Back in 2002 as a doctor

"You have to fly back, go eat first, don't be hungry." Academician Chu concealed the faint disappointment in his heart.

"Don't worry." Chu Yuntian naturally knew the loss in his father's heart, and put his arms around his father's shoulders and said affectionately, "Dad, this disease is very simple. I will have time to fly back when they make up their minds."

"Don't procrastinate."

"No, just cut the upper lobe of the right lung. The operation is very simple. My thoracoscopic level can only be compared with my teacher, but since last year..."

As Chu Yuntian spoke, he was slightly taken aback, but immediately smiled.

"Didn't I lose to Zhou Congwen last year? After returning home, I studied pure artery coronary artery bypass grafting and Zhou Congwen's thoracoscopic surgery.

Now my surgery level has skyrocketed again. It seems a bit bragging to say that I am the number one in the world, but the Mayo Clinic has recognized that I am the number one.Not to mention cutting lung lobes with thoracoscopic surgery, I have been able to perform bypass surgery and valve replacement with laparoscopic surgery. "

"Come on." Academician Chu didn't praise Chu Yuntian, but just said "Come on."

That being said, Academician Chu was inexplicably surprised.

Thoracoscopic valve replacement surgery?Has the son become so powerful unknowingly!

Valve replacement, that is valve replacement!

Although he does not practice cardiothoracic surgery, academician Chu knows that valve replacement surgery is a relatively large operation for the heart and chest, and it is only more difficult than bypass surgery.

"Dad, what are you thinking?" Chu Yuntian knew what his father was thinking, but he just wanted to show off.

Since he was a child, the old man has been very strict with his education, and it can even be said to be strict.So with the results, Chu Yuntian wanted to tell his father.

Thoracoscopic valve replacement surgery is a surgery that Chu Yuntian has just acquired. Although the operation is not satisfactory, the name of the surgery alone can scare a group of people to death.

Valve replacement, this is valve replacement!

"Really?" Academician Chu asked.

"Of course, what did I lie to you for?"

"If... I said that if there is a chance, you come back and make two?" Academician Chu asked.

It would be great if Chu Yuntian could come back for surgery, and see his son more, this is Academician Chu's simplest idea.

"Okay." Chu Yuntian agreed without thinking.

"Steady."

"Sure, don't worry." Chu Yuntian said with a smile.

Academician Chu felt very relieved.

Whether it is the number one in the world or whether it is recognized by the Mayo Clinic, in fact, Academician Chu doesn't care much anymore.Chu Yuntian was able to stand up quickly after being hit, this kind of mentality was the most important.

For his son to be able to do this, Academician Chu felt that his genes must be at work, so he couldn't stop smiling from ear to ear.

And now they have made great progress, Zhou Congwen used thoracoscope to make lungs, and Chu Yuntian used thoracoscope to make heart, it is clear at a glance which one is higher and which is lower.

"What else is Mayo thinking about?" Academician Chu asked, "The needle is stuck in the right upper lobe artery, and there seems to be no other way but to cut it off."

"It could have been conservative, but what I heard from that side seemed to be that old Morgan coughed too much, and the needle tip was near the bronchial artery. Once punctured, there would be heavy bleeding, and it is very likely that old Morgan would not be able to survive."

As Chu Yuntian was talking, he suddenly stopped and fell into deep thought.

Academician Chu didn't disturb his son's thinking, and waited quietly.

After 3 minutes, Chu Yuntian frowned, "It seems that apart from surgery, intervention...Dad, do you think interventional surgery can be done?"

intervention?

Academician Chu was taken aback.

"Impossible!" Academician Chu said subconsciously.

Similar to interventional surgery, ERCP is essentially a minimally invasive treatment and requires X-ray images.

It is very difficult to install a biliary tract stent by yourself, and what Chu Yuntian said is that the sewing needle is stuck in the right upper pulmonary artery, so it cannot be removed at all.

At least in Academician Chu's view, interventional surgery was Chu Yuntian's whimsy.

"I just thought about it casually." Chu Yuntian smiled, "Is your brain open?"

"Although the right upper pulmonary artery is called an artery, it is actually a vein." Academician Chu is also willing to chat with his son, especially when it comes to this kind of weird case. Both of them are top doctors and have a lot in common.

How about talking to your son about life in the United States?Academician Chu found it more difficult to find common topics.

"If, I say yes." Academician Chu said cautiously, "If you pull out the needle, there should be only a small amount of bleeding."

"Well, it's like pulling out a steel needle for intravenous infusion on the body surface. If you don't press it, there will be 30-50ml of venous blood at most." Chu Yuntian agreed with his father's point of view.

"But the problem is how to get the guide wire in... It seems to be okay to get in, it's not difficult, but how can I grab the sewing needle and pull it out?"

"A sewing needle has a needle nose, and the nose of the needle is much thicker than the [-] and [-] guide wires." Chu Yuntian said, "If the level is against the sky, the guide wire will go through the blood vessels and the heart. Then……"

After saying that, Chu Yuntian himself laughed, and then he shook his head.

An operation of this difficulty is no longer hell-level, but a truly heaven-defying operation.

"Hahaha." Academician Chu patted Chu Yuntian's shoulder vigorously, "Impossible."

"Yes." Chu Yuntian nodded, "I know, Dad."

"Even if there is someone, such as Mr. Huang, who can pass the [-] point guide wire through the needle nose, who can guarantee that the steel needle can maintain a fixed angle when the steel needle is pulled out?"

"Yes." Chu Yuntian agreed, "Once a scratch is left on the intima of a deeper vessel, the operation will be bigger and the situation will be more difficult to control."

"Cut the lung lobes, simple and clear, no need to think too much."

"I'm just thinking about it." Chu Yuntian smiled, "Dad, do you think Mr. Huang can use a .[-] or .[-] guide wire to thread a needle's nose?"

Mr. Huang...

Academician Chu thought that at the annual meeting of the Department of Circulatory Medicine, Mr. Huang improved the classic CRUSH operation and turned it into a DK-crush operation. One of the steps is to penetrate the mesh of the double-layer stent with a [-]-point guide wire.

Double-layer, stent mesh, this kind of operation stumped Dr. Miyamoto, and it was also an operation that everyone thought was impossible.

Now some people are trying to do the DK-crush technique, but the difficulty of this step is daunting.

Whether the operation can be completed and how long it will take basically depends on whether this step is smooth or not, and how lucky you are.

Now the DK-crush surgery is called lucky surgery...hahaha.Thinking of this, Academician Chu laughed.

The surgery depends on luck, what the hell.

It is so difficult to penetrate the double-layer stent mesh, let alone the needle nose.

"Impossible." Academician Chu said firmly, "After trying too many times, the needle tip cuts the bronchial artery again, and the thoracotomy is performed in an emergency. Why bother?"

"I think so too."

"I think it's safer to cut the lung lobe." Academician Chu said, "You must be careful when performing the operation."

"Don't worry, I will put gauze between the needle tip and the bronchial artery to avoid scratching. Dad, I still know about this."

The father and son walked farther and farther away, talking and laughing, very much like Chu Yuntian when he was a child.

Chapter 1074 Say no with your mouth, but your body is very honest

In Cleveland, Liu Wuyan reads the film on the computer.

Old Morgan's condition... can't be said to be serious, but rather strange.

Liu Wuyan has seen countless patients and has rich clinical experience.But a needle made a miraculous wandering from the right radial vein, something he had never seen before.

The needle is passed from the radial vein to the superior vena cava, through the heart, and to the right superior pulmonary artery.

There was no serious injury in the middle. It must be said that everyone in the Morgan family seems to be amazing.

Morgan Sr. was hospitalized at the Mayo Clinic, and opinions at home were not unified.The opinion of the family is one thing, the key is that old Morgan does not want to do surgery.

It is said that it may be a psychological shadow in his youth, but Liu Wuyan does not know what it is.

In Liu Wuyan's opinion, surgery must be done, and it is not difficult to remove the right upper lobe.

The only difficulty is that the needle tip seems to be relatively close to the bronchial artery, but this is nothing to the world-class Liu Wuyan.

"Ring Ling Ling ~"

The phone rang, interrupting Liu Wuyan's reading of the film.

"Boss Liu." Shen Tianci's lazy voice came over the phone.

"Godsend, what's wrong?"

Originally, the two brothers and sisters seldom communicate with each other, so they may not be able to say a word for so many years.

But last time Zhou Congwen, a close disciple who was a judge, brother and boss, performed a small incision one-stop coronary artery bypass surgery together, and the relationship between the two suddenly heated up.

Shen Tianci even called Boss Liu directly, discussing the size from the boss.

"Have you seen old Morgan's film?"

"I'm watching, there's nothing to hesitate, just cut the upper right lung lobe." Liu Wuyan gave a fairly positive answer.

"I heard that you have different opinions in Cleveland." Shen Tianci said, "Dr. Smith suggested to intervene to take out the sewing needle."

"Hehe, dreaming." Liu Wuyan said succinctly, "And Dr. Smith didn't want to do this, but old Morgan refused the surgery, and his attitude was very firm, so he found Dr. Smith.

This kind of surgery, not to mention him, I don't think the boss can do it. "

"You really know the boss very well." Shen Tianci said jokingly, "The boss also received the invitation, but refused to go to Mayo."

"I haven't contacted the boss yet, have you asked Deng Ming?"

"Well, Deng Ming said that the boss's opinion is to directly cut the upper right lobe of the lung." Shen Tianci said, "The interventional surgery is only theoretically possible to be successful, but if it is really operated, it is completely unfeasible."

"Cleveland's technology is very strong, and Dr. Smith's level of intervention... What is he thinking?" Shen Tianci said contemptuously, "For interventional surgery, no matter whether he uses a .[-] or .[-] wire, he wants to go through Eye of the needle, isn't that a joke?"

Liu Wuyan nodded on the other side of the phone.

indeed.

"The most difficult step in the DK-crush technique created by the boss is to use a [-]-point guide wire to pass through the mesh of the double-layer stent. That's it, every operation depends on fate. If you are lucky, you will pass it once; if you are not lucky , to try countless times."

"It's the same on our side. I have done 22 cases of DK-crush surgery together with the doctors involved in circulatory intervention. There were only two operations, and the guide wire passed through the double-layer stent mesh successfully at one time."

"That's because you have a high level. At Johns Hopkins, I haven't seen them complete it once."

Liu Wuyan thought of Zhou Congwen, that little guy seemed to be able to do it in one go.

But it only seems that Liu Wuyan is very aware of the difficulty of the [-]-point guide wire penetrating the mesh of the double-layer stent.

So he didn't quite believe that Zhou Congwen's success rate would be that high.

"The boss said it's impossible, and it's even more impossible for Dr. Smith. Boss Liu, go and see if that coward Smith has dementia."

"Don't be kidding, although it's only theoretically possible, it might not be after all." Liu Wuyan said cautiously.

"I don't like you very much." Shen Tianci said contemptuously, "If you can do it, you can do it, if you can't do it, you can't. I don't know Dr. Smith's level, but you don't know?

Let's not talk about the non-human operation of artificial dissection. Dr. Smith can do it [-]% just by penetrating the mesh of the double-layer stent with a .[-] guide wire? "

"No." Liu Wuyan gave a very accurate answer.

"So, I didn't ask you to stop him, I just went to have a look. I'll wait for your news." Shen Tianci said, and hung up the phone.

Liu Wuyan smiled.

The level of this broken man is really high, and the boss liked him very much back then... In fact, Liu Wuyan naturally knew what Shen Tianci was thinking.

This guy wants to see his boss take out his sewing needles the way Dr. Smith said.

Will the boss do it?Probably not, Shen Tianci said it himself, the boss refused to go to the Mayo Clinic.

Liu Wuyan pondered.

He stared at the video data on the screen. The needlepoint of the sewing needle pierced the right upper pulmonary artery, which was very close to the bronchial artery in the hilum.

boss……

It should be able to do it, but what kind of personality is my boss?One word - steady.

As long as there is a close to [-]% success rate to solve the problem, the boss will not choose to show off his skills.

Although the right upper lobe of the lung needs to be resected, compared to the uncontrollable situation after taking out the sewing needle, it doesn't matter what choice my boss will make.

As for artificial coronary artery dissection, it is a dead horse as a living horse doctor, and the boss definitely doesn't want to do that.If there is a better way, the boss will not "bring" the new technique to the sky.

……

……