Chapter 156 Doctor Zheng should be able to do that too, right?
"What's the condition of the patient?"
Yang Xiaohui glanced at Fang Le and then asked Huang Xiaolong.
"Laryngeal edema."
While pulling the hook, Huang Xiaolong explained the situation to Yang Xiaohui: "The patient had difficulty breathing when he was brought here..."
"Is that Fang Le?"
Yang Xiaohui couldn't help but ask.
Although Yang Xiaohui was sure that it was Fang Le, but after all, he was wearing a mask, Yang Xiaohui didn't want to believe it, and he didn't want to believe it.
"It's Doctor Fang."
Huang Xiaolong said: "Doctor Fang has a mobile phone. There is a shortage of manpower here, so I called Dr. Fang at the same time."
Yang Xiaohui hummed and continued to watch Fang Le operate.
It no longer matters how Fang Le participated.
Many things in this world are based on success or failure, especially in medical clinics.
If you do it right and do it well, even if there are occasional illegal operations, it is meritorious. If you make a mistake and the patient has an accident or danger, even if everything is in compliance with the regulations, you still need to explain, hold meetings, and review.
Find the reason.
Yang Xiaodong is the deputy director of the emergency department, and he specializes in surgery, so Yang Xiaodong was the first one to rush over. Standing on the side now, watching Fang Le's operation, Yang Xiaodong could naturally see Fang Le's level.
"Huh!"
After taking another look, Yang Xiaodong couldn't help but exclaimed. Fang Le's surgery seemed different from the open tracheotomy they usually performed.
First of all, the incision is much smaller.
"This is a percutaneous dilational tracheostomy."
Zheng Jinfan beside him said slowly: "Percutaneous dilational tracheostomy is a minimally invasive technology developed based on Seldinger's vascular puncture method. It has been used in clinical practice for less than ten years and is not very common in the United States.
, the clinical operational difficulties are still relatively difficult to control.”
In the few days since he came to the emergency department, Zheng Jinfan had performed three tracheostomies, all of which were open tracheostomies. Today, he suddenly saw that Fang Le performed a percutaneous dilational tracheostomy.
Zheng Jinfan's mood is very complicated.
During Han Shengxue's last ward round, Zheng Jinfan was surprised when Fang Le mentioned MRI vascular imaging, but that thing was just a theory after all. If Fang Le had really read relevant literature, it wouldn't be unusual for him to say it.
.
Theory is like memorizing text. It can only be said that your memory is good, but whether you can understand it is another matter.
But clinical surgery is different, and you can't just read the literature.
"Percutaneous Dilatational Tracheostomy?"
Yang Xiaohui couldn't help but sigh with emotion: "Dr. Zheng is indeed a man who came back from studying abroad. I didn't even notice his eyesight. I only heard about this percutaneous dilational tracheotomy."
The corners of Zheng Jinfan's mouth twitched.
I can see it myself. If I explain it in a few sentences, it turns out that Fang Le is coming back from studying abroad. So Fang Le is undergoing surgery now. What should I say?
And looking at Fang Le's operation, he is quite skilled.
For a moment, Zheng Jinfan felt mixed emotions.
Yesterday, Fang Le also treated several patients, all in the field of internal medicine, using traditional Chinese medicine methods.
Zheng Jinfan, a Chinese medicine doctor, didn't understand and didn't get involved. He only learned about the patient's condition during ward rounds in the morning.
After the patient with abdominal pain yesterday took the medicine, the pain subsided that afternoon. By this morning, the vomiting also subsided and the condition improved.
At that time, Zheng Jinfan comforted himself that he did not understand Chinese medicine and was not what he was good at. Unless Fang Le became a specialist in the Department of Chinese Medicine, he would still have a great advantage if he really wanted to get involved in the field of surgery or emergency medicine.
But today, Fang Le performed a percutaneous dilational tracheotomy on him.
Percutaneous dilational tracheostomy has been used in clinical practice since 1985. The initial shortcomings of any surgical procedure are great. With the development of medical technology, PDT has gradually become a routine operation in the ICU from clinical application to ICU.
After 20 to 30 years, especially due to individual differences, traditional anatomical positioning and puncture are sometimes unreliable, and some serious complications including death have been reported from time to time, resulting in a lot of negative news about PDT.
With the subsequent emergence of bronchoscopy-guided PDT and ultrasound-guided PDT, all aspects have become relatively mature.
Therefore, in terms of the advantages of ST and PDT, there is no one who is better and who is worse. Each has its own advantages and disadvantages. It can only be said that in actual clinical practice, choosing the appropriate surgery according to the specific situation is the best solution.
There is no compulsion on what must be used and what cannot be used.
But no matter what, PDT is always a new surgery. Others don’t know it yet, but Fang Le does it. This is an advantage.
Especially Zheng Jinfan, a doctor who returned from studying abroad.
While Zheng Jinfan was thinking wildly, Fang Le had already begun to pierce.
Zheng Jinfan's pupils shrank and he stared at Fang Le.
Fang Le's positioning turned out to be quite accurate.
Zheng Jinfan has never had percutaneous dilation tracheostomy, but he knows the difficulties in the operation.
The biggest difficulty in this surgery is positioning. Improper positioning will cause various serious consequences.
"Ahem!"
Following Fang Le's operation, the patient also developed an obvious cough reflex.
"Give me the right amount of calm."
Fang Le's voice sounded.
Tracheotomy is just a minor operation. This minor operation is almost not difficult for Fang Le and the operation time is not long.
Zheng Jinfan kept standing on the sidelines watching with mixed emotions.
As a doctoral candidate at the Massachusetts Institute of Technology, Dr. Zheng has been very outstanding since he was a child. He is the best among children of the same age and is considered the top academic among the top students.
It can be said that since childhood, Zheng Jinfan has never experienced what jealousy is.
With his superior family background and outstanding achievements, Dr. Zheng is often jealous of others, but Dr. Zheng is not jealous of others.
But at this moment, Zheng Jinfan couldn't help but feel a little jealous.
Looking at Fang Le, Zheng Jinfan once again had the illusion that it was not him who came back from studying abroad, but Fang Le.
In the emergency room, when Fang Le's operation was about to be completed, Han Shengxue also came back.
"Director Yang is inside?"
Han Shengxue asked a nurse who just came out of the emergency room.
"Well, Director Yang and Dr. Zheng are both here."
the nurse replied.
"How is the patient?"
"The larynx was edematous and a tracheotomy was performed."
"Um."
Han Shengxue nodded. Both Yang Xiaohui and Zheng Jinfan could do this kind of surgery. Huang Xiaolong had also done it, but not many times.
Since Yang Xiaohui and Zheng Jinfan were both here, Han Shengxue didn't have much to worry about.
Director Han was about to enter when the door to the rescue room opened and Yang Xiaohui, Zheng Jinfan and Fang Le walked out together.
"Director Han."
The three people saw Han Shengxue and hurriedly said hello.
"Hey, Xiaofang is here too."
Han Shengxue was a little surprised that Fang Le was also inside.
After looking at Fang Le and then at Zheng Jinfan, Han Shengxue couldn't help but feel a little relieved in his heart.
It seems that the conversation he had with Zheng Jinfan was effective. Zheng Jinfan must have figured it out. He is willing to take Fang Le with him for this kind of surgery. Yes, yes.
Doctoral students who have returned from studying abroad must be broad-minded and generous. What do you have to worry about with interns?
The two of them are not of the same age, with an age difference of more than ten years, and differences in academic qualifications in all aspects. They are not rivals at all, and there is no need to compete.
Even if Zheng Jinfan stays, has the support of hospital leaders, and takes over the emergency department in the future, Fang Le will still have a chance.
In fact, Han Shengxue hoped that Zheng Jinfan could stay for a long time.
Zheng Jinfan has academic qualifications, experience, and knowledge. If he can really take over the emergency department after him, it will be of great benefit to the development of the emergency department of Xijing Hospital. When Fang Le takes over again, in three generations, the emergency department of Xijing Hospital will definitely be able to
Become a best-in-class emergency department.
Perhaps one day Director Han will no longer be able to see it, but this does not affect Han Shengxue's fantasy.
As Liu Changsheng said, Han Shengxue was in the emergency department when it was just an outpatient emergency room. Then the department became independent. Step by step, Han Shengxue had a deep feeling for the emergency department. The emergency department was like Han Shengxue’s child. Han Shengxue hoped that
The department becomes bigger and stronger.
With Zheng Jinfan and Fang Le, we now have three generations of department leaders. What a wonderful thing.
"The surgery was performed by Xiao Fang, and Xiao Fang must be inside."
Just when Han Shengxue was sighing with relief, Yang Xiaohui's voice sounded in Han Shengxue's ears.
"Xiao Fang's..."
Han Shengxue answered subconsciously and said three words before he realized: "What did you say?"
"When Dr. Zheng and I arrived, Xiao Fang had already started the operation."
Yang Xiaohui sighed: "Director Han, you didn't see it, tsk tsk..."
"Tracheotomy?"
Han Shengxue looked at Fang Le: "Can you still do tracheotomy?"
"know a little."
Fang Le said with a smile.
Cheng Yunxing almost stumbled when he just walked out of the emergency room.
Those three words again.
"Where did you learn how to cut?"
Han Shengxue's little eyes widened.
Students from the College of Traditional Chinese Medicine can only sew, but they can actually make incisions.
Tracheotomy surgery only cuts the throat.
"It's a natural thing to do."
Fang Le replied with a smile.
"There's nothing right about it."
Han Shengxue wanted to give Fang Le a kick.
What does it mean to be born with it?
If you don't want to say it, don't say it.
"Director Han, what Fang Le just performed was not a conventional open surgery, but a percutaneous dilational tracheostomy."
Yang Xiaohui said: "I have only heard of this transcutaneous dilation, and this is the first time I have seen it."
"Percutaneous dilatation of the tracheostomy?"
Han Shengxue's voice suddenly rose: "Lao Yang, are you right?"
"Ask Dr. Zheng."
Yang Xiaohui understood Han Shengxue's mood at this moment.
"It's really a percutaneous dilational tracheostomy."
Zheng Jinfan said in a complicated tone: "Fang Le's puncture positioning is very precise and the operation is smooth."
"hiss!"
Han Shengxue took a breath: "I also know pdt. I saw it when I went to Shanghai Hospital at the beginning of last year. At that time, a deputy director of Shanghai Hospital told me that this percutaneous dilation tracheostomy is simple and fast, and will be used in the future."
It will definitely be widely used in clinical practice. I also thought that there would be an opportunity for the doctors in our department to go to Shanghai to learn, but I didn’t expect that Xiao Fang would also..."
While talking, Han Shengxue subconsciously asked Zheng Jinfan: "Dr. Zheng came back from the United States, so he should be able to do it, right?"