Auto chess in the operating room

Chapter 383 Throwing 10,000+ knives at a time

After Tang Lou arrived at the imperial capital, he waited for Doctor Qin to pick him up.

Physician Qin is the attending physician under Director Dong. He originally learned from Director Dong that Professor Liu from the Second Hospital of Harbin Medical University was very excited when he came back for the knife-throwing operation. Because of this, he didn't sleep well last night and thought about a lot of problems.

After all, Professor Liu is the top in heart transplantation, and he is a character written in textbooks.However, he suddenly received an order saying that Professor Liu would not be coming, and asked him to pick up a young doctor who came from Shanghai.

In particular, it was even more difficult for him to accept that the doctor who received him was under 30 years old.

"Is there no one in our Union Medical College Hospital? Why did Director Dong think of inviting such a young doctor?"

After all, Dr. Qin was only an attending physician. He was not qualified to participate in Academician Zhong's surgery, so he didn't know much about Tang Lou.

As a normal doctor, it can be inferred from common sense how proficient a doctor under the age of 30 can be, even if he has participated in heart transplantation.

One, three, or ten?
Doctor Qin was very unconvinced in his heart. When he saw Tang Lou's figure, he was even more surprised. Tang Lou looked too young and handsome.

"Are you the tenement house from Shanghai?"

Doctor Qin's tone was a little cold, and his face was not too good-looking.

"Yes, you are Doctor Qin."

Tanglou looked happy. After all, Director Dong asked him to throw a knife this time in the role of Isuke. To a certain extent, this was the first official knife-throwing in Tanglou's life.

The cost of a heart transplant is basically between 20 and 40 yuan. This time, Director Dong is the chief surgeon and Tang Lou is the first to assist. Although the cost of a top doctor like Professor Liu is not as high as that, after all, Director Dong is also the heart of Union Medical College Hospital. A director of surgery.

There is still a 30 operation fee. According to the degree of contribution, Tang Lou can at least get between 5 and 15. Of course, after the operation is completed, Director Dong will allocate it according to the degree of participation.

Although Tang Lou now has hundreds of thousands of dollars in his card, and he can get a salary of more than one hundred thousand a month, he doesn't think too much about the hundreds of thousands of dollars, but after all, the operation fee represents the real worth of a flying knife doctor .

For some directors of Zijingang, it is good to have a throwing knife of [-] to [-] yuan at a time, so the price of the throwing knife in Tanglou is already at the domestic first-class level.

In addition to the operation fee, the more important thing is that the flying knife represents the honor of a doctor.

Taking the current flying knife market in Huaguo as an example, high-end doctors have to compete across the country, especially when they come to Union Medical College Hospital to fly knives, which is a recognition of the top technology in the industry.

Under normal circumstances, there are two ways for this kind of flying knife, one is to be introduced by peers, and it can be recognized by peers, after all, it is superior in some aspects.

Another way is to find out according to the picture, patients or family members, through the editor-in-chief list in the medical textbooks to select the candidates for surgery, generally speaking, the doctors who can appear in the textbooks are the industry's top fighters.

No matter which way, being invited by Xiehe to throw knives is enough to make Tang Lou proud and make Doctor Qin jealous.

Along the way, the car drove very fast, Dr. Qin was a little angry and didn't say anything along the way.

Tanglou didn't care about this, and just closed his eyes and concentrated.

Soon, Dr. Qin brought Tang Lou to Xiehe Hospital.

"Dr. Tang, Director Dong has another surgery. I'll either show you the patient's condition and information first, and then we'll go see the donor and recipient."

Doctor Qin said in a calm tone that he also wanted to know how capable Tang Lou, the little doctor invited by Director Dong, was, and to see if he dared to accept the offer.

"Row."

Tang Lou didn't think too much about Dr. Qin's carefulness, and directly entered the system space to exchange for an upgraded heart transplant (three-star, 36).

Soon, Dr. Qin took the patient's situation over:

Patient, Jiang Crouching Tiger, male, 55 years old.

Symptoms: Refractory congenital heart disease combined with Eisenmenger syndrome, undissected complex congenital cardiovascular malformation combined with pulmonary atresia, left heart hypoplasia, mitral valve atresia, aortic valve atresia, and late cystic fibrosis End-stage respiratory failure combined with right heart failure.

Cardiopulmonary failure complicated by bronchiectasis, idiopathic pulmonary fibrosis, or obstructive bronchitis.

When looking at the case in Tanglou, Dr. Qin on the side asked intentionally: "Dr. Tang, this patient has many complications, is also old, has aging blood vessels, and the difficulty of heart transplantation is very high, even for patients in our department. The deputy chief physician did not dare to try it lightly. Originally, Director Dong and the patient’s family had ordered Professor Liu from the Second Hospital of Harbin Medical University to be the chief surgeon. Unfortunately, Professor Liu recently had an emergency surgery, so he couldn’t make it through. Afterwards, he could only guide remotely , Director Dong is the chief surgeon, you come to help, it's not that I don't trust you, it's just that you look too young. Heart transplants should have been performed a few times, so there won't be any problems."

"Doctor Tang, if you can't do it, I advise you to give up in advance, otherwise the operation will really start, and if something goes wrong, you can't afford it. The status of the patient is a bit special."

Doctor Qin directly persuaded, and then stared at Tang Lou's reaction, did he panic?
Under the three-star heart transplant, Tang Lou had already started to design the surgical plan in his mind at this moment, so he didn't pay attention to Dr. Qin's persuasion. In addition to the standard, I also need a preoperative X-ray of the heart and lung transplant donor.”

Seeing that Tang Lou ignored his good words of persuasion, Doctor Qin frowned, but before he could react, Tang Lou raised his head and looked at him sharply. This time, it was the order of the superior doctor to the subordinate doctor: "I need an anterior chest x-ray of a heart-lung transplant donor."

Under the aura of the surgeon, Tanglou's aura was very majestic. Doctor Qin was stunned and blurted out: "The chest X-ray of the heart and lung transplant donor before the operation was clear, and there was no lung infection, contusion, pulmonary edema or atelectasis. "

As the attending physician of Peking Union Medical College Hospital, Dr. Qin's job is still very good, and he is still very well prepared for the operation.

However, finding himself under the pressure of Tang Lou and honestly explaining the situation, Dr. Qin was a little annoyed at his embarrassing behavior!

"Mechanical assisted breathing? Ventilation pressure? Chest volume and receptor size?"

However, before he could resist, Tanglou's next question came one after another, very serious and professional. In a daze, Dr. Qin seemed to see his chief physician, flipping through the cases and asking questions.

Although he didn't like Tang Lou's anti-customer questions, he couldn't deny Tang Lou's professionalism and every question that hit the point.

Basically, this is what Dr. Qin spent a lot of time preparing before, and he originally wanted to report to Director Dong.

Doctor Qin sighed, he was still a professional after all, and said what he had planned to show in front of Director Dong:

"Mechanical assisted breathing does not exceed 48 hours, and the ventilation pressure does not exceed 30mmHg. When the inspired oxygen concentration is <40%, the arterial blood gas analysis is normal. The sputum bacterial culture is negative. The chest volume is similar to the size of the recipient."

After listening to Dr. Qin's report, Tang Lou closed the file very naturally, and praised Dr. Qin: "Not bad, the preparation work is very careful."

Doctor Qin's face was darkened, he looked at Tang Lou calmly, praised him solemnly, and slandered: Thank you.

(End of this chapter)