Chapter 785: The Meeting of the Imperial Capital
The next day, Guo Peihua had already removed the endotracheal intubation.
He vaguely heard a lot of voices in his ears, and he tried to open his eyes, surrounded by unfamiliar faces.
So, he lay on the bed and looked around, not knowing where he was lying, and he couldn't think of anything in his head, just some fragmented memories and illusory pictures.
Guo Peihua only remembered that he was in a lot of pain at the time, as if his body was torn, and then he didn't know anything, it was like falling into an endless darkness, where is this now?
"Wake up!"
Director Kang was taking the doctor to conduct a teaching round, he listened to Guo Peihua's heart, and then used a small flashlight to check the light reflex of both pupils, and suddenly Guo Peihua woke up and opened his eyes.
Director Kang had no choice but to stop the inspection, put away the small flashlight, straightened his waist, nodded and said: "Very good, the bilateral pupils are equal to the size of the circle, the light reflection is sensitive, the heart beat is strong, the rhythm is neat, and the noise is not heard in the auscultation area, you listen." ”
More than a dozen graduate students, regular trainees, and interns around the back consciously lined up, took off the stethoscope one by one, and came next to listen to Guo Peihua's heart, Guo Peihua did not refuse, he lay on the bed, like a newborn baby, ignorant, curiously rolling his eyes, looking at the world around him.
He wasn't sure if what he was seeing was real or illusory, because it had been like he had been dreaming, but it was clearer than dreaming.
He walked alone in the dark tunnel, surrounded by a dark abyss, the space kept twisting and wriggling, there was a faint light in the distance, a face appeared in the void, and the voice echoed in his ears - go back, go back, so he ran hard, ran in the direction of the light, kept running, he was very tired and wanted to give up, but he gritted his teeth and insisted, I don't know how long he ran, the light became brighter and brighter, until the intense light enveloped his entire body, piercing his eyes and unable to open them, but he didn't give up, So I tried to open my eyes, and I saw these dozen faces.
The auscultation of graduate students, trainees and interns is very unfamiliar, they rely on the methods in the textbook, one by one to find the auscultation area, the male students are obviously rough, no matter whether the auscultation area can be accurately found, they are all nimble, after listening to the pretend nod: "Yes, the rhythm is neat, there is no noise." ”
The girls were cautious, they relied on some anatomical landmarks to locate the intercostal space, and then counted the intercostal space one by one, finally finding the auscultation area, and then listening to it repeatedly.
It took a long time for more than a dozen people to finish the auscultation.
Director Kang commented on the spot: "Cardiac suspension is the basic skill of cardiovascular medicine and surgery, go back and take a good look at the book, just now I saw that when everyone was auscultating, no one touched the temperature of the head by himself, and pressed the cold head to the patient's chest skin, I repeatedly emphasized that medicine has temperature, humanistic care, four words, always engraved in the mind." ”
"Where am I?" Guo Peihua asked timidly.
"In the hospital, we are doctors, you just had surgery not long ago, now you are fine, have a good rest." Director Kang held his hand and said gently.
"Hospital?" Guo Peihua didn't believe it.
"Yes, in the hospital, do you feel the warmth on my hands?" Director Kang guided Guo Peihua.
Guo Peihua nodded: "I feel it." ”
Director Kang smiled and said, "This is the body temperature of a person. ”
Guo Peihua showed a down-to-earth expression on his face, and Director Kang helped him pull up the quilt and stuffed Guo Peihua's exposed hands into the quilt.
The fear slowly subsided, Guo Peihua looked around again, regained a little thinking ability, and finally confirmed that this was the world.
——
Meeting room at Hospital 301.
Today's case discussion is very special, gathering the country's top cardiovascular medical and surgical experts, in addition to 301 Hospital, Fuwai and Anzhen, there are more than a dozen cardiovascular medical and surgical experts from other hospitals.
Of course, even in the case discussion held in 301, as long as it is about cardiovascular specialties, the protagonists must be Fuwai and An Zhen, in terms of cardiovascular specialties, they occupy one gear, and all others belong to another gear, and 301 is also in another gear.
Fuwai and Anzhen, cardiovascular surgery are divided into many subspecialties.
In each subspecialty, the two hospitals have their own advantages, so after so many years of wrestling, there is no winner or loser.
When the People's Republic of China was founded, it was a stroke of genius for the hospitals in the imperial capital to take the road of specialization, and it was precisely because of the policy guidance at that time that there were a number of top hospitals in Asia and the world.
Even ordinary people can count it, the gods of the Temple of Heaven, the orthopedics of Jishuitan, the hearts of An Zhenfu, the ophthalmology of colleagues, and so on.
The meeting was presided over by Political Commissar Qiao, and the members who participated in the meeting all looked serious, staring at the image pictures on the projection, unable to take their eyes off it.
"Professor Xu, what do you think?" Political Commissar Qiao directly named Professor Xu Yongzhong.
Professor Xu Yongzhong is an expert in Anzhen, and he is known as the first person in Asia in heart bypass surgery, which is unmatched in terms of surgical level and volume.
Professor Xu took the case information in his hand, and after thinking about it, he said steadily: "There are diffuse lesions at the distal coronary arteries, the coronary arteries and branches are seriously blocked, there is no way to intervene in the stent, the only way is heart bypass, I have repeatedly calculated, I need to build nine bridges to obtain stable and satisfactory results." ”
Kugen Bridge?
Political Commissar Qiao took a deep breath, turned his head and said, "Professor Chai, what do you think?" ”
Professor Chai Shijin, Director of Fuwai Cardiovascular Intervention Center, Fuwai's Cardiovascular Intervention Center is the largest center in the world, with the largest annual surgical volume in the world, so Professor Chai's level in cardiovascular intervention can be imagined.
Professor Chai shook his head helplessly: "The coronary arteries and branches are seriously blocked, and the stent I put can only play a temporary role, and it will soon be blocked again. ”
The objective facts cannot be changed, in this case, it is no longer possible to rely on interventional installation of stents, and only coronary artery bypass can have a glimmer of life.
"Do you have any other opinions?"
Political Commissar Qiao asked the other experts, everyone was silent, just shook their heads, the two bigwigs had already said it clearly, things were so simple and clear.
In normal times, everyone can still use the topic to play and talk about it freely, but in today's serious meeting, you can't say a word about it.
"Kujo!"
Dean Liu, who has not spoken, is under a lot of pressure, he has a clinical background, how can he not know what the concept of Jiujo is, I am afraid that there are few people in this world who can do this kind of surgery, and only Professor Xu can do it here.
The case discussion has been held several times, and since it is so clear, it is not possible to wait, and operate as soon as possible while the stent is still working, otherwise it will be troublesome to do emergency at that time.
"If you have no opinion, then the diagnosis and treatment plan are very clear, and you can only perform a heart bypass, Professor Xu, are you confident in this operation?" Dean Liu was straightforward.
Professor Xu hesitated for a moment: "I am confident, but my right thumb was avulsed and fractured 5 days ago, which may have a little impact on the operation." ”
Professor Xu is an athlete, not long ago when playing basketball, he injured his right thumb, resulting in avulsion and fracture of the base of the distal phalanx of the right thumb, which has little impact on general surgery, and at most endures the pain, but the heart bypass, blood vessel retrieval, and anastomosis blood vessels are all delicate operations wearing a microscope, and all operations are dancing on the tip of the knife, and there is no mistake in the slightest.
Dean Liu frowned, surgery is the only option, at this time, the main knife's finger is fractured, or the thumb, which is bound to bring a trace of uncertainty to the operation and cast a shadow.
If other doctors are in charge, such as experts from Fuwai, or Professor Xu's most proud disciple, it will not work, no matter from the difficulty of the operation or the number of surgical cases, Professor Xu is known as the first person in Asia, even in the world, he is also a rare opponent, at this time, change generals, be cautious.
"Can Professor Xu overcome it, the operation can't be delayed for a long time, and then use local occlusion to block the pain, will it be better." Dean Liu suggested.
Professor Xu nodded: "Yes, I have no problem." ”
Director Xin also attended the meeting, but his field of expertise is in aortic dissection surgery, so he has not spoken just now, and now he heard that Professor Xu's hand is injured, Director Xin said: "If not, you can't stiffen, can you let Professor Zhong Zuochen take the surgery, or let Chu Shilin go to the surgery?" ”
Professor Zhong is a professor in Fuwai, mainly focusing on heart bypass, the first master of heart bypass in Fuwai, although he is also a first-class master, but compared to Professor Xu, he is a little inferior, and Chu Shilin is Professor Xu's eldest disciple, and now he is also the deputy chief physician, and he has won the true biography of Professor Xu, and the number of surgical cases is also very large, but compared to the master, it is always much more tender.
"No! None of them have built so many bridges, and I've built up to nine. ”
Professor Xu is very persistent, even if he is injured in battle, he is better than them.
This kind of cutting-edge surgery, experienced and inexperienced is completely different, not to mention that the patient is very special.
"Is there a better way?" Dean Liu also had a hard time making a decision at this time.
"In this way, let's prepare a few sets of plans, try to let Professor Xu operate in the best state, and we will select a reserve team, in case Professor Xu's surgery is not in good condition, the reserve team will be on top, so that it can be foolproof, before the operation, we will conduct an experiment to rehearse the operation of building nine bridges, so that the reserve team can be fully prepared, call it to fight, and win the battle." Political Commissar Qiao spoke.
"I can recommend a person, a young man, who can unceremoniously say that he has a higher level of cardiovascular surgery than me, at least a higher level of aortic dissection than me." Professor Seng spoke suddenly.
Who?
Everyone asked almost at the same time.
The level of aortic dissection surgery is higher than that of Professor Xin?
Don't look at Professor Xin's low-key and modesty, he is the world's first brother in aortic dissection surgery.
"This person, everyone here should have heard of it recently, his name is Yang Ping, the director of the general surgery department of Sanbo Hospital." Professor Xin said slowly.
Yang Ping?
Of course, Dean Liu and Political Commissar Qiao are familiar with each other, in the hearts of the two leaders of 301, this name is not only familiar, it is simply like thunder, 301 once sent people to Sanbo Hospital twice in order to recruit him.
For his sake, now 301 is planning to acquire Sanbo Hospital and turn it into a Southern Medical Clinical Center.
"Isn't he in orthopedics?" Dean Liu asked.
Professor Xin said: "To be precise, he was born in orthopedics, and now he does heart, craniobrain, spine, hepatobiliary and pancreatic surgeries, etc., he is mainly engaged in scientific research clinical work, and now he is the director of general surgery of Sanbo Hospital." ”
"I know, general surgery also does the heart?" Dean Liu was a little curious.
Professor Xin nodded and replied: "That's right, a few days ago, I also did more than 100 centimeters of aortic dissection surgery, up to the carotid artery and down to the femoral artery, and the rescue operation only took two hours. ”
"Two hours?" Professor Xu was surprised.
When it comes to aortic dissection surgery, Director Xin is the first, no one is out of the right, even Director Xin, I'm afraid it will take six hours, and he only takes two hours.
"So to prepare the reserves, I think it's better to add Yang Ping to the reserves." Professor Seng highly recommends.
"That's a great idea, I forgot, he was originally our member, and he was still the youngest member." Dean Liu agreed with Professor Xin's recommendation.
As soon as Political Commissar Qiao heard Yang Ping's name, he had a little headache, this guy doesn't get in oil and salt, but the meaning above is obvious, absorb him into 301, but people just don't want to, there is no way now, for him, he can only package and buy the entire Sanbo.
However, the management of Sanbo is all elite, and they try their best to cooperate on the surface, but secretly make small moves, and join the system of Nandu Medical University early and become an affiliated hospital of Nandu Medical University.
Qin Shi from the Department of Orthopedics went to Sanbo Hospital twice and returned in vain, but Qin Shi's daughter, since she came back from Sanbo Hospital, was in a state of mind and wanted to go to work in Sanbo Hospital.
Qin Shi complained when he met Political Commissar Qiao now, let him do this kind of errand, but he didn't do it, and he almost lost his daughter, this daughter doesn't talk about friends now, no one wants it, and told Qin Shi that he wanted to find someone similar to Yang Ping, where to find it.
"13 CNS things that everyone should know recently?" Professor Seng asked.
"You know, Sanbo Hospital in Nandu Province is out of the circle, and 13 CNS articles directly pull the scientific research level to the first place in the country, haha, interesting, which hospital in the country is so powerful?"
"I still smashed a few articles at a time, each with a cover article, I heard that the three journals were all published urgently, and some didn't even typeset and published directly, which was a rush to send his article, for fear that he would retract it."
"Maninstein in Germany is said to have helped him write his profile."
This kind of serious case discussion rarely diverts from the topic, but the meeting unconsciously diverges the topic, and everyone follows the topic.
"You're saying he can build nine bridges?" Director Xu asked in surprise.
Director Xin didn't dare to guarantee 100%, after all, he hadn't seen him do it, so he couldn't joke about it on this occasion.
"Give him a chance to try, and the reserve team will make it clear if he shows his hands." Professor Seng's answer was flexible.
Dean Liu thought for a while and said to Director Xu, "Why don't you count him as one?" ”
Director Xu listened to Dean Liu say this, and then he heard Professor Xin claim that the aortic dissection surgery was not as good as him, this kind of evaluation is extremely high, don't look at the understatement, that is Professor Xin admitted that Yang Ping is the first in the world.