Chapter 1113 Trustworthy
"Your technical level is excellent, but as a doctor, especially in a grassroots hospital, a lot of times when you see a doctor, you don't rely on your technical level, but on other things..." After speaking, Director Lao Pan turned his head and looked at the door, "For example, Say this."
"The reason why I don't say anything is to let you feel, experience, and summarize a set of methods that are effective for you. In the future, if I'm gone, you won't be numb."
"After all, if I'm here, I can carry the big basket. If I'm not here, it won't work." Director Pan said lightly.
Zheng Ren finally realized that he had overlooked something important in the emergency department of the city's first hospital.
"But you're really promising!" Director Pan patted Zheng Ren on the shoulder, banging, "After a few months, I went to 912. There are a lot of things that don't apply there."
As he said that, Director Pan lowered his voice and laughed happily.
There is no regret, only the pride and joy of watching his own little beast grow up and dominate.
Zheng Ren still didn't speak, and his heart was a little throbbing.
Returning to the intensive care unit, he glanced at the patient. He asked Director Pan to take Wang Qiang to the operating room to prepare, and then took the patient himself.
The journey from the ICU to the operating room is a journey of repeated and frantic attempts at the edge of the gate of hell (404).
The patient survives if they make it to the operating room and start the operation. If something happened on the road again, Zheng Ren couldn't do anything about it.
After all, this is the aorta!
Bleeding, death, in an instant.
All the unexpected accidents did not happen. Zheng Ren took the patient to the emergency operating room calmly. Along the way, he also briefly chatted with the patient to soothe the patient's anxiety.
When he came to the operating room and carefully lifted the patient to the operating table, Zheng Ren turned to brush his hands.
"Boss Zheng, let me be your assistant." Wang Qiang also followed, brushing his hands together as he should.
Zheng Ren didn't say anything, just nodded.
In fact, at Zheng Ren's level, he didn't need an assistant at all. But they were also kind, and they rushed over from the Second City Hospital to deliver consumables with just one phone call, which was more or less a favor.
Wang Qiang was very happy to see Zheng Ren nodding.
He didn't realize that the man beside him was a world-class Daniel, but he just thought he was a very lucky emergency department resident. Therefore, Wang Qiang didn't realize how precious it is to be able to see Zheng Ren's surgery in person.
Unexpectedly, the opportunity fell from the sky, and the unshaven deer in his heart began to rush unsteadily.
Wang Qiang went to disinfect, and Zheng Ren directly laid out the list. This time Zheng Ren did not use the carotid artery, but the femoral artery.
Puncture, built-in arterial sheath, Zheng Ren began blind exercises.
Wang Qiang said: "Boss Zheng, I told Mr. Gao about your return, and he told Mr. Liu that he would be there in a while."
"They're coming." Zheng Ren habitually crossed his left and right hands, chatting casually with Wang Qiang.
The level of interventional surgery at the pinnacle level is one or two levels higher than that of all interventional doctors in the world, and it is an existence of a crushing posture.
As for Wang Qiang's realm, in Zheng Ren's eyes, it does not exist at all.
Aortic dissection, the condition is very serious, but the operation is relatively simple. Except for Director Miao, other emergencies are not a problem for Zheng Ren.
"Mr. Gao is very happy to hear that you are back. He said that today's surgery is postponed, and he will pull you to do teaching surgery." Wang Qiang said with a smile.
"Let's talk about it." Zheng Ren said lightly.
"Huh?" Wang Qiang was stunned.
"Contrast." Zheng Ren said suddenly and lightly.
Wang Qiang was still surprised by Zheng Ren's "rejection" of teaching surgery, when he heard him say angiography.
so fast? The screen in front of him just lit up, and Zheng Ren started to step on the line only after he said that the imaging was done.
However, the catheter has already arrived at the position, just right, waiting for the contrast agent to enter the blood vessel to see the patient's blood vessel condition.
So fast? Wang Qiang has never seen a situation where the blind exercise goes directly into the blood vessel, and the angiography is done by stepping on the line.
Although it is not difficult to puncture the femoral artery and enter the abdominal aorta through the common iliac, it is also performed under visual conditions.
Just blind...
"Pa~" The hemostatic forceps hit Wang Qiang's left radial styloid process.
"As for the surgery, focus on it." Zheng Ren said lightly.
He was very used to having a hemostatic forceps by his hand during the operation. If something went wrong, he would just knock on it, which was better than talking.
Many professors like to curse people and throw equipment. Zheng Ren didn't like it either, and felt very tasteless.
It was very comfortable to tap with hemostatic forceps, and Zheng Ren felt at ease for a moment. The haze in my heart also dissipated a little.
Uh... Wang Qiang was in pain.
The pain was only momentary and did not cause substantial damage. He was sweating on his back, watching the live teaching operation, and seeing the hemostatic forceps flying and the constant snapping sound, it was very refreshing to watch, but the feeling of hitting on his wrist was completely different.
"Crack~" Another soft sound.
"What are you thinking?" Zheng Ren was really unhappy this time, with a little reproach in his words.
This is an emergency rescue operation, how can you lose your mind twice in a row? !
Wang Qiang was ashamed, immediately put away all kinds of selfish thoughts, and began to focus on imaging.
The high-pressure syringe injects the contrast agent into the aorta, and the patient's thoracic aorta and abdominal aorta can be clearly seen to have a large area of tear.
"Bracket." As soon as Zheng Ren finished speaking, Wang Qiang opened a bracket and handed it to Zheng Ren.
This is the most basic operation, as long as you don't get distracted, there is no problem.
Zheng Ren slipped the bracket into it. The bracket is Changfeng and he is very familiar with it.
...
Mr. Pan sat outside and watched. The contrast agent entered, showing that the patient's aorta was severely torn. He nodded and smiled.
Zheng Ren is really trustworthy.
The emergency of aortic dissection, even in provincial capitals, requires at least one vascular CTA to confirm the diagnosis.
But Zheng Ren's level is high, and he was diagnosed with B-ultrasound. Director Pan didn't question either, and even personally came forward to explain the condition to the patient's family.
Such confidence is rare.
President Wang was silent.
He didn't hope that Boss Zheng had made a mistake in his diagnosis, but felt a little incredible. Just go down and take a look at it, and you will find the error in the diagnosis and treatment. Such patients are routinely sent to the orthopaedic department, and then...
When he thought of the sudden death of a patient in the middle of the night, although it had nothing to do with him, it was the fault of an orthopaedic surgeon, but Wang Qiang recalled his medical experience over the years, and immediately realized that several patients may have died because he did not find a similar disease.
In an instant, his sweat broke down.
All the arrogance and pride of the past vanished.
It seems that compared with Boss Zheng, he is still far behind.