break that doctor

Chapter 45 The Carina

45

The bosses were having a meeting, and Gu Ziqiao followed Zheng Xiaowei to enter patient information into the computer.Checking and backing up electronic medical records is what he does most in the hospital.

The two were chatting and typing in He Yimeng's office. Zheng Xiaowei was gossiping about the situation in the department, and He Yimeng pushed the door open.

The three of them were stunned for a moment, and finally He Yimeng said, "You two will go to surgery with me this afternoon."

Gu Ziqiao was surprised, but she was very happy in her heart.After I came to the Affiliated Hospital of the Hospital, I only had surgery on the first day, and the rest were followed by dressing changes and so on.Although laying the foundation is better than laying the foundation, he still couldn't help but want to follow his brother He.

Zheng Xiaowei thought for a while and said, "Carina resection and reconstruction? A patient with seven beds?"

He Yimeng nodded, and said, "That's it. The operation starts at two o'clock. Come and have a meeting at noon."

Zheng Xiaowei was a little excited, and Gu Ziqiao was also looking forward to it after hearing the name of the operation.Carina surgery is a tracheal and bronchial surgery, which is a difficult operation, and few people can do it outside the chest.It is not difficult to remove the part, but the reconstruction of the trachea and blood vessels is more complicated.

If Gu Ziqiao's prediction is correct, there should be a live broadcast of this surgery.

Because of the urging of this incident, he and Zheng Xiaowei rushed to the cafeteria to have lunch.Yue Yang was too busy to be seen today, so he couldn't be with them.After the two finished their meal, they ran to check on the patient's progress before heading to the conference room.

"Have you ever seen this surgery?" Gu Ziqiao asked.

After he entered the medical system as a student, he realized how weak his knowledge reserve was. He couldn't understand many proper terms, so he had to read more medical records to accumulate research.

In comparison, Zheng Xiaowei, who had a doctor father since she was a child, is much familiar with these things.Gu Ziqiao gradually realized that Zheng Xiaowei was so popular not only because she was Zheng Jun's daughter.

Sure enough, Zheng Xiaowei nodded and said, "I heard from my father before that many carina operations are now done with thoracoscopic surgery, but today this should still be the traditional method."

Traditional surgery requires doctors to be careful, sharp-eyed, and steady-handed. Gu Ziqiao thought about his Brother He, and felt that these are all adjectives belonging to Dr. He.

The two went to the meeting room while chatting, and there were already many people sitting in the meeting room.He Yimeng was standing in front talking to Mr. Tang, and doctors he knew or not were sitting in a pile.

Zheng Xiaowei pulled two chairs to a corner and sat down with Gu Ziqiao, and whispered, "There are a lot of experts in the courtyard...Look at those gray-haired people, they are all from the association."

Seeing the situation and various titles, Gu Ziqiao asked, "Is this operation important?"

Zheng Xiaowei nodded, and said, "I guess so... My dad doesn't talk about things in the academy at home."

Gu Ziqiao thought that He Yimeng stayed late in the study last night, probably to prepare for today's operation?

As time went by, more and more people were in the meeting room, and a small meeting room was finally full.He Yimeng looked at the time and then at Elder Tang. Elder Tang nodded, and he opened the PPT.

"Patient Zhang, 71 years old, had a cough with wheezing tiredness two months ago, and a tracheal tumor was found after examination."

He Yimeng's voice was flat and concise, playing the PPT for everyone to watch.

Gu Ziqiao felt that He Yimeng, who was wearing a white coat, made people feel trustworthy for no reason.

"The patient's tracheal tumor is located at the entrance of the thorax, and the operation cannot be completed from the neck and chest. However, the length of the tumor invading the trachea is very long, and the trachea with a length of 6 cm needs to be resected. After resection of the tumor, the anastomosis of the trachea is very difficult." He Yimeng Standing in front of the stage, looking down at Gu Ziqiao, the voice paused, and then said: "So I decided to use the median sternotomy approach for resection."

After He Yimeng finished speaking, there was a sound of discussion in the conference room.Gu Ziqiao saw those experts and scholars whispering to each other, while his doctor just stood on the stage calmly, confident and strong.

Just like being attracted thousands of times, Gu Ziqiao was attracted again.He followed He Yimeng's figure, and He Yimeng seemed to be aware of it, and caught his gaze, showing a helpless and indulgent expression.

Gu Ziqiao smiled foolishly.

Zheng Xiaowei at the side finally couldn't bear it anymore and poked Gu Ziqiao.

This poke made Gu Ziqiao sore and soft, and he made a distorted expression on conditional reflex.

He Yimeng on the stage: "..."

Gu Ziqiao quickly cleaned up her facial expressions, and glanced at Zheng Xiaowei with a mournful face.

Zheng Xiaowei groaned and said, "It's Zhengqi! The boss wants Tangtang!"

Gu Ziqiao still didn't understand, and asked, "Is there any difference?"

Zheng Xiaowei thought for a while, and organized the language: "Probably... tangential cutting will cause difficulty in separation. Any injury to any part will cause fatal bleeding. Few doctors try tangential cutting..."

The internal structure of the human body is complicated and mysterious, and various blood vessels are intricate.The patient is also older, and conservative treatment or a more secure surgical plan is generally recommended. He Yimeng proposed to go through the central incision all the time, which aroused many people's doubts.

After Gu Ziqiao knew the difficulty of the operation, she also worried about Yimeng.

What if I accidentally touch a blood vessel?What if the operation fails?just in case……

He looked at He Yimeng sadly.

He Yimeng obviously also heard the question below, this is not a challenge for him.However, if the length of the trachea removed from the right chest exceeds 3 cm, it will be difficult to anastomose, not to mention that this patient needs to resect 6 cm.

The elderly are old, if they cannot be matched, not only will it be difficult to speak, but it will also easily cause bacterial invasion.Once the bacterial invasion causes complications, it is difficult to persist with the physical fitness of the elderly.

At the age of 70, he still insisted on surgery. Since he suffered from the operation, He Yimeng did not want the old man to gain more than he lost.

"It's difficult to walk through the central incision, but Xiao He can't do it!" Elder Tang's voice rang out, drowning out everyone's discussion: "The Bentall operation three years ago, didn't it prove this point? "

Everyone in the conference room fell silent. Even Gu Ziqiao had heard about the surgery Mr. Tang was talking about.

This operation belongs to the category of heart surgery, including ascending aorta replacement, aortic valve replacement, left and right coronary artery transplantation, and mitral valve and tricuspid annuloplasty. It is an extremely difficult heart and great vessel surgery. .At that time, He Yimeng focused on lung transplantation, and everyone was not optimistic about his operation.

But He Yimeng still did it, not only did it, but the patient recovered well without complications after the operation.Since then, the reputation of a knife in Nancheng has spread.

At that time, Gu Ziqiao often dealt with people in the medical system, so he often heard people mention this young doctor.Once he couldn't help asking He Yimeng why he picked up this patient. After all, if he didn't do well, he would block his entire career.

When he asked this question, He Yimeng was putting hawthorn slices in the oven according to the online tutorial, and wanted to make hawthorn water to drink later, but he said nothing special: "If I don't do this operation, there will be no hospital in Nancheng that can do it. If he wants to survive, he must go to Beijing, and the expenses are not affordable for his family. Besides..."

Gu Ziqiao tilted her head and asked, "Besides what?"

He Yimeng sighed, set the oven time, and said, "Besides, his situation is already very dangerous, and he may die on the way."

He turned around and looked at Gu Ziqiao who was eating snacks, and said seriously: "If the operation is successful, he can survive; if the operation fails, I will try my best, and I have a clear conscience."

Many years later, Gu Ziqiao still remembered the expression of He Yimeng speaking against the light that afternoon, the outline of his body was outlined by the light as if it was glowing.And he also remembered the shock in his heart when he heard these words.

Reminiscing about the old days brought a smile to Gu Ziqiao's face, and everyone in the meeting room also nodded in admiration under Mr. Tang's reminder, except for one person whose expression was not so good.

That person is Du Baoquan.

Du Baoquan didn't want He Yimeng to have this operation, why can He Yimeng stand so firmly outside his chest?Doesn't it depend on a series of wonderful surgeries!He admitted that his surgery was not as good as He Yimeng's, but the emperor doesn't have to be good at martial arts, and the generals charge forward, right?

At this juncture when Elder Tang was about to retire, what did he mean by He Yimeng's difficult surgeries?It's not impossible to incision the right chest of the tracheal carina, He Yimeng just wants to find some sense of presence!

He said that he didn't want to fight or fight or anything, but secretly he was angry and worked hard to save his resume!

Du Baoquan's face changed a few times, seeing He Yimeng's eyes showed a bit of hostility.

Originally, I thought that this young man was honest and honest, and there was nothing wrong with his subordinates, but now it seems that he must take precautions before they happen...

Du Baoquan's eyes darkened a bit.

As the saying goes, one mountain cannot accommodate two tigers.He Yimeng, He Yimeng, if you want to blame, blame you for being dishonest!

#####PS: The tracheal carina surgery mentioned in this chapter comes from a real case performed by Dr. Jiang Yuequan in the Department of Thoracic Surgery of Chongqing Cancer Hospital at the beginning of the year~call for Dr. Jiang.

Happy shopping everyone today~

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