Back in 2002 as a doctor
Page 635
This is the worst case scenario.
But the world is unpredictable, and Murphy's Law is in effect again, there is no worst, only worse.
Dr. Smith actually pushed the micro guide wire into the pulmonary artery, and the sewing needle was closer to the bronchial artery, which made the operation unpredictable.
It is not impossible to get the guide wire. It is said that Liu Wuyan and Huang Lao have done some similar operations in China, but the difficulty lies in the sewing needle whose distance from the bronchial artery is almost zero.
But even Liu Wuyan was defeated in front of the sewing needle, and he didn't dare to try. He just pushed the contrast agent with a syringe to see the situation, and then stepped down and said that he couldn't do it.
Chu Yuntian sighed, he still suggested to use surgery to fight.
But who knows, maybe that magical old man has other ways.
He glanced at the time, the special plane should have arrived, and the time of general anesthesia has been long enough, God knows when thrombus will appear in the pulmonary artery and lead to more serious consequences.
Maybe the thrombus has gathered now, but there is no imaging for the time being, and everyone doesn't know.
That miraculous old man probably had no choice but to bite the bullet and perform surgery.
Even though old Morgan had been reluctant to undergo surgery, it seemed that he was doomed under the current situation.
The monitor and ventilator are very stable, there is no alarm sound, and it is extremely quiet.
But Chu Yuntian knew that the alarm would sound anytime and anywhere, and if there was any abnormality, it would be a major rescue, and the success rate was almost zero.
However, what Chu Yuntian was worried about did not happen. After a while, there was a voice of communication from the other side of the locker room.
There are some problems with the accent of the Morgan family. The ending of their speech has a strong taste of Massachusetts, which is quite recognizable.
It hasn't changed for so many years. Are all big families like this?Chu Yuntian was thinking in his heart, his eyes turned to the locker room.
Soon, a hunched figure appeared in front of him, and standing behind him was the one Chu Yuntian would never forget in his life——Zhou Congwen.
For some reason, Chu Yuntian suddenly felt something strange after seeing this scene.
Huang Lao is 80 years old, with a stooped waist and slow steps; Zhou Congwen is not yet 26 years old, with a height of 187, and one step with a pair of long legs can compare with Huang Lao's two steps.
But they came from the direction of the locker room, but their footsteps were surprisingly consistent.
Even after Chu Yuntian saw it, he thought that they were one person, and the other was the shadow of the other party.
The shadow of Huang Lao in the setting sun is extraordinarily tall; but beside Zhou Congwen who is in full swing, his shadow is a bit stooped.
This is a very strange feeling.
Time and years didn't seem to be an obstacle, or Huang Lao and Zhou Congwen had already smashed the wall into pieces with giant axes.
There are many things in this world that Chu Yuntian doesn't understand.
For example, when Chu Yuntian faced the mathematical formula that the sum of all natural numbers = -1/12 for the first time, he thought it was impossible.
He is a doctor, and he will not believe in the brilliance of mathematicians who are like magicians.
But after researching, Chu Yuntian discovered that this was actually true.
It was like at this moment when facing two people, one old and one young, who were shadows of each other, the weird feeling in his heart was the same as back then.
Seeing Huang Lao and Zhou Congwen approaching, Chu Yuntian did not avoid, but looked directly into Zhou Congwen's eyes.
He wanted to see challenges in Zhou Congwen's eyes, even disdain.
However, Chu Yuntian was disappointed.
Zhou Congwen didn't seem to notice his existence, he was standing beside Huang Lao all the time, like one body.
"We can try the operation." Huang Lao said, Zhou Congwen translated.
Chu Yuntian found that the emphasis of Zhou Congwen's translation was exactly the same as that of the old Morgan family.
This person's language talent is as top-notch as his surgery, Chu Yuntian sighed inwardly.
"There is a certainty of success, but only 80%."
Hearing what Huang Lao said, Chu Yuntian's pupils narrowed, like pinpoints, his whole body was clammy and cold, and even his heartbeat slowed down.
Like anaphylactic shock, Chu Yuntian had a stress reaction to Huang Lao's description.
80% success rate!
In Chu Yuntian's heart, the success rate of the operation was almost zero, even with the blessing of Mr. Huang and...that damned Zhou Congwen, the success rate would never exceed 8%!
"Get the surgical instruments ready, and if the operation fails, immediately transfer to the emergency department for thoracotomy."
Mr. Huang simply explained, and Zhou Congwen translated sentence by sentence.
The members of the Morgan family seemed to have something to say, but Zhou Congwen was extremely tough. His footsteps and movements were the same as Huang Lao's, but the tone of his speech was still his, simple, rough and direct.
Zhou Congwen answered all the questions of the Morgan family without hesitation, before they had time to ask questions.
Passing by Chu Yuntian's side, Huang Lao narrowed his eyes, "Little Chu is here too."
Chu Yuntian was startled.
"Old Huang." Chu Yuntian bent down, and couldn't help saying, "You've worked hard."
"It's okay." Huang Lao raised his hand and patted Chu Yuntian's shoulder, "If the interventional operation fails later, I will trouble you to come up and help."
"Old Huang, you are too polite." Chu Yuntian said, "I will prepare below. If there is any problem that needs to be opened, I will define it without hesitation."
"The boss is just talking casually, don't take it seriously." Zhou Congwen's voice came, "Surgery will never fail."
Chapter 1084 Becoming the Shadow of the Other Party
The difference in being a human being is really huge, Chu Yuntian cursed in his heart.
Huang Lao is gentle, while Zhou Congwen is simple but tough, full of self-confidence.
Chu Yuntian did not confront Zhou Congwen, he glanced at his "enemy of the first life", and stood aside silently.
Dr. Smith was sitting in the corner, his eyes dimmed. Chu Yuntian guessed that Dr. Smith's mind was blank, and now he was completely unable to think.
The failure of the operation can be explained, but how to explain such a thing as pushing the micro guide wire in?
"Look at the latest radiography." Huang Lao was not in a hurry to brush up on the operation, but came to the operation room of the hybrid operating room and directly called up the image of the last radiography.
After hearing the word "contrast imaging" translated by Zhou Congwen, Dr. Smith jumped up from the chair in the corner.
He subconsciously wanted to block the screen in the operating room, but Zhou Congwen grabbed the isolation suit and carried him aside.
Chu Yuntian grabbed Dr. Smith's arm and whispered, "Smith, be quiet."
"Chu, interventional surgery is impossible, are you going to have an operation?" Dr. Smith asked blankly.
When he saw that the screen on the operating table had been adjusted to the scene where he "pushed" the guide wire in with a high-pressure syringe, Dr. Smith wanted to end this embarrassing scene.
The scene was simply embarrassing, a stain on Dr. Smith's life.
Unfortunately, it exists objectively and must be addressed.
"No, Dr. Huang said to try interventional surgery first." Chu Yuntian whispered to Dr. Smith, "Smith, calm down and don't make bigger mistakes."
"Impossible, it is impossible to remove the needle through interventional surgery." Dr. Miyamoto said dejectedly in the corner.
Zhou Congwen glanced back at them and the Morgan family, stretched out his right index finger, put it in front of the mask, and made a silent movement.
"Just because you can't do it, doesn't mean that my boss and I can't do it." Zhou Congwen finished speaking lightly, then turned his head to look at the radiography image with his boss.
The operating room suddenly fell silent.
Chu Yuntian really didn't understand what Zhou Congwen was doing.
Anyone who has a little medical knowledge knows that the situation in front of him is extremely bad, the interventional operation has failed, and surgery must be used to... Only then has an extremely slim chance of solving this seemingly unsolvable problem.
"Almost, let's go." Huang Lao said lightly.
"Boss, I'll go brush my hands." Zhou Congwen said.
"go together."
As a doctor at the Mayo Clinic, Chu Yuntian originally wanted to take Mr. Huang to brush his hands, but Zhou Congwen seemed to be very familiar with this place, so he turned around and went to the room where Mrs. Huang went to brush his hands without any guidance.
Seeing the figures of one old and one young putting on lead clothes and preparing to brush their hands, Chu Yuntian's eyes froze.
If I promised Huang Lao back then, instead of coming to the Mayo Clinic, I would go to 912, would I be in this scene now?
Impossible, Chu Yuntian immediately threw this thought out of his mind.
No matter how I do, I can't achieve Zhou Congwen's level of being one with Huang Lao.
The two people are each other's shadow, and their movements, steps and even every move are perfectly matched.
Why do I have this weird feeling?No, it should be an illusion.
This question made Chu Yuntian a little confused.
It's not that he has never seen Zhou Congwen and Mr. Huang, especially at the annual meeting of cardiothoracic surgery in China. Mr. Huang was not on stage, and Zhou Congwen went from beginning to end, taking down the operation that he was unable to complete.
Chu Yuntian used to think it was a "humiliation", but now he admits that his skills are not as good as others.
But even that time, there was no such tacit understanding between Zhou Congwen and Huang Lao.
What exactly are they going to do?
Curiosity was burning in his heart, and Chu Yuntian's eyes finally fell on the screen in the operating room, and on the foreign object in the upper right pulmonary artery.
A needle, a piece of guide wire, narrow blood vessels, just seeing this image already gave Chu Yuntian a splitting headache.
Even surgery is extremely difficult to do, let alone interventional surgery.
Soon, Zhou Congwen brushed his hands out and began to disinfect and lay down sterile sheets.While laying out the sheets, he explained the surgical instruments to the people in the operating room.
Although they are 80.00% sure, Zhou Congwen and Huang Lao still prepared for the worst.
After Mr. Huang came to the stage, Zhou Congwen didn't speak anymore, and there was no other sound in the operating room except the sound of the machine.
Through the leaded glass, Chu Yuntian looked at the two people, one tall, one short, one old and one young, on the operating table. They cooperated tacitly and did not need words at all.
This made Chu Yuntian envious to the core.
This tacit understanding is what all surgeons hope for.
A tacit cooperation can at least improve the basic level of the operator by 20%, and increase the success rate of the operation by 10%.
Now the surgeon is Zhou Congwen, Huang Lao is standing in the assistant's position, Chu Yuntian is watching silently, estimating in his heart how far the operation has progressed.
Femoral vein puncture, catheterization, and superselection. Now the catheter should be in the inferior vena cava.
Just as he thought of this, Huang Lao suddenly turned sideways. Instead of turning on the intercom to communicate with the technician in the operation room, he operated the panel in the operation room by himself, and the screen suddenly lit up.
Chu Yuntian was stunned, and estimated that the catheter would enter the inferior vena cava at most at this time.
However, the microcatheter displayed on the screen has passed through the right atrium and right ventricle to the position of the right upper pulmonary artery.
so fast!
Chu Yuntian admired in his heart.
Even the super selection relies on the blind operation of the touch. This operation is really amazing.
Liu Wuyan stood aside, arms folded, watching intently, he was not surprised.Liu Wuyan had a very accurate evaluation of this little junior, the boss's close disciple deep in his heart.
Dr. Smith was still confused, his mask moved slightly, as if he was mumbling something.
And Dr. Miyamoto came out from the corner at some point, stood behind everyone, and looked at the screen through the gap.
His gaze was extremely complicated.
Zhou Congwen and Huang Lao did not pay attention to the mood and performance of the people in the operating room, and they continued the operation.
Contrast.
Instead of using a high-pressure syringe, Zhou Congwen asked the nurse for a 50ml syringe to inject the contrast medium very slowly.
The contrast agent is so faint that it hardly leaves any image.
Does such an image make sense?Chu Yuntian didn't know.But he knew that the sewing needle would definitely not be able to withstand the impact of a routine imaging.
Lucky thing happened.
Although there was a sewing needle and a microguide wire floating in the blood vessel, under the combined medication of Mayo Clinic anesthesiologists and doctors in related departments, there was no thrombus in the blood vessel.
The operation can still be done, and there is still a chance, Chu Yuntian clenched his fists consciously.
Next, is the moment to solve the puzzle.
What are Huang Lao and Zhou Congwen going to do?
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