Back in 2002 as a doctor

Page 480

Thousands of words are contained in this sigh.

Director Miao was lying on the ground, and the angle of view fell on Deng Ming's back.

Perhaps, people like Director Deng Mingdeng are the limit of my pursuit.

Deng Ming is the head of the 912 Department of Cardiothoracic Surgery, so it is not the same to free the great saphenous vein until now.

Huang Lao doesn't say anything, it's better not to compare with Zhou Congwen, an evil person like Zhou Congwen.

Talking too much is full of tears, some things cannot be achieved with hard work.

"Director Miao, how are you doing? I'll ask someone to carry you to the flat car and take a picture to see if you're injured." Zhang Youke asked politely.

Director Miao was so ashamed that he almost slipped into the void along the atomic gap.

What the hell, I watched the surgery by myself, but ended up standing up and lying down, just like the patient.

If you say it, you must not be laughed at.In the future, the heart of the imperial capital... and even the gatherings of the surgical and medical circles, I must be one of the jokes, and I will not fade out of everyone's sight for at least three years.

No, absolutely not admitting cowardice!

Coupled with Director Miao's curiosity about the operation, he gritted his teeth and said, "No need."

"Really not?"

"Help me sit against the wall for a while, don't get in the way of the tour." Director Miao struggled.

Zhang You found Director Miao a sterile midline and a sterile suit to spread on the floor to avoid catching cold.

At this age, everyone knows that the body will respond to the slightest movement.

Say...hemorrhoids; say...arthritis.

Struggling to sit up against the wall, Director Miao felt that he was much better. He squinted his eyes and smiled at Zhang You, expressing his gratitude and silently telling Zhang You that he was fine.

"Boss, you can do it." Zhou Congwen said suddenly.

"Well, I'll go." Huang Lao said lightly, then turned and stepped off the stage.

"Everyone, it's almost time to withdraw first." Zhou Congwen said, "After the anastomosis of the great saphenous vein and aorta, the stent will be removed."

"..."

"..."

"..."

There was silence in the operating room.

Some people have no idea what this step means, but some people think more.

Director Miao suppressed the stabbing pain from his lower back and stared at Elder Huang.

Mr. Huang stepped off the stage, tore off the sterile clothes, turned around and brushed his hands again.

He was not wearing lead clothing, while Zhou Congwen and Deng Ming on the operating table were wearing lead clothing.

Sure enough, after Mr. Huang left, Deng Ming came to the operator's place, and the operation to free the great saphenous vein was "just" completed at this moment.

"..."

Director Miao knew he was wrong!

Director Deng Mingdeng didn't perform the operation slowly, but just kept doing it leisurely, and waited for the anastomosis of the two upper arteries to be completed so that he could take the great saphenous vein that had just been dissociated and perform the anastomosis with Zhou Congwen.

This fits...

If he hadn't seen it with his own eyes, Director Miao would have thought it was in the operating room of 912. Mr. Huang, Zhou Congwen, and Deng Ming had cooperated countless times with small incisions and one-stop operations.

Director Miao would not believe that the cooperation could be so smooth for the first time.

But the facts were right in front of him, and he couldn't help but not believe it.

"Xiao Miao, it's okay." Huang Lao went out, but turned back, "I'll check the case for you."

"Don't, Mr. Huang!" Director Miao waved his hands again and again, "It's all right, it's just that the posture was too awkward when watching the operation, so I moved my waist."

Mr. Huang couldn't say anything, and squatted down to check Director Miao.

"It's okay." Huang Lao said after checking, "You are so fragile at a young age, what will you do if you reach my age."

"..."

"Find a stretcher and carry it out." Elder Huang got up, "If the pain is severe, take some medicine. If it's not enough, wait for me to step down and give you a massage."

"Old Huang, do you know how to massage?" Zhang You was taken aback.

"Of course." Huang Lao smiled, "My level is not bad."

"Boss, let me do it." Zhou Congwen said to Huang Lao while performing bypass surgery with Deng Ming's heart beating, "You are very tired after wearing a lead suit for the operation, so leave it to me. "

"Do the surgery well, don't make trouble." Accompanied by Shen Lang, Mr. Huang walked out leisurely to brush his hands.

Deng Ming looked up at Zhou Congwen, "Do you still know how to massage?"

"Of course, my level is not bad." Zhou Congwen repeated what his boss said.

"You." Deng Ming turned his head, "Ten times mirror."

Li Ran took the mirror and put it on for Deng Ming.

"I'm surprised that you didn't compete with me this time." Deng Ming said with a smile on his mirror.

"My boss and I have anastomosed two arteries, and the anastomosis of the great saphenous vein is left to you." Zhou Congwen said, "Director Deng, do you have many related patients?"

"A lot, Director Zhang..."

"Ah?" Zhang You was taken aback, why do you still have your own business?

"I'm sorry, Director Zhang You." Deng Ming smiled, "I'm talking about Zhang Chunfang, Director of 912 Circulatory Internal Medicine."

"..."

"Director Zhang's boss can tell you how many patients you want. The key is the postoperative effect. I estimate that there will be severe illness in one day."

"Director Deng, you are too conservative." Zhou Congwen said, "Depending on the situation after the operation, you can come out of the intensive care unit tomorrow morning."

Zhang Yougang turned around, and when he heard Zhou Congwen's words, he staggered and almost fell to the ground.

Tomorrow morning, the patient "walks" out of the intensive care unit? !

Do you want to be so crazy? !

Zhang You forcibly held back countless complaints and slanders, and carried Director Miao onto the flat car.Zhou Congwen was so crazy that Zhang You didn't even have eyes to see.

After leaving the operating room, Director Miao yelled "Ouch".

"Director Miao, you..."

"Oh, I don't dare to scream inside." Director Miao said enduring the pain, "I'm really asking for trouble, otherwise I would definitely go to the intensive care unit for a night and watch the patient walk out by himself tomorrow morning."

"Ah?" Zhang You was taken aback, "Director Miao, is what you said true?"

"Of course, isn't this normal? There are only two small incisions, and there is no major damage. Except that the position of the great saphenous vein hinders walking, everything else is fine." Director Miao sighed, "It is not a single-lung operation throughout the operation. Ventilation, one lung intermittently, both lungs most of the time, the patient's cardiopulmonary function is almost intact."

"For this operation, I guess Mr. Huang will take the first place again this year." Director Miao paused, and said enviously.

The operation has been done like this, if it still can't take the number one in the world, there must be something tricky in it, Director Miao will be the first to refuse to accept it.

World number one……

This word appeared in Zhang You's mind, like the sun, extremely hot.

Chapter 0825 surgery, okay

"The exposure of the ascending aorta is the key and difficult point of MICS CABG vein graft anastomosis." Deng Ming said while performing the operation, "Zhou Congwen, what do you think?"

"Indeed." Zhou Congwen said, "Director Deng, I have a little idea, but reducing the difficulty of the operation can only be reduced a little. I don't think it makes much sense."

"Oh?" Deng Ming glanced at Zhou Congwen with his eyes without the [-]x lens.

This little guy seems to be able to do everything, and he can reach the level of proficiency as soon as he gets started, and he can also innovate and find out a lot of improvements.

He also said the same about the DK-crush technique studied by the boss.

Deng Ming's interest suddenly increased, "Zhou Congwen, tell me, if it is suitable, I will find dozens of patients in 912, and let you do it all at once."

"There are a few points, let me talk about Director Deng for your reference." Zhou Congwen smiled slightly.

One-stop small incision coronary artery bypass grafting + stent implantation surgery Zhou Congwen did a lot in his last life, and he can be said to be the most experienced person in the world.

Because the boss had passed away at that time, Zhou Congwen could say this matter with confidence.

Thinking of the boss's death, Zhou Congwen suddenly became depressed.

But he immediately sorted out his mood. Isn't this a rebirth? The boss is standing beside him, so there's nothing to be sad about.

"First, right ventricular filling can be reduced through management of cardiovascular active drugs and volume management."

"Secondly, adjust the body position and increase the positive end-expiratory pressure and tidal volume of the right lung to facilitate the left lift of the heart."

"Third, multi-level pericardial suspension."

"Fourth, pack gauze between the superior vena cava and the right posterior aspect of the ascending aorta to displace the aorta anteriorly to the left."

"Fifth, a myocardial stabilizer is placed behind the left rear of the right ventricular outflow tract to retract the right ventricular outflow tract to the left posterior and inferior, and the ascending aorta is partially blocked by special side wall blocking forceps to complete the proximal anastomosis of the graft vessel."

Deng Ming was also a little surprised when he heard Zhou Congwen start counting one, two, three, four, five.

Because the great saphenous vein was being dissected just now, and the time for the boss's operation had to be matched, Deng Ming didn't pay too much attention to what the boss and Zhou Congwen did.

Looking back now, the boss and Zhou Congwen have already done a lot of work and details silently.

One-stop minimally invasive surgery is definitely not a small incision and then go in and poke around.

Numerous details are the key to ensure the success of the operation, just like what Zhou Congwen said.

Laymen watch the excitement and see that the incision is small; experts look at the doorway, and what Zhou Congwen said is the doorway.

"Zhou Congwen, I didn't hear you talking about these things with the boss. How did you cooperate so well in the operation?" Deng Ming asked suspiciously while doing the blood vessel anastomosis.

"Director Deng, the boss has made so many suspenders, isn't it just for surgery. Suspension systems are not just for exposure. For example, we use large retractors for large thoracotomy operations. There are many changes."

Deng Ming didn't speak, the blood vessel anastomosis has reached the most critical point.He concentrated on the operation, and even Deng Ming felt that his operation was performed at a very high level.

He understood that this was caused by Zhou Congwen's pressure on him.

I knew before that the closed disciples my boss accepted were very strong, but Deng Ming became more and more confused as he got more and more in touch.

The tacit understanding between Zhou Congwen and the boss can be said to be magical.

His boss obviously didn't take Zhou Congwen for any surgery, but he kept a high degree of consistency with his boss.

The one-stop operation in front of me illustrates this point.

When the operation was decided, Zhou Congwen was in the provincial capital and his boss was in the imperial capital. Deng Ming didn't know if there was any private contact between the two, but he knew his boss well, so the possibility of a connection was unlikely.

But before the operation, the boss did not discuss the details of the operation with Zhou Congwen.

It seems that the boss knows what Zhou Congwen can do.

And Zhou Congwen didn't disappoint the boss, he could cooperate with whatever the boss wanted.

This kind of tacit understanding, even if I have been with the boss for decades, I can't achieve it.

A strong sense of urgency arose spontaneously in Deng Ming's heart, whipping him on the back like a whip, making him move on.

Deng Ming didn't want to be left behind by Zhou Congwen, a rising star.

The step of anastomosis is extremely difficult. Although the boss and Zhou Congwen have done the preliminary work, it still requires superb skills to complete it smoothly.

Deng Ming performed super-level under tremendous pressure. After 4′22″, the blood vessel anastomosis was completed.

Deng Ming was slightly proud of this.

His super-level performance of [-]% makes him comfortable all over, and he has vaguely touched the shackles of technology. If he wants to continue to attack in the future, there will always be a day when he breaks through.

People, it really takes a lot of pressure to make progress, and inertia is the nature.

"Director Deng, your level is pretty good." Zhou Congwen said with a smile.

"That is." Deng Ming said proudly.

"To check for bleeding, I started to puncture."

At this time, Huang Lao and Shen Lang were already standing at the position of the femoral artery, and the disinfection and laying of sterile sheets had been completed.