Five years of studying medicine, three years of flirting

"Brother Cheng, I just came back. After so many years, City B is not the B City I know..." Yang Pingru dragged his suitcase and followed Tang Linsheng and the others, hoping that they could take him for a ride.

Because of the urgency of the situation, Tang Linsheng and Tang Linsheng hurried to the airport exit.The two boys in front walked with big and fast steps, Yang Pingru was also anxious, but she couldn't walk very fast in high heels, and it was quite hard to follow behind.

The suitcase that Tang Linsheng was helping to carry was taken back, and he winked at Tang Linsheng: "The girl is chasing you!"Do you want to wait?

Tang Linsheng glanced at him, regardless of his teasing eyes, he only looked forward with a dignified righteousness: the patient is more important than the patient.

Tang Linsheng wanted to laugh when he saw him like this, but he restrained himself in order to take care of his senior's image and Yang Pingru's mood behind him.

The three quickly walked to the airport exit. Fortunately, there were not so many people at the airport at this time, and it was more convenient to take a taxi.Seeing that Yang Pingru was chasing so hard, Tang Linsheng thought that he was going to the hospital anyway, so he took him along the way.

After all, Yang Pingru wouldn't do anything with him present!

It's just that Tang Linsheng feels uncomfortable when he thinks that the data he has worked so hard to use for her own use.What's more, the two are rivals in love.

After the taxi driver helped them put their luggage in the trunk, Tang Linsheng opened the rear door and got in.As soon as he sat down, Tang Linsheng came in.

Tang Linsheng leaned on Tang Linsheng's shoulder and whispered in his ear, "Should Yang Pingru be a girl as the co-pilot?"

Tang Lincheng tilted his head and rubbed his hair slightly, then said softly, "Would you like to kiss or not?"

Tang Linsheng: "..." When you opened the female patient's chest for surgery, you had no expression on your face and no waves in your heart!

As soon as Tang Linsheng got into the car, a bunch of messages came over on WeChat, and a long series of continuous alerts sounded in the car unexpectedly.

He turned off the notification tone of WeChat, leaving only the vibration.After sitting firmly, he immediately opened WeChat and began to read the messages sent to him.

Tang Linsheng leaned over to take a look, and found that Director Gao had sent Mrs. Yang's medical records and various checklists.

He had just finished his night shift and was familiar with Mrs. Yang's situation, so he immediately told Tang Linsheng about the latest situation.

"Ms. Yang's electrocardiogram showed third-degree atrioventricular block. She had her first atrial fibrillation three days ago. She had it twice in the past few days. After she was given deacetyllanatoside (cedilan) relieved.

Originally, Director Gao planned to implant a pacemaker for her two days ago, but she was probably too nervous, her blood pressure was a little high, and her symptoms of heart failure were much more obvious, so the operation was delayed again. "

When Mrs. Yang came to the emergency room, she had severe chest tightness and shortness of breath. Tang Linsheng suspected that there might be pleural effusion in the free clinic before. After examination, it was confirmed to be bilateral pleural effusion.The electrocardiograms given to her in the emergency room and department showed that in addition to atrioventricular block, she also had junctional escape rhythm and complete right bundle branch block.

Tang Linsheng thought that Director Wei was in such a hurry to find the senior back, could it be because Mrs. Yang's condition became more serious?

Obviously when he finished his night shift, Mrs. Yang had a good breakfast.

Tang Linsheng nodded after listening to his medical history report: "Well, I'll take a look at the examination report first, and then check the actual situation when I get to the hospital."

Yang Pingru, who was sitting in the co-pilot seat, turned her head and asked nervously, "Then how is my grandma doing now? Is the heart failure still serious?"

Tang Linsheng was stunned for a moment: "Your grandma?"

Yang Pingru nodded hurriedly: "It's the patient you just mentioned. I came back this time for my grandma."

"I still need to go to the hospital for an examination to find out the details. We will explain the situation to you then." Tang Linsheng looked down at the picture sent by Gao Linshan, and replied after hearing the words.

Fortunately, along the way, there were few red lights, and the taxi arrived at the entrance of the hospital very quickly.

The three of them took the elevator and walked straight to the eighth floor.

Tang Linsheng helped drag the senior's suitcase to the locker room. He originally wanted to come out to check the situation, but Tang Linsheng pinned him on the bed: "Take off your clothes and go to sleep, and run back and forth after twelve hours of night shift Are you not tired?"

Tang Lincheng quickly took off his coat and put on a white coat. Before going out, he muttered, "Hurry up and go to bed, I'll call you when I'm done."

"Senior—" Before Tang Linsheng could say anything while sitting on the bed, Tang Linsheng turned off most of the lights and went out.

He felt quite energetic at first, but now that he was sitting on the bed, he felt drowsiness attacking him wave after wave.He yawned, his eyes and nose were sour, and his eyes were wet with physiological tears.

He took out a tissue from his pocket and wiped the wet corners of his eyes, quickly changed his clothes, and then slipped under the quilt. He fell asleep consciously within a few seconds of resting his head on the pillow.

……

As soon as Tang Linsheng walked out of the locker room, he saw Gao Linshan and Director Wei coming out of the office. They were discussing something seriously with their medical records in their hands.He immediately stepped forward and said, "Director Wei, Director Gao, I'm back."

Director Wei looked up, and was overjoyed immediately: "It's good to be back! Professor Tang, I think it's quite difficult for the 27-bed old lady Yang to do His bundle pacing." He flipped through the medical records, pointing to the echocardiogram The examination list said to him: "Look here, she has enlarged atria, mid-valve regurgitation, and this ECG..."

Tang Linsheng flipped back to the previous echocardiogram and added, "Director Wei, look here, she still has a small amount of tricuspid regurgitation."

Director Wei pushed his glasses, looked closer and then zoomed out, nodded hurriedly and said, "That's right, the reflux flow is too little, I just ignored it."

Hearing his addition, Gao Linshan looked up at Tang Lincheng from the inspection report.But Tang Linsheng didn't notice his eyes at all, and just continued to listen carefully to what Director Wei told him about Mrs. Yang's situation.

"...You are the most experienced in pacemaker implantation and electrophysiological mapping. In addition, this morning's echocardiography showed that her heart enlargement has increased, so I hurriedly called you back." Wei Wei The director raised his hand and patted Tang Linsheng on the back, saying, "I'm really sorry I couldn't let you rest."

Tang Lincheng smiled and said, "It's okay, the patient is more important. How about we go to the ward to see the patient first?"

Director Wei nodded and led him to the ward.

Seeing that Tang Linsheng had been completely ignored by Old Man Wei since Tang Linsheng's arrival, Gao Linshan felt really uncomfortable.But he had to admit that Tang Linsheng's medical skills were much better than his.He was in a depressed mood. Even if he adjusted all the current parameters of Mrs. Yang to be suitable for His bundle pacing, he could not guarantee that he would be able to do it smoothly and quickly.

Having been a doctor for so many years, he knows very well that when performing an operation, one should not only look at whether the operation went smoothly at the time, but also consider the prognosis and recovery of the patient after the operation.

He also thought about whether to implant a general pacemaker into Mrs. Yang, but the electrocardiogram showed that Mrs. Yang had a high proportion of right ventricular pacing, and there were hidden dangers of atrial fibrillation and cardiac dysfunction after the pacemaker was implanted. A few even suffer from cardiac dysfunction.

Out of this consideration, he called Wei Yun and called him back from the overseas teaching and research meeting.

Wei Yun is an expert in pacemaker implantation, and his presence means the operation will be successful.But... Gao Linshan quickened his pace and walked to Mrs. Yang's ward. There was a question that had puzzled him for a long time.

Thinking about it carefully, Wei Yun seems to have had a lot fewer surgeries in the past few years?

This time he put down his face and wanted Wei Yun to take him for surgery, but Wei Yun only said that the patient's surgical parameters were not good enough and the surgery needed to be moved back.But after Mrs. Yang was admitted to the hospital, he was the one who was watching. He knew the surgical parameters best, and the surgery could be done yesterday.

As soon as they arrived in Baxi, both Tang Lincheng and Tang Lincheng were busy. The boy told her her grandma's bed number and room number and then disappeared.

Yang Pingru took the suitcase and went into the ward. When she entered, she saw her grandma lying on the hospital bed with her eyes closed, and her grandfather sitting beside the bed and holding grandma's hand tightly.

Yang Pingru put the box away, her nose sore: "Grandma, grandpa!"

When Uncle Yang heard the voice, he hurriedly turned his head.Looking at it, I found that it was my granddaughter who had returned!

He put his wife's hand back under the quilt, wiped his face, got up and walked towards Yang Pingru.

"Grandpa," Yang Pingru hugged Uncle Yang, her voice choked up, "how is grandma now?"

Uncle Yang: "It's fine, don't worry too much. I wanted to have an operation before, but your grandma just thought about why you haven't come yet, worrying about your plane and worrying that you can't find a place. No, Before the operation, the blood pressure was high, and the operation would be a few days late."

Uncle Yang took his granddaughter's hand to let her sit on the chair, looked at Mrs. Yang and said, "However, I heard that Dr. Tang seems to be coming back, the one you said is very skilled."

"If he comes back to operate on your grandma, it should be much better."

Yang Pingru nodded: "He just came to the hospital." Yang Pingru studied medicine at university, and now works in a research institute of a pharmaceutical company in the United States. Since her research work has reached a critical stage, it is difficult for her to ask for leave.After finally asking for leave, she bought a plane ticket and came back.

Uncle Yang told her about the recent situation of Mrs. Yang in a soft voice, and Mrs. Yang woke up halfway through the talk.Old lady Yang narrowed her eyes, looked at the person sitting in front of her, shook Yang Pingru's hand, and said with a smile, "Pingping, you are back."

Mrs. Yang has been tormented by her own illness these days. Although she has been in a good mental state before, she is inevitably weaker now.

Yang Pingru's eyes turned red when she heard this.She clasped grandma's hand tightly with both hands, leaned closer and said softly, "I'm back, grandma, don't worry!"

She said a few words to Mrs. Yang, and two doctors came in at the door - one was Tang Linsheng, and the other was an older doctor.

Yang Pingru hurriedly got up to give way, and shouted, "Brother Cheng."

Hearing that she hadn't changed her address yet, Tang Lincheng felt a headache. He just nodded his head and went to Mrs. Yang's bedside for a physical examination.

As soon as Director Wei heard the title, he knew they were old acquaintances: "Professor Tang, you know this?"

Tang Linsheng retracted his stethoscope and continued to check other things: "University alumni."

When Yang Pingru heard this answer, a trace of injury flashed in her eyes, and the expression on her face suddenly became more fragile and injured.

When Director Wei saw her expression, and Tang Linsheng's cold reaction to her, which was only focused on checking the patient's condition, he immediately filled his mind with a lot of sad pictures of "a woman who failed to chase a man, and graduated from college like a stranger".But this is not the focus now, it's their private matter, Director Wei just waved this idea in his mind and continued to pay attention to the condition with Tang Linsheng.

"Director, can we add another operation this afternoon?"

Gao Linshan came in just in time, and said, "Yes, there are not many patients undergoing surgery today. I can tell them about it."

Tang Linsheng looked at him and said, "Thank you, now the operation parameters are satisfied, in order to avoid the deterioration of the situation, we still need to put a pacemaker on her as soon as possible."

Director Wei: "Okay. Follow your instructions."

……

At ten o'clock in the afternoon, Mrs. Yang was pushed into the operating room.

The operator who performs His bundle pacing must not only fully grasp the anatomy and imaging of the heart, but also put a small pacemaker into the heart in consideration of the patient's underlying disease, degree of heart enlargement, whether there is transposition, etc. , let it successfully discharge and adjust the heart rate.

Since there are few cases of His bundle pacing, and Mrs. Yang's serious condition is a big challenge to the surgeon's own skills and knowledge, this operation has a very high teaching value and experience learning, so Director Wei informed him to open it. Video, ready to record the operation process for follow-up study by other doctors in the department.

"2% lidocaine local anesthesia ended."

"Routine disinfection has been completed, laying hole towels."

"..."

After putting on the surgical isolation gown and sterile gloves, Tang Linsheng said to Mrs. Yang, "Don't worry, relax. The operation will be fine soon, don't worry."

Mrs. Yang only felt that the place where she had injected the anesthetic was gone, as if that part had disappeared.Although she was still nervous, she felt relieved when she thought of Dr. Tang's medical skills that her granddaughter said was very good.

Tang Linsheng nodded to Director Wei and Director Gao, and the operation began.

"The puncture of the left subclavian vein was successful... The ipsilateral chest wall pouch was completed... The guide wire was inserted into the 7F sheath... Prepare to implant a His bundle pacemaker..."

"..."

It takes less than an hour from the beginning of the operation to the end of the operation.

Behind Gao Linshan's mask was a complicated expression. He looked at Tang Lincheng who bent over to bandage Old Madam Yang's wound and thought unconsciously: Is this the end?So fast?

Obviously, he himself had estimated the operation time in private, and due to the difficulty, it would take at least two hours.But now Tang Linsheng actually finished the operation in half the time he took?

What's more... He looked calmly at the ultrasound screen that was no longer showing the picture.When Tang Linsheng first underwent surgery, his proficiency in movements was as proficient as people's proficiency in holding chopsticks for daily meals.The problems and difficulties he had considered in the past seemed to have completely disappeared in Tang Linsheng's eyes.

This operation was even more exciting than the pacemaker implantation operation he had seen before.

As soon as he quietly clenched his fist, there was a light impact on his body.Gao Linshan turned his head and saw Director Wei taking off his gloves standing next to him, sighed softly, "Strength is the last word."

Gao Linshan's eyes turned cold, he took off his gloves and surgical gown and went outside.

"Remember to pressurize with sandbags for 6 hours." After Tang Linsheng finished the operation, he asked the doctor with a lower position to follow the operation to send Mrs. Yang to the intensive care unit for close observation.

He didn't have the energy to notice the meaningful conversation between Gao Linshan and Wei Yun.After sitting on the plane for more than ten hours, coupled with the lack of rest due to the rush of the trip in the United States, he was a little tired after the operation.

When Tang Linsheng returned to the office, Director Wei and Gao Linshan hadn't returned yet.After drinking some water, he leaned back on the sofa and closed his eyes to rest, but he didn't rest for long when the door was knocked several times.

He opened his eyes immediately, and his eyes quickly recovered.He left the sofa with his back, stood up and said loudly, "Come in."

The sound of high heels sounded, Yang Pingru opened the door and came in, and saw Tang Lincheng just getting up.

"Did I disturb you?"

Tang Linsheng returned to his desk, and replied calmly, "What's the matter?"

Seeing that he didn't answer her own question, Yang Pingru couldn't help but feel a little uncomfortable when she asked her why.She brushed her hair, walked to Tang Linsheng's table and said softly, "I just went to the intensive care unit to see my grandma, and they said that all the physical data are fine. Thank you."

Anyway, he couldn't rest because he was disturbed, so Tang Linsheng recorded the operation process on the computer: "Yeah."

Seeing that he was unmoved, Yang Pingru made a detour to get closer to him: "Brother Cheng, I didn't want to, but this time I came back and just met you. I just want to ask you one more thing."

Hearing her words, Tang Lincheng warned in his heart, and his usual gentle expression faded away.He took off his eyes and said blankly: "Don't ask, it's not the answer you want."

Yang Pingru looked at the look in his eyes, and was taken aback by the indifference and complete rejection in his eyes.

Brother Cheng looks like this without glasses?His eyes were deep and sharp, and the aura he had deliberately concealed was released at once. Yang Pingru vaguely felt that what he was touching now was the real Tang Lincheng.

She looked at Tang Linsheng, thinking that she would return to the United States soon, and a strong voice shouted in her heart: Don't miss it, ask quickly!

"No, I want to say it." Yang Pingru bit her lip and looked up at Tang Lincheng: "Can we get back together? I still like you very much, I think—"

Tang Linsheng felt wrong when he heard what she said before, but now he couldn't help it.He frowned and said, "When have we been together?"

Yang Pingru was startled: "You...were not boyfriend and girlfriend when we were in college?"

……

It was past two o'clock in the afternoon when Tang Linsheng woke up. He got up and went to the bathroom, and his sleepiness became much less.He lay on the bed in a daze for a while, and suddenly remembered that his senior had only eaten a sandwich in the morning, so he immediately put on his white coat and went out.

The senior didn't come to wake him up, so he must have been busy all the time.Worried that Tang Linsheng was too busy to eat in time, he walked to Tang Linsheng's office as soon as he left the door.

When he passed the nurse's desk, he knew that Mrs. Yang's operation had been completed, and Tang Linsheng happened to be resting in the office right now.

Tang Linsheng then dragged the delivery software to Tang Linsheng's office, what kind of takeaway should I order?

Seeing that the door was ajar, Tang Linsheng lowered his head and planned to go in.But he only took a step when he heard Yang Pingru's voice from inside: "Can we get back together?"

Fuck trough trough trough? ! ! !

As soon as Tang Linsheng heard it, he wanted to go inside and declare his sovereignty.

It was only the next second that he thought of the senior rejecting Yang Pingru indifferently.

Eh? !What is "When were we together?"

Tang Linsheng is alert that this follow-up is completely different from what he thought "the ex-girlfriend is full of confidence and wants to get her ex-boyfriend back".He took back the steps he had taken, and quietly stepped back a few steps to ensure that he was standing in a concealed position and could hear the conversation inside.

Are things in the university different from what he thought?