Chapter 1091: with translation of chapter title

Shou Bing completion degree is not high, because Zheng Ren alone cannot simultaneously operate two guidewire catheters. No matter how high the skill, even if reaching peak level, probably cannot simultaneously operate two guidewires and catheters.

Zheng Renyi

Zheng Ren is already quite satisfied with an 88% Shou Bing completion rate. If there were professor cooperation, it would likely reach over 95%.

The Shou Bing roughly had a plan; as for how to do it, Zheng Ren recalled it again in his mind.

System Operating Room

The dual-surgeon Surgical Training was still Zheng Ren's first experience. Previously in the System Operating Room, there was merely no assistant, and Zheng Ren had also trained himself to perform Shou Bing alone.

Heidelberg University Medical Center

Further training is meaningless; Zheng Ren has already figured out how to do the Shou Bing. When the time comes to perform the Shou Bing, success or failure will mainly depend on Professor Rudolf Wagner's cooperation.

Gerd Müller

Interventional Medicine Discipline

Fugui'er

"Boss, you finally came." The professor was a bit dejected, "I estimate I'm pretty arrogant, totally screwed."

Operating Room

"The patient is a 52-year-old female with a history of hypertension for over 20 years. Due to chest and back pain for six weeks, she visited an outside hospital; CTA examination showed a subacute type 2 main artery dissection in the descending main artery from its proximal segment to both bilateral common iliac arteries."

District Hospital

"The professor hurriedly led the way ahead, saying: 'The Shou Bing done at the Community Hospital might be due to equipment problems, or possibly the doctor's problem. After stent placement, the patient's postoperative symptoms did not improve and even worsened. So another CTA examination was done, revealing that the stent's distal end had gone into the main artery false lumen.'"

Catheter

Hemostatic Forceps

Artery

Surgery

"He shook his head and said, 'I'll look at the films later to see whether it can be done, and then decide. Has the patient been sent to the Operating Room?'"

Discipline

Progress

"What opinions could there be? Everyone is clueless." Professor Rudolf Wagner said, "If you weren't here, one would surely tentatively go on stage; whether the Shou Bing could be performed, nobody could say. But fortunately you are here, I can rely on you."

"What the professor said was reasonable, but Zheng Ren let it go in one ear and out the other, not hearing a word."

Worry

He hurriedly changed clothes, then after entering, Professor Rudolf Wagner first took the film and showed it to Zheng Ren.

"Rudolf, is he your boss in China?" a big fat guy, estimated to weigh 240 catties, waddled over and asked.

Feeling that he doesn't need to wear lead clothing during Shou Bing, his whole body fat is enough to block X-rays.

"Gai De, please show some respect." Professor Rudolf Wagner looked displeased at the big fat guy and said.

The big fat guy is called Gai De· Mu Le, a senior doctor at the Heidelberg Medical Center's Interventional Medicine Discipline, with a level comparable to Professor Rudolf Wagner.

The professor said that the person who wants to wield the Hemostatic Forceps is Professor Gai De· Mu Le.

Their relationship looks not harmonious. But this is easy to explain: where there are people, there are rivalries, especially among medical professionals, this technical staff, everyone has a competitive spirit.

This is also one of the driving forces behind human Progress.

"Your Boss looks really young, Rudolf, you couldn't have developed a new technique together with him, could you? That's astonishing." Professor Gai De· Mu Le said in an exaggerated tone.

Zheng Ren completely failed to notice what was happening around him; his attention was focused on the image.

The film looks a bit lighter than the angiogram I did myself, meaning the patient's condition is still progressing.

Even with medication controlling blood pressure to prevent the dissection pressure from getting too high, the spread of the condition still cannot be contained.

"Fugui'er, the Shou Bing needs to be done by the two of us together." Zheng Ren said, looking at the film.

Professor Rudolf Wagner had no time to argue with Professor Gai De· Mu Le; he stared for a moment, then quickly said: "Boss, definitely. I'll be your assistant and will surely do it perfectly."

"Not an assistant." Zheng Ren said solemnly: "You stay in the normal operator's position; I'll go opposite. We'll start Shou Bing simultaneously on both femoral Arteries, requiring good coordination; you need to pay more attention."

Professor Rudolf Wagner was truly stunned this time.

Dual operators?

This kind of Shou Bing isn't never done clinically; it's just rare.

The earliest rectal cancer radical surgery required two operators: one to handle the abdominal cavity, the other responsible for removing the rectal segment.

However, the importance of removing the anus and the demands on the operator are low, so it doesn't really count as a dual-operator procedure.

But this Shou Bing…

Professor Gai De· Mu Le saw the professor and that young Chinese doctor exchange a few words, then he was stunned and said: "Isn't there nothing else your Boss can do? Or try it my way."

"Gai De, that Shou Bing way you mentioned is like a stinky piece of cheese! My Boss proposed a dual-operator approach for this Shou Bing." Professor Rudolf Wagner roared, like a male lion.

"..." Professor Gai De· Mu Le was also stunned.

Zheng Ren saw the two arguing, tapped the film, and the viewer made a "bang bang" sound.

"There are several key points to the Shou Bing." Zheng Ren said in fluent Bavarian accent.

Professor Gai De· Mu Le felt another wave of dizziness; this Boss of Rudolf Wagner's actually spoke in extremely fluent German. Whether tone or vocabulary, if you closed your eyes and listened, you would never think he was a Chinese person.

"Shou Bing is difficult; it requires dual operators." Zheng Ren said firmly: "During the Shou Bing, Rudolf will be on the right side, following normal procedure. I will be on the left side, lowering the snare device. At this point, the first difficulty of the Shou Bing is that the 5F Catheter must pass through the intima between the true and false lumens to enter the snare device."

Both professors were dumbfounded.

Is this something humans can even do? Without even doing it, just listening, Professor Rudolf Wagner already had the idea of giving up the operation.

"Another difficulty is exchanging the stiff guidewire, then using the balloon to dilate. Here you don't need to worry; I will handle it."

After saying that, Zheng Ren placed his left hand under his right armpit, right hand supporting his chin, and calmly said: "The Shou Bing is very simple; don't be afraid."