Chapter 1317 Twist
Intraoperative evaluation of ultrasound is becoming more and more widely used in the operating room.
Ling Ran used intraoperative ultrasound frequently during surgery, but now he has undergone heart surgery and the ultrasound during surgery is still smooth.
This is also the current trend. Ultrasound can determine the area, activity level, valve regurgitation level, blood flow rate, lesion location and severity, etc.
Zuo Cidian looked at Ling Ranju, stretched his neck to see without hiding the attention on his face.
"Do you know?" The nurse of the tour came over and stopped Zuo Cidian a little, so as not to get too close and affect Ling Ran's operation.
"It's my patient." Zuo Cidian closed his neck, a little slow, like a farmed turtle.
"Doctors who have been to the United States are different, they are very caring for their humanities." The nurse laughed twice, not saying much.
Zuo Cidian continued to stretch his neck to look, but he could only see Ling Ran using a probe to scan the artery short axis, apex and five-chamber sections.
When I looked up at the screen, I saw a blue color.
In ultrasound images, the heart's systolic period shows this state, indicating that the negative direction of blood flow is quite serious.
"It turns out that the mitral valve is incomplete." Zuo Cidian regressed the reason through the results, and it was easy to confirm.
Ling Ran nodded, which recognized Zuo Cidian's judgment.
Although he can use virtual people to directly determine the patient's heart state, as a consumable, Ling Ran actually doesn't like to do this when making judgments in the early stages.
After all, it is not necessary to guess nine or eight in the early stages of judgment, so why spend the precious time of a virtual person?
If necessary, the same duration will be used in the judgment of surgery with two possible periods, which will bring much greater benefits.
Huo Congjun looked at Zuo Cidian more and said unexpectedly: "Doctor Zuo still has talent in cardiac surgery?"
Because it was the boss's question, everyone was well-behavedly waiting for the chief sword Ling Ran's answer.
Ten seconds later, Ma Yanlin coughed twice and whispered: "Doctor Ling?"
Ling Ran suddenly looked up, looked at Huo Congjun, and said, "I thought it was a question."
"Suppose..." Huo Congjun shrugged without surprise, then laughed, and helped Zuo Cidian to relieve his embarrassment: "It seems that Lao Zuo has no hope of making a name for himself in cardiac surgery?"
For a moment, Zuo Cidian was really expecting it, but at this moment he was completely awake and laughed out loud: "I am at this age. Even if I devote myself to cardiac surgery, I am afraid it will be easier to use it in a few years. It's better to be more stable."
"It won't take long to learn the heart bypass alone, but the cost-effectiveness is not as good as orthopedics." Ling Ran gave his own judgment, and it was also his plan for Zuo Cidian in clinical medicine.
If Zuo Cidian had a little regret just now, he immediately started to turn his mind when Ling Ran said it.
In China, cardiac surgery is just a little nicer for ordinary doctors. Apart from the appearance, there is no way to compete with orthopedics in all aspects.
In places like Yun Medical, where the competition in departments is fierce, orthopedics can even be heartfelt in surgery and scientific research through better operating rooms and more experimental funds.
Zuo Cidian was naturally more interested in orthopedics, so he immediately continued Ling Ran's words and said, "I'll listen to you Dr. Ling."
Ling Ran nodded and continued his surgery.
Wu Lei, a young nurse standing beside Zuo Cidian, listened to the conversation between several people and decided to change her face to Zuo Cidian. She turned her body slightly and touched Zuo Cidian with a soft girl-like light elbow as if inadvertently.
Although it is a little older and ugly, if you are an orthopedic doctor, you will at least be rich.
Moreover, if you often eat radiation, you can die a little earlier than the average.
"The arterial valve is thicker than 3 mm." Ling Ran made a judgment through ultrasound and quickly said what Zuo Cidian wanted to hear: "You can do heart valve plasty."
"Is that OK?" Zuo Cidian straightened his waist and said hurriedly: "Then I'll inform the patient's family and you can continue to do it."
The preoperative notice has been signed, and Ling Ran will continue to do it, whether it is plasty or replacement. But in terms of general procedures, both the hospital and the doctor are willing to sign a notice when making a decision to avoid liability.
It's like a critical illness notice. It's enough to just give it once, but some hospitals still tend to issue critical illness notices, keep going, keep going...
The young nurse Wu Lei made a gesture and stomped her feet, then followed Zuo Cidian's footsteps and quickly left the operating room.
"What are you doing with me?" Zuo Cidian walked into the corridor and walked quickly, but Wu Lei was almost on the same side as him.
Wu Lei looked at Zuo Cidian and bit her lip without making a sound.
Zuo Cidian narrowed his eyes. He was ready to curse people. This is not an operating room. Zuo Cidian is confident. As long as this young nurse is 20 meters away from him, he can scold her until she wants to quit.
"I can help." Wu Lei lowered her head and whispered.
Zuo Cidian frowned slightly: "What are you doing?"
"Is the situation at home particularly complicated when you are going to talk to the patient? There should be several families waiting outside."
Zuo Cidian nodded slowly: "I don't help myself, but I'll be able to do surgery. I can't do it anymore. I jumped out to show my presence. I said to be relatives."
"I'm very good at dealing with such things, let me go." The young nurse Wu Lei said confidently.
Zuo Cidian looked at him suspiciously and asked, "This thing has not been proved, where did you learn to deal with it?"
"Where are two or three boyfriends? If I can't coordinate well, can I go to work safely?" Wu Lei's answer was serious!
...
Zuo Cidian took Wu Lei and met the family of the patient's veteran driver.
This time, in addition to the daughter I met last time, the driver's sisters and brothers and other families were also crowded.
A group of people sat in the waiting area and kept talking:
"I know that everyone has heart stents. Who else has surgery now? Why are you so stupid? The surgery not only recovers slowly, but also dangerous!"
"And a valve was also added, and the hospital discussed this."
"That's right, what was originally worth tens of thousands of yuan made you think too much."
The relatives kept talking in the patient's daughter's ears.
They may not necessarily have any thoughts, many times, they are just simple boredom.
"The family of the patient in bed 102." Zuo Cidian coughed twice before entering the house.
"Ah...I'm." The patient's daughter stood up quickly, feeling a little timid.
"Your father's surgery is still very smooth at the moment. The valvular disease is relatively serious. Now I am going to have a valvular surgery. You can sign another letter." Zuo Cidian took out another notice.
"Oh..." The patient's daughter took the notice and started reading it.
"This is hard to sign."
"I need to sign if there is a problem inside."
"Where is the patient? Let's see the patient before signing."
Everyone started yelling again.
The patient's family pushed me and I squeezed you, occupying almost all the positions in front of Zuo Cidian.
Wu Lei looked at Zuo Cidian worriedly. After all, she could be considered a man who likes her. If you can avoid the loss of outsiders, you should not suffer the loss of outsiders.
I can't afford to lose either.
At this time, Zuo Cidian took out another order that had been prepared and said, "There is another thing. For the renewal of the operation, you'd better borrow it from relatives and friends, and pay as much as you can..."
Chapter completed!