This doctor is great
Chapter 16 Interventional Stent Surgery
Chapter 16 Interventional Stent Surgery
In the following ward rounds, Zhou Mo gained a lot...
"Ding... You listened to the case "arrhythmia", comprehended the essence 100%, and remembered it forever! "
"Ding... You watched the case "Dyslipidemia", and comprehended the essence 100%, permanent memory!"
"Ding... You watched the case "cardiomyopathy", and you comprehend the essence 100%, and you will remember it forever!"
"Ding……"
Keep brushing up...
Various cases are constantly filling Zhou Mo's knowledge base, allowing his knowledge and experience to increase rapidly.
This feeling, Wuhu takes off!
9:30,
Wards rounds, over!
Zhou Mo's thoughts are still not finished.
Just as he was about to turn around and leave, he went to the duty room to grab the computer with senior brother Chen Bing and others.
As a result, Director Niu yelled.
"Little Mo..."
"Director..." Zhou Mo hurriedly stopped his evacuation.
"Next Monday, there will be a big ward round. I think the 29-year-old high blood pressure caused by nocturnal apnea in the [-]-bed bed you managed just now is a very good case. It can be used as a weekly classic case. During the big ward round Report this case."
"what??"
Zhou Mo was overjoyed.
Another chance?
Ward rounds, once a week, usually on Monday.
It was the entire Department of Cardiology, with many directors, deputy directors, more than 20 big bosses, and many attending doctors, watching together.
Many bed doctors will report and share many difficult cases and classic cases, and then they will be commented by the big guys.
[If I perform well, won't I be able to fall into the eyes of the boss? ]
Don't forget, Zhou Mo's identity is still a free man, Ji Peisheng, and there is no hospital to accept him.It would be great if the top three of the Provincial Second Hospital could accept me.
"Perform well and make the ppt better!" Director Niu laughed.
"Yes, Director!"
Huang Yiming was behind him, looking envious.Of course, he was also nervous for Zhou Mo. After all, this was a crowd watching. If Zhou Mo's report overturned, it would be over.
……
Zhou Mo, Senior Brother Chen, and a few hospitalized returned to the duty room, only to find that all the computers had been taken over.
Computers are never enough.
I really want to complain about why the hospital doesn't get more computers, which wastes the doctor's time and has to work overtime every day.
Zhou Mo waited until almost 10 o'clock, but Zhou Mo didn't find an empty computer.
"Zhou Mo..."
At this time, Huang Yiming ran over sneakily and said in a low voice.
"what happened?"
"I just want to ask, can you help me and take me in quietly, I also want to watch the operation..."
Zhou Mo hesitated for a moment: "It doesn't seem to work... I remember that it is written in the rules and regulations that only those who have signed can enter the operating room. Your name has not been recorded, so you should not be able to enter?"
Huang Yiming: "Ah? Is there such a request??"
Zhou Mo: "Sure, otherwise wouldn't the operating room come in and out casually? It's a mess?"
Well, in fact, Zhou Mo didn't know, but the rules and regulations say so, everyone who enters must report and sign.I really don't know how it actually works.
Huang Yiming was immediately disappointed, the many pimples on his face had dimmed a lot at this moment.
The idea of trying to pass the test with cuteness is shattered.
Zhou Mo looked at the time, 9:58...
"The time is up, I will intervene there..."
Under Huang Yiming's envious eyes, he left the duty room and came to bed 28.
The patient's uncle, his family's daughter and son all came, as well as a granddaughter and two relatives.
I'm busy, preparing for surgery.
Obviously, both daughter and son are a little nervous.
"Doctor, is my dad's surgery risky?" The daughter said with a worried face when she saw Zhou Mo coming.
The son looked disgusted: "What's the risk? Dad hasn't done it before. It's much better than bloody surgery."
The patient's uncle glanced at his son, wondering what he was thinking.
Zhou Mo chatted for a while, then left the ward and went to the interventional diagnosis and treatment center.
……
Intervention Center...
"Zhou Mo, you are here...Come, sign... There is an interventional operation in progress, and we have to wait for them to finish it..."
After seeing Zhou Mo, Zhao Xin greeted him to sit down, and then put the watch in front of Zhou Mo.
signature.
Other people around glanced at the unfamiliar Zhou Mo, and then buried themselves in their own business.
At 10:15, the patient came to...
10:20, Professor Lu came to...
At 10:40, the previous interventional operation was completed, the patient was pushed out, and then disinfected...
10:50, 28-bed patients, "PTCA stent surgery" officially started...
Cardiac stent surgery is to inject iodine into the human body, and then under the guidance of medical imaging equipment X-rays, display the location of blood vessels, and then place the heart stent into the coronary artery to prop up the narrow blood vessel, thereby restoring the blood supply of the coronary artery and achieving The purpose of improving symptoms and "reviving the dead".
Because the X-rays transmitted by radiography have relatively strong radiation, doctors and nurses entering the operating room need to wear lead clothing, lead caps, lead collars, lead glasses, lead gloves...
In short, be safe.
As soon as Zhou Mo put on the lead suit, he immediately felt a heavy load.
About 10kg or more...
quickly,
Professor Lu began to open a hole in the radial artery of the right arm, and then followed the blood vessel all the way, various drilling, twisting, pricking, winding...and other techniques, and finally reached the coronary artery in 30 minutes...
……
2 hours later...
2 stents implanted successfully!
Then, at the second narrow position, according to the request of the family members, balloon dilatation was performed without adding a stent...
At this point, the operation is over!
Zhou Mo watched the whole process quietly, and felt that Professor Lu's interventional technology was still very powerful. During the period, there were three difficult corners, which were easily broken by Professor Lu's control of the guide wire.
"Ding... You watched a "coronary interventional stent operation" on the spot, comprehended the essence 100%, and passively improved your hands-on ability!"
Lots of experience, pour in!
It feels great!
this moment,
Zhou Mo couldn't help but move his hand.
There seemed to be an extra guide wire on the fingertips, and Zhou Mo subconsciously pushed, rotated, and pulled...
hiss,
silky~~~
……
After surgery,
Zhou Mo and Zhao Xin pushed the patient out of the diagnosis and treatment center.
"Doctor, how is my dad's surgery?"
A group of family members rushed over and looked at Zhou Mo nervously.
Zhou Mo gave way: "I'm sorry, this is the surgeon, Dr. Zhao..."
Many eyes turned to Zhao Xin.
Zhao Xin, who had a bitter face, suddenly became happy, and said, "Don't worry, everyone, the operation was a success, don't worry..."
When the family members heard this, they breathed a sigh of relief and thanked happily: "Thank you doctor, thank you doctor!"
Push the patient back into the ward.
Then Zhao Xin told the patient's family members some key matters of postoperative care.
For example, you must stay in bed absolutely, because you have coronary heart disease + myocardial infarction...
For example, drinking more water and eating less is conducive to the excretion of the contrast agent...
e.g. raising the right arm...
Obviously, Pu Chou Zhao Xin enjoys this sense of accomplishment very much!
And Zhou Mo, when he came to the nurse's station at this time, there happened to be a bar.
"Nurse, if you are free, help me connect the 28-bed patient with ECG monitoring and non-invasive oxygen inhalation..."
Although Zhou Mo had already written it in the doctor's order, he still came to the nurse's station to talk about it.
Connected to an ECG monitor, you can closely monitor heart rhythm changes. Once you find arrhythmia, you can deal with it in time.
"Okay, I'll arrange for someone to go there later..."
.
(End of this chapter)
In the following ward rounds, Zhou Mo gained a lot...
"Ding... You listened to the case "arrhythmia", comprehended the essence 100%, and remembered it forever! "
"Ding... You watched the case "Dyslipidemia", and comprehended the essence 100%, permanent memory!"
"Ding... You watched the case "cardiomyopathy", and you comprehend the essence 100%, and you will remember it forever!"
"Ding……"
Keep brushing up...
Various cases are constantly filling Zhou Mo's knowledge base, allowing his knowledge and experience to increase rapidly.
This feeling, Wuhu takes off!
9:30,
Wards rounds, over!
Zhou Mo's thoughts are still not finished.
Just as he was about to turn around and leave, he went to the duty room to grab the computer with senior brother Chen Bing and others.
As a result, Director Niu yelled.
"Little Mo..."
"Director..." Zhou Mo hurriedly stopped his evacuation.
"Next Monday, there will be a big ward round. I think the 29-year-old high blood pressure caused by nocturnal apnea in the [-]-bed bed you managed just now is a very good case. It can be used as a weekly classic case. During the big ward round Report this case."
"what??"
Zhou Mo was overjoyed.
Another chance?
Ward rounds, once a week, usually on Monday.
It was the entire Department of Cardiology, with many directors, deputy directors, more than 20 big bosses, and many attending doctors, watching together.
Many bed doctors will report and share many difficult cases and classic cases, and then they will be commented by the big guys.
[If I perform well, won't I be able to fall into the eyes of the boss? ]
Don't forget, Zhou Mo's identity is still a free man, Ji Peisheng, and there is no hospital to accept him.It would be great if the top three of the Provincial Second Hospital could accept me.
"Perform well and make the ppt better!" Director Niu laughed.
"Yes, Director!"
Huang Yiming was behind him, looking envious.Of course, he was also nervous for Zhou Mo. After all, this was a crowd watching. If Zhou Mo's report overturned, it would be over.
……
Zhou Mo, Senior Brother Chen, and a few hospitalized returned to the duty room, only to find that all the computers had been taken over.
Computers are never enough.
I really want to complain about why the hospital doesn't get more computers, which wastes the doctor's time and has to work overtime every day.
Zhou Mo waited until almost 10 o'clock, but Zhou Mo didn't find an empty computer.
"Zhou Mo..."
At this time, Huang Yiming ran over sneakily and said in a low voice.
"what happened?"
"I just want to ask, can you help me and take me in quietly, I also want to watch the operation..."
Zhou Mo hesitated for a moment: "It doesn't seem to work... I remember that it is written in the rules and regulations that only those who have signed can enter the operating room. Your name has not been recorded, so you should not be able to enter?"
Huang Yiming: "Ah? Is there such a request??"
Zhou Mo: "Sure, otherwise wouldn't the operating room come in and out casually? It's a mess?"
Well, in fact, Zhou Mo didn't know, but the rules and regulations say so, everyone who enters must report and sign.I really don't know how it actually works.
Huang Yiming was immediately disappointed, the many pimples on his face had dimmed a lot at this moment.
The idea of trying to pass the test with cuteness is shattered.
Zhou Mo looked at the time, 9:58...
"The time is up, I will intervene there..."
Under Huang Yiming's envious eyes, he left the duty room and came to bed 28.
The patient's uncle, his family's daughter and son all came, as well as a granddaughter and two relatives.
I'm busy, preparing for surgery.
Obviously, both daughter and son are a little nervous.
"Doctor, is my dad's surgery risky?" The daughter said with a worried face when she saw Zhou Mo coming.
The son looked disgusted: "What's the risk? Dad hasn't done it before. It's much better than bloody surgery."
The patient's uncle glanced at his son, wondering what he was thinking.
Zhou Mo chatted for a while, then left the ward and went to the interventional diagnosis and treatment center.
……
Intervention Center...
"Zhou Mo, you are here...Come, sign... There is an interventional operation in progress, and we have to wait for them to finish it..."
After seeing Zhou Mo, Zhao Xin greeted him to sit down, and then put the watch in front of Zhou Mo.
signature.
Other people around glanced at the unfamiliar Zhou Mo, and then buried themselves in their own business.
At 10:15, the patient came to...
10:20, Professor Lu came to...
At 10:40, the previous interventional operation was completed, the patient was pushed out, and then disinfected...
10:50, 28-bed patients, "PTCA stent surgery" officially started...
Cardiac stent surgery is to inject iodine into the human body, and then under the guidance of medical imaging equipment X-rays, display the location of blood vessels, and then place the heart stent into the coronary artery to prop up the narrow blood vessel, thereby restoring the blood supply of the coronary artery and achieving The purpose of improving symptoms and "reviving the dead".
Because the X-rays transmitted by radiography have relatively strong radiation, doctors and nurses entering the operating room need to wear lead clothing, lead caps, lead collars, lead glasses, lead gloves...
In short, be safe.
As soon as Zhou Mo put on the lead suit, he immediately felt a heavy load.
About 10kg or more...
quickly,
Professor Lu began to open a hole in the radial artery of the right arm, and then followed the blood vessel all the way, various drilling, twisting, pricking, winding...and other techniques, and finally reached the coronary artery in 30 minutes...
……
2 hours later...
2 stents implanted successfully!
Then, at the second narrow position, according to the request of the family members, balloon dilatation was performed without adding a stent...
At this point, the operation is over!
Zhou Mo watched the whole process quietly, and felt that Professor Lu's interventional technology was still very powerful. During the period, there were three difficult corners, which were easily broken by Professor Lu's control of the guide wire.
"Ding... You watched a "coronary interventional stent operation" on the spot, comprehended the essence 100%, and passively improved your hands-on ability!"
Lots of experience, pour in!
It feels great!
this moment,
Zhou Mo couldn't help but move his hand.
There seemed to be an extra guide wire on the fingertips, and Zhou Mo subconsciously pushed, rotated, and pulled...
hiss,
silky~~~
……
After surgery,
Zhou Mo and Zhao Xin pushed the patient out of the diagnosis and treatment center.
"Doctor, how is my dad's surgery?"
A group of family members rushed over and looked at Zhou Mo nervously.
Zhou Mo gave way: "I'm sorry, this is the surgeon, Dr. Zhao..."
Many eyes turned to Zhao Xin.
Zhao Xin, who had a bitter face, suddenly became happy, and said, "Don't worry, everyone, the operation was a success, don't worry..."
When the family members heard this, they breathed a sigh of relief and thanked happily: "Thank you doctor, thank you doctor!"
Push the patient back into the ward.
Then Zhao Xin told the patient's family members some key matters of postoperative care.
For example, you must stay in bed absolutely, because you have coronary heart disease + myocardial infarction...
For example, drinking more water and eating less is conducive to the excretion of the contrast agent...
e.g. raising the right arm...
Obviously, Pu Chou Zhao Xin enjoys this sense of accomplishment very much!
And Zhou Mo, when he came to the nurse's station at this time, there happened to be a bar.
"Nurse, if you are free, help me connect the 28-bed patient with ECG monitoring and non-invasive oxygen inhalation..."
Although Zhou Mo had already written it in the doctor's order, he still came to the nurse's station to talk about it.
Connected to an ECG monitor, you can closely monitor heart rhythm changes. Once you find arrhythmia, you can deal with it in time.
"Okay, I'll arrange for someone to go there later..."
.
(End of this chapter)
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