Zhao Heng.

But as soon as Zhao Heng said these words, he knew that Zhao Heng's level in the outside world was definitely not lower than him.

As soon as the expert makes a move, you will know if there is any!

Moreover, God knows, as an anesthesiologist, why does he know so much about cardiac surgery.

"I often do operations with Director Huang, so I understand a little bit."

Zhao Heng said.

What he said was also true. The reason why he knew so much about heart surgery was that he picked up the skills and experience dropped from Huang Jincheng when he was doing the surgery with Huang Jincheng, and he could reach this level after fusion.

"Uh... Doctor Zhao was joking."

Hearing what Zhao Heng said, Jiang Rui was a little embarrassed, with a look of complete disbelief on his face, thinking that Zhao Heng was joking.

If one could become an expert just by following a few surgeries, then such a specialist in cardiac surgery as Huang Jincheng would not be so rare.

"Doctor Zhao, how do you consider the preoperative anesthesia plan for this patient?"

After a pause, Jiang Rui said again.

Now he didn't dare to have any idea of ​​comparing Zhao Heng. Maybe, in some respects, Zhao Heng's level was even higher than his.

"For this patient, special attention should be paid to the possibility of low cardiac output syndrome after the end of extracorporeal circulation. For this aspect, dobutamine and aortic balloon should be prepared before the operation. Another point, If the patient suffers from massive bleeding after surgery, causing hypovolemic shock, then a large amount of blood transfusion is required."

"In this way, the bleeding risk of the patient will increase, and monopolar coagulation must be used, so the risk of electromagnetic interference is also very high. At that time, the parameters of the pacemaker must be reset."

Zhao Heng thought for a while and said.

In his words, he not only talked about the anesthesia plan, but also the possible risks of this patient after surgery and the corresponding countermeasures.

"..."

Hearing what Zhao Heng said, Jiang Rui's expression froze instantly.

At this moment, he had no doubt that if Zhao Heng were to be the chief surgeon on the operating table, he would be able to do it.

As an anesthesiologist, he has already considered everything that the chief surgeon should consider.

(End of this chapter)