Back in 2002 as a doctor
Page 799
"I'll do it myself." Shi Ping's mother was full of energy, not at all like a patient on the first day after surgery.
Shi Ping was also a little confused.
Although professional knowledge told his mother that nothing was wrong, it was still hard for Shi Ping to accept that she was alive and well after the operation.
Seeing his mother drinking porridge by herself and eating a small amount of pickles to replenish electrolytes, Shi Ping began to think about the operation.
Thoracoscopy, Shi Ping scratched his head when he thought of these three words.
I only know how to do thoracotomy, but large thoracotomy and thoracoscopic surgery are completely different procedures.
The state of the mother speaks for itself.
Watching his mother eat breakfast helplessly, all the bad things have become a thing of the past, Shi Ping's heart was ups and downs.
Should I also learn thoracoscopic surgery?Shi Ping thought to himself.
Although it is difficult, but with this difference in state, I will not be able to pass this hurdle if I have a large thoracotomy in the future.
But the operation of large thoracotomy is not easy to do by myself, thoracoscopic surgery...
Shiping began to have an idea of being abandoned by the times.
Before the meal was finished, the sound of flat cars came from outside the door.Shi Ping didn't care, it must be the operating room to pick up the patient.
But this is a bit late, I don't know what the operating room is thinking.
Maybe it was an emergency room.
"This side."
A familiar voice came to Shi Ping's ears, and he froze immediately.
Is it Zhou Congwen?
It's Zhou Congwen!
The operation failed, Zhou Congwen came down so quickly and sent the patient back to the ward.
This thought came to Shi Ping's mind.
But fortunately, the patient should be fine, it's just that the surgery failed, and he can just do laparoscopic surgery tomorrow, Shi Ping thought to himself.
The door opens and the patient is wheeled in.Shi Ping helped carry the patient to the bed, he was puzzled when he saw the patient's state.
Something was wrong, it was difficult for the patient to lie flat before the operation, and under Shen Lang's teaching, he could lie flat for a while, but the time was definitely not long.
Why did the patient lie obediently from the flat car to the hospital bed?
The patient did not struggle to sit up after going to bed.
Did the operation fail?
Shi Ping leaned into Zhou Congwen's ear and whispered, "Professor Zhou, did the operation... go well?"
"Successfully, both the aortic valve and mitral valve have been performed, and the effect is particularly good."
Zhou Congwen said lightly.
"!!!"
Chapter 1366 No Contrast No Harm
What is Zhou Congwen talking about!
Shi Ping was directly bombarded by nine thunderbolts above his head, and all his thoughts turned into ashes in an instant.
surgery,
success!
And not only a mitral valve, but also the aortic valve "by the way"? !The surgery didn't take long. My old lady walked around the bed for a few minutes, said a few words, and didn't even finish her breakfast. The surgery was over.
Not to mention, the state of the patient before the operation is usually clear.
She couldn't even lie down, and was sent to the operating room on a flat car.But when he came back, he was lying down all the time, and there was no shortness of breath.
Shi Ping was completely dumbfounded. He looked at Zhou Congwen as if he was looking at an alien creature.
Zhou Congwen ignored Shiping. He asked the patient to lie down, pressed the electrode membrane of the ECG monitor, connected the ECG monitor and saw the vital signs, and then did a physical examination. Then he said to the patient's family, "The situation is very good, let's observe it." .”
"Doctor, have you had an operation? Why is it so fast?" the patient's family asked in a daze.
"Of course." Zhou Congwen said with a smile, "Do you think your mother can lie down for such a long time before the operation?"
"..."
The family members of the patient touched their heads, not knowing what to say.
Although he knew that what Zhou Congwen said was true and he had witnessed it with his own eyes, it was hard for him to believe that it was actually true.
"I will be discharged home tomorrow and the day after tomorrow. Dr. Shen will contact you and he will write down the details." Zhou Congwen said with a slight smile.
Tomorrow and the day after tomorrow!
Another thunderbolt hit Shiping directly on top of his head.
how can that be!
Shi Ping felt that his mother was able to go to the ground and eat within 24 hours after the operation, which was already a miracle.
And the patient in the next bed did more than her mother, and her preoperative symptoms were worse than her mother's. How could she be discharged earlier than her mother? !
This is impossible,
This unscientific!
Shi Ping looked at Zhou Congwen in a daze, then twisted his neck and glanced at the patient.
There was a creaking sound from the cervical spine, Shi Ping accidentally sprained the cervical spine...
This is so special!
"Doctor, can you leave the hospital tomorrow?" The patient's family members are still asking.
"Well, I can be discharged from the hospital."
"so good!"
"It's okay." Zhou Congwen smiled, "Lie down and rest first, and the boss will come to see you later."
After speaking, he asked Shen Lang to push the flat car out, turned around and left.
Shi Ping looked at the postoperative patient's ECG monitoring blankly.
Not to mention other values, the blood oxygen saturation has risen from 88% to 96%. From this alone, Shiping knows that the operation was quite successful.
It’s just a nasal cannula to inhale oxygen, but it can make the blood oxygen saturation almost return to normal. This is no longer a miracle, but a miracle!
what is the problem?
Shi Ping's mind was in a mess, and his neck felt pain after wave.But he didn't care, he just silently watched the patient's blood oxygen saturation in a daze.
"Director Shi, your mother is okay, the food is pretty good." Shen Lang hurriedly finished chatting with Shi Ping.
"Very...good..." Shi Ping said with difficulty.
When saying these two words, Shi Ping felt extraordinarily awkward and uncomfortable, as if a lie had been exposed in person.
Originally, Shi Ping was inexplicably astonished by the results of his mother's surgery, but he couldn't stand the comparison.
The effect of the operation on the patient in the next bed...
I can't even dream of it.
"Then you are busy, I'll go..." Before Shen Lang finished speaking, Shi Ping suddenly grabbed his arm.
"Director Shi?" Shen Lang was taken aback.
"Doctor Shen, go smoke a cigarette?" Shi Ping whispered.
He turned his neck, and suddenly felt a piercing pain, and he let out a ouch.
"I didn't sleep well yesterday, so I have a stiff neck." Shen Lang smiled and said, "Slow down, the conditions in the ward are really limited, it's hard work."
Shi Ping didn't have the nerve to say it, and he didn't have time to say it, so he took Shen Lang to the fire escape and took out a cigarette and handed Shen Lang a cigarette.
"Doctor Shen, the interventional operation was successful?" Shi Ping asked.
"Of course." Shen Lang smiled, "The operation was done very quickly, I think it is easier than the DK-crush operation."
"..." Shi Ping was stunned.
Simple, this is the first time he has heard people use the word simple to describe valve replacement surgery.
"How?" Shi Ping then asked.
"Do it normally..." Shen Lang glanced at Shi Ping, then realized that he would not perform interventional surgery, so he sat on the stairs of the fire escape.
"A operative snare was placed at the lowest puncture point of the femoral vein.
A snare can be used to control the delivery sheath at the left atrium, and after crossing the interatrial septum, guide the wire into the mitral annulus and LV cavity to the descending aorta.At the same time, a three-loop snare was placed in the femoral artery and the guidewire was captured to establish an arteriovenous loop. "
Usually the brain is blank.
What kind of snare, what kind of guide wire smoothly enters the mitral annulus and the left ventricular cavity, etc. He has no idea at all.
Shen Lang talked about the operation step by step as if he was doing the operation himself.
For Shen Lang, this is a minor operation.
But for Shi Ping, the surgery was unbelievably large.
"that's it."
Before finishing a cigarette, Shen Lang had already finished speaking.
"Congwen and Mr. Huang did it together, and it went very smoothly. I don't think it's difficult. Think about it, the space in the heart is huge, and the gaps in some coronary stent operations are so small that it makes people crazy."
Shen Lang babbled, Shi Ping listened silently, he felt that dark red blood was slowly flowing out of his seven orifices.
I have undergone surgery for a lifetime, and my ultimate goal is to perform a heart valve replacement.It's not that it can be done, but that the success rate must be infinitely close to [-]%.
Just when he, an old surgeon, hadn't reached this stage, a young doctor under Zhou Congwen forced him to perform a simple operation in front of him...
Shiping can't accept it, let alone understand it.
"The operation is very simple. According to the text, we will work together on the next one." Shen Lang did not pay attention to Shi Ping's expression and mental activity, and continued, "One in half an hour, and it is estimated that we can make a hundred in a month. Articles may be published in The Lancet."
"!!!"
"However, Mr. Huang seems a little dissatisfied. Forget it, I don't care about this matter." Shen Lang smoked a cigarette and smiled.
"Doctor Shen, really?"
"Of course." Shen Lang looked at Shi Ping like a fool, "Director Shi, the patient was pushed away in front of you, and then pushed back in front of you. Oh, I told you to go up and take a look." , you are still polite."
"..." Shi Ping burst into tears.
"Next time, if you have a chance, you will know it at a glance. It is a very simple minor operation, and the patient can be discharged tomorrow."
Shen Lang said in an affirmative tone.
Shi Ping looked at Shen Lang blankly, he felt that this world was too absurd and he couldn't understand it at all.
While smoking a cigarette, Shen Lang explained to Shi Ping how simple the operation was, mainly because of Huang Lao and Zhou Congwen's operations and his understanding.
Shen Lang was very excited about this technique.
Although he is only a rookie in the second and third grades, in terms of interventional surgery, Shen Lang is ahead of this era and is in the leading position.
Coupled with the experience of surgery, Shen Lang knew exactly what all this meant.
Chapter 1367
In the time of one cigarette, Shi Ping's three views were subverted, shattered, trampled underfoot and crushed into powder.
Straightening his neck like a puppet, Shi Ping returned to the ward, silently watching the ECG monitoring of the patient in the next bed.
Her vital signs were stable, she was lying flat, and her comfort level was obviously [-] times better than before the operation.
The orthopnea, which had been tormented by the illness for a long time, and could not even sleep peacefully, disappeared completely after the operation, and the patient lay on the bed smoothly and fell asleep peacefully.
The snoring gradually started, Shi Ping stared at the patient dumbfounded.
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