Chapter 1778: and translation of chapter title

"Director Mao?" The voice of Zheng Ren came through the phone again.

Mao Chi steadied his mind, feigning casualness as he asked offhandedly: "Zheng Lao Ban, what are you up to?"

"Massachusetts General Hospital has a consultation; Director Luo happened to see me do a surgery where a toothpick was stuck in the liver, so isn't this just joining the consultation?" Zheng Ren said.

"" Mao Chi gave a bitter smile.

What the hell is this consultation request from Massachusetts General Hospital?

Consultations, let alone Massachusetts General Hospital, even between large tertiary hospitals in Di Du are rare.

Apart from the health group's tasks, the only consultation Mao Chi has heard about in the past two years is the one he was just about to tell Professor Zhang about—interventional removal of a bullet embolus.

As for what I'm doing today, it's called a rescue, not a consultation.

And a toothpick stuck in the liver…… what the hell is this.

"Hey? Is the signal really that bad?" Zheng Ren's doubtful voice came from the other end of the phone, interrupting Mao Chi's thoughts.

"Zheng Lao Ban, I have a favor to ask." Mao Chi said: "One of my little brothers had an external iliac vein and inferior vena cava stent; the stent ran off and went into the heart……"

"Oh?"

Before Mao Chi could finish, Zheng Ren on the other end of the phone immediately perked up. He immediately said: "No more discussion, there's a Shou Bing, heart!"

"What disease?" Another young and familiar voice sounded.

"Director Mao, is the patient in your department?" Zheng Ren asked excitedly.

"Zheng Lao Ban, no. It's at the International Hospital on this side." Mao Chi was speechless.

With this kind of trouble, how did I not hear any apprehension in Zheng Lao Ban's words, but instead sense excitement and eagerness to try?

Could it be that I didn't explain clearly?

There's that possibility; Zheng Lao Ban must have misheard.

Mao Chi paused, feeling somewhat uneasy. If Zheng Lao Ban were young and impulsive, misheard the condition, and rushed over excitedly, it could lead to an inexplicable situation.

He coughed once and said: "Zheng Lao Ban, the big stent didn't hold, fell off and went into the heart."

"Mm-hmm, I know." Zheng Ren said with a bit of excitement: "First use Interventional surgery to remove it; if we can get it out, it'll be fine. If not, we'll have to open the chest, open the heart, and take out the big stent. Director Mao, do you have extracorporeal circulation over there? Do you have an anesthesiologist?"

"……" Mao Chi really didn't know what to say this time.

They understand everything; they're clear on it.

"We have the extracorporeal circulation machine, but I don't know if it can be used. As for an anesthesiologist who knows extracorporeal circulation, there probably isn't one."

"No problem, I'll bring people straight over." Zheng Ren said: "Director Mao, we're heading over now; please wait a bit on your end."

"Oh, thanks."

Mao Chi finally forced himself to steady his mind, not forgetting to thank him.

He hung up the phone, still unable to believe that Zheng Lao Ban's skill could actually be this high.

"Director, who are you calling?" Professor Zhang, just now coming out of his daze, asked strangely.

"Go back to the department and check on the patient; I'm waiting for someone here." Mao Chi said.

"Mm!" Professor Zhang felt a bit more spirited. Waiting for someone, definitely waiting for the people from Cardiothoracic Surgery 912.

Just now I didn't hear clearly, only feeling that the director's tone was a bit polite. Could it be Old Gu?

Professor Zhang had a slight idea in his mind; Old Gu, that's an academician of the Engineering Institute. Getting Old Gu to do the Shou Bing should be no problem.

As long as the patient doesn't die, the matter won't continue to escalate.

He got out of the car, greeted Director Mao, and walked into the Inpatient Department. Just thinking that Old Gu was coming made Professor Zhang's steps a bit lighter.

Mao Chi stood at the entrance of the Inpatient Department, holding his phone in his hand, hands behind his back, gazing at the vast night.

Can Zheng Lao Ban actually pull off this Shou Bing? Mao Chi kept thinking about this question.

If it's an Interventional surgery, Zheng Lao Ban should be able to do it. Opening the chest…… it seems Zheng Lao Ban recently operated on a patient with valve tumor; taking it out probably isn't a big problem.

Thinking this, Mao Chi gave a bitter smile.

Do I also need to find someone to do a rescue?

A sense of arrogance rose spontaneously in his heart; Mao Chi called Zheng Ren.

"Zheng Lao Ban, on this side I'll first send the patient to the operating table, have someone from the department meet you, and when you arrive you can go straight there." Mao Chi said.

"Good, good, we've already gotten in the car on our end." Zheng Ren said: "We'll be there in half an hour."

"International Hospital, Inpatient Department Building 1, Floor 3, Ward 11." Mao Chi left the address, then turned and went upstairs.

Professor Zhang didn't show any surprise that Mao Chi had come up himself; now he couldn't care less about many things.

As long as someone comes to do a rescue, it's a good thing.

The patient was given low-molecular-weight heparin for anticoagulation; on the ECG monitor, a series of fast, regular QRS complexes appeared, frequency 200–220 beats per minute. Most QRS complexes showed no widening or distortion, maintaining the shape during sinus rhythm; ST-segment depression and T-wave inversion were visible everywhere.

With such a fast heart rate, it could trigger complications like cerebral ischemia.

Seeing the patient's condition was especially poor, Mao Chi knew there was absolutely no delay. He still went up first to check the situation; if he could pull out the big stent, that would be perfect.

Even if it ends up being a wasted trip for Zheng Lao Ban, having thoracic staff on guard makes it not unreasonable.

At worst, we'll treat Zheng Lao Ban to a meal; this counts as coming to his aid, and it's only right.

The patient was sent to the Operating Room at the fastest speed; Mao Chi didn't bother with how Professor Zhang explained the condition to the patient's family, and went straight to the Operating Room to change clothes and prepare for the Shou Bing.

Before going up onto the table, he didn't forget to tell Professor Zhang to leave someone in the ward to wait for Zheng Lao Ban and his party.

Hybrid Operating Room, the patient under general anesthesia.

Director Mao scrubbed in at top speed. The anesthesiologist's tension was visible; the anesthesia here was mediocre, and the severe supraventricular tachycardia was basically already uncontrollable.

Puncture, guidewire and catheter inserted, began angiography.

Mao Chi didn't even wait for Professor Zhang to get onto the table; he called out, casually grabbed one of Professor Zhang's doctors, and they started the procedure.

Angiography showed: the stent shadow in the inferior vena cava and right atrium, originating at the opening of the hepatic vein and ending at the lateral right atrium.

Mao Chi felt very tense inside.

But he didn't panic; instead, he performed the Shou Bing step by step.

Because the external iliac Vein stenosis existed, it had an Impact on the surgery, so Mao Chi first placed a large stent at the site of the iliac Vein stenosis to relieve the stenotic segment.

Then he lowered the capture device into it.

The right atrium is divided into anterior and posterior parts; the anterior part is called the native right atrium; the posterior part is the caval sinus, whose venous sinus wall is smooth, with the opening of the superior Vein above and the opening of the inferior Vein below.

The superior anterior part of the native atrium has an ear-like protrusion called the right atrial auricle; the endocardial surface of the native atrium is not smooth, and when cardiac Function is impaired, blood flow becomes slow.

Because the endocardial surface of the native atrium is not smooth, the large stent got stuck on the atrial wall, and Mao Chi's two attempts were unsuccessful.

He calmed his mind and prepared for a third attempt.

"Director Mao, please wait a moment." Zheng Ren's voice suddenly came over the intercom.