Back in 2002 as a doctor

Page 494

Deng Ming didn't hold a thermos in his hand, so he felt extremely awkward.

But when the top doctors from all over the world gather together, Deng Ming will definitely not just casually hold a thermos. He sits next to his boss and has the last pre-operative discussion with other doctors.

Although Dr. Miyamoto has strong confidence in technology, Wellington Hospital and No. 10 Downing Street still require him to complete at least three similar operations at Wellington Hospital to see the postoperative results before he can be considered.

And today is the day of the last operation.

Discuss the patient's condition before the operation, and compare it with the queen's situation to avoid surgical mistakes.

Since coming here, my boss has not said a word, and Deng Ming has not said a word, but just listened silently.

"Then I'm going to have an operation." Dr. Miyamoto bowed slightly, but it was difficult to conceal his pride and arrogance in a slightly polite gesture.

The latest excimer laser ablation technology plus the optical coherence tomography technology produced by Zeiss, the world's best optical instrument company, combined with Dr. Miyamoto's superb surgical skills, the operation went smoothly. This kind of data feedback is ideal.

If it were him, he would probably be very proud, Deng Ming thought to himself looking at Dr. Miyamoto.

Chapter 0849 success, fame, only in the present

Dr. Miyamoto walked out of the conference room and said to his assistants, "What a bunch of hypocritical and troublesome guys."

"Doctor, I also think that as you said, they are simply too hypocritical and too troublesome." Dr. Miyamoto's assistant said, "The operation has been proved to be successful, but they still have to do it repeatedly."

"After all, they are going to operate on the Supreme, so they should be more cautious." Dr. Miyamoto said proudly, "Cheer up and let the strongest doctors in the world see our technology!"

"Yes! Doctor!"

The assistants behind Dr. Miyamoto subconsciously stood at attention and said in unison.

Dr. Miyamoto was obviously very satisfied with this.

He had been looking forward to this day for a long time.

The emperor's coronary artery is also not good, but it can still be maintained now. It is estimated that he will undergo coronary artery bypass surgery around 2010.

Dr. Miyamoto can't say exactly when it will be blocked again after the operation, after all, it hasn't happened yet.

But make preparations in advance, and wait until the time comes to dredge the coronary artery for the emperor. This is what Dr. Miyamoto has long thought about.

Unexpectedly, things that should have happened more than ten or twenty years later have changed.

Opportunities are reserved for those who are prepared. Dr. Miyamoto felt very proud when he thought that he had made preparations in advance.

No one cares about Zeiss's new technology. It has been around for 20 years. Finally, it has its own advantages and is applied clinically.

success

Fame

Only today!

When he came to the operating room, Dr. Miyamoto did not read the films, but silently watched his assistant doing the preparatory work.

All the information of the patient is in his heart, and Dr. Miyamoto does not think that there will be any problems in the operation!

A 72-year-old patient lying on the operating table underwent coronary artery bypass grafting 10 years ago. The three grafts are the left internal mammary artery-left anterior descending graft, the great saphenous vein-posterior descending graft, and the great saphenous vein. Veins - blunt border vessels.

Although the surgery was performed 10 years ago, the surgeon did it quite standard, like a textbook, and Dr. Miyamoto couldn't find any faults.

The patient insisted on taking aspirin and statin lipid-lowering drugs for treatment after the operation, and no chest pain symptoms appeared after the operation.

The patient developed dizziness and fatigue 2 years ago, and was diagnosed with sinus bradycardia. A dual-chamber pacemaker was implanted, and the symptoms improved significantly after the operation.

In the past 1 year, the patient recurred chest pain when walking briskly. The nature and location were the same as those before CABG operation. It could be relieved by resting for a few minutes, and the activity tolerance gradually decreased.

Re-examination of coronary artery CT angiography showed severe diffuse stenosis of three in situ coronary arteries, occlusion of LAD-LIMA graft and SVG-PDA graft, and severe distal stenosis of SVG-OM graft.

Doctors at Wellington Hospital gave the patient nitrates for 8 months, but the symptoms of active chest pain did not improve significantly.

Patients with coronary artery bypass surgery experience reocclusion and there is little that can be done.

The patient is also considered lucky, and can perform the operation by himself, using the world's most advanced technology to complete the operation.

Dr. Miyamoto smiled.

If the patient recovers well after this operation, then the Queen will be operated on the day after tomorrow according to the original plan.

Thinking of this, Dr. Miyamoto's blood boiled all over his body.

He didn't think about the failure of the operation. Although the excimer laser technology is still relatively new, Dr. Miyamoto is sure to complete it.

After that, I will definitely be honored!

Moreover, he will receive more attention in the headquarters of Shuntian, especially when he consults members of the royal family, he will have more right to speak.

In the future, Shun Tiantang's greatest power will definitely fall into his own hands, without even thinking about it.

And today's operation is just the beginning!

"Doctor." Dr. Miyamoto's assistant lowered his head and called after completing the preparations.

Dr. Miyamoto nodded and went to perform surgery on his hand.

For radial artery puncture, Dr. Miyamoto performed an angiography first.

The left main artery was generally normal, and the left anterior descending artery had diffuse lesions in the proximal and middle segments, with 90% stenosis in the most severe part and 1% stenosis in the proximal segment of D90.

80% stenosis in the proximal segment of the left circumflex branch, occlusion in the distal segment, diffuse lesions in the proximal, middle and distal segments of the right coronary artery, with a 90% stenosis in the most severe segment; 90% stenosis in the distal segment of SVG-OM, occlusion in LIMA-LAD and SVG-PDA.

The patient's condition is very serious and similar to that of the queen.

Dr. Miyamoto also admires Wellington Hospital. They can find similar patients in a short period of time. It is obvious that 10 Downing Street has put enormous pressure on the hospital.

Taking a deep breath, Dr. Miyamoto comforted himself.What Wellington Hospital can't do doesn't mean it can't do it itself.

With the latest technology and the latest equipment, I will be the strongest surgeon.

Don't worry, don't worry.

Dr. Miyamoto comforted himself while examining the patient.

Optical coherence tomography was performed during the operation, and it was found that SVG-OM lesions were rich in lipid plaques and accompanied by more thrombus components. The measured minimum lumen diameter was 1.14 mm, and the minimum lumen area was 1.04 square millimeters.

According to the patient's condition, Dr. Miyamoto chose a 1.4mm excimer laser catheter to slowly advance to the SVG-OM lesion, and the energy was set at 30mJ/mm².

Angiography after one ablation, it can be seen that the blocked lumen of the patient has improved, but it is not enough.

Ablation was again applied with an energy of 45 mJ/mm[-].

After boosting the energy, the effect is very obvious, the blocked coronary lumen is completely unobstructed, and only a little thrombus deposits in the proximal end.

……

In the meeting room, the LAN signal was transmitted and turned into an image. After the secondary excimer laser ablation, countless whispers sounded.

"Boss, this technique looks really good. Seeing that Miyamoto did it very easily, it is much easier than building bridges, and the effect is not bad." Deng Ming said in a low voice.

"There are still problems." Huang Lao said, "You have to pay attention to some details of Miyamoto."

"For example?" Deng Ming asked.

In the preoperative discussion, Dr. Miyamoto did not mention any disadvantages of excimer laser ablation surgery.

"Infection is the most catastrophic complication after surgery. Fortunately, its incidence rate is very low, about 1/5000. Excimer laser surgery has the advantage of maintaining intact epithelium. May invade the stroma.

Postoperative stromal edema and epithelial damage will increase the chance of superficial infection.

Miyamoto's operation may damage part of the endometrium, although not much.His technique is still a little rough, but it is enough. "

Huang Lao said, pausing for a while, "Miyamoto's research on this technology is relatively in-depth, and some of his movements are consciously avoiding complications."

So that's the case, Deng Ming nodded.

With the boss around, no matter what brand-new surgical procedure the boss is, he will point out the technical details and point out the key points.

What others saw was lively, including many top doctors.

But my boss looks at the doorway.

Deng Ming glanced at Huang Lao with admiration, "Boss, Dr. Miyamoto's operation is not a big problem."

"It shouldn't be a problem. It is estimated that the patient will be evaluated tomorrow, and the operation can be performed the day after tomorrow." Huang Lao said with certainty.

Chapter 0850 move the mountain

The last angiography showed that all blocked coronary arteries were unobstructed, and the operation was a great success.

Dr. Miyamoto looked at the radiography image proudly, and murmured, "Perfect, this is simply a perfect work of art."

"Doctor, you are simply the darling of Amaterasu. The surgery you performed is no longer boring, but full of vitality. It is like cherry blossoms blooming, brilliant and wonderful." Dr. Miyamoto's assistant said.

Dr. Miyamoto smiled triumphantly.

He didn't feel that what his assistant said were compliments, all the assistant's words were just an objective description of a fact.

It is I who endow boring black-and-white images with vitality.

Strong vitality, surging vitality.

The problem of complications after coronary artery bypass surgery has plagued the academic community for a long time. Although excimer laser ablation technology has relatively narrow indications, it has taken an extremely difficult and significant step.

Dr. Miyamoto knew very well how high the risk of a second operation was.

Don't talk about anything else, just talk about the patient in front of you.Local anesthesia, 45 minutes of operation time, the coronary arteries basically returned to normal!

This is nothing short of miraculous!

Dr. Miyamoto was full of ambition, he laughed and turned to step down.

But soon Dr. Miyamoto restrained his complacency and tried to make himself look humble.

After all, that person's surgery hasn't been done yet, so it's better to wait for the surgery to shock the whole world.

The success of the operation is inevitable, what awaits me are flowers, applause and glory!

Peerless glory!

Dr. Miyamoto restrained the slightly ferocious smile under the mask. At this moment, he really wanted to see the expression of the... old man who was sitting in the conference room watching the synchronously transmitted operation images.

Losing to that old man again and again, he is an insurmountable mountain in Dr. Miyamoto's heart, and Miyamoto's inner demon.

At the World Surgical Competition, Dr. Miyamoto felt that he could not surpass Dr. Huang in a lifetime of surgery, so he switched to interventional surgery and studied the classic crush technique assiduously.

But when he had mastered all the classic crush techniques and made them proficient, he appeared again at the right time.

Dr. Huang not only appeared in front of him, but also further improved the classic crush technique that has been established in the academic world, and turned it into a DK-crush technique!

And not only the old man, but even his students made Dr. Miyamoto feel particularly scary.

The [-] guide wire penetrates the mesh of the double-layer stent. This kind of sky-defying operation is very difficult for Dr. Miyamoto, but it seems to be easy for both the old man and the young man.

Dr. Miyamoto's smile faded. Not only did the insurmountable mountain stand in front of him forever, but he even brought out another young man!

In the last operation of the society in the imperial capital, Dr. Miyamoto tried to use a [-]-point guide wire to penetrate the mesh of the double-layer stent and failed.

Zhou Congwen taught him the technical details without hesitation, and Dr. Miyamoto succeeded in the second attempt.

But in Dr. Miyamoto's view, this incident was a kind of humiliation that Dr. Huang deliberately brought to himself.

Instead of thanking Zhou Congwen, he firmly, stubbornly and persistently believed that Zhou Congwen was humiliating himself in front of interventional heart doctors across the Republic.

Really wanting to see Dr. Huang's expression now, Dr. Miyamoto quickened his pace unknowingly.

Dr. Miyamoto is confident about the almost unsolvable problems in surgery, and Dr. Huang has no research on excimer laser ablation at all.

This is the world's top technology!The whole world only cooperates with Zeiss. As for the Republic, they have no money to import such top-level optical equipment.

Without even the equipment, Dr. Miyamoto did not believe that the mountain-like Dr. Huang could still stand in front of him as before.

Accompanied by doctors from Wellington Hospital, Dr. Miyamoto returned to the conference room.

Standing at the door, he suppressed the excitement in his heart, straightened his clothes, and walked in.

Dr. Miyamoto did not look directly at Huang Lao, but glanced at him out of the corner of his eye, then looked ahead, pretending not to care.

Huang Lao didn't applaud himself, but was talking to his students, and he was still sketching with his deformed fingers on the table while talking.

He's picking on his own faults!

Dr. Miyamoto's first thought came to him.

There can't be any problems, his surgery has been perfected, how can the old man who doesn't even have top-level optical equipment say what is wrong with him.

"Dr. Miyamoto, congratulations, your surgery is perfect!" The chief cardiologist at Wellington Hospital stood up and said.