Auto chess in the operating room

Chapter 367 Doctor Tang, please guide me

Jin Yan'er drove the sports car back to the Jin Group sullenly. After parking the car, she didn't talk to Tang Lou, and walked in front alone, writhing.

Of course, Tang Lou was baffled by Jin Yuner's sudden change of face, so he didn't think too much about it. Anyway, he was here to guide the next clinical experiment, so there was no need to be courteous to Jin Yaner.

While walking, Tang Lou took out WeChat again and sent a few messages back and forth with Cheng Sisi, and Jin Yan'er in front walked even faster.

It took half an hour for Tang Lou to finish the instruction. After walking out of the laboratory, Jin Yaner was still waiting outside.

Just as Tang Lou was about to speak, Jin Yaner directly stuffed a bank card into Tang Lou's hand.

"Doctor Tang, this time your demonstration operation was very successful. You helped promote many new drugs and latest equipment in the operating room. This is the group's reward for your outstanding contribution this time. Password: 666666."

After Jin Yaner finished speaking, she was ready to leave.

Tang Lou took the bank card, but did not refuse it. After all, it was all his labor income. After stuffing the bank card into his pocket, after thinking about it, he stopped Jin Yan'er: "Manager Jin, stay a while."

Jin Yan'er stopped after walking a few steps, her face brightened, and she said coldly: "Doctor Tang, do you have anything else to tell me?"

"Well, I have to go back to the hospital to be on duty in a while, can I trouble Manager Jin to take me back to Zijingang Hospital."

Tang Lou rubbed his nose. After all, it is easy to go from frugality to extravagance, but difficult to go from extravagance to frugality. I am used to Jin Yuner's supercar, and it is a bit troublesome to take a Didi and then turn the car.

Jin Yan'er turned her head and stared at Tang Lou for a while, then said bitterly: "Let's go! But, when I'm driving, I'm not allowed to play with my phone, especially WeChat!"

Tang Lou blinked, nodded, and followed behind Jin Yaner.

More than an hour later, Tang Lou rushed back to the Cardiovascular Department of Zijingang Hospital.

After returning to the department, Professor Liu, Director Huang and others sent experts from various places, but none of them were in the department.

There were only a few attending physicians and a group of interns left, and when Tang Lou came back, all of them had fiery eyes.

However, they also wisely did not bother Tang Lou, allowing Tang Lou to enter the second-line duty room to rest.

Tian Qiming, the chief physician of the Department of Cardiovascular Medicine at Zijingang, looked at Tang Lou's duty room with admiration in his eyes. Regardless of the rest of the surgery, Tang Lou was already a top figure in Huaguo, at least in terms of ventricular correction. It is his unattainable existence.

"Go, go to check the room."

Tian Qiming was stunned for a while, then called his resident doctor Wang Feilong to go to the ward rounds together.

However, when they had just walked a few steps, an intern ran over in a panic.

"Doctor Tian, ​​just now the department admitted a patient who was transferred from a lower-level hospital. The initial diagnosis was extrinsic dysfunction of the artificial valve, and another heart valve replacement was needed."

Hearing what the intern said, Tian Qiming suddenly became serious.

The main pathological change of recurrent valvular disease is the structural dysfunction of the artificial valve, especially the extrinsic dysfunction of the artificial valve, which can lead to acute heart failure or pulmonary edema, or even cardiac arrest.

Dr. Tian took Wang Feilong to the patient's place. Halfway there, Dr. Tian thought about it, and immediately said to Wang Feilong: "The patient's situation is quite special. I'm worried that we won't be able to deal with it later. Go and ask Dr. Tang for help." Come here and let him take a look together. If even Doctor Tang can’t do it, then we’ll ask Director Huang, Professor Liu and others for help.”

"okay."

Wang Feilong immediately turned the gun and ran towards the duty room of Tanglou.

Soon, Dr. Wang told Tang Lou about the initial condition of the patient. Tang Lou was also a little surprised when he heard that the heart valve was replaced again. This is a very urgent disease. Surgery may lead to unpredictable complications, which requires very high experience and skills of the surgeon.

After thinking about it, Dr. Tian and Dr. Wang are indeed lacking in experience. If they don't handle it well, their lives are really in danger. Tang Lou got up and followed.

After all, if Dr. Tian and the others really can't figure it out, at worst, they can make money by themselves, and just swipe the card library.

When Tang Lou arrived at the ward, Dr. Wang had already completed the preliminary physical examination. Seeing Tang Lou coming over, he wiped the cold sweat from his forehead:
"Doctor Tang, the patient's condition is not optimistic. It can basically be diagnosed. The patient has an extrinsic dysfunction of the artificial valve. Because the suture knot of the artificial valve in the previous operation was too long, it got stuck between the disc and the annulus. , causing the disc to fail to open, and now the patient has acute valvular insufficiency, requiring emergency surgery to replace the new bioprosthetic valve."

While listening to Dr. Tian's words, Tang Lou issued a diagnostic operation directly, and quickly understood the patient's situation, and nodded slightly: "Dr. The most important thing is to perform organ intubation to assist breathing first, and then choose a thoracic approach, simultaneously separate the mediastinal pericardial adhesions, and establish extracorporeal circulation to complete the protection of the myocardium."

Hearing that Tang Lou finished the pre-operation in a clear manner, Dr. Tian couldn't help nodding: "Yes, yes, what Dr. Tang said is not bad at all. Then we will start the preoperative preparation according to Dr. Tang's idea."

The patient's family members were also watching from the sidelines. Dr. Tian's timidity once made them very scared. After all, the director of the city's No. [-] hospital also talked like this before. It's difficult and complicated, but when it comes to the specific treatment plan, I can't hold my fart for a long time. The final solution is to transfer them to another hospital.

After seeing Tang Lou coming over now, they made a surgical plan in a few moments, and their hearts were relieved a lot.

It's just that Dr. Tian, ​​who looks like an older doctor, obeys this young doctor so much, he is a little puzzled.

Soon, after communicating with the family members and signing the contract, the patient was sent to the operating room for the first stage of surgery.

For endotracheal intubation to assist breathing, Dr. Tian is still very skilled in doing it.

"Intravenous infusion of positive systolic drugs, combined application of dopamine and dobutamine."

"Increase cardiac output, maintain blood perfusion of major organs, and intravenously inject cedilan and furosemide, rapid diuresis and dehydration"

The first step was completed quickly, and then the second step was started, separating the mediastinal pericardial adhesions.

Tang Lou watched from the side, while Dr. Tian and Dr. Wang were operating, and as they were doing, Dr. Tian stopped.

"Why not?"

Tang Lou watched with relish, seeing Dr. Tian's actions stop abruptly, and blurted out.

"That... I'm not very proficient in the next operation, Dr. Tang, why don't you guide me."

Doctor Tian looked at Tang Lou as a matter of course, and asked for advice seriously.

Tang Lou was immediately stunned: "You don't know that you still dare to do this first-stage technique?"

Dr. Tian looked at Tang Lou blankly: "Isn't this your plan?"

Tang Lou looked at the naive Dr. Tian: "I..."

(End of this chapter)