Department of Cardiology, Huaxing Hospital.

Qi Junying's office.

"Director Qi, I found several new cases of animal heart bypass surgery on the Internet." Shi Zhongting handed over a stack of printed materials to Qi Junying.

Qi Junying took the case and flipped through it.

"Director Qi, are we really going to build four bridges at the same time this time?" Shi Zhongting asked.

"Why, no confidence?" Qi Junying looked up at him.

"It's not that I don't have confidence, isn't this something I haven't done before?" Shi Zhongting said.

"We have done the three passages many times, it's just one more, don't be so nervous." Qi Junying said.

Looking through the materials for a while, Qi Junying already knew what he knew, and then went to the dean's office, intending to share his thoughts on the Doberman Pinscher operation with Xiang Yuanqi.

Arriving at the dean's office, Qi Junying knocked on the door and went in.

"Dean, I have already thought about the operation plan for the Doberman pinscher." Qi Junying said.

"Sit." Xiang Yuanqi nodded.

Upon hearing this, Qi Junying sat down and said to Xiang Yuanqi: "Dean, this time I plan to build four bridges."

"Are you sure?" Xiang Yuanqi asked.

"Yes! Our group has already conducted a very detailed discussion. If there are four, there should be no problem." Qi Junying replied.

"Okay, then arrange the operation as soon as possible!" Xiang Yuanqi nodded and said.

"No problem, the dean, I'll go out to do things first." Qi Junying said.

After speaking, he got up and planned to leave the office.

However, just two steps away, Xiang Yuanqi called out: "Doctor Qi, wait a minute!"

When Qi Junying heard this, he looked back at Xiang Yuanqi with some doubts.

"Dean, is there anything else?" Qi Junying asked.

"Sit down first, I have something else to tell you." Xiang Yuanqi said.

Qi Junying frowned slightly, returned to the desk and sat down.

"I invited Zhuang Mu to help me with the Doberman Pinscher operation," Xiang Yuanqi said.

Qi Junying was taken aback when he heard Xiang Yuanqi's words.

"...Dean, don't you trust me?" Qi Junying's expression was a little dignified.

"Of course not!" Xiang Yuanqi replied immediately, and after a pause, he took an ipad and clicked on a video, "You watch this video before we talk."

Qi Junying reached out to take the video, glanced at it suspiciously, and was attracted by the blood vessel suturing skills in the video.

What a fluent way!Qi Junying was shocked.

"This is?" Qi Junying looked at Xiang Yuanqi with disbelief, "It can't be Zhuang Mu, right?"

Xiang Yuanqi nodded.

Qi Junying's pupils shrank, and he clicked on the video to watch it again.

This suturing technique has far exceeded the strength of many senior doctors in Huaxing Hospital.

"Dean, are you sure Zhuang Mu performed this operation?" Qi Junying asked again.

It was really hard for him to believe that Zhuang Mu's skillful art of suturing blood vessels was done by Zhuang Mu.

He always thought that Zhuang Mu was just a famous doctor packaged by the media.Maybe it does have some ability, but it is definitely not up to this level.

"You don't have to doubt the authenticity of the video. This is indeed the operation performed by Zhuang Mu. I sent someone to go to the mainland to find it from Zhenchong Hospital." Xiang Yuanqi said.

After hearing this, Qi Junying couldn't help thinking, if that's the case...

He began to have a little interest in Zhuang Mu.

After a moment of silence, he asked: "Dean, what did you mean just now, as long as there is no accident during the operation, Zhuang Mu will not be on the operating table, right?"

Although he has changed his opinion of Zhuang Mu, the matter on the operating table is about dignity, so he must ask clearly.

He is the chief surgeon, and he must have absolute control over the operation.

"Don't worry about this, as long as you can successfully complete the operation, Zhuang Mu won't show up, and other people won't find out about Zhuang Mu's existence.

I plan to arrange this surgery at my home.No one other than the necessary surgical staff will be present. "Xiang Yuanqi said.

After listening to Xiang Yuanqi's words, Qi Junying nodded thoughtfully.

To be honest, he was somewhat dissatisfied with Xiang Yuanqi's arrangement.However, a doctor is also a profession after all, and he has to support his family, right?

The salary of Huaxing Hospital is not low, not to mention that the department directors of other hospitals are all carrots and pits. If he leaves Huaxing Hospital, it will be difficult to find another job with the same salary.

If Xiang Yuanqi was only the owner of a sick animal, Qi Junying would definitely choose to refuse to operate on the Doberman pinscher.

But the problem is, Xiang Yuanqi is his immediate boss!

After weighing the pros and cons, he chose to accept Xiang Yuanqi's arrangement.Anyway, as long as he does the surgery well, Zhuang Mu will never have the chance to be on the operating table.

"...Dean, is it convenient for you to contact Dr. Zhuang for me?" Qi Junying asked.

"Huh?" Xiang Yuanqi looked at him suspiciously.

"It's like this. In order to prevent problems during the operation, I think it is necessary for me to communicate with Dr. Zhuang." Qi Junying said.

Xiang Yuanqi nodded after listening. Even if Qi Junying didn't speak, he would still ask Qi Junying to meet Zhuang Mu.

This matter is not trivial, Zhuang Mu and Qi Junying need to communicate well.

"Doctor Qi, even if Dr. Zhuang is on the operating table, he will still be your assistant. Do you understand what I mean?" Xiang Yuanqi said.

After a pause, he said earnestly again: "I also think about Pepe, so I have to be more cautious, I hope you can understand."

He said these words for An Qi Junying's heart, the meaning is very clear, no matter when, you Qi Junying is the chief surgeon of this operation.

He didn't want Qi Junying to think wildly and cause the operation to fail.

"I see, Dean, please rest assured! I am confident that this operation will be successful!" Qi Junying replied.

Although he was dissatisfied with Xiang Yuanqi's arrangement, but Xiang Yuanqi talked about this, and it was enough to give him face.

After Qi Junying finished talking with Xiang Yuanqi, Xiang Yuanqi quickly arranged a meeting with Zhuang Mu for him.

The two belong to different hospitals, and Zhuang Mu is a celebrity doctor, so it is naturally not suitable to meet outside.Therefore, the meeting place is still the private club from last time.

Zhuang Mu and Xia Jingshen arrived at the box, and Qi Junying was already waiting inside.

Seeing Zhuang Mu go in, Qi Junying immediately stood up: "Doctor Zhuang, please sit down."

"Thank you." Zhuang Mu nodded his thanks.

Qi Junying glanced at Xia Jingshen, and found that the latter looked indifferent. Although he felt a little strange, but the visitor was a guest, he said, "Please sit down."

Xia Jing nodded deeply, and sat down with a cold expression.Even though it has been a few days, Qi Junying is still not too cold.

"..." Qi Junying was speechless for a while, I didn't offend you, did I?

Why are young doctors nowadays so rude?Qi Junying thought to herself.

Then, thinking of Zhuang Mu's appearance just now, he was very polite.With Xia Jingshen's negative comparison, Qi Junying's affection for Zhuang Mu has increased a bit.

After the two parties sat down, Qi Junying got straight to the point.

"Dr. Zhuang, I'll cut straight to the point. I've seen a video of Dr. Zhuang suturing blood vessels. I have to say that Dr. Zhuang's suturing of blood vessels is very good!" Qi Junying said.

He has conflicting feelings towards Zhuang Mu. On the one hand, Zhuang Mu is Xiang Yuanqi's backup.With Zhuang Mu's presence, he always felt that he was not trusted.

But on the other hand, Zhuang Mu's vascular suture really surprised him.

At Zhuang Mu's age, he can practice such a state of blood vessel suture, it is not an exaggeration to use the word 'genius' to describe it.

Clinical surgical ability cannot be improved by relying on strong brain power alone. If there is no such strong manual ability as an aid, he will always be a giant in theory and a dwarf in action!

"Dr. Qi is too much." Zhuang Mu smiled subtly, "Dr. Qi came to me today to talk about the heart bypass of Doberman pinscher, right?"

"Yes, I would like to ask Dr. Zhuang what good idea he has?" Qi Junying said while taking out the Doberman pinscher information.

He came today to find out about Zhuang Mu's reality.

"According to the image of the Doberman Pinscher, the left anterior descending branch uses a single left internal thoracic artery as a graft vessel, and the remaining four bridges use the radial artery as a graft vessel, which are the aorta-great saphenous vein-diagonal branch - Obtuse marginal branch - posterior descending branch, there are 4 anastomoses in total." Zhuang Mu took the influence map and began to draw on the map.

"Use the radial artery?" Qi Junying was slightly taken aback, "For dogs, the great saphenous vein is enough, right?"

The difference between using the great saphenous vein and the radial artery as a graft vessel lies in the patency rate. In the former, 20% of the cases will develop vascular stenosis within one year after operation, and about 25% of the cases will develop obstruction within five years.

The long-term patency rate of the radial artery in the latter is much higher than that of the great saphenous vein, with a five-year patency rate of 90%, and the quality of the grafted vessels is still very good after five years.

Although judging from the dog's lifespan, using the great saphenous vein seems to be enough.

However, Zhuang Mu prefers to do it in one step. After all, it is not that the Doberman pinscher can only live to 14 years old. If he is taken care of well, it is very possible to live to 16 or 7 years old.

Anyway, heart bypass surgery is going to be done, of course, it is necessary to choose a plan that can prolong the life of the Doberman Pinscher as much as possible.

Of course, this is also because Zhuang Mu has enough strength to choose a more difficult solution.

"If the radial artery is used as a graft vessel, the operation time is difficult to control, and the risk is too great. I think it is more appropriate to use the great saphenous vein." Qi Junying shook his head and said.

The so-called heart bypass means that when coronary atherosclerosis causes vascular stenosis or obstruction, resulting in insufficient blood supply to the myocardium, a bridge vessel can be used to connect the proximal and distal ends of the coronary artery, bypassing the narrowed blood vessel, allowing the Blood can circulate smoothly in the body.

Multiple bypass does not refer to the use of multiple bridge vessels for bypass, after all, the blood vessels in the human body are limited.

Generally speaking, except for particularly important parts, such as the anterior descending branch of the heart, a single graft must be used.Other parts can use the same root

Bridge blood vessels connect multiple blood vessels, that is, one bridge blood vessel builds multiple bridges.

However, the difficulty of the operation lies in the fact that every additional bridge is built, the operation time will increase, and at the same time, it will cause different degrees of risk. This is the reason why Qi Junying is not sure about making five bridges.

During the operation, time is very precious. For the same operation, the less time it takes, the less impact it will have on the body.

Qi Junying's plan is similar to Zhuang Mu's, the difference is that he is used to using the great saphenous vein as a bridge vessel, and he only plans to build four bridges.This is the best plan he has considered and made based on his own ability.

Now that Zhuang Mu said to use the radial artery, this will undoubtedly prolong the operation time, which is why Qi Junying thinks the risk is too great.

Seeing Qi Junying's objection, Zhuang Mu didn't say much. After all, Qi Junying was the chief surgeon.Xiang Yuanqi had communicated with him about this before, and he agreed.

It is also possible to use the great saphenous vein, as long as the quality of the graft is good, and the doctor's blood vessel suture is well done, it can also greatly reduce the incidence of postoperative vascular stenosis.

"Doctor Qi, you are the chief surgeon. Since you decided to use the great saphenous vein, let's use the great saphenous vein! However, for the great saphenous vein, when suturing it..." Zhuang Mu also talked about his unique experience in suturing blood vessels. opinion.

He is very proficient in suturing blood vessels, and the words he speaks are natural.

The more Qi Junying heard it, the more surprised he was. Zhuang Mu's mastery of vascular suture far exceeded his imagination.

Qi Junying approached Zhuang Mu today because of curiosity, after all Zhuang Mu is really too young.

He is so young that unless he sees it with his own eyes, he will never believe that Zhuang Mu's strength is really that powerful.

Of course, it was also to show Xiang Yuanqi that he was willing to cooperate with Zhuang Mu.

However, now his thoughts have changed.

After listening to Zhuang Mu's explanation on blood vessel suture, Qi Junying felt that her knowledge of blood vessel suture was better than before.

It feels like many points that were vague before were suddenly broken by Zhuang Mu.

He had never imagined that such a thing would happen before he came.

After the meeting, Zhuang Mu and Xia Jingshen left together, but Qi Junying fell into deep thought in the box.

That night, Qi Junying couldn't sleep all night. He was thinking about a problem, a very important problem.

Early the next morning, Qi Junying called Xiang Yuanqi and said that he wanted to invite Zhuang Mu to conduct an animal autopsy, and he wanted to arrange the location in Xiang's mansion.

After obtaining Xiang Yuanqi's consent, Qi Junying immediately called Zhuang Mu and invited him to Xiang's mansion to do anatomy experiments with him to prepare for the upcoming heart bypass surgery.

Zhuang Mu readily agreed.

This time, of course, the Xiang family sent someone to invite them.

After arriving at the North Building, Zhuang Mu found that the living room of the North Building had been set up as a sterile operating room.

Qi Junying is waiting for him in the operating room.

After putting on the surgical gown, Zhuang Mu walked into the operating room, and saw the corpse of a Chinese pastoral dog lying on the operating table.

Adult Chinese Pastoral Dogs are similar in size to Doberman Pinschers, so it is appropriate to use them for training.

Huaxing Hospital spends a lot of money every year to collect the dead bodies of cats and dogs that died of various reasons, and use them to conduct autopsy experiments for the doctors in the hospital.

In addition to learning on the operating table, clinical surgical skills, anatomical experiments are also essential.

"Doctor Zhuang, let's practice with this Chinese pastoral dog today." Qi Junying said.

"Okay." Zhuang Mu nodded.

Afterwards, Zhuang Mu began to dissect the Chinese Pastoral Dog.

Qi Junying deliberately wanted to observe Zhuang Mu's ability, so he gave up the position of chief surgeon to Zhuang Mu.

Zhuang Mu didn't know what he was thinking, so he simply took this opportunity to show his strength to the fullest.

Zhuang Mu's dissection was fast and steady, and he disemboweled the Chinese Garden Dog in a short time.

When Qi Junying saw Zhuang Mu's extremely agile technique when dealing with the blood vessels, he already knew it well.

And when Zhuang Mu built six bridges one after another with one bridge vessel at an extremely fast speed, he finally made up his mind.

"Doctor Zhuang, I solemnly invite you to participate in the operation of the Doberman Pinscher." Qi Junying looked at Zhuang Mu with a serious expression and said.

When he was in the clubhouse that day, Zhuang Mu shocked him so much that he had the idea of ​​cooperating with Zhuang Mu.

But Zhuang Mu was too young after all, Qi Junying still couldn't fully believe in Zhuang Mu's strength.

That's why he specially invited Zhuang Mu to participate in the dissection experiment.

This time, he finally saw Zhuang Mu's super strength on the operating table.

Although, there is a big difference between dissecting a corpse and actually performing an operation.However, the details of the stripping and suturing of blood vessels are the same.

Zhuang Mu handled these details well during the autopsy, and he can also handle them well on the operating table.

Although he was obsessed with Zhuang Mu's age and Xiang Yuanqi's arrangements, being a doctor is a profession that pays special attention to strength.

When a doctor is really powerful, even if his colleagues don't like him, they have to admire him.

What's more, at the beginning, he only underestimated Zhuang Mu because he didn't understand Zhuang Mu's strength.

It is impossible for a senior doctor who has been practicing for many years to listen carefully to the opinion of a young doctor who looks only in his twenties, no matter which doctor he is in!

For those who have never seen Zhuang Mu's strength with their own eyes, who would believe that Zhuang Mu's surgical ability is so powerful?

It was also because Zhuang Mu was too young. If Zhuang Mu was a senior cardiovascular doctor in his 60s or [-]s, the situation when the two met would be completely different.

Although this is a prejudice, it is also a prejudice that is difficult to avoid.

After hearing Qi Junying's words, Zhuang Mu couldn't help but breathe a sigh of relief.After all, it is an operation, and it is best for both parties to work together.

"Doctor Qi, please rest assured! I will definitely do my job as an assistant!" Zhuang Mu replied.

Zhuang Mu believes that as long as Qi Junying doesn't reject him, the operation will be a success!

"Doctor Zhuang, I hope we can have a happy cooperation!" Qi Junying said with a smile, then waved his blood-stained hands and said jokingly, "Let's not shake hands, shall we?"

Hearing this, Zhuang Mu couldn't help smiling.

Xia Jingshen looked at Zhuang Mu and Qi Junying through the transparent isolation film outside the operating room, a little hard to understand how these two people suddenly became so harmonious.

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