This miracle doctor just wants to be fired!
Chapter 471 I'd rather have my chest opened than gamble!
Late at night.
Zhou Cheng and Zou Liqian both left one after the other.
The lights outside the interventional cardiology department gradually went out.
Normally, discarded tubing should be thrown away.
However, Lin Feng carefully placed the permanently deformed tube, wrapped it in a plastic bag, into his desk drawer.
The nurse standing nearby couldn't help but laugh and said, "Director Lin, you're so meticulous, anyone who didn't know better would think it's some kind of treasure."
Lin Feng looked up at her and smiled.
"To you, it's a discarded conduit."
"But for me, it's a real treasure. It means one less open-chest surgery, one less blood vessel tear, and it might also mean... saving another life."
Upon hearing this, the nurse paused slightly, and the playful smile on her face gradually faded.
……
Early the next morning.
Early shift handover at the intervention center.
The doctor's office was much livelier than usual.
Almost everyone who participated in the surgery last night was present.
Many doctors who were supposed to be off today heard the news from somewhere and rushed over early.
Director Zou Liqian and Zhou Chengcheng have arrived.
"I heard the catheter broke last night?"
"Really? I've been doing this for over ten years and I've never encountered anything like it."
"It's said that they almost had to have a cardiac surgeon perform open-heart surgery."
Everyone loves gossip, and before the shift even ended this morning, the news of last night had already spread far and wide.
Just then, Lin Feng walked into the doctor's office with a USB drive in his hand.
"Everyone, please be quiet. Before the morning meeting today, we won't report on the regular cases. Let's look at the special case from last night first."
As he spoke, he plugged the USB drive into the computer.
Upon seeing this, everyone immediately turned their attention to this side.
On the screen, DSA images of the emergency room patients from the previous night quickly appeared.
……
As soon as the first frame appeared, a gasp of surprise rang out in the doctor's office.
"How did this catheter get bent like this?"
"Can this still be pulled out?"
"No way, it's completely locked down."
"Is this what a Z-shaped bend looks like?"
As the video continued to play, the doctor's office grew quieter and quieter.
Everyone subconsciously sat up straight.
Especially when they saw that Zhou Cheng did not force a retreat immediately, but instead re-established remote support, all the senior interventional doctors nodded in approval.
"If you pull it directly, it could really tear the aortic intima."
"That was handled beautifully."
"Director Zhou is really clever; how did he come up with this method?"
What truly shocked them was the reverse reset of the rings.
When the video reached this point, some people couldn't help but stand up.
"You can do that? I didn't know the direction of force could be reversed!"
Director Zou, sitting in the first row, didn't say anything, but just silently watched the screen.
Only after the recording ended did he look around at everyone and slowly say, "I was there last night. To be honest, if it weren't for Director Zhou, I would have already stopped this surgery and switched to open-chest surgery."
In short, the entire conference room fell silent.
Everyone knows who Director Zou is. He was one of the earliest experts in China to carry out coronary intervention, and it wouldn't be an exaggeration to say that he is one of the top interventional experts.
Normally, there are very few diseases that he can't handle.
Moreover, he is even less likely to admit that he cannot solve a problem.
But today, Director Zou said those words in front of all the doctors in the interventional center.
The quantity is considerable!
Just then, Zhou Cheng, who had been sitting in the corner, suddenly spoke up.
"Everyone has finished watching, what are your thoughts?"
The group looked at each other, but no one spoke first.
After a moment, a resident who had recently joined the department mustered up the courage to stand up: "Director Zhou, I think... in the future, if we encounter this situation, can we just use a ring to reduce the size?"
Zhou Cheng smiled, but shook his head: "That's not right."
Everyone was taken aback, and then Zhou Cheng continued:
"There were a few prerequisites for last night's success."
"First, the catheter was not completely knotted."
"Secondly, the catheter material also has a certain degree of elasticity."
"Third, there is still room to establish support at the remote end."
"Fourth, and most importantly."
As he spoke, he paused the video on the screen and gently touched the folded part of the catheter with the laser pointer in his hand.
"All remedial measures are based on the premise that the risks are controllable. If I judge that continuing the operation has a greater than 50% probability of causing vascular damage."
"Last night, I would have terminated the intervention as before. I'd rather have open-chest surgery than gamble!"
The meeting room fell silent once again.
This time, no one paid attention to those operating techniques anymore.
What everyone truly remembers is Zhou Cheng's last sentence.
I'd rather have my chest opened than gamble!
This is the most important judgment for a seasoned practitioner.
Zhou Cheng put away the laser pointer, looked at everyone in the conference room, and said calmly, "Skills can be practiced slowly. Experience can be accumulated little by little. But reverence must be etched in your hearts from the very first time you pick up a guidewire, because a patient's life will never give a doctor a second chance to make a mistake."
No one spoke in the meeting room; everyone was silent.
Even Lin Feng solemnly wrote a line on the last page of his notebook.
Technology determines the lower limit.
Reverence determines the limits.
……
After the meeting, everyone left one after another.
Just as Lin Feng was about to turn off the projector, the office phone suddenly rang.
He picked up the phone casually, "Hello, this is the intervention center."
A strange man's voice came from the other end of the phone, "Excuse me, is Director Zhou there? I am Liu Zhiyuan from the Interventional Center of the Second Affiliated Hospital of Kyoto University. Last week, our hospital also encountered a case of catheter folding. I heard that you just successfully handled one case last night, so I would like to ask Director Zhou for advice."
Lin Feng paused for a moment, then subconsciously looked at Zhou Cheng beside him.
Zhou Cheng was slightly taken aback, then took the phone. "Hello, this is Zhou Cheng. Director Liu, please don't rush. Tell me about the patient's basic situation."
The person on the other end of the phone seemed to realize that he had been too abrupt, and quickly said, "I'm sorry, Director Zhou, I only called because I heard that you successfully handled a case of catheter folding last night."
"What exactly happened?"
"Last week we performed a right coronary intervention, and the guiding catheter became severely twisted during withdrawal." Liu Zhiyuan paused, somewhat embarrassed, and said, "Although we successfully withdrew it, there was a lot of disagreement about the handling method during the debriefing. This morning, someone in our department posted what happened last night in the provincial interventional work group, saying that you used a loop and a low-pressure balloon in conjunction with repositioning. So I wanted to ask if you could share your complete thought process?"
Upon hearing this, many people in the office looked enlightened.
Lin Feng sat to the side, somewhat surprised.
Less than six hours after the surgery ended last night, the news had already reached other hospitals.
News can spread faster in hospitals than it can in patient family chat groups.
Especially this rare complication!
If more than five people in the operating room know about it, by the next morning, it's basically the whole interventional radiology community in the city knows.
As for how much embellishment or exaggeration was made in the middle, that's hard to say...
Zhou Cheng didn't mince words, "Of course, but it's hard to explain over the phone. Once we've compiled the case data, I'll have him send you the images, procedures, and risk analysis after removing the patient's privacy."
Liu Zhiyuan quickly expressed his gratitude: "Thank you, Director Zhou!"
The two exchanged a few more words about the case of catheter twisting from yesterday.
Zhou Cheng did not directly comment on whether the other party handled the situation correctly or not, but only pointed out a few easily overlooked issues.
Even after the call ended, the people in the doctor's office hadn't left.
All eyes were on Zhou Cheng.
Lin Feng spoke first: "The Second Hospital found out so quickly?"
Director Zou smiled and said calmly, "I guess more than just the doctors at the Second Hospital know about what happened last night. You young people might not be fast at other things, but you're definitely fast at sending messages. I bet your WeChat Moments are full of this, right?"
Someone whispered an explanation: "Director Zou, we're just doing this for academic exchange."
"Yes, purely academic."
"I even covered up the patient's information before sending it to the group."
Director Zou glanced at them and said, "Don't rush to explain. I didn't say anything about you."
The group immediately shut up.
A burst of suppressed laughter erupted in the conference room.
The serious and heavy teaching atmosphere from just now has become much more relaxed.
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