Chapter 936: 916 Press the Platform
General Surgery Department side, Cui Lao had already finished the phone call. Patient admitted to Hospital, will have a consultation, pre-operative instructions.
At Director Kong's side, Cui Lao also got through. Regarding letting Zheng Ren do one Emergency Department Shou Bing, Director Kong had no objection.
The stent Shou Bing of the superior mesenteric artery is of moderate difficulty; either the Intervention Department or the Vascular Department can perform it. It specifically depends on the strength and weakness between Technique and department.
For this borderline-nature Shou Bing, whoever does it is not considered overstepping. Since Cui Lao called, let's do it; that's what Director Kong thinks.
Zheng Ren left the Emergency Department, all the way recalling Cui Lao's few sentences.
Looking ordinary, but Zheng Ren's level can hear the emphasis inside—any detail could Impact the patient's condition, not a bit can be missed.
This counts as imparting all one's knowledge.
Although it is not a special diagnostic and therapeutic method for a certain disease, Cui Lao nevertheless conveyed to Zheng Ren, in an obscure way via another channel, something a doctor should have but is most easily forgotten.
Originally Zheng Ren had been reminding himself recently, not to become conceited because of real luck, not to become conceited because of having succeeded in a few Shou Bing.
Yeah, as a doctor, one must not be like that.
It's no big deal if I myself take a big tumble, but those who cause me to tumble are each a living human life.
Being cautious and careful, like walking on thin ice, is never wrong at any time.
……
Returning to the Intervention Department, Zheng Ren needs to first see Director Kong.
Although Director Kong has almost no demands on me, and is completely compliant, yet the more this is the case, the more I need to express respect for the old chief.
"In a moment you take Fugui'er up, I'll wait for Mu Tao below." Su Yun said.
"Hmm, bring over the 3D model, and we also need to study how to explain it in plain language."
"You're definitely not cut out to be a Teacher." Su Yun said, "Leave it to me."
Zheng Ren was a little surprised.
I was originally worrying about this matter, but Su Yun actually said he could do it; I hope I didn't mishear. However, hearing about it, it really sounds rather unreliable.
"You really can?"
"Of course, do you think a flawless assistant is just casually called?" Su Yun said contemptuously, "You belong to the quiet-and-stubborn type; talking with smart people is fine. But for people of average talent, you need to use another method."
Zheng Ren was sweating profusely.
He could even imagine what kind of manner Su Yun would use to speak.
Looking down from above, arrogant and overbearing……
Like this, is it really possible?
"Forget it, I'll talk about it when I come back." Zheng Ren refused.
"You don't understand; letting you do this will be a hassle. I'll try first; if you're not satisfied, you can come, that'll work." Su Yun stepped back, but his tone was full of contempt, audible to anyone.
Zheng Ren was speechless, quickly walked to Director Kong's office.
Knock on the door, enter, Director Kong was looking at images on the computer.
Zheng Ren glanced and knew it was the patient's newly taken slice blood vessel CTA.
"Zheng Lao Ban, the position of this dissection is quite deep." Director Kong didn't even look, Directly Say.
"Director Kong, I think the Shou Bing can still be done."
"Super-selective is already troublesome, plus there are four big bends before reaching the dissection position……" Director Kong didn't continue.
What to say next, Zheng Ren surely understands.
The initial segment of the superior mesenteric artery is relatively thick; one can only say it's relatively, if an arterial dissection appears at this position, the Shou Bing is easy to do.
After the initial segment, the superior mesenteric artery constantly coils and twists, like the roots of an old tree. While coiling, it emits countless branches, supplying blood to the small intestine and most of the large intestine arteries.
The lower the position where an arterial dissection appears, the harder it is to do.
But coming back to it, the lower you go, the smaller the chance of a dissection appearing. After all, layer by layer down, pressure also gradually decreases, the possibility of the blood vessel intima rupturing also becomes lower.
"We can try." Zheng Ren said: "Or we can join forces with the General Surgery Department; if we really can't get in, we'll do surgical resection."
This is the most conventional approach.
Director Kong nodded, "Let's go up, both of us."
"You press the platform, I and Fugui'er can go up." Zheng Ren smiled and said.
"Press the platform" is the term used in Hai Cheng. Generally, a chief lets junior doctors perform Shou Bing, but not feeling at ease, they themselves stay below to watch, to avoid any medical accident; this practice is called pressing the platform.
It is similar to the meaning of pressing the formation in ancient warfare.
Director Kong nodded, then carefully looked at the images for a few Minutes, slowly closed his eyes.
He was simulating the Shou Bing process, but those coiled and twisted blood vessels, some positions have angles almost right angles, even negative angles.
This difficulty is truly great; considering only Super-selective difficulty, it is absolutely far greater than the Super-selective for embolization of severe pelvic bone fracture, by many times.
"Then I'll inform the General Surgery Department, let's first try; if it works, that's best. If not, we'll together open the table and do surgical resection." Director Kong said.
Zheng Ren nodded, his face showing a gentle smile, silently telling Director Kong that doing so is the safest.
Director Kong contacted the General Surgery Department side, finally discussing sending the patient to the major surgery's Hybrid Operating Room to do Shou Bing, also needing general anesthesia.
After all, Super-selective is very difficult; the patient suffers severe pain, body constantly trembling, which would make the Shou Bing become nightmare-level.
General anesthesia, the effect is better.
If the Interventional surgery is not successful, one can still directly open the abdomen, the two departments cooperating together. Or it could be Meilan Marking, or embolism-induced ischemia then resection; any way works.
Such a disease in grassroots hospitals and hospitals of third- and fourth-tier cities is considered untreatable. But in 912, it is merely a rare disease, not even deserving the term 'rare'.
There are many ways to solve it; at the time, just choose according to the situation.
Soon, the General Surgery Department completed preoperative preparations, sent the patient onto the table, and phoned to notify Director Kong's side to also go up.
"Let's go, Zheng Lao Ban." Director Kong put on the White Coat, didn't button it, and strode out of the office with his mouth open.
Zheng Ren followed behind Director Kong, his thoughts…… having nothing to do with the Shou Bing; he was thinking about how to make the TIPS Surgery more plain and easy to understand, so more people would accept.
As for this Shou Bing, Zheng Ren felt it was not difficult. He had looked over all the patient's examinations; when he was in the CT Shi, he had already thought through the Shou Bing process.
Difficulty, for Zheng Ren, medium... slightly low.
Going on stage, changing clothes, in the Emergency Operating Room, Lao He hummed a little tune, bringing a breath of relaxation to the Operating Room.
It's not a big deal, everyone isn't that Tension, chatting and laughing.
Seeing Zheng Ren come in, Lao He's smile grew richer, asking: 'Zheng Lao Ban, what are you listening to today?'
Director Kong was stunned for a moment.
'Whatever, whatever.' Zheng Renhe answered kindly.
Lao He felt deeply, looking at others' Zheng Lao Ban, high skill, still no pretension... If he didn't bring his own nurse on stage, the pretension really isn't big.
End of Chapter
