medical road high rise

Chapter 34 Coronary Artery Patients ([-])
Chapter 34 Coronary artery patients ([-])
Lu Ming looked at the ICU doctor in astonishment. He had dealt with this ICU doctor several times before, and he seemed to have graduated from Kyoto Medical University.

"Director Lu, I think you must be very surprised. In fact, I am a student taught by Teacher Wang. In the past few years, I just wanted to experience the beginning of Teacher Wang. This year is almost over, and I will return to Kyoto to continue my doctorate. The ICU doctor smiled, "Looking at Director Lu, he probably doesn't know my name yet, my name is Xu Xu."

"That year, Xu Ke, the genius of the Kyoto Intervention Forum? He innovated the femoral artery puncture intervention plan, and was selected by the Lancet?" Lu Ming exclaimed.

Lu Ming has been paying attention to intervention. In fact, he also wants to learn to intervene, but his talent is limited and he can't do both. He can only go further and further in the field of general surgery.

"Director Lu, it's a compliment." Xu Ke said with a smile.

Lu Ming also didn't expect that there would be such a ruthless person hiding in the first hospital. No wonder, maybe Xu Ke was too low-key and didn't fight for it.

"You said that you will go back to Kyoto next year to study for a Ph.D. Then you should choose Concorde in Kyoto." Lu Ming said.

"Well, yes, I'm going to walk the path that my idol has walked again, and then pass on my experience to the next generation." Xu Ke is also very clear about his goal.

Lu Ming gave Xu Ke a thumbs up. This is the real way of a great doctor. With Xu Ke's double cultivation and intervention, his future achievements will definitely not be low.

The two chatted for a while, the patient was brought over, and Qin Feng walked into the operating room.

"Xiao Qin, let me introduce you. This is Xu Ke, a doctor in the ICU. He will continue his studies in Kyoto next year."

"This is Qin Feng. He is very talented in the field of blood vessels and has done many hemostatic surgeries very well."

Lu Ming briefly introduced the two of them, and Qin Feng and Xu Ke shook hands, which was considered a meeting.

Qin Feng still didn't forget his own business, took out the film from the bag in his hand and hung it on the film reader.

"In the patient's coronary embolism, especially in the eyes, the arc of the calcified lesion has exceeded 270°, and a rotary atherectomy drill is needed to polish the blood vessels." Qin Feng suggested.

Lu Ming and Xu Ke both stared at the film and frowned. Xu Ke also felt that this operation was a bit tricky, because the calcification on the film was indeed a bit serious, and the deeper calcification on the surface was thicker, making rotational ablation extremely difficult. of.

"Where's the OCT film?"

Since the IVUS film can only evaluate the angle and length, but cannot penetrate the calcification, the edge of the calcification can only be observed by OCT.

Due to the specificity and high sensitivity of OCT, coronary artery calcification can be identified to guide intervention and prevent incomplete expansion of stents in calcified lesions.

In addition to puncture, the most important step in interventional surgery is the placement of the stent. If the stent placement is unsuccessful, all efforts will be in vain.

Qin Feng put the OCT image on it, and now he can see it more clearly.

Xu Ke said: "The angle is completely greater than 180°, and the thickness is greater than 0.5mm. After the stent is placed, there is a high probability that it will be prone to insufficiency."

"Besides, since the angle even reaches 270°, we also need to prevent the lesions that have not broken the calcified ring after lesion treatment, and perform more adequate rotational atherectomy." Xu Ke cast his gaze on Lu Ming, "Director Lu, will you Rotary grinding?”

Lu Ming smiled bitterly and shook his head: "I can't. If I could do rotary grinding, I would have gone to Kyoto long ago."

"Now we must have a doctor who knows how to perform rotational atherectomy. I have no problem doing interventional implantation. No matter how severe the calcification is, I have confidence in inserting it. However, rotational atherectomy is too harsh on the operation, and I don't have that much understanding of blood vessels. "Xu Ke said.

This kind of situation is to make a comprehensive estimate and make an expected surgical plan. Many times, doctors are also pushed out of the shelves.

"How about I call the neurosurgery department and ask them to help find a doctor who knows how to do rotational atherectomy?" Lu Ming said.

"Yeah." Xu Ke nodded, and that was all he could do now.

Lu Ming took out his mobile phone to make a call, but before he got through, he heard that the other party was busy.

The other party directly hung up Lu Ming's phone. Obviously, the other party regarded the patient as a dead person and felt that there was no need to save him.

Lu Ming's face was a bit ugly, not because he was hung up on the phone, but because the patients were not respected. Such people are not worthy of being doctors at all, and they are not even willing to save people, so why should they be doctors.

"Their neurosurgery doctors are very responsible." Xu Ke mocked.

If it were any provincial hospital, the probability of this happening would be extremely low. Unless a critical illness notice or death notice is directly issued to the patient's family, any doctor will do his best to treat the patient.

"How about I try it." Lu Ming gritted his teeth.

Xu Ke directly rejected Lu Ming's request and said, "Rotary atherectomy is not a trivial matter. You must be very familiar with blood vessels. Otherwise, any major movement may cause massive bleeding, which will lead to the failure of the operation."

Lu Ming also lowered his head. This happened to be his weakness.

"Come on, I can be Dr. Xu's assistant." Qin Feng suddenly said.

Lu Ming looked at Qin Feng with a glint in his eyes.

That's right, Qin Feng's understanding of blood vessels should not be better than Qin Feng's in Taoshi No. [-] Hospital, so it is completely possible for Qin Feng to perform this operation with rotational atherectomy.

"Do you know how to perform rotational atherectomy?" Xu Ke asked.

Xu Ke has also heard about Qin Feng's matter. Although he was fired, many doctors still have good reviews for Qin Feng, especially for hemostatic surgery. High.

But it’s not enough to stop bleeding. What this operation requires is rotational atherectomy.

"I will." Qin Feng said firmly.

I still have [-] surgeries to practice vascular rotational atherectomy. Qin Feng can directly practice vascular rotational atherectomy. As for the intervention, I will leave it to Xu Ke. This is Qin Feng's confidence.

If an interventional surgery is broken down, the mental pressure on Qin Feng will not be so great. The mental energy consumed by a complete surgery can be used to perform at least ten vascular rotations.

Xu Ke cast his eyes on Lu Ming. He didn't believe in Qin Feng. After all, even Xu Ke himself didn't know the art of rotational atherectomy. How could a doctor younger than himself know how to do it.

Although Xu Ke's arrogance did not show on the surface, as a genius, he still had to be compared with other people. If Qin Feng was older than Xu Ke, Xu Ke would not say anything.

Praising another genius in front of one genius will cause war invisibly.

"Let him try. If it doesn't work, stop the operation." Lu Ming still decided to give Qin Feng a chance, "If the operation is successful in the future, the first hospital will still pay you a fee for the flying knife."

(End of this chapter)