Auto chess in the operating room

Chapter 391 Strong performance at the conference

"Okay, all be quiet. Dr. Tang was invited by me, and I will be responsible for all his actions. After a normal consultation, I will connect Dr. Tang's video link in. Everyone will treat it as a regular cooperation between experts from other hospitals." consultation."

Professor Liu, as the person in charge of this operation, since he spoke, the doctors in the expert group stopped talking.

However, there is always some resistance in my heart. After all, Tang Lou is too young. Such a young doctor doesn't even come to the scene. Video consultation is a bit contemptuous to them.

Before the consultation started, Professor Liu also pondered for a while and told Chen Minjie: "In a moment, you will be responsible for Dr. Tang's video connection. If Dr. Tang really cannot arrive in time after the consultation, this operation will be difficult." It's up to you to cooperate with me."

"Hey, okay."

A gleam of joy flashed in Chen Minjie's eyes, but his face was still very calm: "Professor Liu, don't worry, I will cooperate with Doctor Tang well, and at the same time, I am ready to stand on top at any time."

"Well, let's go."

Professor Liu looked at Chen Minjie, slightly relieved, but he also hoped in his heart that Tang Lou could come to the Second Hospital of Harbin Medical University. After all, Chen Minjie's level was still far behind Tang Lou's, and it was his choice when there was no one else. .

Commonly known as the jack, the kind that is not even as good as the spare tire.

Among the independent offices of the Jin Group, Tang Lou turned on the remote video on time and joined the Second Hospital of Harbin Medical University for the third conference about Ye Jian's second heart transplant, which was also the last consultation before the operation.

Tang Lou saw the situation in the consultation room very clearly through the screen.

The entire consultation was chaired by Professor Liu. Before the meeting, Professor Liu first introduced to the expert group Tang Lou who participated in the remote consultation.

Regarding the greeting on Tang Lou's screen, the expert group politely smiled but did not look at him.

Under the control of Professor Liu, the consultation began.

For the content of the meeting, first, Professor Liu summarized the contents of the previous two consultations, and then Director Chen reported the progress of the latest equipment, equipment and special medicines.

"Professor Liu, with the cooperation of various departments in our hospital, all the equipment and medicines needed for Ye Jian's surgery have been prepared."

After that, each department reported their latest progress one by one. Generally speaking, everything was ready.

Ten minutes later, Professor Liu began to enter the second part of the consultation, which is the most critical research on the surgical technique before the operation, the allocation of personnel during the operation and the role each person needs to play.

As a first-aid candidate valued by Professor Liu, Tang Lou needs to bear a huge responsibility.

Although I had seen Tang Lou's surgery before, it was a routine heart transplant after all. In addition, this time Tang Lou chose to use video consultation, which made some doctors in the expert group feel a little unhappy.

One of the chief physicians asked bluntly: "Doctor Tang, as the first assistant of this operation, has a very heavy responsibility. We just want to take advantage of this consultation, and we also want to know about Dr. Tang's second opinion on Ye Jian. Understanding heart transplant surgery."

On the screen, Tang Lou didn't care about the aggressiveness of the expert team at all. After all, with his current three-star heart transplantation, he could calmly deal with any tricky questions.

Tang Lou smiled slightly, if he could help these doctors, he would be very happy.

He said very honestly: "Experts, I am very confident about this technique."

In the consultation room, Professor Liu also looked at Tang Lou in surprise. This young doctor is really not low-key at all.

"Then let's start with the preparation of the receptor first. How does Dr. Tang think about the preparation of the receptor?"

A chief physician looked up at the screen and said coldly.

Tang Lou didn't even think about it, and responded very easily: "In addition to a comprehensive medical history before the operation, a detailed physical examination is also required, including blood, urine, and stool routine; blood biochemistry, liver and kidney function, lung function, gastrointestinal tract. Barium fluoroscopy, bacterial culture of throat swab, sputum, and urine. Tuberculin test, serum E-cell inclusion body virus, toxoplasma, HIV, Epstein-Barr virus, and hepatitis virus inspection. Blood type identification, lymphocyte toxicity Cross-over test and HLA typing, especially for patients with severe heart failure that cannot be controlled by drugs, such as Ye Jian, should undergo intra-aortic balloon counterpulsation, or consider the application of mechanical assistance devices to temporarily improve organ function. Create conditions for heart transplantation."

Hearing Tang Lou's eloquent talk, the director nodded, feeling horrified in his heart.

Dr. Tang was not prepared for these questions at all, and he answered them all off-the-cuff, that is to say, he really has a deep knowledge of heart transplantation.

In the consultation room, Chen Minjie was also a little unbelievable. Of course, he could tell a lot about these questions, but for a comprehensive and rigorous like Tang Lou, he still needs to do his homework in advance.

"So solid basic skills."

The members of the expert group who originally wanted to wait for Tang Lou to get stuck, and then educate him on the need to be humble in doing things, suffocated one by one.

What a tough little guy.

Another director of the Department of Urology next to him couldn't sit still. He was just watching a show, but now he had to save some face for the doctors of the Second Hospital of Harbin Medical University, and asked another question: "Doctor Tang's opinion on heart transplantation?" As expected, the operation has been well researched, and the preparation of this receptor is very comprehensive. Then, how does Dr. Tang view the adoption of a donor heart."

Since heart donation requires the cooperation of multi-disciplinary organ doctors and the cooperation of urologists, it is a very comprehensive process. I asked this question just to suppress Tanglou's momentum and let him know, This is a very comprehensive operation, and the individual's ability is very limited.

Regarding this question, Tang Lou frowned slightly, no matter how stupid he was, he could feel the targeting of these expert team members thousands of miles away.

Tang Lou chuckled, but he wasn't afraid at all. Since he wanted to test himself, he took this opportunity to show it off and convince all these experts.

This will also help with subsequent surgery.

After straightening his sleeves, Tang Lou looked at the director of the Department of Urology with sharp eyes, and replied indifferently: "I am really familiar with the collection of donor hearts. Doctors, do you have any questions about the operation of donor hearts?" You can bring it up, and I’ll answer your questions.”

"What a big breath."

This is the case with medical consultations. It is easy to get angry in the communication.

Of course, more academic tit-for-tat.

"Excuse me, how does Dr. Tang deal with the thrombosis in the small vessels of the donor heart?"

A chief physician first raised a question, he really couldn't stand it anymore, Tang Lou seemed like an old expert.

"It's very simple, take the supine position, disinfect the skin of the chest and abdomen with routine iodine tincture, and heparinize the whole body with 3mg/kg"

Another chief physician flipped through the information and asked, "How does Dr. Tang ensure that the donor heart stops in a diastolic state, and how do you design the perfusion volume and perfusion pressure?"

"Ensure that the donor heart is in a diastolic state, the perfusion volume is generally 1 000ml, and the perfusion pressure is maintained at 40-80mmHg."

Tang Lou's expression remained unchanged, his expression remained unchanged, and he returned very calmly.

"Then Dr. Tang, how to prevent the heart from expanding when infusing cardioplegia?"

A chief physician asked about a very detailed operation. If you are not familiar with this operation, you will definitely get stuck.

Tang Lou didn't pause at all, and said smoothly:

"When infusing cardioplegia, the right superior pulmonary vein and inferior vena cava should be cut immediately to prevent the heart from expanding. At the same time, ice saline is placed in the pericardial cavity for local cooling..."

Ten minutes later, Tang Lou looked at the expert group whose foreheads were dripping with sweat on the screen, and asked lightly, "What else do you want to ask?"

(End of this chapter)