Back in 2002 as a doctor

Page 508

"Miyamoto underwent excimer laser ablation, which caused a severe coronary artery dissection. My god, why didn't he die!"

"..." Chu Yuntian frowned.

If so, he can only do surgery with a severe allergic reaction, and he can't think of any solution other than that.

"Guess who performed the next operation."

"Doctor Huang."

The answer is already very clear. This kind of difficult operation must be performed by Mr. Huang from 912.

Although there were still some doubts, they were mainly concerned with Huang Lao's age. As for the surgical technique, Chu Yuntian had no doubts at all.

Coupled with the fact that the patient's condition was quite special, he couldn't think of anyone else who would dare to take over such a complicated surgical intervention except Mr. Huang.

This kind of job of taking the blame and wiping people's ass requires not only a high level, but also a big heart.

Huang Lao is the only one.

But Chu Yuntian couldn't figure out what Huang Lao had to do to make it happen.

"It is indeed Dr. Huang, but what he does is not a surgical operation but an interventional operation."

"..."

Chu Yuntian was completely stunned.

The beating of the heart splitting the sternum in front of him was obvious, and the background of the field of vision was blood red.

Chu Yuntian watched helplessly as the patient's anterior descending artery pulsated slightly under the pressure of arterial blood flow.

Interventional surgery?

Failed Excimer Laser Ablation Causes Severe Arterial Dissection…

Chu Yuntian has come into contact with similar situations not infrequently. Mayo Clinic's circulatory interventional operations sometimes fail, such as dissection or heart rupture, which require surgical intervention.

Chu Yuntian has never encountered a situation in which an arterial dissection caused by interventional surgery can be remedied by interventional surgery.

Moreover, he also saw the imaging data of the patient. The thrombus in the blood vessel almost completely blocked the coronary artery. How should the operation be done?

"Shaq, your joke is not funny at all." Chu Yuntian calmed down, and he was sure that Dr. Shaq was joking with himself, "Tell me, how did Dr. Huang overcome the severe allergy caused by general anesthesia? It must not be Acupuncture anesthesia as mentioned earlier."

"My God, why don't you believe it." Dr. Shaq shrugged, "But I don't believe it either."

"I heard Jack from Wellington Hospital say that Dr. Huang used a guide wire to artificially create an arterial dissection, and then used..."

"Wait!" Chu Yuntian frowned, his eyes were like a falcon, and he looked back at Dr. Shaq, "Manually create coronary artery dissection?"

Dr. Shaq's words seemed to open a window, and Chu Yuntian suddenly realized something.

This idea is quite weird, but it cannot be said that it is impossible.

"Yes!" Dr. Shaq said excitedly, "Chu, you know, I couldn't believe it when I heard about it."

"Impossible, this is impossible." Chu Yuntian murmured.

He subconsciously extended his hand into the operation area, and lightly rested his fingers on the patient's anterior descending branch that had just been anastomosed.

The pulsation of the blood vessels is strong, and there is no problem with the operation performed by myself.

However, the vessel walls of the anterior descending artery are very thin, at the millimeter level, and dissection aneurysms are actively formed between the vessel walls...

Chu Yuntian could still understand the mistakes made by accident, but Chu Yuntian knew how difficult it would be if he took the initiative.

The difference between active and passive is too big - one is premeditated and prepared, and a narrow "tunnel" is created with superb technology; the other is caused unintentionally, and the physician who performs the interventional operation will be dumbfounded immediately , Immediately call the surgeon to rescue Taiwan.

The difference between them was too great, and Chu Yuntian couldn't accept it for a while.

"Chu, you can't think of it, right!" Dr. Shaq wanted this kind of feeling, and he said excitedly, "Others are studying how to do this kind of operation, but Dr. Meka said that [-]% success must be guaranteed. , which is almost close to the operation at the micro level, it is impossible."

Chu Yuntian was speechless.

What Dr. Meka said is right, the gap between the inner and outer membranes of the coronary arteries is so small, and there is still a fit. If you want to "drill" a tunnel out, Chu Yuntian's first thought is also—this is no longer at the macroscopic level. operation, but some kind of... miracle in the microcosm.

"No!" Chu Yuntian thought of a possibility, and smiled lightly, "Actually, it's just a hoodwink, you guys think too much."

"Uh...but..."

Before Dr. Shaq could finish speaking, Chu Yuntian interrupted him and continued, "Surgeries have a success rate, like my coronary artery bypass surgery, the success rate can be infinitely close to [-]%, but it can only be said to be infinitely close. "

"If it is a more difficult operation, the success rate will plummet. The success rate of artificial artery dissection will never exceed 50.00%... No, the success rate will never exceed 20%!"

"Chu, I thought so too, but unfortunately I was taught by the facts." Mayo's doctor shrugged and said in a strange tone.

"What?" Chu Yuntian was surprised.

He couldn't understand Dr. Shaq's words at all. According to him, the operation was not performed on one blood vessel, but on multiple ones.

"It is said that Dr. Huang completed the operation on the anterior descending branch, and his student, Dr. Zhou, completed the operation on the circumflex branch by artificial dissection."

"!!!"

Countless thunderbolts rolled down from above Chu Yuntian's head, and silver snakes danced all over his body.

It can be successful, and there are still two blood vessels!

It's impossible, it's absolutely impossible!

If Dr. Shaq's narration is correct, Chu Yuntian knows very well that Mr. Huang and that nasty Zhou Congwen have already found a surgical technique with a high success rate for artificial artery dissection!

Although it involves high risks, it is a life-saving procedure for a considerable number of patients.

How did they do that?Chu Yuntian was at a loss.

The pure arterial bypass surgery in front of me looks very beautiful, and the patient recovered quite well after the operation, but this is just a patchwork of the ancient surgery, and the meaning must be very different from the surgery completed by Mr. Huang.

Did you lose before you even started?

Chu Yuntian was a little confused and lost.

Chu Yuntian didn't hear clearly what Dr. Shaq was talking excitedly behind him. These were completely meaningless to him, meaningless at all.

I enthusiastically prepared the thoracic surgery, claiming to be the No. 1 thoracic operation after Mr. Huang left the clinic, but I couldn't catch a surgery that was thrown over me lightly.

why is that!

Chu Yuntian was crying from the bottom of his heart.

Chapter 0874 comfort from home

After listening to Dr. Shaq's chatter for a long time, Chu Yuntian put his finger on the patient's repaired coronary artery, felt the flow of blood in the blood vessel, and felt confused.

After a full 10 minutes, Dr. Shaq left.

Chu Yuntian restrained his mind and finished the operation silently.

He returned to the locker room, recalling in a daze how the old man and the "hateful" young man had undergone the surgery.

But no matter how Chu Yuntian thought about it, for him, Huang Lao seemed to have only the right way to complete this kind of operation.

Not to mention manipulating the guide wire, even splitting the sternum, in the face of such a "thin" coronary artery, only by letting Chu Yuntian operate it with a hemostat can he have a little bit of confidence.

It is simply impossible to operate the guide wire to create an artificial artery dissection.

Bewildered for a long time, Chu Yuntian felt lonely in his heart.As the proud son of heaven, he once again felt the world's malice towards him!

If there is no Huang Lao... No, Huang Lao is one thing, but Zhou Congwen is another.How beautiful the world would be without Zhou Congwen.

All the mentality of competition disappeared in Chu Yuntian's heart, and out of thin air, he came up with an idea that it would be great if Zhou Congwen didn't exist.

Since Sheng Yu, He Shengliang.

Subconsciously picking up the phone, Chu Yuntian dialed his father's number like a homeless child.

The call was connected quickly.

"Yuntian, just had surgery? What difficulties did you encounter?" Academician Chu's voice was a little anxious.

Although he was still feeling drowsy, when Chu Yuntian called himself at this time, his first thought was whether the child was safe.

"Dad, do you know about Huang Lao going to Wellington Hospital?" Chu Yuntian asked.

"I do not know what happened?"

Chu Yuntian said the matter again.

Academician Chu immediately understood the hesitation and entanglement in Chu Yuntian's heart, and he said in a deep voice, "Yuntian, you think too much."

"Huh?" Chu Yuntian was startled.

"I've heard that Mr. Huang has the unique skill of pressing the bottom of the box, but he seldom does it." Academician Chu said, "I'm not in this business. I heard it lively, and I haven't studied it carefully. Now that I think about it, it's probably you who said surgery for artificial arterial dissection."

"When did Mr. Huang start doing it? Is this technique mature enough to be popularized on a large scale?" Chu Yuntian asked in confusion.

"You're thinking wrong." Academician Chu smiled, "Yun Tian, ​​listen to me."

He paused, thinking how he should comfort Chu Yuntian.

"A lot of equipment has only been imported since the opening of the country. There were no CT machines more than ten years ago."

"I know."

"I won't say much about this aspect. The barefoot doctor first needs to meet the needs of the vast majority of people. In fact, we can't compare it with foreign developed countries. We can't compare their life in the 30s. You say right."

Chu Yuntian was taken aback.

He remembered watching Tom and Jerry when he was a child, and his father told him that it was an American work around 1930.Seeing the villas, refrigerators, food, carpets, and sofas in the cartoons, Chu Yuntian had an infinite yearning for this country.

"There have been great changes in China in the past few years. I am currently researching ercp technology. Although this technology is basically a dragon-slaying stunt and has little use, I think it will definitely shine in a decade or so."

"Dad, I'm not talking about these things." Chu Yuntian interrupted his father.

"Yuntian, we're talking about the same thing, and we never digress." Academician Chu gently persuaded, "Do you know how Huang Lao's unique artificial arterial dissection at the bottom of the box was practiced?"

Chu Yuntian shook his head blankly.

"Many patients in China do not have the possibility of surgery, and intervention is not possible, and other more advanced machines and surgical procedures are not even considered. Since 912 imported the dsa machine, Mr. Huang occasionally began to perform similar operations.

It's not because this is a new and powerful technique, but because of helplessness, I can only do this. "

"have no choice?"

"There are no new types of equipment in China, but what do you say to patients who will die if they don't go on stage, and have a 10-20% chance of surviving?" Academician Chu asked.

"Do it." Chu Yuntian replied without hesitation.

"Yes, that's why Huang Lao practiced this technique abruptly. However, Huang Lao never promotes this technique. I think it is too difficult, and his success rate is only 50-60% at most."

"Old Huang doesn't want the regret of being a dead horse as a living horse doctor to become a gimmick, so he only uses this technique when he encounters a helpless patient, and finally tries it."

"Is that so?" Chu Yuntian was a little confused.

This kind of surgery to determine the status of the world must be hidden?Even a 50% success rate is already scary.

"Mr. Huang is envious of your working environment at Mayo." Academician Chu said with a smile, "Don't think too much, this is a forced surgical method, and it's not even a surgery."

"..." Chu Yuntian was speechless.

He kept thinking about the helplessness that his father said about treating a dead horse as a living horse doctor.

Indeed, many diseases can be cured in Mayo, because there are the most advanced equipment in the world.

Just like Dr. Miyamoto of Juntendo Hospital, he can rush to Wellington Hospital for surgery with excimer laser ablation equipment.

Mr. Huang doesn't have such good medical hardware.

But it was Mr. Huang who finally solved the problem. Thinking of the result, Chu Yuntian felt helpless.

"Do the surgery well, what I'm telling you is the truth. For example, when there was no CT machine in the past, there was an unsophisticated method..." Academician Chu babbled about the past Chen Zhima rotten millet.

Huang Lao's technique was turned into an earthen method by his words. Chu Yuntian didn't think so, but he knew that his father was comforting him, so he didn't refute it.

That kind of technique, Chu Yuntian knows, is quite high-end, and it almost doesn't belong to this world.It's definitely not dirt, but super difficult, so difficult that even Huang Lao can't guarantee the success rate.

While talking, Academician Chu began to ask about Chu Yuntian's life in Mayo. The father and son chatted for a long time before hanging up the phone.

It feels so good to have a family, after Chu Yuntian talked with his father, he felt refreshed again.

Mr. Huang will definitely not let Zhou Congwen take part in the World Surgery Competition with interventional surgery. He has to concentrate on practicing the surgery, and will start recording the surgery video in a month.

Chu Yuntian has always dismissed the number one in the world, but now he has completely changed. Chu Yuntian can't wait to use the number one in the world to defeat Huang Lao and Zhou Congwen, otherwise he feels that his confidence will collapse.

It's a pity that this is the queen's operation, and I can't get the operation video, and I don't know how the operation is done if I am not at the scene.

Chu Yuntian sighed, cheered himself up, then changed his clothes, went home to rest and sleep, and recovered his energy. There was another day of surgery tomorrow.