There are two main pathways for percutaneous interventional treatment of coronary arteries, one is through the femoral artery and the other is through the radial artery.
The femoral artery in the thigh is thick and the puncture success rate is high.
However, its disadvantages are long postoperative bed rest and a high incidence of puncture-related complications, such as bleeding, hematoma, pseudoaneurysm, arteriovenous fistula, retroperitoneal hematoma, etc.
Today, the first route of coronary intervention is through the radial artery in the arm, which has relatively fewer side effects.
As for the interventional treatment of bile duct stone removal, a small hole needs to be made in the waist and abdomen first, and the bile duct can be punctured with the help of the laparoscopic field of view...
When Yu Zhiming held the guide wire in his hand and slowly passed through the radial artery and bile duct, he had a clear feeling.
This guide wire is an extension of his limbs and perception.
Yu Zhiming could clearly perceive the scene where the guide wire head encountered in the narrow channel.
This kind of perception was vivid in his mind, allowing him to control the guidance wire like a fish to break out of the encirclement in the appropriate direction without the guidance of medical imaging equipment, and swim upstream.
Yu Zhiming's immersive perception and control allowed him to complete the dilation treatment of the patient's coronary artery stenosis without much effort, as well as the removal of common bile duct stones in another patient.
As the guiding and supervising doctors, Wang Chunyuan and Han Shuo both sighed in unison when faced with Yu Zhiming's skillful operation.
Yu Zhiming is a natural fit for interventional therapy...
Yu Zhiming finished all the work in the afternoon and it was already past the off-duty time. As soon as he returned to the big office to pack up and go home, he was called to the director's office.
"Zhiming, your diagnosis of young Yu Qiao is correct. I have detected that his brain blood transfusion accounts for 28% of his body's total."
Qi Yue handed a copy of the test data to Yu Zhiming.
"This is not the premise that the young man is going all out. I did a simple test. When he is thinking with all his strength, the proportion of blood required by the brain in an instant can be as high as 32%."
Qi Yue sighed again: "The psychological consultation also confirmed your judgment. The young man is under considerable psychological pressure."
"The young man revealed that one day a few years ago, he accidentally overheard his parents talking."
"I know that my parents despise him for being stupid, resent him for bringing shame on the whole family, and say they wish they could have him kidnapped."
Yu Zhiming knew that it was these extremely hurtful words that deeply stimulated the young man and awakened his BUFF.
Teacher Qi continued: "From that day on, the boy began to study hard and did not dare to slack off at all."
Yu Zhiming put the checklist he had read on his desk and said slowly: "The results this young man has achieved now at least prove something for the majority of students..."
"Diligence can really make up for lack of talent; persistent hard work can really make up for the lack of talent."
Qi Yue made a light cut.
"The price is stunted growth and shortened lifespan."
"After working hard, the oil ran out, and the lamp ran out, Zhuge Liang died of exhaustion in Wuzhangyuan. These statements and allusions still have a lot of scientific basis, and they are really possible."
Yu Zhiming smiled and asked: "Teacher, since the diagnosis is now confirmed, how should the boy's condition be treated and adjusted?"
Qi Yue pondered and said: "The young man's diligence and hard work have now become a habit. It is unlikely that he will stop and settle for mediocrity."
"The first thing is psychological counseling to ease his obsession and stop him from bearing so much psychological pressure."
"This heavy psychological pressure is also one of the important factors affecting his physical development."
"Also, parents of teenagers also need to receive psychological counseling and learn how to communicate with their children."
"Furthermore, it seems that absorbing daily nutrients from ordinary food is not able to meet the physical development needs of teenagers."
"He needs to supplement things like high-energy nutrient solution."
"Finally, proper physical exercise is also necessary."
Qi Yue said with regret: "It's just that these measures cannot be completed overnight."
"Besides, he is already seventeen years old. Even if these measures are effective and he gets a chance to compensate for rapid physical growth, it will be incredible to increase his height by another fifteen centimeters in the next two to three years."
Yu Zhiming imagined what Yu Qiao would look like in the future, and said with a smile: "He is 1.65 meters tall, and if he wears 4-5 centimeter height-increasing shoes, he will be 1.7 meters tall."
"If I dress more upright and have a sky-high hairstyle, I will look 1.75 meters tall."
"One meter and seventy-five meters is enough for a man."
Qi Yue was amused and laughed loudly: "Your false increase is too outrageous."
"If it's fake, it's fake."
"Actually, for men, height and appearance are not the most important. What matters is inner nature, ability and wealth."
"If you own a castle, you are a beast, and beautiful women will fall in love with you."
After a pause, Qi Yue turned to ask: "You went to the medical office at noon. What did the new Director Yang say?"
"Teacher, he punished me to write a letter of apology..."
Yu Zhiming briefly and clearly recounted his experience of going to the medical office.
Qi Yue's brows wrinkled slightly.
"This guy has unclear intentions!"
"Are you talking about trying to establish your authority?"
Qi Yue shook his head and said: "Although his decision to punish you is reasonable and well-founded, the punishment is light, which is better than nothing, and cannot achieve the effect of establishing prestige."
"It's not like showing kindness."
"He can completely treat this matter as something that happened when he was in office and just let it go."
Yu Zhiming said with a casual attitude like a soldier coming to stop him, "Teacher, if he asked me to write this review, I will write it."
"That incident caused quite a stir, and I was indeed at fault. The hospital just ignored it and let it go."
"This review, to me, is equivalent to the hospital's attitude and brings an end to that matter."
Qi Yue nodded gently and said, "It's quite good that you think so."
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He exhaled softly again, "Let's see... how Director Yang behaves and behaves in the future."
"Even knowing your current importance, the director of a mere medical department can't touch you."
After talking about work matters, Qi Yue told Yu Zhiming another piece of good news.
His paper on extracorporeal major bypass surgery has been confirmed to be accepted by the "Chinese Journal of Surgery" and will be published in the November issue.
This news made Yu Zhiming very happy.
I recall that when he was in the county hospital, he published professional papers in provincial publications in order to be promoted to attending physician. He relied on connections, gave money and entertained guests, but it took a lot of effort.
It's not as easy as it is now. I submitted my paper to the teacher for review on Sunday, and in the blink of an eye on Tuesday, I got the exact news that I was accepted by a national core medical journal.
"Teacher, have you left the relationship?"
Qi Yue chuckled and said: "I just sent the paper to an editorial board member I knew well. After reading it, he thought the paper had considerable reference and inspiration value, so he accepted it."
"In the final analysis, it comes down to the quality of the paper itself."
Yu Zhiming just listened to these words so that he would not be naive and believe them.
Just imagine, there is a little-known doctor and a well-known medical expert. Even if the quality of the doctor's paper is better than that of the medical expert, if you choose one of the two, the paper that will be brushed off will definitely be the paper of the young doctor. p>
This is the current situation of our country.
When Yu Zhiming left the director's office, he also took a thick medical record with him.
This is a new patient that Teacher Qi took over.
He is only nine years old and has been weak and sick since he was a child.
Over the years, the little patient has been treated by no less than ten medical experts and veteran Chinese medicine practitioners. However, not only has the frail body not improved, but it has become increasingly serious.
Today, young patients spend most of a month either lying in bed recuperating or traveling in a wheelchair.
Teacher Qi also told Yu Zhiming that the young patient’s home was in the capital, and finding him here would be regarded as seeking medical treatment indiscriminately.
They rushed to Binhai around Thursday and Friday. Yu Zhiming spent the past two days familiarizing himself with the patient's physical information...
