"Your technical level is excellent, but as a doctor, especially in grassroots hospitals, many times you don't rely on your technical level, but on other ......," said Director Pan, who turned his head and looked at the door, "For example, this kind of disease." ”

"The reason why I don't say anything is that you can feel, experience, and summarize a set of ways that work for you. I'm not here anymore, and you won't be numb. ”

"After all, with me, I can carry the big basket. If I'm not there, I won't. Director Pan said lightly.

Zheng Ren finally realized that he had neglected something important in the emergency department of the city's first hospital at that time.

"But you're really good!" Director Pan patted Zheng Ren's shoulder, banging, "A few months, I went to 912." There are a lot of things that don't apply there. ”

As he spoke, Director Pan lowered his voice and laughed, dripping with joy.

There are no regrets, only the pride and joy of watching your little beast grow up and be the king.

Zheng Ren still didn't speak, and his heart was a little throbbing.

When he returned to the intensive care room and glanced at the patient, he asked Director Pan to take Wang Qiang to the operating room to prepare first, and he took the patient himself.

The journey from the ICU to the operating room is a road of repeated and crazy temptations on the edge of the ghost gate (404).

If the patient can make it to the operating room alive and start the operation, he will survive. If something really happened on the road, Zheng Ren couldn't help it.

After all, it's an aorta!

Bleeding, death, only in an instant.

None of the accidents that were envisaged happened, Zheng Ren calmly took the patient to the emergency operating room, and along the way, he also had a brief chat with the patient to calm the patient's anxious emotions.

Coming to the operating room and carefully carrying the patient to the operating table, Zheng Ren turned around to brush his hands.

"Boss Zheng, let me help you be your assistant. Wang Qiang also came over, and he brushed his hands together as a matter of course.

Zheng Ren didn't say anything, just nodded.

In fact, with Zheng Ren's level, he doesn't need an assistant at all. But people are also kind, a phone call rushed from the second hospital of the city to send consumables, more or less also a favor.

Wang Qiang was very happy when he saw Zheng Ren nodding.

He didn't realize that the person around him turned out to be a world-class bull before, but when he was a very lucky emergency department inpatient manager. So Wang Qiang didn't realize how precious it was to be able to see Zheng Ren have surgery with his own eyes.

Unexpectedly, the opportunity fell from the sky, and the bearded fawn in his heart began to bump unsteadily.

Wang Qiang went to disinfect, and Zheng Ren directly laid the list. This time, Zheng Ren did not take the carotid artery pathway, but the femoral artery.

Puncture, built-in arterial sheath, Zheng Ren began blind exercises.

Wang Qiang said: "Boss Zheng, I told Mr. Gao about your return, and he told Mr. Liu that he would be there in a while." ”

"They're coming. Zheng Ren habitually crossed his left and right hands, chatting with Wang Qiang without being salty.

The pinnacle level of interventional surgery, one or two levels beyond all interventional doctors in the world, is a kind of crushing posture.

As for Wang Qiang's realm, in Zheng Ren's eyes, it doesn't exist at all.

Aortic dissection, which is very serious, but the surgery is relatively simple. Except for Director Miao, other emergencies are not a problem for Zheng Ren.

"When I heard that you are back, Mr. Gao was very happy, saying that today's surgery was postponed, and that he would pull you to do the teaching surgery anyway. Wang Qiang smiled and said.

"Let's talk about it. Zheng Ren said lightly.

"Huh?" Wang Qiang paused.

"Imaging. Zheng Ren suddenly said lightly.

Wang Qiang was just in the surprise of Zheng Ren's "refusal" to teach surgery, but he heard him say imaging.

The screen in front of him just lit up, and Zheng Ren said that after the shooting, he began to step on the line.

However, the catheter is already in position, just right, just waiting for the contrast agent to enter the blood vessel to see the condition of the patient's blood vessels.

So fast? Wang Qiang has never seen a blind exercise directly into the blood vessels, stepping on the line and making an image.

Although it is not difficult to puncture the femoral artery and enter the abdominal aorta through the total iliacium, it is also performed under visual conditions.

Blind exercise is ......

"Smack~" The hemostatic forceps knocked on Wang Qiang's left radial styloid process.

"What about surgery, be attentive. Zheng Ren said lightly.

He is very accustomed to having a hemostatic forceps in his hand when he is doing surgery, and if there is anything that goes wrong, he can knock it directly than talking.

Many professors like to scold people and like to throw equipment. Zheng Ren didn't like it and felt very tasteless.

Hitting it with hemostatic forceps was still very comfortable, and Zheng Ren was in a good mood for a moment. The gloom in my heart has also dissipated a little.

Belch...... Wang Qiang was in pain.

The pain was only momentary and did not cause substantial damage. The sweat on his back came out, watching the live broadcast of teaching surgery, seeing the hemostatic forceps flying, and the snapping sound continued, it was very refreshing to watch, but the feeling of knocking on his wrist was completely different.

"Smack~" another soft sound.

"What do you want?" Zheng Ren was really a little unhappy this time, and there was a little reproach in his words.

This is an emergency rescue operation, how can you get distracted twice in a row?!

Wang Qiang was embarrassed, immediately put away all kinds of selfish thoughts, and began to take pictures attentively.

A high-pressure syringe injects contrast medium into the aorta, and the patient's thoracic and abdominal aorta can be clearly seen to have large tears.

"Bracket. As soon as Zheng Ren's words fell, Wang Qiang opened a bracket and handed it to Zheng Ren.

This is the most basic operation, and as long as you don't get distracted, there is nothing wrong with it.

Zheng Ren went into the bracket, the bracket is long-winded, and it is very familiar with it.

……

Director Pan sat outside and watched, and the contrast agent entered, showing that the patient had a serious tear in the aorta, and he smiled.

Zheng Ren, this kid, is really trustworthy.

Aortic dissection is an emergency, even in a provincial capital, and at least one vascular CTA is needed to confirm the diagnosis.

But Zheng Ren's level is high, and he was diagnosed with B ultrasound. Director Pan did not question it, and personally came forward to explain the patient's condition to the patient's family.

This kind of confidence is rare.

Mr. Wang was silent.

He didn't hope that Boss Zheng would make a mistake in diagnosis, but he felt a little incredible. Just go down and take a casual look, and you will find an error in diagnosis and treatment. Such patients are routinely sent to the orthopedic department and then ......

Thinking of the sudden death of the patient in the middle of the night, although it has nothing to do with him, it is all the pot of the orthopedic surgeon, but Wang Qiang instantly recalled his medical experience over the years, and immediately found that there may be several patients who died because they did not find similar diseases.

In an instant, his sweat was down.

All the previous self-esteem and pride vanished.

It seems that compared with Boss Zheng, he is still far behind.

Surgery live broadcast room

Surgery live broadcast room