Chapter 1740: line with translation of chapter title
"Preoperative preparations are complete; next, prepare for emergency catheter thrombolysis Shou Bing. I need to rush to the hospital where the patient is to perform the upcoming emergency Shou Bing. If time runs out, the livestream will be continued by Doctor Su." Zheng Ren's voice echoed in the livestream room.
The Surgery Livestream Room rarely opens the mic; hearing the livestream sound, everyone feels quite unfamiliar.
"I am now in Di Du, the distance to the patient's location in Xilin Town is 903.5 kilometers; I will need about six hours to get there. The weather there is bad, still snowing." Zheng Ren said calmly: "The livestream will continuously record the patient's condition, and after I arrive at Xilin Town, First Time I will perform balloon dilation + stent Shou Bing on the patient."
Zheng Ren is idle; he said it once in Chinese, then again in standard Lun Dun accent.
Old Liu's ECG changes indicate he won't die; once that's confirmed, there's no need to feign calm.
"Now the Surgery live broadcast begins; the surgeon for this Shou Bing, we have seen before in the TIPS Surgery livestream. Um, he is one of those doctors I tapped with the Hemostatic Forceps."
"I believe that after being tapped by me, his Shou Bing level has made great progress. So Old Liu, doing Shou Bing on himself is no big deal. Take a deep breath, stabilize your emotions a bit, stabilize them further."
"Your ECG, the elevated ST segment has dropped 70%; the symptoms of myocardial ischemia have obviously improved. You need not fear, everything is with me."
Everything is with me.
Everything is with me!
Everything is with me!!
Zheng Ren's words gave Liu Xu zhi almost unlimited confidence.
"Now it is Di Du time 20:12, at the People's Hospital of Xilin Town, Interventional surgery room, under local anesthesia performing selective coronary angiography Shou Bing + catheter thrombolysis Shou Bing." Zheng Ren said calmly.
"Old Liu, first, perform left radial artery local anesthesia."
Although the nurse was a bit flustered, she still began the local anesthesia under Liu Xu zhi's prompting.
This operation is very simple, completely without difficulty.
"Next, radial artery puncture, with the nurse's help, the surgeon's hand must be steady. No, raise the needle angle a bit, about 5°. Yes, like that, you can insert the needle."
Using the Seldinger method to puncture the left radial artery, the built-in 7F arterial sheath succeeded despite the danger.
The nurse wore Lead clothing; although it was just a single arterial puncture, sweat already appeared on her forehead.
"Through the Vascular sheath, give heparin sodium 5000u. Don't rush, take it slow. Yes, just like that." Zheng Ren said slowly.
Under Zheng Ren's guidance, the guidewire entered, began Super-selective, reaching the openings of the left and right coronary arteries.
Insert the angiography Catheter, change body positions, perform angiography. Each time inject 4-6ml of contrast agent.
Three lesions, the most severe being the LAD occlusion at 80%.
This is even though thrombolysis treatment was performed at First Time.
"Boss, Little Feng has arrived." Su Yun said eagerly from behind.
"Is Fugui'er in the car?"
"He has already arrived at the airport." Su Yun laughed: "Fugui'er has expressed dissatisfaction many times about you not taking him out of town for Shou Bing. Boss, you should appropriately satisfy the demands of your subordinate doctors."
"Next, the Shou Bing will be guided by Su Yun Doctor Su. And I will rush to Xilin Town, 903.5 kilometers away, to perform the Shou Bing."
After Zheng Ren finished speaking, he handed the Surgery live broadcast glasses to Su Yun.
"Take care on your way." Xie Yiren was on the first floor; the cartoon dog on her pajamas was lifelike.
"Mm." Zheng Ren nodded, opened his arms, hugged Xie Yiren, then turned and left.
Going downstairs, Feng Xu Hui's car was parked at the entrance.
Getting into the passenger seat, Zheng Ren saw Liu Xiao Jie sitting in the back, with a large trolley case placed beside her.
Another one should be in the trunk.
Recently, Little Feng's trolley case has been getting bigger, and it contains more and more things.
"Chief Zheng, we're in a hurry, please fasten your seatbelt." Feng Xu Hui said immediately upon seeing Zheng Ren get in the car.
"Mm." Zheng Ren fastened his seatbelt; the BMW X5 let out a roar, instantly accelerating to the neighborhood's speed limit and speeding away.
……
……
"The angiography shows, the surgeon's LAD occlusion is 80%, the occlusion range is about 10cm. More precisely, it is 10.215cm." Su Yun said leisurely.
Being able to see the angiography gives one a clear idea.
This condition is no longer fatal. Being able to place a stent is better; if a stent cannot be placed, one can still barely survive.
So Su Yun began to show off his eyesight.
Just such a precise number, everyone will surely think it's nonsense and definitely not take it seriously.
This is the most regrettable thing: few kindred spirits, when the string breaks, who will listen to that helplessness.
"Now the angiography is finished, Old Liu, you have already lived more than half." Su Yun said: "Withdraw the angiography Catheter, remember to move slowly, then send in the thrombolysis Catheter."
"Take it slow; everything now is urgent. Boss has already traveled thousands of miles to come perform Shou Bing on you. Do you know how much the Boss's trip for Shou Bing costs? Anyway, your hospital's annual revenue is probably not enough."
Su Yun spouted nonsense while directing Liu Xu zhi to withdraw the angiography Catheter and then send in the thrombolysis Catheter.
What's more regrettable is that this side lacks the most advanced thrombolysis Catheter; following the 20% gap, the Catheter is inserted, then the thrombolytic agent is sprayed evenly like a shower.
Only the simplest, most primitive thrombolysis Catheter can be used to begin thrombolysis treatment on the upper part of the LAD.
Even with this thrombolysis, there are still some side effects. But considering Zheng Ren is on his way over, it should be fine.
Su Yun's emotions became increasingly Stability, all kinds of nonsense went off the charts.
Liu Xu zhi felt a bit dazed, as if he had returned to Pengxi Xiang's Interventional Catheter Room, where he was the assistant, listening to Su Yun's nagging while doing one interventional embolization treatment after another for Bone pelvis fracture, seemingly endless.
"Good, fix the embolization catheter, pay attention to adjust the micro pump's infusion speed. 6 ml/hour is enough." Su Yun said: "Old Liu, lie on the Operating table, don't move."
"This is a long surgery; while we wait for the operator to arrive, let's recall the patient's pathogenesis. Wait a moment, Xiao Hu, I have a Lesson; can we do one screen dual wild? I know you've done it before, don't slack off."
Su Yun greatly enjoyed the feeling of giving lessons; when he was young, he always liked to be a teacher, and even as a genius he could not avoid being conventional.
In his view, being silent and taciturn like Zheng Ren, and getting a headache when there are many people, is the abnormal state.
A few Minutes later, Liu Xu zhi lay on the Operating table, placing the catheter and performing thrombolysis, while Su Yun had already begun to explain the pathogenesis, pathology, and physiological changes of myocardial infarction based on his electrocardiogram.
The explanation could be said to be extremely professional; many doctors who had gone offline were called back by their colleagues.
Not only was the surgery awesome, but the basic Knowledge and the fun level of the explanation were also world-class.
It sounds not boring at all; soon, the people online simultaneously immersed themselves in it, unable to extricate themselves.
End of Chapter
