Chapter 686: Midnight Ghost Knocks on the Door! (Second Update, Asking for Subscriptions)

"Currently the patient's vital signs are stable, the blood test results for internal electrolytes from three minutes ago show no obvious abnormalities! ~"

"Currently sinus rhythm has recovered, heart rate 94! Under ECMO support blood oxygen level 99%, blood pressure 116/75mmHg."

"Thromboelastography results reported normal." Luo Tingzhu efficiently raised her tone, reporting the data she had grasped to Professor Tan Mengbai, while also incidentally informing everyone else in the operating room.

While Luo Tingzhu spoke, Tan Mengbai personally took over management of anesthesia depth; he adjusted the anesthesia machine for a while, after which the machine continuously emitted normal beeping prompt tones.

Volume not high, yet in the operating room it appeared exceptionally clear and bright.

Li Yongjun exhaled a breath of relief, his eyes like hawks scanning the screen: "DSA angiography shows normal, filter and Watchman occluder in position! ~"

"Under angiography, no vascular obstruction shadows seen."

"Patient currently vital signs stable, water-electrolyte signs normal, ventricular fibrillation already reversed, interventional thrombectomy operation successful."

Li Yongjun represents the surgical system of modern medicine, rendering a definitive judgment on the current rescue of Chen Song.

Chen Song suffered ventricular fibrillation, and due to the fibrillation also produced a thrombus; after the thrombus detached it was captured by Fang Ziye's keen insight, and he used a unique technique to seize it.

Avoided therapeutic rescue after thromboembolism.

All this looks easy, but in reality preventing trouble before it happens is more than ten times harder than treating lesions after embolism.

Tan Mengbai represents only Anesthesiology, Li Yongjun also represents Surgery.

The Cardiology and Respiratory Medicine professor team headed by Professor Yang Fenggen still did not dare be negligent, personally sorting through all examination results and CT imaging once more.

Only then did Professor Yang Fenggen say: "Currently the patient's myocardial infarction has been relieved, occluder in position effective, myocardial beating matches the patient's actual age."

"Heart rate normal, under ultrasound monitoring atrial and ventricular beating normal, ejection fraction normal, no abnormal cardiac structures under ultrasound, rescue successful, patient temporarily out of life danger……"

"But considering the patient previously had a thrombus, the body's coagulation system is in a hypercoagulable state, still recommend heparin anticoagulation therapy! ~"

"Specific anticoagulation regimen? Can be directed or advised by Doctor Chen Guangbai and Professor Wang Qishan together."

Matters having reached this step, Yang Fenggen still did not forcibly insist on using modern medicine drugs for the entire treatment.

It is not that Yang Fenggen is conservative, but Yang Fenggen has interacted with Wang Qishan and others for a long time, knowing that some Chinese herbal decoctions can manage prophylactic anticoagulation better.

Hearing Yang Fenggen's words, Professor Wang Qishan immediately looked at Chen Guangbai.

Although Fang Ziye and Li Yongjun did not mention the broken acupuncture needle during the operation, the intravenous broken needle surgically removed is a living fact.

When blood is in a hypercoagulable state, any foreign object may become a core for thrombus factor adhesion, making thrombus formation easy.

Chen Guangbai's brows merely knitted for nearly two seconds, then he turned his head and advised: "Professor Deng Huai, my advice is still to follow the original plan, decoct Taohong Siwu Decoction for nasogastric feeding."

Deng Huai heard the words and did not struggle at all: "Siwu Decoction with additions, Peach Kernel 12g, Safflower 9g."

"Boil over high heat then simmer over low heat for 30 minutes! Cool then nasogastric feed."

While Deng Huai spoke, Chen Xixian immediately opened her mobile phone's recording function, recording Deng Huai's medical orders in detail; after finishing she looked at Deng Huai and Wang Qishan.

Neither had objections, so she quickly turned and left again to help decoct the medicine.

Of course, also fearing Young Lady Chen Xixian might record incompletely, two other deputy-director-level physicians from Traditional Chinese Medicine and a pharmacist followed out.

Although Chen Guangbai made the decision, at this moment his heart was still exceptionally conflicted: "Professor Li, Professor Fang, Professor Tan! ~"

"Although I still insist on using Chinese herbal decoction for anticoagulation, still must trouble several of you to monitor and verify the subsequent anticoagulation effect."

"If anticoagulation effect is poor, please handle symptomatically at any time."

Concerning his own father's life and death, he wished he could add seven or eight more safety locks for him.

Hearing this, several people all nodded.

Professor Yang Fenggen said: "The sanatorium's equipment is complete, HPLC can measure samples entering the stomach via nasogastric feeding."

"If Doctor Chen you are willing to trust modern medicine's deconstruction of Chinese medicine prescriptions, we can send samples to the research area."

Chen Guangbai smiled: "Professor Yang, matters have reached this step, is there still any choice of willing or unwilling?"

"Medicine is for use, not for contending which path is orthodox."

Modern medicine could not predict the many variables in Chen Song's body; if following modern medicine's plan, Chen Song would likely not know how many places were blocked by thrombi, ECMO might not even be effective.

However, what everyone must admit is that modern medicine's move-by-move response indeed achieved remarkable effect in this rescue.

Especially in the situation of anticipating possible accidents in advance, the operations led by Fang Ziye, Li Yongjun, Nie Mingxian and others brought the five words 'preventing trouble before it happens' to life incisively and vividly.

"Professor Fang, Professor Li, Director Nie, you rest a while first; estimate for the next period of time, my father's rescue temporarily needs no surgical intervention."

"But please do not leave, stay up a bit longer; I thank you here on behalf of my father." Chen Guangbai did not have excessive formalities, merely cupped his fists slightly.

Fang Ziye and Li Yongjun also nodded.

By now, what Surgery needed to intervene in has been intervened in more or less.

Filter placed, occluder used, thrombi removed completely.

Even if thrombi form again, they cannot embolize to the heart, skull and other key life centers; if substantive organs are embolized, there is sufficient rescue time.

Even if heart and lungs are embolized, cardiopulmonary bypass can still replace cardiopulmonary function to complete pumping and oxygenation, vital signs can still be guaranteed.

'Open-heart' surgery, which performs surgical treatment after cardiac arrest, with the patient still able to recover postoperatively, is sufficient to prove that cardiopulmonary bypass can replace cardiopulmonary function.

Maintenance of vital signs is the most basic module of life support, and also the most important module.

Fang Ziye, Nie Mingxian and others walked to the rest area again; no one spoke, they just pulled the covers over their heads and lay on the beds to rest.

Although Fang Ziye, Nie Mingxian and others' surgical operations were not many, every operation was extremely critical and required rapid reaction.

This is a short-term burst of powerful brainpower and fastest physical reaction speed.

Actually it also consumes quite a bit of 'energy'!

Before long, Professor Tan Mengbai of Anesthesiology also withdrew from the operating room.

Previously, to ensure his own father's safety, Chen Guangbai had prepared two full sets of all teams.

Including but not limited to the anesthesia system, the surgical system also had another set; only as Chen Guangbai, Chen Song and others' understanding of Fang Ziye continuously deepened.

Now it is one hundred percent belief that the surgical team Fang Ziye participates in is the best, is irreplaceable.

Therefore, Li Yongjun can be replaced, Tan Mengbai can also be replaced, but Fang Ziye should try not to be replaced.

Therefore, during intervals Fang Ziye must try to rest more, ensuring Fang Ziye has sufficient combat participation time.

Chen Guangbai and Wang Qishan, along with the Traditional Chinese Medicine Department people, were far more vigilant in their preparation and warning for the "dead pulse" campaign inside Chen Song's body than Fang Ziye and the others.

"Professor Fang! ~"

"Your great name has long been like thunder piercing the ears; meeting you today, it can be described in eight characters: a gentleman like jade, operation like a god."

"Anesthesiology Department, Tan Mengbai." Tan Mengbai extended his right hand, greeting Fang Ziye very politely and formally.

Conquering a woman requires both physical strength and technique, but conquering a man, either physical strength or technique alone will do.

Many men are very simple.

"Orthopedics Department, Fang Ziye." Fang Ziye hurriedly shook hands with Professor Tan Mengbai.

"This is Professor Li Yongjun, the big shot of Vascular Surgery; Nie Mingxian, Professor Li's student, my good friend."

"That one lying on the bed is Doctor Wu Xuanqi from Tongji Hospital." Fang Ziye introduced Li Yongjun and Nie Mingxian one by one to Tan Mengbai.

Li Yongjun and Tan Mengbai each gave a light shake.

Although both were big shots in their respective fields, having crossed specialties, they did not know each other much.

During the previous surgery, Fang Ziye's performance had stolen too much of the limelight again.

Before the few people could speak, the knife sound of knocking on the door rang out.

"Professor Tan, I am Luo Tingzhu." Luo Tingzhu's voice sounded at the doorway.

"Come in." Tan Mengbai responded.

Luo Tingzhu lightly pushed open the door, opening it halfway, then flipped the notebook in her hand; after leaving the operating room, she untied the ponytail's binding rope, her green hair cascading like a waterfall, her voice simple and powerful: "HPLC detected ferulic acid (0.15mg/g) and hirudin-like substance (anti-Xa activity 0.8iu/mg)!"

"In the operating room, Doctor Chen Guangbai and Doctor Wang Qishan have already arranged for Professor Zhou Ming to take over the subsequent anesthesia work."

"When I left, ECMO was continuing, Dean Chen's vital signs stable! ~"

"Report complete." Luo Tingzhu did not walk in; she did not even lift her eyelids, and after speaking she quietly waited for Tan Mengbai's instructions.

"Doctor Luo, you go rest too, stand by anytime! ~" Tan Mengbai said.

"Yes." Luo Tingzhu withdrew.

Tan Mengbai and the others all had their own dedicated rest rooms; due to Chen Song's special circumstances, the sanatorium's logistics group specially cleared out several nearby courtyards.

Basically able to accommodate thirty people in single rooms for rest.

Fang Ziye, Li Yongjun, Nie Mingxian and the others clustered together because they were acquainted in advance; gathering together was for the convenience of chatting.

"Professor Li, then I'll go rest first too; after things here are settled, I hope there'll be a chance to have a small drink together." Tan Mengbai actively invited.

Li Yongjun laughed: "Then I'll treat."

Friends like Tan Mengbai, even a thousand Li Yongjuns wouldn't be too many; it's just that perhaps only by gathering the world's medical big shots together could you assemble a full thousand.

After Tan Mengbai left, Li Yongjun and Fang Ziye and the others looked at each other.

Li Yongjun closed the door and asked: "Professor Fang, what do you think about that section of silver needle that appeared in the blood vessel?"

"Is it suspicious?"

Fang Ziye shook his head: "Professor Li, it shouldn't be that he broke it himself, right?"

Li Yongjun also hurriedly shook his head: "I'm not saying Doctor Chen Guangbai broke it himself; how could it suddenly break?"

"Stimulation of the Zusanli acupoint, how could a broken needle enter the vein?"

"And this Dean Chen's dead pulse?"

"I understand less and less! ~"

Hearing Li Yongjun say this, Fang Ziye recalled that Li Yongjun had previously worked at Capital Hospital, so he asked: "Professor Li, when you were at Capital Hospital before, you should have also experienced dead pulse rescues, right?"

"What were the results?"

"Three-seven split!" Li Yongjun said a very cold number.

This three-seven is not the medicinal material three-seven.

But being able to have a three-seven split at least proves it's not absolutely unsalvageable.

"The difference in pulse diagnosis levels hasn't been calculated in; if truly calculated, perhaps two-eight or one-nine isn't certain either." Li Yongjun said.

In all hospitals, in ICUs, under the monitoring and drug management of various advanced equipment, people still die every day.

This proves one point: life and death cannot be absolutely controlled, at least modern medicine's current level cannot do it.

"Better not use modern medicine's way to violently interpret Traditional Chinese Medicine."

"I knew it; suddenly spanning two medical systems, mixed together, you'll learn more and more confused, learn more and more without confidence." Fang Ziye rejoiced and lamented.

Fortunately he hadn't been persuaded by Chen Song; otherwise, Fang Ziye would now doubt everything he had learned.

Writing the monograph, do one's best; the rest is life and death by fate!

……

They said to let Fang Ziye rest, but Fang Ziye couldn't sleep no matter what.

Not only because Lan Tianluo occasionally sent him messages feeding back changes in the operating room, but because Fang Ziye suddenly discovered that this old man Chen Song, at some unknown time, had occupied an important position in his heart.

Fang Ziye objectively listed it for himself: now the weight of these two characters Chen Song was actually only after his own parents, Person of Gratitude, Tingzhu, Lan Tianluo and a few others.

His own students, his other fellow disciples' weight all seemed slightly lower than Chen Song's.

Fang Ziye found himself a very suitable reason: when a person is about to die, death is the great matter.

Fang Ziye just in this dazed state dozed off.

Looking forward to being able to subsequently pass a vacation steadily, even if just sleeping in the sanatorium.

At 3:30 AM, Fang Ziye got up.

He discovered Wu Xuanqi, Nie Mingxian, Li Yongjun three people sitting in the rest room, staring wide-eyed like oxen.

Lights not extinguished, three people six eyes staring at each other, also not speaking.

On everyone's face crawled the four characters "heavy on the mind".

"Ziye, you're awake too?"

"Finally can catch a breath." Wu Xuanqi said.

They were all afraid of disturbing Fang Ziye's rest, so they dared not speak.

Although Li Yongjun is a big shot and a professor, among the four of them who is the absolute technical thigh, everyone has a clear understanding and knows in their hearts.

"Teacher Li? You guys, just stared like this for how long?" Fang Ziye being stared at by three big men like this, also felt weird.

"Been several tens of minutes, specifically didn't count! ~"

"Still can't sleep."

"Twenty minutes ago, Anesthesiology Department's Little Deng came over and passed a message."

"Saying Dean Chen's vital signs are still stable, just electrolytes slightly a bit chaotic, leaning toward metabolic acidosis, but also quickly mediated well."

"Dean Chen has already awakened from anesthesia, current mental state also okay."

"Chen Xiqian is accompanying him talking."

"Minimally invasive surgery's trauma ultimately still not large." Li Yongjun enumerated these, rather somewhat proud.

Modern medicine today reveres minimally invasive surgery, main reason lies in its small trauma, and strong ability to solve problems.

For example aortic dissection surgery, traditional thoracotomy at least lie in bed for about a week, but after minimally invasive surgery, just femoral artery a small hole, physical condition originally relatively good, surgery day even can get out of bed.

"That's good! ~ Everything stable is good." Fang Ziye said.

Nie Mingxian has been lowering head looking at a report, moment roughly finished reading, reminded: "Ziye, your table also has a report."

"Is Doctor Chen Guangbai and Professor Wang Qishan sent over the previous acupoint stimulation thrombus change influence statistical chart."

"Professor Wang Qishan said let us also casually look look."

Fang Ziye participated in surgery during surgery, can confirm acupoint stimulation will produce certain effect on human body, but specifically what effect, naked eye hard to distinguish.

However, needling acupoint, can influence influence function, this point from instant blood test results can reflect.

Fang Ziye looking at report after report, smiling said: "Having money still good ah, so many blood test sample sizes can be very few, and very precise."

"If in hospital blood test, so much data, afraid an adult man's blood would all be sucked dry! ~"

Fang Ziye's joke just joke, others all didn't respond.

Several people flipping through reports, in late night just like this awake.

Silence roughly deadlocked seven eight minutes, Li Yongjun then raised head said: "Professor Fang, special events can be predicted through pulse symbol! ~"

"For this phenomenon, we can we refine a bit?"

Sudden events if can be monitored by modern medicine, then necessarily is modern medicine a super heavyweight breakthrough, can blow up modern medicine's current calm sea surface.

Fang Ziye shook head then nodded: "Can think to handle, but thousand threads ten thousand threads clues don't have any."

"Just can verify this phenomenon, is a good start."

"Not anxious."

"I..."

Fang Ziye speaking between, Li Yongjun carried walkie-talkie started police report.

"Beep beep beep beep beep beep! ~"

"Beep beep beep beep beep beep! ~"

"Professor Li, Professor Li, I am Lin Guoqiang, Professor Fang awake? Please call him come a trip operating room."

"Professor Li, I am Lin Guoqiang, Professor Fang awake? Please call him come a trip operating room."

Walkie-talkie inside voice just now fell not long, urgent knock on door then rang up.

One person immediately pushed door entered.

"Fang, Fang Professor awake."

Precisely Surgery Lin Qiaoshan Professor, he saw Fang Ziye sitting after, hurriedly said: "Professor Fang, Dean Chen that side again incident, please you hurry over a trip."

"I also received warning, is responsible come notify you! ~"

Fang Ziye and Li Yongjun two people immediately in place stood up, two people's thighs each bounced crooked the table in front of them.

Wrapped clothes sleeping two people wearing slippers hurriedly toward operating room direction rushed.

Li Yongjun replied: "I and Professor Fang Ziye currently heading toward operating room direction, estimated one and a half minutes can reach operating room!"

"Click click! ~" Walkie-talkie again chaotic a while after.

"Received."

"Hurry do preoperative preparation well! ~"

(Chapter End)