This miracle doctor just wants to be fired!
Chapter 468 Z-shaped bend!
The sunlight outside the classroom window slowly began to slant westward.
After class, Zhou Cheng packed up his teaching materials and slowly walked out of the teaching building.
The branches and leaves of the trees downstairs swayed gently in the evening breeze.
Students thronged the campus, exuding youthful energy and vitality.
Lin Wei stood quietly by the shade of a tree downstairs, waiting.
Seeing him walk out of the teaching building, I slowly stepped forward to greet him.
"Is get out of class over?" Lin Wei asked softly.
"Hmm." Zhou Cheng nodded, slowed his pace, and looked at the person beside him. "It just ended. There were quite a few people attending the class today."
"I've heard about it for a while now." Lin Wei smiled. "The whole college knows that our global champion is still teaching undergraduates."
Zhou Cheng smiled faintly, gazing at the distant campus scenery: "No matter how far you go, you must not forget your original aspirations."
From a young doctor just starting out in clinical practice to an internationally renowned interventional specialist, from an unknown novice to a leading figure in charge of the core of the department.
Along the way, he has garnered numerous honors and recognitions.
But he never changed.
The two walked side by side on the tree-lined path on campus.
The evening breeze rustled through the branches and leaves.
……
The early summer nights arrive gently.
The evening breeze blew in through the ventilation window of the intervention room, carrying the heat of the day.
Lin Feng has only been leading a team independently for a week, and he is still in the process of gradually adapting.
Before, when I followed Zhou Cheng, all I had to do was cooperate; I didn't have to bear the ultimate risk.
Now, he's in charge of the intervention team all by himself, and he has to step up for all emergency surgeries and complex cases. The pressure on him is palpable.
7:20 PM.
All routine day surgeries were successfully completed, the ward is stable, and there are no critically ill patients.
Lin Feng told the young nurses and visiting doctors in his team to go to the cafeteria for dinner first, while he stayed at the nurses' station to organize the day's surgical records. He planned to hand over his work and then take a short rest.
The ward corridor was quiet, with only the regular beeping of the monitors faintly coming from the direction of the wards.
However, this peace lasted for less than ten minutes.
At 7:30, the emergency consultation phone rang.
The nurse answered the phone, her face instantly turning serious. She turned and shouted rapidly to Lin Feng, "Team Leader Lin, a newly diagnosed acute myocardial infarction patient in the emergency room, extensive anterior wall infarction!"
Lin Feng paused, then immediately stood up, grabbed the white coat from the back of the chair, quickly put it on, and buttoned the collar: "Prepare the catheterization lab, open the green channel, and tell the emergency department I'll be there soon."
Acute extensive anterior wall myocardial infarction has a rapid onset, rapid progression, and extremely high mortality rate, and cannot tolerate any delay.
This was the first high-risk emergency myocardial infarction surgery performed by Lin Feng after he started leading the team independently.
He knew in his heart that he had to proceed steadily and surely throughout the entire process, without making any mistakes.
Lin Feng hurried to the emergency room on the first floor, and on the way, he dialed the numbers of the nurses and technicians on standby, and everyone was called to their posts immediately.
The hospital corridor lights were warm at night, and there were few pedestrians.
Lin Feng walked quickly, his mind racing as he reviewed the pre-operative plan.
……
Upon arrival at the emergency room, the patient's blood pressure was only 90/50 mmHg, heart rate was 102 beats/min, breathing was shallow and rapid, face was pale, and extremities were cold and clammy; the condition was extremely critical.
The emergency room doctors have completed the pre-treatment care, including administering vasopressors, sedatives, analgesics, and antithrombotic therapy.
Now all we have to do is wait for the interventional team to come on stage and open the blood vessel.
"Transfer him to the catheterization lab immediately and prepare for surgery." Lin Feng gave the order without hesitation.
The stretcher carrying the patient sped through the emergency room corridor, receiving a green light all the way to the interventional operating room.
Lin Feng put on his lead apron and scarf, then washed his hands, laid out a towel, and disinfected.
Lin Feng performed the entire pre-operative emergency procedure smoothly and without any interruptions.
The first step was successful: radial artery puncture and arterial sheath placement. The entire procedure went smoothly.
Lin Feng routinely inserted a 7F guiding catheter, preparing to reach the opening of the left coronary artery.
The catheter was slowly inserted along the guidewire.
But at that moment, the smooth driving feel suddenly disappeared.
The front end noticeably stalled, and the resistance suddenly increased.
Lin Feng subconsciously slowed down his pace, slightly adjusted the angle, and pushed slowly, but he still couldn't move forward or retreat smoothly.
"I'll stomp on you with X-ray vision!" Lin Feng immediately exclaimed.
The assistant immediately began to visualize the image.
The moment the image popped up on the screen, Lin Feng felt his blood run cold.
……
On the screen, the guiding catheter inserted into the blood vessel showed a severe Z-shaped bidirectional bend in the subclavian artery segment.
The two sharp, abrupt angles completely jammed the car!
The catheter is fixed at both ends inside the blood vessel lumen and then folded in the middle.
The lumen is completely blocked, and the guidewire cannot pass through.
The catheter was stuck inside the blood vessel, unable to move forward or backward!
This degree of catheter Z-bending is an extremely rare and most dangerous instrument complication in interventional surgery.
Forced retraction can easily lead to catheter rupture, large-scale tearing of the vascular intima, or even aortic dissection and massive bleeding from vascular rupture.
Forcing the patient forward could directly puncture the fragile blood vessel walls, causing cardiac tamponade, which could lead to sudden death within minutes.
Conventional methods such as unwinding, gentle pushing and pulling, and fine-tuning the angle are completely ineffective against this kind of completely stuck Z-shaped bend!
Even more fatal was that the patient himself had an acute extensive anterior wall myocardial infarction, and his hemodynamics were extremely unstable. Every minute that was delayed would increase the area of myocardial necrosis.
The risks of ventricular fibrillation and sudden death increase exponentially!
The blood vessel is not open, and instead a deformed catheter is stuck inside, posing a double threat to life.
A cold sweat instantly broke out on Raymond Lam's back.
He had worked in Taiwan for many years and had seen cases of ducts twisted or bent, but he had never seen such a severe Z-shaped malformation.
It's completely stuck with no room for movement, offering absolutely no buffer space for normal operations!
"I'll try turning it around first, then slowly retreat, with full-process transparent monitoring."
Lin Feng suppressed his panic and calmly followed the standard procedure to salvage the situation.
The assistants and nurses beside them all held their breath, staring at the screen, not daring to make a sound.
Lin Feng controlled the force, rotating the end of the catheter little by little, and slowly withdrew.
The intensity should be controlled at the minimum safe threshold.
However, the ducts on the screen remained motionless, the Z-shaped bends were locked, and there was no sign of them stretching out.
The blood vessel segment has shown signs of slight spasm due to the traction of the catheter!
I tried three times, and all attempts failed.
If we continue to try blindly, it will only worsen the blood vessel damage and completely miss the opportunity for rescue!
Lin Feng immediately stopped and dared not make any further moves.
At this moment, he knew perfectly well that with his current technical skills, he was no longer able to handle this sudden crisis.
"Immediately notify Director Zou and Director Zhou for emergency support!" Lin Feng shouted to the nurse.
The nurses didn't dare to delay and called Zou Liqian and Zhou Cheng respectively.
It was 7:42 PM.
"Team Leader Lin, Director Zou Liqian is at the hospital and will be here soon. Director Zhou Cheng is having a family dinner today, and he'll be here in about twenty minutes."
"Okay, I understand!" Lin Feng nodded.
It's fortunate that Director Zou Liqian is here, after all, he is one of the top interventional cardiology scholars in China.
Less than ten minutes later, the door to the catheterization lab was pushed open.
Zou Liqian strode in.
He didn't have time to change into a full set of lead aprons, so he quickly put on a lead vest and lead cap, walked to the control panel, and locked his eyes directly onto the X-ray screen.
After only two seconds, Zou Liqian's brows furrowed deeply, and his face darkened completely.
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