If he could remove it, he would also have to add a filter and be careful with fear of crushing the fresh embolic catheter and causing more unpredictable complications.
He was not like Zheng Ren, who casually placed the embolic catheter in place, clamped the embolic catheter, and walked out.
"Doctor Zheng, what technique did you use here?" Chief Jiang looked at the screen and asked blankly.
The fresh blood clot was as tender as tofu. It was extremely difficult to remove completely.
Therefore, Chief Jiang could not help but ask such a question.
Zheng Ren smiled and said, "Now is not the time to discuss such things. The earthquake relief has ended. If you have time, you can come to the Imperial Capital Hospital to find me."
Chief Jiang nodded. This was something they could talk about another time. Doctor Zheng had agreed to meet him at the Imperial Capital Hospital for him to study the technique.
But this time, his mood changed a little.
Doctor Zheng was really awesome. He was not pretending or bragging.
Soon, the image of the catheter disappeared. Su Yun used a piece of sterile gauze to catch the fresh embolus.
On the white gauze, the purplish-black embolus that was about 1cm seemed so ferocious.
It was the same clot that blocked the coronary artery just now and almost took Chief Jiang's life.
"Old Jiang, take a look." Su Yun moved to gauze toward his side. Zheng Ren was afraid that the clot would fall off at any moment.
However, Su Yun's hands were usually quite concise so it was not a problem.
"You're already in such a bad shape and are still freaking screaming for help. You're wasting my time." Su Yun's temper was boundless and the way he spoke did not change.
Chief Jiang rarely saw fresh blood clots. As for his own, this was really the first time.
He smiled. It turned out that it did not hurt when the blood clot was removed.
"Boss, you said that the left anterior descending artery is 100% blocked. Why doesn't he have any reaction?" Su Yun asked.
"He's too nervous. His body has acc.u.mulated too much lactic acid so he doesn't feel the pain clearly... Uh, that still doesn't seem right," Zheng Ren said and could not continue.
These weren't reasons. Even Zheng Ren felt it was far-fetched to say it out loud.
That was because the thought that crossed his mind was the fact that Chief Jiang was simply hot-blooded.
Chapter 722 - It's Time For You To Rest
Zheng Ren thought to himself but his hands did not stop moving.
After taking out the embolic catheter, he sent the guide wire to the second segment of the right coronary artery near the stenosis. Then, he sent the guide wire into the 2.5mm to 20mm Crosssail balloon catheter to the lesion of the left anterior descending artery. The balloon was filled with about six to eight atmospheric pressure for five to eight seconds to dilate the stenosis.
"Do you have a drug-eluting stent?" Zheng Ren asked when the thought crossed his mind.
At this moment, placing a drug-eluting stent in Chief Jiang's coronary artery was the best choice.
Zheng Ren's circulatory interventional surgery was practiced in the intensive care unit of Karolinska Medical College in Stockholm, Sweden, when he was preparing to perform surgery on Dr. Mehar.
Based on the situation, the System had provided Zheng Ren with all the necessary medical supplies.
However, the problem was that he was currently in Pengxi Village Hospital, the only township hospital in the country.
It was already very good for a hospital of this level to have a circulatory interventional surgery room. Zheng Ren felt that it was impossible to have drug-eluting stents.
Sure enough, the scrub nurse immediately said, "Doctor Zheng, there are no drug-eluting stents."
"What do you guys have?"
"There is only the Boko Express stent."
"I'll use that then." Zheng Ren looked at the screen and began to think about the surgery process in his mind.
Soon, Su Yun had everything ready.
Zheng Ren immediately sent the 2.75mm to 12mm Express stent to the lesion and filled the stent balloon with 6 to 12 atmospheric pressure to open the stent.
After repeated angiography, the blood flow in the distal end of the lesion reached the TIMI III.
Zheng Ren was satisfied with the surgery results and smiled.
"Chief Jiang, you must regularly take your medicine after the surgery. There is no drug to wash off the stent. Remember to take the medicine regularly," Zheng Ren reminded him yet again.
Chief Jiang was dumbfounded.
He did not know how to remove the embolus, but he knew that the speed at which he had inserted the stent was too fast. The position was standard. The narrow section was completely covered. There was not a single flaw to be found.
Chief Jiang had performed hundreds to thousands of such surgeries but was not a particularly skilled doctor. He knew the difficulties very well.
Because of his own skill, Chief Jiang was unable to improve even an inch.
What exactly was he stuck at? Chief Jiang knew that it was because his understanding of 3D imaging was not enough. There was also the problem of technique.
To put it simply, it was just difficult to understand.
While it was mostly theory. but the fact was that there was a discrepancy between the imaging examination and the actual situation. This was something that he could not comprehend for the time being.
At least for Chief Jiang, it was a difficult problem that could not be solved.
The position that he saw was slightly different from the actual position. Moreover, he would also need to know how much strength to be used at each stage.
It was very easy to see Doctor Zheng's operation, but Chief Jiang knew that if he were to lower the stent and inflate the balloon, there was no way to completely cover the plaque on his own.
Otherwise, the process of putting up the stent might lead to severe arterial sclerosis and tear the intima.
There was a chance it would not happen but the risks were still high.
The blood vessels of patients with coronary heart disease were relatively hard and brittle. If a force was applied on the intima of the blood vessel and one did not have proper control, it would definitely tear.
However, there was not a trace of contrast agent left when he looked at the imaging after Doctor Zheng had put down the stent.
This meant that there was no problem had occurred during the surgery itself and the intima tear had not occurred.
This feeling and level of skill were really amazing!
Chief Jiang lay on the operating table and watched the contrast process. He gradually became engrossed in it.
This was also the first time Zheng Ren saw a patient focused on looking at the image there. He had a strange expression on his face.
He smiled, pulled out the guide wire and catheter, and applied pressure.
"Chief Jiang, don't go to the ward. Just do the drip in the duty room," Zheng Ren said.
Chief Jiang was still staring at the radiographic films in a daze and didn't hear Zheng Ren.
"Hey, Old Jiang! Wake up, you need to get off the stage!" Su Yun pushed Chief Jiang.
"Huh? What's wrong?" Chief Jiang woke up from a dream.
"You're really eager to learn." Su Yun smiled and said, "Both coronary arteries have been opened. Go back and use your medicine. I won't say what to use. Have a good rest over the next few days and don't worry about this."
"I..." Chief Jiang hesitated.
Don't worry? How could that be possible!
What should he do if the frontline sent the wounded down one after another? It was the peak period. How could he not endure it?
Countless negative emotions were about to gather, but Su Yun immediately said, "Old Jiang, stop! Let me tell you, your current situation is just a little better than before. Don't court death yourself."
Speechless, Chief Jiang felt he
lpless.
"You're acting as if the world will end without you," Su Yun scolded. "Even my boss doesn't dare to say such a thing. What kind of pretense are you putting on?"
"Then the situation on this side..."
"Don't you still have Uncle Ning?" Su Yun said, "When Uncle Ning works, he won't be like you, busy to the point of having a heart attack."
Su Yun didn't feel any burden when he said this kind of harsh truth.
Chief Jiang was speechless again.
"Uncle Ning is methodical. Don't worry, we're here." Su Yun's tone changed slightly as he said, "I really envy you. You can go home and sleep. Boss, when do you plan to rest?"
"When you're done, quickly carry him down and bring the next patient up." Zheng Ren used his own words to express his dissatisfaction toward Su Yun.
Why was this guy becoming naggier and naggier?
Zheng Ren was very tired. If not for the energy conversion lead apron which converted x-ray radiation into 'energy', coupled with the energy drinks provided by the System, Zheng Ren would not have been able to hold on until now.
But even so, Zheng Ren had reached his limit.
He felt that the rib fracture on his left c.h.e.s.t wall was particularly painful. Zheng Ren even began to wonder if he had a heart attack too, but the pain from the rib fracture covered up the symptoms.
The System was still not considerate enough. He could not even see his system interface.
If he could see it, the system interface would probably be a bright red.
A broken rib was not a serious injury. As for the bruises, they were nothing. However, did he have a heart attack?
The more he thought about it, the more Zheng Ren felt that his c.h.e.s.t was stuffy and he was short of breath. He felt a radiating pain in his shoulder and back...
This was a classic case of paranoia. Zheng Ren quickly dismissed all his thoughts and took a few steps back. He leaned against the wall and took the opportunity to rest while transporting Chief Jiang.
It was only a few minutes but to Zheng Ren, it was still very precious.
Chief Jiang would not leave the battlefield unless he was seriously injured. Even if he wanted to persist, no one would agree to it.
Xie Ning arrived soon after. He divided some of his energy and began to preside over the overall situation regarding interventional surgery.
Everything continued. It did not stop because of Chief Jiang's departure.
The operating theater was brightly lit. One after another, the injured were carried onto the operating table for surgery. They were then sent to various hospitals in Chengdu in an orderly manner.
The only difference was that Chief Jiang was lying in the duty room, snoring loudly.
He could finally sleep at ease. He had no choice but to sleep.
Chapter 723 - The Flesh And Blood Body Turned Into One Of Steel
Chief Chen, who had come to Pengxi Village Hospital for an 'inspection' once, was busy currently busy in the Chengdu Provincial Hospital.
He was too old, and his eyes and hands were shaking so he could not go into surgery. Because of that, he sat in the ward and used his rich clinical experience to help the matron and other doctors look after serious illnesses after surgery.
Although he did not specialize in serious illnesses, Chief Chen had seen and treated countless patients in his lifetime. His rich experience made up for his shortcomings.
As an old man in his seventies, he had already entered a state of selflessness.
He could no longer stay up for a few days and nights without sleeping just like any young man. It was not a big deal. He only slept for two or three hours a day, which quickly drained his energy.
Sometimes, he would think of the young surgeon who was in the interventional radiology suite in Pengxi Village. His surgical skills were superb and could be even called outstanding
"It's good to be young." Chief Chen sighed emotionally.
As time passed, his body became heavier and heavier. He felt very helpless. People always had to submit to their old age.
However, he definitely could not do so in the current situation.
Another batch of injured people was transferred down from the front line. Although Chief Chen was tired, he was keenly aware that there was a problem with the number of injured people in this current batch.
They came from Pengxi Village. Usually, every ambulance was filled with severely injured people after surgery. However, only one patient was transferred from one ambulance to another this time. The other two people were the injured people post-surgery.
Could it be that they really withstood the flood of injured people and managed to survive?
After Chief Chen handed over the injured people, he brought the injured people after the pelvic fracture intervention to the ward and arranged their beds for them.
His blood pressure had stabilized. It was enough to check if there were any other injuries to his organs before conducting a large number of blood transfusions and rehydration. He had to pay attention to the amount of intakes.
If there were unexpected complications, there wouldn't be enough doctors to help.
He sat in his office and took a breather. The physicians who came to support him were watching outside. There would not be any major problems.
Once he calmed down, he felt extremely tired. Besides that, a young figure appeared.
The young man was really not bad.
Chief Chen muttered to himself, "Has the interventional surgery in Pengxi Village been completed? It's possible. Let's make a call and ask."
He found Chief Jiang's number and dialed it.
"Little Jiang, it's me," Chief Chen said.
The voice on the other end of the phone was a girl's voice.
"Chief Jiang is sick. He's resting."
"Sick? What's wrong?" Chief Chen was surprised.
"Acute anterior wall myocardial infarction. He just had a thrombectomy and stent surgery. He's recovering with medication," the person on the other end explained.
Chief Chen was most afraid that he would suddenly fall sick and cause trouble for the clinical doctors.
He did not expect that Chief Jiang, who was much younger than him, would not be able to hold on and fall down first.
It was not easy for Pengxi Village to use its flesh and blood body to transform into one of steel, a great wall that was able to withstand the flood of the injured. Chief Chen was slightly distracted and sighed in his heart.
"You are..." The voice of the young nurse rang from the other end of the phone. "Is there anything you need me to convey?"
"There aren't many patients on your side who need to undergo an interventional surgery, right?"
"The patients with pelvic fractures have all been completed. How many have been pulled down from the frontline? How many have we done? The peak period has already passed." The young nurse's voice carried a hint of pride.
Chief Chen praised in his heart.
"What surgery is Doctor Zheng doing?" Chief Chen asked.
"Doctor Zheng is on the phone. I don't understand anything about the post-intervention amputation."
"After he's done with the surgery, ask Doctor Zheng to call me." Chief Chen hung up the phone after he finished speaking.
He was calculating in his heart. The peak period of transporting the injured had passed. After that, Doctor Zheng would definitely take another step back and come to a hospital in Chengdu.
Should he make the first move and capture him?
This idea seemed to be a good one.
..
Chief Jiang went to rest at Pengxi Village Hospital. The interventional radiology suite in Pengxi Village Hospital was not in a mess because of his departure.
Xie Ning did not stay there to oversee things as things gradually went on the right track. The numbers and medical records of every injured person were established, and order was beginning to form amidst the chaos.
However, Zheng Ren was very troubled.
The
number of patients with severe pelvic fractures was decreasing and the number of thrombectomy surgeries he performed was also gradually increasing.
However, Zheng Ren realized that his previous thoughts were too simple.
After the thrombectomy, he would follow the radiographic films and the interventional doctors would guide him to perform the amputation. It would require too much manpower. And now, both the interventional doctors and the orthopedic doctors were so busy that they did not have time to think about it carefully.
Zheng Ren stood at the peak of his skills for interventional surgery and no one else could follow. No one else could keep up with what he was thinking.
In the end, Zheng Ren thought of many ways but other than performing the surgery directly on the hybrid operating table, there was no other better solution. Fortunately, Huaxi had put in a lot of manpower to deal with the seriously injured people and had successfully solved the problem.
He hung up the phone, feeling a little worried.
"Dr. Zheng, Chief Chen of the Chengdu Provincial Hospital asked you to contact him after you're done with your work," the young nurse came over and said when she saw Zheng Ren put down his phone in a daze.
"Chief Chen?" Zheng Ren remembered the name but could not remember what he looked like or how old he was.
"He seems to be in a hurry. Here's his cell phone number."
Zheng Ren took a piece of paper with a cell phone number written on it. He was thinking about what to do as he dialed the number in his hand.
"Hello, Chief Chen." Zheng Ren was habitually polite. Although he did not remember Chief Chen's appearance, it was always right to be polite.
"Little Zheng, are you almost done with the surgery?" Chief Chen went straight to the point.
"Yes, I'm almost done with the treatment of the patients with severe pelvic fractures." A solution suddenly occurred in Zheng Ren's mind.
"Where are you going next?" Chief Chen asked.
Where to? Zheng Ren was stunned. Was he being invited?
"Chief Chen, I want a hybrid operating table. If possible, I plan to perform embolectomy and amputation," Zheng Ren said.
The Surgeon's Studio c1-799 Page 342
