The 273rd chapter directly copied the old bottom(1/2)
"Xiao Lu is right. No matter what, the person we want to save now is not wrong. If the operation is stopped at this time, the patient will have to wait for death." Cao Mengda also immediately spoke to support Lu Cheng's decision.
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Sometimes, sick patients are silent, but the family members of the patients are the ones who bring you ups and downs.
This almost makes it difficult for doctors to distinguish who should be treated.
The surgery continues!
Although the operation of inserting the catheter from the front is getting smoother and smoother, the difficulty of the operation is gradually increasing, because the more depth and bifurcations of the catheter need to be inserted, the more precise control is required.
…
At the door of the operating room, Ding Yuanyi conveyed Cao Mengda's message to Mr. Mi's family, and he conveyed it intact.
After hearing this, a woman immediately opened fire: "Hey Cao Mengda, who do you think you are, aren't you just an associate professor? If I weren't worried about your lack of skills and giving you face, I wouldn't even discuss it with you.
of."
"Don't you have any idea in your heart? I want you to stop the operation, but you don't believe in your skills. You are still doing forceful buying and selling here. You really think that if I sign, my husband's life can be saved by you.
Do whatever you want, you are killing someone."
After cursing and cursing, an old man who was about sixty to seventy years old gave him a sideways look, and she did not dare to continue talking.
The old man continued: "Although Professor Cao is only an associate professor, anyone who can reach this position in the Ninth Academy of the Magic City cannot be underestimated. When getting along with others, you cannot only see others' superficial backgrounds and superficial professional titles."
"If I were in another position and I was Cao Mengda, I might also be angry."
"However, with Mi Xuan's current condition, I am not at ease if I just leave it to an associate professor to perform the surgery. It would be better if it were replaced by Professor Lin or Academician He. But now Professor Lin Yuan is already in Taiwan
On top, no one can call him off, this time point is also quite special."
"Forget it, I'd better make a phone call and put it into operation again."
"Professor Snow and Professor Oster, one is a top expert in vascular surgery in Australia, and the other is a professor at the Royal Hospital in the United Kingdom. The possibility of saving the leg is much higher than Cao Mengda."
With that said, he went to make a phone call.
The woman stopped scolding, but muttered: "I don't have enough skills, but I still bother others to make more phone calls and waste time. I really don't know how such a person can become a doctor. He has no medical ethics at all."
"You still don't know yourself. It's clear that experts and professors who are better than you have been invited, but you still hold your position and refuse to give up. Isn't this obviously harmful to others?"
But even though she was complaining like this, she didn't dare to make a fuss without her father-in-law by her side.
…
After Lu Cheng removed an emboli from the dorsalis pedis artery, he said: "Professor Cao, we only have the emboli in the peroneal artery left to be removed. It should take more than ten minutes at most before the removal can be completed."
The embolization operation was performed and the blood vessels were sutured."
When Cao Mengda heard what Lu Cheng said, he looked at the number of blood clots that had been removed and said, "Xiao Lu, you saved this patient's leg entirely."
"There are so many emboli, my scalp feels numb just looking at them, let alone removing them."
While he was talking, the door of the operating room opened again.
Then three people filed in. The leader was wearing a mask and the kind of observation clothes used to observe operating rooms. He was of medium height and a little thin. He was wearing a very neat shirt under the observation clothes.
The two people following him were obviously much taller than him. They were wearing hand-washing clothes, masks and hats. Above the masks were blue eyeballs.
After entering the door, the person wearing the observation uniform said: "Professor Cao, I am Du Qi from the Medical Department. These two are Professor Snow and Professor Oster. They were invited by your Professor Zeng from the Department of Orthopedics to attend the meeting in Shanghai.
After hearing about the accident happening around the hospital tonight, I came to our operating room to help."
"Professor Zeng has arranged for them to come to this operating room to take over your work, and then hopes that you can go to operating room seven to perform another patient's surgery. Do you think that's okay?"
Du Qi is the deputy chief of the medical department. Except for the little people, everyone in the Ninth Hospital really knows him.
Cao Mengda's mood fluctuated momentarily, but he still suppressed his anger: "Chief Du? Whose decision is this? Does the hospital's chief dispatcher know about this?"
During emergency surgery, the hospital's general on-duty has the right to schedule the work location of any medical worker, and all accidents that occur during this period will be borne by the hospital as a whole and will not be shared with individuals.
This is when encountering a large number of emergency patients, the general on-duty can issue an order in the name of the hospital to allocate manpower from various departments to help. Or when encountering some special patients, the general on-duty can temporarily allow patients without family members to perform operations.
, making various emergency avoidance decisions such as temporarily increasing surgical authority in emergencies.
Du Qidao: "Dean Liu also knows and agrees with this matter. In addition, the leaders of the Health Commission and the Shanghai Sports Federation also called to hope that they can be accommodating. Mr. Mi is a very good athlete, and I hope he can be a member of the team if conditions permit."
Under the circumstances, we can get better treatment.”
"Professor Cao, I say this not to doubt you, Du Qi. I, Du Qi, must know your technical level. It is definitely not weaker than anyone in any other hospital. But your family members don't think so, and neither do others. Now the family members don't think so either."
They just took advantage of this time that our hospital is short of manpower, and under the guise of coming to help, we couldn't refuse."
Cao Mengda said: "Chief Du, I know this has nothing to do with you, and it has nothing to do with everyone in the hospital. The procedures in the hospital should be followed in the hospital, right? If something happens to the patient from now on, who should be responsible?
Who will be responsible?"
The tone is not very good.
"Hmm!" Du Qi could also understand Cao Mengda's anger. No matter who was disturbed while performing the surgery and asked you to step down, and then replaced someone to take over the operation you just performed, everyone would be angry.
In fact, in the operating room, once the operation begins, the surgeon is the biggest person in the operating room, whether you are the hospital director or anyone else.
I just don’t want to let it go, and no one can force it. This is the power given by the operating room to the surgeon in charge.
Du Qi immediately said: "Professor Cao, don't worry, the patient's family has signed it. Now that you stop the operation, all the consequences will be borne by them themselves. The general manager in the hospital will also beat you soon."
Call me and ask you to go to operating room seven."
Cao Mengda can unconditionally obey the hospital's general duty schedule. As long as this call comes, he will have no problem leaving the operating room now, because it is an emergency rescue period and the hospital can treat the patient without being harmed.
Arrangements for changing work locations.
Of course, this does not mean that Cao Mengda must obey the arrangements of the general duty officer under any conditions. If he determines that the patient he is currently treating is life-threatening, he can refuse to obey the arrangements and appeal.
The setting of total duty hours is not to restrain people, but to provide all doctors in the hospital with a better working environment that can be trusted.
Cao Mengda had nothing else to say: "Chief Du, go and call the head nurse from the operating room, and we will do a handover and verification together."
This kind of handover of operations midway has rarely been encountered by Cao Mengda in all his years of medical practice, and there is no corresponding provision in the Physician Law.
There is no prohibition or permission, and it is not easy to divide responsibilities.
If something goes wrong with the patient, if both parties shirk responsibility, and two foreign professors slap their butts and run away, then wouldn’t Cao Mengda have to admit that he is unlucky?
But even though he knew this, the medical department and the general on-duty still made such a decision, and Cao Mengda could only ask the operating room to come back to bear witness to him.
Cao Mengda patiently introduced the two foreign professors one by one in English and the operations they had done.
However, when Cao Mengda was halfway through speaking, one of the professors shook his head and said: "NONONO!"
"Now that vascular thrombectomy is at its peak, it is impossible for even the top vascular surgeons to remove the thrombus from the posterior tibial artery branch, unless it is through incision and thrombectomy."
"This issue was discussed by the International Medical Committee on Vascular Surgery last month and reached a consensus, which is the current limitation on thrombectomy."
"So it may be that you misjudged the location of the thrombus during the thrombectomy process. For thrombectomy at the femoral artery, there will be no thrombus below the posterior tibial artery in the removed material," Snow replied with certainty.
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In his eyes, although Chinese medicine has developed rapidly in recent years, it is still at the level of his country thirty years ago, so he does not believe or believe the introduction given to him by Cao Mengda.
When Cao Mengda heard that these two people didn't believe it, he seemed to think that they were asking for 25,000 to 80,000 yuan. He didn't want to argue with them. He just said: "Except for vascular thrombectomy, we are not doing any other operations."
After hearing this, Snow sneered at the corner of his mouth and said: "It doesn't matter, even if you have performed other operations, it will not affect my operation. I will send the patient safely out of the operating room."
"I'm very sorry for disturbing your surgery this time, and I was also entrusted by others."
At the end of the sentence, Professor Snow finally became polite.
Cao Mengda nodded and said, "I can understand, thank you."
Then Cao Mengda and Lu Cheng walked out of the operating room, leaving Chen Xiaobo behind. After all, Professor Snow and Professor Oates came and took everyone away. It was not appropriate to leave even an assistant.
Chen Xiaobo could only smile bitterly and continue to stay, so he greeted the two of them nervously in English: "I am Chen Xiaobo, a graduate student in the Department of Orthopedics of the Ninth Hospital, and I will also be your assistant."
"Has this patient ever had a CTA?" Professor Snow asked.
Chen Xiaobo smiled and shook his head: "The patient only underwent CT, not CTA."
"What about MRA?" Professor Snow asked.
What I am thinking is, if there is no CTA, there must be an MRA, right?
Chen Xiaobo continued to shake his head: "No."
Snow was stunned at the time: "WTF? There is no CTA or MRA. How did you perform the surgery before? Where did these blood clots come from?"
"It comes from the blood vessels!" Chen Xiaobo replied seriously.
"It was also taken out by the doctor just now."
"Oh, My God! Are all your Chinese doctors so crazy? I wonder if all your country's money is spent on building roads and high-rise buildings, and the hospitals don't have any advanced equipment?"
Then Professor Snow looked at the operating table again and saw that the external monitor of the vascular endoscope was no longer connected. Professor Snow was about to collapse in an instant.
He really wanted to go back and chase the two doctors and Deputy Section Chief Du Qi back. They wanted to go home.
Professor Oster actually also performed vascular surgeries, but later he only performed fracture surgeries and was able to handle all kinds of complex surgeries.
But now, it seems that before the arterial thrombus has been removed, all he can do is serve as Snow's assistant. At this moment, the questions asked by Professor Snow were answered, which shocked him.
The country of China is really a magical place. There is nothing, but how the operation is performed is almost as magical as that of India.
To be continued...