In the operating room, Zhang Fan's cardiac surgery team, vascular surgery team, and imaging expert team have already begun their respective work.
The more people there are in the operating room, the higher the chance of problems, but this kind of surgery cannot reduce the number of people. Therefore, the larger the operation, the more important it is to have a mature team and a mature leader.
A powerful command is extremely precious at this time.
"Extravascular preparations are prepared. Once bleeding occurs, embolization will be performed as soon as possible."
Zhang Fan's orders made the operating room with dozens of people look like an ant nest, each with their own work and everything in order!
Bridge, stent, in the heart field. Generally speaking, it can support brackets without building bridges. If we take it a step further, it means that it can be treated conservatively without bypass or stent.
Because the biggest problem with these two operations is that the pawns crossing the river can only go forward, not backward. Once the stenosis reoccurs after surgery, it will be very troublesome.
Even for degradable stents, evidence-based medicine has not clearly shown that degradable stents can improve the problem of secondary stenosis.
This is the monopoly of medical care. Most people don’t know this. When you get to the hospital, the doctor gives you a stack of disease notification sheets, and you read them from beginning to end, but you still don’t understand anything!
In fact, the applicability of these two surgeries is relatively narrow. It is definitely not the case in some years when cardiovascular interventional departments are lined up to perform surgeries, nor is it the case where doctors perform interventional procedures and their white blood cells are reduced. The biggest drawback of this thing is that you can’t put it in and take it out!
Moreover, the incidence of coronary heart disease is also regional. Currently, the country with the highest incidence of coronary heart disease in the world is Finland, ranking first for both men and women.
In China, Dongshan is the highest place, but Huizhou, which is right next to Dongshan, has the lowest incidence rate. It's very strange.
New technology is not necessarily better than old technology. This sentence is definitely applicable in medical treatment.
However, the Xu Xian Orthopedics Team of Cha Su Hospital managed to get the coating out of nowhere.
To be honest, their coating is of no use in orthopedics. It was just for making an anti-infection bracket for external bone fixation.
As a result, a coating that shines in the cardiovascular field was accidentally created.
Wang Yanan would always provoke Xu Xian, the director of the Department of Cardiac Surgery. Xu Xian would often blush and avoid Wang Yanan.
What should have been something that Xu Xian could brag about turned out to be a bit embarrassing under Wang Yanan's ridicule!
In the operating room, Zhang Fan was quite grateful to Xu Xian and his gang for producing this material.
The treatment of coronary heart disease can be roughly divided into three categories. The first category is conservative treatment, which is the so-called taking medicine. The other type is surgery, and the third type is interventional stent.
There are two types of surgical operations. One is to rely on extracorporeal circulation to stop the heart. The other is minimally invasive, which operates on the beating heart.
The disadvantage of the first type is that it causes a lot of damage, but it is relatively easy to operate.
The second type is less invasive, but more difficult.
One heart is beating, and the other is not beating. This thing is like a girl rolling all over the bed, and the other is a girl spreading her legs with spring water in her eyes.
The difficulty is definitely different.
The entry methods are different, but the final outcome is the same. Whether it is a bridge or a stent, not only do you have to take life-long anti-plaque medication, but once secondary plaque develops, there is almost no solution.
The coating created by Xu Xian and the others is quite good.
It can obviously improve the formation of secondary plaque.
If Zhang Fan was determined to make money, the material of this new coating may not be second to the income from antiemetic drugs.
But after an internal meeting in the hospital, and the country didn't know whether to use this coating to build airplanes or submarines, the excess R&D expenses were allocated to Zhang Fan anyway.
Now that it was no longer losing money, Chasu Hospital directly moved the scaffolding materials from the sky to the ground.
It used to be a rebate of 10,000 yuan with just one click, but now it's better, and the total material cost is only 300 yuan with just one click!
However, the situation of the patient undergoing this surgery was too special.
An embolism in ordinary people is like a yogurt straw with a milk lump blocking it somewhere.
And this patient's blood vessels were as if the straw had been roasted on a flame, with countless little bumps inside the straw.
If normal people's blood vessels are like highways, her blood vessels are like those mountainous dirt roads that are used to drive cross-country when they are full and have nothing to do. Not only are there many potholes, but they are also narrow.
For this operation, Zhang Fan chose minimally invasive surgical treatment.
This kind of surgery can reduce damage to patients.
But for doctors, it is devastation.
Zhang Fan has been operating the duckbill pliers for more than half an hour, but it feels like it hasn't moved at all.
The main reason is that the blood vessels are too small and narrow, and the range of operation is only a little, allowing you to move, but not letting you move too much.
The muscles in my hands were so stiff that they felt like they were going to tear apart.
Entering bit by bit, slowly separating bit by bit.
"Prepare the blood vessels!" Zhang Fan turned around slightly, and Wang Yanan and Xu Xian from the orthopedics team immediately began to amputate the veins of the lower limbs.
Zhang Fan wants to use veins instead of coronary arteries.
What is the biggest difference between veins and arteries?
The artery is probably the third leg of a sixteen or seventeen year old boy. Veins are the third leg of a man in his seventies or eighties.
Arteries can contract at any time, muscles are strong, and veins have a relatively large content.
Why not use arteries instead of arteries? This is because the coronary arteries are extremely easy to get clogged. Finding a wider one is more effective than being able to have an erection at any time.
"A small section of specially coated bracket is placed at the junction of the bridge."
Just as the early morning sun was about to sneak in a ray of light through the cracks in the window, it was ruthlessly blocked by the traveling nurse.
The operation lasted from morning until sunset.
After more than ten hours, the operation went smoothly. After the bypass was established, the anesthesiologist immediately shouted to Zhang Fan in a very excited tone: "Yuan Zhang, the heart rate has come down!"
Zhang Fan gritted his teeth and nodded.
It's not that he can't stand, but that the muscles in his hands are contracted a bit, which is also called cramps.
Gritting his teeth and finishing the last stitch, Zhang Fan grabbed his wrist and said to Wang Yanan: "Quick, pull it, my hand is cramped."
Uncle Wang grabbed Zhang Fan's hand and, as if taking revenge, pinched the big fish muscle hard and pulled it out, once, twice, three times! ~
"Okay, okay, okay, much better."
Zhang Fan took off his gloves and took a look, and he was shocked.
I have seen leg cramps, but I have never seen hand cramps. In fact, this kind of micro-operation surgery will be a torture for doctors once it takes too long.
Fortunately, after the operation was completed, the patient's heart rate and blood pressure data had obviously come down.
"Fortunately, you live up to your fate!"
In the observation room, Shanhua's team also watched for a whole day.
Especially Shanhua's director, I feel that he is more tired than Zhang Fan.
"Zhang Yuan, thank you, thank you for taking the blame for us. If I were to perform this operation myself, I would definitely not be able to do it. You don't care about your reputation..."
At this time, good words come out freely, because people really help me.
"Okay, okay, you help me, I'll help you, I'm not an outsider. Why are you being so polite? The patient's treatment is estimated to be inseparable from teasu for the time being, and teasu still lacks experience in follow-up treatment. Can you give me some support? "
"Zhang Yuan, from now on, the cardiac surgery department will be scheduled once every three months, with five doctors and fifteen nurses. The support time will be completed when you say. But you have to bring our doctors with you. Although this kind of surgery is rare, , but this time we are lucky and the patients are lucky. What if something goes wrong on the plane?"
"Okay, let's eat first, let's eat first!"
Zhang Fan held the other person's hand gratefully. The hospital's accumulation was really not an exaggeration. This thing was not something that Chasu Hospital could catch up with overnight.
While eating, Wang Yanan looked at Zhang Fan several times, but Zhang Fan deliberately didn't look at her.
Zhang Fan thought this guy was just here to take pleasure in his misfortune.
"Your cafeteria is doing really well!" Shanhua's director praised him sincerely. Old Chen Le couldn't close his mouth.
"Zhang Yuan, Zhang Yuan..." Wang Hong rubbed her legs anxiously.
"What's wrong?" Zhang Fan asked curiously, "It's already going crazy outside. Dean Yan had a quarrel with the other party's negotiation team in the morning.
Even the diplomatic officers didn't try to stop him. Golden Retriever said he would go back and continue to impose sanctions on our hospital. "
"Give him some courage! Don't worry, he will be fine tomorrow. Dean Yan is doing a good job, and our hospital is becoming more and more famous."
Back in the morning, Zhang Fan was in the operating room. Because it was a major surgery, the phone call could only be made outside the operating room.
The head nurse in the operating room has already performed the operation. Whoever makes the decision for you is just one sentence: Hospital Zhang is doing the operation and he will call after the operation.
Because Zhang Fan's latest paper was released.
It is still cutting-edge and still has data, but the difference is that the previous papers are all drugs that have been on the market for many years.
This time it’s different. Currently, there is only one company on the market that has this medicine, and it’s from a bank. At present, several Golden Retriever and German Retriever companies have begun successful research and development, and are already on the way to apply for FDA review.
As a result, this paper was produced because of the procrastinating negotiations on the part of Golden Retriever who wanted to take advantage.
Now, let alone five or six of the world's top five companies making money from this, it is a question of whether the scientific research funding of more than one billion dollars in the early stage can be recovered.
Gallic Chicken directly praised Zhang Fan in a large way: "This is the genius of the new era, this is the scientist of the new era, this is the Osler of the new era!"
There is still discussion in China, "It is appropriate to call him a genius, and it is also appropriate to call him a scientist, but I think it is a bit too much to say that Zhang Fan is the Osler of the new era. We should suggest that Comrade Zhang Fan come out and say a few words, and politely decline..."
Maruko Country, which is very close to China, has secretly begun research and development. This time there is no fuss, and this time there is no crying or shouting. Mitsubishi has even begun to secretly acquire some porcelain stranded in Maruko Country. Bowls and porcelain plates.
"Nima, didn't you say that Chasu Hospital has given up? Is this your slogan for coming back for the holidays?
Is this your success?
The flood that you just blocked has made you so arrogant that it caused a tsunami! Substitute! Replace the person immediately, inform and explain to China Tea Su, release our goodwill, please don't continue, we have not and will not engage in a technological war with China Tea Su Hospital. "
Anyway, Zhang Fan can't eat meat, so he even bothers you with the table.
The research and development of new drugs may seem like a huge market, but in fact the investment is even greater.
Out of hundreds or even thousands of projects, after successive rounds of scientific research, if more than three projects survive to enter clinical trials, it can be said that this year is a good year.
Moreover, the research and development of new drugs is not only expensive, but also time-consuming. Some drugs often take ten years from project establishment to the time they enter the hands of patients.
This time, it really hurts from being beaten and I can’t afford the loss.
If there are a few more papers analyzing substitution like this, the company will go bankrupt.
Either use cannonballs to kill Zhang Fan, or else we can only cooperate and make the other party stop this behavior.
Now there is no chance of using artillery shells. China is becoming more and more disobedient.
Zhang Heizi could only be satisfied.
At the meeting in the morning, Yan Xiaoyu didn't know about this, but she believed Zhang Fan. When she heard that the other party disagreed with her opinion, she immediately started banging the table and leaving.
Not only did it frighten the Golden Retriever negotiators, but also the officers sent to help from the country were frightened.
Where is this negotiation? You are just here to make trouble!
So unprofessional, so unprofessional!
But after leaving the venue and learning about Zhang Fan's paper, the director suddenly felt that Yan Xiaoyu was more suitable for diplomacy!
In the cafeteria, Jin Mao's phone was finally delivered to Zhang Fan.
"Okay! I'll take a break for the next two days while you new people come to negotiate!"
The other party got a promise from Zhang Fan or another kind of threat!
"Master, do you have hand pain? I didn't mean it. Your hands are trembling. You said you just had such an operation and your hands can no longer control you..."
"You have something to say." Zhang Fan was really helpless towards Wang Yanan.
"Our laboratory has discovered the source of a histocyte!"
Zhang Fan was shocked when he heard this.
"Didn't you do orthopedic joints? Why did you go to get embryonic embryos? This is not how the funds are messed up for you!"
"Who said we were messing around? The money you gave us is not enough at all..."
"You can stop talking. If you don't talk, I won't listen. If you want money, you won't let me criticize you. You can do it! Someone told Lao Zhao to get the money by himself, so don't bother me!"
"I was wrong! Our specialty is to deal with joints, but we always have problems with metabolism in the joints. We can only go back to the source and see how to inhibit osteoclasts.
But inhibition alone is not enough. Inhibiting mature osteoclasts will stimulate the production of a larger number of osteoclasts.
We just thought about whether we could suppress it from the source. Wouldn’t it be necessary to get embryonic embryos?
As a result, we discovered a special cell..."
Zhang Fan interrupted Wang Yanan.
He won't invest money in this scientific research. Damn, a group of carpenters ended up making embryos. Isn't this nonsense? They also made new cells. Are you trying to fool me like an amateur?
(End of chapter)
