Chapter 1737: 1678 Riding Alone for a Thousand Miles (Part 1) (Alliance Leader Fengyu Yan's Solo Flight Bonus Chapter 1)
Today, we are doing an emergency livestream. The patient is a doctor who suffered a sudden heart attack. At the patient's strong request, we are conducting a livestream demonstration of emergency heart attack treatment. Zheng Ren, wearing livestream glasses, sat steadily at the desk in the study and began to explain.
Because it was a sudden situation, Xinglin Yuan had no advertisements or promotion; only a few people who happened to come in were in the livestream room.
The barrage was sparse, and Zheng Renye also had no interest in watching.
In the picture, Liu Xu zhi had already walked into the interventional surgery room with the nurse's support.
"Old Liu, first take an ECG," Zheng Ren said.
Liu Xu zhi lay down on the operating table, feeling somewhat strange.
The nurse was hurriedly preparing things; he held a phone in one hand and unbuttoned his outer clothing with the other.
"Find a phone stand, ask the nurse for one," Su Yun said.
"First, take the ECG."
"Holding the phone increases cardiac load."
"We need emergency thrombolysis!"
Before it even started, Zheng Ren and Su Yun began to argue.
In the surgery livestream room, things immediately boiled over.
Is this godlike surgeon starting to quarrel with that perfect assistant? Is it prearranged, or is it an accident?
The barrage began to increase.
After hearing the news, Xinglin Yuan hesitated for less than a minute before agreeing to the livestream request.
Now Peng Jia only has execution rights, because he is no longer the major shareholder of Xinglin Yuan.
Offend the behind-the-scenes boss? Peng Jia isn't that stupid.
Besides, livestreaming the diagnosis and treatment of chest pain patients falls under emergency rescue; normally there's no opportunity to do such a livestream.
Zheng Lao Ban is truly a genius, and Peng Jia thinks so.
When TIPS surgery, Ge Xie disease surgery, and liver cancer surgery livestreams had already peaked and were slowly declining, he actually came up with such a genius idea!
Zheng Lao Ban is awesome!
Zheng Lao Ban is mighty!
Zheng Lao Ban is imposing!
Peng Jia was in the office, watching the livestream while clapping for Zheng Lao Ban's genius marketing idea.
But is it really okay to livestream emergency rescue? What if the patient dies?
That thought flashed through Peng Jia's mind and then vanished.
Screw it!
First, we need traffic—that's the real deal.
……
Liu Xu zhi held up his phone, he was trying hard.
Actually, all that stuff about how to handle chest pain patients is trivial. His strongest belief is——even if he dies, he wants to leave some money for his shrewish wife and children.
Moreover, by risking his life to add firewood to Zheng Lao Ban's career, this should count as affection? His son might then have some security.
A middle-aged man's thoughts are very simple.
Even though he usually drools over girls in tight skirts, when faced with life and death, all he thinks about is his wife and children.
The ECG leads were attached; taking advantage of this time, the nurse fetched a phone stand and fixed Liu Xu zhi's phone onto the operating table.
The ECG appeared in Zheng Ren's field of view.
Complete right bundle branch block, third-degree atrioventricular block, high peaked T waves in the inferior leads, accompanied by ST segment depression in the lateral leads.
"According to the new myocardial infarction diagnostic standard's '1+1' principle, positive cardiac injury markers accompanied by typical ischemic chest pain symptoms or ECG changes are required. Although the ECG has changed now, we still cannot determine it is an acute heart attack," Zheng Ren said in the video.
"..." Liu Xu zhi was dazed.
"But because the patient's area is extremely remote, if we collect creatine kinase isoenzymes and troponin and wait for the test results, the heart attack might already be irreversible," Zheng Ren continued to explain.
"So, in this situation, after seeking the patient's opinion, we can adopt a more radical approach—for example, angiographic diagnosis," Zheng Ren said. "Old Liu, do you agree?"
"I agree," Liu Xu zhi said.
"Radial artery puncture—you can definitely do it, but you need to stabilize your emotions, because every time you move your body, you feel like you're about to die," Zheng Ren said solemnly.
Liu Xu zhi lay on the operating table and nodded.
The nurse felt it was strange, but the ECG was there; besides Liu Xu zhi, no one at People's Hospital of Xilin Town could perform cardiac interventional surgery, and that is also a fact.
Are you sure this isn't just messing around? The nurse also had some doubts.
"Now, do the preoperative preparation. First take off your clothes, then let the medical staff prepare the medication."
"First prepare, take off the upper garment, and connect the ECG monitor."
"Good, just like that, the ECG…… the phone's view is biased toward the ECG monitor side; otherwise move a bit farther, I want to see the ECG monitor." Zheng Ren's voice grew more affirmative, leaving no room for doubt.
The surgery began; even though far away, he remained the king, dominating all operating rooms.
"Good! Now prepare the medication. Oral loading dose of aspirin plus clopidogrel, as preoperative preparation."
"Sublingual nitroglycerin to relieve chest pain symptoms; if necessary, apply opioid analgesics."
"Emergency medications are ready! Epinephrine, atropine, analgesics, defibrillator."
"Good, just like that, perfect."
"Old Liu, do you feel better now?"
"Have the medical staff intravenously inject 5 mg of morphine," Zheng Ren said. "Old Liu, after injecting morphine, you must be careful not to fall asleep. You are now both patient and operator, a special identity."
"What thrombolytic drugs does your hospital have? Urokinase or streptokinase? Or a second-generation tissue-type plasminogen activator? If you have third-generation thrombolytics including the variant reteplase of tissue-type plasminogen activator, that would be even better."
"Oh, only urokinase. That's fine; the advantage of first-generation urokinase is that it hardly fails, so we have no choice," Zheng Ren kept saying, trying to comfort Liu Xu zhi with his words.
"Micro pump, prepare. First intravenously inject 60,000 U of urokinase, then infuse 50 ml saline plus 60,000 U urokinase via micro pump. This dosage is a bit high, possibly causing cerebral hemorrhage and other complications. But in emergency rescue, we cannot be thorough," Zheng Ren continued to say.
Urokinase injection, micro pump continuously infusing, Liu Xu zhi felt he had improved a bit.
Maybe it's because of the medication, maybe it's Zheng Ren's unhurried instructions and actions, and also because of the explanation.
Always, Liu Xu zhi felt that as long as Zheng Lao Ban was present, he would not die.
The doctors watching the live broadcast, including Peng Jia and other staff of Xinglin Yuan, were dumbfounded.
That electrocardiogram was then transmitted by Hu Yan Hui to the backstage, where it could be viewed at any time.
Really a myocardial infarction! Although the electrocardiogram is somewhat messy, it cannot be definitively diagnosed as myocardial infarction, and there is no D2 complex etc. test support, but the probability of myocardial infarction is high.
Really, someone dares to livestream this?
Moreover, the patient rushes the practitioner, self-administering thrombolytic therapy.
Zheng Lao Ban is playing with fire!
As time passed, the bullet comments increased, and Zheng Ren helplessly could only turn off the bullet comments.
"Has Xiao Feng booked the air ticket?" Zheng Ren asked.
End of Chapter
