Wu Hai is not only the dean, but also the anchor of the business field.
Over the years, Wu Hai has been able to run the hospital on his own.
When encountering difficult problems, Wu Hai will personally take action.
Wu Hai rushed to the emergency department. The patient was lying on the operating bed, and two doctors were taking turns performing chest cardiac compressions on the patient.
When the director of the emergency department saw Wu Hai coming, he quickly stepped forward and reported the situation to Wu Hai.
"The patient, a 69-year-old male, was diagnosed with severe aortic valve stenosis in a local hospital four years ago. Surgery was recommended but he did not agree. One week ago, the symptoms worsened significantly, and he felt chest tightness and breathlessness at rest.
I went to many hospitals successively, but the treatment effect was not good, and the symptoms of holding my breath gradually worsened.
He was admitted to our hospital yesterday and his condition suddenly worsened. "
Wu Hai introduced Zhao Yuan to the emergency department director, "This is my junior brother Zhao Yuan. He just flew over from Baiyun."
Wu Hai looked at Zhao Yuan.
Zhao Yuan understood and took the initiative, "Can you let me see the case?"
Wu Hai has great trust in Zhao Yuan's level. But he invited Zhao Yuan over. On the one hand, he wanted to get familiar with Zhao Yuan, and on the other hand, he also wanted to let the doctors in the hospital know the difference.
The emergency department director knew Zhao Yuan's details and handed Zhao Yuan the patient's medical records and the imaging data taken during admission.
Anyone who can get into the position of director of Yanjing's top tertiary hospital is a human being.
Although Zhao Yuan is young, he has a good reputation and is a good man. He should not look down on others just because of his appearance.
Even if there is doubt, he will hide it and will not jump up and point at Zhao Yuan's nose and say, just for this waste?
Zhao Yuan quickly read the information and returned it to the emergency department director, who then stepped forward to conduct a physical examination on the patient.
Because some doctors are still performing cardioversion to keep the patient
Blood pressure around 90/50mmHg.
Therefore, during Zhao Yuan's physical examination, he had to consider not affecting first aid.
After a while, Zhao Yuan had an idea.
“The patient was in a semi-recumbent position, short of breath, with low breath sounds in the right lung during auscultation, and wet rales could be heard in both lower lungs.
The heart rhythm is absolutely irregular and the heart sounds are muffled.
A grade 3/6 systolic murmur can be heard in the aortic valve auscultation area. "
He frowned and said seriously, "Brother, we need to have surgery as soon as possible. There is a possibility of sudden death at any time."
Wu Hai nodded slightly, "Well, how about you do this surgery?"
Zhao Yuan saw that Wu Hai's eyes were full of expectation, but he didn't hesitate, "Okay! I will listen to my senior brother."
Wu Hai glanced at Xue Lin behind him and said, "Hurry up and make pre-operative preparations and notify the patient's family to sign the agreement. Director Zhao will talk to the patient's family later. I will be Director Zhao's assistant."
Zhao Yuan said calmly, "With senior brother standing next to me, I feel at ease!"
Everyone was surprised.
Who has ever seen Wu Yuan take the initiative to be an assistant to others?
Even though Mr. Qin was invited to the hospital before, Wu Hai did not act as an assistant.
The doctors who can stay in Yanjing's tertiary hospitals are all the proud ones. Usually they can be happy for several days if they can perform surgeries with Wu Yuan. Who would have thought that Wu Hai would voluntarily lower his rank.
Many of the doctors present were Ph.D.s, and they almost burst into flames when they looked at Zhao Yuan.
Although they all heard about Zhao Yuan's record.
But Zhao Yuan is too young, and it is inevitable that people will question his level.
What Wu Hai said next shocked everyone.
"Haha, it's not that I'm worried, but I want to see you doing surgery up close." Wu Hai looked around, "Don't look at my junior brother who is young, everyone combined is not
is his opponent. Including me. "
Zhao Yuan hurriedly said modestly, "Brother, please don't say that. We both learn from each other. This patient's problem is related to the valve, as well as diabetes and other underlying diseases. It is very complicated to deal with it. If I do it alone, I really won't be able to do everything." The certainty.”
Wu Hai waved his hand to interrupt Zhao Yuan and continued, "I heard Master say that your biggest problem is that you are not confident enough and don't have an accurate understanding of your own strength. Don't be fooled by him. He is a serious person. His words are polite, but his actions are ruthless."
Zhao Yuan was stunned and speechless.
For a long time, he didn't realize whether the fifth senior brother was praising himself or underestimating himself.
Zhao Yuan quickly got rid of the complicated emotions in his heart, and pictures of surgical operations appeared in his mind, conceiving how the operation should be performed.
Wu Hai knew that Zhao Yuan was thinking of a solution and did not disrupt his thoughts.
In about ten minutes, Zhao Yuan found a pen and paper and drew out the surgical ideas.
"The patient's heart function was severely damaged. The lesion was detected four years ago, which was the optimal period for surgery. Now myocardial contractility has weakened, manifesting as classic low flow velocity, low pressure difference and severe aortic stenosis. The patient has recurrent heart failure. , and is accompanied by ventricular tachycardia. If timely intervention is not performed, sudden death may occur at any time; the STS score is 20.3%, and the risk of surgery is extremely high!"
The cardiac STS scoring standard is a set of cardiac surgery risk standards developed by the American Association of Thoracic Surgery. It includes three aspects: the patient's basic condition, surgical complexity, and prognosis. It is used to evaluate the risk of adult cardiac surgery.
This rating is usually done by filling in the data online, and then the system will give a rating.
A Ph.D. is responsible for STS scoring
.
A colleague asked him, "Did you get any results here?"
"No!" The doctor was a little anxious, "It will probably take a few minutes."
"Then how did he know?"
"It's most likely nonsense."
Not long after, the ratings came out.
20.3%, which is exactly the same as the data reported by Zhao Yuan!
The doctor and the colleague looked shocked.
Zhao Yuan actually used his brain to figure it out.
At this moment, Zhao Yuan has finalized the plan: "Perform TAVR surgery! Solve the hemodynamic disorder."
Wu Hai knew that the method provided by Zhao Yuan was the best solution.
TAVR surgery is the English abbreviation of transcatheter aortic valve implantation, which can minimize the harm to the patient.
However, this surgery is a relatively avant-garde technology.
Although in the chest hospital, there are not many doctors who can perform this operation.
"Then prepare for the surgery quickly!"
Zhao Yuan and Wu Hai met the patient's family and explained the danger of the condition.
The family members fell silent for a moment.
Apparently, they had always thought that as long as they took the person to the hospital, everything would be fine.
The patient's wife couldn't help crying.
When the daughter-in-law sees her mother-in-law crying, she starts crying too.
The others also had red eyes.
"Doctors, please, please cure my dad." The patient's son clenched his fists, gritted his teeth, and held back tears.
He needs to be strong now.
My father fell. He is the backbone of the family. As the backbone of the family, he must not be messed up.
"Don't worry, I will do this surgery with Director Zhao. We will go all out." Wu Hai said seriously.
Wu Hai has no airs when facing patients.
The patient's son had heard of Wu Hai's name.
A simple sentence built up the confidence of the family members, and the son immediately signed
Put down his name.
Wu Hai is observing Zhao Yuan.
Zhao Yuan is also studying Wu Hai.
Wu Hai's generation has encountered the best period of medical care in China. At the same time, they have also experienced very difficult times.
When I first entered the hospital, there was nothing in the hospital, and all the documents and documents had to be written by hand.
In recent years, as the country has become stronger and the equipment has been updated, they have to come into contact with new things.
In the ever-changing situation, they have developed excellent basic skills.
More importantly, they know how to be more flexible than the previous generation and know how to adjust their mentality at any time to adapt to the new competitive situation.
