Chapter 2070: 1999 Dad, you asked us to go for surgery?
1999 Dad, you asked us to go for surgery?
During the operation, it was discovered that a thrombus had already formed beside the PICC line, and it was organized and adhered to the intima of the pulmonary artery.
The operation was highly difficult; being able to grasp the dislodged PICC line with interventional surgical instruments was already a difficult task. However, since the procedure could be performed outside the heart, there were almost no side effects.
If one attempt fails, just try a few more times.
But the PICC line had already adhered to the pulmonary artery and a thrombus had formed, so the procedure had to be changed.
If, like before, one grabbed the tail of the PICC line on the outside and pulled hard, it would cause complications such as vascular tearing.
At that point, talking about complications was moot; once the pulmonary artery tore, the outcome was self-evident.
After discovering this situation, President Lin rushed to the operating room in a hurry.
After all, as the vice president in charge of clinical work, he had to be present for such a major matter.
In the small office inside the interventional surgery suite, the room was crowded with people.
Doctors of all levels from the Oncology Department, external experts, hospital leaders, and staff from the Medical Department.
The air felt a bit stuffy, quite stuffy.
"Professor Zhong, are you not confident about the surgery?" President Lin, after hearing the condition report, bluntly asked.
There was nothing to avoid at this moment; say what you have to say. The patient was still under general anesthesia on the operating table, and their life was in danger at any moment.
Professor Zhong from the renowned circulatory specialty hospital shook his head: "I dare not move; the PICC line may have adhered to the muscular layer. I can capture it with a net-basket catheter without problem, but..."
He sighed as he spoke.
The patient's PICC line had been dislodged for too long; in Professor Zhong's view, the patient could not be saved.
"Is there any other way?" President Lin asked.
Professor Zhong hesitated for a moment, then still shook his head: "Let the thoracic surgeons come and operate."
Heart, cardiac surgery...
Just those two words were enough to give President Lin a headache.
If thoracic surgery were performed, it would mean enormous risk, with the patient's life or death unknown. Moreover, transferring from the interventional suite to the operating room would require no extracorporeal circulation machine...
Thinking of this, President Lin felt his head swell into two big ones.
It seemed the only option was to contact the sister hospital, wake the patient from general anesthesia, and transfer them over there.
President Lin looked around; seeing everyone's solemn expressions, he knew there was no other alternative.
He sighed deeply, about to announce the final result, when Professor Zhong suddenly said: "President Lin, are you familiar with Zheng Lao Ban from Ward 912?"
Upon hearing those three words "Zheng Lao Ban," President Lin's heart gave a jolt.
"Recently, Zheng Lao Ban performed a cardiac bullet embolus removal at the Medical University Affiliated Hospital; I heard from people there that his skill is quite high."
"..." President Lin remained silent.
"Why not consult Zheng Lao Ban?" Professor Zhong inquired, but then, as if recalling something, he immediately added: "Even if Zheng Lao Ban deems interventional surgery unsuitable for the heart, his expertise in cardiac surgery is top-notch."
President Lin felt a surge of irritation.
"The surgery broadcast—removing a 12‑cm pulmonary artery thrombus—really shocked me." Professor Zhong grew more excited, saying that in his view Zheng Lao Ban could both perform interventional and cardiac surgery, making him the best candidate for rescue.
"Although I don't specialize in cardiac surgery, I've watched the recording of that operation at least twenty times; it was truly brilliant!"
He spoke excitedly, but then he immediately sensed that the atmosphere in the small office of the interventional surgery suite was off.
This...
Professor Zhong looked around; seeing everyone silent, President Lin's expression was cold and hard, like a stone.
"Wasn't Zheng Lao Ban just a few days ago at the Capital Medical University Affiliated Hospital doing interventional removal of a bullet, sweeping through—not the Tumor Hospital, right?"
He tried to recall, but his mind remained blank.
"President Lin..."
"I..." President Lin instinctively wanted to refuse, but this was the hospital, this was work, this was saving lives!
President Lin's rationality instantly overcame his emotions; he sighed and said: "I'll contact Vice President Yuan, have Zheng Lao Ban come take a look. If interventional surgery can be done, do it; if not, we'll explain the situation to the patient's family, wake them from general anesthesia, and transfer them to Ward 912 for open‑chest surgery."
The conclusion was reached, and everyone let out a sigh of relief.
This was a bolt from the blue—the PICC line had actually been dislodged for that long without anyone noticing, and the patient and their family were also rather careless.
Generally, PICC lines are very hard to dislodge; theoretically the chance is less than one in ten thousand. Based on the patient volume at the Capital Tumor Hospital, such incidents occur a few times a year, but they are always "fresh" dislodgements.
But this time we hit a stone wall—the patient's PICC line had been dislodged for an unknown period.
The patient was transferred to Ward 912... well, it's not a comprehensive hospital, so there's nothing to be embarrassed about; the people from the Tumor Hospital present thought to themselves.
President Lin saw the room was full of people, stood up, and walked to the changing room.
Everyone understood; they knew President Lin was going to call Ward 912 to summon Zheng Lao Ban for rescue, so no one dared to follow him closely to hear how he was pleading.
Arriving at the changing room, President Lin took out his phone, dialed Vice President Yuan's number, and placed the call.
"Old Yuan, we've run into trouble here—the PICC line has fallen off and ended up in the heart."
"Hmm, Professor Zhong is here, but too much time has passed; we can't retrieve it."
"Alright, then do it as soon as possible; the patient is under general anesthesia. If we can't remove it via interventional means, we'll probably need extracorporeal circulation..."
"Okay, once the patient is discharged, I'll treat you to a meal."
After saying that, President Lin glumly hung up the phone.
On the other end, Vice President Yuan's tone was flat, devoid of any emotion. Yet the flatter it was, the more President Lin felt he could see a faint smile at the corner of Vice President Yuan's mouth.
Aside from academic exchanges, communication among the major tertiary general hospitals in the Capital is infrequent; calling for help means admitting defeat.
Our hospital is a specialty oncology center; we don't even have a circulatory department, so we don't need to consider that.
But thinking of Zheng Lao Ban and his own daughter made President Lin irritable. How could he tell the girl that the technical capability over there is insufficient, so she just shouldn't go?
It's exactly what we fear that comes to pass.
President Lin hung up the phone, sat quietly in the changing room, and grew angry with himself. Yesterday he had just promised his spouse to pay more attention, saying he would definitely bring the girl back no matter what.
Doing the Interventional surgery of eating lines, that's something a girl's family should be doing!
In the past few days, he has gained some understanding of Zheng Lao Ban's Medical Team, knowing that the Shou Bing there averages six cases a day, with a steady speed.
This is because…… Zheng Lao Ban only has six beds in the Inpatient Department.
But doing six TIPS Surgeries a day is also not okay—what a huge amount of line-eating!
Everyone says that when a girl grows up, she no longer listens to her mother, and her ideas are one better than the next.
Thinking about it, the phone started ringing.
Seeing that it was the girl who had opened the call, Lin Yuanzhang was startled for a moment and instinctively answered the phone.
"Dad, you asked us to go do the Shou Bing?" came Lin Yuan's triumphant voice from the other end of the phone.
Lin Yuanzhang almost spat out a mouthful of old blood.
End of Chapter
