"Then let's check the condition of the receptors now?"

After all, Tanglou was new here, so he still asked very politely.

Originally, Dr. Qin wanted Tang Lou to show his cowardice when facing the donor and recipient, but he didn't expect to shoot himself in the foot. He simply stopped letting Tang Lou see the patient and said directly: "Doctor Tang, I see

It's almost time, so we should go to Director Dong's office to wait together."

"That's okay too."

Tanglou's tone was slightly disappointed.

Seeing Tanglou's expression, Dr. Qin became even more depressed. What kind of contestants were these? How could such a young doctor have such a high standard? The most important thing is that he was very handsome.

In his understanding, it is not that there are no young doctors like Yushu Linfeng in Union Hospital, but by the time the skills of these doctors catch up with the director level, they will either be bald, have a bulging belly, or have no symptoms.

He raised his gun and mounted his horse and immediately vomited.

There is nothing like Tanglou, where the people are handsome, black, and the work is good!

Doctor Qin soon invited Tang Lou to Director Dong's office. Along the way, many young nurses' eyes lit up when they looked at Tang Lou.

However, it is a bit strange that Dr. Qin had such a handsome little follower.

After waiting in Director Dong's office for a while, Director Dong arrived belatedly.

After seeing Tang Lou, Director Dong came over directly and was very polite: "Dr. Tang, welcome to our Union Hospital. Last time, Academician Zhong was still saying that he would wait for you to finish the exam and come back as soon as possible to exchange and study. I didn't expect to catch up with you.

I have undergone a difficult heart transplant. This time, I hope you will cooperate with me just like you cooperated with Academician Zhong last time."

Director Dong got straight to the point. After listening, Dr. Qin's eyes widened and he looked at Tanglou in surprise. This guy actually cooperated with Academician Zhong's surgery.

Naturally, Tanglou had no objection to Director Dong's arrangement. Preoperative preparation was preoperative preparation anyway, so it didn't count.

It's not like I've never done anything like grabbing work and power during surgeries.

Seeing Tang Lou's humility, Director Dong was very satisfied: "Dr. Qin, go and invite the doctors from various cooperating departments. We will hold a consultation later and announce Dr. Tang's cooperation with me."

"Hey." Doctor Qin responded and ran out quickly.

"Dr. Tang, what do you think of this consultation?"

Director Dong looked at the tenement building and had the idea of ​​​​taking a test. In addition, it was also a preview for the consultation that would take place later.

After all, if Tang Lou was asked to come over to assist him, if Tang Lou slipped up during the consultation and operation, he would be the one to bear the responsibility and take the blame, so he had to be cautious.

In response to Director Dong's question, Tanglou didn't even think about it, and said in a very relaxed and general manner: "After a short consultation, combined with the patient's latest information, I suggest that we conduct argumentation and discussion from the following three aspects: First,

The donor heart and lungs are harvested, the second is the resection of the recipient's heart and lungs, and the third is the donor heart and lungs resection and combined transplantation."

Hearing the macroscopic and comprehensive understanding, Director Dong was a little surprised and became interested: "Can you tell me more specifically?"

Tanglou nodded lightly and explained in detail to Director Dong.

"Okay, okay, Dr. Tang, your understanding of heart transplantation is comparable to that of the top professors in the country. What you said has been mentioned by Professor Liu of the Second Hospital of Harbin Medical University before, and

What you said is exactly the same, and of course what surprises me even more is your improved operation to optimize the patient's condition."

After hearing Tanglou's idea, Director Dong already had confidence in his heart, and he became more and more confident that Tanglou would cooperate with his surgery.

After all, he has witnessed Duo Tanglou's basic skills with his own eyes. What Tanglou lacks now is the understanding of heart transplantation. Being able to explain the surgical plan in such an in-depth manner is enough to prove that Tanglou specializes in this surgery.

Coupled with his many years of experience in heart transplantation, he is enough to deal with intraoperative accidents.

"Then let's go to the consultation."

Director Dong stood up and said with admiration to the tenement building.

Soon, Director Dong took Tanglou to the consultation room. In the consultation room, experts from other departments were already present.

Of course they had already heard that Professor Liu from the Second Hospital of Harbin Medical University had to cancel this difficult operation because of something else. Director Dong had no choice but to invite a foreign aid to assist him in the operation.

However, after seeing the tenement building for the first time, all the doctors were a little confused.

"For such a young doctor, is Director Dong joking?"

Regarding the questioning thoughts of doctors from various departments in the consultation room, Director Dong directly put it to the point: "This is Dr. Tanglou who I invited from Zijingang Hospital in Hangzhou. He has previously cooperated with Academician Zhong to complete a project.

Taiwan's difficult heart transplant surgery shows top-notch basic skills. Therefore, this time I invite Dr. Tang to assist me again and cooperate with this heart transplant surgery. Everyone is welcome!"

After hearing Director Dong's words, there was intermittent applause in the consultation room, as well as more looking eyes.

Tang Lou didn't care about this at all. After all, he came here for the surgery, not to make friends. As for the questioning looks, that was all. Anyway, as soon as the surgery started, these guys' knees were all broken.

"Director Dong, let's start discussing the surgical plan."

Tanglou said very directly, after all, he would have to charge for flying knives, and every word he said had to be related to heart transplantation, and it had to be informative.

You can't be like those online novel authors, where one sentence can fill a chapter, and one plot can fill a week.

"Okay, then Doctor Tang, tell me what you think?"

Director Dong also said encouragingly. He also understood that if Tanglou wanted to win the approval of these doctors, he could only rely on his true ability to speak.

"Then let's start with donor cardiopulmonary retrieval."

Tanglou gestured to Dr. Qin to scroll to the corresponding slide and began to explain: "The donor heart and lungs are removed as a whole. Preoperative preparation and most operations are basically the same as homogeneous orthotopic heart transplantation. A midline incision is made through the chest,

The chest was exposed and the pericardium was widely incised to the pulmonary veins on both sides, the ascending aorta, innominate artery, and superior vena cava were freed, cuffed separately, and the azygos vein was ligated..."

After hearing Tanglou's surgical plan, these doctors all nodded silently.

"Free the trachea and cuff it 5cm above the carina. Minimize the separation in front of the trachea near the carina to avoid damaging the collateral blood supply from the coronary arteries. Inject heparin 3mg/kg intravenously and give prostaglandin E 120ng/(kg·min).

to eliminate pulmonary blood

The reaction of the tube to cold perfusion fluid. High ligation, cut off the superior vena cava, close to the diaphragm, clamp the inferior vena cava with a vascular clamp, and cut it off on the upper side of the clamp. After cardiac arrest, block the aorta and allow the patient to

Infuse the arterial root with 500-1000ml of cold crystalloid cardioplegia..."

Hearing Tanglou's in-depth plan, these doctors were a little unbelievable: "Dr. Tang, why does your plan feel a little familiar and a little strange at the same time?"

Director Dong on the side took a sip of tea and said to himself: "You will know what talent is after Dr. Tang comes up with the improved operation."

Sure enough, a minute later, Tanglou mentioned the optimized and improved operation: "Use a French No. 14 suction tube to perfuse the main pulmonary artery with a 4°C modified lung protection solution..."
Chapter completed!