Healing Doctor
Chapter 152 How come you're still here!
Chapter 152 How come you're still here!
Stopping bleeding from a pelvic fracture is particularly difficult. Zhao Xiangming even regretted his decision, thinking he should have tried interventional embolization surgery for liver cancer instead.
Unfortunately, I was unlucky and encountered an even more difficult technique.
Interventional hemostasis for pelvic fractures is not only difficult to perform, but the patient is also in a state of hemorrhagic shock, and the surgery is in progress.
The thought of the countdown, the possibility of the surgery failing and causing the patient's death if there was even the slightest mistake, sent Zhao Xiangming's adrenaline soaring.
But the surgery is necessary!
There wasn't even time to hesitate.
Right from the start, the femoral artery puncture gave Zhao Xiangming a rude awakening.
The patient's blood pressure was 63 mmHg, and the femoral artery had collapsed. Zhao Xiangming used all his skills with trepidation to successfully puncture the patient on the first attempt.
The microguidewire is inserted, and superselection begins.
Ling Tian stood behind the technician, intently watching Zhao Xiangming's operation.
"Senior brother, your skill level seems quite average. Is it because of emergency medical care?" Ding Yifan asked.
Ling Tian raised the corners of his mouth slightly, but he didn't say anything, though his disdain was evident.
The angiography showed that four blood vessels needed to be embolized to stop the bleeding, but Zhao Xiangming tried twice and failed to embolize even the first blood vessel.
All of this proved his guess. While watching Zhao Xiangming's rescue, Ling Tian recalled the techniques used in those kidney cancer embolization surgeries.
He became increasingly certain that the surgeon performing the video surgery was not Director Zhao Xiangming.
Zhao Xiangming was performing his third superselection, but just as the microguidewire was inserted, a sharp alarm sounded from the ECG monitor.
Even without the microphone on, you can faintly hear the alarm sound that makes your heart race, even through the lead door and leaded glass.
Zhao Xiangming put down the micro-guidewire in his hand and instructed the nurse to administer medication to treat the arrhythmia first.
Ling Tian smiled and walked into the operating room.
Judging that Zhao Xiangming was unlikely to be able to perform the surgery, Ling Tian decided to lend a helping hand.
"Director Zhao, let me give it a try, what do you think?"
"..." Zhao Xiangming sighed inwardly. He wanted to show his face, but in the end, he ended up showing his backside.
But in this situation, with top experts in China around, if Ling Tian isn't allowed to do it, this matter will become an obstacle that he will never be able to overcome in his lifetime.
Let's save people first. As for my embarrassing situation, only the top circles in the country know about it. It won't stop me from bragging in the provincial capital.
"Teacher Ling, thank you, thank you. Let me lend you a hand."
Zhao Xiangming's attitude was extremely upright.
After administering the medication and waiting for the patient's vital signs to improve slightly, Ling Tian went to wash his hands.
"director!"
The technician waved Zhao Xiangming's phone around. "The general surgery operating room needs an emergency. A patient with a ruptured kidney has low blood pressure, retroperitoneal hematoma, and a suspected pelvic fracture. We need a consultation."
"Professor Ma, go away." Zhao Xiangming was preoccupied with his own problems, so he chased Professor Ma away.
The DSA machine in the hybrid operating room at Dalian University of Foreign Languages is slightly inferior to that in the interventional catheterization lab. I'll have Professor Ma take a look first, and then I'll go to the other one after I finish my surgery here.
The lead door slowly closed, and Ling Tian stood in the position of the sorcerer and began the super selection.
"Director Zhao, I'm having surgery, you don't have any other way of saying that, do you?" Ling Tian asked while making the selection.
"How could that be!"
"Hehe, a while ago there was a doctor who was performing scalpel surgery who happened to be in an emergency and kindly participated in the rescue. In the end, the rescue failed and he was also blamed." Ling Tian said while performing the procedure.
"No, no, Professor Ling, don't worry, I definitely won't have any similar problems," Zhao Xiangming said. "As doctors, when we see a rescue... it takes me four hours to complete the procedure, while you only need a little over an hour. Even if the patient dies from hemorrhagic shock, it can't be said that you were wrong."
"It will take you four hours to finish?" Ling Tian asked, and Zhao Xiangming felt his face burning.
Four hours, and that's the improved data, and it's also his guess.
Generally speaking, Zhao Xiangming's interventional embolization surgery for pelvic fractures takes 4-6 hours.
Most importantly, this type of surgery is a countdown surgery, so it needs to be done quickly.
But the truth is—the faster you go, the less likely you are to succeed. Just like the second superselection, it would have worked if it were an interventional embolization procedure for liver cancer, but the countdown caused my hand to tremble, and the superselection failed.
Emergency care and chronic care are two different concepts.
Seeing that Zhao Xiangming remained silent, Ling Tian inserted the micro-guidewire and said to Zhao Xiangming, "I think you did a good job with the liver cancer surgery."
"Sigh, emergency surgeries can't be rushed." Zhao Xiangming sighed.
Ling Tian remained silent and began to cross the line.
The microguidewire moved slowly and steadily, superselected, and succeeded on the first try!
Surgery is not about doing it as quickly as possible, but about achieving the highest possible level of completion.
A practitioner like Ling Tian, who perfectly combines skill and speed, is considered top-tier in the country and is at a level that Zhao Xiangming can only look up to.
"Teacher Ling, your technique is excellent!" Zhao Xiangming said sincerely.
Ling Tian smiled. It seemed that he couldn't get things done with his boss. He would have to explain to his boss when he got back.
"It was a fluke," Ling Tian laughed. "No one can guarantee that the superselection of such fine blood vessels will be successful on the first try."
"Not at all, it's just that your skills are superb!"
"I can't speed up similar surgeries either; it takes 1-2 hours."
Ling Tian had already lost faith in Zhao Xiangming, and he focused on the surgery.
The second blood vessel failed to be selected once, but was successfully selected on the second attempt.
Although there were some minor setbacks, the surgery went quite smoothly. The skill level was a level above his own, and even a bit more advanced. Zhao Xiangming was increasingly impressed.
This assessment is based on the level achieved after overcoming technical bottlenecks.
The gap between the provincial level and the top national level is enormous; it's no exaggeration to say they are worlds apart.
The surgery proceeded smoothly, and as each bleeding vessel was plugged, the bleeding caused by the patient's pelvic fracture gradually stopped.
His blood pressure began to rise, and Zhao Xiangming felt calm. This person should be able to live.
As for complications such as diabetic diagnoses, Zhao Xiangming has confidence in the capabilities of his ICU.
"It's done." Ling Tian secured the last blood vessel with a spring coil, then inserted a gel sponge before turning and leaving the stage.
"Director Zhao, you're busy, we won't bother you any longer," Ling Tian said.
"No, there's another one upstairs. I'll finish making it, and then we can have a meal together."
"Heh." Ling Tian chuckled.
Zhao Xiangming was embarrassed.
How about we grab a bite to eat together in 4-6 hours? They clearly don't want to wait.
"Hey, Professor Ma, could you do the pressure?" Zhao Xiangming said casually. Then he stepped off the stage, took off his gloves, and said, "Professor Ling, I'm sorry, I had to go to an emergency surgery. I apologize for the poor hospitality..."
As he spoke, Zhao Xiangming suddenly froze.
He turned around abruptly as if he had seen a ghost, his cervical spine making a series of cracking and grinding sounds.
"Professor Ma, why did you come down here?!"
It was only then that Zhao Xiangming remembered that he had just asked Professor Ma to go up and treat another patient.
"Director, the surgery upstairs is finished..." Professor Ma said in a somewhat embarrassed tone, lowering his voice.
(End of this chapter)
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