Back in 2002 as a doctor

Page 498

Dr. Miyamoto cursed inwardly.

With the progress of the optical coherence tomography scan, images of the coronary arteries gradually emerged, and Dr. Miyamoto seemed to be in an ice cave, his whole body stiff.

Just now, the laser catheter did not penetrate the thrombus, so it went in at a distance of about 3cm, but... the laser catheter was actually discounted in front of the hard thrombus.

How much effort did I use, even the hard part at the front end of the laser catheter was discounted!

Dr. Miyamoto stared blankly at the image.

Acute myocardial infarction is not bad luck, but caused by stimulation of the blood vessel wall after the laser catheter is discounted.

How could I make such a low-level mistake!

Dr. Miyamoto wanted to cry but had no tears.

But all of this has not been explained yet, and the images that appeared later suggested that Dr. Miyamoto's patient's coronary vessels were not only spasmed, but may also be damaged due to the friction of the head of the laser catheter!

In other words, coronary artery dissection is very likely!

The experts at the Wellington Hospital also noticed this. The moment they saw the image, their faces darkened, and the mourning faces were extremely ugly.

How is this going!

What about minimally invasive!

A minimally invasive surgery, how could the minimally invasive surgery that had been successful many times in front of everyone be changed to that person...not only failed, but also caused almost the final side injury-coronary artery dissection aneurysm.

In order to determine the problem, imaging was started immediately.

The image presented by the optical CT scan was correct. The side wall of the anterior descending artery was pierced by the hard head of the laser catheter to make a breach, and the blood was flowing in along the vascular dissection.

The aneurysm isn't that big...but it's fucking deadly.

When Dr. Miyamoto saw this scene, his legs went limp and he fell down in front of the operating table.

Chapter 0856 Mission Impossible

"Boss, there is a problem with the embolus. It looks dense, and it should be very hard to handle." Zhou Congwen's voice seemed so ethereal on the overseas phone, and it was intermittent and not very coherent.

"What do you think?" Elder Huang's question was also rather ethereal.

"There is no good way." Zhou Congwen said helplessly, "This embolus... By the way, boss, don't you often go to the Shuai's mansion for consultations?"

After Deng Ming heard Zhou Congwen's words, he already knew what this little junior brother meant.

It's not that the powerful get the best medical care.

This sentence may sound weird at first, but it is true.

Many treatment measures and methods have to take certain risks, and some radical methods need to take higher risks.

It can even be said that even a shot of tetanus may cause death due to allergies.

This sentence is not alarmist.

The consultation in the Shuai's mansion is the same as the patient's condition. Some diseases will not have corresponding treatment as long as they take a certain risk, but will only delay the symptoms.

So whether it was the boss, Zhou Congwen, or Deng Ming himself, they could see that there was something wrong with the density of the thrombus.

It's just that Deng Ming couldn't confirm with certainty that the thrombus couldn't be treated with excimer laser ablation.

But now he knows, because the boss and Zhou Congwen have the same opinion.

"If you ask me, there is no good way." Zhou Congwen said with certainty.

"There is a way, but I don't think Wellington Hospital will do it." Huang Lao Youyou said.

"Boss, you are not going to do artificial coronary artery dissection." Zhou Congwen smiled, "The risk is too great, I dare not even in the Second Hospital of Medical University. As long as the operation fails, it is a proper medical malpractice, and one should be sued. allow."

"Well, just to be sure. The excimer laser ablation equipment is really good, really good." Huang Lao Youyou said.

When Zhou Congwen heard the boss talk about the equipment, he was like a chicken paw, and felt a little sad.

Due to the limitations of objective conditions, even the status of his own boss in the rivers and lakes cannot handle this matter.

But as the economy develops, it will be fine in the future.

What Zhou Congwen is more concerned about is that the timeline seems to have changed.

Excimer laser ablation surgery should have appeared in 2005 in the previous life, but it was brought forward to 2003 in this life.

Could it be that I took Dr. Miyamoto as a student at the annual meeting and taught him how to use a .[-] guide wire to penetrate the mesh of the double-layer stent. Instead of leaving any benefits, it made Dr. Miyamoto feel bad about himself and his boss?

So he, who has been studying excimer laser ablation, came up with this technique in advance.

It doesn't matter, Zhou Congwen has never cared about such things.

Zhou Congwen knows what an overlord in the academic world should do. He is tired of suppressing, fighting against dissidents, etc. After thinking about it, the purest heart of the boss is the most pure.

In this life, Zhou Congwen has also undergone considerable changes.

"Boss, urgent consultation, it is said that Dr. Miyamoto made a mistake in the operation." Deng Ming's voice came.

"It's a big deal that it can't be done, and there may be some mistakes." Huang Lao said.

"It looks like he poked hard enough to break the laser catheter and cause a coronary dissection."

"..." Huang Lao was startled, and Zhou Congwen on the other side of the phone was also startled.

Poke out coronary artery dissection? !

Coronary artery dissection, coronary artery spasm, thrombosis, no-reflow phenomenon, embolism, coronary perforation, occlusion of major collaterals, and acute occlusion of coronary arteries.

These are all complications of excimer laser ablation surgery, but Dr. Miyamoto's level is extremely high, which Zhou Congwen does not deny. He believes that the possibility of complications in surgery is not high.

Zhou Congwen's thoughts were the same as his own boss's. The amazing operation failed, and the laser couldn't penetrate the embolus in the coronary artery. How could there be such a serious mistake as coronary artery dissection!

What happened to Dr. Miyamoto?

Is he crazy!

Carefully recalling the imaging data, Zhou Congwen believed that the patient's coronary artery was not so bad that it would break if touched.

"Boss, please be busy. I still have three surgeries on my side." Zhou Congwen said with a smile, "If you can't do it, forget it, don't dare to fool around."

"know."

Hanging up the phone, Zhou Congwen let out a long breath.

In the previous life, this old man claimed to have made his son despair.

It shouldn’t be a problem, it’s amazing to take the risk of allergies for thoracotomy surgery, with the boss and so many experts from Wellington Hospital, and you can go to the world’s most powerful surgeon anytime, anywhere, you will definitely survive.

Just as he was thinking, Zhou Congwen heard the crisp sound of the mission prompt.

[Emergency task: Impossible to complete...]

Zhou Congwen was taken aback.

Why does the system issue tasks to itself? !

The patient had failed excimer laser ablation, induced coronary artery dissection, and was in London.

And I am in the Second Hospital of Medical University, this kind of complication may require immediate surgery, and I will not give too much time at all.

Strange!

Zhou Congwen strode to the operating room while pondering calmly.

"Professor Zhou, you are here." Xiao Kai said with a smile, "Today's sleeve, you must..."

"I'll do the sleeve cutting today." Zhou Congwen said.

Xiao Kai was taken aback.

The original plan was to have thoracoscopic sleeve surgery today, and Zhou Congwen generously asked himself to watch the surgery video a few more times before performing the surgery today.

With Zhou Congwen by his side, Xiao Kai dared not do anything.

If this kind of opportunity is missed, Xiao Kai's highest level is just like that of Wang Chengfa.

But why did Zhou Congwen change his mind?

Xiao Kai spent a lot of energy in learning laparoscopic cuff resection, but he never expected that Zhou Congwen would reject it when the situation came to an end.

"The boss is in the UK, and it is very likely that he will call me soon and ask me to fly there for surgery." Zhou Congwen's voice was a bit stern, and then he clapped his hands and said, "Cheer up! Three operations, try to finish them in two hours!"

"..."

"..."

"..."

Whether it was Xiao Kai, Yuan Qingyao, or Shen Lang, they were all dumbfounded.

The next three operations to be performed are not simple surgical procedures like small nodule wedge resection, but sleeve resection!

Zhou Congwen had to complete three operations in two hours? !

This speed...Xiao Kai was in a trance.

I usually see Professor Zhou Congwen Zhou performing surgery and think that the speed is super fast, which is already the limit.But isn't it?

Is he ready to fly with wings?

Although a little stunned, the medical team moved as quickly as possible.

After several months of running-in, the medical team has initially gotten used to and adapted to each other and is functioning well.

"Congwen, what's going on there?" Shen Lang asked.

"It is said that Dr. Miyamoto used a laser catheter to poke the patient's coronary artery out of the dissection." Zhou Congwen said.

"Uh... poking out the dissection? Isn't it all written in the book, you have to be gentle when performing the operation."

"Everything that should be written in the textbook is written, so you can't pass the Xiehe exam."

"..."

Chapter 0857 There is no other way

"Congwen, are you in a bad mood?" Shen Lang knew Zhou Congwen well, he could already hear something was wrong.

"Yeah." Zhou Congwen nodded, "After I heard about the coronary artery dissection, I became more awake."

"I can't, I only wake up when the teacher stands in front of the blackboard and says - find a classmate to do this problem at school."

Chatting did not disturb the operation, Zhou Congwen had already incised the skin, electro-caused to stop the bleeding, and the light source went in.

The operation went very smoothly, very smoothly, very smoothly.

It went so smoothly that Xiao Kai felt like he was dreaming—the once-difficult ceiling sleeve cut turned out to be so simple.

Recently, Xiao Kai's level has also improved. Sometimes he even secretly imagines the process of his own surgery, and compares it with Zhou Congwen's demonstration surgery.

As for the level, it must be slightly worse than what Zhou Congwen did, but it seems that it is not much worse, Xiao Kai thinks so.

However, Zhou Congwen had something on his mind, and Xiao Kai finally realized the gap between himself and Zhou Congwen when his hand speed was fully opened.

This gap is not as small as Xiao Kai thinks, but so huge that Xiao Kai almost loses all his aggressiveness.

The gap is too big, Xiao Kai knows that he will never reach Zhou Congwen's level in his whole life.

Freeing the upper right lung, wedge resection, and dissecting the lymph nodes, Zhou Congwen did it neatly, and even gave Xiao Kai the feeling that this is not an operation, but an artist who has completed a masterpiece.

But in such a short period of time, Zhou Congwen could actually complete three operations, which is too tough, Xiao Kai sighed.

"Professor Zhou, have you bought the ticket yet?" Xiao Kai asked seeing that the operation would be finished soon, and Zhou Congwen would turn around to go to the next surgery room with a few more injections left.

"No need to buy a ticket," Zhou Congwen said.

"what?"

"It should be a private plane."

"..."

Just as he was talking, the phone in Zhou Congwen's butt pocket rang.

"Shen Lang, pick it up for me."

Zhou Congwen asked Shen Lang to help him answer the phone while doing the final stitching.

Shen Lang answered the phone and saw that Zhou Congwen was sewing, unable to turn his head, he pressed the release button.